(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 →
(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 →
(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 →
(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 →
(Flynn, Childs, & Fritz, 2006) Aim: To assess whether audible pop during manips are related to/affects outcome. Methods: 70 participants primary complaint of LBP. 13 physios 5 sessions 4 weeks. Outcome measures: NPRS, Oswestry and Lx F° with inclinometer at baseline, 1 week and 4 weeks. In the two first sessions they received HVLA-manips. Manips... Continue Reading →
(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 →
(Pentelka, Hebron, Shapleski, & Goldshtein, 2012) Aims: To investigate the effect of the number of sets (up to 5) and different durations (30 vs. 60 s) of PA mobilisations on pressure pain thresholds (PPTs) at different sites. Method: Single blinded, randomized, repeated measures crossover study. ≠ Days and randomized order. 19 Healthy physio students. 5... Continue Reading →
(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 →
(Hoch & McKeon, 2011) Aims: To examine the bilateral symmetry of the WBLT in healthy adults and elucidate the individual influences of age, height, mass, leg length, foot length, and posterior displacement of the ankle subtalar-joint complex on WBLT performance. Methods: 35 healthy adults. 6 trials on each limb, 3 last analysed. Progress every cm... Continue Reading →
(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 →
