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Terry Pratt, MS, PT, COMT, FAAOMPT

Terry received his MSPT from Andrews University in 1997 and his FAAOMPT in 2013 through the NAIOMT Fellowship Program. He is a Faculty, Clinical Fellowship Instructor and Examiner for NAIOMT. He teaches core NAIOMT courses primarily in the Northeast, and has presented specialty course for the Massachusetts, Maine, New Hampshire APTA sections and SIGs.

Recent Posts

The PT’s Gambit

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Dec 26, 2020 8:20:26 AM

“Chess is one of the few arts where composition takes place simultaneously with performance.” - Garry Kasparov

There has been a resurgence in interest in Chess of late, specifically because of the highly acclaimed Netflix miniseries The Queen’s Gambit. This has led me to thinking about chess, physical therapy and advancing excellence in the clinic during the current healthcare environment.

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The One-Percenters

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Nov 14, 2020 9:09:20 AM

Since PT school we have all been taught to be wary of serious pathology masquerading as musculoskeletal pain. We learn about the red flag, the 5 Ds, and the 3 Ns, etc. In fact, research has presented 163 possible signs and symptoms which can be reported as red flags for spinal pathology alone! There are some who disregard the screening for serious pathology as an unnecessary impediment to proving the intervention they prefer. Also, in their opinion, these signs and symptoms are so rare, they should not be a major concern for your average therapist. I would like to stress that even though these conditions are atypical for most patients, for those who have the pathology, the diagnosis is “devastating and life changing.” I call these patients the one-percenters, because although serious pathology is rare, they deserve appropriate screening.

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Cervical Spine Treatment Safety Tips

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Nov 7, 2020 8:39:00 AM

Screening of the cervical spine for safety prior to performing techniques should be routine for most manual physical therapists. Over my practice in the past 23 years, I have learned many ways to screen structures, particularly the vertebral artery. It has been well established that the vertebral artery is at most risk during the performance of manual therapy to the cervical spine. It is also established that the risk is relatively low measured at 0.75-2.9 incidents per 100,000 people.

To ensure safety, the International Federation of Orthopeadic Manual Therapists (IFOMPT) published a “Framework” for assessing the cervical spine prior to treatment. IFOMPT has recently released its 2020 update entitled, “International Framework for Examination of the Cervical Region for potential of vascular pathologies of the neck prior to Orthopaedic Manual Therapy (OMT) Intervention”

Some of the highlights of the article are the following:

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Three Ways to Functionally Integrate Core Stabilization Into Your Patient Treatment

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Oct 17, 2020 8:32:11 AM

In this video NAIOMT teaching faculty Terry Pratt outlines and demonstrates weight bearing strategies he uses in the clinic for lumbar stabilization.

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AAA – A One-Percenter

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Nov 4, 2019 11:08:46 AM

One of the concerns we have as clinicians—one that patients also have—is a serious diagnosis when they present with an MSK issue. The Society for Vascular Surgery published guidelines in January of 2018 for care of patients with AAA (3). The chances of encountering AAA are pretty slim, so I consider this one of the one-percenters. The majority of lumbar pain does not have a serious origin, but on average 1% do, and AAA is a life threatening diagnosis, which results in death of 9,000 individuals a year in the USA (2).  Here are some basic facts about AAA:

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Four Ways to Assess Shoulder Abduction

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Jun 13, 2019 8:02:23 PM

In the manual therapy video below, NAIOMT faculty instructor Terry Pratt demonstrates four ways to asses shoulder abduction and outlines the clinical reasoning associated with each way.

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Topics: manual therapy, manual therapy certification, upper extremity, treating wrist injury

HA Taping to Relieve Tension

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Apr 24, 2019 9:22:32 AM

When it comes to patients experiencing neck pain and pressure, it's valuable to have an array of tools we can choose from and employ on a case-by-case basis. In the manual therapy video below, NAIOMT faculty member, Terry Pratt, MS, PT, COMT, FAAOMPT demonstrates HA taping that can help relieve tension.

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Topics: cervical spine course, manual therapy, manual therapy courses, cervical tests

Tissue Differentiation: Trigeminal Signs and Symptoms

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Apr 20, 2019 9:12:40 AM

Patient experiencing pain when turning head to the right? In the manual therapy video below, Terry Pratt discusses and demonstrates trigeminal signs and symptoms.

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Topics: cervical spine course, manual therapy, manual therapy courses, cervical tests

TMJ Screening Tips

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Apr 6, 2019 9:15:28 AM

Have a patient presenting with TMJ pain? In the manual therapy video below, demonstrate some efficient ways to screen the TMJ.

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Topics: cervical spine course, manual therapy, manual therapy courses, TMJ, cervical tests

3 Common Clamshell Exercise Errors

Posted by Terry Pratt, MS, PT, COMT, FAAOMPT on Mar 30, 2019 10:16:26 AM

In the manual therapy video below, NAIOMT Faculty Member Terry PrattMS, PT, COMT, FAAOMPT discusses some common clamshell exercise errors and how to help your patient adjust them. 

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Topics: Lumbopelvic Spine, lumbopelvic spine courses, manual therapy, terry pratt, Manual Therapy Videos, videos, treating lumbar spine

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