(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 →

(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 →

(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 →