What are the Red Flags to aid the early detection of metastatic bone disease as a cause of back pain?

(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 →

Increasing Muscle Extensibility: A matter of increasing length or modifying sensation?

(Weppler & Magnusson, 2010) Aims: Understand literature regarding stretching effects. Methods: Author’s review Results: “Muscle’s extensibility” concept is conflicting, discrepancies in the use of term “length or extensibility”, and measures of those parameters. Mechanical theories seem not supported by literature. The most probable theory is currently an increase in sensation / tolerance by the person... Continue Reading →

Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair.

(Khan & Scott, 2009) Aims: To present the current scientific knowledge underpinning how load may be used therapeutically to stimulate tissue repair and remodelling in tendon, muscle, cartilage and bone. Method: Review, not systematic Results: Use of the term “mechano-transduction”. mechanical stimuli (general movement, exercise) are converted into biochemical responses. 1. Load/stimuli applied to tissue... Continue Reading →

Reliability and MIDC of WBLT: A SR

(Powden, Hoch, & Hoch, 2015) Aims: To collect, critically appraise, and synthesize the published evidence describing the inter-clinician reliability, intra-clinician reliability, and responsiveness of the WBLT to measure dorsiflexion ROM Methods: SR, 2 databases, 2 researchers, Inclusion primary aim to examine reliability, no restrictions on population or measurement method. English only. QUAREL for quality. Results:... Continue Reading →

Neuropathic pain: Grading system.

(Finnerup et al., 2016) Aims: Evaluate and update grading system for labelling of nociceptive pain. Methods: Expert meeting consensus after SR. Results: Legend: a) History, including pain descriptors, the presence of nonpainful sensory symptoms, and aggravating and alleviating factors, suggestive of pain being related to a neurological lesion and not other causes such as inflammation... Continue Reading →

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