95 - The science behind centralization with Dr. Stephen May

Jan 30, 2023

💭 “If you have something as highly prevalent as this, even in the chronic population, that has the potential for such a good prognosis and can guide your management strategies, you would be foolish to ignore it.” - Dr. Stephen May

👉🏻 Our guest is Stephen May, MA, FCSP, Dip MDT, MSc, Ph.D. Stephen May trained as a physiotherapist in Leeds, UK, and graduated in 1990; he then worked in the NHS, UK, in musculoskeletal care. In 2002 he became a senior lecturer and then Reader at Sheffield Hallam University teaching research issues and musculoskeletal care, and supervising many MSc and Ph.D. students. He has written textbooks with Robin McKenzie detailing Mechanical Diagnosis and Therapy in the Extremities (2000), Lumbar spine (2003), and Cervical spine (2006), chapters in textbooks, and articles in scientific journals; with over 100 publications in total. He has served on several national and international committees relating to guideline development and the McKenzie institute and has peer-reviewed numerous international physical therapy and musculoskeletal journals. In 2006 he was awarded a Fellowship by the Chartered Society of Physiotherapy for contributions to the profession. He has more or less retired since 2019.

📚What will you learn:

▪️ Stephen's story and career

▪️ Definition of centralization and directional preference

▪️ What evidence says about centralization

▪️ Centralization in acute, sub-acute, and chronic spine pain

▪️ Low Back Pain Clinical Practice Guidelines

▪️ Advice to clinicians who are starting their careers

▪️ How to become successful in Physical Therapy

🔎Stephen's favorite resource of information:

  • Stephen May, Nils Runge, Alessandro Aina. Centralization and directional preference: An updated systematic review with synthesis of previous evidence. Musculoskeletal Science and Practice, Volume 38, 2018, Pages 53-62.
  • Aina A, May S, Clare H. The centralization phenomenon of spinal symptoms--a systematic review. Man Ther. 2004
  • May S, Aina A. Centralization and directional preference: a systematic review. Man Ther. 2012
  • Chris Littlewood, Stephen May. Understanding Physiotherapy Research. 2014
  • David L. Streiner , Geoffrey R. Norman. PDQ Epidemiology, 2009.

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