(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
(Greenhalgh & Selfe, 2009) Aims: To explore the experiential knowledge of experienced palliative care clinicians in the field of serious spinal pathology. Methods: Qualitative study: Nominal group technique + focus group. Results: Limitations: Qualitative study, experts’ experience, only in one service in UK. Recall bias. In Practice: Band-like trunk pain, vague non-specific lower limb symptoms… Continue reading A qualitative investigation of Red Flags for serious spinal pathology
(Finucane, Greenhalgh, & Selfe, 2017) Aim: Discuss red flags. Methods: Author’s insight Limitations: Low level evidence, author’s opinion. In practice: Patients with a past history of cancer that has an affinity to bone such as lung, prostate and breast cancer, who present with new symptoms that persist should be thoroughly evaluated with a high suspicion… Continue reading What are the Red Flags to aid the early detection of metastatic bone disease as a cause of back pain?
Here is a wonderful video (written by Annina B. Schmid and made by Laura Bassi) to explain what is sciatica. I collaborated with them to translate the video in French (switch the website to French in the menu). https://www.youtube.com/watch?v=HJvNBYOKf64&feature=emb_logo
(Finucane, 2013) Aims: This case reports highlights the importance of early diagnosis of metastatic disease, and identifies symptoms that may help to raise the index of suspicion for the clinician. Methods: Case report Results: Patient presentation : Band like pain / Abdominal pain / Numbness non dermatomal / Vague leg pain / Night waking pain… Continue reading Metastatic disease masquerading as mechanical LBP; atypical symptoms which may rise suspicion