The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Feb 2013
Review Meta AnalysisRisk factors for persistent problems following acute whiplash injury: update of a systematic review and meta-analysis.
Systematic review and meta-analysis. ⋯ This review identified 2 additional prognostic factors and refined the estimates of 7 previously identified factors, bringing the total number of significant predictors across the 2 reviews to 12. These factors can be easily identified in a clinical setting to provide estimates of prognosis following whiplash.
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J Orthop Sports Phys Ther · Feb 2013
Falls among patients who had elective orthopaedic surgery: a decade of experience from a musculoskeletal specialty hospital.
Retrospective cohort study. ⋯ Falls are avoidable events that are poorly described among orthopaedic patients having elective procedures. This large series identifies hip replacement patients as being at almost 4-fold risk of having a serious adverse event after falling. Larger prospective trials are needed to confirm results and to inform prevention strategies.
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J Orthop Sports Phys Ther · Jan 2013
Comparative StudyComparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain.
Cross-sectional, case-control study. ⋯ To our knowledge, this is the first study to investigate the morphological characteristics of all 4 abdominal muscles and PMCT in individuals with LPP. The results suggest that there may be altered loading of the PMCT and linea alba secondary to an altered motor control strategy involving a reduced contribution of the RA. Further, the change in RA and connective tissue morphology may be more evident than changes in external oblique, IO, and TrA thickness in persons with LPP. The causes and functional implications of these changes warrant further investigation, as does the role of the RA muscle in the development and persistence of LPP.
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J Orthop Sports Phys Ther · Jan 2013
Patient expectations of benefit from interventions for neck pain and resulting influence on outcomes.
Retrospective cohort. ⋯ Prognosis, level 2b-.
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J Orthop Sports Phys Ther · Nov 2012
Magnetic resonance imaging changes in the size and shape of the oropharynx following acute whiplash injury.
Prospective longitudinal. ⋯ Temporal reductions in CSA of the oropharynx occur following whiplash and persist to a greater extent in those with moderate/severe symptoms at 6 months postinjury. Studies are planned (1) to better investigate the underlying mechanisms of CSA reductions, (2) to determine their relevance to functional recovery and production of voice following whiplash, and (3) to evaluate multidisciplinary assessment and management of these patients.