A Doctor's Perspective Podcast

A Doctor's Perspective Podcast


E 174 Identifying Biomechanical Failure Patterns Rob Pape DC Quadrant Analysis

April 08, 2021

Dr. Rob Pape, DC talks to Dr. Justin Trosclair, DC on A Doctor's Perspective Podcast

Quadrant analysis helps practitioners navigate treatment based on a subclassification system breaking down biomechanical failure into traceable patterns.

Dr. Pape was evidence based and patient centered before these were buzz words and before the internet made it easy to collaborate. It was like being on a chiropractic island and taking trips with different professions to iron out what he was seeing work.

What is the reason that some doctors blame the patient when they don’t get the results that the doctor assumes you would get?

Should this be taught in schools with diagnosis and student clinic so they can apply these concepts (not cookie cutter programs)? This can help bridge the gap from being excellent at diagnosis and bridging all the techniques you know with practical application based on what the patient presents.

Test - Treat - ReTest

Are they hyper-mobile?Do they have Systemic Inflammation? (abdominal sub-classification)What’s their motor control with dynamic stability like?Regional interdependence also plays a part

We really are missing key components to injury and relief if we only focus on the area of chief complaint.

When asking about ‘magical’ areas that tend to be overlooked... what is his answer?

Can we say mechanical dysfunction and drop the ‘subluxation’ word?

Dr Rob Pape may not have easy answers but he has easy ways to ask better questions.

Do you want a n=1 shirt, hoodie, mug etc? Then head over to my spreadshirt account and pick one up.

Codifying how you process and work on patients, while actually working on patients is a difficult endeavor but he managed to compile the quadrant analysis system and hopes you will see it as a way to be more efficient and effective with your patients.

Pain with normal range of motion could be hypermobility or random pain all over, tender to touch, massage and exercise may make it worse could be systemic inflammation are just a few of the ideas you learn about in quadrant analysis.

Relationship Advice:

When you are having important conversations, slow it down and really listen and actively listen to fully understand what the other person is saying. The thing you are UPSET about, if you slow down, is probably something on Your End that You need to Own.

Take time off - build a practice and a lifestyle that you can pre-plan vacations for the year.

Here are links to his Quadrant Analysis courses.

* https://southeast-sports-seminars.thinkific.com/courses/quadrant-analysis-movement

* https://practice-mechanics.com/quadrant-analysis/

We discussed the anterior neck and here is a video on Practice Mechanics showing the basics of how Dr. Rob Pape approaches that. https://practice-mechanics.com/anterior-neck-manual-treatment/