Musculoskeletal System

Outcomes for Chronic Neck and Low Back Pain Patients After Manipulation Under Anesthesia

Cynthia K. Peterson, RN, DC J Manipulative Physiol Ther 2014;xx:1-6) Journal Reference ABSTRACT Background: The purpose of this study was to investigate outcomes of chronic patients unresponsive to previous spinal manipulative therapy subsequently treated with manipulation under anesthesia (MUA). Methods: A prospective outcome cohort study was performed on 30 patients who had not improved with previous […]

Abdominal Aortic Aneurysm in a Patient With Low Back Pain

Authors: Joshua J. Van Wyngaarden, PT, DPT Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 7 Pages: 500-507 doi:10.2519/jospt.2014.4935 Journal Reference Study Design Resident’s case problem. Background The purpose of this report was to describe (1) the clinical reasoning that led a clinician to identify an abdominal aortic aneurysm (AAA) in a […]

Thoracic Thrust Manipulation Helps Shoulder Impingement Syndrome

Scapular Kinematics Pre–and Post–Thoracic Thrust Manipulation in Individuals With and Without Shoulder Impingement Symptoms: A Randomized Controlled Study Authors: Melina N. Haik, PT, MS Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 7 Pages: 475-487 doi:10.2519/jospt.2014.4760 Journal Reference Study Design Randomized controlled trial with immediate follow-up. Objectives To evaluate the immediate effects […]

Recommendations for Physical Therapists on the Treatment of Lumbopelvic Pain During Pregnancy

Recommendations for Physical Therapists on the Treatment of Lumbopelvic Pain During Pregnancy: A Systematic Review Esther van Benten, PT, MPT Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 7 Pages: 464-A15 doi:10.2519/jospt.2014.5098 Journal Reference Study Design Systematic review of the literature. Objectives To review and assess the peer-reviewed literature on the effectiveness […]

Alternative Medicine in Chronic Migraine 2014

Alternative Medicine in Chronic Migraine 2014: What Clinicians Need to Know Migraine patients are increasingly turning to complementary and alternative medicine (CAM) for therapy. Therefore, clinicians who treat headache patients should gain a basic understanding of the efficacy and safety of these therapies. By Soma Sahai-Srivastava, MD, Anne Csere, DO and Andrew Joyce, MD Practical […]

Why women are more affected by TMJ symptoms

Ann Anat. 2014 Jul 5. pii: S0940-9602(14)00129-0. doi: 10.1016/j.aanat.2014.06.003. [Epub ahead of print] Expression of estrogen receptors α and β in the trigeminal mesencephalic nucleus of adult women and men. Alimy-Allrath T1, Ricken A2, Bechmann I1. Author information Abstract Temporomandibular disorders are more prevalent in women than in men and phases of pain relate to […]

Hydrotherapy for Fibromyalgia

by Nancy Walsh, Senior Staff Writer, MedPage Today July 10, 2014 Various types of hydrotherapy and spa balneotherapy are popular among patients with fibromyalgia, and a systematic review and meta-analysis suggested that these types of therapy may be helpful for pain and quality of life. There was moderate to strong evidence in several studies supporting […]

Short-term effects of a manual therapy protocol on pain, physical function, quality of sleep, depressive symptoms, and pressure sensitivity in women and men with fibromyalgia syndrome: a randomized controlled trial

Clin J Pain. 2014 Jul;30(7):589-97. doi: 10.1097/AJP.0000000000000008. Castro-Sánchez AM1, Aguilar-Ferrándiz ME, Matarán-Peñarrocha GA, Sánchez-Joya Mdel M, Arroyo-Morales M, Fernández-de-las-Peñas C. Abstract OBJECTIVE: To investigate the therapeutic effects of a manual therapy protocol for improving pain, function, pressure pain thresholds (PPT), quality of sleep, and depressive symptoms in women and men with fibromyalgia syndrome (FMS). MATERIALS […]

A Randomized Trial of Epidural Glucocorticoid Injections for Spinal Stenosis – Full Text Article

July 3, 2014 N Engl J Med 2014; 371:11-21 DOI: 10.1056/NEJMoa1313265 Abstract BACKGROUND Epidural glucocorticoid injections are widely used to treat symptoms of lumbar spinal stenosis, a common cause of pain and disability in older adults. However, rigorous data are lacking regarding the effectiveness and safety of these injections. METHODS In a double-blind, multisite trial, […]

Common Back and Leg Pain Treatment May Not Help Much, Study Says

The New York Times By PAM BELLUCK JULY 2, 2014 Story Source A widely used method of treating a common cause of back and leg pain — steroid injections for spinal stenosis — may provide little benefit for many patients, according to a new study that experts said should make doctors and patients think twice […]

Manipulation of the wrist versus Mobilization of the Elbow for Lateral Epicondylitis – Full Text

EFFECTIVENESS OF MOBILIZATION WITH MOVEMENT OF ELBOW COMPARED WITH MANIPULATION OF WRIST IN PATIENTS OF LATERAL EPICONDYLITIS Namrata Patel International Journal of Physiotherapy and Research, Int J Physiother Res 2013, Vol1(4):177-82. ISSN 2321-1822 Purpose: To evaluate the effectiveness of mobilization with movement of elbow compared with manipulation of wrist on pain, strength and activities of […]

Neck Pain – Drugs or Chiropractic?

By ChiroTrust on July 1, 2014 Story Source When you have neck pain, do you instinctively reach for that bottle of ibuprofen or Tylenol? If so, is that the best option? Who can we trust for the answer? Since between 10-20% of the population suffer from chronic or persistent neck pain, this is a VERY […]

Determining the activation of gluteus medius and the validity of the single leg stance test in chronic non-specific low back pain

Archives of Physical Medicine and Rehabilitation, 07/01/2014 Clinical Article Penney T, et al. – The objective of this study is to determine the activation of the gluteus medius in chronic non–specific low back pain compared to controls and to determine the association between clinical rating of Single Leg Stance (SLS) with CLBP and gluteus medius […]

Time-varying surface electromyography topography as a prognostic tool for chronic low back pain rehabilitation

The Spine Journal June 1, 2014 Volume 14, Issue 6, Pages 1049–1056 Yong Hu, PhD Abstract Background context Nonsurgical rehabilitation therapy is a commonly used strategy to treat chronic low back pain (LBP). The selection of the most appropriate therapeutic options is still a big challenge in clinical practices. Surface electromyography (sEMG) topography has been […]

Short term treatment versus long term management of neck and back disability in older adults utilizing spinal manipulative therapy and supervised exercise: a parallel-group randomized clinical trial evaluating relative effectiveness and harms – Full Text Article

Corrie Vihstadt, Michele MaiersEmail author, Kristine Westrom, Gert Bronfort, Roni Evans, Jan Hartvigsen and Craig Schulz Chiropractic & Manual Therapies 201422:26 https://doi.org/10.1186/s12998-014-0026-7© Vihstadt et al.; licensee BioMed Central Ltd. 2014 Received: 17 June 2014 Accepted: 7 July 2014 Published: 23 July 2014 Background Back and neck disability are frequent in older adults resulting in loss […]

Migraine Treatment From A to Z: 2014

Migraine is a very common and disabling illness. Choosing a therapeutic agent that is best for each individual patient requires consideration of the patient’s history, lifestyle, comorbid conditions, and individual preferences. By Dr. Lawrence Robbins, MD and Brooke Phenicie, NP-C  Story Source Migraine headaches are a common cause of disability in the United States, affecting […]

Two Important, Yet Simple Tests For Low Back Pain / Leg Pain

JULY 1, 2014 BY CHIROTRUST The nervous system can be categorized in many different ways. In understanding nervous system physiology, a simple but accurate way of categorization is to view the nervous system as two separate but integrated systems: The MOTOR nerve system The SENSORY nerve system The MOTOR nerve system is the nerves that move our muscles (motor), and also control the […]

How healthy discs herniate: a biomechanical and microstructural study investigating the combined effects of compression rate and flexion

Spine (Phila Pa 1976). 2014 Jun 1;39(13):1018-28. doi: 10.1097/BRS.0000000000000262. Wade KR, Robertson PA, Thambyah A, Broom ND. Abstract STUDY DESIGN: Microstructural investigation of compression-induced disruption of the flexed lumbar disc. OBJECTIVE: To provide a microstructural analysis of the mechanisms of annular wall failure in healthy discs subjected to flexion and an elevated rate of compression. […]

Determining the Activation of Gluteus Medius and the Validity of the Single Leg Stance Test in Chronic, Nonspecific Low Back Pain

Presented in part as a poster to the Canadian Physiotherapy Association National Congress, July 14–17, 2011, Whistler, British Columbia, Canada. Tracy Penney, PT, MSc, Michelle Ploughman, PT, PhD, Mark W. Austin, MSc, PT, David G. Behm, PhD, Jeannette M. Byrne, PhDemail Published Online: June 30, 2014 Objectives To determine the activation of the gluteus medius […]

Cost-Effectiveness of Manual Therapy for the Management of Musculoskeletal Conditions

A Systematic Review and Narrative Synthesis of Evidence From Randomized Controlled Trials Tsertsvadze A, et al. J Manipulative Physiol Ther. 2014 Jun 27. pii: S0161-4754(14)00087-6. doi: 10.1016/j.jmpt.2014.05.001. [Epub ahead of print] PubMed Reference Abstract OBJECTIVES: The purpose of this study was to systematically review trial-based economic evaluations of manual therapy relative to other alternative interventions […]