Clinical & Research
Leg Pain Location and Neurological Signs Relate to Outcomes
Written by Editor   
Wednesday, June 28, 2017 06:29 AM

Low back pain (LBP) patients with related leg pain and signs of nerve root involvement are considered to have a worse prognosis than patients with LBP alone. However, it is unclear whether leg pain location above or below the knee and the presence of neurological signs are important in primary care patients. The objectives of this study were to explore whether the four Quebec Task Force categories (QTFC) based on the location of pain and on neurological signs have different characteristics at the time of care seeking, whether these QTFC are associated with outcome, and if so whether there is an obvious ranking of the four QTFC on the severity of outcomes.

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Individual Expectation, a Pertinent, Factor in the Treatment of Musculoskeletal Pain
Written by Editor   
Wednesday, June 28, 2017 06:24 AM

Many factors in the treatment of patients with musculoskeletal pain are considered. The current literature suggests expectation is an influential component of clinical outcomes related to musculoskeletal pain for which physical therapists frequently do not account. The purpose of the clinical perspective reported here is to highlight the potential role of expectation in the clinical outcomes associated with the rehabilitation of individuals experiencing musculoskeletal pain. 

Interventions for musculoskeletal pain conditions often address impairments with the implication that pain and function will improve in response to stretching a tight muscle or strengthening a weak muscle. Realistically, the mechanisms through which physical therapy interventions alter musculoskeletal pain are likely multifaceted and dependent upon a variety of factors. The current literature indicates factors other than the correction of physical impairments influence clinical outcomes in the conservative management of patients experiencing musculoskeletal pain.

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Eating Fish May Ease Rheumatoid Arthritis
Written by Editor   
Wednesday, June 28, 2017 06:22 AM

Eating fish -- tuna, salmon, sardines, trout, sole, halibut, poke, and grouper -- may help reduce joint pain and inflammation in rheumatoid arthritis (RA) patients, according to a new study in Arthritis Care & Research.

RA patients who ate baked, steamed, broiled, or raw fish 2 or more times per week had a significantly lower Disease Activity Score in 28 Joints with C-Reactive Protein (DAS28-CRP) -- a score that measures tender and swollen joints, subjective disease activity, and C-reactive protein -- than those who never ate fish or ate it less than once a month. 

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SMT Has an Immediate Effect on Thermal Pain Sensitivity in People With Low Back Pain
Written by Editor   
Wednesday, June 14, 2017 11:28 AM

Current evidence suggests that spinal manipulative therapy (SMT) is effective in the treatment of people with low back pain (LBP). The primary purpose of this study was to assess the immediate effects of SMT on thermal pain perception in people with LBP. A secondary purpose was to determine whether the resulting hypoalgesia was a local effect and whether psychological influences were associated with changes in pain perception.

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Sham Knee Surgery as Good as Knee Surgery?
Written by Editor   
Wednesday, June 14, 2017 11:20 AM

After 2 years of follow-up, arthroscopic partial meniscectomy (APM) was no better than sham surgery for patients with degenerative medial meniscal tears and no evidence of knee osteoarthritis, reported Finnish researchers in Annals of the Rheumatic Diseases.

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New Cervical Spine Guidelines Relevant for Chiropractic Practice
Written by Editor   
Monday, May 29, 2017 09:14 PM

The mission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) is to gather and evaluate existing evidence-based practice information; to facilitate the development of new information where existing evidence is lacking; and to distribute and assist in implementation of evidence-based practice information that is relevant to the chiropractic profession.

The Canadian Chiropractic Guideline Initiative (CCGI) has recently published a guideline on neck pain-associated disorders (NAD) and whiplash-associated disorders (WAD) in the Journal of Manipulative and Physiological Therapeutics (JMPT). 

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Are Fitness Trackers Accurate?
Written by Editor   
Monday, May 29, 2017 09:05 PM

Next-generation activity trackers are wrist-worn trackers measuring heart rate with light-emitting diode (LED) reflection from the skin, reflecting tiny changes in skin blood volume. It is easy to understand their convenience, but their accuracy is questionable.  The data supporting that use has been lacking.

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Reference Values for Human Posture Measurements
Written by Editor   
Tuesday, May 16, 2017 11:26 AM

This study looked at reference values for posture using Postural Assessment Software and concluded that they could be a help in clinical practice.

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Energy Drinks are Tied to Cardiac Changes
Written by Editor   
Tuesday, May 16, 2017 11:18 AM

Evidence continues to accumulate that caution should be utilized when regularly consuming high-volume energy drinks.

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