The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Jan 2020
Randomized Controlled TrialShort-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial.
To determine the short-term effectiveness of thoracic manipulation when compared to sham manipulation for individuals with low back pain (LBP). ⋯ Therapy, level 1b. J Orthop Sports Phys Ther 2020;50(1):24-32. Epub 6 Dec 2019. doi:10.2519/jospt.2020.8928.
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J Orthop Sports Phys Ther · Jan 2020
Case ReportsAcute Fracture of the Third Metacarpal in a Handball Player.
A 20-year-old right hand-dominant male military cadet presented to the direct-access physical therapy clinic complaining of pain and swelling of his right hand, which was injured while competing in a team handball match the day before. Due to suspicion of a third metacarpal fracture, fluoroscopy was performed on the cadet's hand in the physical therapy clinic, and an apparent oblique fracture was noted. Confirmatory radiographs were ordered and the cadet was referred for orthopaedic consultation. J Orthop Sports Phys Ther 2020;50(1):44. doi:10.2519/jospt.2020.9034.
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J Orthop Sports Phys Ther · Jan 2020
The Elephant in the Room: Too Much Medicine in Musculoskeletal Practice.
While advances in assessment and management of musculoskeletal conditions have improved care for many people, there have been other, less beneficial developments in the provision of care for people with musculoskeletal pain conditions, one of which is the worrying tendency to provide too much medicine. Too much medicine occurs when the provision of either investigation or intervention (or both) is unjustifiably excessive. ⋯ The authors (1) list 2 common examples of too much medicine, and 2 examples of medicalizing normality, relevant to physical therapy practice; (2) outline the drivers of too much medicine and medicalizing normality; and (3) make suggestions for change. J Orthop Sports Phys Ther 2020;50(1):1-4. doi:10.2519/jospt.2020.0601.