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Posts from the ‘Education and Research’ Category

6
Feb

A comparative study of treatment interventions for patellar tendinopathy: a randomized controlled trial.

Ma Pilar López-RoyoJosé Ríos-DíazRita María Galán-Díaz … 1,Eva Ma Gómez-Trullén

PubMed​Clinical Study; Human-related; Randomized Controlled Trialn=48

PMID:33556350

DOI:10.1016/j.apmr.2021.01.073

Published:2021 Feb 05

Created at:–

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Last revised:2021-02-08

Source:Archives of physical medicine and rehabilitation (Arch Phys Med Rehabil), volume , issue , 2021, ISSN: 1532-821X

Publication Country:United States

Publication Type:Journal Article

Keywords: Dry Needling, Eccentric Exercise, Patellar Tendinopathy, Percutaneous Needle Electrolysis, Tendinopathy Title

A comparative study of treatment interventions for patellar tendinopathy: a randomized controlled trial. Abstract

OBJECTIVE: To determine the additional effect of dry needling (DN) or percutaneous needle electrolysis (PNE) combined with eccentric exercise (EE) and compare which one is the most effective for patients with patellar tendinopathy (PT).

20
Jan

Results of chiropractic scoliosis rehabilitation treatment at two years post-skeletal maturity in identical female twins.

Brian DovoranyMark W MorningstarClayton StitzelAatif Siddiqui

PubMed​PubMed Case ReportHuman-related

PMID:26592215

DOI:10.1016/j.jbmt.2014.11.015

Published:2015 Oct 

Created at:– READ MORE HERE …

Last revised:2015-11-23

Source:Journal of bodywork and movement therapies (J Bodyw Mov Ther), volume 19, issue 4, 2015, ISSN: 1532-9283

Publication Country:United States

Publication Type:Case Reports, Journal Article

MeSH Terms:Adolescent; Female; Humans; Manipulation, Chiropractic (methods); Scoliosis (therapy) Title

Results of chiropractic scoliosis rehabilitation treatment at two years postskeletal maturity in identical female twins.

SOURCE: https://www.bodyworkmovementtherapies.com/article/S1360-8592(14)00201-0/fulltext

7
Jan

PubMed, BMC: Acupuncture and chiropractic care for chronic pain in an integrated health plan: a mixed methods study.

Lynn L DeBarCharles ElderCheryl Ritenbaugh … 5,Bobbi Jo Yarborough

PubMed​Human-related

PMID:22118061

DOI:10.1186/1472-6882-11-118

Published:2011 Nov 25

Created at:– READ MORE HERE …

Last revised:2016-12-15

Source:BMC complementary and alternative medicine (BMC Complement Altern Med), volume 11, issue , 2011, ISSN: 1472-6882

Publication Country:England

Publication Type:Clinical Trial, Phase I, Clinical Trial, Phase II, Clinical Trial, Phase III, Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov’t, P.H.S.

MeSH Terms:Acupuncture Therapy; Adult; Aged; Chronic Pain (therapy); Combined Modality Therapy; Delivery of Health Care, Integrated; Female; Humans; Male; Manipulation, Chiropractic; Middle Aged; Musculoskeletal Pain (therapy); Prospective Studies; Retrospective Studies; Young Adult Title

Acupuncture and chiropractic care for chronic pain in an integrated health plan: a mixed methods study.

SOURCE: https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/1472-6882-11-118

9
Dec

Comparison of Treatment Outcomes in Nonspecific Low-Back Pain Patients With and Without Modic Changes Who Receive Chiropractic Treatment.

Annen Michèle M, Peterson Cynthia C, Humphreys B Kim BK

PubMedClinical StudyReal-world Evidence

n=112

PMID:30442355

DOI:10.1016/j.jmpt.2018.01.008

Published:2018 09

Created at:

Last revised:2019-11-13

Source:Journal of manipulative and physiological therapeutics (J Manipulative Physiol Ther), volume 41, issue 7, 2018, ISSN: 1532-6586

Publication Country:United States

Publication Type:Journal Article, Research Support, Non-U.S. Gov’t

Keywords:Chiropractic, Diagnostic Imaging, Manipulation, Spinal, Outcome Assessment (Health Care)

MeSH Terms:Adolescent; Adult; Aged; Aged, 80 and over; Disability Evaluation; Female; Humans; Low Back Pain (therapy); Lumbar Vertebrae (diagnostic imaging); Magnetic Resonance Imaging; Male; Manipulation, Spinal; Middle Aged; Pain Measurement; Prospective Studies; Young Adult

Abstract

OBJECTIVE: The aim of this study was to determine if there was a difference in outcomes in patients with nonspecific low back pain, both with and without Modic changes (MCs), who received chiropractic care.

METHODS: This prospective outcomes study included 112 patients with low back pain without disc herniation on magnetic resonance imaging. All patients were treated with spinal manipulative therapy. At baseline, the numerical rating scale (NRS) and Bournemouth Questionnaire (BQ) for disability were collected. The NRS, BQ, and Patient‘s Global Impression of Change (primary outcome) were collected at the follow-up time points of 1 week, 1 month, and 3 months to assess overall improvement. Magnetic resonance imaging scans were analyzed for the presence of MCs and, if present, classified as Modic I or II. The χ2 test was used to compare the proportion of patients reporting clinically relevantimprovement” between patients with and without MCs and between Modic I and Modic II patients. The unpaired Student t test was used to compare NRS and BQ at baseline and change scores at all follow-up time points.

RESULTS: For the primary outcome measure, the proportion of patients reporting relevantimprovement” (Patient‘s Global Impression of Change), and for the secondary outcome measures (NRS and BQ change scores), there were no significant differences between Modic positive and Modic negative patients or between Modic I and Modic II patients.

CONCLUSION: Neither the presence nor absence of MCs nor the Modic change category were related to treatment outcomes for patients with low back pain without disc herniation who received chiropractic care.

Copyright © 2018. Published by Elsevier Inc.

 

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SOURCE: https://search.doctorevidence.com/details/g1kALIpMjIBNHAA

2
Dec

Health care utilization and costs associated with adherence to clinical practice guidelines for early magnetic resonance imaging among workers with acute occupational low back pain.

Graves Janessa M JM, Fulton-Kehoe Deborah D, Jarvik Jeffrey G JG, Franklin Gary M GM

PubMedClinical StudyReal-world Evidence

n=1770

PMID:23910019

DOI:10.1111/1475-6773.12098

Published:2014 Apr

Created at:

Last revised:2017-02-20

Source:Health services research (Health Serv Res), volume 49, issue 2, 2014, ISSN: 1475-6773

Publication Country:United States

Publication Type:Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov’t, Research Support, U.S. Gov’t, P.H.S.

Keywords:Low back pain, clinical practice guidelines, costs, diagnostic imaging, utilization, workers’ compensation

MeSH Terms:Acute Disease; Adult; Female; Guideline Adherence (statistics & numerical data); Health Expenditures; Health Services (economics, utilization); Humans; Insurance Claim Review (statistics & numerical data); Low Back Pain (diagnosis); Magnetic Resonance Imaging; Male; Middle Aged; Occupational Diseases (diagnosis); Practice Guidelines as Topic; Socioeconomic Factors; Washington (epidemiology); Workers’ Compensation

Abstract

OBJECTIVE: To estimate health care utilization and costs associated with adherence to clinical practice guidelines for the use of early magnetic resonance imaging (MRI; within the first 6 weeks of injury) for acute occupational low back pain (LBP).

DATA SOURCESWashington State Disability Risk Identification Study Cohort (D-RISC), consisting of administrative claims and patient interview data from workers’ compensation claimants (2002-2004).

STUDY DESIGN: In this prospective, populationbased cohort study, we compared health care utilization and costs among workers whose imaging was adherent to guidelines (no early MRI) to workers whose imaging was not adherent to guidelines (early MRI in the absence of red flags).

DATA COLLECTION/EXTRACTION METHODS: We identified workers (age>18) with work-related LBP using administrative claims. We obtained demographic, injury, health, and employment information through telephone interviews to adjust for baseline differences between groups. We ascertained health care utilization and costs from administrative claims for 1 year following injury.

PRINCIPAL FINDINGS: Of 1,770 workers, 336 (19.0 percent) were classified as nonadherent to guidelines. Outpatient and physical/occupational therapy utilization was 52-54 percent higher for workers whose imaging was not adherent to guidelines compared to workers with guidelineadherent imaging; utilization of chiropractic care was significantly lower (18 percent).

CONCLUSIONSNonadherence to guidelines for early MRI was associated with increased likelihood of lumbosacral injections or surgery and higher costs for out-patient, inpatient, and nonmedical services, and disability compensation.

© Health Research and Educational Trust.

 

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SOURCE: https://www.ncbi.nlm.nih.gov/pubmed/23910019