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MH Residency-Spine

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6 papers 0 to 25 followers
Marcia Miller Spoto, Greg Dixon
BACKGROUND AND STUDY DESIGN: Several physical therapy classification systems exist for low back pain (LBP). Little is known about how these systems could be integrated in clinical practice. This case report describes an episode of care utilizing elements of the mechanical diagnosis and therapy (MDT), movement system impairment (MSI) and treatment-based classification (TBC) systems. CASE DESCRIPTION: Patient History - the patient was a 40-year-old male presenting to an outpatient musculoskeletal clinic with a complaint of chronic LBP...
January 2015: Physiotherapy Theory and Practice
Benjamin Hidalgo
Orthopaedic manual therapy (OMT) should be based not only on the best available evidence but also on patient values and clinician expertise. Low back pain (LBP) is a complex issue as the majority of people who suffer from LBP cannot be given a specific diagnosis based on imaging studies but kinematic analyses appear to be useful to determine dysfunctional patterns. In physical therapy, various forms of OMT are currently used to manage LBP and there is growing evidence for its use. The underlying principles of OMT are to treat neuro-musculo-skeletal disorders, the aim of which is to reduce pain, as well as improve movement and function...
April 27, 2016: Journal of Back and Musculoskeletal Rehabilitation
Anthony Delitto, Steven Z George, Linda R Van Dillen, Julie M Whitman, Gwendolyn Sowa, Paul Shekelle, Thomas R Denninger, Joseph J Godges
The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF). The purpose of these low back pain clinical practice guidelines, in particular, is to describe the peer-reviewed literature and make recommendations related to (1) treatment matched to low back pain subgroup responder categories, (2) treatments that have evidence to prevent recurrence of low back pain, and (3) treatments that have evidence to influence the progression from acute to chronic low back pain and disability...
April 2012: Journal of Orthopaedic and Sports Physical Therapy
Adri T Apeldoorn, Raymond W Ostelo, Hans van Helvoirt, Julie M Fritz, Henrika C W de Vet, Maurits W van Tulder
BACKGROUND: Systematic reviews have shown that exercise therapy and spinal manipulation are both more effective for low back pain (LBP) than no treatment at all. However, the effects are at best modest. To enhance the clinical outcomes, recommendations are to improve the patient selection process, and to identify relevant subgroups to guide clinical decision-making. One of the systems that has potentials to improve clinical decision-making is a treatment-based classification system that is intended to identify those patients who are most likely to respond to direction-specific exercises, manipulation, or stabilisation exercises...
March 26, 2010: BMC Musculoskeletal Disorders
Muhammad Alrwaily, Michael Timko, Michael Schneider, Joel Stevans, Christopher Bise, Karthik Hariharan, Anthony Delitto
The treatment-based classification (TBC) system for the treatment of patients with low back pain (LBP) has been in use by clinicians since 1995. This perspective article describes how the TBC was updated by maintaining its strengths, addressing its limitations, and incorporating recent research developments. The current update of the TBC has 2 levels of triage: (1) the level of the first-contact health care provider and (2) the level of the rehabilitation provider. At the level of first-contact health care provider, the purpose of the triage is to determine whether the patient is an appropriate candidate for rehabilitation, either by ruling out serious pathologies and serious comorbidities or by determining whether the patient is appropriate for self-care management...
July 2016: Physical Therapy
Stuart L Weinstein, Lori A Dolan, James G Wright, Matthew B Dobbs
BACKGROUND: The role of bracing in patients with adolescent idiopathic scoliosis who are at risk for curve progression and eventual surgery is controversial. METHODS: We conducted a multicenter study that included patients with typical indications for bracing due to their age, skeletal immaturity, and degree of scoliosis. Both a randomized cohort and a preference cohort were enrolled. Of 242 patients included in the analysis, 116 were randomly assigned to bracing or observation, and 126 chose between bracing and observation...
October 17, 2013: New England Journal of Medicine
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