April’s Quarterly Q and A was really amazing for a lot of reasons.
We discussed how to evolve practice with well-reasoned interventions in the absence of evidence.
We had some conversation around the extent to which we can use EMG internally, and how to be well reasoned in evidence interpretations.
We discussed how to innovate clinically in a grounded way in the era of social media or be discerning when we hear something in a continuing education course.
Then at around 36 min into the convo we shifted gears to discuss a recent trend that we are seeing around call to train pelvic internal rotation, demonstrated by pelvises with springs that show large, independent movements of the ilium/innominate (one side of the pelvis). The pelvis doesn’t do that. (clip below)
(See the companion Substack here: Content without Context)
That led us to a respectful, in-depth, (very collegial) conversation thinking through the birth position/hip internal rotation mechanism. With permission from the two pros that were there (I wanted their sign-off), I have made this a public post (no paywall), it was too good not to share broadly. It is a beautiful representation and model of how we should be discussing these issues and considering new information when it challenges our thinking. We need safe spaces like this for interacting around the real issues we are navigating on the ground as we strive to be evidence informed clinicians.
This conversation is exactly why I created this Substack: in-person, respectful, nuanced conversation. We need more in-depth understanding, not social media superficial hot takes and battles.
I sat on the companion Substack post for months, knowing it might create a social media storm. But this conversation offered a broad, nuanced, deep dive to provide A LOT of context for the post and the topic. My hope is that folks will engage in all of this content, and really consider what comes up for them (questions, concerns, challenges) before responding.
Check it all out:
🎥 Full video: Social media often makes us doubt ourselves- something that sounded fringe, starts sounding reasonable when so many are sharing it.
📝 Blog post (Substack): How can we navigate the inter-relationship between emerging research, clinical insights, and social media hype?
🎙️ Substack Q&A conversation: Colleagues respectfully thinking through the pelvic internal rotation and birth position / hip internal rotation mechanism together, in real time.
Hoping to continue having thoughtful discussions that support us all being evidence informed and well reasoned in the gaps.
(Huge shout out to Micaela Zettel and Haley Mitchell for digging deep with me in real time!)
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Wanna tell a friend?
Show Notes/Resources:
Article about creating CONTEXT for our patients around what they are experiencing.
Bialosky JE, Beneciuk JM, Bishop MD, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther. 2018;48(1):8-18. doi:10.2519/jospt.2018.7476
Links provided to research in coursework that supports birth position changes to open the pelvic outlet- (but they don’t discuss hip rotation).
1. https://www.sciencedirect.com/science/article/abs/pii/S0002937814005985
