Anatomy

When Treating Coexisting Low Back Pain and Hip Impairments, Focus on the Back: Adding Specific Hip Treatment Does Not Yield Additional Benefits-A Randomized Controlled Trial

J Orthop Sports Phys Ther. 2021 Nov 16;1-48. doi: 10.2519/jospt.2021.10593. Online ahead of print. Scott A Burns PMID: 34784246 DOI: 10.2519/jospt.2021.10593 Abstract Objective: To determine if adding hip treatment to usual low back pain care improved disability and pain for individuals with low back pain (LBP) and a concurrent hip impairment. Design: Randomized controlled trial. […]

Evidence for increased neuromuscular drive following spinal manipulation in individuals with subacromial pain syndrome

Clinical Biomechanics Volume 90, December 2021, 105485 Amy K. Hegarty Highlights •  Shoulder muscle activity is a key deficit in those individuals with shoulder pain. •  Spinal manipulation increased shoulder muscle activity in patients with shoulder pain. •  Shoulder muscle activity was related to improved shoulder pain and function. •  Neuromuscular drive mechanism may optimize […]

Fibrous Connection Between Cervical Nerve and Zygapophysial Joint and Implication of the Cervical Spondylotic Radiculopathy

An Anatomic Cadaveric Study Kagawa, Eiichiro MSa,b; Nimura, Akimoto MD, PhDc; Nasu, Hisayo PhDa; Kato, Ryuichi MD, PhDb; Akita, Keiichi MD, PhDaAuthor Information SPINE: July 1, 2021 – Volume 46 – Issue 13 – p E704-E709 doi: 10.1097/BRS.0000000000003895 Study Design Observational, anatomical, cadaveric study. Objective We anatomically investigated the fibrous connection between the cervical nerves […]

Hip–Spine Syndrome: When the Hip Does Not Move, the Spine Labors Double

Arthroscopy VOLUME 37, ISSUE 5, P1510-1511, MAY 01, 2021 Editorial Commentary Juan Gómez-Hoyos, M.D. DOI:https://doi.org/10.1016/j.arthro.2021.02.038 Abstract When the hip does not move, the spine labors double. For example, limited hip extension results in lumbar spine hyperextension and an increase in spinal facet joint loading due to premature coupling. Patients who undergo hip surgery show significant […]

Sexual dimorphism of the posterior cervical spine muscle attachments

Journal of Anatomy Lee Keidan Alon Barash Ziv Lenzner Chaim G. Pick Ella Been First published: 19 April 2021 https://doi.org/10.1111/joa.13448 Abstract Cervical spinal injury and neck pain are common disorders with wide physical implications. Neck pain and disability are reported to occur in females more often than in males, and chronic or persistent neck pain […]

The effect of lumbar spine manipulation on pain and disability in Achilles tendinopathy. A case report

Journal of Bodywork and Movement Therapies Volume 26, April 2021, Pages 214-219 Christos Savva Abstract Background/purpose Cervical and thoracic spine manipulation has been found to reduce tendon pain and disability in lateral epicondylalgia and rotator cuff tendinopathy. Based on these findings, the application of lumbar spine manipulation may also provide similar improvements in Achilles tendinopathy […]

Influence of Lumbar Mobilizations During the Nordic Hamstring Exercise on Hamstring Measures of Knee Flexor Strength, Failure Point, and Muscle Activity: A Randomized Crossover Trial

Journal of Manipulative and Physiological Therapeutics VOLUME 44, ISSUE 1, P1-13, JANUARY 01, 2021 Paul Chesterton, MSc Abstract Objective The aims of this study were to quantify the effects of spinal mobilization on force production, failure point, and muscle activity of the hamstrings during the Nordic hamstring exercise (NHE), and to explore individual differences in […]

Histologic Observation and Significance of Sympathetic Nerve Fiber Distribution on Human Cervical Ligamentum Flavum

Orthopedic Surgery Volume12, Issue 6. December 2020. Pages 1811-1825 Xiaolin Wu MD Xiaoyan Wang MD Guoqing Zhang MM Zhu Guo MD Yan Wang MD Ronghuan Wang MM Hongfei Xiang MD Bohua Chen MD First published: 19 October 2020 https://doi.org/10.1111/os.12802 Abstract Objective To study the distribution of sympathetic nerves of the ligamentum flavum (LF), confirm its existence by […]

Relationship Between Intensity of Neck Pain and Disability and Shoulder Pain and Disability in Individuals With Subacromial Impingement Symptoms: A Cross-Sectional Study

JMPT VOLUME 43, ISSUE 7, P691-699, SEPTEMBER 01, 2020 Thiele de Cássia Libardoni, PT, MSc Abstract Objective This study aimed to verify a possible relationship between shoulder disability and shoulder pain intensity and the variables related to cervical-spine dysfunction, and determine which of these can differentiate moderate to severe shoulder pain (>4 on a numerical […]

The immediate effect of lumbopelvic manipulation on knee pain, knee position sense, and balance in patients with patellofemoral pain: A randomized controlled trial

JBMT VOLUME 24, ISSUE 3, P 71-77, JULY 01, 2020 Alireza Motealleh Abstract Background Patellofemoral pain (PFP) is a common musculoskeletal disorder. Quadriceps and core muscle neuromuscular control impairments are frequently associated with PFP. Lumbopelvic manipulation (LPM) has been shown to improve quadriceps and core muscle activation and decrease their inhibition, but changes in balance […]

The immediate effect of lumbopelvic manipulation on knee pain, knee position sense, and balance in patients with patellofemoral pain: A randomized controlled trial

Journal of Bodywork and Movement Therapies Volume 24, Issue 3, July 2020, Pages 71-77 AlirezaMotealleh Abstract Background Patellofemoral pain (PFP) is a common musculoskeletal disorder. Quadriceps and core muscle neuromuscular control impairments are frequently associated with PFP. Lumbopelvic manipulation (LPM) has been shown to improve quadriceps and core muscle activation and decrease their inhibition, but […]

Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review

Global Spine J. 2020 Apr;10(2):195-208. doi: 10.1177/2192568218822536. Epub 2019 Feb 17. Katsuura Y1,2,3, Bruce J1, Taylor S2,3,4, Gullota L2,3,4, Kim HJ2,3,4. Abstract STUDY DESIGN: Systematic review. OBJECTIVE: To assess the current literature regarding the relationship between the shoulder and the spine with regard to (1) overlapping pain pathways; (2) differentiating history, exam findings, and diagnostic […]

Can knee flexion contracture affect cervical alignment and neck tension? A prospective self-controlled pilot study

The Spine Journal Volume 20, Issue 2, February 2020, Pages 251-260 Y iDing MD, PhD Abstract BACKGROUND CONTEXT The coordination of the alignment between the lower extremities and cervical spine helps to achieve balance and horizontal gaze during standing and walking. Malalignment in any segment can disturb the global balance, causing compensation in another segment. […]

The prevalence of myofascial trigger points in hip and thigh areas in anterior knee pain patients

Journal of Bodywork and Movement Therapies January 2020 Volume 24, Issue 1, Pages 31–38 Evgeni Rozenfeld Abstract Background Anterior knee pain (AKP) is a widespread problem among young athletes and soldiers. There are many theories on the etiology of AKP but there is little reference to myofascial trigger points (MTrPs) as a possible contributor. Aim […]

Ten-year Longitudinal Follow-up MRI Study of Age-related Changes in Thoracic Intervertebral Discs in Asymptomatic Subjects

Spine: November 15, 2019 – Volume 44 – Issue 22 – p E1317-E1324 doi: 10.1097/BRS.0000000000003145 Okada, Eijiro MD, PhD Study Design. Prospective longitudinal study. Objective. The aim of this study was to evaluate long-term degenerative changes in intervertebral discs in the thoracic spine in healthy asymptomatic subjects. Summary of Background Data. Longitudinal magnetic resonance imaging (MRI) […]

Effects of Knee Osteoarthritis on Hip and Ankle Gait Mechanics – Full Text Article

Advances in Orthopedics Volume 2019, Article ID 9757369, 6 pages https://doi.org/10.1155/2019/9757369 Du Hyun Ro Abstract Introduction. Knee osteoarthritis (OA) can affect the hip and ankle joints, as these three joints operate as a kinetic/kinematic chain while walking. Purpose. This study was performed to compare (1) hip and ankle joint gait mechanics between knee OA and […]

Short-term Response to Treatment Targeting the Thoracolumbar Junction in Patients With Hip Pain: A Case Series

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:0 Issue:0 Pages:1–11 DOI:10.2519/jospt.2019.8309 Background In patients presenting with hip and groin symptoms, evaluation and treatment of the thoracolumbar junction (TLJ) may be underutilized. The TLJ is less recognized as a source of pain referral in these regions. The purpose of this case series was to describe the management of 3 […]

The association between headache and low back pain: a systematic review

Published: 15 July 2019 Arani Vivekanantham The Journal of Headache and Pain volume 20, Article number: 82 (2019 Abstract Background To systematically review studies quantifying the association between primary chronic headaches and persistent low back pain (LBP). Main text We searched five electronic databases. We included case-control, cross-sectional and cohort studies that included a headache […]

Mobility of the upper cervical spine and muscle performance of the deep flexors in women with temporomandibular disorders.

J Oral Rehabil. 2019 Jul 10. doi: 10.1111/joor.12858. [Epub ahead of print] Ferreira MP, Waisberg CB, Conti PCR, Bevilaqua-Grossi D. Abstract BACKGROUND: Cervical spine disorders are frequently associated with temporomandibular disorders (TMDs). Although headache is common in TMD, few studies have considered headache regarding the functional performance of the cervical spine in TMD. OBJECTIVES: To […]

Effect of spinal manipulative therapy on mechanical pain sensitivity in patients with chronic nonspecific low back pain: a pilot randomized, controlled trial

Journal of Manual & Manipulative Therapy Bryan M. Bond Published online: 05 Mar 2019 ABSTRACT Objectives: The long-term goal of our study is to improve the understanding of the biological mechanisms associated with spinal manipulative therapy (SMT) in low back pain. Methods: This project involved a pilot randomized, blinded clinical trial (ClinicalTrials.gov registration number NCT03078114) […]