Musculoskeletal System

Ability to discriminate between healthy and low back pain sufferers using ultrasound during maximum lumbar extension

Arch Phys Med Rehabil. 2014 Jun;95(6):1093-9. doi: 10.1016/j.apmr.2014.01.023. Epub 2014 Feb 14. Cuesta-Vargas AI, González-Sánchez M. Abstract OBJECTIVE: To analyze the ability to discriminate between healthy individuals and individuals with chronic nonspecific low back pain (CNLBP) by measuring the relation between patient-reported outcomes and objective clinical outcome measures of the erector spinae (ES) muscles using […]

Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: A systematic review

Musculoskeletal Science & Practice February 2014 Volume 19, Issue 1, Pages 10–17 Eva Barrett Abstract Background A wide array of instruments are available for non-invasive thoracic kyphosis measurement. Guidelines for selecting outcome measures for use in clinical and research practice recommend that properties such as validity and reliability are considered. This systematic review reports on […]

OARSI releases new guidelines for osteoarthritis treatment

February 6, 2014 The Osteoarthritis Research Society International released new guidelines for non-surgical management of knee osteoarthritis and highlighted biomechanical interventions, exercise and weight management as some of the appropriate treatments for all patients. According to the guideline, published in Osteoarthritis and Cartilage, thirteen experts and a patient representative considered 29 treatment modalities listed in […]

Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults

Report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Headache Society Holland S, Silberstein SD, Freitag F, Dodick DW, Argoff C, Ashman E. Evidence-based guideline update: NSAIDs and other complementary treatments for episodic migraine prevention in adults: report of the Quality Standards Subcommittee of the American Academy of Neurology […]

Flexion-Intolerant Lower Back Pain – Diagnosis & Treatment

By Marc Heller, DC and Phillip Snell, DC Dynamic Chiropractic – January 15, 2014, Vol. 32, Issue 02 Flexion-Intolerant Lower Back Pain (Part 1): Diagnosis Dynamic Chiropractic – March 1, 2014, Vol. 32, Issue 05 Flexion-Intolerant Lower Back Pain (Part 2): Exercise Rehab

Fibromyalgia and Vitamin D – Interview with Florian Wepner, M.D.

Fibromyalgia and Vitamin D Florian Wepner, MD Department of Orthopedic Pain Management Spine Unit, Center of Excellence for Orthopaedic Pain Management Speising, Vienna, Austria +43 1 80182 / 1487 florian.wepner@oss.at “Effects of Vitamin D on Patients with Fibromyalgia Syndrome: A Randomized Placebo-Controlled Trial,” Pain, 2014 Feb;155(2):261-8. 49825 (4/2014) Kirk Hamilton: Can you please share with […]

Radiosteriometric analysis of movement in the sacroiliac joint during a single-leg stance in patients with long-lasting pelvic girdle pain

Clin Biomech (Bristol, Avon). 2014 Apr;29(4):406-11. doi: 10.1016/j.clinbiomech.2014.02.002. Epub 2014 Feb 16. Kibsgård TJ Abstract BACKGROUND: Chamberlain’s projections (anterior-posterior X-ray of the pubic symphysis) have been used to diagnose sacroiliac joint mobility during the single-leg stance test. This study examined the movement in the sacroiliac joint during the single-leg stance test with precise radiostereometric analysis. […]

Effectiveness of the Alfredson Protocol Compared With a Lower Repetition-Volume Protocol for Midportion Achilles Tendinopathy

Marc Stevens, PT, MSc Journal of Orthopaedic & Sports Physical Therapy, February 2014, Volume: 44 Issue: 2 Pages: 59-67 Journal Reference Study Design Randomized clinical trial. Objectives To compare the effectiveness of the Alfredson eccentric heel-drop protocol with a “do-as-tolerated” protocol for nonathletic individuals with midportion Achilles tendinopathy. Background The Alfredson protocol recommends the completion […]

Neck and Arm Pain: Mechanical Traction and Exercises Prove an Effective Treatment (Patient Handout)

Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 2 Pages: 58-58 doi:10.2519/jospt.2014.0501 A condition called cervical radiculopathy develops when a nerve in the neck region becomes irritated. This type of neck problem frequently causes neck pain, pain down the arm, and sometimes a loss of feeling or decreased strength in the arm. […]

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule

A Randomized Clinical Trial Julie M. Fritz, PT, PhD, ATC Journal of Orthopaedic & Sports Physical Therapy, February 2014, Volume: 44 Issue: 2 Pages: 45-57 doi:10.2519/jospt.2014.5065 Study Design Randomized clinical trial. Objectives To examine the effectiveness of cervical traction in addition to exercise for specific subgroups of patients with neck pain. Background Cervical traction is […]

The global burden of neck pain: estimates from the Global Burden of Disease 2010 study

Hoy D, et al. Ann Rheum Dis. 2014 Jan 30. doi: 10.1136/annrheumdis-2013-204431. [Epub ahead of print] Abstract OBJECTIVE: To estimate the global burden of neck pain. METHODS: Neck pain was defined as pain in the neck with or without pain referred into one or both upper limbs that lasts for at least 1 day. Systematic […]

Do Manual Therapies Help Low Back Pain?: A Comparative Effectiveness Meta-Analysis

Menke JM. Spine (Phila Pa 1976). 2014 Jan 29. [Epub ahead of print] Abstract Study Design. Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. Objective. Determine relative effectiveness of spinal manipulation therapies (SMT), medical management, physical therapies, and exercise for acute and chronic non-surgical low back pain. Summary […]

Influence of Catastrophizing on Treatment Outcome in Patients With Nonspecific Low Back Pain

A Systematic Review Wertli, Maria M. MD Spine: 01 February 2014 – Volume 39 – Issue 3 – p 263–273 Abstract Study Design. Systematic review. Objective. The aim of this study was to assess the effect of catastrophizing on treatment efficacy and outcome in patients treated for low back pain. Summary of Background Data. Psychological […]

Transient low back pain development during standing predicts future clinical low back pain in previously asymptomatic individuals

Spine (Phila Pa 1976). 2014 Mar 15;39(6):E379-83. doi: 10.1097/BRS.0000000000000191. Nelson-Wong E, Callaghan JP. Abstract STUDY DESIGN: Longitudinal, observational. OBJECTIVE: To determine if development of transient low back pain (LBP) during prolonged standing in individuals without prior history of LBP predicts future clinical LBP development at higher rates than in individuals who do not develop LBP […]

Repositioning Dislocated Temporomandibular Joints

Daniel F. Zweifel, M.D., D.M.D., Giorgio Pietramaggiori, M.D., and Martin Broome, M.D., D.M.D. N Engl J Med 2014; 370:e9February 6, 2014DOI: 10.1056/NEJMvcm1301200 SOURCE INFORMATION From the Department of Maxillofacial Surgery, Lausanne University Hospital, Lausanne, Switzerland. http://www.youtube.com/watch?v=xsBw0uRRuKU The following text summarizes information provided in the video. Overview The temporomandibular joints are anterior to the ear. They […]

Case Report: Osteomalacia in an orthodox Muslim woman

Vishnu V. Reddy Munagala, M.D., and Vaishali Tomar, M.D. N Engl J Med 2014; 370:e10 February 6, 2014DOI: 10.1056/NEJMicm1308433 Journal Reference                   A 45-year-old woman presented with a 3-month history of generalized body pains that were nonresponsive to analgesic agents. Along with low back pain, she had progressive […]

Upper cervical mobility, posture and myofascial trigger points in subjects with episodic migraine

Upper cervical mobility, posture and myofascial trigger points in subjects with episodic migraine: Case-control study Danit Tali, BPT Received: November 10, 2013; Received in revised form: January 10, 2014; Accepted: January 29, 2014; Published Online: February 06, 2014 DOI: http://dx.doi.org/10.1016/j.jbmt.2014.01.006 Summary Objectives To evaluate the association between episodic migraines and the prevalence of myofascial trigger […]

Patellar taping for patellofemoral pain

A systematic review and meta-analysis to evaluate clinical outcomes and biomechanical mechanisms Christian Barton Br J Sports Med doi:10.1136/bjsports-2013-092437 Journal Reference Abstract Objective Patellar taping is frequently used to treat patellofemoral pain (PFP). This systematic review and meta-analysis (1) evaluates the efficacy of patellar taping for patients with PFP, (2) compares the efficacy of various taping […]

A prospective, cluster-RCT of exercise program to prevent low back pain in office workers

Rattaporn Sihawong, Prawit Janwantanakul, Wiroj Jiamjarasrangsi European Spine Journal February 2014 Abstract Purpose The objective of this study was to evaluate the effects of an exercise program focusing on muscle stretching and endurance training on the 12-month incidence of low back pain (LBP) in office workers. Methods A 12-month prospective cluster-randomized controlled trial was conducted […]

OMT Associated With Reduced Analgesic Prescribing and Fewer Missed Work Days in Patients With Low Back Pain

An Observational Study Prinsen JK, et al. J Am Osteopath Assoc. 2014 Feb;114(2):90-8. doi: 10.7556/jaoa.2014.022. PubMed Reference Abstract CONTEXT: Randomized controlled trials (RCTs) are considered the standard for establishing practice guidelines; however, they are expensive and time-consuming, and often the generalizability of the results is limited. OBJECTIVES: To conduct an observational study using the findings […]