Entries by Lori Klink

Effects of external pelvic compression on form-closure, force-closure and neuromotor control of the lumbopelvic spine—A systematic review.

November 17, 2015 /0 Comments/in /by

Arumugan A, et al JOSPT Jan2012Optimal LP stability is a function of form closure (FmCl), force closure (FcCl) and neuromotor control. Impairment can result in pain, instability, altered LP kinematics and changes in muscle strength and control. External pelvic compression (EPC) has been hypothesized to have an effect on FcCL and neuromotor control.Conclusion: There is […]

Artificial disc Mulholland R. Scientific basis for treatment of LBP Am Surg Royal college. 2007

November 12, 2015 /0 Comments/in /by

The introduction of the artificial disc, producing results similar to fusion provides strong support for the hypothesis that loading is central to back pain. The artificial disc does not create a pattern of normal movement, and is not designed to do so. It does not necessarily require removal of the posterior innervated annulus, often regarded […]

A case of potential manipulation responder whose back pain resolved with Flexion exercises.

November 11, 2015 /0 Comments/in /by

May S et al JMPT Sept 2007.According to mechanical diagnosis classification of McKenzie the patient categorized as having a derangement with a DP for flexion exercises (this is unusual, accounting for 5% or less of derangement presentations). A derangement is characterized by; a response to repeated movements, centralization, abolishment or decrease with the change in […]

Clinical evidence for treatment of acute-onset LBP with Heat Wrap Therapy Musculoskeletal disorders 2010 Mcintosh G, Hall H.

November 9, 2015 /0 Comments/in /by

We have posted at least 3 well done studies on the effectiveness of Heat-Wrap therapy (Therma-care & others) done since their inception in early 2000. These studies suggest efficacy. When compared to placebo they show consistent benefit at 5 days (moderate-quality evidence). At 1 and 4 days they are apparently more effective than acetaminophen (but […]

McKenzie classification of mechanical spinal pain: profile of directional preference Man ther Feb;13(1) 2006

November 6, 2015 /0 Comments/in /by

Several reviews have been published regarding the typical findings using a movement classification analysis. This 2006 study presents these findings in a useful way i.e. IF you find that 75% of your patients have a “flexion” directional preference you have probably misinterpreted the examination (or have the most unusual patients in America!). Their findings show […]

The sitting SLUMP test

October 9, 2015 /0 Comments/in /by

The Slump test, first described by Geoff Maitland PT some 40 years ago is used to elicit “sciatic” symptoms or pain radiating from the sciatic nerve or lumbar nerve roots. There are several forms or variations all meant to tense and thereby ‘irritate’ the lumbar nerve roots. The patient sits on a bench that allows […]

Can apparent changes in muscle extensibility with regular stretching be explained by changes in tolerance to stretch?

October 8, 2015 /0 Comments/in /by

Folpp H et al Aus J of PT (52) 2006This study is one of several which over the last decade have given fuel to the fire that stretching doesn’t really make muscles “longer”. Recent studies have also concluded stretching (static) can have a negative effect on activities requiring power such as vertical leap, sprints and […]

Effect of combining traction and vibration on back muscles, heart rate and blood pressure.

October 6, 2015 /0 Comments/in /by

Med Eng Phys. 2014 Nov;36(11):Wang L1, Zhao M1, Ma J1, Tian S1, Xiang P1, Yao W2, Fan Y3.Traction and vibration are commonly used to relieve LBP.The effect of combining traction and vibration on back muscles, heart rate (HR) and blood pressure (BP) was investigated. Supine traction of varying angles with vibration were combined (0°, 10°, 20° and 30°) (0 Hz, 2 Hz and 12 Hz). […]