Joseph Brence

Joseph Brence, DPT is a physical therapist and multi-site clinic director with Physiotherapy Associates in Pittsburgh, Pa.  He prides himself on taking a highly manually based treatment approach in the care of all of his patients.  He takes a Maitland approach to treatment and believes in symptom provocation in making a clinical diagnosis/assessment vs. biomechanics.
Joseph is currently working on a textbook with a colleague and physician highlighting preventative medicinal approaches for commonly occuring musculoskeletal conditions and also has interests in regional interdependent relationships that one body part may have on another.  He believes that many conditions that we see as PTs could and should be prevented.
Joseph is a graduate of Duquesne University and is engaged to be married in September 2011.  He is also a huge Steelers fan and does not treat or think about physical therapy on Sunday afternoons in the fall/winter. You can follow him regularly @ www.physiotherapyinfo.com
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The test of replicability: are you practicing fact or fiction?

A recent article in "The New Yorker" reviews how believed facts are losing their truth.

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Use Trigger Point Manual Therapy for Plantar Heel Pain…It Works!!!

Stretching and manual trigger point release to the gastrocnemius has been shown to have good short-term effects in reducing plantar pain.

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Diagnostic Criteria Series: Subacromial Impingement

Joe Brence discusses diagnostic criteria for diagnosing subacromial impingement syndrme.

http://www.theptproject.com/clinical-practice/want-to-prevent-knee-and-low-back-pain-try-starting-with-gluteus-medius-strengthening/ thumbnail image

Want to Prevent Knee and Low Back Pain. . .Try Starting with Gluteus Medius Strengthening

Gluteus medius strength is important for maintaining pelvic stabilization to reduce forces through the low back and knee.

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Check Out Your Patients Hip IR on Side of Innominate Rotation…I Bet There’s a Deficit…

This article looks at a connection between posterior innominate rotations and hip internal rotation.

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Differentially Diagnosing a Lumbar Nerve Root Adhesion

This article highlights how to recognize a lumbar nerve root adhesion.

http://www.theptproject.com/clinical-practice/global-upper-extremity-weakness-on-side-of-tennis-elbow/ thumbnail image

Global Upper Extremity Weakness on Side of Tennis Elbow

Recent research demonstrates that global upper extremity weakness is present in individuals with tennis elbow.

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Identifying T4 Syndrome

To date, there has been little research done on T4 syndrome. This article highlights some of the consistant symptoms described in the literature regarding this disorder.

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