@Retlouping

All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)

 Coon Rapids MN, USA
youtu.be/u3BwXOkbWCo
Joined June 2015
  • Tweets181K
  • Following946
  • Followers26.8K
41.4KMedia
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 24
My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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CauseHealth@Cause_Health11 Jan 2021
New blog post by @Retlouping on genuine complexity and the biopsychosocial model! What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem” causehealthblog.wordpress.co…

What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem”

by David Poulter There is still a lot of confusion regarding the word “biopsychosocial”. Yes it’s a compound word made up of three other words Biological (physical), Psychological (of the mind) and…

causehealthblog.org
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Prosper Egie@OfficialEgie20h
Replying to @LastbabyBC
xitter.cf/Retlouping/status/2114… I found this very helpful 👌
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 24
My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping24 Jun 2025
I think this is still one of the best things I have written. 26 years on and we are still ignoring the message. Empower the patient. jospt.org/doi/pdf/10.2519/jo…
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping15 Jun 2025
Reflection & metacognition are two great clinical reasoning tools.🧵 I often advise clinicians to choose one patient a day to reflect on. Think about the interaction you had, the flow, the discussion, the treatment, the assessment, the education, the closure and forward plan.
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Hsieh-Hsing Wu@TaiwanOzPhysioOct 24
A new perspective on modic type 1 changes in degenerative disc disease pubmed.ncbi.nlm.nih.gov/4277… cc. @Retlouping @TDekkersPhysio @marklaslett_NZ

A new perspective on modic type 1 changes in degenerative disc disease: a systematic evidence-based...

MC1 should be interpreted as a potentially meaningful but non-specific imaging biomarker of active disc-endplate degeneration and possible vertebrogenic pain, rather than as an isolated or universa...

pubmed.ncbi.nlm.nih.gov
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping9 May 2020
jospt.org/doi/pdfplus/10.251… Dimensions of the cervical neural foramina in resting and retracted positions using magnetic resonance imaging.
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping9 Nov 2018
Polite request If you teach patients to do cervical retraction, can you stop calling it chin tucks , plus can you allow them to do head and neck retraction , not just head bobbing like a demented chicken. Thanks,
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 21
My latest blog: I asked three different AIs to classify a patient scenario using the McKenzie method. retlouping331888347.wordpres…

I asked three different AIs to classify a patient scenario using the McKenzie method.

I asked Google AI, X’s AI Grok and ChatGPT4, the following question “What Mckenzie classification is the following patients? A history of sudden onset right sided low back pain. 4 previous episode …

retlouping331888347.wordpress.com
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping23 Jul 2023
A micro blog Does it matter what we do as long as our patients report they are better? retlouping331888347.wordpres…

Does it matter what we do as long as our patients report they are better?

A micro blog: In an older blog I posed the question “are we better than placebo?” Basically I was asking are we as practicing caring clinicians better than the sum of all the contextual non specifi…

retlouping331888347.wordpress.com
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HISTORY.PHYSIO@history_physioOct 22
You may have heard the term “derangement” and immediately thought of Robin McKenzie. But the story of the term goes back further. @Retlouping explains how McKenzie was strongly influenced by the work of British orthopaedic surgeon Dr James Cyriax. history.physio/derangement-f…

Derangement from Cyriax to McKenzie

You may have heard the term “derangement” and immediately thought of Robin McKenzie’s Derangement Syndrome. But the story of the term goes back further. McKenzie was strongly influenced by the work…

history.physio
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Dr Latif Khan FCPS-Orth
@DrLatifKhanOct 20
Sequestrated disc in the axilla of right side S1 root. #Medtwitter #OrthoTwitter
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping29 Nov 2024
Muscles rarely if ever just do their actions during everyday function. It is more likely that they don’t. Functionally most work synergistically and perform movement opposite to their action. Quads are knee flexors, abdominals are spine extenders. Enjoy your day.
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping31 Oct 2020
Intervertebral Discs are they jelly Donuts? A guest blog by David Poulter. – Research in Motion suhailphysio.wordpress.com/2…

Intervertebral Discs are they jelly Donuts? A guest blog by David Poulter.

A blog on the human intervertebral disc, movement, function, adaptation, degradation, degeneration, wedding photos, boiling frogs and Jelly Donut lies. This guest blog is on all things about the hu…

suhailphysio.com
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Ammar Suhail, PT@suhailphysio89Oct 17
Check out our new paper exploring physiotherapists' beliefs, clinical reasoning, and barriers to evidence-based management of low back pain in the Maldives. onlinelibrary.wiley.com/doi/… #backpain
Back Pain

ALT Back Pain

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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping18 Feb 2025
Our paper is free open access. Please read share, and enjoy , thank you 🙏 Contextual effects in musculoskeletal pain: are we overlooking essential factors? frontiersin.org/journals/psy…
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping16 Aug 2025
Do clinicians really understand the difference between, placebo, contextual effects and specific effects. I am going to propose placebo has zero effect, “nothing” (placebo) always needs contextual priming. Hence contextual effects are “specific” effects. frontiersin.org/journals/psy…

Frontiers | Contextual effects in musculoskeletal pain: are we overlooking essential factors?

The role of contextual effects in musculoskeletal pain research and clinical practice has garnered growing interest in recent years (Rossettini et al., 2024)...

frontiersin.org
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping6 Jun 2021
🅿🅻🅰🅲🅴🅱🅾 Nothing. 👇
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping2 Mar 2021
Old man shouting at bull elephant 💩 😂 this may be one of my favourite threads 😂
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping2 Mar 2021
It’s been a strange day which started with the elephant and Kinesiotape? But geez who knew it was a thread worthy venture? Humans are basically bat 💩 crazy? Let me distract you before the thread with the beauty of the elephant foot This thread is the elephant in the room
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping14 Feb 2019
Nature is wonderful. This elephants foot still boggles my mind. Elephant Human
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping23 Aug 2025
My model of person focused manual therapy is still the way to explain MT to patients, I echo this in my recent published letter to the editor. jospt.org/doi/epdf/10.2519/j…
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