1,720,996 research outputs found
Book review. Whiplash, Headache, and Neck Pain, G. Jull, M. Sterling, D. Falla, J. Treleaven, S. O’Leary. Churchill Livingstone Elsevier (2008), 243 pages, £24.99, ISBN: 978-0-443-10047-5
No full textBook Review: Clinical Anatomy of the Lumbar Spine and Sacrum, 4th ed., Nikolai Bogduk. Elsevier Churchill Livingstone (2005), 250 pages, £29.99, ISBN 0-443-10119-1
No full textA comparison of manual diagnosis with a diagnosis established by a uni-level lumbar anaesthetic block procedure
No full textSUMMARY. The study was designed to test if a manipulative therapist (MT) using manual examination techniques alone or when accompanied by a verbal response from the subject as to the pain produced, could diagnose the lumbar segmental level responsible for a subjects low back pain and referred pain. The study consisted of prospective and retrospective parts where the MTs manual diagnosis of the symptomatic lumbar segmental level was compared to a segmental level diagnosis attained by subsequent or previous spinal anaesthetic blocks. In the prospective part of the study the MT's manual diagnosis was 94.12% and 52.9% sensitive in detecting the symptomatic lumbar segmental level with verbal and non-verbal subject responses, respectively. In the retrospective part of the study the MTs manual diagnosis was found to be 60.86% and 47.82% sensitive in detecting the symptomatic lumbar segmental level with verbal and non-verbal subject responses, respectively. In the prospective study the MT's manual diagnosis showed 100% and 80% specificity in detecting subjects with no history of low back pain with verbal and non-verbal subject responses, respectively, and 100% and 75% specificity in the retrospective study with verbal and non-verbal subject responses, respectively. Inter-therapist reliability analysis for the recording of passive physiological intervertebral movements (PPIVMs), passive accessory intervertebral movements (PAIVMs) and ‘tissue response’ showed percentage agreement rates ranging from 55% to 99%; 74% to 100% and 43% to 100%, respectively, with weighted kappa values ranging from ?0.11 to 0.32; ?0.15 to 0.24 and kappa values ranging from -0.16 to 0.28, respectively. This study demonstrates that a MT's manual examination when accompanied by a verbal subject response, is highly accurate in detecting the lumbar segmental level responsible for a subjects complaint
Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study - experimental design
No full textA single case study ABC design was used to evaluate the effectiveness of manipulative physiotherapy in a 44-year-old woman with an 8-month history of neurogenic cervicobrachial pain. Clinical examination demonstrated significant signs of upper quadrant neural tissue mechanosensitivity indicating that neural tissue was the dominant tissue of origin for the subject's complaint of pain. Magnetic resonance imaging revealed correlating discal pathology at the C5/6 intersegmental level. The study involved a 4-week pre-assessment phase, a 4-week treatment phase and a 2-week home exercise phase. Functional disability was measured using the Northwick Park Neck Pain Questionnaire and pain was assessed using the McGill Short Form Pain Questionnaire. Cervical motion was measured by a cervical range of motion device (CROM) and the range of shoulder abduction with a mediclino inclinometer. Manipulative physiotherapy treatment involved a cervical lateral glide mobilization technique. Following treatment, visual analysis revealed beneficial effects on pain, functional disability as well as cervical and shoulder mobility. These improvements were maintained over the home exercise phase and at 1-month follow-up. The single case limits generalization of the findings, but the results support previous studies in this area and gives further impetus to controlled clinical trials.<br/
A taxonomic revision of Stenoglottis (Orchideae, Orchidoideae, Orchidaceae)
No full textPhillips, Dean P., Bytebier, Benny (2020): A taxonomic revision of Stenoglottis (Orchideae, Orchidoideae, Orchidaceae). Phytotaxa 456 (3): 219-243, DOI: https://doi.org/10.11646/phytotaxa.456.3.1, URL: http://dx.doi.org/10.11646/phytotaxa.456.3.
FIGURE 5 in A taxonomic revision of Stenoglottis (Orchideae, Orchidoideae, Orchidaceae)
No full textFIGURE 5. Distribution of Stenoglottis fimbriata var. modesta.Published as part of Phillips, Dean P. & Bytebier, Benny, 2020, A taxonomic revision of Stenoglottis (Orchideae, Orchidoideae, Orchidaceae), pp. 219-243 in Phytotaxa 456 (3) on page 230, DOI: 10.11646/phytotaxa.456.3.1, http://zenodo.org/record/558592
Group hydrotherapy exercises for chronic back pain sufferers - introduction and monitoring
No full textA programme of back exercises in hydrotherapy was developed for a group of people with chronic back pain. As part of management practice, the group was monitored before and during the programme. Findings demonstrated a reduction in pain levels and an improvement in quality of life. The value of the sufferers reassuming control of their treatment programmes and the advantages of working in groups are debated. The financial considerations of hiring out National Health Service facilities to self-help groups are discussed
Can digital rectal examination be used to detect cauda equina compression in people presenting with acute cauda equina syndrome? A systematic review and meta-analysis of diagnostic test accuracy studies
No full textBackground: digital rectal examination (DRE) is a commonly used test to help identify people with cauda equina compression (CEC). Objective: To determine the diagnostic accuracy of DRE in assessment of anal tone, squeeze, sensation and reflexes, as predictors of CEC. Design: a systematic review to investigate the diagnostic accuracy of DRE to detect CEC compared with lumbar Magnetic Resonance Imaging (MRI). Method: Six electronic databases were searched from inception to 6 July 2020 for studies published in English. Two assessors independently performed screening, data extraction and risk of bias assessment (QUADAS-2). Meta-analysis was performed using STATA-16. Results: six studies were included (n = 741). The sensitivity of anal tone was low across all studies (range: 0.23 to 0.53) with moderate quality evidence against the use of DRE of anal tone. One study on anal sensation found no correlation with CEC using Kendall's tau test: p = 0.102 and another found sensation had low test accuracy. One study identified sensitivity: 0.29 and specificity: 0.96 for anal squeeze, while another identified sensitivity: 0.38 and specificity: 0.6 for anal reflexes. Conclusion: the diagnostic accuracy of DRE of anal tone to detect CEC is low and carries a high risk of false reassurance. It is therefore not recommended in any clinical setting. More research is needed to determine the diagnostic accuracy of DRE of anal squeeze, sensation and reflexes and if done the results should be interpreted with caution.</p
FIGURE 6 in A taxonomic revision of Stenoglottis (Orchideae, Orchidoideae, Orchidaceae)
No full textFIGURE 6. Selected specimens of Stenoglottis longifolia. A, flower ventral view, Nkandla Forest Reserve (KZN). B, flowers, Ngoye Forest Reserve (KZN). C–D, flower ventral view and inflorescence, Eshowe (KZN). E, flower ventral view, Krantzkloof Nature Reserve (KZN). F, flower ventral view, Shongweni (KZN). G, flowers, Noodsberg (KZN). H–J, flower ventral view, lateral view (showing spurless labellum and recurved bract) and leaf rosette (cultivated), Kranskop (KZN). K–L, flower ventral and lateral view, Ngoye Forest Reserve (KZN). M, habit (in situ), Eshowe (KZN). N–O, column lateral and ventral view, Ngoye Forest Reserve (KZN). Scale bars = 5 mm (A–L), 0.5 mm (N–O). Abbreviations: au = auricle, an = anther, stg = stigmatic arm. M reproduced with the permission of Herbert Stärker.Published as part of Phillips, Dean P. & Bytebier, Benny, 2020, A taxonomic revision of Stenoglottis (Orchideae, Orchidoideae, Orchidaceae), pp. 219-243 in Phytotaxa 456 (3) on page 233, DOI: 10.11646/phytotaxa.456.3.1, http://zenodo.org/record/558592
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