Site of maximum neovascularisation correlates with the site of pain in recalcitrant mid-tendon Achilles tendinopathy

Neovascularisation is associated with pain in Achilles tendinopathy (AT). The anatomical relationship between ultrasound (US)-defined indicators of tendinopathy and clinically determined pain sites has not been investigated. The objective of this study was to measure the spatial correlation between the sites of maximum palpated tenderness, site of patient-indicated pain, maximum US-determined neovascularisation and maximum antero-posterior [...]

One Day Conference: Tendon Biology & Healing

A one day conference on the science of tendon biology and healing. Find out about the latest science and evidence for the causes, diagnosis and treatment of tendon disorders. Topics Include: • The Biology of Tendinopathy (Dr Graham Riley) • Imaging in Tendinopathy (Dr Philip Bearcroft) • Neuro-Immunology of Tendinopathy (Dr Nick Webborn) • Exercise [...]

Instrument-Assisted Cross-Fiber Massage Accelerates Knee Ligament Healing.

Loghmani MT, Warden SJ The objective of this study was to investigate the effects of instrument-assisted cross-fiber massage (IACFM) on tissue-level healing of knee medial collateral ligament (MCL) injuries.  Bilateral knee MCL injuries were created in 51 rodents, while 7 rodents were maintained as ligament-intact, control animals. IACFM was commenced 1 week following injury and [...]

Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation

Annina Schmid, Florian Brunner, Anthony Wright, Lucas M. Bachmann This systematic review aims to assess the consistency of evidence supporting an involvement of supraspinal systems in mediating the effects of passive cervical joint mobilisation.  Fifteen studies met the inclusion criteria. The overall quality was high. Consistency for concurrent hypoalgesia, sympathetic nervous system excitation and changes [...]

Reorganization of the motor cortex is associated with postural control deficits in recurrent low back pain.

Tsao H, Galea MP, Hodges PW Many people with recurrent low back pain (LBP) have deficits in postural control of the trunk muscles and this may contribute to the recurrence of pain episodes. However, the neural changes that underlie these motor deficits remain unclear. As the motor cortex contributes to control of postural adjustments, the [...]

Significant synovial pathology in a meniscectomy model of osteoarthritis: modification by intra-articular hyaluronan therapy

Smith, M. M., Cake, M. A., Ghosh, P., Schiavinato, A., Read, R. A., Little, C. B. IA therapy with hyaluronan (HA) is reported to provide symptomatic relief and disease modification in OA. This study assessed the pathological changes in the synovium of an ovine model of OA and evaluated the effects of two HA preparations [...]

Motor-Evoked Potentials Recorded from Lumbar Erector Spinae Muscles: A Study of Corticospinal Excitability Changes Associated with Spinal Manipulation

J. Donald Dishman, Douglas S. Greco and Jeanmarie R. Burke The purpose of this study was to determine if high-velocity, low-amplitude spinal manipulation (SM) altered the effects of corticospinal excitability on motoneuron activity innervating the paraspinal muscles. The transcranial magnetic stimulation (TMS)-induced motor-evoked potentials (MEPs) were recorded from relaxed lumbar erector spinae muscles of 72 [...]

Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation

Annina Schmid, Florian Brunner, Anthony Wright and Lucas M. Bachmann This systematic review aims to assess the consistency of evidence supporting an involvement of supraspinal systems in mediating the effects of passive cervical joint mobilisation.  Fifteen studies met the inclusion criteria. The overall quality was high. Consistency was found for concurrent hypoalgesia, sympathetic nervous system [...]

Paradigm shift in manual therapy? Evidence for a central nervous system component in the response to passive cervical joint mobilisation

AnninaSchmid, Florian Brunner, Anthony Wright and Lucas M. Bachmann This systematic review aims to assess the consistency of evidence supporting an involvement of supraspinal systems in mediating the effects of passive cervical joint mobilisation. Fifteen studies were assessed. Consistency for concurrent hypoalgesia, sympathetic nervous system excitation and changes in motor function was found. Pooling of [...]

Decreased Pulsatile Blood Flow in the Patella in Patellofemoral Pain Syndrome

Jan Näslund, Markus Waldén and Lars-Göran Lindberg The objective of this study was to investigate whether fllexing the knee joint interferes with the perfusion of the patellar bone in patellofemoral pain syndrome.  22 patients with patellofemoral pain syndrome were examined bilaterally, and 33 subjects with healthy knees served as controls. Pulsatile blood flow in the [...]

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