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…

Effectiveness of Manual Therapy for Knee Pain

The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education… Knee osteoarthritis (Knee OA) is one of the most prevalent and debilitating orthopedic complaints for 28% of adults over 45 years old and 37% of those over 65 years old in the United States. In addition, 1.6% of adults over…

Research Review: Manual Physical Therapy and Perturbation Exercises in Knee Osteoarthritis

Study Design Prospective, observational cohort study. Subjects Fifteen participants (7 male, 8 female) with a mean age of 55 years old were recruited from a convenience sample of consecutive patients evaluated for knee osteoarthritis (OA) at the Physical Therapy Clinic, Brooke Army Medical Center, San Antonio, Texas. With regards to severity, ten patients had bilateral…

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.…