Musculoskeletal System

How to Tape an Ankle to Prevent Inversion

Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial – Full Text

The Lancet Volume 378, No. 9802, p1560–1571, 29 October 2011 Summary Background Back pain remains a challenge for primary care internationally. One model that has not been tested is stratification of the management according to the patient’s prognosis (low, medium, or high risk). We compared the clinical effectiveness and cost-effectiveness of stratified primary care (intervention) […]

Magnesium Not Generally Effective Against Nocturnal Leg Cramps

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet]. Magnesium for muscle cramps This version published: 2012; Review content assessed as up-to-date: October 11, 2011. Plain language summary Muscle cramps are common and can occur in a wide range of settings. Older adults and pregnant women commonly complain of leg cramps while they are resting, […]

Altered alignment of the shoulder girdle and cervical spine in patients with insidious onset neck pain and whiplash-associated disorder

J Appl Biomech. 2011 Aug;27(3):181-91. Helgadottir H1, Kristjansson E, Mottram S, Karduna A, Jonsson H Jr. Abstract Clinical theory suggests that altered alignment of the shoulder girdle has the potential to create or sustain symptomatic mechanical dysfunction in the cervical and thoracic spine. The alignment of the shoulder girdle is described by two clavicle rotations, […]

Neck and back pain and intervertebral disc degeneration: Role of occupational factors

Practice points LBP affects between 14% and 80% of working-aged people, depending on case definition. Disc protrusion and disc degeneration, as determined by MRI, are strongly associated with LBP. Work-related factors, including heavy lifting and frequent bending and twisting, are associated with lumbar disc disease. Population studies of cervical pain and cervical disc disease have lagged behind […]

Manipulative therapy for shoulder pain and disorders

Expansion of a systematic review Brantingham JW,et al.J Manipulative Physiol Ther. 2011 Jun;34(5):314-46. doi: 10.1016/j.jmpt.2011.04.002.Abstract OBJECTIVE: The purpose of this study was to conduct a systematic review on manual and manipulative therapy (MMT) for common shoulder pain and disorders. METHODS: A search of the literature was conducted using the Cumulative Index of Nursing Allied Health Literature; PubMed; […]

Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache

Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Headache Roland Bryans, DC, Martin Descarreaux, DC, PhD, Mireille Duranleau, DC, Henri Marcoux, DC, Brock Potter, DC, Rick Ruegg, PhD, DC, Lynn Shaw, PhD, Robert Watkin, LLB, Eleanor White, DC Journal of Manipulative and Physiological Therapeutics Volume 34, Issue 5 , Pages 274-289, June 2011 Abstract […]

The Safety of Cervical Manipulation: Putting Stroke Risk in Perspective, Part 2

By Anthony Rosner, PhD, LLD [Hon.], LLC Dynamic Chiropractic – June 3, 2011, Vol. 29, Issue 12 To date, the assessment options for vertebrobasilar artery risk have significant drawbacks and as a whole have been unable to identify any particular factor that is useful for screening.61-62 Provocation tests in particular are problematic in that in several […]

Women with carpal tunnel syndrome show restricted cervical range of motion

De-la-Llave-Rincón AI,et al. J Orthop Sports Phys Ther. 2011 May;41(5):305-10. doi: 10.2519/jospt.2011.3536. Epub 2011 Apr 6. Key Points Findings Women with minimal, mild/ moderate, or severe CTS exhibited less cervical range of motion, as compared to controls, suggesting that restricted cervical range of motion is a common feature of women with CTS, independent of severity […]

How Effective and Save Are Systemic Steroids for Acute Low Back Pain

Mark Johnson, D.O. Evidence-Based Answers From The Family Physicians Inquires Network Clinical Inquires Short courses of systemic steroids are likely safe, but they are ineffective. A single dose of intramuscular (IM) or intravenous (FV) methylprednisolone doesn’t improve long-term pain scores in patients with low back pain and sciatica and produces conflicting effects on furiction. Oral prednisone (9-day taper) doesn’t improve pain or […]

Prognosis of Acute Idiopathic Neck Pain is Poor: A Systematic Review and Meta-Analysis

People with neck pain do not experience a complete resolution of condition. Much like an episode of lower back pain consumers who have a bout of neck pain don’t simply all resolve with time and simple rest. Neck pain is common with typical 12 month prevalence estimates of 30%-50% in adults and within children and adolescents […]

Sciatic nerve injury induces functional pro-nociceptive chemokine receptors in bladder-associated primary afferent neurons in the rat

Foster R,et al. Neuroscience. 2011 Jun 2;183:230-7. doi: 10.1016/j.neuroscience.2011.03.035. Epub 2011 Mar 30. Affiliation Department of Urology, Loyola University Health System, Maywood, IL, USA. Abstract Visceral sensory afferents during disease or following injury often produce vague, diffuse body sensations, and pain referred to somatic targets. Alternatively, injury due to trauma or disease of somatic nerve […]

Yoga and disc degenerative disease in cervical and lumbar spine

Yoga and disc degenerative disease in cervical and lumbar spine: an MR imaging-based case control study. Authors Jeng CM1, Cheng TC, Kung CH, Hsu HC. Journal Eur Spine J. 2011 Mar;20(3):408-13. doi: 10.1007/s00586-010-1547-y. Epub 2010 Aug 15. Abstract The objective of the current study was to find out whether yoga practice was beneficial to the […]

Emergency department visits for back problems top 3 million

February 14, 2011 Roughly 3.4 million emergency department visits, or an average of 9,400 visits a day, that occurred at U.S. hospitals in 2008 were related to back problems, according to a press release from Agency for Healthcare Research and Quality. In addition, more than 663,000 inpatient stays — a daily average of nearly 1,820 stays […]

A Cochrane Review of Combined Chiropractic Interventions for Low-Back Pain

Walker, Bruce F DC Spine: 1 February 2011 – Volume 36 – Issue 3 – p 230–242 Journal Reference Abstract Study Design. Cochrane systematic review of randomized controlled trials. Objective. To determine the effects of combined chiropractic interventions on pain, disability, back-related function, overall improvement, and patient satisfaction in adults with low-back pain (LBP). Summary […]

A systematic review on the effectiveness of pharmacological interventions for chronic non-specific low-back pain

T. Kuijpers European Spine Journal January 2011, Volume 20, Issue 1, pp 40-50 First online: 31 July 2010 Abstract The objective of this review was to determine the effectiveness of pharmacological interventions [i.e., non-steroid anti-inflammatory drugs (NSAIDs), muscle relaxants, antidepressants, and opioids] for non-specific chronic low-back pain (LBP). Existing Cochrane reviews for the four interventions […]

Potential of Magnetic Resonance Imaging Findings to Refine Case Definition for Mechanical Low Back Pain in Epidemiological Studies

A Systematic Review Endean, Alison MBChB, MRCP Spine:  15 January 2011 – Volume 36 – Issue 2 – p 160–169 Abstract Study Design. Systematic review and meta-analysis. Objective. To assess how confidently low back pain (LBP) can be attributed to abnormalities on magnetic resonance imaging (MRI), and thereby explore the potential value of MRI abnormalities […]

Does the location of low back pain predict its source?

Depalma MJ, et al. PM R. 2011 Jan;3(1):33-9. doi: 10.1016/j.pmrj.2010.09.006. Abstract OBJECTIVE: To evaluate the predictive utility of the pattern of low back pain (LBP) in detecting the source of LBP as internal disk disruption (IDD), facet joint pain (FJP), or sacroiliac joint pain (SIJP). DESIGN: Retrospective chart review. SETTING: University spine center. PATIENT SAMPLE: […]

Segmental lumbar rotation in patients with discogenic low back pain during functional weight-bearing activities

J Bone Joint Surg Am. 2011 Jan 5;93(1):29-37. doi: 10.2106/JBJS.I.01348. Passias PG, Wang S, Kozanek M, Xia Q, Li W, Grottkau B, Wood KB, Li G. Abstract BACKGROUND: Little information is available on vertebral motion in patients with discogenic low back pain under physiological conditions. We previously validated a combined dual fluoroscopic and magnetic resonance […]

Individuals with low back pain breathe differently than healthy individuals during a lifting task

J Orthop Sports Phys Ther. 2011 Mar;41(3):141-8. doi: 10.2519/jospt.2011.3437. Epub 2011 Jan 4. Hagins M, Lamberg EM. Abstract STUDY DESIGN: Case control, repeated-measures, experimental laboratory study. OBJECTIVE: To determine if, during a whole-body lifting task, individuals with low back pain (LBP) breathe differently than age-matched controls. BACKGROUND: Breath control may be optimized to provide increased […]