kinesiology/bio-mechanics resources?

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We don't get a lot of exposure in our residency to kinesiology/biomechanics...

This statement is disturbing and disappointing. Biomechanics is everywhere in PM&R. Anytime you prescribe an orthosis or prosthesis you are altering biomechanics (hopefully for the better), and should understand the basic principles and rationale involved. Anytime you assess a neuromuscular patient’s gait or an injured athlete’s active joint ROM, you should be thinking of the altered kinematics involved.

Neumann’s book is an excellent resource to begin building your biomechanical foundation, as is Hollinshead’s Functional Anatomy. At the risk of sounding like an old fogey: are residents exposed to the so-called “classic articles” anymore? Off the top of my head: Blount’s “Don’t throw away the cane”, Saunders and Inman’s Determinants of normal and pathologic gait, anything by White and Panjabi regarding spine stability and mechanics, the 3-column spinal model by Denis, Nachemson’s studies on intradiscal pressures, Viscoelastic properties of muscle-tendon units by Taylor, Biomechanics of lumbar fusion by Evans. The list goes on. As a med student and resident I loved reading and learning from these articles, not just from the scientific and mechanical standpoint but from the historical perspective as well.
 
This statement is disturbing and disappointing. Biomechanics is everywhere in PM&R. Anytime you prescribe an orthosis or prosthesis you are altering biomechanics (hopefully for the better), and should understand the basic principles and rationale involved. Anytime you assess a neuromuscular patient’s gait or an injured athlete’s active joint ROM, you should be thinking of the altered kinematics involved.

Neumann’s book is an excellent resource to begin building your biomechanical foundation, as is Hollinshead’s Functional Anatomy. At the risk of sounding like an old fogey: are residents exposed to the so-called “classic articles” anymore? Off the top of my head: Blount’s “Don’t throw away the cane”, Saunders and Inman’s Determinants of normal and pathologic gait, anything by White and Panjabi regarding spine stability and mechanics, the 3-column spinal model by Denis, Nachemson’s studies on intradiscal pressures, Viscoelastic properties of muscle-tendon units by Taylor, Biomechanics of lumbar fusion by Evans. The list goes on. As a med student and resident I loved reading and learning from these articles, not just from the scientific and mechanical standpoint but from the historical perspective as well.

I agree that those articles are great! Fortunately, we have been given those articles at my program but I suspect there is some variability across programs.
 
This statement is disturbing and disappointing. .


But as you know, many physiatrists are disappointing. I've been on this board for 2 years now, and this topic comes up every few months.

All I do every day is biomechanics/kinesiology. When we see someone with back pain, the Physiatrist's job is to determine WHY the patient hurts. That involves biomechanics and kinesiology. If we do not think in those terms with every single patient, we are no different from any other doc out there.
 
But as you know, many physiatrists are disappointing.

True. Quite true. Many physiatrists are disturbing as well. :laugh:

All I do every day is biomechanics/kinesiology. When we see someone with back pain, the Physiatrist's job is to determine WHY the patient hurts. That involves biomechanics and kinesiology. If we do not think in those terms with every single patient, we are no different from any other doc out there.

You mean you don’t just blindly inject, throw opioids at it, and write PT: eval and treat? 😱 😀


Agree w/ you 100%.
 
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