Musculoskeletal System

Pulsed Electromagnetic Fields Accelerate Sensorimotor Recovery Following Experimental Disc Herniation

Chan, Andrew K. MD SPINE: February 15, 2021 – Volume 46 – Issue 4 – p E222-E233 doi: 10.1097/BRS.0000000000003762 Study Design. An experimental animal study. Objective. The aim of this study was to investigate the effect of pulsed electromagnetic fields (PEMF) on recovery of sensorimotor function in a rodent model of disc herniation (DH). Summary […]

Spinal manipulation and perineural electrical dry needling in patients with cervicogenic headache: a multicenter randomized clinical trial

The Spine Journal VOLUME 21, ISSUE 2, P284-295, FEBRUARY 01, 2021 James Dunning, PhD, DPT, MSc Abstract BACKGROUND CONTEXT Spinal manipulation, spinal mobilization, and exercise are commonly used in individuals with cervicogenic headache (CH). Dry needling is being increasingly used in the management of CH. However, questions remain about the effectiveness of these therapies and […]

Spinal Manipulation and Electrical Dry Needling in Patients With Subacromial Pain Syndrome: A Multicenter Randomized Clinical Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online:January 31, 2021Volume51Issue2Pages72-81 https://www.jospt.org/doi/10.2519/jospt.2021.9785 Abstract Objectives To compare the effects of spinal thrust manipulation and electrical dry needling (TMEDN group) to those of nonthrust peripheral joint/soft tissue mobilization, exercise, and interferential current (NTMEX group) on pain and disability in patients with subacromial pain syndrome (SAPS). Design Randomized, […]

Effectiveness of McKenzie Manipulative Therapy on Pain, Functional Activity and Disability for Lumbar Disc Herniation

Mohammad Anwar Hossain Abstract Introduction Lumbar disc herniation (LDH) is one of the common determinations for low back pain and disability. The objectives of the study were to explore the effectiveness of McKenzie exercises and Manipulative Therapy approaches for LDH. Methodology Assessor blinded RCT carried out for 36 months at CRP. 72 subjects aged 25-50 […]

Visit Frequency and Outcomes for Patients Using Ongoing Chiropractic Care for Chronic Low-Back and Neck Pain: An Observational Longitudinal Study

Pain Physician. 2021 Jan;24(1):E61-E74. Patricia M Herman Abstract Background: Chronic spinal pain is prevalent and long-lasting. Although provider-based nonpharmacologic therapies, such as chiropractic care, have been recommended, healthcare and coverage policies provide little guidance or evidence regarding long-term use of this care. Objective: To determine the relationships between visit frequency and outcomes for patients using […]

Short-term effects of the traction-manipulation protocol in dizziness intensity and disability in cervicogenic dizziness: a randomized controlled trial

Disability and Rehabilitation Published online: 20 Jan 2021 Andoni Carrasco-Uribarren Abstract Purpose Analyse the short-term effects of traction-manipulation protocol in dizziness and pain intensity and disability, cervical mobility and postural instability. Materials and methods Randomized controlled assessor-blind clinical trial. The traction-manipulation protocol was carried out in the intervention group and compared with a control group […]

Muscle Fascia Changes in Patients with Occipital Neuralgia, Headache, or Migraine

Gfrerer, Lisa M.D., Ph.D.; Hansdorfer, Marek A. M.D.; Ortiz, Ricardo M.D.; Chartier, Christian; Nealon, Kassandra P. B.Sc.; Austen, William G. Jr. M.D.Author Information Plastic and Reconstructive Surgery: January 2021 – Volume 147 – Issue 1 – p 176-180 doi: 10.1097/PRS.0000000000007484 Abstract Summary: In an ongoing effort to understand the pathogenesis of occipital neuralgia/headache/migraine, it is […]

Coenzyme Q10 supplementation for prophylaxis in adult patients with migraine-A meta-analysis

Sazali S, Badrin S, Norhayati MN, et al. BMJ Open | January 6, 2021 In adult patients with migraine, researchers determined the impacts of coenzyme Q10 (CoQ10), also known as ubiquinone, in reducing the severity and frequency of migraine attacks and the duration of headache in this systematic review and meta-analysis involving 371 participants. This […]

Dry Needling Adds No Benefit to the Treatment of Neck Pain: A Sham-Controlled Randomized Clinical Trial With 1-Year Follow-up

Journal of Orthopaedic & Sports Physical Therapy Published Online: December 31, 2020 Volume 51 Issue 1 Pages37-45 Abstract Objective To examine the short- and long-term effectiveness of dry needling on disability, pain, and patient-perceived improvements in patients with mechanical neck pain when added to a multimodal treatment program that includes manual therapy and exercise. Design […]

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 […]

Effectiveness of Mechanical Traction for Lumbar Radiculopathy: A Systematic Review and Meta-analysis

Carla Vanti, PT, MSc, OMPT Physical Therapy, pzaa231, https://doi.org/10.1093/ptj/pzaa231 Published: 31 December 2020 Abstract Objective Lumbar radiculopathy is a pain syndrome caused by compression/irritation of the lumbar nerve root(s). Traction is a well-known and commonly used conservative treatment for lumbar radiculopathy, although its effectiveness is disputed. The purpose of this systematic review and meta-analysis of […]

Reliability of ultrasound measurement of the lateral abdominal and lumbar multifidus muscles in individuals with chronic low back pain: A cross-sectional test-retest study

VOLUME 26, P394-400, APRIL 01, 2021 Soheila Abbasi Mohammad Reza Hadian Rasanani Published: December 23, 2020 DOI:https://doi.org/10.1016/j.jbmt.2020.12.029 Highlights •  The trunk muscle symmetry was found at rest. •  Ultrasound is reliable for measuring abdominal muscle thickness. •  Ultrasound is reliable for measuring lumbar multifidus thickness. •  Vertical alignment of transducer is reliable for measuring the […]

Comparison of Treatments for Frozen Shoulder: A Systematic Review and Meta-analysis

December 16, 2020 Dimitris Challoumas, MD JAMA Netw Open. 2020;3(12):e2029581. doi:10.1001/jamanetworkopen.2020.29581 Key Points Question Are any treatment modalities for frozen shoulder associated with better outcomes than other treatments? Findings In this meta-analysis of 65 studies with 4097 participants, intra-articular corticosteroid was associated with increased short-term benefits compared with other nonsurgical treatments, and its superiority appeared […]

Acupuncture vs. Pharmacological Prophylaxis of Migraine: A Systematic Review of Randomized Controlled Trials

Front Neurol. 2020 Dec 15;11:576272. doi: 10.3389/fneur.2020.576272. eCollection 2020. Carlo Maria Giovanardi Abstract Introduction: Migraine is a chronic paroxymal neurological disorder characterized by attacks of moderate to severe headache and reversible neurological and systemic symptoms. Treatment of migraine includes acute therapies, that aim to reduce the intensity of pain of each attack, and preventive therapies that […]

Acupuncture for chronic nonspecific low back pain

Cochrane Database Syst Rev. 2020 Dec 11;12:CD013814. doi: 10.1002/14651858.CD013814. Jinglan Mu PMID: 33306198 DOI: 10.1002/14651858.CD013814 Abstract Background: Chronic nonspecific low back pain (LBP) is very common; it is defined as pain without a recognizable etiology that lasts for more than three months. Some clinical practice guidelines suggest that acupuncture can offer an effective alternative therapy. […]

Effects of Manual Therapy and Mechanical Massage on Spinal Alignment, Extension Range of Motion, Back Extensor Electromyographic Activity, and Thoracic Extension Strength in Individuals with Thoracic Hyperkyphosis: A Randomized Controlled Trial

Evidence-Based Complementary and Alternative Medicine Volume 2020 |Article ID 6526935 | https://doi.org/10.1155/2020/6526935 Sung-hoon Jung Abstract Background. Manual therapy has been recommended to reduce and prevent musculoskeletal problems related to thoracic hyperkyphosis. With recent rapid technological developments, manual techniques can now be implemented by mechanical devices; hence, mechanical massage can manipulate the back muscles and mobilize […]

Optimization of Spinal Manipulative Therapy Protocols: A Factorial Randomized Trial Within a Multiphase Optimization Framework

The Journal of Pain Julie M. Fritz Published: December 09, 2020 DOI:https://doi.org/10.1016/j.jpain.2020.11.008 Highlights Research has typically studied SMT as a unimodal treatment. Clinicians usually provide SMT as part of a multimodal treatment package. We used a factorial randomized trial to develop a multimodal SMT protocol. Disability was improved by combining SMT and multifidus activating exercises. […]

The effect of running on knee joint cartilage: A systematic review and meta-analysis

Physical Therapy in Sport Volume 47, January 2021, Pages 147-155 Xueping Dong Highlights ·  A meta-analysis was done to evaluate the effect of running on knee cartilage. ·  A short-term adverse effect on COMP was caused by running. ·  Running has more advantages than disadvantages to knee cartilage. ·  Runners could follow the moderate principle […]

Bone Marrow Improves Healing With ACL Grafts

— MRI confirms better outcomes than with allograft alone in randomized study by Ed Susman, Contributing Writer, MedPage Today December 4, 2020 Patients undergoing anterior cruciate ligament (ACL) reconstruction with allografts appeared to heal more quickly when injections of bone marrow aspirate were included, according to a randomized trial. Magnetic resonance imaging (MRI) scans at […]

Real Acupuncture Beat Sham for Osteoarthritis Knee Pain

Heidi Splete December 03, 2020 Electro-acupuncture resulted in significant improvement in pain and function, compared with sham acupuncture, in a randomized trial of more than 400 adults with knee OA. The socioeconomic burden of knee OA (KOA) remains high, and will likely increase with the aging population and rising rates of obesity, wrote first author Jian-Feng […]