All Posts by Mark Kargela

Top-Down Effects in a Bottom-Up World

Top-Down Effects in a Bottom-Up WorldPhysical therapy treatments traditionally have been focused on identifying the tissue at fault and providing a treatment to correct the proposed dysfunction, misalignment, positional fault, torsion, imbalance, …..(insert your favorite here).  Of course tissue-based explanations hold much more water when healing time frames align with pain and the clinical presentation […]

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Pain Science – An Optional Tool???

Pain Science – An Optional Tool??? The professional journey of many physical therapists seems to have a lot of similarities. Entering the profession we often feel pretty confident in our skills and then we are humbled by patient after patient who do not respond the way the text book had convinced us they should. This […]

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Culture – The Greatest Impairment

Culture – The Greatest Impairment Culture was defined by anthropologist E.B. Tylor as “that complex whole which includes knowledge, belief, art, morals, law, custom and any other capabilities and habits acquired by man as a member of society.” (1)  We are all born into a culture where our parents, friends, family members, other fellow humans,  and […]

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Science-based Theatrics in Physical Therapy????

Science-based Theatrics in Physical Therapy???? Placebo and non-specific effects of physical therapy intervention have been popular topics in the recently in physical therapy discussions and research(1-3).  Due to this clinicians now are realizing that a positive outcome is much more than the specific biomechanics or mechanical effects of the intervention being delivered.  For some this […]

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