Musculoskeletal System

Low Vitamin D in 50s Linked to Disability

7/17/13 by Todd Neale Senior Staff Writer, MedPage Today Action Points This cohort study demonstrated an association between low vitamin D levels at baseline and functional decline over time in a population of older individuals. As functional disability may limit access to sun exposure, the direction of causality in this relationship is unclear. For individuals […]

Improving tinnitus with mechanical treatment of the cervical spine and jaw

J Am Acad Audiol. 2013 Jul-Aug;24(7):544-55. doi: 10.3766/jaaa.24.7.3. Cherian K1, Cherian N, Cook C, Kaltenbach JA. Abstract BACKGROUND: Tinnitus affects approximately 30-50 million Americans. In approximately 0.5-1.0% of the population, tinnitus has a moderate to severe impact on their quality of life. Musculature and joint pathologies of the head and neck are frequently associated with […]

Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy

Review article Ames CP, et al. Spine (Phila Pa 1976). 2013. Abstract STUDY DESIGN: Narrative review. OBJECTIVE: To provide a comprehensive narrative review of cervical alignment parameters, the methods for quantifying cervical alignment, normal cervical alignment values, and how alignment is associated with cervical deformity and myelopathy with discussions of health-related quality of life. SUMMARY […]

Management of Low Back Pain in General Practice – Is It of Acceptable Quality

An Observational Study Among 25 General Practices in South Tyrol (Italy) Giuliano Piccoliori; Adolf Engl; Doris Gatterer; Emiliano Sessa; Jürgen in der Schmitten; Heinz-Harald Abholz BMC Fam Pract. 2013;14(148) Abstract Background: There are several guidelines dealing with the management of low back pain (LBP), but only few studies on the quality of care provided within […]

Can pathoanatomical pathways of degeneration in lumbar motion segments be identified by clustering MRI findings

Rikke K Jensen BMC Musculoskeletal Disorders 2013, 14:198 doi:10.1186/1471-2474-14-198 Abstract Background Magnetic Resonance Imaging (MRI) is the gold standard for detailed visualisation of spinal pathological and degenerative processes, but the prevailing view is that such imaging findings have little or no clinical relevance for low back pain. This is because these findings appear to have […]

Spinal posture in the sagittal plane is associated with future dependence in activities of daily living: a community-based cohort study of older adults in Japan

J Gerontol A Biol Sci Med Sci. 2013 Jul;68(7):869-75. doi: 10.1093/gerona/gls253. Epub 2013 Jan 28. Kojiro Kamitani Abstract Background: Accumulated evidence shows how important spinal posture is for aged populations in maintaining independence in everyday life. However, the cross-sectional designs of most previous studies prevent elucidation of the relationship between spinal posture and future dependence […]

Motion Style Acupuncture and Acute Low Back Pain – VIDEOS

Effects of motion style acupuncture treatment in acute low back pain patients with severe disability: A multicenter, randomized, controlled, comparative effectiveness trial Shin JS PAIN:  Volume 154, Issue 7 , Pages 1030-1037, July 2013 In a multicenter, randomized, comparative effectiveness trial involving 58 patients with acute low back pain and severe functional disability, in which […]

Comparison of Radicular Symptoms Caused by Lumbar Disc Herniation and Lumbar Spinal Stenosis in the Elderly

Rainville, James MD; Lopez, Edrick MD, JD Spine 01 July 2013 Vol. 38 – Issue 15: p 1282–1287 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 stenosis (LSS) and lumbosacral radicular syndrome […]

A Randomized Controlled Trial of Limited Range of Motion Lumbar Extension Exercise in Chronic Low Back Pain

Steele, James BSc (Hons); Bruce-Low, Stewart PhD; Smith, Dave PhD; Jessop, David PhD; Osborne, Neil PhD Spine 01 July 2013 Vol. 38 – Issue 15: p 1245–1252 Abstract Study Design. Randomized controlled trial. Objective. To compare the effects of full range of motion (ROM) and limited ROM isolated lumbar extension exercise upon full ROM lumbar […]

Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy

This systematic review and meta-analysis demonstrate that neurological testing procedures have limited overall diagnostic accuracy in detecting disc herniation with suspected radiculopathy.

Effects of Cervical Joint Manipulation on Joint Position Sense of Normal Adults

Wontae Gong, PhD, PT J Phys Ther Sci. 2013 June; 25(6): 721–723. Published online 2013 July 23. doi: 10.1589/jpts.25.721 Abstract [Purpose] The purpose of this study was to identify the effects of cervical joint manipulation on joint position sense (JPS) of normal adults. [Subjects] Thirty normal adults were divided into a test group of 15 […]

Effects of cervical joint manipulation on joint position sense of normal adults

Gong W. J Phys Ther Sci. 2013 Jun;25(6):721-3. doi: 10.1589/jpts.25.721. Epub 2013 Jul 23. Abstract [Purpose] The purpose of this study was to identify the effects of cervical joint manipulation on joint position sense (JPS) of normal adults. [Subjects] Thirty normal adults were divided into a test group of 15 subjects and a control group […]

Clinical findings and electrodiagnostic testing in 108 consecutive cases of lumbosacral radiculopathy due to herniated disc

Neurophysiol Clin. 2013 Oct;43(4):205-15. doi: 10.1016/j.neucli.2013.05.004. Epub 2013 Jun 20. Mondelli M, Aretini A, Arrigucci U, Ginanneschi F, Greco G, Sicurelli F. Abstract STUDY AIM: This prospective study aim to examine whether clinical findings and electrodiagnostic testing (EDX) in patients with lumbosacral monoradiculopathy due to herniated disc (HD) differ as a function of root involvement […]

Weakened Bones Tied to Insulin Resistance

06.18.2013 SAN FRANCISCO — Insulin resistance — even if it hasn’t yet developed into overt diabetes — may cause bones to weaken, a cross-sectional study suggested. Among nondiabetic middle-age individuals, each doubling of the Homeostasis Model of Assessment-Insulin Resistance (HOMA-IR) was associated with a 9% to 14% decrease in three markers of bone strength (P≤0.004 […]

Effects of degenerated intervertebral discs on intersegmental rotations, intradiscal pressures, and facet joint forces of the whole lumbar spine

September 1, 2013Volume 43, Issue 9, Pages 1234–1240 Effects of degenerated intervertebral discs on intersegmental rotations, intradiscal pressures, and facet joint forces of the whole lumbar spine Won Man Park, Kyungsoo Kim, Yoon Hyuk Kim October 26, 2012; Accepted: June 18, 2013 Abstract The effects of intervertebral disc (IVD) degeneration on biomechanics of the lumbar […]

Exercises for Adolescent Idiopathic Scoliosis: A Cochrane Systematic Review

Romano, Michele PT Spine: 15 June 2013 – Volume 38 – Issue 14 – p E883–E893 Abstract Study Design. Systematic review of interventions. Objective. To evaluate the efficacy of scoliosis-specific exercise (SSE) in adolescent patients with adolescent idiopathic scoliosis (AIS). Summary of Background Data. AIS is a 3-dimensional deformity of the spine. Although AIS can […]

Magnetic Resonance Imaging Predictors of Surgical Outcome in Patients With Lumbar Intervertebral Disc Herniation

Lurie, Jon D. MD, MS Spine: 15 June 2013 – Volume 38 – Issue 14 – p 1216–1225 Abstract Study Design. A retrospective cohort design. Objective. To determine whether baseline magnetic resonance imaging findings, including central/foraminal stenosis, Modic change, disc morphology, facet arthropathy, disc degeneration, nerve root impingement, and thecal sac compression, are associated with […]

Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation

Giles, Lynton G. F.; Muller, Reinhold Spine. 28(14):1490-1502, July 15, 2003. Chronic Spinal Pain: A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation Study Design. A randomized controlled clinical trial was conducted. Study Design. A randomized controlled clinical trial was conducted. Objective. To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 […]

Prognosis for Older Back Pain Patients

The Study: Course and prognosis of older back pain patients in general practice: a prospective cohort study The Facts: a. The authors sought to identify the prognostic factors that would cause older patients with back pain not to have recovered after 3 months. b. This was a prospective study of patients over 55 who saw […]

Spine Injections May Set Stage for Fractures

Published: Jun 7, 2013 | Updated: Jun 10, 2013 By Elizabeth DeVita Raeburn , Contributing Writer, MedPage Today Download Complementary Copy of Article Action Points Lumbar epidural steroid injections are often prescribed for the treatment of radiculopathy or neurogenic claudication arising from compression of spinal nerves. In this retrospective cohort study, an increasing number of […]