Abstract:
BACKGROUND:Low back disorders are prevalent and directional preference management is a common treatment with mixed evidence for effectiveness. OBJECTIVES:To determine the effectiveness of individualised directional preference management plus guideline-based advice versus advice alone in participants with reducible discogenic pain of 6-week to 6-month duration. DESIGN:Pre-planned secondary analysis of a multicentre, parallel group randomised controlled trial. METHODS:Participants were randomly allocated to receive a 10-week physiotherapy program of 10-sessions of individualised directional preference management plus guideline-based advice (n = 40) or 2-sessions of advice alone (n = 38). Primary outcomes were back pain, leg pain and activity limitation. Outcomes were taken at baseline and 5, 10, 26, and 52-weeks. RESULTS:Between-group differences significantly favoured directional preference management compared with advice for back pain at 5-weeks (1.28; 95% CI 0.34-2.23) and 10-weeks (1.45; 95% CI 0.51-2.40), and leg pain at 10-weeks (1.21; 95% CI 0.04-2.39). These short-term differences were not maintained. There were no significant differences between-groups for activity limitation. Secondary outcomes and responder analyses favoured directional preference management suggesting between-group differences were clinically important. CONCLUSIONS:In people with reducible discogenic pain, individualised directional preference management plus guideline-based advice resulted in significant and rapid improvement in short-term back and leg pain compared with advice alone. These effects were not maintained at long-term and there were no differences in activity limitation. Individualised directional preference management could be considered for patients with reducible discogenic pain seeking rapid pain relief however further research is indicated.
journal_name
Man Therjournal_title
Manual therapyauthors
Surkitt LD,Ford JJ,Chan AY,Richards MC,Slater SL,Pizzari T,Hahne AJdoi
10.1016/j.math.2016.06.002subject
Has Abstractpub_date
2016-09-01 00:00:00pages
69-80eissn
1356-689Xissn
1532-2769pii
S1356-689X(16)30626-9journal_volume
25pub_type
杂志文章,多中心研究,随机对照试验相关文献
MANUAL THERAPY文献大全abstract::The effects of passive correction of scapular position (PCSPT) on pain, proprioception, and range of motion (ROM) were investigated in neck-pain patients with bilateral scapular downward-rotation (SDR). Fifteen neck-pain patients with bilateral SDR were recruited from a workplace based work-conditioning center. The in...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2011.05.011
更新日期:2011-12-01 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 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:INTRODUCTION:Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treat...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.03.009
更新日期:2016-06-01 00:00:00
abstract::Long's manipulation (LM) is a representative Chinese manipulation approach incorporating both spinal manipulation and traditional Chinese massage (TCM) techniques. This randomized controlled trial (RCT) aimed to compare the immediate and short-term relative effectiveness of LM to TCM on patients with chronic neck pain...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2012.11.005
更新日期:2013-08-01 00:00:00
abstract::Optimal lumbopelvic stability is a function of form closure (joint anatomy), force closure (additional compressive forces acting across the joints) and neuromotor control. Impairment of any of these mechanisms can result in pain, instability, altered lumbopelvic kinematics, and changes in muscle strength and motor con...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2012.01.010
更新日期:2012-08-01 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:Nonspecific neck pain patients form a heterogeneous group with different musculoskeletal impairments. Classifying nonspecific neck pain patients into subgroups based on clinical characteristics might lead to more comprehensive diagnoses and can guide effective management. OBJECTIVE:To establish consensus am...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2016.07.005
更新日期:2016-12-01 00:00:00
abstract::Prolonged sitting and psychosocial factors have been associated with musculoskeletal symptoms among adolescents. However, the impact of prolonged static sitting on musculoskeletal pain among South African high school students is uncertain. A prospective observational study was performed to determine whether sitting po...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2009.02.005
更新日期:2009-12-01 00:00:00
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 rela...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.11.007
更新日期:2015-06-01 00:00:00
abstract::Low back pain (LBP) is a very common but largely self-limiting condition. The problem arises however, when LBP disorders do not resolve beyond normal expected tissue healing time and become chronic. Eighty five percent of chronic low back pain (CLBP) disorders have no known diagnosis leading to a classification of 'no...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2005.07.001
更新日期:2005-11-01 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::Neck/shoulder pain (NSP) is a common problem for adolescents and posture has been suggested as an important risk factor. The aim of this cross sectional study was to examine the relationship between prolonged NSP and habitual sitting posture in adolescents. The habitual sitting postures of 1593, 14-year-old adolescent...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2008.04.004
更新日期:2009-06-01 00:00:00
abstract::Scapular mobility has a central role in maintaining normal upper limb function. Scapular winging is characterized by a failure in the dynamic stabilization of the scapula against the thoracic wall resulting in a condition in which the medial border of the scapula is prominent. The following case describes a patient wh...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2015.12.006
更新日期:2016-08-01 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::Central sensitization plays an important role in the pathophysiology of numerous musculoskeletal pain disorders, yet it remains unclear how manual therapists can recognize this condition. Therefore, mechanism based clinical guidelines for the recognition of central sensitization in patients with musculoskeletal pain a...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2009.12.001
更新日期:2010-04-01 00:00:00
abstract::Prior studies indicate thoracic spinal manipulative therapy (SMT) improves shoulder pain and disability. However, these studies are limited by no control or sham-treatment group. A valid sham comparator for thoracic SMT is needed. Subjects (n=69) without shoulder pain were randomized to one of three groups: thoracic S...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2012.07.003
更新日期:2013-02-01 00:00:00
abstract::Manual therapy is effective for reducing cervicogenic dizziness, a disabling and persistent problem, in the short term. This study investigated the effects of sustained natural apophyseal glides (SNAGs) and passive joint mobilisations (PJMs) on cervicogenic dizziness compared to a placebo at 12 months post-treatment. ...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2014.08.003
更新日期:2015-02-01 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: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::The aim of the study was to investigate the reference and quotation accuracy in four peer-reviewed manual therapy journals. A stratified random sample of original research (n=7) was collected from each of the journals spanning the years January 2000 to December 2001. A further random selection of 80 references from ea...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/s1356-689x(03)00056-0
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND:Current evidence shows that manual therapy elicits analgesic effect in different populations (healthy, pain inflicted and patients with musculoskeletal pain) when carried out at the spinal column, although the clinical significance of these effects remains unclear. Also the analgesic effects of manual therap...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2014.09.001
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION AND AIM:The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2013.08.003
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Knee pain is associated with radiographic knee osteoarthritis, but the relationships between physical examination, pain and radiographic features are unclear. OBJECTIVE:To examine whether deficits in knee extension or flexion were associated with radiographic severity and pain during clinical examination in...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2014.11.014
更新日期:2015-04-01 00:00:00
abstract::The purpose of this study was to determine if patients who do not receive manipulation for their low back pain (LBP) are at an increased risk for worsening disability compared to patients receiving an exercise intervention without manipulation. One hundred and thirty-one consecutive patients with LBP were randomly ass...
journal_title:Manual therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.math.2005.09.002
更新日期:2006-11-01 00:00:00
abstract::Plantar heel pain is a symptom commonly encountered by clinicians. Several conditions such as plantar fasciitis, calcaneal fracture, rupture of the plantar fascia and atrophy of the heel fat pad may lead to plantar heel pain. Injury to the tibial nerve and its branches in the tarsal tunnel and in the foot is also a co...
journal_title:Manual therapy
pub_type: 杂志文章,评审
doi:10.1016/j.math.2007.01.014
更新日期:2008-05-01 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::In this study, the first normative database of movement control in the cervical spine has been established. For this purpose the Fly Test was used, which is a reliable and valid clinical test capable of detecting deficient movement control of the cervical spine in patients with neck pain and its associated disorders. ...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2012.09.006
更新日期:2013-06-01 00:00:00
abstract::Rehabilitative Ultrasound Imaging (RUSI) has been validated as a noninvasive method to measure activation of selected muscles. The purpose of this study was to determine the relationship between muscle thickness change, as measured by ultrasonography, and electromyography (EMG) activity of the lumbar multifidus (LM) m...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.06.011
更新日期:2007-05-01 00:00:00
abstract::The purpose of this pilot study was to evaluate sensorimotor functions in patients with chronic neck pain with objective and quantitative methods. A group of 16 patients with chronic idiopathic neck pain of insidious onset or whiplash associated disorders (WAD) was compared to an equally sized group of healthy subject...
journal_title:Manual therapy
pub_type: 杂志文章
doi:10.1016/j.math.2006.10.002
更新日期:2008-05-01 00:00:00