(Ridehalgh, Sandy-Hindmarch, & Schmid, 2018) Aims: To examine the validity of clinical tests to assess small nerve fibers degeneration using Carpal Tunnel Syndrome (CST) as a model neuropathy. Methods: Prospective cross-sectional. Presence of CTS was assessed with skin biopsies. 85 patients with CTS were evaluated with Neurotip and Quantitative sensory testing (T°). A subgroup of… Continue reading Validity of clinical small-fiber sensory testing to detect small-fiber degeneration
(Luomajoki, Kool, de Bruin, & Airaksinen, 2008) Aims: To determine whether the number of positive tests out of six active MC tests was different in patients LBP VS healthy controls + if ≠ according to the duration of LBP. Methods: Case control study, Non blinded, 108 P and 102 controls, consecutive Germans, LBP (excluded radiculopathy),… Continue reading Movement control tests of the LBP; evaluation of the difference between P with LBP and healthy controls
(Lee & Evans, 1992) Aims: Among others, to evaluate the effects of cyclic and sustained PA loadings, and on loading rate on PA mobility. Method: N = 28, 18 – 23 yo, 50/50 male/female. Assessed mobility of L3-L5 (max 150N), three cyclic loadings on L4 (150N) and sustained loading on L4 (100N in two min).… Continue reading Creep and hysteresis / preconditioning : Load displacement time characteristics of the spine under PA mob
(Furlan, Giraldo, Baskwill, Irvin, & Imamura, 2015) Aims: To assess the effects of massage therapy for people with non-specific LBP. Methods: RCTs, LBP, Inactive (supposed to be ineffective) or active modalities. Outcomes measures = pain and functional status, < or > to 6months. Secondary outcome = overall improvement, patient satisfaction, quality of life and work-related… Continue reading Massage for LBP
(Neal, Barton, Gallie, O’Halloran, & Morrissey, 2016) Aims: To synthesise prospective, observational and intervention studies that measure clinical and biomechanical outcomes in symptomatic running populations. Methods: SR, 2 independent reviewers, 28 studies, PeDro scale for quality. Results: Very limited prospective evidence indicates that increased peak hip adduction is a risk factor for PFP development in… Continue reading Runners with PFP have altered biomechanics which targeted interventions can modify
(Van Der Heijden et al., 2015) Aims: To investigate differences in patellofemoral cartilage composition between patients with PFP and healthy control sub- jects using quantitative MRI Methods: Cross-sectional case-control study, PFP group symptom duration from 2 months to 2 years, 14 to 40 yo. 64 patients and 70 controls. Results: No significant differences were found… Continue reading No difference in quantitative MRI in PFP cartilage composition between patients with PFP and healthy controls
(Van der Heijden, Lankhorst, Van Linschoten, Bierma-Zeinstra, & Van Middelkoop, 2015) Aim: To assess the effects (benefits and harms) of exercise therapy aimed at reducing knee pain and improving knee function for people with patellofemoral pain syndrome. Methods: Cochrane Review of RCT and quasi RCT about exercise for PFP, 2 indep reviewers, outcomes : pain… Continue reading Exercise for treating PFPS Review
(Lack, Barton, Sohan, Crossley, & Morrissey, 2015) Aims: This review (1) evaluates the efficacy of proximal musculature rehabilitation for patients with PFP; (2) compares the efficacy of various rehabilitation protocols; and (3) identifies potential biomechanical mechanisms of effect in order to optimise outcomes from proximal rehabilitation in this problematic patient group. Methods: SR, 2 independent… Continue reading Proximal muscle rehabilitation is effective for PFP: A SR with MA.
(Kalauokalani, Cherkin, Sherman, Koepsell, & Deyo, 2001) Aims: To evaluate the association of a patient’s expectation for benefit from a specific treatment with improved functional outcome. Methods: Secondary analysis from a RCT comparing massage, acupuncture, and self-care material (control group) used for patients with chronic LBP. 135 patients, 10 treatments within 10 weeks. The participants… Continue reading Lessons from a trial of acupuncture & massage for LBP: patient expectations & treatment effects.
(Greenhalgh, Finucane, Mercer, & Selfe, 2018) Aim: The purpose of this paper is to highlight the many challenges faced by clinicians in recognising and managing CES and offer guidance on the evidence-based management of these patients. Methods: Masterclass Results: The early symptoms of CES are often subtle and vague. 1. Bilateral neurogenic sciatica - Pain… Continue reading Assessment and management of CES