The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Jan 2021
Randomized Controlled TrialDry Needling Adds No Benefit to the Treatment of Neck Pain: A Sham-Controlled Randomized Clinical Trial With 1-Year Follow-up.
To examine the short- and long-term effectiveness of dry needling on disability, pain, and patient-perceived improvements in patients with mechanical neck pain when added to a multimodal treatment program that includes manual therapy and exercise. ⋯ There were no differences in outcomes between trigger point dry needling and sham dry needling when added to a multimodal treatment program for neck pain. Dry needling should not be part of a first-line approach to managing neck pain. J Orthop Sports Phys Ther 2021;51(1):37-45. doi:10.2519/jospt.2021.9864.
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J Orthop Sports Phys Ther · Jan 2021
Connecting at the Webside: Rapid Telehealth Implementation for Musculoskeletal Clinicians.
Telehealth is rapidly being implemented during the COVID-19 pandemic. Despite evidence for the effectiveness of telehealth for musculoskeletal examination and treatment, there is a lack of clear guidance related to implementation. We provide recommendations on practical concerns related to delivering telehealth, including choice of platform; legal, ethical, and administrative considerations; building a "webside manner"; and implications for musculoskeletal examination and treatment. J Orthop Sports Phys Ther 2021;51(1):8-11. doi:10.2519/jospt.2021.9902.
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J Orthop Sports Phys Ther · Dec 2020
EditorialOvercoming Overuse Part 3: Mapping the Drivers of Overuse in Musculoskeletal Health Care.
Overcoming overuse in musculoskeletal health care requires an understanding of its drivers. In this, the third article in a series on "Overcoming Overuse" of musculoskeletal health care, we consider the drivers of overuse under 4 domains: (1) the culture of health care consumption, (2) patient factors and experiences, (3) clinician factors and experiences, and (4) practice environment. ⋯ We map drivers to potential solutions to overcome overuse. J Orthop Sports Phys Ther 2020;50(12):657-660. doi:10.2519/jospt.2020.0111.
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J Orthop Sports Phys Ther · Dec 2020
Does Movement Change When Low Back Pain Changes? A Systematic Review.
To investigate the relationship between changes in volitional spinal movement (including muscle activity) and changes in pain or activity limitation at the individual level in people with nonspecific low back pain. ⋯ A relationship between changes in movement and changes in pain or activity limitation was infrequently observed at the individual level; however, a paucity of high-quality evidence precludes a definitive understanding of this relationship. J Orthop Sports Phys Ther 2020;50(12):664-680. Epub 28 Oct 2020. doi:10.2519/jospt.2020.9635.
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A 45-year-old man presented to an emergency department reporting back pain, bilateral lower extremity weakness with paresthesia, and 1 episode of bladder incontinence. Radiographs and magnetic resonance imaging of the thoracolumbar spine were negative for cauda equina syndrome and positive for central canal stenosis and cord signal change from T2 to T4. ⋯ Two days later, the patient underwent emergency thoracic laminectomies, without fusion, for decompression of the spinal stenosis had resulted in thoracic myelopathy. J Orthop Sports Phys Ther 2020;50(12):723. doi:10.2519/jospt.2020.9262.