July 21, 2022 JAMA Network Open TAKE-HOME MESSAGE This 5-year follow-up of the ESCAPE trial examined the long-term (3–5 years) effects of arthroscopic partial meniscectomy versus exercise-based physical therapy (PT) in patients with degenerative meniscal tears. The authors assessed patient-reported knee function and the progression of knee osteoarthritis using radiographs for more than 5 years […]
— Physical therapy should be considered early on in the treatment conversation by Vijay Yanamadala, MD, MBA May 23, 2022 For decades, the U.S. healthcare system has been burdened by the persistent problem of medical overtreatment. Every year, countless Americans with chronic illness are subjected to unnecessary tests and procedures that don’t lead to healthier […]
— Better efficacy and no pricier over time by John Gever, Contributing Writer, MedPage Today January 24, 2022 Although physical therapy for osteoarthritis of the knee costs more than an intra-articular steroid injection, it’s cost-effective when clinical outcomes a year later are taken into account, researchers said. A secondary analysis of data from 156 participants […]
BMJ Open 2019;9:e028633. doi: 10.1136/bmjopen-2018-028633 First published September 20, 2019. Lewis E Kazis1, Omid Ameli1,2, James Rothendler1, Brigid Garrity1, Howard Cabral3, Christine McDonough4, Kathleen Carey1, Michael Stein1, Darshak Sanghavi2, David Elton5, Julie Fritz6, Robert Saper7 Abstract Objective This study examined the association of initial provider treatment with early and long-term opioid use in a national […]
Payers that cover physical therapy and chiropractic care for addressing lower back pain can lower costs and opioid use. By Thomas Beaton October 23, 2018 – Payers could improve outcomes, increase cost-effectiveness, and reduce opioid use for lower back pain by expanding non-pharmacological coverage such as physical therapy and chiropractic care, according to a new […]
October 2, 2018 The ESCAPE Randomized Clinical Trial Victor A. van de Graaf, MD Key Points Question Is physical therapy noninferior to early surgery with arthroscopic partial meniscectomy for improving knee function among patients with nonobstructive meniscal tears? Findings In this noninferiority randomized clinical trial that included 321 patients, knee function that was measured by a self-administered […]
Jasper D Bier Physical Therapy, Volume 98, Issue 3, 1 March 2018, Pages 162–171, https://doi.org/10.1093/ptj/pzx118 Abstract The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on […]
Authors: Eric Gattie, PT, DPT, Joshua A. Cleland, PT, PhD, Suzanne Snodgrass, PT, PhD Study Design Systematic review and meta-analysis. Background An increasing number of physical therapists in the United States and throughout the world are using dry needling to treat musculoskeletal pain. Objective To examine the short- and long-term effectiveness of dry needling delivered […]
The Effectiveness of Trigger Point Dry Needling for Musculoskeletal Conditions by Physical Therapists: A Systematic Review and Meta-analysis Authors: Eric Gattie, PT, DPT Study Design Systematic review and meta-analysis. Background Dry needling is being utilized by an increasing number of physical therapists in the United States and throughout the world in the treatment of musculoskeletal […]
Timing of Physical Therapy Initiation for Nonsurgical Management of Musculoskeletal Disorders and Effects on Patient Outcomes: A Systematic Review Heidi A. Ojha, DPT Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:0 Issue:0 Pages:1–31 DOI: 10.2519/jospt.2016.6138 Study Design Systematic review. Background Current United States practice guidelines suggest an initial “wait and see” approach following onset […]
JAMA. 2014 May 21;311(19):1987-97. doi: 10.1001/jama.2014.4591. Bennell KL1, Egerton T1, Martin J1, Abbott JH2, Metcalf B1, McManus F1, Sims K3, Pua YH4, Wrigley TV1, Forbes A5, Smith C5, Harris A6, Buchbinder R7. Abstract IMPORTANCE: There is limited evidence supporting use of physical therapy for hip osteoarthritis. OBJECTIVE: To determine efficacy of physical therapy on pain […]
BMC Musculoskeletal Disorders, 05/19/2014 Evidence Based Medicine Clinical Article Perreault K, et al. – Collaboration and interprofessional practices are highly valued in health systems, because they are thought to improve outcomes of care for persons with complex health problems, such as low back pain. Physiotherapists, like all health providers, are encouraged to take part in […]
Werneke MW, et al. Spine (Phila Pa 1976). 2014 Feb 1;39(3):E182-90. doi: 10.1097/BRS.0000000000000117. Abstract STUDY DESIGN: Inter-rater chance-corrected agreement study. OBJECTIVE: The aim was to examine the association between therapists’ level of formal precredential McKenzie postgraduate training and agreement on the following McKenzie classification variables for patients with low back pain: main McKenzie syndromes, presence of […]
Authors: Richard Rosedale, PT, Dip MDT Study Design Randomized controlled trial. Objectives To examine the efficacy of exercise intervention in patients with knee osteoarthritis (OA), as directed by Mechanical Diagnosis and Therapy (MDT) assessment, and, secondarily, to explore outcomes between MDT assessment-defined subgroups within the exercise group. Background Due to the high physical and economic […]
Randomized Controlled Trial With 1-Year Follow-up Sami Küçükşen, MD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 11 , Pages 2068-2074, November 2013 Abstract Objective To determine the short- and long-term effectiveness of the muscle energy technique (MET) compared with corticosteroid injections (CSIs) for chronic lateral epicondylitis (LE). Design Randomized controlled trial with 1 […]