Evolution of the Treatment-Based Classification for Low Back Pain

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… The prevalence and economic burden of low back pain (LBP) has reached an epidemic level and continues to put a strain on the U.S. healthcare system. According to Hoy et al, the overall incidence of LBP is between 1.5% and 36% with…

Research Review: Comparison of 2 Manual Therapy and Exercise Protocols for Cervical Radiculopathy

In the next installment of the Research Review Series, we discuss a recent randomized controlled study investigating the effectiveness of a manual therapy program specifically tailored to increase the intervertebral foramen (IVF) versus a general manual therapy program in patients presenting with cervical radiculopathy3. Study Design Participant and assessor-blinded randomized clinical trial. Subjects Thirty-six subjects were…

The Most Important Aspect of Patient Care

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… Helping individuals with chronic pain and significant functional limitations is a remarkably difficult and delicate task. Numerous treatment philosophies are available to clinicians from the overtly biomechanical (Cyriax, Kaltenborn, Sahrmann, etc.) to more patient-response driven (Maitland, Mckenzie, etc.). Unfortunately, no one…

Research Review: Validation of a Clinical Prediction Rule to Identify Patients with LBP Likely to Respond to Stabilization Exercises

In the next installment of my Research Review Series for MedBridge Education, we discuss a recent randomized controlled study investigating the validity of a clinical prediction rule for identifying patients with low back pain likely to respond favorably to a spinal stabilization program. Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP…

Neck Pain Best Practice: Treatment-Based Classification

The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education… Among one of the most common musculoskeletal complaints, neck pain has been estimated to affect between 22% and 77% of individuals in their lifetime according to the Neck Pain Clinical Practice Guidelines published by Childs et al. While this pain…

Research Review: Validation of a Clinical Prediction Rule to Identify Patients with LBP Likely to Respond to Stabilization Exercises

Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP and referred to physical therapy at 1 of 5 outpatient clinics of Clalit Health Services in the Tel-Aviv metropolitan area, Israel, were recruited for this study. Of these 105 patients, 40 were positive on the Stabilization CPR and 65 were negative. The…

Research Review: Effect of Manual Therapy on Vertebral and Internal Carotid Blood Flow

In the next installment of my Research Review series for MedBridge Education, we will discuss a recent study that appeared in Physical Therapy Journal conducted by Thomas et al.  The authors investigated the changes in vertebral and internal carotid blood flow during selective positions that are commonly associated with manual therapy techniques were assumed. This…

Cervical Manipulation… Is the Juice Worth the Squeeze? (Part 2)

In Part 1, the relative risks and important screening areas prior to cervical manipulation were discussed. In this second installment, the effectiveness and a theoretical framework for utilizing cervical manipulation will be laid out. According to the Neck Pain Guidelines published by Cleland et al, manual therapy (mobilization and manipulation) was graded both an 'A'…

Cervical Manipulation… Is the Juice Worth the Squeeze? (Part 1)

Neck pain is a debilitating and all too common issue worldwide. According to a systematic review published by Cote et al, the annual prevalence of neck pain in Quebec City is 48%, 27% in Norway, and 34% in the UK. Subsequently, a limitation in activities of daily living was found in between 11-14% of individuals.…

Manual Therapy… Why the Apprehension?

According to a survey of 813 British physical therapists conducted by Foster et al, Only 58.9% Physical therapists utilize spinal mobilization (Grade I - IV) and only 2.8% use spinal manipulative therapy (Grade V) when treating patients suffering from low back pain (LBP). Additionally, a survey of 274 Canadian physical therapists published by Li et…