Musculoskeletal System

Which shoulder motions cause subacromial impingement?

Which shoulder motions cause subacromial impingement? Evaluating the vertical displacement and peak strain of the coracoacromial ligament by ultrasound speckle tracking imaging Journal of Shoulder and Elbow Surgery, 07/17/2015 Park I, et al. Forward flexion, horizontal abduction, and IR90 showed higher vertical displacement and peak strain of the coracoacromial ligament, causing subacromial impingement. It is […]

Hand Exercises Help Women With Osteoarthritis

7/14/2015 Hand Exercises Help Women With OA Get a Grip by Nancy Walsh Senior Staff Writer, MedPage Today A simple, home-based program of exercises for women with hand osteoarthritis (OA) was effective for improving function and pain in this potentially disabling condition, a randomized trial found. After 3 months, women who performed the exercises had […]

Exercise may reverse age-related bone loss in middle-aged men

July 14, 2015 Source: University of Missouri-Columbia Men gradually lose bone mass as they age, which puts them at risk for developing osteoporosis, a condition that makes bones weak and prone to breakage. Nearly 2 million men in the U.S. have the condition, and 16 million more have low bone mass, studies have shown. Now, […]

Manual Physical Therapy Following Immobilization For Stable Ankle Fracture: A Case Series

Authors: Elizabeth E. Painter, PT, DSc1, Gail D. Deyle, PT, DSc1, Christopher Allen, PT, DSc1, Evan J. Petersen, PT, DSc2, Theodore Croy, PT, PhD3, Kenneth P. Rivera, PA-C, DSc4 Study Design Case series. Background Ankle fractures commonly result in persistent pain, stiffness, and functional impairments. There is insufficient evidence for any particular rehabilitation approach after […]

The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial

Rheumatol Int. 2015 Jul;35(7):1163-74. doi: 10.1007/s00296-015-3248-7. Epub 2015 Mar 18. Ibrahim M Moustafa 1, Aliaa A Diab PMID: 25782585 DOI: 10.1007/s00296-015-3248-7 Abstract The aim of this study was to investigate the immediate and long-term effects of a one-year multimodal program, with the addition of upper cervical manipulative therapy, on fibromyalgia management outcomes in addition to […]

Restorative Effect of Vitamin D Deficiency on Knee Pain and Quadriceps Muscle Strength in Knee Osteoarthritis

Acta Medica Iranica 2015. 53(8):466-470. Behzad Heidari, Yahya Javadian, Mansour Babaei, Behnaz Yousef-Ghahari ABSTRACT Both vitamin D deficiency and quadriceps muscle weakness are associated with knee osteoarthritis (KOA) and pain. The aim of this study was to determine the restorative effect of vitamin D deficiency on pain and quadriceps muscle strength in knee osteoarthritis. Patients […]

The Rapid and Progressive Degeneration of the Cervical Multifidus in Whiplash

Spine (Phila Pa 1976). 2015 Jun 15;40(12):E694-700. doi: 10.1097/BRS.0000000000000891. The Rapid and Progressive Degeneration of the Cervical Multifidus in Whiplash: An MRI Study of Fatty Infiltration. Elliott JM1, Courtney DM, Rademaker A, Pinto D, Sterling MM, Parrish TB. Abstract STUDY DESIGN: Single-center prospective longitudinal study. OBJECTIVE: To study the (1) temporal development of muscle fatty […]

Diagnostic Imaging in Seniors With New Back Pain Is Unnecessary, Costly

Clinical Pain Medicine ISSUE: JULY 2015 | VOLUME: 13(7) Early diagnostic imaging for new-onset back pain in older adults is costly and not associated with better outcomes, according to a new study. While early imaging (prior to six weeks after an index visit) in younger adults is discouraged by evidence-based guidelines, the timing of imaging […]

Women With Fibromyalgia Don’t Get Enough Exercise

07.05.2015 Women with fibromyalgia are more sedentary and less physically active than their peers without fibromyalgia, but neither group meets recommended levels of physical activity. These are the findings of a study using accelerometers to measure physical activity in a sample of women with fibromyalgia and age-matched controls, according to Spanish researchers. “Women with fibromyalgia spent, […]

The Chiropractic Hospital-Based Interventions Research Outcomes Study: Consistency of Outcomes Between Doctors of Chiropractic Treating Patients With Acute Lower Back Pain

JMPT, June 2015Volume 38, Issue 5, Pages 311–323 Jeffrey A. Quon, DC, MHSc, PhD Abstract Objective The aim of this study was to determine if effectiveness differs between community-based doctors of chiropractic administering standardized evidence-based care that includes high-velocity low-amplitude spinal manipulative therapy (SMT) for acute low back pain (LBP). Methods A secondary analysis of […]

Lumbar Traction for Managing Low Back Pain: A Survey of Physical Therapists in the United States

Authors: Timothy J. Madson, PT, MS Study Design Cross sectional survey. Objectives To examine how many physical therapists (PTs) use traction, patients for whom traction is used, preferred delivery modes/parameters, supplemental interventions, and whether professional characteristics influence traction usage. Background Several systematic reviews and clinical guidelines question traction’s effectiveness for managing low back pain (LBP), […]

Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory Analysis

Authors: Cailbhe Doherty, BSc Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print Pages: 1-29 doi:10.2519/jospt.2015.5653 Study Design Controlled laboratory study. Objective To utilize kinematic and stabilometric measures to compare dynamic balance during performance of the Star Excursion Balance Test (SEBT) between persons 6-months post first-time lateral ankle sprain (LAS) and a non-injured control […]

Baseline Examination Factors Associated With Clinical Improvement After Dry Needling In Individuals With Low Back Pain

Authors: Shane L. Koppenhaver, PT, PhD Journal of Orthopaedic & Sports Physical Therapy, Ahead of Print Pages: 1-31 doi:10.2519/jospt.2015.5801 Study Design Quasi-experimental. Objectives To explore for associations between demographic, patient history, and physical examination variables and short-term improvement in self-reported disability following dry needling therapy performed on individuals with low back pain (LBP). Background Dry […]

Arthroscopic Knee Surgery: Harms Outweigh Benefits

NEJM Journal Watch June 17, 2015 By Christine Sadlowski Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Arthroscopic surgery for knee pain in middle-aged and older patients is not more beneficial than standard care beyond 6 months and is associated with harms, a BMJ meta-analysis shows. In nine studies, […]

Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0

By Deborah Pate, DC, DACBR The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade. The ASSR recently put […]

What Are Long-term Predictors of Outcomes for Lumbar Disc Herniation? A Randomized and Observational Study

Clin Orthop Relat Res. 2015 Jun;473(6):1920-30. doi: 10.1007/s11999-014-3803-7. Kerr D, Zhao W, Lurie JD. Abstract BACKGROUND: Although previous studies have illustrated improvements in surgical cohorts for patients with intervertebral disc herniation, there are limited data on predictors of long-term outcomes comparing surgical and nonsurgical outcomes. QUESTIONS/PURPOSES: We assessed outcomes of operative and nonoperative treatment for […]

Predictors of Long-Term Mortality in Older People With Hip Fracture

Patrocinio Ariza-Vega, PhD July 2015Volume 96, Issue 7, Pages 1215–1221 Abstract Objectives To determine 1-year mortality and predisposing factors in older people who had surgery after a hip fracture. Design Prospective cohort study. Setting Public acute hospital, trauma service. Participants Patients (N=281) aged ≥65 years who were admitted to the hospital with a hip fracture […]

Effects of lumbar stabilization exercise on functional disability and lumbar lordosis angle in patients with chronic low back pain – Full Text

J Phys Ther Sci. 2015 Jun; 27(6): 1983–1985. Published online 2015 Jun 30. doi: 10.1589/jpts.27.1983 PMCID: PMC4500026 Igsoo Cho, MS, PT, Abstract [Purpose] This study examined the effects of lumbar stabilization exercises on the functional disability and lumbar lordosis angles in patients with chronic low back pain. [Subjects] The subjects were 30 patients with chronic […]

Seniors don’t bounce back fast from car crashes

More than half on pain meds 6 months later, study shows Date: June 19, 2015 Source: American College of Emergency Physicians Summary: Many seniors injured in motor vehicle crashes remain in pain for months afterwards, which negatively affects their quality of life, including the ability to live independently, suggest the results of a study of […]

Gender should be considered in diagnosis and treatment of musculoskeletal diseases

June 18, 2015 When caring for orthopedic patients, physicians must consider the role of hormones, differential anatomy, joint stability and bone quality, as well as differences in recovery after injury and surgery among men and women, according to researchers. In a recently published literature review, the researchers found women had a significantly higher incidence of […]