Making the physiotherapy case to doctors

Physiotherapists have been putting their case in the British Medical Association’s journal and an interesting discussion has ensued.  Professor Nadine Foster of Keele University and two co-authors published a Personal  View article titled ‘We need to rethink front line care for back pain’ (BMJ2011; 342:d3260). Questioning whether GPs were the best gatekeepers, they noted that musculoskeletal [...]

The influence of periodized resistance training on recreationally active males with chronic nonspecific low back pain.

The most common musculoskeletal health issue is chronic nonspecific low back pain (CLBP). CLBP increases pain and disability, which reduces quality of life (QoL). Generally, pain, disability, and QoL are improved with a moderate volume and intensity of physical activity. Recently, periodized resistance training (PRT) was shown to be effective at improving CLBP in sedentary [...]

Diagnostic Imaging – 21 May – Bournemouth,UK

This seminar will provide an interactive, case-based, seminar focusing on patients presenting with low back pain from various aetiologies. Selection of the most reliable and valid physical examination procedures for the various diagnoses as well as the plain film, CT and MRI abnormalities linked with low back pain will be the primary focus. New research [...]

The Access Randomised Clinical Trial of Public versus Private Physiotherapy for Low Back Pain.

This study investigated differences in the clinical outcomes of public versus private physiotherapy for general practitioner referred patients with acute and chronic low back pain (LBP). Health care setting (i.e. public or private) has been found to influence the course and clinical outcome of common diseases. Despite the international burden of LBP, the effect of [...]

Extrinsic feedback and management of low back pain: A critical review of the literature.

Effective intervention for low back pain (LBP) can include feedback in one form or other. Although extrinsic feedback (EF) can be provided in a number of ways, most research has not considered how different EF characteristics (e.g. timing and content) influence treatment outcomes. A systematic search related to feedback and LBP was performed on relevant [...]

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 [...]

Inter- and intra-tester reliability of selected clinical tests in examining patients with early phase lumbar spine and sacroiliac joint pain and dysfunction.

Of all patients with low back pain (LBP), 85% are diagnosed as “non-specific lumbar pain”. It has been postulated that the only reliable test is a straight leg raise test for detecting sciatic pain, and for other diagnostic subgroups, tests are of varying value. Only a few standardized tests exist to test function, inspection, mobility, [...]

Treatment of chronic low back pain: a randomized, clinical trial comparing group-based multidisciplinary biopsychosocial rehabilitation and intensive individual therapist-assisted back muscle strengthening exercises.

The objective of this study was to compare the efficacies of 2 active therapies for chronic low back pain (CLBP). A total of 286 patients with CLBP were randomized to either a group-based 12-week program comprising 73 hours of therapist exposure (approximately 12 h/patient): 35 hours of hard physical exercise, 22 hours of light exercise/occupational [...]

Preventing Low Back Pain During Pregnancy

Regina Faison, PT, RPT explains how a physical therapist can help minimize or prevent low back pain, a common problem during pregnancy.

dherence to Clinical Practice Guidelines for Low Back Pain in Physical Therapy: Do Patients Benefit?

Various guidelines for the management of low back pain have been developed to enhance the effectiveness and efficiency of care. Evidence that guideline-adherent care results in better health outcomes, however, is not conclusive. The main objective of this study was to assess whether a higher percentage of adherence to the Dutch physical and manual therapy [...]

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