Musculoskeletal System

A Predictive Model of Progression for Adolescent Idiopathic Scoliosis Based on 3D Spine Parameters at First Visit

Nault, Marie-Lyne MD, PhD SPINE: May 1, 2020 – Volume 45 – Issue 9 – p 605-611 doi: 10.1097/BRS.0000000000003316 Abstract Mini The aim of this prospective cohort study was to improve the prediction of curve progression in AIS. By adding the 3D morphology parameters at first visit, the predictive model explains 65% of the variability. […]

Foot and leg muscle weakness in people with midfoot osteoarthritis

Arthritis Care & Research — Arnold JB, Halstead J, Grainger AJ, et al. | April 20, 2020 Researchers performed this cross‐sectional study including people with symptomatic midfoot osteoarthritis (OA) and asymptomatic controls selected from general practices and community health clinics, to compare foot and leg muscle strength between these groups. Measurements were obtained for the […]

Microdiskectomy Superior to Nonsurgical Care for Relieving Pain From Chronic Sciatica

From this article:  Patients in the surgical group underwent standard microdiskectomy approaches. Nonsurgical care consisted of patient education, activity/exercise, oral analgesics, use of active physiotherapy provided at the discretion of physiotherapists not associated with the trial, and an epidural glucocorticoid injection administered by a fellowship-trained anesthesiologist. ~ Dr. Broussard -Single-center study shows superior pain relief […]

Effectiveness of Weight Loss Interventions for Reducing Pain and Disability in People With Common Musculoskeletal Disorders: A Systematic Review With Meta-Analysis

Journal of Orthopaedic & Sports Physical Therapy Published Online:April 9, 2020 Volume0 Issue0 Pages1-55 https://www.jospt.org/doi/10.2519/jospt.2020.9041 Abstract Objective To assess the effectiveness of weight loss interventions on pain and disability in people with knee and hip osteoarthritis (OA) and spinal pain. Design Intervention systematic review. Literature Search Eight online databases and clinical trial registries. Study Selection […]

No Added Benefit of Combining Dry Needling With Guideline-Based Physical Therapy When Managing Chronic Neck Pain: A Randomized Controlled Trial

Journal of Orthopaedic & Sports Physical Therapy Published Online:April 9, 2020 Volume0 Issue0 Pages1-21 https://www.jospt.org/doi/10.2519/jospt.2020.9389 Abstract Objectives To determine the added benefit of combining dry needling with a guideline-based physical therapy treatment program consisting of exercise and manual therapy on pain and disability in people with chronic neck pain. Design Randomized controlled trial. Methods Participants […]

Clinical management of benign joint hypermobility syndrome: a case series – Full Text Article

J Can Chiropr Assoc. 2020 Apr; 64(1): 43–54. PMCID: PMC7250515 PMID: 32476667 Patricia Adele Boudreau, BSc, DC Abstract Background Benign Joint Hypermobility Syndrome (BJHS) is a relatively prevalent condition of the spectrum of heritable connective tissue disorders, with musculoskeletal, visceral and psychological manifestations. The conservative management of the musculoskeletal symptomatology must be modified for optimal […]

Patients With Persistent Low Back Pain and Nerve Root Involvement: To Operate, or Not to Operate, That Is the Question

Petersen, Tom PhDa; Juhl, Carsten B. PhDb,c; Fournier, Gilles L. MDdAuthor Information SPINE: April 1, 2020 – Volume 45 – Issue 7 – p 483-490 doi: 10.1097/BRS.0000000000003304 Study Design. Prospective cohort study. Objective. The aims of this study were to evaluate the outcome of surgical and nonsurgical treatment for patients with lumbar herniated disc (LHD) […]

Kathleen Sluka, PT, PhD, on Perfect TENS For Fibromyalgia?

— Electrical stimulation device “another tool in our arsenal” to control FM pain, reduce fatigue by Scott Harris, Contributing Writer, MedPage Today March 31, 2020 Kathleen Sluka, PT, PhD, is professor of physical therapy and rehabilitation science at the University of Iowa Carver College of Medicine. She served as co-author of a report, published in Arthritis […]

Two Weeks of Wearing a Knee Brace Compared With Minimal Intervention on Kinesiophobia at 2 and 6 Weeks in People With Patellofemoral Pain: A Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation VOLUME 101, ISSUE 4, P613-623, APRIL 01, 2020 Liliam B. Priore, MSc Abstract Objective To investigate the effect of a knee brace compared with minimal intervention on self-reported kinesiophobia and function, objective function, and physical activity level in people with patellofemoral pain (PFP). Design Single-blind randomized controlled trial (1:1), […]

Sharon Kolasinski, MD, on the New Osteoarthritis Guideline for Hands, Hips, Knees

— Panel leader talks exercise, supplements, “mind-body interventions by Scott Harris, Contributing Writer, MedPage Today March 24, 2020 This article is a collaboration between MedPage Today and: Sharon Kolasinski, MD, is a rheumatologist with Penn Medicine and the University of Pennsylvania School of Medicine. She recently led the panel that developed the 2019 American College […]

Effectiveness and Safety of Acupuncture for Migraine: An Overview of Systematic Reviews

Pain Res Manag. 2020 Mar 23;2020:3825617. doi: 10.1155/2020/3825617. eCollection 2020. Li YX Abstract BACKGROUND: Migraine is a common neurological disease, which burdens individuals and society all over the world. Acupuncture, an important method in Traditional Chinese Medicine, is widely used in clinical practice as a treatment for migraine. Several systematic reviews (SRs) have investigated the […]

ACOEM GUIDELINES – Non-Invasive and Minimally Invasive Management of Low Back Disorders – Full Text Article

Hegmann, Kurt T. MD, MPH Journal of Occupational and Environmental Medicine: March 2020 – Volume 62 – Issue 3 – p e111-e138 doi: 10.1097/JOM.0000000000001812 Abstract Objective: This abbreviated version of the American College of Occupational and Environmental Medicine’s (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of […]

Surgery for Chronic Sciatica Bests Conservative Care

— But Canadian study may have important limitations by Judy George, Senior Staff Writer, MedPage Today March 18, 2020 Microdiscectomy produced better pain relief than standard nonsurgical care (see below) for patients with chronic sciatica caused by lumbar disk herniation, a single-center trial showed. Six months after surgery, leg-pain intensity scores were 2.8 in the surgical group […]

Like patching a flat tire: New fix heals herniated discs

MARCH 11, 2020 by Cornell University A new two-step technique to repair herniated discs uses hyaluronic acid gel to re-inflate the disc and collagen gel to seal the hole, essentially repairing ruptured discs like you’d repair a flat tire. After a rupture, a jelly-like material leaks out of a herniated disc, causing inflammation and pain. […]

An Update of Systematic Reviews Examining the Effectiveness of Conservative Physical Therapy Interventions for Subacromial Shoulder Pain

Journal of Orthopaedic & Sports Physical Therapy Published Online:February 29, 2020 Volume50 Issue3 Pages131-141 https://www.jospt.org/doi/10.2519/jospt.2020.8498 Abstract Objective To update a systematic review published in 2013 that focused on evaluating the effectiveness of interventions within the scope of physical therapy, including exercise, manual therapy, electrotherapy, and combined or multimodal approaches to managing shoulder pain. Design Umbrella […]

Have We Looked in the Wrong Direction for More Than 100 Years? Delayed Onset Muscle Soreness Is, in Fact, Neural Microdamage Rather Than Muscle Damage – Full Text Article

Antioxidants 2020, 9(3), 212; https://doi.org/10.3390/antiox9030212 by Balazs Sonkodi Received: 4 January 2020 / Accepted: 3 March 2020 / Published: 5 March 2020 Abstract: According to our hypothesis, delayed onset muscle soreness (DOMS) is an acute compression axonopathy of the nerve endings in the muscle spindle. It is caused by the superposition of compression when repetitive […]

Incidence of Surgical Site Infection After Spine Surgery

A Systematic Review and Meta-analysis Zhou, Jiaming MD SPINE: February 1, 2020 – Volume 45 – Issue 3 – p 208-216 doi: 10.1097/BRS.0000000000003218 Study Design. A systematic review and meta-analysis. Objective. The objective of this study was to investigate the incidence of surgical site infection (SSI) in patients following spine surgery and the rate of […]

Diabetes in Osteoarthritis: Pain Is Worse

— Association was independent of obesity and radiographic severity by Nancy Walsh, Senior Staff Writer, MedPage Today March 3, 2020 Among patients with knee osteoarthritis (OA), pain was greater for those with coexisting diabetes mellitus (DM), and this association was independent of obesity and radiographic severity, European researchers found. In an analysis that adjusted for […]

Painful Shoulder: Exercise Can Reduce Pain and Improve Mobility and Function

Journal of Orthopaedic & Sports Physical Therapy Published Online:February 29, 2020Volume50Issue3Pages142-142 https://www.jospt.org/doi/10.2519/jospt.2020.0501 Abstract Shoulder pain is common, especially as we age. Pain that limits your ability to raise your arm above your head or rotate your shoulder is called “subacromial shoulder pain.” The good news is that most people with subacromial shoulder pain improve with […]

Cigarette smoking and knee osteoarthritis in the elderly: Data from the Korean National Health and Nutritional Examination Survey

Experimental Gerontology — Kwon HM, et al. | February 28, 2020 Researchers performed this study with 5,117 individuals aged > 60 years, to assess the link between smoking and knee osteoarthritis (OA) in the elderly. The participants were selected from the Korean National Health and Nutritional Examination Survey (KNHANES-VI) 2013–2015, and included those who responded […]