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Spine physical therapy

Jason K Grimes, Emilio Puentedura, M Samuel Cheng, Amee L Seitz
STUDY DESIGN: Randomized clinical trial. BACKGROUND: Shoulder pain is a common musculoskeletal disorder encountered by physical therapists with as much as 44% of shoulder pain attributed to subacromial pain syndrome (SPS). Thoracic spine thrust manipulation (TSTM) has been reported to be effective in the short-term for improving pain and function in individuals with SPS, but the mechanisms of this remain elusive. Furthermore, it is unknown whether individuals with SPS respond differently based on the TSTM technique received...
March 12, 2019: Journal of Orthopaedic and Sports Physical Therapy
Inga Paravicini
Objective: The purpose of this report is to describe the manipulation under anesthesia (MUA) treatment of 6 infants with newborn torticollis with a segmental dysfunction at C1/C2. Clinical Features: Six infants aged 4 1/2 to 15 months previously diagnosed with newborn torticollis were referred to a doctor of chiropractic owing to a failure to respond adequately to previous conservative therapies. Common physical findings were limited range of motion of the upper cervical spine...
December 2018: Journal of Chiropractic Medicine
Guy G Simoneau
During the American Physical Therapy Association's Combined Sections Meeting in Washington, DC in January 2019, JOSPT recognized the authors of the most outstanding research and clinical practice manuscripts published in JOSPT during 2018. The 2018 George J. Davies-James A. Gould Excellence in Clinical Inquiry Award was presented to Joseph R. Kardouni, PT, PhD; Tracie L. Shing, MPH; Craig J. McKinnon, MPH; Dennis E. Scofield, MAEd; and Susan P. Proctor, DSc for their July 2018 article, "Risk for Lower Extremity Injury After Concussion: A Matched Cohort Study in Soldiers...
March 2019: Journal of Orthopaedic and Sports Physical Therapy
John Roufail, Ronald Sahyouni, Shaista Malik, Gilbert Cadena, Jefferson W Chen, Frank P K Hsu, Rick Gannotta, Sumeet Vadera
Background: Neurosurgery inpatients are oftentimes critically ill, and face significant stress, post-operative pain, and/or emotional distress. As a result, the use of non-pharmacologic, alternative therapies as adjuncts in surgical care may benefit this patient population. Hospital economics related to integrative services may also provide additional incentive to providing alternative therapies. This study characterizes and evaluates how Integrative Healing Services (IHS) affects patient pain levels and length of stay...
September 2018: Interdisciplinary Neurosurgery: Advanced Techniques and Case Management
Geoff Dakin, Raymond J Turner, Stephana J Cherak
Background: The purpose of this study was to describe the relationship between pelvic inclination (PI) and lumbar lordosis (LL). Pelvic inclination and pelvic tilt are two different names for the same metric. The geometrical parameters of the spine and pelvis were measured using surface topography scanning, and the data was explored for any physical relationships using principal component analysis.Once widely assumed to be a direct correlation, research in the 1980s first cast doubt upon the PI to LL relationship...
2019: Scoliosis and Spinal Disorders
Michelle M Ramirez, Gerard P Brennan
BACKGROUND: The efficiency and effectiveness of multiple physical therapy care delivery models can be measured using the value-based care paradigm. Entering physical therapy through direct access can decrease health-care utilization and improve patient outcomes. Limited evidence exists which compares direct access physical therapy to referral using the value-based care paradigm specific to cervical spine radiculopathy. CASE DESCRIPTION: The patient was a 39-year-old woman who presented to physical therapy through physician referral with the diagnoses of acute cervical radiculopathy...
February 18, 2019: Physiotherapy Theory and Practice
Carlos Bagley, Matthew MacAllister, Luke Dosselman, Jessica Moreno, Salah Aoun, Tarek El Ahmadieh
Lumbar spinal stenosis is a degenerative process that is extremely frequent in today's aging population. It can result in impingement on the nerves of the cauda equina or on the thecal sac itself, and lead to debilitating symptoms such as severe leg pain, or restriction in the perimeter of ambulation, both resulting in dependency in daily activities. The impact of the disease is global and includes financial repercussions because of its involvement in the active work force group. Risk factors for the disease include some comorbidities such as obesity or smoking, daily habits such as an active lifestyle, but also genetic factors that are not completely elucidated yet...
2019: F1000Research
Rutviz Rajendra Mistry, Pallavi Patro, Vikas Agarwal, Durga Prasanna Misra
In this narrative review, we overview the recent literature on enthesitis-related arthritis (ERA). For the purpose of our review, we searched Scopus for recent articles on this subject from 2013 onward, including some classic older articles for perspective. ERA is a juvenile idiopathic arthritis (JIA) subtype more common in males, associated in a majority with human leucocyte antigen B27. Such children generally present with asymmetric oligoarthritis or polyarthritis, predominantly of lower limb joints, associated with enthesitis or sacroiliitis...
2019: Open Access Rheumatology: Research and Reviews
Annu Navani, Laxmaiah Manchikanti, Sheri L Albers, Richard E Latchaw, Jaya Sanapati, Alan D Kaye, Sairam Atluri, Sheldon Jordan, Ashim Gupta, David Cedeno, Alejandro Vallejo, Bert Fellows, Nebojsa Nick Knezevic, Miguel Pappolla, Sudhir Diwan, Andrea M Trescot, Amol Soin, Adam M Kaye, Steve M Aydin, Aaron K Calodney, Kenneth D Candido, Sanjay Bakshi, Ramsin M Benyamin, Ricardo Vallejo, Art Watanabe, Douglas Beall, Todd P Stitik, Patrick M Foye, Erik M Helander, Joshua A Hirsch
BACKGROUND: Regenerative medicine is a medical subspecialty that seeks to recruit and enhance the body's own inherent healing armamentarium in the treatment of patient pathology. This therapy's intention is to assist in the repair, and to potentially replace or restore damaged tissue through the use of autologous or allogenic biologics. This field is rising like a Phoenix from the ashes of underperforming conventional therapy midst the hopes and high expectations of patients and medical personnel alike...
January 2019: Pain Physician
Michael Grelat, Carlos Gimenez, Rachid Madkouri
A 51-year-old woman presented to physical therapy with complaints of weakness in her left arm, progressive numbness in both hands, and mild progressive neck pain radiating into the left upper arm. She reported that her condition had started after playing in an amateur tennis tournament 4 weeks prior and progressed to inability to play tennis. Following examination by the physical therapist, the patient was referred to her physician, who ordered magnetic resonance imaging of the spine, which showed a bony exostosis at C1-2 with myelopathy...
February 2019: Journal of Orthopaedic and Sports Physical Therapy
Amy Hammerich, Julie Whitman, Paul Mintken, Thomas Denninger, Venu Akuthota, Eric E Sawyer, Melissa Hofmann, John D Childs, Joshua Cleland
OBJECTIVE: To examine the effectiveness of epidural steroid injection (ESI) and back education with and without physical therapy (PT) in individuals with lumbar spinal stenosis (LSS). DESIGN: Randomized clinical trial. SETTING: Orthopedic spine clinics. PARTICIPANTS: A total of 390 individuals were screened with 60 eligible and randomly selected to receive ESI and education with or without PT (N=54). INTERVENTIONS: A total of 54 individuals received 1-3 injections and education in a 10-week intervention period, with 31 receiving injections and education only (ESI) and 23 additionally receiving 8-10 sessions of multimodal PT (ESI+PT)...
January 29, 2019: Archives of Physical Medicine and Rehabilitation
Xiaowei Yang, Runsheng Guo, Xin Lv, Qi Lai, Banglin Xie, Xiaozhen Jiang, Min Dai, Bin Zhang
RATIONALE: Spinal epidural abscess (SEA) is a rare condition that shows a high prevalence in immunocompromised patients. The clinical presentation of SEA includes the "classic triad" of pain, fever, and neurological dysfunction. However, these nonspecific features can lead to a high rate of misdiagnosis. SEA may lead to paralysis or even death; thus, prognosis of these patients remains unfavorable. PATIENT CONCERNS: We report a case of a multilevel (T6-T12) SEA in a 22-year-old woman...
February 2019: Medicine (Baltimore)
D Donà, E Mozzo, D Luise, R Lundin, A Padoan, O Rampon, C Giaquinto
Daily assumption of antiretroviral drugs and HIV-related immune activation lead to important side effects, which are particularly evident in vertically infected patients. Bone homeostasis impairment and reduction of bone mineral density (BMD) is one of the most important side effects. Primary aim of this study is to assess the prevalence of bone homeostasis alterations in a group of vertically infected patients; secondary aim is to analyze the relationship between bone homeostasis alterations and anthropometric data, severity of HIV infection, and antiretroviral therapy...
2019: Journal of Osteoporosis
Shir Lotan, Leonid Kalichman
BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a common orthopedic condition with a prevalence of 2%-3% in children aged 10-16 years. Conservative interventions remain controversial and are usually based on physical therapy exercises and treatments. Manual therapy techniques may also serve as adequate treatments for AIS due to their ability to improve range of motion and decrease muscle tone and pain. OBJECTIVE: To critically assess the current literature on the effectiveness of manual therapy methods used to treat AIS...
January 2019: Journal of Bodywork and Movement Therapies
Christopher Green, Anthony Pastore, Leah Cronley, Merritt D Walker, Charles A Thigpen, Chad E Cook, Deborah L Givens
BACKGROUND: Direct access physical therapy (DAPT) may result in improved patient outcomes and reduced healthcare costs. Prognostic factors associated with spine-related outcomes and insurance claims with DAPT are needed. OBJECTIVE: To identify factors that predict variations in outcomes for spine pain and insurance claims using DAPT. METHODS: Individuals (N = 250) with spine pain were analyzed. Outcomes were classified into High, Low, or Did Not Meet minimal clinically important difference (MCID) scores...
January 17, 2019: Journal of Back and Musculoskeletal Rehabilitation
Elizabeth Arnold, Janna La Barrie, Lisley DaSilva, Meagan Patti, Adam Goode, Derek Clewley
OBJECTIVE: To synthesize literature about the impact of early physical therapy (PT) for acute low back pain (LBP) on subsequent health services utilization (HSU), compared to delayed PT or usual care. DATA SOURCES: Electronic databases (MEDLINE, CINAHL, and EMBASE) were searched from their inception to May 2018. STUDY SELECTION: Study selection included randomized control trials and prospective and retrospective cohort studies that investigated the association between early PT and HSU compared to delayed PT or usual care...
January 23, 2019: Archives of Physical Medicine and Rehabilitation
Anna Ghizzani, Serafino Carta, Annalisa Casoni, Paolo Ferrata, Stefano Luisi, Mattia Fortina
Context: Vulvodynia is defined as a chronic vulvar pain non-associated with infectious, inflammatory, neoplastic or hormonal disorders. Objectives: To present a case demonstrating the difficulty in assessing concomitant disease in vulvodynia. Methods: A 26-year-old woman, presented with persistent vulvodynia. She received oral and topical medications and behavioural interventions to lessen sexual pain and restore sexuality. As sexual pain decreased, the patient reported symptoms previously not mentioned: continuous, intense periclitoral pain and numbness at the perineum when sitting for a long time...
February 2019: British Journal of Pain
T R da Silva, C C Martins, L L Ferreira, P M Spritzer
PURPOSE: This study aimed to investigate the association between the Mediterranean diet (MD), body composition, and bone mineral density (BMD) in postmenopausal women. METHODS: In this cross-sectional study, 105 apparently healthy postmenopausal women aged between 45 and 65 years were included. BMD, percentage body fat, and appendicular lean mass index (ALMI, appendicular lean mass/height squared) were assessed by dual-energy X-ray absorptiometry. Dietary intake was assessed by a validated food frequency questionnaire...
January 21, 2019: Climacteric: the Journal of the International Menopause Society
Christiane S Guerino Macedo, Felipe F Tadiello, Leonardo T Medeiros, Márcio C Antonelo, Marco A Ferreira Alves, Luciana D Mendonça
OBJECTIVE: To characterize the Physical Therapy Services delivered at the Polyclinic during the Rio 2016 Paralympic Games. DESIGN: Retrospective Cohort Study. SETTING: Physical Therapy Services (PTS) of the Polyclinic. PARTICIPANTS: Athletes attended for Physical Therapy treatment at the Polyclinic during Rio 2016 Paralympic Games. MAIN OUTCOME MEASURES: The number of athletes treated, their nationalities, their sports modality, the most frequently treated regions and the interventions applied...
January 12, 2019: Physical Therapy in Sport
Peter J Moley, Caitlin K Gribbin, Elizabeth Vargas, Bryan T Kelly
Locating the source of lumbopelvic-hip pain requires the consideration of multiple clinical pathways. Although low back pain has an incidence of 50% in the adolescent population, the pathophysiology in this population typically differs from that of other age groups. Dynamic mechanical impairments of the hip, such as femoroacetabular impingement, may contribute to the pathogenesis of adolescent low back pain. Eight adolescent male athletes who presented to a single provider with a primary complaint of low back pain with hip pain or motion loss on exam and were ultimately diagnosed with lumbar spondylolysis and dynamic mechanical hip issues between 2009 and 2011 were included...
December 2018: Journal of Hip Preservation Surgery
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