If you want to be a great PT, shouldn’t you learn from great PTs? Evidence In Motion is continuing to offer FREE online courses that allow you to do just that! Sign up for EIM’s Lumbar Spinal Stenosis EBP Course to hear and see how an expert treats these conditions. If you missed the last course, be sure [...]
Check out this quick and insightful FREE podcast brought to you by the Evidence In Motion Journal Club with clinical tips on treating the spine from top PT experts, Dr. Stuart McGill, Dr. Julie Whitman, and Brian Mulligan! Click here to listen to the podcast. To download: Follow this link Right-click on the “Download” link Select [...]
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 [...]
Immediate effects of a high-velocity spine manipulation in paraspinal muscles activity of nonspecific chronic low-back pain subjects
High-velocity spinal manipulation is commonly adopted for treating chronic low-back pain (CLBP) and has been associated with changes in muscle activity, but the evidence is controversial. The aim of this study was to analyse the immediate effects of high-velocity spine manipulation on paraspinal activity during flexionâ€“extension trunk movements. Forty nonspecific CLBP patients were randomised into [...]
Early rehabilitation targeting cognition, behavior, and motor function after lumbar fusion: a randomized controlled trial.
The objective of this study was to investigate the effectiveness of a psychomotor therapy focusing on cognition, behavior, and motor relearning compared with exercise therapy applied during the first 3 months after lumbar fusion. The study recruited 107 patients, aged 18 to 65 years, selected for lumbar fusion because of 12 months of symptomatic spinal [...]
The temporal effects of a single session of high-velocity, low-amplitude thrust manipulation on subjects with spinal pain
The purpose of this review is to summarize the literature on the temporal neurophysiological effects of a single HVLAT in patients with spinal pain. A systematic search of English articles was conducted. Of the 478 articles identified, five articles ultimately met inclusion criteria into this review. These studies were of moderate to high quality. In [...]
This intensive evidenced based 8-day programme is designed to give clinicians with varied experience and background training the opportunity to advance their knowledge and clinical expertise in the area of spinal manual therapy. Specialist musculoskeletal physiotherapist Kim Robinson will present an exciting programme that covers to an advanced level, examination, clinical reasoning, and management for [...]
Obesity and recovery from low back pain: a prospective study to investigate the effect of body mass index on recovery from low back pain.
This study describes a prospective cohort study to investigate any association between recovery from low back pain and body mass index (BMI) in patients with low back pain undergoing physiotherapy. A total of 140 patients with low back pain and no evidence of neurological deficit were divided into three groups based on their BMI. All [...]
A randomised, placebo-controlled, clinical trial for the short-term effectiveness of manipulative therapy and acupuncture on pain caused by mechanical thoracic spine dysfunction.
This study was a randomised, assessor-blinded, placebo-controlled trial was used to compare the short-term effectiveness of manipulative therapy and acupuncture on the pain caused by mechanical thoracic spine dysfunction and on the pressure pain threshold. The research sample consisted of 114 female patients aged 20-60 years. The primary complaint of these subjects had been pain [...]
Reliability of measurements of endurance time, electromyographic fatigue and recovery, and associations to activity limitations, in patients with lumbar disc herniation.
The purpose of this study was to evaluate the test-retest reliability of a fatigue-testing protocol and to investigate associations between activity limitations and fatigue in patients with lumbar disc herniation. To evaluate the reliability, endurance time, EMG spectral parameters and ratings of lumbar muscle fatigue and back pain were measured three times in 15 patients [...]