Spine
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The study design was descriptive. ⋯ Exercise, education, and learning with a behavioral medicine approach should be focused on in the future studies of acute WAD management.
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Narrative review of the literature and commentary. ⋯ The current evidence suggests that too much health care too early after the injury is associated with delayed recovery. Clinicians need to be educated about the risk of iatrogenic disability.
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Review
Considerations in the physical rehabilitation of patients with whiplash-associated disorders.
Review of research identifying physical impairments in the neuromuscular system in subjects with whiplash-associated disorders. ⋯ Pain and injury result in reorganization of the motor control strategies of neck muscles and movement. Further research is required to determine if outcomes after a whiplash injury can be improved by using research informed, individually prescribed exercise programs matched to the individual's presentation. Research into best methods of pain management is also required to facilitate physical rehabilitation.
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Merged data from two primary care prospective cohort studies. ⋯ The clinical course for LBP with self-reported referred leg pain is much worse. However, the fact that differences in outcome were not worse after adjustment suggests that baseline differences in severity and duration of back pain, demographic, and psychological characteristics largely explain the poorer outcomes in patients with referred leg pain. Future research needs to establish if similar results are observed among patients with clinically determined sciatica.
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Prospective analysis of preoperative and postoperative radiological data. ⋯ After classic Hirabayashi open-door laminoplasty, opened laminae showed reclosure at 6 months, with approximately 10% decrease in AP diameter and opening angle. Postoperative lamina closure was associated with recurrent spinal cord compression, suggesting the need for other augmenting techniques that keep the laminae opened.