Musculoskeletal System

Subacromial impingement syndrome–effectiveness of physiotherapy and manual therapy

Gebremariam L,et al. Show allJournal Br J Sports Med. 2013 Nov 11. doi: 10.1136/bjsports-2012-091802. [Epub ahead of print] Abstract BACKGROUND: The subacromial impingement syndrome (SIS) includes the rotator cuff syndrome, tendonitis and bursitis of the shoulder. Treatment includes surgical and non-surgical modalities. Non-surgical treatment is used to reduce pain, to decrease the subacromial inflammation, to […]

Effect of 10-week core stabilization exercise training and detraining on pain-related outcomes in patients with clinical lumbar instability

Patient Prefer Adherence. 2013 Nov 19;7:1189-99. doi: 10.2147/PPA.S50436. eCollection 2013. Puntumetakul R, Areeudomwong P, Emasithi A, Yamauchi J. Abstract BACKGROUND AND AIMS: Clinical lumbar instability causes pain and socioeconomic suffering; however, an appropriate treatment for this condition is unknown. This article examines the effect of a 10 week core stabilization exercise (CSE) program and 3 […]

Milk Consumption in Teens Does Not Reduce Hip Fracture Risk

Steven Fox November 19, 2013 Milk consumption during adolescence is not associated with decreased risk for hip fracture later in life, according to results from a new study. In fact, high consumption of milk may actually up risk by increasing height. The study was published online November 18 in JAMA Pediatrics. “Greater milk consumption during childhood and adolescence contributes to […]

Movement of the lumbar spine is critical for maintenance of postural recovery following support surface perturbation

Nicola W. Mok, Paul W. Hodges Experimental Brain Research November 2013, Volume 231, Issue 3, pp 305-313 Abstract Repeated measures design. This study examined recovery of postural equilibrium (centre of pressure (COP) excursion, time to recover balance, and the number of postural adjustments) following unexpected support surface perturbation in healthy participants with and without a […]

What causes chronic pelvic pain?

Leon Chaitow’s Website:  http://leonchaitow.com/2013/08/04/what-causes-chronic-pelvic-pain/ The summary below is taken from chapter one of my coauthored book (with Dr Ruth Lovegrove): Chronic Pelvic Pain & Dysfunction. This information highlights the complexity of CPP – and the multiple background possibilities that feed into both its onset, and its maintenance. The subtitle of the book – Practical Physical Medicine […]

Manual physical therapy and perturbation exercises in knee osteoarthritis

Authors: Rhon, Daniel1; Deyle, Gail2; Gill, Norman2; Rendeiro, Daniel3 Source: Journal of Manual & Manipulative Therapy, Volume 21, Number 4, 2013 , pp. 220-228(9) Abstract: Objectives: Knee osteoarthritis (OA) causes disability among the elderly and is often associated with impaired balance and proprioception. Perturbation exercises may help improve these impairments. Although manual physical therapy is […]

A comparison of conservative interventions and their effectiveness for coccydynia

A systematic review Authors: Howard, Paul D; Dolan, Andrea N; Falco, Anthony N; Holland, Brett M; Wilkinson, Caitlin F; Zink, Anna M Source: Journal of Manual & Manipulative Therapy, Volume 21, Number 4, 2013 , pp. 213-219(7) Abstract: Study design: Systematic literature review. Objective: To investigate the various conservative interventions for coccydynia and determine their effectiveness. […]

The effect of a novel core stabilization technique on managing patients with chronic low back pain

A randomized, controlled, experimenter-blinded study You JH,et al. Clin Rehabil. 2013 Nov 18. [Epub ahead of print] Abstract Objective:To identify the effect of a novel augmented core stabilization exercise technique on physical function, pain and core stability in patients with chronic low back pain.Design:A block randomized controlled trial with two groups.Setting:A sports rehabilitation clinic.Participants:Forty patients […]

Spinal Manipulative Therapy and Exercise for Seniors with Chronic Neck Pain

Michele Maiers, DC, MPH The Spine Journal: Available online 16 November 2013: In Press Abstract Background Context Neck pain, common among the elderly population, has considerable implications on health and quality of life. Evidence supports the use of spinal manipulative therapy and exercise to treat neck pain; however, no studies to date have evaluated the […]

What is the best screening test for depression in chronic spinal pain patients?

Yun Hee Choi, Ph.D The Spine Journal: Available online 16 November 2013: In Press Abstract Background Context High prevalence rates of depression have been found in chronic spinal disorder (CSD) patients. As a result, the assessment of depression has become an increasingly important component in understanding CSD using a biopsychosocial perspective. Standardized diagnostic criteria, such […]

Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients

Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients Rishi M Kanna, MS MRCS FNB The Spine Journal: Available online 16 November 2013: In Press Abstract Background Context Existing research works on lumbar disc degeneration have remained inconclusive regarding its etiology, pathogenesis, symptomatology, […]

Does physical activity influence the relationship between low back pain and obesity?

Increased BMI is a risk factor for back pain in Americans.

An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy

D. Scott Kreiner, MD The Spine Journal: Available online 16 November 2013: In Press Abstract Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar […]

Intervertebral discs from spinal nondeformity and deformity patients have different mechanical and matrix properties

Kevin K. Cheng, PhD The Spine Journal: Available online 16 November 2013: In Press Abstract Background context It is well-established that disc mechanical properties degrade with degeneration. However, prior studies utilized cadaveric tissues from donors with undefined back pain history. Disc degeneration may present with pain at the affected motion segment, or it may be […]

An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy

D. Scott Kreiner, MD Published Online: November 18, 2013 Background context The objective of the North American Spine Society’s (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar disc herniation with radiculopathy. The guideline […]

Effectiveness of Acupuncture for Nonspecific Chronic Low Back Pain

A Systematic Review and Meta-analysis Lam, Megan BA, MSc Spine: 15 November 2013 – Volume 38 – Issue 24 – p 2124–2138 Abstract Study Design. A systematic review and meta-analysis of randomized controlled trials (RCTs). Objective. To evaluate the totality of evidence in relation to the effectiveness of acupuncture for nonspecific chronic low back pain […]

Short-term usual chiropractic care for spinal pain

Walker BF,et al. Spine (Phila Pa 1976). 2013 Nov 15;38(24):2071-8. doi: 10.1097/01.brs.0000435032.73187.c7. Affiliation *School of Health Professions †School of Psychology and Exercise Science, Murdoch University, Murdoch, Australia; and ‡School of Rehabilitation Therapy, Queen’s University, Kingston, Ontario, Canada. Abstract STUDY DESIGN: Parallel-group randomized controlled trial. OBJECTIVE: Establish the short-term effectiveness of chiropractic therapy for spinal pain compared […]

Comparison of radicular symptoms caused by lumbar disc herniation and lumbar spinal stenosis in the elderly

Rainville J, et al. Spine (Phila Pa 1976). 2013 Jul 1;38(15):1282-7. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02120, USA. jrainvil@nebh.org Abstract STUDY DESIGN: Comparative study using combined data from 2 prospective cohort studies. OBJECTIVE: To expose the differences between the clinical characteristics of neurogenic claudication from magnetic resonance image-documented lumbar spinal […]

Treatment of the sacroiliac joint in patients with leg pain-comparing manual therapy, PT and intra-articular injeciton

A randomized-controlled trial L. H. Visser European Spine Journal October 2013, Volume 22, Issue 10, pp 2310-2317 Abstract Purpose The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain. Methods Using a single-blinded randomised trial, we assessed […]

Lumbar lordosis

Ella Been The Spine Journal: Article in Press Received 3 October 2011; received in revised form 22 June 2013; accepted 21 July 2013. published online 04 October 2013. Corrected Proof Abstract Lumbar lordosis is a key postural component that has interested both clinicians and researchers for many years. Despite its wide use in assessing postural […]