Abstract:
INTRODUCTION:The patient was referred to an outpatient physical therapy clinic for lumbar radiculopathy by a primary care physician and subsequently referred for imaging due to suspicion of cervical myelopathy. The case highlights the clinical reasoning of the physical therapist differentiating between lumbar stenosis, cervical myelopathy, and upper cervical instability. To the author's knowledge, this is the only case report in the literature to describe the mechanism that could underpin a false positive Sharp-Purser test (SPT). The case also highlights the importance of interpreting the outcomes of special tests cautiously. CASE DESCRIPTION:A 55-year-old female was referred to outpatient physical therapy for lumbar radiculopathy. The patient's complaint was a one-year history of intermittent bilateral lower buttock paresthesias radiating to the bilateral posterior thighs. She reported a three-month history of bilateral anterior thigh numbness that would present after sitting for 30 minutes. Lumbar stenosis was initially suspected, however the patient's failure to improve but rather worsen with flexed postures suggested this diagnosis was improbable. The patient experienced bilateral anterior thigh numbness with active cervical flexion, and had a reduction in symptoms with the SPT. OUTCOMES:Magnetic resonance imaging revealed multi-focal disc-osteophyte complexes with central canal stenosis from C4-7. The patient underwent an anterior cervical discectomy and fusion with a good outcome. DISCUSSION:A large disc herniation causing central canal stenosis could underpin a false positive SPT. Special tests should always be used with caution, as they can lead to inaccurate diagnoses if there is a false positive.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Mansfield CJdoi
10.1080/09593985.2018.1443361subject
Has Abstractpub_date
2019-04-01 00:00:00pages
401-408issue
4eissn
0959-3985issn
1532-5040journal_volume
35pub_type
杂志文章abstract:PURPOSE:Our report describes the effect of repetitive transcranial magnetic stimulation (rTMS) combined with body weight-supported treadmill training (BWSTT) on independent gait recovery in a patient with incomplete spinal cord injury (iSCI). CASE DESCRIPTION:The patient was a 31-year-old male, household ambulator (ai...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1802797
更新日期:2020-08-12 00:00:00
abstract:OBJECTIVE:To systematically determine the specific impact of therapeutic alliance (TA) on chronic musculoskeletal pain, identify factors influencing TA between physical therapists and patients with chronic musculoskeletal pain, and determine the working definition of TA across studies. Data Sources: Databases, includin...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1516015
更新日期:2020-08-01 00:00:00
abstract::Teaching people with chronic low back pain (CLBP) about the neurobiology and neurophysiology of their pain is referred to as pain neuroscience education (PNE). There is growing evidence that when PNE is provided to patients with chronic musculoskeletal pain, it can result in decreased pain, pain catastrophization, dis...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.1080/09593985.2016.1194663
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND/PURPOSE:The increasing popularity of activity tracking devices presents an opportunity to monitor physical activity in patients after stroke. We sought to determine the reliability and accuracy of the Garmin Vivofit and Fitbit Zip for adults after stroke. METHODS:Twenty-four participants with stroke-induced...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1354412
更新日期:2017-10-01 00:00:00
abstract::The primary objective of this study was to determine the accuracy of physiotherapists' predictions of mobility for people with spinal cord injury (SCI). Five physiotherapists and 47 patients from two SCI units were recruited. Two sets of predictions about mobility at 1 year were made for each patient shortly after the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.745179
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of "breathing control" on sonographic diaphragmatic excursion. METHOD:A prospective, randomized, assessor-blinded study design involving 20 physiotherapy students; ten with knowledge of the breathing control technique (Group BC) and ten without (Group CON). All participants were ask...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2017.1323363
更新日期:2017-07-01 00:00:00
abstract::Introduction: To assist with the professional development of physical therapists in Kenya, a post-graduate residency program was developed and implemented in the country.Purpose: The purpose of this study was to explore the influence of residency training on the professional development of physical therapists.Methods:...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1737994
更新日期:2020-03-09 00:00:00
abstract::Background: Post-stroke survivors with right hemisphere injury have more impairments in postural control and balance. However, the impact of the hemisphere injured on the process of balance reacquisition has not been fully explored. We hypothesized that stroke survivors could learn balance tasks (H1), but right hemisp...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1731893
更新日期:2020-02-24 00:00:00
abstract::Introduction: Impairment of global and regional pulmonary ventilations is a well-known consequence of general anesthesia. Positive expiratory pressure (PEP) or incentive spirometry (IS) is commonly prescribed, albeit their efficacy is poorly demonstrated. The aim of this study was to assess the effects of PEP and IS o...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1443185
更新日期:2019-03-01 00:00:00
abstract::Introduction: Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain and fatigue condition. Despite extensive research, there is currently no known therapy leading to a cure for FMS. Although studies have reported that some patients can regain their health, little is known about their personal process of becomi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1830454
更新日期:2020-10-07 00:00:00
abstract::The hospitals' outpatient clinics for people with multiple sclerosis (PwMS) are important in the health care. Research regarding physiotherapy in such clinics is limited. The purpose was to investigate how PwMS perceive movement during single sessions of physiotherapy in a hospital's outpatient clinic, and what do the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.698717
更新日期:2013-01-01 00:00:00
abstract::Neck proprioception is one of the information sources that helps regulate postural balance. However, it is believed to be impaired as patients with both idiopathic neck pain (INP) and whiplash-associated disorders (WAD) have been shown to have a more unstable balance than healthy controls. This systematic review aims ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.3109/09593985.2012.677111
更新日期:2013-01-01 00:00:00
abstract::The aim of this study was to examine how risks and benefits of cervical spine manipulation (CSM) were framed and discussed in the context of mentorship and their impact on the perception of safe practice of CSM in clinical physiotherapy settings. A multi-method qualitative approach was employed, including a document a...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1375056
更新日期:2018-02-01 00:00:00
abstract::In 2004, Mälardalen University, Sweden, introduced a new undergraduate entry-level physiotherapy program. Program developers constructed the curriculum with behavioral medicine content that reflected the contemporary definition and values of the physiotherapy profession aligning it with current best practices, evidenc...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1488192
更新日期:2020-03-01 00:00:00
abstract::Cervicogenic headache (CH) is a debilitating pain problem, estimated to affect 13-17% of the population with chronic headache. Physiotherapy can improve this condition in 75% of patients but the remaining 25% are unresponsive to treatment, and to date researchers have been unable to identify predictors of non-responsi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.783894
更新日期:2013-11-01 00:00:00
abstract::The Acapella is a positive pressure device designed to assist mucociliary clearance. This study investigated the effectiveness of the Acapella in comparison to PEP mask therapy. Twenty-three participants with cystic fibrosis (CF) with a median age of 12 years (range 7-18 years), who were admitted to hospital for a res...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.3109/09593980903015268
更新日期:2010-04-22 00:00:00
abstract::Manual therapy has proven to be a benefit in the management of knee osteoarthritis (OA), but the effects of the method of Mulligan's mobilization with movement (MWM) have yet to be explored in knee OA. As a first step, this case series investigated MWM's immediate and short-term benefits over three occasions of treatm...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.702854
更新日期:2013-02-01 00:00:00
abstract::Background: Treatment of chronic pain is challenging and there is often failure of recovery, with the need to look at different approaches in its management. Central mechanisms may contribute to chronicity (i.e. disturbance in body schema). Laterality judgment is dependent on body schema and can determine affected cen...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1570575
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:External hemipelvectomy (EHP) is an uncommon procedure involving surgical amputation of the lower extremity and hemipelvis. Soft tissue sarcomas of the pelvis are rare and accompanied by a high risk of disease progression after surgical intervention. The purpose of this case report is to describe...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1023480
更新日期:2015-01-01 00:00:00
abstract::The abdominal draw-in maneuver (ADIM) is a method commonly used to reestablish neuromuscular control of the deep spine muscles among individuals with musculoskeletal problems. The purpose of this study was to evaluate the effect of ADIM combined with simulated weight-bearing (SWB) activities in the facilitation of the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1359866
更新日期:2017-12-01 00:00:00
abstract::This study was conducted to determine the test-retest reliability of measurements of grip strength obtained with the MicroFET 4 dynamometer. Measurements did not differ significantly between days and had high intraclass correlation coefficients (>.970). The technical error of measurement was low (< or =22.7 newtons). ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593980600822875
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:The objective of the present study was to investigate loading of the operated leg during quiet standing and sit-to-stand (STS) movement for 1 year after total hip arthroplasty (THA). METHODS:One hundred and fifty-eight patients with end-stage hip osteoarthritis (OA) who had undergone unilateral primary THA ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1422203
更新日期:2018-07-01 00:00:00
abstract::Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does re...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1400139
更新日期:2018-04-01 00:00:00
abstract::The main goal was to investigate changes in muscle activity and joint moments related to step length (SL) symmetry improvements in individuals poststroke following repeated split-belt treadmill (SBT) walking. Twelve individuals with a first unilateral cerebral stroke presenting initial SL asymmetry (ratio = 1.10-2.05)...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1530708
更新日期:2020-09-01 00:00:00
abstract::Purpose: The effects of preoperative respiratory muscle training (RMT) on postoperative complications in patients with pulmonary resection have recently attracted the attention of researchers. More studies are obviously needed to clarify the effects of RMT after pulmonary resection. The aim of this study was to evalua...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1488189
更新日期:2020-03-01 00:00:00
abstract::Anterior cruciate ligament (ACL) injuries are common in sports including a significant failure rate following reconstruction. The iliotibial band (ITB) is an important stabilizer of the lateral portion of the knee and also an important lateral rotator of the tibia. Both the tensor fascia lata (TFL) and gluteus maximus...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1486492
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Vulvar edema is a condition rarely reported and without defined treatment that may result in functional limitation. The aim of the report is to describe a case series of patients with disabling vulvar edema of different etiologies that were treated with manual lymphatic drainage (MLD) and multi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1038375
更新日期:2015-01-01 00:00:00
abstract::This study has explored the experience of body awareness in patients with chronic pain as well as possible changes in this phenomenon as a consequence of Norwegian psychomotor physiotherapy (NPMP), were explored in the present study. Four focus group interviews were performed. Two groups consisted of patients on waiti...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980701738400
更新日期:2008-07-01 00:00:00
abstract::Over the past few years concerns have been rising about the use of Evidence-Based Practice (EBP). We explored obstacles among Belgian physiotherapists to the implementation of EBP in clinical work. We used a qualitative research strategy based on five focus groups, organised between October 2004 and May 2005. Purposef...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593980802661949
更新日期:2009-10-01 00:00:00
abstract::In part, this is a synopsis of a talk Professor Dean was invited to share with the physical therapy students at the University of Nigeria at Enugu in July 2005. At that time, the students honored her with an Igbo name, 'Chinere' - a true highlight of her career. ...
journal_title:Physiotherapy theory and practice
pub_type: 社论
doi:10.1080/09593980601014944
更新日期:2006-11-01 00:00:00