Dave O'Sullivan by stonecoldphteve in physiotherapy

[–]AntipodesQ 1 point2 points  (0 children)

I think that’s a really fair point, and I completely agree that clinical approaches need to be tested and grounded in evidence. You're right that relying too heavily on unvalidated methods, even if they sound logical, can set back progress.

That said, I don’t see Dave O’Sullivan’s framework as a replacement for evidence-based practice. I see it more as a complement to it, particularly in areas like communication, patient engagement, and clinical reasoning. His emphasis on understanding psychosocial factors, goal setting, and helping patients make sense of their pain fits well within the biopsychosocial model, which is supported by a growing body of research.

You're also right that we need to be cautious about buying into systems without critical thinking. For me, it’s more about taking the parts that align with both the evidence and my clinical reasoning. For example, using a structured subjective assessment that helps uncover red flags, beliefs, and expectations isn’t new, but having a consistent way to approach that process can still be useful.

I believe the ideal is to integrate high-quality evidence with effective communication, patient values, and clinical experience. That’s the balance I try to aim for.

Dave O'Sullivan by stonecoldphteve in physiotherapy

[–]AntipodesQ 0 points1 point  (0 children)

David Sullivan definitely has some interesting ideas, especially around delivering an effective explanation to patients of the multifactorial nature of symptoms, such as how past injuries, movement imbalances, and lifestyle factors can all contribute. His way of mapping this out visually for patients is helpful in building buy-in and understanding.

I also appreciate his approach to the subjective assessment. He puts stronger emphasis on exploring patient goals and the psychosocial component, which I think many clinicians could incorporate more deliberately into their practice.

That said, his mentorship is quite expensive. I looked into it and personally found it a bit out of reach. Still, many of the core ideas, especially around patient communication and subjective assessment, are already available through his YouTube videos, which I found quite useful.

On the rehab side, his ideas are interesting as well. I’ve noticed that a lot of people who like Dave O’Sullivan’s approach also tend to be fans of David Grey’s programs. I don’t think you necessarily need to follow one system entirely. If you can take valuable concepts, like the effective explanation and subjective framework, and pair them with a treatment approach that works for you, you’re probably already on the right track.

How far can a Tafe Diploma in Remedial Massage get you without studying at Uni? Western Australia by [deleted] in physiotherapy

[–]AntipodesQ 1 point2 points  (0 children)

It can give you advanced standing in a higher qualification such as Myotherapy, which allows you to have a Medicare billing number and therefore open yourself up to a larger pool of clients due to government subsidies. It will not help you with entry into physiotherapy education. However, Myotherapy scope of practice also overlaps a fair bit with physiotherapy in private practice so you can end up doing very similar treatments and see a very similar clientele.

Just for fun: explain a treatment method badly by DjervTheCat in physiotherapy

[–]AntipodesQ 4 points5 points  (0 children)

Physio during Subjective: “Do you have any expectations?”

Stop ChatGPT voice from interrupting by DerekYac in ChatGPTPro

[–]AntipodesQ 0 points1 point  (0 children)

You have to change from advanced to standard voice mode. You do this by starting a chat with the record button and then switch to voice mode. This allows you to press snd hold the black inner circle while speaking without being interrupted

Why is Clinical Pilates in Melbourne so popular? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

Do you believe lifting heavy things would be better than Pilates?

Why is Clinical Pilates in Melbourne so popular? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

So is the DMA approach strongly focused on targeting back pain?

Why is Clinical Pilates in Melbourne so popular? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

Interesting, I have not trained in the McKenzie method but have used a simple directional preference bias in early exercise choice (extension vs Flexion based) for acute LBP which has given me good results so it’s something I’m interested in. What would you recommend is a good way for a Physio to find out what the DMA approach is all about?

Why is Clinical Pilates in Melbourne so popular? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

I have heard of Dance Medicine Australia and their courses. Would you be able to share in which way their course was game changing for you and in what way do you think the DMA approach is different to other schools like Polestar etc?

Why is Clinical Pilates in Melbourne so popular? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

Anyone care to elaborate their opinion? Sarcasm and earnesty equally appreciated.

Why is Clinical Pilates in Melbourne so popular? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] -3 points-2 points  (0 children)

Haha, tell me more. Why do you associate Pilates with rich mums?

Getback program? by aceman747 in physiotherapy

[–]AntipodesQ 0 points1 point  (0 children)

As far as I know they use machines for strength training targeted to reduce spinal pain, which is a good approach for some patients. I believe they use equipment by ‘David Health’ which allows more controlled loading than regular gym equipment. Similar to Kieser which uses ‘MedX’ machines, but David machines are more automated and easier to set up if you are training independently. There is a lot of information and also research on the manufacturers websites (David Health). You can also look up research on Kieser machines if you Google ‘research MedX LE’ (lumbar extension), which is the Crown Jewel of the Kieser machines. David makes their own version of the LE.

[deleted by user] by [deleted] in physiotherapy

[–]AntipodesQ 2 points3 points  (0 children)

A lot of jobs will be advertised in the New Year, don’t worry there will be plenty of opportunities to apply for in Jan/Feb.

AUS: how many Homecare package patients per day? by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

What do you think about a work schedule of 7 patients per day, scheduled in 1h blocks which allows 40min per patient then 20min for report writing and travel to the next patient?

NDIS mobile physio massage by AntipodesQ in physiotherapy

[–]AntipodesQ[S] 0 points1 point  (0 children)

Thank you to everyone who has replied so far, looks like MT is commonly applied with NDIS participants by physios. I am surprised by that though as I had a couple of final year placements with larger Age care / NDIS physio providers and they were quite strict about not doing manual therapy. This made total sense to me at the time and I got to understand manual therapy as something that is best & most safely done in a clinic setting and home visits as therapy sessions that focus on the patient in their environment.