The Case of Mr. SpoonerSome readers of this blog have posited that you should never, ever use the OPTIMAL scale because it is "crap" and not a useful tool for clinical decision-making.The shortcomimgs of the OPTIMAL have been previously discussed here and are well-known.OPTIMAL is a 'setting-specific' tool for activity limitations affecting the upper body, lower body and trunk.That is, OPTIMAL is Read this article: When should you use the OPTIMAL Scale?

Should physical therapists complete a full neurological screening for every patient with lower back pain?Over 12 years ago, Richard Deyo, MD, MPH asked the question... "Should the physician complete a full neurological examination of every patient - even those who present with no leg pain?"I almost always believe that, as specialists, physical therapists should 'step up to the plate' and screen See original here: Should orthopedic physical therapists always test for nerve root injuries?