The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Apr 2015
Randomized Controlled Trial Comparative StudyThe comparative effects of spinal and peripheral thrust manipulation and exercise on pain sensitivity and the relation to clinical outcome: a mechanistic trial using a shoulder pain model.
Single-blind randomized trial. ⋯ Therapy, level 1b.
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J Orthop Sports Phys Ther · Apr 2015
The geography of fatty infiltrates within the cervical multifidus and semispinalis cervicis in individuals with chronic whiplash-associated disorders.
Cross-sectional. ⋯ This study provides preliminary data mapping the spatial distribution of MFI in the cervical multifidus and semispinalis cervicis muscles in individuals with chronic WAD, those who have recovered from a whiplash injury, and healthy controls. Muscle fat infiltration is more concentrated in the medial portion of the muscles in all participants. However, the magnitude of MFI in the medial quartiles (1 and 2) is greatest in the chronic WAD group.
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J Orthop Sports Phys Ther · Apr 2015
External validation of a clinical prediction rule to predict full recovery and ongoing moderate/severe disability following acute whiplash injury.
Retrospective secondary analysis of data. ⋯ Prognosis, level 1b.
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J Orthop Sports Phys Ther · Mar 2015
Comparison of cervical spine stiffness in individuals with chronic nonspecific neck pain and asymptomatic individuals.
Clinical measurement, cross-sectional. ⋯ These preliminary results suggest that cervical spine stiffness may be greater in the presence of nonspecific neck pain. However, judgments regarding pain intensity and level of disability should not be inferred from examinations of spinal joint stiffness.
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J Orthop Sports Phys Ther · Mar 2015
Case ReportsCervical myelopathy in a special operations soldier.
The patient was a 31-year-old man who was currently serving in a military special operations combat unit. He was evaluated by a physical therapist for a chief complaint of upper extremity weakness and decreased hand dexterity bilaterally. Due to strong suspicion of spinal cord involvement, the physical therapist ordered magnetic resonance imaging, which revealed advanced degenerative changes of the cervical spine and a large disc extrusion at C5-C6.