Reply to the letter to the editor regarding ‘Classification characteristics of a chronic low back pain population using a combined McKenzie and patho-anatomical assessment’
We would like to address the questions raised in the letter as they are presented. We acknowledge and respect the outstanding work of Robin McKenzie and the work which continues to be conducted by the McKenzie Institute and its members. Combining a McKenzie assessment with patho-anatomical classifications was never meant as a substitute for the McKenzie classifications and subgroupings which is an established classification process. However, we wish to clarify some details. (Source: Manual Therapy)
Source: Manual Therapy - December 21, 2016 Category: Physiotherapy Authors: Carol Flavell, Susan Gordon, Laurence Marshman Tags: Letter to the Editor Source Type: research

Clinical assessment of subacromial shoulder impingement – Which factors differ from the asymptomatic population?
To date, the significance of factors purported to be associated with subacromial shoulder impingement (SSI) and what differences, if any, are present in those with SSI compared to a matched asymptomatic population has not been identified. Gaining information about differences between people with SSI and asymptomatic people may direct clinicians towards treatments that impact upon these differences. (Source: Manual Therapy)
Source: Manual Therapy - December 16, 2016 Category: Physiotherapy Authors: Helen Land, Susan Gordon, Kerrianne Watt Tags: Original article Source Type: research

Methodology for astronaut reconditioning research
Space medicine offers some unique challenges, especially in terms of research methodology. A specific challenge for astronaut reconditioning involves identification of what aspects of terrestrial research methodology hold and which require modification. This paper outlines this thesis and presents appropriate solutions where possible.It is concluded that spaceflight rehabilitation research should remain question/problem driven and is broadly similar to the terrestrial equivalent on small populations, such as rare diseases and various sports. (Source: Manual Therapy)
Source: Manual Therapy - December 12, 2016 Category: Physiotherapy Authors: David Beard, Jonathan Cook Tags: Original article Source Type: research

Postflight reconditioning for European astronauts – A case report of recovery after six months in space
Postflight reconditioning of astronauts is understudied. Despite a rigorous, daily inflight exercise countermeasures programme during six months in microgravity ( μG) on-board the International Space Station (ISS), physiological impairments occur and postflight reconditioning is still required on return to Earth. Such postflight programmes are implemented by space agency reconditioning specialists.Case Description and Assessments: A 38 year old male European Space Agency (ESA) crewmember's pre- and postflight (at six and 21 days after landing) physical performance from a six-month mission to ISS are described. (Source: Manual Therapy)
Source: Manual Therapy - December 12, 2016 Category: Physiotherapy Authors: Nora Petersen, Gunda Lambrecht, Jonathan Scott, Natalie Hirsch, Maria Stokes, Joachim Mester Tags: Original article Source Type: research

Methodology for astronaut reconditioning research
Space medicine offers some unique challenges, especially in terms of research methodology. A specific challenge for astronaut reconditioning involves identification of what aspects of terrestrial research methodology hold and which require modification. This paper outlines this thesis and presents appropriate solutions where possible.It is concluded that spaceflight rehabilitation research should remain question/problem driven and is broadly similar to the terrestrial equivalent on small populations, such as rare diseases and various sports. (Source: Manual Therapy)
Source: Manual Therapy - December 12, 2016 Category: Physiotherapy Authors: David Beard, Jonathan Cook Tags: Original article Source Type: research

Postflight reconditioning for European astronauts – A case report of recovery after six months in space
Postflight reconditioning of astronauts is understudied. Despite a rigorous, daily inflight exercise countermeasures programme during six months in microgravity ( μG) on-board the International Space Station (ISS), physiological impairments occur and postflight reconditioning is still required on return to Earth. Such postflight programmes are implemented by space agency reconditioning specialists.Case Description and Assessments: A 38 year old male European Space Agency (ESA) crewmember's pre- and postflight (at six and 21 days after landing) physical performance from a six-month mission to ISS are described. (Source: Manual Therapy)
Source: Manual Therapy - December 12, 2016 Category: Physiotherapy Authors: Nora Petersen, Gunda Lambrecht, Jonathan Scott, Natalie Hirsch, Maria Stokes, Joachim Mester Tags: Original article Source Type: research

Parallels between astronauts and terrestrial patients – Taking physiotherapy rehabilitation “To infinity and beyond”
Exposure to the microgravity environment induces physiological changes in the cardiovascular, musculoskeletal and sensorimotor systems in healthy astronauts. As space agencies prepare for extended duration missions, it is difficult to predict the extent of the effects that prolonged exposure to microgravity will have on astronauts. Prolonged bed rest is a model used by space agencies to simulate the effects of spaceflight on the human body, and bed rest studies have provided some insights into the effects of immobilisation and inactivity. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Julie Hides, Gunda Lambrecht, Gita Ramdharry, Rebecca Cusack, Jacob Bloomberg, Maria Stokes Tags: Original article Source Type: research

Characterization of humeral head displacements during dynamic glenohumeral neuromuscular control exercises using quantitative ultrasound imaging: A feasibility study
The objectives of the present study were to test the feasibility of measuring humeral head displacements using quantitative ultrasound imaging during the performance of two different dynamic glenohumeral neuromuscular control exercises and to investigate the influence of these exercises on the acromiohumeral distance (AHD) and anterior-posterior distance (APD). Ten individuals who have no history of shoulder injury at the non-dominant shoulder completed three repetitions of an active humeral head lowering exercise and three repetitions of a posteriorisation exercise in a random order in a seated position. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Guillaume Desroches, Fran çois Desmeules, Dany H. Gagnon Tags: Technical and measurement report Source Type: research

The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study
The objective was to examine physiotherapy goal-setting and the use of the PSC within this process, as well as the physiotherapists' perception of the usefulness of the PSC. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Anita Stevens, Albine Moser, Alb ère Köke, Trudy van der Weijden, Anna Beurskens Tags: Original article Source Type: research

Distinguishing between nociceptive and neuropathic components in chronic low back pain using behavioural evaluation and sensory examination
Diagnosis of chronic low back pain (CLBP) is traditionally predicated on identifying underlying pathological or anatomical causes, with treatment outcomes modest at best. Alternately, it is suggested that identification of underlying pain mechanisms with treatments targeted towards specific pain phenotypes may yield more success. Differentiation between nociceptive and neuropathic components of CLBP is problematic; evidence suggests that clinicians fail to identify a significant neuropathic component in many CLBP patients. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: N. Spahr, D. Hodkinson, K. Jolly, S. Williams, M. Howard, M. Thacker Tags: Original article Source Type: research

Parallels between astronauts and terrestrial patients – Taking physiotherapy rehabilitation “To infinity and beyond”
Exposure to the microgravity environment induces physiological changes in the cardiovascular, musculoskeletal and sensorimotor systems in healthy astronauts. As space agencies prepare for extended duration missions, it is difficult to predict the extent of the effects that prolonged exposure to microgravity will have on astronauts. Prolonged bed rest is a model used by space agencies to simulate the effects of spaceflight on the human body, and bed rest studies have provided some insights into the effects of immobilisation and inactivity. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Julie Hides, Gunda Lambrecht, Gita Ramdharry, Rebecca Cusack, Jacob Bloomberg, Maria Stokes Tags: Original article Source Type: research

Perceived task complexity of trunk stability exercises
Perceived task complexity can impact participation in an exercise programme and the level of skill acquisition resulting from participation. Although trunk stability exercises are commonly included in the management of people with low back pain, potential differences in perceived task complexity between those exercises have not been investigated previously. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Megan McPhee, Kylie J. Tucker, Alan Wan, David A. MacDonald Tags: Original article Source Type: research

Cervical flexion-rotation test and physiological range of motion – A comparative study of patients with myogenic temporomandibular disorder versus healthy subjects
Temporomandibular Disorders (TMD) refer to several common clinical disorders which involve the masticatory muscles, the temporomandibular joint (TMJ) and the adjacent structures. Although neck signs and symptoms are found with higher prevalence in TMD patients compared to the overall population, whether limitation of cervical mobility is an additional positive finding in this cohort is still an open question. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Tzvika Greenbaum, Zeevi Dvir, Shoshana Reiter, Ephraim Winocur Tags: Original article Source Type: research

Isokinetic clinical assessment of rotator cuff strength in subacromial shoulder impingement
Current conservative management of subacromial shoulder impingement (SSI) includes generic strengthening exercises, especially for internal (IR) and external (ER) shoulder rotators. However, there is no evidence that the strength or the ratio of strength between these muscle groups is different between those with SSI (cases) and an asymptomatic population (controls). (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Helen Land, Susan Gordon, Kerrianne Watt Tags: Original article Source Type: research

Effects of lower body quadrant neural mobilization in healthy and low back pain populations: A systematic review and meta-analysis
Neural mobilization (NM) is widely used to assess and treat several neuromuscular disorders. However, information regarding the NM effects targeting the lower body quadrant is scarce. (Source: Manual Therapy)
Source: Manual Therapy - December 11, 2016 Category: Physiotherapy Authors: Tiago Neto, Sandro R. Freitas, Marta Marques, Luis Gomes, Ricardo J. Andrade, Ra úl Oliveira Tags: Review article Source Type: research