Musculoskeletal System

Pain and functional outcomes worsen over time after TKA, study finds

Singh JA, et al. BMC Musculoskelet Disord. 2014;doi:10.1186/1471-2474-15-440. February 24, 2015 During a study period spanning 1993 to 2005, researchers observed a worsening of patient-reported function and pain outcomes after total knee arthroplasty. The researchers reviewed data for 7,229 patients from the Mayo Clinic Total Joint Registry who underwent total knee arthroplasty (TKA) between 1993 […]

The Effect of Adding Forward Head Posture Corrective Exercises in the Management of Lumbosacral Radiculopathy

J Manipulative Physiol Ther. 2015 Feb 19. pii: S0161-4754(14)00276-0. doi: 10.1016/j.jmpt.2014.11.009. [Epub ahead of print] The Effect of Adding Forward Head Posture Corrective Exercises in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Study. Moustafa IM1, Diab AA2. Author information Abstract OBJECTIVE: The purpose of this study was to determine the immediate and long-term effects of a […]

Tales From the Cath Lab: A Painful Job

by Salynn Boyles Action Points   Note that this cross-sectional survey of cardiology and radiology-lab employees demonstrated that exposure to lead aprons was associated with greater self-reported musculoskeletal symptoms. Be aware that the association was limited to the nonphysicians surveyed. Musculoskeletal injury is a well known occupational risk among hospital-based healthcare workers, and this risk […]

Low B12 Blood Levels May Increase Fractures in Senior Men

Date Posted: 2/19/2015 2:34:59 PM> A large, long-range study of older men showed that those with lower blood levels of vitamin B12 had a significantly higher risk of fractures. The Swedish study, published in the January 2014 issue of Osteoporosis International, involved 790 men ages 70 to 81 years. The researchers measured serum levels of cobalamins (vitamin B12) and […]

Knee Injections in OA: Which Is Best?

02.16.2015 Action Points Note that this randomized trial of hyaluronic acid versus betamethasone, injections for knee osteoarthritis demonstrated that effects at 1 year were superior in the hyaluronic acid arm. Be aware that significant differences in BMI between the groups leads to some concern about randomization quality. Intra-articular injections of both hyaluronic acid and steroids […]

The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease

The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease: a cross-sectional study Iris Sun Rudy, Alexandra Poulos, Laura Owen, Ashlee Batters, Kasia Kieliszek, Jessica Willox and Hazel Jenkins Chiropractic & Manual Therapies 2015, 23:9 doi:10.1186/s12998-015-0052-0 Abstract Background There are few known studies investigating the correlation of symptomatology with the specific subtypes of cervical spine […]

COLOUR DOPPLER ULTRASOUND IN THE ASSESSMENT OF LUMBAR SPINE BLOOD FLOW IN PATIENTS WITH LOW BACK PAIN

S. Espahbodi J Bone Joint Surg Br 2006 vol. 88-B no. SUPP II 305-306 Abstract Introduction: Duplex ultrasound has recently been used to demonstrate inflammatory hyperaemia in arteries supplying inflamed joints in RA, bursitis, and tendonitis. The technique has yet to be applied to examine blood flow in lumbar arteries in LBP patients, though we […]

NF-κB signaling pathway is a key mediator of disc degeneration

Effects of Nuclear Factor Kappa B Signaling Pathway in Human Intervertebral Disc Degeneration Zhongyi, Sun PhD; Sai, Zhao PhD; Chao, Liu PhD; Jiwei, Tian PhD Spine 15 February 2015 Vol. 40 – Issue 4: p 224–232 Abstract Study Design. IL-1β (interleukin-1β) can activate human nucleus pulposus cells with or without nuclear factor kappa B (NF-κB) […]

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain: A Randomized Clinical Trial Schneider, Michael DC, PhD; Haas, Mitchell DC, MA; Glick, Ronald MD; Stevans, Joel DC; Landsittel, Doug PhD Spine: 15 February 2015 Vol. 40 – Issue 4: p 209–217 Abstract Study Design. Randomized controlled trial with […]

Stretching and Bracing For Posture Correction

J Electromyogr Kinesiol. 2015 Feb;25(1):107-14. doi: 10.1016/j.jelekin.2014.10.010. Epub 2014 Oct 28. The effect of scapular posterior tilt exercise, pectoralis minor stretching, and shoulder brace on scapular alignment and muscles activity in subjects with round-shoulder posture. Lee JH1, Cynn HS2, Yoon TL3, Ko CH4, Choi WJ5, Choi SA6, Choi BS7. Author information Abstract BACKGROUND: There are various methods for rehabilitating round-shoulder posture (RSP), […]

Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial

Spine (Phila Pa 1976). 2015 Feb 15;40(4):209-17. doi: 10.1097/BRS.0000000000000724. Michael Schneider PMID: 25423308 PMCID: PMC4326596 DOI: 10.1097/BRS.0000000000000724 Abstract Study design: Randomized controlled trial with follow-up to 6 months. Objective: This was a comparative effectiveness trial of manual-thrust manipulation (MTM) versus mechanical-assisted manipulation (MAM); and manipulation versus usual medical care (UMC). Summary of background data: Low […]

Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice

Clin J Pain. 2015 Feb;31(2):108-14. doi: 10.1097/AJP.0000000000000099. Daenen L, Varkey E, Kellmann M, Nijs J. Abstract BACKGROUND: Exercise is an effective treatment strategy in various chronic musculoskeletal pain disorders, including chronic neck pain, osteoarthritis, headache, fibromyalgia and chronic low back pain. Although exercise can benefit those with chronic pain (CP), some patients (eg, those with […]

Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis

Clin Rehabil. 2016 Feb;30(2):145-55. doi: 10.1177/0269215515570382. Epub 2015 Feb 13. Liguo Zhu 1, Xu Wei 2, Shangquan Wang 3 PMID: 25681406 DOI: 10.1177/0269215515570382 Abstract Objective: To access the effectiveness and safety of cervical spine manipulation for cervical radiculopathy. Data sources: PubMed, the Cochrane Central Registry of Controlled Trials (CENTRAL) in the Cochrane Library, EMBASE, Chinese […]

Effect of exercise on patellar cartilage in women with mild knee osteoarthritis

Medicine and Science in Sports and Exercise 02/12/2015   Koli J, et al. – Progressively implemented high–impact and intensive exercise created enough stimuli and had favorable effects both on patellar cartilage quality and physical function in postmenopausal women with mild knee OA. Med Sci Sports Exerc. 2015 Feb 9. [Epub ahead of print] Effect of […]

High-Load (lifting) versus Low-Load (motor control endurance) Exercises for Low Back Pain

Individualized Low-Load Motor Control Exercises And Education Versus A High-Load Lifting Exercise And Education To Improve Activity, Pain Intensity, And Physical Performance In Patients With Low Back Pain: A Randomized Controlled Trial Authors: Björn Aasa, RPT, MaSci Journal of Orthopaedic & Sports Physical Therapy, 2015, Volume: 45 Issue: 2 Pages: 77-85 doi:10.2519/jospt.2015.5021 Study Design Randomized […]

Diagnostic Clinical Prediction Rules For Specific Subtypes Of Low Back Pain

Diagnostic Clinical Prediction Rules For Specific Subtypes Of Low Back Pain: A Systematic Review Robin Haskins, BPhty (Hons) J Orthop Sports Phys Ther 2015;45(2):61–76. Epub 8 Jan 2015. doi:10.2519/jospt.2015.5723 Abstract Study Design Systematic review. Objectives To identify diagnostic clinical prediction rules (CPRs) for low back pain (LBP) and to assess their readiness for clinical application. […]

Breast size, thoracic kyphosis & thoracic spine pain – Full Text

Breast size, thoracic kyphosis & thoracic spine pain – association & relevance of bra fitting in post-menopausal women: a correlational study Linda Spencer Chiropractic & Manual Therapies 2013, 21:20 doi:10.1186/2045-709X-21-20 Abstract Background Menopause would seem to exist as a period of accelerated changes for women and their upper torso mechanics. Whether these anthropometric changes reflect […]

Manual therapy for cervicogenic dizziness: Long-term outcomes of a randomised trial.

Man Ther. 2015 Feb;20(1):148-56. doi: 10.1016/j.math.2014.08.003. Epub 2014 Aug 27. Manual therapy for cervicogenic dizziness: Long-term outcomes of a randomised trial. Reid SA1, Callister R2, Snodgrass SJ2, Katekar MG2, Rivett DA2. Author information Abstract Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal […]

Fibromyalgia: Who Told You There Wasn’t A Cure?

Ronald Grisanti D.C.,D.A.B.C.O.,D.A.C.B.N., M.S. Well my comment to that is “HOGWASH”.. Who gives any physician the right to deny his/her patient the opportunity to seek “peer-reviewed” proven treatments? Now understand this.. I am not talking about some magical “herb” found in the tropical forest that has recently been discovered.. No, I am talking about accepted.. […]

Researchers identify modifiable triggers of acute low back pain

Back pain is a leading cause of disability worldwide, and the World Health Organization reports that low back pain affects more people than major diseases like diabetes and malaria yet we have not made much progress in preventing it. Now, in a new study, researchers have identified physical and psychosocial triggers that can be modified […]