We Make Doing Business With Us Easy and Treat Everybody as Family!

Robert S. Wainner, PT, PhD, OCS, ECS, FAAOMPT

Texas Physical Therapy Specialists
1324 Common Street
New Braunfels, TX 78130
Work Phone (830) 625-7310
Cell: (210) 473-8664
e-mail: rob@texpts.com
web-page: www.texpts.com

Education:

Ph.D., Rehabilitation Science, 2000 University of Pittsburgh
Pittsburgh, PA
MS, Physical Therapy, 1992
University of Kentucky
Lexington, KY

BS, Physical Therapy 1985
University of Texas Medical Branch Galveston, TX

Professional Experience/Certification: 

  • 19 years of clinical experience as a licensed physical therapist
  • Licensure: Texas #1043545
  • Board Certified Orthopaedic Clinical Specialist, 1994 - present
  • Board Certified Electrophysiologic Clinical Specialist, 1995 - present
  • Fellow, American Academy of Orthopaedic Manual Physical Therapy, 2002 - present
  • Areas of clinical expertise:
    • Spinal disorders Manual therapy
    • Accelerated knee rehabilitation Electrophysiologic testing (EMG/NCV)
  • Professional Service:
    • Chair, APTA Panel on Research
    • Editorial Review Board Member, Journal of Orthopedic and Sports Physical Therapy, 2001 to present
    • Member, APTA Description of Advanced Clinical Practice Committee
    • Member, APTA Manipulation Task Force, Manipulation and Education
  • Awards
    • Texas Physical Therapy Association Researcher of the Year Award (2004)
    • Air Force Physical Therapist of the Year (1990, 2001)

Research & Creative Products

-Effective and cost efficient management of patients with hip and knee osteoarthritis
-The role of imaging and its utilization in the management of low back
-Low back pain and treatment-based classification
-Spinal manipulation for low back pain: Which patients benefit the most?
-Medication for Acute Low Back Pain: Evidence and Limitations
-Effective and cost efficient management of patients with neck pain and headache

Textbooks

Whitman J, Flynn T, Wainner RS, Magel J. Orthopaedic Manual Physical Therapy Management of the Lumbar Spine, Pelvis, and Hip Region. 2002;Manipulations, Inc. ISBN 0-9714792-2-4 (an evidence-based electronic text in multimedia CD-ROM format

Wainner RS, Flynn T, Whitman J. Spinal & Extremity Manipulation: The Basic Skill Set for Physical Therapists. 2001; Manipulations, Inc. ISBN: 0-9714792-1(an evidence-based electronic text in multimedia CD-ROM format)

Peer-reviewed publications and research :

MANUAL THERAPY & SPINE CARE

Fritz JM, Whitman J, Flynn TW, Wainner RS, Childs JD. Clinical Factors Related to the Failure of Individuals with Low Back Pain to Improve with Spinal Manipulation. Phys Ther. 2004;84:173-190.

Flynn T, Fritz J, Wainner RS, Whitman J. The Audible Pop is not Necessary for Successful Spinal High Velocity Thrust Manipulation in Individuals with Low Back Pain. Archives of Physical Medicine & Rehabilitation, 84(7): 1057-1060, 2003.

Flynn T, Fritz J, Whitman J, Wainner RS, Magel J, Rendeiro J, Butler B, Garber M, Allison S. A Clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation. Spine. 2002; 27: 2835-2843.

MANUAL THERAPY & ORTHOPAEDICS

Cliborne A, Wainner RS, Rhon CI, Judd CD, Fee TT, Whitman JM, Matekel RL, Lowe LM. Reliability of provocative hip tests and a functional squat test in patients with knee osteoarthritis: incidence of positive test findings and short-term response to hip mobilization. J Orthop Sports Phys Ther. 2004;34(11):676-685.

Fitzgerald GK, Lephart SM, Hwang JH, Wainner RS. Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther. 2001;31:588-597.

ORTHOPAEDICS

Wainner RS, Fritz JM, Irrgang JJ, Delitto T, Allison SC, Boninger M. Development of a Clinical Prediction rule for the Diagnosis of Carpal Tunnel Syndrome. Arch Phys Med Rehabil. (In Press).

Winters MV, Trost JS, Blake CG, Marcello TB, Lowe LM, Garber B, Wainner RS. The effectiveness of passive vs. active stretching of hip flexor muscles insubjects with limited hip extension. Phys Ther. 2004;84:800-807.

Fritz JM, Wainner RS, Hicks, GE. The use of nonorganic signs and symptoms as a screening tool for chronicity in patients with acute low back pain. Spine. 2000;25:1925-1931.

Wainner RS, Fritz JM, Boninger M, Irrgang JJ, Delitto T, Allison SC. Reliability and Diagnostic Accuracy of the Clinical Examination and Patient Self-Report Measures for Cervical Radiculopathy. Spine. 2003;28(1):52-62.

Wainner RS, Gill HM Diagnosis and non-operative management of cervical radiculopathy. J Orthop Sports Phys Ther. 2000;30:728-744.

Wainner RS, Hasz MJ. Clinical commentary: management of acute calcific tendinitis of the shoulder J Orthop Sports Phys Ther. 1998;27:231-237.

Irrgang J, Snyder-Mackler L, Wainner RS, Fu FH, Harner CD. Development of a patient-reported measure of function of the knee. J Bone J Surg. 1998;80A:1132-1145.

EMG/NCS

Wainner RS, Boninger ML, Balu G, Burdett R, Helkowski W. The Durkan gauge and Carpal Compression Test: instrument validity and diagnostic test properties in a case series of 57 consecutively tested hands. J Orthop Sports Phys Ther. 2000;29:676-682.

Wainner RS, Greathouse, DG. Case Report: Entrapment of the ulnar nerve deep motor branch with sensory and hypothenar sparing. Journal of Clinical Electrophysiology. 1999;11:7-14.

Terry G, Morgan S, Murphy M, Baldwin T, Wainner RS, Clayton R, Underwood F. Effect of stimulator electrode placement on F-wave latency measurements and the use of height and arm length as F-wave latency predictors. Electromyography and Clinical Neurophysiology 1998;38:411-418.

OTHER

Wainner RS. Guest Editorial: Reliability of the clinical examination: how close is "close enough"? J Orthop Sports Phys Ther. 2003;33:488-491.

Flynn TW, Fritz J, Wainner RS, Whitman J. Letter to the Editor- Are Physical Agents the Same as Rehabilitation? Phys Ther. 82:286-287, 2002.

Manuscripts in Review/Preparation:

Leake V, Wainner RS, Larson M, Ayala A, Weichers J, Czech J, Young B. Reliability and normative values of deep neck flexor muscle endurance measurements in USAF high-performance aircraft pilots. Wilford Hall Medical Center Protocol/12 th Flying Training Wing, Randolph AFB. (In Review).

Harris K, Heer D, Roy T, Santos D, Pritchard A, Whitman JM, Wainner RS. Measurement characteristics of a test of deep neck flexor muscle endurance in individuals with and without neck pain. Phys Ther (Manuscript in review, 2nd revision).

Lesher JD, Sutlive TG, Miller GA, Chine NJ, Garber M, Wainner RS. Development of a Clinical Prediction Rule for the Classifying of Patients with Patellofemoral Pain Syndrome Who Respond Best to Patellar Taping. J Orthop Sports Phys Ther (Manuscript in preparation).

Flynn T, Wainner RS, Fritz JM. Spinal Manipulation in Professional Level Physical Therapist Education: Changing Behaviors and Monitoring Outcomes in the Management of Low Back Pain- A Case Report. Phys Ther (Manuscript in review).

Childs JD, Flynn T, Fritz JM, Piva S, Whitman J, Wainner RS, Greenman P. "Screening for risks associated with cervical spine mobilization/manipulation: A guide for clinical decision-making" J Orthop Sports Phys Ther. (In revision).

Fritz JM, Childs JD, Flynn TW, Whitman JM, Wainner RS. Lumbar spine segmental mobility assessment: An examination of validity for determining intervention strategies in patients with low back pain. Phys Ther. (in review).

Walker MJ, Young BA, Boyles RE, Strunce JB, Garber MB, Whitman JM, Deyle GD, Wainner RS. Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Disorders: A Randomized Clinical Trial. Brooke Army/ Wilford Hall Medical Center Protocol (In Preparation).

Research in Progress

The Effectiveness of Accessory Movement Manipulations Under Brachial Plexus Blocks for the Treatment of Adhesive Capsulitis of the Shoulder: A Randomized Clinical Trial. Brooke Army/ Wilford Hall Medical Center Protocol. (data collection ongoing).

Effectiveness of manual physical therapy and exercise for lumbar spinal stenosis: a prospective, randomized, controlled clinical trial. Brooke Army/Wilford Hall Medical Center Protocol (1yr data collection/reduction phase).

If you have similar interests, a specific question about his work, desire consultation regarding clinic research or evidence-based practice, or desire to communicate with Dr. Wainner, please call (830) 625-7310.

To learn more about Dr. Wainners professional activities, interests, and contributions, go to http://www.google.com and type in "Dr. Robert Wainner"
In the News

Texas Physical Therapy Specialists Announces Official Partnership with Evidence In Motion

Drs. Jon Sams and Rob Wainner Speak at the Bulverde Chamber

Fit for Work - The Case for Outsourcing: Therapy and Related Services Brought to Employers

San Antonio Express News: Serious About Safety

San Antonio Express News: A Safer Workplace

Therapists Labor To Make Safer Workplace

San Antonio Business Journal: Pair of Texas Physical Therapy Companies Join Forces

Texas Physical Therapy Specialists Announces New Business Opportunity with Town & Country Physical Therapy in Austin

Fit for Work Acquired by Evidence in Motion, LLC

TexPTS Announces Partnership with Evidence In Motion

San Antonio Business Journal: Area Physical Therapy Firm Eying Five-Clinic Expansion

October is National Physical Therapy Month!

Physical Therapists Handicapped By Washington Law: Citizens in Texas are Fortunate But Citizens in Washington State Do Not Have Access to the Best Care from Physical Therapists Due to Outdated Law

Physical Therapy and Exercise Proven a Better Alternative for Neck and Arm Pain Sufferers

Physical Therapists Say Appropriate Exercise Can Help Prevent ACL Injuries In Female Athletes

Physical Therapy for the 21st Century: Physical Therapy over Surgery for Osteoarthritis

New Research Shows Physical Therapy as Effective as Arthroscopic Knee Surgery

Prescription Drugs for Pain Leading to Alarming Rise in Deaths: Physical Therapy an Alternative to the High Risks of Methadone

Physical Therapists Have Identified Risk Factors for People Who Have Had a Hip Fracture

New Study Reports That Physical Therapy Treatment Resolves Symptoms of Urinary Incontinence In Women

New Research Shows Promise For Whiplash Diagnosis

Practice Better Than Education Alone for Fall Prevention

New Research Shows that Patients Must Relearn Going From Sitting to Standing Following Total Knee Replacement Surgery

Studies Find Manual Physical Therapy and Exercise Effective for Patients with Knee Osteoarthritis

Study Shows Patients with Lumbar Spinal Stenosis Show Improvement with Physical Therapy

American Heart Association's Scientific Statement Supports Physical Therapy to Relieve Pain in Patients at Risk of Heart Disease

Physical Therapists Offer Low-Cost Solution to High-Cost Expenditures For Acute Low Back Pain

TexPTS Debates Benefits of "Wii-habilitation"

Benefits of Spinal Surgery Disappear After 6 Months

Banishing Back Pain Without Breaking The Bank

Physical Therapy First – Before Other Expensive Alternatives

Study Shows Spinal Fusion Surgery Fails One in Five Times

If Your Neck Hurts, Visiting a Physical Therapist May Be the Best Thing You Can Do For Yourself

New Study Shows Treatment of Chronic Low Back Pain by a Physical Therapist Using Manipulation and Exercise Is Beneficial

American College of Physicians and the American Pain Society Recommends Physical Therapy to Manage Low Back Pain

Physical Therapists Offer Low-Cost Solution to Increasing Health Costs

When It Comes to Back Pain, Less Is More

Back Pain in America: Part 2

Back Pain in America: Part 1

Physical Therapists Can Help Relieve Pain

Recent Danish Study Supports: See a Physical Therapist for Low Back Pain

American Heart Association Prescribes Physical Therapy First

Physical Therapists Hold the Answer When Supplements Do Not

Physical Therapy Will Play Key Role In Nancy Reagan's Recovery From Recent Fall

Research Shows Physical Therapy Treatment Resolves Symptoms of Urinary Incontinence in Women: Silent Health Issue Affects Substantial Proportion of American Women

TexPTS Supports Surgeon General's "Call To Action" To Prevent Deep Vein Thrombosis And Pulmonary Embolism

New Research Shows Physical Therapy as Effective as Arthroscopic Knee Surgery

Medical Device Payments to Doctors Draw Scrutiny

Prescription Drugs for Pain Leading to Alarming Rise in Deaths: Physical Therapy an Alternative to the High Risks of Methadone

Wrong Pitching Mechanics Can Force Little Leaguers to Throw Away More than Just a Game

Women with Vulvodynia Can Find Relief with Physical Therapy

Urinary Incontinence Is No Longer Just Your Grandmother's Concern

Tips for Golfers

Regular Exercise Can Help Delay Aging

Physical Therapists Can Help Relieve Pain

Physical Therapist Intervention for Balance Impairments May Help Reduce Risk Of Falling

Texas Physical Therapy Specialists Offers Knee Injury Prevention Tips for March Madness (and Beyond!)

Family Fitness Tips to Help Parents and Kids Avoid "Obesity Trap"

Safe and Appropriate Exercise Is Key in Helping to Prevent Type 2 Diabetes

Texas Physical Therapy Specialists Recommends Exercise in Helping to Prevent Osteoporosis

Can Women Wait Too Long Before Having Total Knee Surgery?

Bed Rest And Physical Activity In Pregnancy Are Not Mutually Exclusive

Tips for Golfers On Getting Back On The Green After ACL Surgery: Strength, Fitness, and Flexibility are Key Factors to Tiger Woods' Recovery and to Avoiding Future Injuries

Does your Doctor Use a Checklist?

Financial Ties Cited in Spine Surgery Study

Health Care Costs Soaring...Consider Non-Surgical Options First

A Knife in the Back: Is Surgery The Best Approach To Chronic Back Pain?

Newer & High Tech Doesn't Mean Better, Especially Spine Surgery...Try PT First!

Plantar Fasciitis

Withdrawal Treatment: A Novel Plan Helps Hospital Wean Itself Off Pricey Tests

Manual Physical Therapy offers Arthritis Sufferers a Promising Choice

Medication for Acute Low Back Pain: Evidence and Limitations

Lookin’ Good, Feelin’ Good: Your Complementary and Alternative Solution To Medication For Muscle & Joint Pain

Medicare and Medical Savings Account Dollars: Make the Most of Yours

Lookin’ Good, Feelin’ Good: Healthy Choices, Choosing Wisely

Lookin’ Good, Feelin’ Good: Dealing Effectively With Low Back Pain

The Myth of Stretching To Prevent Running Injuries: Evidence-Based Practice in Sports Medicine

Texas Physical Therapy Specialists and Dr. Chris Baker Team Up

Jennifer Christie Named Director of Blossom Center Facility


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