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…

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…

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…

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…