Abstract：
:Many musculoskeletal management philosophies advocate the exploration of the relationship between the patient's chief complaint (CC) and the physical examination findings that reproduce/reduce/change that CC. Geoffrey Maitland developed the concept "comparable sign(s) (CS), which are physical examination findings related to the CC(s) that are reproduced during an examination/treatment. These include observed abnormalities of movement, postures or motor control, abnormal responses to movement, static deformities, and abnormal joint assessment findings. There are no studies that have explored the potential clinical relationships between the patient's CC and a CS, thus this exploratory study evaluated the associations, outcomes, and prevalence of the findings. This cohort study involved 112 subjects age 54.3 years (SD = 13.4 years), with neck (25.9%) or low back pain (74.1%) who were treated with physiotherapy for an average of 42 days. Data analysis revealed 88.4% identified a CC at baseline. There was a moderate statistical association between CC and the active physiological finding of a CS (r = 0.36), and small-moderate associations between all examination phases (r = 0.25-0.37). There were no statistical differences in pain and disability outcomes for those with and without a CC or CS; however, baseline pain levels were higher for those without CC (p = 0.04). Further, rate of recovery was lower in those without a CS during passive physiological examination. The results would suggest that there may be content validity to the concept of CS but further research with larger samples sizes is required to explore the extent of the validity is warranted.
journal_name
Man Therjournal_title
Manual therapyauthors
Cook C,Learman K,Showalter C,O'Halloran Bdoi
10.1016/j.math.2014.11.007subject
Has Abstractpub_date
2015-06-01 00:00:00pages
451-5issue
3eissn
1356-689Xissn
1532-2769pii
S1356-689X(14)00228-8journal_volume
20pub_type
杂志文章相关文献
MANUAL THERAPY文献大全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:Most people experience back pain at some point during their lives. Reports suggest that core stability interventions in subjects with non-specific low-back pain may increase function, thus decreasing pain. Reliable and validated clinical tests are required for implementing adequate rehabilitation and for eva...
journal_title：Manual therapy
pub_type： 杂志文章,评审
doi：10.1016/j.math.2012.08.004
更新日期：2013-04-01 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：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：: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 purpose of the study was to determine the effects of transverse friction massage (TFM) on flexor carpi radialis (FCR) motoneuron (MN) pool excitability. Twenty-eight healthy subjects were randomly assigned into massage and control groups. Pre- vs post-TFM H-reflex data were collected. Controls received a rest peri...
journal_title：Manual therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.math.2008.09.005
更新日期：2009-10-01 00:00:00
abstract：:The integration of the biopsychosocial model into manual therapy practice is challenging for clinicians, especially for those who have not received formal training in biopsychosocial theory or its application. In this masterclass two contemporary models of health and disability are presented along with a model for org...
journal_title：Manual therapy
pub_type： 杂志文章,评审
doi：10.1054/math.2001.0426
更新日期：2002-02-01 00:00:00
abstract：BACKGROUND:Frozen shoulder, which is characterized by shoulder pain and limitation of the range of motion (ROM), is a common disorder. High-intensity laser therapy (HILT) was recently introduced in the musculoskeletal therapeutic field. OBJECTIVE:The objective of this study is to evaluate the clinical efficacy of HILT...
journal_title：Manual therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.math.2015.02.009
更新日期：2015-12-01 00:00:00
abstract：:This study investigates the relationship between neck muscle coactivation, neck strength and perceived pain and disability in women with neck pain. Surface electromyography (EMG) was acquired from the sternocleidomastoid (SCM) and splenius capitis (SC) muscles of 13 women with chronic neck pain and 10 controls as they...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2010.07.006
更新日期：2011-02-01 00:00:00
abstract：PURPOSE:To assess response to osteopathic manual treatment (OMT) according to baseline severity of chronic low back pain (LBP). METHODS:The OSTEOPATHIC Trial used a randomized, double-blind, sham-controlled, 2×2 factorial design to study OMT for chronic LBP. A total of 269 (59%) patients reported low baseline pain sev...
journal_title：Manual therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.math.2013.05.006
更新日期：2013-12-01 00:00:00
abstract：:There is currently a lack of information regarding neck muscle activity during specific exercises. The purpose of the present study was to investigate deformation and deformation rate in different layers of dorsal and ventral neck muscles during isometric neck muscle contraction in individuals after anterior cervical ...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2012.05.005
更新日期：2012-12-01 00:00:00
abstract：STUDY DESIGN:Descriptive comparison study. OBJECTIVE:To assess the accuracy of two needle angle approaches for dry needling of the lumbar multifidus. BACKGROUND:Low back pain is a leading cause of disability around the world; the lumbar multifidus plays a vital role in low back health. Manual therapy such as dry need...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2016.08.008
更新日期：2016-12-01 00:00:00
abstract：:Despite the high prevalence of carpal tunnel syndrome and cubital tunnel syndrome, the quality of clinical practice guidelines is poor and non-invasive treatment modalities are often poorly documented. The aim of this cadaveric biomechanical study was to measure longitudinal excursion and strain in the median and ulna...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2006.12.008
更新日期：2008-06-01 00:00:00
abstract：:The aim of the study was to evaluate the effect of an intervention including shoulder control and strengthening exercises on function in persons with shoulder impingement. Eight subjects with shoulder impingement were evaluated weekly during the nine weeks of this single-subject design study. The study was divided int...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2008.01.010
更新日期：2009-04-01 00:00:00
abstract：:Absence of the trapezius muscle is regarded as relatively rare. This report presents the clinical observations for absence of the inferior portion of the trapezius muscle in three family members that were later confirmed in vivo with magnetic resonance imaging. The absences occurred in two sisters and the son of one s...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2011.07.006
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:Subjective visual vertical (SVV) assesses visual dependence for spacial orientation, via vertical perception testing. Using the computerized rod-and-frame test (CRFT), SVV is thought to be an important measure of cervical proprioception and might be greater in those with whiplash associated disorder (WAD), b...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2014.08.005
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Kinesiology tape (KINTAPE) is one of the most common adhesive therapeutic tapes. Apart from clinical applications, KINTAPE claims to be able to enhance functional performance by muscle activity facilitation. However, emerging evidence suggests that the isokinetic muscle strength remains similar when the plac...
journal_title：Manual therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.math.2015.06.001
更新日期：2016-02-01 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：: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
abstract：UNLABELLED:In both simulation and manual therapy studies, substantial variability has been shown when therapists attempt to replicate an applied force. Knowledge about the forces employed during treatment could reduce this variability. In the current project, a prototype for a mobilizing device incorporating a dynamome...
journal_title：Manual therapy
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.math.2006.06.009
更新日期：2007-05-01 00:00:00
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：: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：: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：:The primary aim of this study was to examine familial associations in spinal posture, defined using postural angles and a clinical classification method. A secondary aim was to investigate the reliability of clinical postural classification. Postural angles were calculated from sagittal photographs, while two experien...
journal_title：Manual therapy
pub_type： 临床试验,杂志文章
doi：10.1016/j.math.2011.05.002
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:The effectiveness of multidisciplinary treatment for post-acute (>6 weeks) low back pain (LBP) has been established. Physiotherapists have sufficient training to conduct less intensive functional restoration. The effectiveness of physiotherapy functional restoration (PFR) has not been evaluated using current...
journal_title：Manual therapy
pub_type： 杂志文章,评审
doi：10.1016/j.math.2012.06.005
更新日期：2013-02-01 00:00:00
abstract：:Cranio-vertebral instability (CVI) due to loss of bony or ligamentous integrity is one of the sequelae that may result after a whiplash mechanism injury. Due to the lack of specificity of diagnostic tests, this condition is often missed and the default classification of whiplash associated disorder (WAD) is assigned. ...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2014.01.009
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:Hamstring muscle strain is one of the most common injuries in sports. Therefore, to investigate the factors influencing hamstring strain, the differences in passive tension applied to the hamstring muscles at the same knee and hip positions as during terminal swing phase would be useful information. In addit...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2016.03.012
更新日期：2016-08-01 00:00:00
abstract：:The treatment of lateral epicondylalgia, a widely-used model of musculoskeletal pain in the evaluation of many physical therapy treatments, remains somewhat of an enigma. The protagonists of a new treatment technique for lateral epicondylalgia report that it produces substantial and rapid pain relief, despite a lack o...
journal_title：Manual therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1054/math.2001.0411
更新日期：2001-11-01 00:00:00
abstract：INTRODUCTION:Cervical arterial dissection (CAD) is a common cause of stroke in young people under 55 years. It can occur spontaneously or subsequent to minor trauma or infection. The incidence is difficult to determine accurately as not all CAD progress to stroke. CAD is the most catastrophic adverse event associated w...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1016/j.math.2015.07.008
更新日期：2016-02-01 00:00:00
abstract：:Optimal use of lumbar mobilisation requires a theoretical knowledge of the mechanical effects that occur. When a mobilisation force is applied the target vertebra will move with accompanying intervertebral displacements at many intervertebral joints. In addition, displacements and deformations of other tissues will co...
journal_title：Manual therapy
pub_type： 杂志文章
doi：10.1054/math.1996.0252
更新日期：1996-03-01 00:00:00
