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Journal of Manual & Manipulative Therapy

Tibor M Szikszay, Kerstin Luedtke, Piekartz Harry von
Objectives : To investigate differences in pressure pain thresholds (PPTs) and longitudinal mechanosensitivity of the greater occipital nerve (GON) between patients with side-dominant head and neck pain (SDHNP) and healthy controls. Evaluation of neural sensitivity is not a standard procedure in the physical examination of headache patients but may influence treatment decisions. Methods : Two blinded investigators evaluated PPTs on two different locations bilaterally over the GON as well as the occipitalis longsitting-slump (OLSS) in subjects with SDHNP ( n  = 38)) and healthy controls ( n  = 38)...
August 2018: Journal of Manual & Manipulative Therapy
Richard Yarznbowicz, Minjing Tao, Matt Wlodarski, Jonathan Dolutan
Objectives: Pain Pattern Classification (PPC) and Directional Preference (DP) have been shown to be predictive of health care outcomes and serve to guide orthopedic clinical decision making. We conducted a prospective, observational cohort study to verify the association between PPC, DP, and clinical outcomes. Methods: Clinical outcome measures including pain intensity and disability were completed at first examination and follow-up by 335 patients. A Pearson's chi-squared test was used to determine differences in prevalence rates for the categorical variables, and two-sample t-tests were used to determine differences in rates for the continuous variables...
August 2018: Journal of Manual & Manipulative Therapy
Richard Yarznbowicz, Minjing Tao, Matthew Wlodarski, Alexandra Matos
Objectives : The lack of a standardized intervention taxonomy in comparative effectiveness research trials has led to uncertainty regarding the management of individuals with knee impairments. Inconsistently and poorly defined interventions affect frontline-care providers' abilities to understand and assimilate research findings into practice. An intervention taxonomy could help overcome the lack of treatment specificity commonly found in research trials. Methods : In the present study, we aimed to develop a Mechanical Diagnosis and Therapy (MDT)-based taxonomy and test the levels of reliability between providers who currently manage individuals with knee impairments in a rehabilitation setting...
August 2018: Journal of Manual & Manipulative Therapy
Valdeci Carlos Dionisio, Cyntia Rogean de Jesus Alves de Baptista, Adriana de Sales Rodrigues, Luciane Aparecida Pascucci Sande de Souza
Objective: The study aim was to evaluate the immediate effect of rhythmic stabilization on local and distant muscles involved in a functional reach. Method: Prospective, observational cross-sectional study. Eight right-handed and non-impaired individuals (4 females and 4 males) aged 18-24 years (21.5 ± 1.58 years) were evaluated. Bilateral electromyographic recording of the biceps brachii, triceps brachii, multifidus lumbar, and rectus abdominis muscles was performed during three different tasks. Task 1 involved functional reach, while Task 2 involved rhythmic stabilization followed by a functional reach...
August 2018: Journal of Manual & Manipulative Therapy
Dawn P Andrews, Kari B Odland-Wolf, James May, Russell Baker, Alan Nasypany, Eric M Dinkins
Objectives: Mechanical neck pain (MNP) is common in the athletic population. While symptoms may present at the cervical spine for patients complaining of MNP, thoracic spinal alignment or dysfunction may influence cervical positioning and overall cervical function. Clinicians often employ cervical high-velocity low-amplitude (HVLA) thrust manipulations to treat MNP, albeit with a small level of inherent risk. Mulligan Concept positional sustained natural apophyseal glides (SNAGs) directed at the cervicothoracic region are emerging to treat patients with cervical pain and dysfunction, as evidence supporting an interdependent relationship between the thoracic and cervical spine grows...
August 2018: Journal of Manual & Manipulative Therapy
Rob A B Oostendorp
No abstract text is available yet for this article.
August 2018: Journal of Manual & Manipulative Therapy
Lindsay Carlton, Joseph R Maccio, Joseph G Maccio, Andrew Braga, Elizabeth Tomanio, Anastasia Belikov
Background: Pain at the ankle-foot complex is a common musculoskeletal condition that can lead to dysfunction. Mechanical Diagnosis and Therapy (MDT) is an orthopedic classification and treatment system based on mechanical and symptomatic response to repeated and sustained movement. There has been no investigation of the association between MDT and patients diagnosed with ankle-foot complex pain. Case description: This report presents four patients with a primary complaint of pain in the ankle-foot complex...
July 2018: Journal of Manual & Manipulative Therapy
Karen C Westervelt, Wayne Hing, MaryClaire McGovern, Lora Banks, Carolyn Carney, Katrina Kunker, Ashley Magoon, Jeremy Sibold, Linda Crane
Objectives: Clinical mentoring is important for novice clinicians as they are developing advanced critical-thinking skills. Research exploring innovative mentoring strategies to reduce barriers and enhance learning is needed. The purpose of this study was to examine the effects of providing online clinical mentoring to small international groups of novice clinicians treating patients with spinal dysfunction in the outpatient setting. Methods: Eleven novice and four expert clinicians were allocated into small international groups...
July 2018: Journal of Manual & Manipulative Therapy
Olivier T Lam, Jean-Pierre Dumas, Corey B Simon, Yannick Tousignant-Laflamme
Background: Mechanical diagnosis and therapy (MDT) aims to assess and classify patients into theoretically mutually exclusive subgroups, in order to direct treatment. However, the latest evidence for biopsychosocial influence-central sensitization (CS) and psychological distress-have not been assessed in conjunction with MDT. Objectives: (1) Determine the percentage of patients categorized into the MDT subgroups; (2) characterize the biopsychosocial clinical profile (presence of CS and psychological distress); and (3) identify associations between pain, disability, and biopsychosocial influences among this cohort...
July 2018: Journal of Manual & Manipulative Therapy
Stephanie R Albin, Shane L Koppenhaver, Drew H Van Boerum, Thomas G McPoil, James Morgan, Julie M Fritz
Study design: Randomized clinical trial. Background: Patients with fractures to the talus and calcaneus report decreased functional outcomes and develop long-term functional limitations. Although physical therapy is typically not initiated until six weeks after fixation, there's little research on the optimal time to initiate a formal physical therapy program. Objectives: To assess whether initiating physical therapy including range of motion (ROM) and manual therapy two weeks post-operatively (EARLY) vs...
July 2018: Journal of Manual & Manipulative Therapy
Amy W McDevitt, Paul E Mintken, Joshua A Cleland, Mark D Bishop
Study Design: Retrospective cohort. Objectives: To examine general expectations for treatment by physical therapists and specific expectations for common interventions in patients with shoulder pain. A secondary objective was to assess the extent to which patients' general and specific expectations for treatment affect clinical outcomes. Methods: We performed a secondary analysis of data from a clinical trial of interventions for shoulder pain...
July 2018: Journal of Manual & Manipulative Therapy
Daniel Roenz, Jake Broccolo, Steven Brust, Jordan Billings, Alexander Perrott, Jeremy Hagadorn, Chad Cook, Joshua Cleland
Objective: The purpose of this systematic review and meta-analysis was to examine the impact of pragmatic versus prescriptive study designs on the outcomes of low back and neck pain when using mobilization or manipulation techniques. Methods: This study design was a systematic review and meta-analysis, which was performed according to the PRISMA guidelines. A search of MEDLINE and CINAHL complete databases was performed. Article titles and abstracts were reviewed to identify studies comparing mobilization and manipulation in low back or neck pain that met eligibility criteria...
July 2018: Journal of Manual & Manipulative Therapy
Jill L Cook, Dimitrios Stasinopoulos, Jean-Michel Brismée
No abstract text is available yet for this article.
July 2018: Journal of Manual & Manipulative Therapy
Christopher Kevin Wong, Bryanna L Strang, Galen A Schram, Elizabeth A Mercer, Rebecca S Kesting, Kabi S Deo
Objectives: Although the shoulder is known to move together with the scapula and other upper quarter joints, the current frozen shoulder clinical practice guidelines describe only physical therapy study treatments directed to the shoulder. None received a strong recommendation, highlighting the need for alternate interventions. This retrospective case series describes a pragmatic regional interdependence approach to frozen shoulder with impairment and functional outcomes, noting whether final ROM approached normal...
May 2018: Journal of Manual & Manipulative Therapy
Stephen M Shaffer, Sarah H Stuhr, Phillip S Sizer, Carol A Courtney, Jean-Michel Brismée
Objectives: The purpose of this investigation was to establish an international baseline of the quantity of physical therapist education on temporomandibular disorders (TMD) during post-professional Orthopedic Manual Physical Therapy (OMPT) education. Methods: An electronically distributed survey was sent to programs and data analyzed for trends, including a comparison of TMD and cervical spine disorders education. Current data were compared to pre-existing data from the United States...
May 2018: Journal of Manual & Manipulative Therapy
David Levine, J Randy Walker, Denis J Marcellin-Little, Ron Goulet, Hongyu Ru
Objectives: To evaluate the accuracy of detection of temperature differences among skin sites of lay individuals and manual physical therapists. Methods: Forty-four manual physical therapists and 44 lay individuals were recruited. Subjects palpated two temperature-controlled surfaces that ranged in temperature between 30 and 35 °C and varied randomly by 1, 2, 3, 4, or 5 °C for 10 s. The subjects were then asked to identify the warmer pad. Results: Accuracy increased with larger temperature differences...
May 2018: Journal of Manual & Manipulative Therapy
Gary Kearns, Kerry K Gilbert, Brad Allen, Phillip S Sizer, Jean-Michel Brismée, Timothy Pendergrass, Micah Lierly, Deborah York
Objectives: The purpose of this anatomic investigation is to (1) establish accuracy of dry needle placement into the medial third of the piriformis muscle as it exits the pelvis from the greater sciatic notch in unembalmed cadaveric specimens, while avoiding puncture of the sciatic nerve, and (2) establish guidelines for dry needle length selection. Methods: Dry needles were placed in nineteen unembalmed cadaveric posterior hips. Dissection of the posterior hip musculature was performed to confirm location of the needle...
May 2018: Journal of Manual & Manipulative Therapy
Marcelo Anderson Bracht, Ana Carina Buogo Coan, Abdalghani Yahya, Marcio José Dos Santos
Objectives: Individuals with neck pain experience disrupted grip force control when performing manipulative tasks. Manipulative physical therapy might decrease pain and change the activity of surrounding muscles; however, its effect on upper limb motor control remains undetermined. This study aims to analyze the effects of cervical manipulation on pressure pain threshold (PPT), upper extremity muscle activity along with grip force control in individuals with neck pain. Methods: Thirty subjects with neck pain were instructed to grasp and lift an object before and after cervical ( n  = 15) or sham ( n  = 15) manipulation...
May 2018: Journal of Manual & Manipulative Therapy
Carlos E Ladeira
Objectives: Physical therapists (PTs) may practice in direct access or act as primary care practitioners, which necessitate patients' screening and management for red, orange and yellow flags. The objective of the project was to assess the American PT's ability to manage red, orange and yellow flags in patients with low back pain (LBP), and to compare this ability among PTs with different qualifications. Methods: The project was an electronic cross-sectional survey...
May 2018: Journal of Manual & Manipulative Therapy
John J Fraser, Revay Corbett, Chris Donner, Jay Hertel
Objective: To assess if manual therapy (MT) in the treatment of plantar fasciitis (PF) patients improves pain and function more effectively than other interventions. Methods: A systematic review of all randomized control trials (RCTs) investigating the effects of MT in the treatment of human patients with PF, plantar fasciosis, and heel pain published in English on PubMed, CINAHL, Cochrane, and Web of Science databases was conducted. Research quality was appraised utilizing the PEDro scale...
May 2018: Journal of Manual & Manipulative Therapy
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