André Broussard, D.C.

Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy

Musculoskeletal Science and Practice Volume 55, October 2021, 102427 Original article Francis Grondinab https://doi.org/10.1016/j.msksp.2021.102427 Highlights •  A positive ULNT was defined as reproduction of arm symptom altered by structural differentiation. •  A single positive ULNT did not alter post-test probability for cervical radiculopathy. •  ≥3 positive UNLT rules in cervical radiculopathy with strong LR+ and […]

Effect of Hypertonic Dextrose Injection on Pain and Shoulder Disability in Patients with Chronic Supraspinatus Tendinosis: A Randomized Double-Blind Controlled Study

Archives of Physical Medicine and Rehabilitation VOLUME 103, ISSUE 2, P237-244, FEBRUARY 01, 2022 Che-Li Lin, MD, PhD Published: October 02, 2021 DOI:https://doi.org/10.1016/j.apmr.2021.07.812 Abstract Objectives To investigate the effect of hypertonic dextrose injection (my note: prolotherapy) on pain and disability in patients with chronic supraspinatus tendinosis. The secondary aim was to evaluate its effect on […]

High Velocity Low Amplitude Manipulation Techniques

Andrew LaPelusa; Bruno Bordoni. Last Update: October 1, 2021. Continuing Education Activity High-velocity low amplitude (HVLA) techniques employ a rapid use of force over a short duration, distance, and/or rotational area within the anatomical range of motion of a joint to engage the restrictive barrier in one or more planes of motion to elicit the […]

Exercise therapy for chronic low back pain

Cochrane Database Syst Rev. 2021 Sep 28;9(9):CD009790. doi: 10.1002/14651858.CD009790.pub2. Jill A Hayden 1, Jenna Ellis 1, Rachel Ogilvie 1, Antti Malmivaara 2, Maurits W van Tulder 3 PMID: 34580864 PMCID: PMC8477273 (available on 2022-09-28) DOI: 10.1002/14651858.CD009790.pub2 Abstract Background: Low back pain has been the leading cause of disability globally for at least the past three decades […]

Localised manual therapy treatment has a preferential effect on the kinematics of the targeted motion segment

Musculoskelet Sci Pract. 2021 Sep 3;56:102457. doi: 10.1016/j.msksp.2021.102457. Online ahead of print. Neil Tuttle PMID: 34507045 DOI: 10.1016/j.msksp.2021.102457 Abstract Aim: An observational cohort study to determine whether localised manual therapy results in a preferential increase in mobility of the targeted motion segment. Method: Eighteen participants with mechanical neck pain had three MRIs of their cervical […]

The predictors for altered central pain modulation in individuals with nonspecific chronic low back pain: A systematic review

Manisha Subramanian MPT (musculoskeletal),Prem Venkatesan Pt, PhD, First published: 22 September 2021 https://doi.org/10.1111/papr.13081 Abstract Background Research suggests that the prognosis of chronic nonspecific low back pain is poor when there is an alteration in the central pain processing pathway. This alteration creates a cascade of events, leading to poor outcomes. An overview of the predictors […]

Safety risk associated with use of nonsteroidal anti-inflammatory drugs in Japanese elderly compared with younger patients with osteoarthritis and/or chronic low back pain: A retrospective database study

Kanae Togo PhD,Nozomi Ebata PhD,Naohiro Yonemoto PhD,Lucy Abraham MSc CPsychol, First published: 19 September 2021 https://doi.org/10.1111/papr.13079 Abstract Purpose This study aimed to assess the safety risks associated with using nonsteroidal anti-inflammatory drugs (NSAIDs) in elderly patients (≥65 years) compared with younger patients (<65 years) with osteoarthritis (OA) and/or chronic low back pain (CLBP). Methods A retrospective analysis […]

Pain Changes Induced by Acupuncture in Single Body Areas in Fibromyalgia Syndrome: Results from an Open-Label Pragmatic Study

Evid Based Complement Alternat Med. 2021 Sep 28;2021:9991144. doi: 10.1155/2021/9991144. eCollection 2021. Marco Di Carlo PMID: 34621328 PMCID: PMC8492291 DOI: 10.1155/2021/9991144 Abstract To date, there is considerable evidence of the effectiveness of acupuncture in fibromyalgia syndrome (FM). However, it is not known in which body areas acupuncture is more effective. The objective of this study […]

A Case Report of Life-Threatening Hemopneumothorax as a Result of Spinal Manipulation Performed by Chiropractor

Cureus. 2021 Sep 16;13(9):e18031. doi: 10.7759/cureus.18031. eCollection 2021 Sep. Sohaib Khatib PMID: 34692274 PMCID: PMC8523197 DOI: 10.7759/cureus.18031 Abstract Chiropractic is a very popular alternative medicine practice in the United States. Despite that, this practice has been associated with several complications raising concerns for its safety. We report the case of an otherwise healthy 36-years-old, tall […]

Retraction of lumbar disc herniation achieved by noninvasive techniques: A case report

World J Clin Cases. 2021 Sep 26;9(27):8082-8089. doi: 10.12998/wjcc.v9.i27.8082. Ping Wang 1, Cai Chen 2, Qing-Hao Zhang 3, Guo-Dong Sun 4, Cong-An Wang 5, Wei Li 6 PMID: 34621865 PMCID: PMC8462224 DOI: 10.12998/wjcc.v9.i27.8082 Abstract Background: Lumbar disc herniation (LDH) has emerged as one of the most common causes of low back pain. The routine treatment approach […]

Too much free time may be almost as bad as too little

MedicalXpress Breaking | September 9, 2021 As an individual’s free time increases, so does that person’s sense of well-being—but only up to a point. Too much free time can be also be a bad thing, according to research published by the American Psychological Association. “People often complain about being too busy and express wanting more time. […]

An upper cervical spine treatment protocol for cervicogenic dizziness: a randomized controlled trial

Physiotherapy Theory and Practice An International Journal of Physical Therapy Andoni Carrasco-Uribarren , PhD, OMPT, PT Published online: 08 Sep 2021 ABSTRACT Introduction Physiotherapy is a common treatment used for cervicogenic dizziness (CD). Treatment of the cervical spine using manual therapy techniques shows moderate evidence in favor of its use. International criteria for the treatment […]

Risk factors for non-specific low back pain in older people: a systematic review with meta-analysis

Felício, D.C., Filho, J.E., de Oliveira, T.M.D. et al. Risk factors for non-specific low back pain in older people: a systematic review with meta-analysis. Arch Orthop Trauma Surg (2021). https://doi.org/10.1007/s00402-021-03959-0 Abstract Purpose To conduct a systematic review about risk factors associated with non-specific low back pain (LBP) in older people. Methods The study protocol was […]

Chronic Plantar Heel Pain Is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study

Journal of Orthopaedic & Sports Physical Therapy Published Online: August 31, 2021Volume51Issue9Pages449-458 https://www.jospt.org/doi/10.2519/jospt.2021.10018 Abstract Objective To determine the independent associations of potential clinical, symptom, physical activity, and psychological factors with chronic plantar heel pain. Design Case-control. Methods We investigated associations by comparing 220 participants with chronic (more than 3 months in duration) plantar heel pain […]

Effectiveness of Manual Therapy and Acupuncture in Tension-Type Headache: A Systematic Review

Cureus. 2021 Aug 31;13(8):e17601. doi: 10.7759/cureus.17601. eCollection 2021 Aug. Arifa Turkistani PMID: 34646653 PMCID: PMC8483450 DOI: 10.7759/cureus.17601 Abstract Tension-type headache is one of the most prevalent types of headache. The common presentation is a mild-to-moderate dull aching pain around the temporal region, like a tight band around the forehead, neck, shoulder, and sometimes behind eyes. […]

Acupuncture Modulation Effect on Pain Processing Patterns in Patients With Migraine Without Aura

Front Neurosci. 2021 Aug 26;15:729218. doi: 10.3389/fnins.2021.729218. eCollection 2021. Zilei Tian Abstract Introduction In this retrospective study, resting-state functional connectivity (FC) in patients with migraine was analyzed to identify potential pathological pain processing patterns and compared them to those in healthy controls (HCs). The FC patterns in patients between pre- and post-acupuncture sessions were also […]

Exercise Therapy is Effective for Improvement in Range of Motion, Function, and Pain in Patients With Frozen Shoulder: A Systematic Review and Meta-analysis

Archives of Physical Medicine and Rehabilitation 21 August 2021 Michel G. Mertens MSc Highlights •  Exercise therapy is effective in improving range of motion, function and pain •  The effect of adding stretches to a program with exercises is uncertain •  Adding physical modalities is to a program with exercises not beneficial •  The effect […]

Efficacy of manual therapy interventions in management of lumbar prolapsed intervertebral disc: A pilot randomized controlled trial

Varun Singh, Manoj Malik Department of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, India Corresponding author: Varun Singh Accepted: 21 August 2021 ABSTRACT Background. This pilot trial reports the initial estimates of the efficacy of manual therapy interventions in lumbar prolapsed intervertebral disc and determines the feasibility and acceptability of full powered “randomized […]

Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-Based Cohort Study

Spine (Phila Pa 1976). 2021 Aug 18. doi: 10.1097/BRS.0000000000004198. Richard Kasch PMID: 34405825 DOI: 10.1097/BRS.0000000000004198 Abstract Study design: Population-based cohort study Objective. We examined associations between common lumbar degenerative changes observed on MRI and present or future low back pain (LBP). Summary of background data: The association between lumbar MRI degenerative findings and LBP is […]

Chronology of disc degeneration and facet joint arthritis in lumbar spine is variable – A CT based cross-sectional study

J Orthop Sci. 2021 Aug 17;S0949-2658(21)00235-9. doi: 10.1016/j.jos.2021.07.016. Punit Tiwari PMID: 34412964 DOI: 10.1016/j.jos.2021.07.016 Abstract Background: The notion that disc degeneration (DD) always precedes facet joint arthritis (FJA) has held sway for many decades. However, it is not always the case. We hypothesized that DD is not always the first offender studied the prevalence of […]