(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?
(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
(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 The Audible Pop from high velocity thrust manipulation and outcome in individuals with low back pain
(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 Increasing Muscle Extensibility: A matter of increasing length or modifying sensation?