Musculoskeletal System

Lumbar disc herniation and cauda equina syndrome following spinal manipulative therapy

A review of six court decisions in Canada Boucher P, et al. J Forensic Leg Med. 2014 Feb;22:159-69. doi: 10.1016/j.jflm.2013.12.026. Epub 2014 Jan 7. PubMed Reference Abstract The purpose of this review is to expand practitioners’ knowledge on areas of liability when treating low back pain patients. Six cases where chiropractors in Canada were sued […]

Immediate Effects of Bilateral Sacroiliac Joint Manipulation on Plantar Pressure Distribution in Asymptomatic Participants

Méndez-Sánchez R, et al. J Altern Complement Med. 2014 Feb 4. [Epub ahead of print] Abstract Abstract Objective: To investigate the immediate effects of manipulation of bilateral sacroiliac joints (SIJs) on the plantar pressure distribution in asymptomatic participants in the standing position. Design: Randomized, controlled, double-blind clinical trial. Participants: Sixty-two asymptomatic men and women (mean […]

Influence of Foot Orthotics Upon Duration of Effects of Spinal Manipulation in Chronic Back Pain Patients

A Randomized Clinical Trial Anthony L. Rosner, PhD Journal of Manipulative and Physiological Therapeutics Volume 37, Issue 2 , Pages 124-140, February 2014 Abstract Objective The purpose of this study was to investigate the effects of 4 weeks of custom foot orthotics on pain, disability, recurrence of spinal fixation, and muscle dysfunction in adult low […]

Bilateral Cervical Dysfunction in Patients With Unilateral Lateral Epicondylalgia Without Concomitant Cervical or Upper Limb Symptoms

A Cross-Sectional Case-Control Study Brooke K. Coombes, PhD Journal of Manipulative and Physiological Therapeutics Volume 37, Issue 2 , Pages 79-86, February 2014 Abstract Objective The purposes of this study were to examine the prevalence and distribution of spinal and neurodynamic dysfunction in a population with unilateral lateral epicondylalgia (LE) without concomitant cervical or upper […]

Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse

Spine J. 2014 Feb 1;14(2):300-7. doi: 10.1016/j.spinee.2013.10.042. Epub 2013 Nov 12. Patterns of lumbar disc degeneration are different in degenerative disc disease and disc prolapse magnetic resonance imaging analysis of 224 patients. Kanna RM1, Shetty AP1, Rajasekaran S2. Abstract BACKGROUND CONTEXT: Existing research on lumbar disc degeneration has remained inconclusive regarding its etiology, pathogenesis, symptomatology, […]

Effects of Functional Stabilization Training on Pain, Function, and Lower Extremity Biomechanics in Women With Patellofemoral Pain: A Randomized Clinical Trial

Authors: Rodrigo De Marche Baldon, PT, MS Journal of Orthopaedic & Sports Physical Therapy, 2014 Volume:44 Issue:4 Pages:240–A8 DOI: 10.2519/jospt.2014.4940 Study Design Randomized clinical trial. Objectives To compare the effects of functional stabilization training (FST) versus standard training on knee pain and function, lower-limb and trunk kinematics, trunk muscle endurance, and eccentric hip and knee […]

Assessment of skeletal maturity in scoliosis patients to determine clinical management: a new classification scheme using distal radius and ulna radiographs

The Spine Journal February 1, 2014Volume 14, Issue 2, Pages 315–325 Keith D.K. Luk Abstract Background Assessment of skeletal maturity in patients with adolescent idiopathic scoliosis (AIS) is important to guide clinical management. Understanding growth peak and cessation is crucial to determine clinical observational intervals, timing to initiate or end bracing therapy, and when to […]

Altered Disc Compression in Children With Idiopathic Low Back Pain: An Upright Magnetic Resonance Imaging Backpack Study

Shymon, Stephen J. BA Spine: 01 February 2014 – Volume 39 – Issue 3 – p 243–248 Abstract Study Design. This study is a repeated measures design to measure the lumbar spine’s response to common backpack loads in children with idiopathic low back pain (ILBP) using upright magnetic resonance imaging (MRI). Objective. The purpose of […]

Is one better than another?: A randomized clinical trial of manual therapy for patients with chronic neck pain

Izquierdo Pérez H, et al. Man Ther. 2014 Jan 11. pii: S1356-689X(13)00214-2. doi: 10.1016/j.math.2013.12.002. [Epub ahead of print] Abstract Our purpose was to compare the effectiveness of three manual therapy techniques: high velocity, low amplitude (HVLA), mobilization (Mob) and sustained natural apophyseal glide (SNAG) in patients with chronic neck pain (CNP). The randomized controlled trial […]

Ageing and degenerative changes of the intervertebral disc and their impact on spinal flexibility

Galbusera F, et al. Eur Spine J. 2014 Jan 31. [Epub ahead of print] Abstract PURPOSE: Degeneration of the intervertebral disc is associated with various morphological changes of the disc itself and of the adjacent structures, such as reduction of the water content, collapse of the intervertebral space, disruption and tears, and osteophytes. These morphological […]

CLINICAL PRACTICE GUIDELINES: Shoulder Pain and Mobility Deficits: Adhesive Capsulitis

Martin J. Kelley Journal of Orthopaedic & Sports Physical Therapy, 2013, Volume: 43 Issue: 5 Pages: A1-A31 doi:10.2519/jospt.2013.0302 Abstract The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization’s International […]

Scores on the Safe Functional Motion Test Are Associated with Prevalent Fractures and Fall History

Chris P. Recknor, MD Physiother Can. 2013 Winter; 65(1): 75–83. Published online 2013 January 28. doi: 10.3138/ptc.2011-25BH PubMed Full Text Reference ABSTRACT Purpose: The Safe Functional Motion test (SFM) was developed to measure observed body mechanics and functional motion associated with spine load, balance, strength, and flexibility during everyday tasks to profile modifiable risks for osteoporotic […]

A Modern Neuroscience Approach to Chronic Spinal Pain

Combining Pain Neuroscience Education With Cognition-Targeted Motor Control Training Nijs J, et al. Show all Journal Phys Ther. 2014 Jan 30. [Epub ahead of print] Abstract Chronic spinal pain (CSP) is a severely disabling disorder, including non-traumatic chronic low back and neck pain, failed back surgery and chronic whiplash associated disorders. Much of the current […]

Study links marital status, quality to bone health in men

January 28, 2014 Full Story A study conducted by University of California, Los Angeles, researchers found that men who marry for the first time before the age 25 have lower bone density in the spine than those who marry at an older age. Moreover, researchers discovered a significant reduction in bone strength for each year […]

Associations between weather conditions and clinical symptoms in patients with hip osteoarthritis

A two-year cohort study Dorleijn DM, et al. Pain. 2014 Jan 22. pii: S0304-3959(14)00026-8. doi: 10.1016/j.pain.2014.01.018. [Epub ahead of print] Abstract The goal was to assess whether there is an association between ambient weather conditions and patients’ clinical symptoms in patients with hip osteoarthritis (OA). The design was a cohort study with a 2-year follow-up […]

23Na – MR of the human lumbar vertebral discs: in-vivomeasurements at 3.0T in healthy volunteers and patients with low back pain

S. Haneder The Spine Journal Available online 25 January 2014 In Press, Accepted Manuscript Journal Reference Background/Context 1H magnetic resonance imaging of the spine can rule out common causes of low back pain (LBP) such as disc protrusions or nerve root compression; however, no significant causal relation exists between morphology and extent of symptoms. Functional […]

Incidence and Risk Factors for First-Time Incident Low Back Pain

A Systematic Review and Meta-Analysis Jeffrey B. Taylor The Spine Journal Available online 23 January 2014 Abstract Background Context Great effort has been made toward limiting low back pain (LBP). Recent focus has included factors involved with secondary and tertiary prevention, with less attention given to primary prevention. Purpose This review provided a current estimate […]

Dose Optimization for Spinal Treatment Effectiveness (The DOSE Study)

A Randomized Controlled Trial Investigating the Effects of High and Low Mobilization Forces in Patients With Neck Pain Snodgrass SJ, et al. J Orthop Sports Phys Ther. 2014 Jan 22. [Epub ahead of print] Abstract Study Design Randomized controlled trial. Objective To determine if force magnitude during posterior-to-anterior (PA) mobilization affects immediate and short-term outcomes […]

Stem cell knee injection shown to regenerate meniscus, reduce pain

Vangsness C. J Bone Joint Surg. 2014;doi: 10.2106/JBJS.M.00058 Full Story Results of a randomized, double-blind controlled study in the Journal of Bone and Joint Surgery supported the use of human mesenchymal stem cell for meniscal regeneration and the control of knee pain. “There was evidence of meniscus regeneration and improvement in knee pain following treatment with allogeneic […]

Children with mild trauma fractures have lower bone strength

January 8, 2014 Full Story Children with forearm fractures that occurred due to mild trauma have lower bone strength compared to other children, predisposing them to osteoporotic fractures later in life, according to a recently published study. “Our study highlights the need for clinicians to consider the level of trauma preceding the injury, when treating […]