Diagnostics

The association between cervical degenerative MRI findings and self-reported neck pain, disability and headache: a cross-sectional exploratory study

Rikke K. Jensen, Kristina B. Dissing, Tue S. Jensen, Stine H. Clausen & Bodil Arnbak Chiropractic & Manual Therapies volume 31, Article number: 45 (2023) Abstract Background Neck pain and headache are highly prevalent conditions and leading causes of disability worldwide. Although MRI is widely used in the management of these conditions, there is uncertainty […]

The McKenzie method for (sub)acute non-specific low back pain (not an effective treatment for subacute NSLBP)

Cochrane Database Syst Rev. 2023 Apr 5;4(4):CD009711. doi: 10.1002/14651858.CD009711.pub2. Matheus O Almeida Abstract Background: There is widespread agreement amongst clinicians that people with non-specific low back pain (NSLBP) comprise a heterogeneous group and that their management should be individually tailored. One treatment known by its tailored design is the McKenzie method (e.g. an individualized program […]

The Association of Lumbosacral Transitional Vertebrae with Low Back Pain and Lumbar Degenerative Findings in MRI

A Large Cohort Study Hanhivaara, Jaakko MDa,b; Määttä, Juhani H. MD, PhDb,c; Karppinen, Jaro MD, PhDb; Niinimäki, Jaakko MD, PhDa,b,c; Nevalainen, Mika T. MD, PhDa,b,c SPINE: January 15, 2022 – Volume 47 – Issue 2 – p 153-162 doi: 10.1097/BRS.0000000000004244 Study Design. A cross-sectional study of the Northern Finland Birth Cohort 1966 (NFBC1966). Objective. To […]

Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy

Musculoskeletal Science and Practice Volume 55, October 2021, 102427 Original article Francis Grondinab https://doi.org/10.1016/j.msksp.2021.102427 Highlights •  A positive ULNT was defined as reproduction of arm symptom altered by structural differentiation. •  A single positive ULNT did not alter post-test probability for cervical radiculopathy. •  ≥3 positive UNLT rules in cervical radiculopathy with strong LR+ and […]

Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-Based Cohort Study

Spine (Phila Pa 1976). 2021 Aug 18. doi: 10.1097/BRS.0000000000004198. Richard Kasch PMID: 34405825 DOI: 10.1097/BRS.0000000000004198 Abstract Study design: Population-based cohort study Objective. We examined associations between common lumbar degenerative changes observed on MRI and present or future low back pain (LBP). Summary of background data: The association between lumbar MRI degenerative findings and LBP is […]

Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy

Musculoskeletal Science and Practice 8 July 2021 Francis Grondin PhD, PT Highlights •  A positive ULNT was defined as reproduction of arm symptom altered by structural differentiation. •  A single positive ULNT did not alter post-test probability for cervical radiculopathy. •  ≥3 positive UNLT rules in cervical radiculopathy with strong LR+ and a high posttest […]

Inter-examiner reliability study of physical examination procedures to assess the cervical spine

Published: 14 June 2021 Karthik V. Hariharan, Michael G. Timko, Christopher G. Bise, Meenakshi Sundaram & Michael J. Schneider Chiropractic & Manual Therapies volume 29, Article number: 20 (2021) Abstract Objective The objective of this study was to establish the level of inter-examiner reliability for six common cervical manual and physical examination procedures used to […]

Validity and Reliability of Palpatory Clinical Tests of Sacroiliac Joint Mobility: A Systematic Review and Meta-analysis

Rafael P. Ribeiro, PT Journal of Manipulative and Physiological Therapeutics Published: April 22, 2021 DOI:https://doi.org/10.1016/j.jmpt.2021.01.001 Abstract Objective The primary objective of this review was to investigate the reliability and validity of palpatory clinical tests of sacroiliac mobility. The secondary objective was to investigate which palpatory clinical tests of sacroiliac mobility exist in the literature. Methods […]

Diagnostic accuracy of sensory and motor tests for the diagnosis of carpal tunnel syndrome: a systematic review

Published: 07 April 2021 Armaghan Dabbagh BMC Musculoskeletal Disorders volume 22, Article number: 337 (2021) Abstract Background Carpal tunnel syndrome (CTS) is the most common entrapment mononeuropathy of the upper extremity. The previous systematic review of the diagnostic tests for CTS was outdated. The objective of this study was to compile and appraise the evidence […]

Effects of the Manual Therapy Approach of Segments C0-1 and C2-3 in the Flexion-Rotation Test in Patients with Chronic Neck Pain

Int. J. Environ. Res. Public Health 2021, 18(2), 753; https://doi.org/10.3390/ijerph18020753 by Jacobo Rodríguez-Sanz Abstract Background: Flexion-rotation test predominantly measures rotation in C1-2 segment. Restriction in flexion-rotation may be due to direct limitation in C1-2, but also to a premature tightening of the alar ligament as a result of lack of movement in C0-1 or C2-3. The aim of […]

Extending the straight leg raise test for improved clinical evaluation of sciatica: reliability of hip internal rotation or ankle dorsiflexion

Published: 24 March 2021 Janne Pesonen, Michael Shacklock, Pekka Rantanen, Jussi Mäki, Lauri Karttunen, Markku Kankaanpää, Olavi Airaksinen & Marinko Rade BMC Musculoskeletal Disorders Volume 22, Article number: 303 (2021) Abstract Background The straight leg raise (SLR) is the most commonly applied physical tests on patients with sciatica, but the sensitivity and specificity ratings for […]

The catastrophization effects of an MRI report on the patient and surgeon and the benefits of ‘clinical reporting’: results from an RCT and blinded trials

Eur Spine J. 2021 Mar 21. doi: 10.1007/s00586-021-06809-0. Online ahead of print. S Rajasekaran Abstract Purpose: Inappropriate use of MRI leads to increasing interventions and surgeries for low back pain (LBP). We probed the potential effects of a routine MRI report on the patient’s perception of his spine and functional outcome of treatment. An alternate ‘clinical […]

Effectiveness of McKenzie Manipulative Therapy on Pain, Functional Activity and Disability for Lumbar Disc Herniation

Mohammad Anwar Hossain Abstract Introduction Lumbar disc herniation (LDH) is one of the common determinations for low back pain and disability. The objectives of the study were to explore the effectiveness of McKenzie exercises and Manipulative Therapy approaches for LDH. Methodology Assessor blinded RCT carried out for 36 months at CRP. 72 subjects aged 25-50 […]

Physical fitness in older adults: Is there a relationship with the modified Functional Movement Screen™?

Journal of Bodywork and Movement Therapies VOLUME 25, P28-34, JANUARY 01, 2021 Martin Dietze-Hermosa Samuel Montalvo Matthew P. Gonzalez Sandor Dorgo Published: November 16, 2020DOI:https://doi.org/10.1016/j.jbmt.2020.11.019 Abstract Introduction The modified Functional Movement Screen™ (mFMS) has been used to screen for mobility, stability, motor control, and balance in older adults, yet, its relationship to measures of physical […]

Reliability of ultrasound measurement of the lateral abdominal and lumbar multifidus muscles in individuals with chronic low back pain: A cross-sectional test-retest study

VOLUME 26, P394-400, APRIL 01, 2021 Soheila Abbasi Mohammad Reza Hadian Rasanani Published: December 23, 2020 DOI:https://doi.org/10.1016/j.jbmt.2020.12.029 Highlights •  The trunk muscle symmetry was found at rest. •  Ultrasound is reliable for measuring abdominal muscle thickness. •  Ultrasound is reliable for measuring lumbar multifidus thickness. •  Vertical alignment of transducer is reliable for measuring the […]

Observational Study of the Downstream Consequences of Inappropriate MRI of the Lumbar Spine

J Gen Intern Med . 2020 Sep 28. doi: 10.1007/s11606-020-06181-7. Josephine C Jacobs PMID: 32989711 DOI: 10.1007/s11606-020-06181-7 Abstract Background: Contrary to guidelines, magnetic resonance imaging (MRI) is often ordered in the first 6 weeks of new episodes of uncomplicated non-specific low back pain. Objective: To determine the downstream consequences of early imaging. Design: Retrospective matched […]

Accuracy of the Diagnostic Tests of Sacroiliac Joint Dysfunction

Journal of Chiropractic Medicine Available online 12 September 2020 ParisaNejati MD, MPH Abstract Objective The purpose of this study was to assess the reliability and validity of motion palpation and pain provocation compared with sacroiliac joint (SIJ) block as the gold-standard assessment method of patients with sacroiliac joint dysfunction (SIJD). Methods A cross-sectional study was […]

The effect on clinical outcomes when targeting spinal manipulation at stiffness or pain sensitivity

Nim, C.G., Kawchuk, G.N., Schiøttz-Christensen, B. et al. The effect on clinical outcomes when targeting spinal manipulation at stiffness or pain sensitivity: a randomized trial. Sci Rep 10, 14615 (2020). https://doi.org/10.1038/s41598-020-71557-y Abstract The mechanisms underlying pain relief following spinal manipulative therapy (SMT) are not understood fully although biomechanical and neurophysiological processes have been proposed. As […]

Mechanisms and Origins of Spinal Pain: from Molecules to Anatomy, with Diagnostic Clues and Imaging Findings

RadioGraphics VOL. 40, NO. 4 Yoshiaki Ota Abstract Spinal pain, especially low back pain, is a widespread clinical and diagnostic problem for both patients and physicians, because back pain has an equivalently wide variety of causes and provocations. Spinal pain, especially low back pain (LBP), is a widespread clinical and diagnostic problem for both patients […]

Disc height discrepancy between supine and standing positions as a screening metric for discogenic back pain in patients with disc degeneration

July 14, 2020 Seong Son, MD, Ph.D. The Spine Journal Published:July 17, 2020DOI:https://doi.org/10.1016/j.spinee.2020.07.006 Highlight The diagnosis of discogenic low back pain (LBP) in early to middle stage disc degeneration (Pfirrmann grade II, III, or IV) of the lumbar spine is ambiguous, unless a discography is performed. The disc height (DH) discrepancy ratio between supine and […]