Manual therapy for participants with cervicogenic dizziness and vestibulopathy: A pilot single group intervention study
Background: There are many different causes and types of dizziness, leading to it being a common problem. Patients often experience different types of dizziness concurrently. Cervicogenic dizziness has been shown to benefit from manual therapy including Mulligan sustained natural apophyseal glides (SNAGs). Vestibular rehabilitation is considered the standard of care for peripheral vestibular dysfunction. It is not known what treatment is beneficial when these two types of dizziness co-exist. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: S. Reid, D. Rivett, R. Callister, M. Katekar Source Type: research
Which movement control tests of the lumbar spine and cervical spine discriminate the best patients from healthy controls?
Background: Movement control impairment on the lower spine and of the neck are often seen dysfunctions by physiotherapy patients. Reliability of test batteries have been published. However, which tests are the most discriminative between patients and healthy controls, is still unclear. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: H. Luomajoki, S. Elsig, R. Hilfiker Source Type: research
Subjective and clinical assessment criteria suggestive for five clinical patterns discernible in nonspecific neck pain patients. A Delphi-survey of clinical experts
Background: Nonspecific neck pain patients form a heterogeneous group with different musculoskeletal impairments. Classifying neck pain patients into subgroups based on clinical characteristics might lead to more comprehensive diagnoses and can guide effective management. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: V. Dewitte, W. Peersman, L. Danneels, K. Bouche, A. Roets, B. Cagnie Source Type: research
A biomechanical investigation of selected lumbo-pelvic hip tests: implications for the examination of walking
Background: Clinicians commonly use tests including the Trendelenburg,1 Single Leg Squat 2 and Corkscrew Tests during the examination of the Lumbo-Pelvic and Hip complex. These tests are used to examine the movements of the Lumbar, Pelvic and Hip regions in a weight bearing position.1, 2, 3, 4 They may be used in isolation,5, 6 or to compliment the examination of functional tasks including walking.3, 7 The clinical assumption is that the Lumbar, Pelvic and Hip movements generated during these tests are similar to those of walking. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: R. Bailey Source Type: research
Investigation of optimal lumbar spine posture in elite athletes
Background: In athletic populations, low back pain contributes 10 –15% of reported injuries. Due to the inherent kinematics associated with gymnastics, spinal injury prevalence is high (25–85%) and associated with a reduction or loss of training time. To optimise the distribution of axial compressive load through spinal structures during sporting tasks, the pr inciple of neutral spine positioning is advocated, guided by a clinician’s experience and opinion, away from end range of movements (RoM). The proposed Conceptual Compressive Lumbar Load Distribution Model (CLLDM) describes a zone of optimal axial load distribu...
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: L. Sonvico, S. Spencer, L. Fawcett, N. Heneghan, A. Rushton Source Type: research
Diastasis rectus abdominis – Should we open or close the gap?
Background: Diastasis rectus abdominis (DRA) is very common in the obstetric patient. While most women recover both the cosmetic appearance and function of the abdominal wall in the postnatal period, persistent separation of the rectus abdominis muscles occurs in some. Rehabilitation has traditionally focused on exercises to ‘close the gap’ and reduce the inter-recti distance (IRD). New evidence shows that if this is the sole goal, function may not be restored. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: D. Lee, P.W. Hodges Source Type: research
What are the functional mechanisms of altered movement patterns during trunk flexion tasks? The need for further sub-classification: A systematic review
Background: Sub-classification is recommended in non specific low back pain (LBP). Although there are different schools of thought, one common sub-classification for LBP is to sub-classify patients based on their movement patterns into flexion, extension and rotation. The foundation of this hypothesis that a sub-group of subjects with low back pain (LBP) will use end range movements of the lumbar spine more routinely and have increased loading on soft issues. The poor motor program is considered the underlying mechanism, however this does not consider why the central nervous system (CNS) chooses to move the lumbar spine di...
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: S. Gibbons Source Type: research
Regional variation within the lumbar spine during sit to stand in patients with chronic low back pain: A case-control study
Background: In patients with chronic low back pain (CLBP), measurement of spinal kinematics could improve decision making by assessing function rather than pathoanatomy. Previous research demonstrated various kinematics deficits associated with CLBP, such as decreased spinal range of motion. Most of the research has been conducted with biomechanical models assuming the lumbar portion of the spine as one segment. However, recent studies showed regional differences within the lumbar spine during sit to stand (STS) in asymptomatic individuals, suggesting that biomechanical models should account for the mobility within the lum...
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: G. Christe, L. Redhead, B. Jolles-Haeberli, J. Favre Source Type: research
Diagnostic utility of patient examination data to diagnose facet joint pain: A systematic review
Background: The facet joint has been implicated as the pain source in up to 45% of individuals with low back pain (LBP). With recurrence of LBP between 24-80% within a year, effective diagnosis and management of facet joint pain (FJP) is essential. Additionally, recent research has provided new insights regarding the efficacy of anaesthetic facet joint blocks, which are considered the gold standard for the diagnosis of FJP. An evidence synthesis is required to establish the diagnostic accuracy of clinical examination findings for FJP, where rigorous application of the reference standard has been utilised. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: R. Smith, L. Grodahl, M. Nazareth, A. Rushton, N. Heneghan Source Type: research
Use of a smartphone app to improve adherence among low back pain group: A pilot RCT
Background: Poor adherence levels to exercise are reported widely in the literature and leverging technology may offer a unique, cost-effective way of improving exercise adherence. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: C. Cunningham, S. Malone Source Type: research
From data collection to intervention development: A qualitative study of older people's experiences of living with neurogenic claudication
Background: Trials of treatments for low back pain (LBP) generally exclude adults over 65 years of age. However, LBP has a significant impact on older people and there is a strong association bwetween LBP and immobility, disability, frailty and falls. Thus, there is a need to improve the management of LBP in older people through the generation and evaluation of new treatments. We have recently undertaken a programme of work with a focus on neurogenic claudication. This is a common spinal condition associated with older age. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: E. Williamson, S. Lyle, F. Darton, F. Griffiths, S. Lamb Source Type: research
Somatosensory profiles differ between patients with non-specific neck arm pain with and without heightened nerve mechanosensitivity
Background: While clinical neurological examination and electrodiagnostic studies are usually normal in patients with non-specific neck arm pain (NSNAP), a subgroup of patients with NSNAP present with clinical signs of heightened nerve mechanosensitivity. The latter is characterized clinically by pain in response to limb movements that cause nerve elongation (neurodynamic tests). It is assumed that this increased neural mechanosensitivity reflects a gain of function, presumably mediated by small nociceptive fibres. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: K. Boettger, B. Tampin, L. Stockinger, G. Landmann, A. Schmid Source Type: research
Association between pain extent and health status in whiplash associated disorders
Background: Whiplash associated disorders (WAD) are a complex phenomenon associated with relevant social and economic burdens. Many people with chronic WAD show widespread pain which can be observed from the patient ’s pain drawing. No studies have evaluated the relation of pain extent to perceived pain and disability, financial status, general health and psychological status in individuals with chronic WAD. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: M. Barbero, A. Peolsson, G. Peterson, M. Land én Ludvigsson, E. Soldini, A. Schneebeli, D. Falla Source Type: research
The effect of visual feedback of the neck during movement in patients with chronic whiplash: An experimental study
Background: Chronic whiplash associated disorder (WAD) is an important health issue with often poor outcomes in recovery. Unfortunately, underlying mechanisms of chronic WAD remain unclear. Sensorimotor incongruence (SMI), a mismatch between the efference copy in the brain and afferent sensory feedback from the body, is proposed as a possible underlying mechanism in patients with chronic musculoskeletal pain. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: S. Don, M. De Kooning, L. Voogt, K. Ickmans, L. Daenen, J. Nijs Source Type: research
The rapid and progressive degeneration of the cervical multifidus in whiplash: A MRI study of fatty infiltration
Background: The temporal development of muscle fatty infiltrate (MFI) has been shown to be associated with known prognostic factors in whiplash (e.g. pain and psychological distress). The replication of such findings has yet to be explored longitudinally. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: J. Elliott, D.M. Courtney, A. Rademaker, D. Pinto, M. Sterling, T. Parrish Source Type: research
