Live from CSM!!

It’s that time of year again for the largest Physical Therapy conference in the USA. The APTA’s Combined Sections Meeting will take place next week in New Orleans.  There will be an increasing evidence of technology present this year including the new TechnoPalooza, a CSM mobile app and LIVE reporting by Physiospot! TechnoPalooza New at [...]

Have you registered for the largest international gathering of physiotherapists and physical therapists yet?

Have you registered for the largest international gathering of physical therapists yet?  With World Physical Therapy 2011 happening on your doorstep, don’t miss this unique opportunity to join your colleagues from around the world this summer.  Fantastic transport links and a top European destination make Amsterdam the destination for June 2011! In addition to the [...]

Clinical and radiological outcome of conservative vs. surgical treatment of atraumatic degenerative rotator cuff rupture: design of a randomized controlled trial.

Subacromial impingement syndrome is a frequently observed disorder in orthopedic practice. Lasting symptoms and impairment may occur when a subsequent atraumatic rotator cuff rupture is also present. However, degenerative ruptures of the rotator cuff can also be observed in asymptomatic elderly individuals. Treatment of these symptomatic degenerative ruptures may be conservative or surgical. Acceptable results [...]

Four-year follow-up of surgical versus non-surgical therapy for chronic low back pain.

The objective of this study was to compare the long-term effectiveness of surgical and non-surgical treatment in patients with chronic low back pain. Two merged randomised clinical trials compared instrumented transpedicular fusion with cognitive intervention and exercises in 124 patients with disc degeneration and at least 1 year of symptoms after or without previous surgery [...]

Manipulative therapy in addition to usual medical care accelerates recovery of shoulder complaints at higher costs: economic outcomes of a randomized trial

Shoulder complaints are common in primary care and have an unfavourable long term prognosis. The objective was to evaluate the clinical effectiveness of manipulative therapy of the cervicothoracic spine and the adjacent ribs in addition to usual medical care (UMC) by the general practitioner in the treatment of shoulder complaints.  This economic evaluation was conducted [...]

A systematic review of economic analyses of telehealth services using real time video communication

Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery – synchronous or real time video communication [...]

HPC start consultation on proposed changes to the generic standards of proficiency

The Health Professions Council (UK) are consulting on proposed changes to the generic standards of proficiency. The standards of proficiency are the standards that we consider necessary for the safe and effective practice of professions they regulate. The changes are being proposed to ensure that the generic standards are applicable to all the professions they [...]

Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia: A randomized clinical trial

This study was designed to evaluate the effect of multimodality chest physiotherapy in intubated and mechanically ventilated patients undergoing treatment in the intensive care units (ICUs) for prevention of VAP.  A total of 101 adult intubated and mechanically ventilated patients were included in this study. Manual hyperinflation (MH) and suctioning were administered to patients in [...]

The long-term effects of naprapathic manual therapy on back and neck pain – results from a pragmatic randomized controlled trial.

The aim of this study was to compare the long-term effects (up to one year) of naprapathic manual therapy and evidence-based advice on staying active regarding non-specific back and/or neck pain. Naprapathy, a health profession mainly practiced in Sweden, Finland, Norway and in the USA, is characterized by a combination of manual musculoskeletal manipulations, aiming [...]

Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture

Acupuncture is an invasive procedure commonly used to relieve pain. Acupuncture is practiced worldwide, despite difficulties in reconciling its principles with evidence-based medicine. We found that adenosine, a neuromodulator with anti-nociceptive properties, was released during acupuncture in mice and that its anti-nociceptive actions required adenosine A1 receptor expression. Direct injection of an adenosine A1 receptor [...]