Treatment - MANIPULATION/MANUAL THERAPY

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Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain  Fall 2008

BACKGROUND AND PURPOSE: Posterior-to-anterior (PA) mobilization and press-up exercises are common physical therapy interventions used to treat low back pain. The purpose of this study was to examine the immediate effects of PA mobilization and a press-up exercise on pain with standing extension and lumbar extension in people with nonspecific low back pain.

DISCUSSION AND CONCLUSION: The findings of this study support the use of PA mobilization and a press-up exercise for improving lumbar extension in people with nonspecific low back pain. Although statistically significant within-group changes in pain were detected, the clinical meaningfulness of these changes is questionable.

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Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain  Summer 2008

PURPOSE: This study examined the immediate effects of Posterior-to-anterior (PA) mobilization and a press-up exercise on pain with standing extension and lumbar extension in people with nonspecific low back pain.

CONCLUSION: The findings of this study support the use of PA mobilization and a press-up exercise for improving lumbar extension in people with nonspecific low back pain. Although statistically significant within-group changes in pain were detected, the clinical meaningfulness of these changes is questionable.

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Sustained natural apophyseal glides (SNAGs) are an effective treatment for cervicogenic dizziness.  Spring 2008

Background: Cervicogenic dizziness is dizziness described as imbalance occurring together with cervical pain or headache. This study aimed to determine the efficacy of sustained natural apophyseal glides (SNAGs) in the treatment of this condition.

Conclusion: The SNAG treatment had an immediate clinically and statistically significant sustained effect in reducing dizziness, cervical pain and disability caused by cervical dysfunction.

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Development of a Clinical Prediction Rule to Identify Patients With Knee Pain and Clinical Evidence of Knee Osteoarthritis Who Demonstrate a Favorable Short-Term Response to Hip Mobilization  Fall 2007
Purpose: The primary purpose of this study was to develop a clinical prediction rule (CPR) for identifying patients with knee pain and clinical evidence of knee osteoarthritis (OA) with favorable short-term response to hip mobilizations. The secondary purpose was to determine the predictive validity of individual clinical tests for identifying these same patients.
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15-Year Follow-up of Neuromuscular Function in Patients With Unilateral Nonreconstructed Anterior Cruciate Ligament Injury Initially Treated with Rehabilitation and Activity Modification: A Longitudinal Prospective Study  Fall 2007
Background: It has been suggested that neuromuscular function is of importance in the overall outcome after anterior cruciate ligament (ACL) injury. Hypothesis: Good neuromuscular function can be achieved and maintained over time in subjects with ACL injury treated with rehabilitation and activity modification but without reconstructive surgery.
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Efficacy of a C1-C2 self-sustained natural apophyseal glide (SNAG) in the management of cervicogenic headache.  Fall 2007
Objectives: Randomized, double-blind, placebo controlled trial to determine the effect of a C1-C2 self-sustained natural apophyseal glide (SNAG) on cervicogenic headache. Cervicogenic headache is a common condition causing significant disability.
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Manual physical therapy interventions and exercise for patients with temporomandibular disorders.  Winter 2006
The purpose of this study was to investigate the outcome of a series of consecutive patients with temporomandibular disorder (TMD) who were treated with manual physical therapy interventions and exercise
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Manual Physical Therapy, Cervical Traction, and Strengthening Exercises in Patients with Cervical Radiculopathy: A Case Series.  Summer 2006
Purpose: To describe the outcomes of a consecutive series of patients presenting to physical therapy with cervical radiculopathy and managed with the use of manual physical therapy, cervical traction, and strengthening exercises.
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Comparison of High-Grade and Low-Grade Mobilization Techniques in the Management of Adhesive Capsulitis of the Shoulder: Randomized Controlled Trial  Summer 2006
The purpose of this study was to compare the effectiveness of high-grade mobilization techniques (HGMT) with that of low-grade mobilization techniques (LGMT) in subjects with adhesive capsulitis of the shoulder.
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Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A Randomized Comparison of Supervised Clinical Exercise and Manual Therapy Procedures Versus a Home Exercise Program.  Spring 2006
Objective: To compare outcomes between a home-based physical therapy program and a clinically based physical therapy program.
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Lumbar Spine Segmental Mobility Assessment: An Examination of Validity for Determining Intervention Strategies in Patients with Low Back Pain.  Spring 2006
Objective: To examine the predictive validity of posterior-anterior (PA) mobility testing in a group of patients with low back pain (LBP).
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Immediate Effects of Thoracic Manipulation in Patients with Neck Pain: a Randomized Clinical Trial.  Summer 2005
Objective: To investigate the immediate effects of thoracic spine manipulation on perceived pain levels in patients presenting with neck pain.
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Special Physical Therapy Technique Successful for Chronic Back Pain.  Summer 2005
A physical therapy method is successful in treating people with severe back pain due to disc disease, according to research that was presented at the American Academy of Neurology 57th Annual Meeting in Miami Beach, Fla., April 9 – 16, 2005.
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Manual Therapy Treatment of Cervicogenic Dizziness: A Systematic Review  Spring 2005
Objective: Systematic review of the literature on the manual therapy treatment of patients with cervicogenic dizziness, by identifying and evaluating both randomized controlled trials (RCTs) and non-RCTs (controlled clinical trials and non-controlled studies).
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A Clinical Prediction Rule to Identify Patients with Low Back Pain Most Likely to Benefit from Spinal Manipulation: A Validation Study  Spring 2005
"The results of this study mean that physical therapists can have increased confidence in using the rule to identify patients with low back pain who are good candidates for spinal manipulation."
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For more details and to view an online instructional video on the predication rule, go to www.apta.org.


Treating Female Infertility and Improving IVF Pregnancy Rate with a Manual Physical Therapy Technique  Winter 2005
Objective: To assess the effectiveness of site-specific manual soft tissue therapy in 1) facilitating natural fertility and 2) improving in vitro fertilization (IVF) pregnancy rates in women with histories indicating abdominopelvic adhesion formation.
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