Abstract:
:The aim of this post hoc analysis was to develop a preliminary clinical prediction rule (CPR) for identifying patients with lateral epicondylalgia (LE) likely to respond to mobilisation with movement and exercise (PT). Currently practitioners do not have an evidence-based means to identify such patients a priori. Potential predictive factors were recorded at baseline and reference measures at 3 weeks after treatment was initiated. Participants (n=64) received standardised PT. After 3 weeks, participants were categorised as having experienced 'improvement' or 'no improvement' with treatment. Factors with univariate relationship (p<0.15) to 'improvement' were entered into a step-wise logistic regression model. Receiver operator characteristic curves were used to calculate cut-off points for continuous variables. Analyses resulted in a CPR that included: age (<49 years, +LR=2.6) as well as pain free grip strength on the affected (>112N, +LR=2.3) and unaffected side (<336N, +LR=2.1). Probability of improvement rose from 79 to 100% if all three were positive. The CPR did not predict outcome for wait and see (n=57), indicating it was more accurate for PT. This post hoc analysis has created a Level IV CPR that with further validation will help practitioners identify responders. Future studies are required to validate the rule.
journal_name
Man Therjournal_title
Manual therapyauthors
Vicenzino B,Smith D,Cleland J,Bisset Ldoi
10.1016/j.math.2008.08.004subject
Has Abstractpub_date
2009-10-01 00:00:00pages
550-4issue
5eissn
1356-689Xissn
1532-2769pii
S1356-689X(08)00139-2journal_volume
14pub_type
杂志文章相关文献
MANUAL THERAPY文献大全abstract::The purpose of this quality improvement initiative was to enhance service delivery and patient experience in a musculoskeletal out-patient setting. A cross-sectional survey, with 6 annual stages, evaluated the musculoskeletal outpatient physiotherapy service in a large National Health Service hospital in Southern Engl...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2012.04.010
更新日期:2013-02-01 00:00:00
abstract::Treatment strategies targeting abnormal shoulder kinematics may prevent pathology or if the pathology develops, shorten its duration. We examined the effectiveness of the end-range mobilization/scapular mobilization treatment approach (EMSMTA) in a subgroup of subjects with frozen shoulder syndrome (FSS). Based on the...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2011.08.006
更新日期:2012-02-01 00:00:00
abstract::While sitting is a common aggravating factor in low back pain (LBP), the best sitting posture remains unclear. This study investigated the perceptions of 295 physiotherapists in four different European countries on sitting posture. Physiotherapists selected their perceived best sitting posture from a sample of nine op...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2012.04.007
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Exercise is a key component of rehabilitation for soft tissue injuries of the shoulder; however its effectiveness remains unclear. OBJECTIVE:Determine the effectiveness of exercise for shoulder pain. METHODS:We searched seven databases from 1990 to 2015 for randomized controlled trials (RCTs), cohort and c...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.013
更新日期:2015-10-01 00:00:00
abstract::The purpose of the study was to assess the effect of structural differentiation or sensitising manoeuvres on responses of normal subjects to standard neurodynamic tests of straight leg raise (SLR) and slump test. Eighty-eight (39 males and 49 females) asymptomatic subjects were examined (aged 18-39 mean age 21.9+/-4.1...
journal_title:Manual therapy
pub_type: 临床试验,杂志文章
doi:10.1016/j.math.2007.01.013
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Little is known about the physiologic mechanism of dry needling. While some evidence suggests that dry needling may decrease nocioceptive sensitivity and facilitate muscle function, no studies to date have examined these physiologic changes compared to clinical outcomes. OBJECTIVE:To examine changes in lumb...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.003
更新日期:2015-12-01 00:00:00
abstract::Prolonged static posture has been identified as a major risk factor for work-related neck and upper limb disorders (WRNULD) in computer users. Previous research has mainly examined working postures in healthy pain-free individuals. The present study examined whether symptomatic subjects exhibited the same kinematic pa...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2005.01.005
更新日期:2005-11-01 00:00:00
abstract::The management of peripheral neuropathic pain or nerve trunk pain relies upon accurate differential diagnosis. In part neurogenic pain has been attributed to increased activity in, as well as to abnormal processing of non-nociceptive input from, the nervi nervorum. For neurogenic pain to be identified as the dominant ...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1054/math.1999.0172
更新日期:1999-05-01 00:00:00
abstract::Deep cervical flexor muscle (DCF) activation is impaired with neck pain. This study investigated the effects of low load cranio-cervical flexion (C-CF) and neck flexor strengthening exercises on spatial and temporal characteristics of DCF activation during a neck movement task and a task challenging the neck's postura...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2009.05.004
更新日期:2009-12-01 00:00:00
abstract::Ankle dorsiflexion range of motion (DROM) is often a point of emphasis during the rehabilitation of lower extremity pathologies. With the growing popularity of weight-bearing DROM assessments, several versions of the weight-bearing lunge (WBLT) test have been developed and numerous reliability studies have been conduc...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2015.01.004
更新日期:2015-08-01 00:00:00
abstract::Exercises to retrain the orientation of the scapula are often used by physiotherapists to optimise shoulder girdle function. The movements and muscle activity required to assume this position have not yet been quantified. Further, patients often find this a difficult exercise to learn accurately, with no data being av...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2007.07.008
更新日期:2009-02-01 00:00:00
abstract::Physiotherapeutic management of lumbar disorders often utilises specific segmental joint mobilisation techniques; however, there is only limited evidence of any neurophysiological effects and much of this has focused on the cervical spine and upper limbs. This study aims to extend the knowledge base underpinning the u...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2007.05.015
更新日期:2008-12-01 00:00:00
abstract::The application of tape to the skin overlying the lower fibres of trapezius is generally thought to facilitate this muscle. However, this facilitation has not been thoroughly investigated. In this study, the effect of tape upon trapezius motoneurone pool excitability was assessed using the trapezius H reflex. The ampl...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.2002.0485
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:The use of spinal manipulation (SM) for upper limb pain has been advocated based on the concept of regional interdependence. However, its evidence has not been established. OBJECTIVE:To determine the level of evidence for the effectiveness of SM in patients with upper limb pain as part of the concept of reg...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2014.11.004
更新日期:2015-08-01 00:00:00
abstract::Our purpose was to examine the effect of modifying symptomatic movement and alignment tests in a sample of people with LBP referred to physical therapy. Fifty-one patients (19 males, 32 females; mean age 37+/-10.59 yr) with LBP and a mean Oswestry Disability Index score of 34+/-18% were examined. The examination inclu...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2007.09.012
更新日期:2009-02-01 00:00:00
abstract::Valid questionnaires for measuring functional limitations in patients with Whiplash Associated Disorders (WAD) are lacking, since existing measures are not suitable for addressing the specific limitations of these patients and because of cross contamination between theoretical constructs. The objective of this study w...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.07.008
更新日期:2015-02-01 00:00:00
abstract::Reciprocal inhibition (RI) between different muscles has been used as an explanation for the effect of some treatments. Consequently, there may be a presumption that RI is bi-directional and equal between every agonist antagonist muscle pair. That is, the strength of RI from agonist to antagonist is equal to that from...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2010.03.004
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Normative two-point discrimination thresholds (TPDTs) have been reported for different body regions and the relationships between TPDT and body schema integrity and physical performances are previously shown. However, such relationships with shoulder physical performance have not been investigated. OBJECTIV...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.02.001
更新日期:2016-06-01 00:00:00
abstract::The purpose of this study was to outline the clinical tests that exhibit the highest diagnostic utility for the spine. Using a sensitive search strategy but highly restrictive inclusion criteria based on assessment of quality and reduction of bias, we identified 16 well constructed diagnostic accuracy studies of the s...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2010.07.004
更新日期:2011-02-01 00:00:00
abstract::It is likely that individuals with nonspecific LBP (nsLBP) constitute a heterogenic group and targeting treatment appropriately to those most likely to respond is of major relevance. The STarT Back Tool (SBT) has been developed to stratify patients into risk groups to aid management choices. However, there is controve...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.08.001
更新日期:2015-08-01 00:00:00
abstract::Impairment of the cranio-cervical flexor (CCF) muscles is a feature of painful cervical spine disorders. The aim of this study was to investigate if CCF muscle impairment is present over a range of contraction intensities (maximal, moderate, low) in neck pain sufferers compared to individuals with no history of neck p...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.02.010
更新日期:2007-02-01 00:00:00
abstract::Hamstring injuries are the most prevalent muscle injury in sports involving rapid acceleration and maximum speed running. Injury typically occurs in an acute manner through an eccentric mechanism at the terminal stages of the swing phase of gait. Biceps femoris is most commonly injured. Re-injury rates are high and ma...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2005.03.006
更新日期:2005-05-01 00:00:00
abstract::The use of electronic devices, such as mobile phones and computers, has increased drastically among the young generation, but the potential health effects of carpal tunnel syndrome (CTS) on university students has not been comprehensively examined. Thirty-one university students aged 18 to 25 y with no symptoms of CTS...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.06.005
更新日期:2014-12-01 00:00:00
abstract::This paper explores the notion of validity from different perspectives and addresses its integration with clinical reasoning. Whilst valuing the evidence-based practice (EBP) perspective in our quest for validation of practice, the authors posit that other perspectives may provide added value through their potential f...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/s1356-689x(02)00077-2
更新日期:2003-05-01 00:00:00
abstract::The objective of this cross-sectional study was to explore the associations between pain locations, responses to the posterior pelvic pain provocation (P4) test, responses to the active straight leg raise (ASLR) test and disability in late pregnancy. 283 women in gestation week 30 (mean age 31.3 years; 59% nullipara) ...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2010.01.006
更新日期:2010-06-01 00:00:00
abstract::Tendinopathy is a term used to describe a painful tendon disorder but despite being a well-recognised clinical presentation, a definitive understanding of the pathoaetiology of rotator cuff tendinopathy remains elusive. Current explanatory models, which relate to peripherally driven nocioceptive mechanisms secondary t...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2013.07.005
更新日期:2013-12-01 00:00:00
abstract::The "Comprehensive ICF Core Set for Low Back Pain (LBP)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning for patients with LBP. The aim of this study was to validate the Comprehensive ICF Core Set for low b...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2010.12.011
更新日期:2011-08-01 00:00:00
abstract::SUMMARY. The paper summarizes a series of studies investigating reduced quadriceps femoris activation and its effect on rehabilitation of patients with traumatic and arthritic knee damage. It incorporates findings from related research fields and speculates on the physiological causes of reduced voluntary activation f...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1054/math.1997.0281
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND:Goniometers are commonly used by physical therapists to measure range-of-motion (ROM) in the musculoskeletal system. These measurements are used to assist in diagnosis and to help monitor treatment efficacy. With newly emerging technologies, smartphone-based applications are being explored for measuring join...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.03.004
更新日期:2015-12-01 00:00:00
abstract::Low back pain (LBP) and neck pain are associated with dysfunction of the trunk and neck muscles, respectively, and may involve common or similar mechanisms. In both cases, dysfunction may compromise spinal control. Anecdotally, neck pain patients commonly develop LBP. This study investigated the possibility that trunk...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2004.03.002
更新日期:2004-08-01 00:00:00