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 →

Neural mobilization promotes nerve regeneration by nerve growth factor and myelin protein zero increase after sciatic nerve injury.

(Da Silva et al., 2015) Aim: To analyse if neural mobilisation can change the expression of myelin protein zero (MPZ) and Nerve growth factor (NGF) in the sciatic nerve of adult rats after chronic constrictive nerve injury Reminder: (MPZ is important for myelin formation and may play role in adult axon regeneration and NGF has... Continue Reading →

Do sliders slide and tensioners tension?

(Coppieters & Butler, 2008) Aims: The aim of this cadaveric biomechanical study was to measure longitudinal excursion and strain in the median and ulnar nerve at the wrist and proximal to the elbow during different types of nerve gliding exercises. Methods: The study consisted in measures with digital devices, of longitudinal nerves' (ulnar and median)... Continue Reading →

Shades of grey, the challenge of grumbling CES in older adults with lumbar stenosis.

(Comer, Finucane, Mercer, & Greenhalgh, 2019) Aims: This paper explores the challenges and evidence gaps relating to CES in older adults with LSS. Methods: Professional issue : author’s point of view. Results: Lumbar Spinal Stenosis (LSS) can evolve into CES with degenerative changes increasing the compression phenomenon. The symptoms can be “grumbling” and fluctuate according... Continue Reading →

Opening clinical encounters in an adult MSK setting.

(Chester, Robinson, & Roberts, 2014) Aim: This study aims to identify the phrasing preferred by physiotherapists when opening clinical encounters in an adult musculoskeletal outpatient setting. Methods: Cross-sectional observational study (Audio record of 15 clinicians’ interaction with 42 LBP patients in first and follow up appointments) + an electronic survey with ranking top five and... Continue Reading →

Effect of neurodynamic mobilization on fluid dispersion in median nerve at the level of carpal tunnel: a cadaveric study.

(Boudier-Revéret et al., 2017) Aims: To evaluate the effect of neurodynamics mobilization (NDM) on an artificially induced œdema in the median nerve at the level of the carpal tunnel in unembalmed cadavers and to assess whether NDM tensioning techniques (TT) and NDM sliding techniques (SLT) induce similar effects on intraneural fluid dispersion. Methods: Seven cadavers.... Continue Reading →

Patient expectations of benefit from interventions for neck pain and resulting influence on outcomes.

(Bishop, Mintken, Bialosky, & Cleland, 2013) Aims: To (1) examine patients’ general expectations for treatment by physical therapists and specific expectations for common interventions in patients with neck pain, and (2) to assess the extent to which the patients’ general and specific expectations for treatment, particularly spinal manipulation, affect clinical outcomes. Methods: Retrospective cohort. 140... Continue Reading →

Individual Expectation: An overlooked, but pertinent factor in the treatment of individuals experiencing MKS pain.

(Bialosky, Bishop, & Cleland, 2010) Aims: The purpose of this clinical perspective is to highlight the potential role of expectation in the clinical outcomes associated with the rehabilitation of individuals experiencing musculoskeletal pain. Methods: Perspective = Expert opinion Results: Expectations are associated with clinical outcomes, satisfaction, and influence of behaviour. 4 levels: Predictive = What... Continue Reading →

Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus

(Beaufils et al., 2017) Aims: To provide a reference frame for the management of DMLs, based both on scientific literature and balanced expert opinion. Methods: Formal consensus process (HAS). Steering group: 15 experts (Surgeons, 1 physio, 1 statistician). Frame + Extensive review. Quality assessed with Cochrane methodology. Altogether, the complete consensus initiative involved 84 clinicians... Continue Reading →

The effectiveness of neural mobilization (NM) for neuromusculoskeletal conditions: a SR with MA

(Basson et al., 2017) Aims: To determine the efficacy of neural mobilization (NM) for musculoskeletal conditions with a neuropathic component. Methods: SR with MA. Included if MSK issue with ND component, assessing NM efficacy assessing pain, disability, and function. Studies’ risk of bias assessed, 2 reviewers … Results: 40 studies with 1759 participants. NM is... Continue Reading →

Up ↑