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This category includes all featured articles, research, news, publications, jobs and courses that will be of interest to those whose interests and work relate to the clinical area of orthopaedics.
Posted by Rachael Lowe on September 10, 2010 · Leave a Comment
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 for disc herniation. The main outcome measure was the Oswestry disability index. At 4 years…
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Posted by Rachael Lowe on September 10, 2010 · Leave a Comment
Lateral epicondylitis can be chronic and difficult to manage with conservative measures such as physical therapy and corticosteroid injection. We attempted to determine the efficacy of botulinum toxin for the treatment of chronic lateral epicondylitis. We searched PubMed, MEDLINE, CINAHL, Google Scholar, EMBASE, PEDro, and ISI web of Science databases from inception until November 2009. Studies were included if they used any formulation of botulinum toxin A for treatment of…
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Posted by Rachael Lowe on September 10, 2010 · Leave a Comment
The purpose of this narrative review is to provide a clinically reasonable guide to intervention choices, by combining a sound understanding of theory with available research evidence. The pathology of contracture formation is presented within the context of tissue repair. The soft tissue response to stress is explained and the optimal “dose” of treatment is discussed. The evidence behind the use of exercise, joint mobilization, continuous passive motion, casting motion…
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Posted by Rachael Lowe on September 10, 2010 · Leave a Comment
This particular wheelchair is unique in that it has on-board cameras which can identify and avoid obstacles without the need for any user intervention. The system, being developed by researchers at École Polytechnique Fédérale de Lausanne, is controlled by the user's EEG signals. The researchers hope the system will eventually be able to act appropriately in response to various obstacles such as people, doorways…
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Posted by Rachael Lowe on September 10, 2010 · Leave a Comment
A new credential for Physical Therapists, Athletic Trainers and Occupational Therapists who care for workers’ compensation patients is established in the US to certify professionals in these fields. This certification is the Certified Workers’ Compensation Healthcare Provider or CWcHP.
Prior to the establishment of this certification, Physical Therapists, Athletic Trainers and Occupational Therapists who rehabilitate patients under their workers’ compensation were not required to meet…
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Posted by Rachael Lowe on September 8, 2010 · Leave a Comment
A clinical prediction rule (CPR) purported to identify patients with neck pain who are likely to respond to thoracic spine thrust manipulation has recently been developed, but has yet to be validated. The purpose of this study was to examine the validity of this CPR. One hundred forty patients with a primary report of neck pain were randomly assigned to receive either 5 sessions of stretching and strengthening…
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Posted by Rachael Lowe on September 8, 2010 · Leave a Comment
The objective of tis study was to compare intrarater and interrater reliability of shoulder internal rotation (IR) passive range of motion measurements utilizing a standard supine position and a sidelying position. Glenohumeral IR range of motion deficits are often noted in patients with shoulder pathology. Excellent intrarater reliability has been found when measuring this motion. However, interrater reliability has been reported as poor to fair. Some clinicians currently use a…
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Posted by Rachael Lowe on September 8, 2010 · Leave a Comment
The objective of this study was to determine whether hip abductor and adductor muscle strengthening reduces medial compartment knee load and improves symptoms in people with medial tibiofemoral OA and varus malalignment. In a randomised controlled trial, 89 participants were randomly allocated to a hip strengthening group or to a control group with no intervention. The strengthening group performed a physiotherapist-supervised home exercise program targeting the hip abductor and…
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Posted by Rachael Lowe on September 8, 2010 · Leave a Comment
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 alongside a randomized trial in primary care. Included were 150 patients with shoulder complaints and…
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Posted by Rachael Lowe on September 8, 2010 · Leave a Comment
Orthopaedic special tests (OST) are commonly used in the assessment of the painful shoulder to assist to rule-in or rule-out specific pathology. A small number of tests with high levels of diagnostic accuracy have been identified but interexaminer reliability data is variable or lacking. The aim of this study was to determine the interexaminer reliability of a group of OST with demonstrated diagnostic accuracy at primary care level. Forty consecutive…
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