Physiotherapy
From pain to function.
Protocols, rehabilitation, clinical assessment, case studies.
7 notes
Only half of high-level athletes get back to their preinjury level after ACL reconstruction
A Swedish nationwide cohort of 511 athletes shows who returns to knee-demanding sport after ACL reconstruction, and points to psychological readiness at 3 months as a factor we can work on.
GLP-1, muscle and musculoskeletal health: what rehabilitation should monitor
GLP-1-based therapies can produce substantial weight and fat loss, while absolute lean-mass estimates often decline to a smaller degree. Lean mass is not identical to skeletal muscle, and neither quantity alone reveals strength or physical function. Rehabilitation should therefore monitor a hierarchy of outcomes: symptoms and intake, training exposure, strength, task performance, body composition and the person's own functional goals.
From pain to function: what outcomes should guide rehabilitation?
Pain matters, but it cannot describe rehabilitation success by itself. A useful outcome system combines symptoms, patient-reported function, performance, participation, individual goals, perceived change, safety and treatment exposure. The goal is not to collect every possible metric, but to follow a small set that can change decisions.
STarT Back in a digital product: what is validated and what remains exploratory
The nine-item STarT Back Screening Tool has published prognostic validation, including evidence from a Colombian sample. That does not automatically validate every digital interface, recommendation, visualization or organizational estimate built around it. A responsible product must preserve the instrument, test digital equivalence and label every added layer according to its own evidence.
The 12 Fletcher Fundamentals, with the data behind them
Each Fundamental is taught as a movement cue. Next to each one there's a measurable fact that explains why the body behaves that way: ranges of motion, joint axes, EMG. This is the reference map, with the five numbers worth memorizing and their primary sources.
The physiology of the Fletcher Percussive Breath
Fletcher's breath is not just 'breathe deep'. Exhaling through a narrowed, audible mouth outlet creates a back-pressure that reaches the alveoli during the whole exhale. It's the same principle as pursed-lip breathing used in respiratory therapy: it holds the fine airways open longer and trains the expiratory muscles.
Why every Pilates school teaches different principles
Joseph Pilates never wrote a list of principles. Every list taught today is an interpretation built by his students after 1967. What changes between schools is not the truth of the method, it's the language: philosophical, biomechanical, clinical or somatic. Fletcher is the anchor I use to compare them.