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Spine physical therapy

Farwa Ali, Joseph Y Matsumoto, Anhar Hassan
Background: We sought to determine the etiologies, diagnostic testing, and management of a retrospective cohort of patients with camptocormia evaluated at a single center. Methods: We reviewed medical records of all adult patients evaluated at Mayo Clinic Rochester with a diagnosis of camptocormia from 2000 to 2014. Demographic and clinical data were abstracted and analyzed. Results: There were 276 patients (58.0% male), with mean age at presentation of 68...
June 2018: Neurology. Clinical Practice
Scott A Burns, Joshua A Cleland, Chad E Cook, Michael Bade, Darren A Rivett, Suzanne Snodgrass
OBJECTIVES: The purpose of this study was to identify descriptive factors in individuals with a primary complaint of low back pain (LBP) associated with improved pain and function after receiving physical therapy for LBP with or without manual therapy and exercise directed at the femoroacetabular joints. METHODS: Participants were enrolled in a randomized clinical trial investigating physical therapy interventions for their LBP, with or without interventions directed at the femoroacetabular joints (hips)...
August 9, 2018: Journal of Manipulative and Physiological Therapeutics
Matthew S Briggs, Katherine K Rethman, Matthew T Lopez
Background and Purpose: Differentiating between cervical nerve root and peripheral nerve injuries can be challenging. A phenomenon known as double crush syndrome may increase the susceptibility to injury and symptoms at other locations along the course of the nerve. The purpose of this case report is to describe the physical therapy differential diagnosis and management of a cyclist with upper extremity pain, weakness, and paresthesia. Case Description: The subject was referred to physical therapy with a diagnosis of cervical disc disease...
April 2018: International Journal of Sports Physical Therapy
Fang-Ping Chen, Tsai-Sheng Fu, Yu-Ching Lin, Chih-Ming Fan
BACKGROUND: To identify the risk factors and changes of quality of life in the first occurrence of hip fracture in Taiwanese postmenopausal women. METHODS: In this case-control study, we enrolled 100 postmenopausal women with accidental first-incident hip fracture and 100 women without hip fracture. The control group was matched to the study group according to age. Evaluation consisted of a questionnaire, an interview to both assess quality of life via a 36-item Short Form Health Survey and document risk factors, a physical examination to record height and body weight, and bone mineral density (BMD) of the hip and spine using dual-energy X-ray absorptiometry (DXA)...
June 2018: Biomedical Journal
Sang Gyu Kwak, Dong Gyu Lee, Min Cheol Chang
BACKGROUND: Cervical radicular pain is a challenging medical problem in terms of therapeutic management. Recently, pulsed radiofrequency (PRF) stimulation on the dorsal root ganglion (DRG) has been used to control several types of chronic pain. However, its effect on cervical radicular pain is still not well studied. To conduct a meta-analysis of available clinical studies on PRF treatment in patients with cervical radicular pain induced by cervical spine disease that was not responsive to other conservative treatments...
August 2018: Medicine (Baltimore)
Priti J Bhatt, Elliot M Greenberg, Brian D Suh
A 71-year-old woman with a 10-month history of atraumatic low back pain was referred to physical therapy after an insidious exacerbation of symptoms. Red flags raised suspicions for spinal compression fracture, necessitating the physical therapist to contact her physician and recommend imaging. Radiographs and magnetic resonance imaging were ordered, the latter of which showed an acute fracture at T10, with lesions at T9 and in the liver suggesting metastasis. Following bone scintigraphy and an ultrasound-guided biopsy of a liver lesion, she was diagnosed with metastatic breast cancer...
July 2018: Journal of Orthopaedic and Sports Physical Therapy
Ahilan Sivaganesan, Silky Chotai, Scott L Parker, Matthew J McGirt, Clinton J Devin
BACKGROUND: Considerable variability exists in the cost of surgery following spine surgery for common degenerative spine diseases. This variation in the cost of surgery can affect the payment bundling during the postoperative 90 d. OBJECTIVE: To determine the drivers of variability in total 90-d cost for laminectomy and fusion surgery. METHODS: A total of 752 patients who underwent elective laminectomy and fusion for degenerative lumbar conditions and were enrolled into a prospective longitudinal registry were included in the study...
July 25, 2018: Neurosurgery
Dylan N Wolman, Bhavik P Patel, Max Wintermark, Jeremy J Heit
Dual-energy computed tomography (CT) combines the high spatial resolution of standard CT with the ability to improve contrast resolution, reduce artifact, and separate materials of different atomic weights and energy-based attenuation through postprocessing. We review the underlying physical principles and applications of dual-energy CT within the context of patients undergoing preprocedural and postprocedural evaluation for neurointerventional therapies. The broad imaging categories of cerebral ischemia and hemorrhage, head and neck angiography, and the spine are reviewed...
July 27, 2018: Journal of Computer Assisted Tomography
Alex Gometz, Diana Maislen, Chelsea Youtz, Erinn Kary, Emma L Gometz, Stanislaw Sobotka, Tanvir F Choudhri
Rehabilitation prior to orthopedic surgery (prehab) has been studied with more frequency and studies have shown reduced costs and improved functional outcomes among patients who have undergone total hip arthroplasty (THA) and total knee arthroplasty (TKA). This literature review is to determine whether prehab improves functional outcomes and reduces costs following spinal surgery. PubMed, CINHAL via EBSCO and EMBASE via Ovid were searched with publication date restrictions from May 2006 to May 2016 for the terms 'physical therapy', 'physiotherapy', 'prehabilitation' or 'prehab', 'spine' or 'spinal', and 'preoperative' or 'pre-op'...
May 23, 2018: Curēus
K Beinert, B Lutz, W Zieglgänsberger, M Diers
BACKGROUND: Visual analgesia refers to the phenomena where people report decreased pain intensity when they see the painful or painfully-stimulated body part. Alongside pain, sensorimotor impairment (i.e. disturbed proprioception) is also evident in chronic pain. This study aims to investigate whether real-time visual feedback offers additional pain relief and proprioceptive improvement when used in combination with recommended therapies in neck pain patients who received manual therapy with or without real-time visual feedback...
July 12, 2018: European Journal of Pain: EJP
Lynn Peterson, Douglas E Haladay
BACKGROUND: Low back pain (LBP) is the most commonly reported cause of disability in people under the age of 45 and is estimated to occur in 60-70% of the adult population in the industrialized world. This case report describes the use of Pilates-based exercise (PBE) in the physical therapy management of a patient with persistent chronic low back pain (CLBP) following transforaminal lumbar interbody fusion. CASE DESCRIPTION: The patient was a 24-year-old female with a 7-year history of LBP presenting 17 months following surgery...
June 26, 2018: Physiotherapy Theory and Practice
Nathaly Cortez-Bazán, Jennifer R Delgado, Omar Galdos, Luis Huicho
Pott's disease is a health problem in developing countries and its diagnosis in children is a challenge. Here we present the case of a two-year-old boy with Pott's disease involving T1 to T3 thoracic vertebrae. The clinical presentation was characterized by difficulty walking, fever, cough, and dyspnea. At physical examination, kyphosis and bony prominence were observed in the cervicodorsal area. A positive tuberculin test was obtained, and Mycobacterium tuberculosis was isolated via culture of the gastric aspiration sample...
January 2018: Revista Peruana de Medicina Experimental y Salud Pública
Emily Heidenreich, Robert Johnson, Barbara Sargent
PURPOSE: To systematically review the recent evidence on physical therapy (PT) diagnosis, prognosis, and intervention of congenital muscular torticollis to inform the update to the PT management of congenital muscular torticollis evidence-based clinical practice guideline. METHODS: From 2012 to 2017, 7 databases were searched for studies that informed PT diagnosis, prognosis, or intervention of infants and children with congenital muscular torticollis. Studies were appraised for risk of bias and quality...
July 2018: Pediatric Physical Therapy
James J Thomas, Claire Levek, Hannah D Quick, John T Brinton, Sumeet Garg, Mindy N Cohen
OF BACKGROUND DATA: Posterior spinal fusion surgery for scoliosis requires extensive postoperative analgesic care. In 2014, we initiated the use of gabapentin as an adjunct for multimodal pain management in spine fusion patients. The effect of gabapentin on postoperative recovery in scoliosis patients was evaluated using the time to meet postoperative physical therapy goals. This measure was chosen because the actions required to achieve the goals are specific and reproducible. Secondary outcomes included morphine equivalents and maximum pain scores...
June 2018: Paediatric Anaesthesia
Zachary Walston, Luis Hernandez, Dale Yake
BACKGROUND AND PURPOSE: Conservative therapies for complex regional pain syndrome (CRPS) have traditionally focused on exercise and desensitization techniques targeted at the involved extremity. The primary purpose of this case series is to report on the potential benefit of utilizing manual therapy to the lumbar spine in conjunction with traditional conservative care when treating patients with lower extremity CRPS. CASE DESCRIPTION: Two patients with the diagnosis of lower extremity CRPS were treated with manual therapy to the lumbar spine in conjunction with education, exercise, desensitization, and soft tissue techniques for the extremity...
June 6, 2018: Physiotherapy Theory and Practice
Peter C Rowe, Colleen L Marden, Marissa A K Flaherty, Samantha E Jasion, Erica M Cranston, Kevin R Fontaine, Richard L Violand
OBJECTIVE: To measure changes in range of motion (ROM) over time in a cohort of 55 adolescents and young adults with chronic fatigue syndrome and to determine whether changes in ROM correlated with changes in health-related quality of life. STUDY DESIGN: Participants underwent a standardized examination of 11 areas of limb and spine ROM at baseline and at 3- to 6-month intervals for 2 years, resulting in a ROM score that ranged from 0 (normal throughout) to 11 (abnormal ROM in all areas tested)...
June 1, 2018: Journal of Pediatrics
W Z Pawlak, L Svensson, P F Jensen
Background Symptoms from disseminated cancer can develop very slowly. This could be very difficult to distinguish those symptoms from chronic disabilities and nuisances in patients with chronic non-malignant pain. Objective In this report, the case of a woman with both nonmalignant pain and cancer is presented. Case report A 54 years old woman was referred by a general practitioner to Multidisciplinary Pain Center. The diagnosis was chronic non-malignant neck pain on the basis of degenerative columnar disease...
December 29, 2017: Scandinavian Journal of Pain
D Origo, A G Tarantino, A Nonis, L Vismara
BACKGROUND: Coccydynia is a disorder associated with pain/discomfort at the base of the spine. The role of osteopathic manipulative treatment (OMT) in chronic coccydynia as well as for low back pain (LBP) and radicular pain (RP) associated with coccydynia, has not previously been investigated. This study seeks to analyse the effects of OMT on chronic coccydynia compared to physical therapy and pharmacological treatment (PTPT). The secondary objective is to analyse the effect of OMT on LBP and RP associated with coccydynia...
April 2018: Journal of Bodywork and Movement Therapies
Gregory D Schroeder, Mark F Kurd, Christopher K Kepler, Kris E Radcliff, Mitchell G Maltenfort, Hamadi Murphy, Jeffery A Rihn, D Greg Anderson, Alan S Hilibrand, Alexander R Vaccaro
STUDY DESIGN: Retrospective case-control study. BACKGROUND: Physician-owned specialty hospitals focus on taking care of patients with a select group of conditions. In some instances, they may also create a potential conflict of interest for the surgeon. The effect this has on the surgical algorithm for patients with degenerative cervical spine conditions has not been determined. METHODS: A retrospective review of all patients who underwent a 1- or 2-level anterior cervical discectomy and fusion between October 2009 and December 2014 at either a physician-owned specialty hospital or an independently owned community hospital were identified...
June 2018: Clinical Spine Surgery
Kristin Rupich, Emily Missimer, David OʼBrien, George Shafer, Eileen Maloney Wilensky, John T Pierce, Marie Kerr, Michael J Kallan, Dana Dolce, William C Welch
: Background: Despite the known benefits of early postsurgical mobility, there are no clear recommendations on early mobility among uncomplicated postoperative neurosurgical spine patients. PURPOSE: The purpose of this quality improvement initiative was to establish an NP-led early mobility protocol to reduce uncomplicated postsurgical spine patients' length of stay (LOS) in the hospital and eliminate the variability of postsurgical care. A secondary objective was to educate and empower nursing staff to initiate the early mobility protocol independently and incorporate it in their practice to improve patient care...
June 2018: American Journal of Nursing
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