The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Feb 2008
Randomized Controlled Trial Clinical TrialInvestigation of elevated fear-avoidance beliefs for patients with low back pain: a secondary analysis involving patients enrolled in physical therapy clinical trials.
Secondary analysis. ⋯ The FABQ work scale was the better predictor of self-report of disability in this sample of patients participating in physical therapy clinical trials. Future studies are necessary to further test and refine the FABQ work scale as a screening tool alone, and in combination with other examination findings.
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J Orthop Sports Phys Ther · Feb 2008
Diffusion-weighted magnetic resonance imaging of normal and degenerative lumbar intervertebral discs: a new method to potentially quantify the physiologic effect of physical therapy intervention.
Observational, repeated measures design. ⋯ The ADC of the nuclear region of the lumbar IVDs may be reliably measured from diffusion-weighted images. Degenerative discs had lower mean ADC values than normal discs but demonstrated greater variation between scans. Diffusion-weighted imaging may be a useful procedure to assess change in diffusion of water in lumbar discs that occurs over time.
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J Orthop Sports Phys Ther · Jan 2008
Randomized Controlled Trial Clinical TrialEfficacy of a target-matching foot-stepping exercise on proprioception and function in patients with knee osteoarthritis.
A randomized clinical trial design. ⋯ TMFSE in sitting appears to be an option for exercise in patients with mild to moderate knee OA. This may be an especially attractive option for patients who may have pain with weight-bearing exercises. A longitudinal study with a larger sample size is needed to confirm the potential use of TMFSE for patients with knee OA.
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J Orthop Sports Phys Ther · Nov 2007
Observed outcomes associated with a quota-based exercise approach on measures of kinesiophobia in patients with chronic low back pain.
Prospective series of consecutive cases. ⋯ In this study we observed that kinesiophobia decreased during an intensive physical therapy program in which exercises were performed in a quota-based manner. Following the successful performance of non-pain-contingent, quota-based exercise, patients' fears of injury lessened, and this may have had a positive influence on disability.
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J Orthop Sports Phys Ther · Oct 2007
Comparative StudyIntrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging.
Within-session intrarater and interrater reliability study. ⋯ A novice and an experienced assessor were both able to reliably perform this measure at rest for 2 vertebral levels using real-time ultrasound imaging. An average of 3 trials produced higher interrater reliability scores, though using a single trial per rater was also reliable.