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The Relative Effectiveness Of Muscle Energy Technique As Opposed To Specific Passive Mobilization In The Treatment Of Acute And Sub Acute Mechanical Low Back Pain
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Book Synopsis The Relative Effectiveness of Muscle Energy Technique as Opposed to Specific Passive Mobilization in the Treatment of Acute and Sub-acute Mechanical Low Back Pain by : Keshnee Pillay
Download or read book The Relative Effectiveness of Muscle Energy Technique as Opposed to Specific Passive Mobilization in the Treatment of Acute and Sub-acute Mechanical Low Back Pain written by Keshnee Pillay and published by . This book was released on 2005 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Efficacy of Muscle Energy Technique in Patients with Acute Low Back Pain by : Eric Wilson
Download or read book The Efficacy of Muscle Energy Technique in Patients with Acute Low Back Pain written by Eric Wilson and published by . This book was released on 2001 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute low back pain is treated by a variety of health care providers utilizing an array or treatment approaches. In 1995, acute low back pain was the 5th most common reason for all physician visits in the United States over 13 billion dollars of medical expenses per year are attributed to low back pain affecting from 5 to 10% of the adult population annually with a prevelance from 60 to 90% over a ltfetime. Acute low back pain occurs in people with a wide variety of professions including those involving heavy labor, repetitive work activities and extended sedentary postures. Half of the population will have experienced a significant incidence of low back pain by age thirty. There is much controversy in the literature in regards to how to best manage patients with acute low back pain. Much of this controvery stems from two distinctly different philosophies: medical management and physical therapy management. Standard medical management most often emphasizes the need for the patient to remain as active as possible while prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) and/or muscle relaxants to assist in symptom control/relief. Some advocates of medical management believe that physical therapy, especially exercise-based interventions, are contraindicated for patients with acute low back pain. Others feel that the "limited" benefits attained with exercise-based or manual therapy interventions are not worth the increased cost of care. Many proponents of medical management believe that 80 to 90% of all patients with acute low back pain will "spontaneously" improve within three months. However, recent reports in the literature demonstrate that 75% of the patients medically managed for acute low back pain will have recurrent episodes of low back pain within one year after intial onset of symptoms. Clearly, there must be a more efficient method of managing this patient population. Physical therapists attempt to manage patients with acute low back pain by utilizing a wide variety of interventions including exercise and manual therapy. One of the key exercise approaches that can counter the potentially long-term effects of acute low back pain is strength training. Deyol stated that failure to strength train could cause increased severity and frequency of low back pain. According to Twomey and Taylor properly implemented resistance-exercise regimes play a vital role in the treatment of acute low back pain and are crucial for a patient's successful return to function. The Mayo Foundation for Medical Education and Research advocated the use of a comprehensive, dynamic strengthening program to stabilize the trunk and spine. Unfortunately, the literature is incomplete on issues involving how to best strength train patients with acute low back pain and which specific populations will have the best outcomes with this intervention. Another common treatment for acute low back pain is the use of manual therapy. Manual therapy is a broad term that encompasses numerous techniques with many subcategories. Two of the more popular sub-categories of manual therapy are manipulation and mobilization. DiFabio defined spinal manipulation as a "high velocity thrust momentarily exceeding the available ROM". While under the broad umbrella of "manual therapy", muscle energy technique (MET) does not fall into either the manipulation or mobilization sub-categories. Muscle energy technique is an active technique in that the patient supplies the corrective force instead of the care provider. Greenman defined muscle energy technique as a "manual medicine treatment procedure that involves the voluntary contraction of patient muscle in a precisely controlled direction, at varying levels of intensity, against a distictly executed counterforce applied by the operator." It has been hypothesized that muscle energy technique can be used to lengthen and strengthen muscle(s), increase fluid mechanics and decrease local edema, and to mobilize a restricted articulation. Muscle energy technique has become more popular over the past several years. While originally considered an osteopathic treatement, muscle energy technique has found increased favor with physiatrists, physical therapists, and chiropractors in the treatment of acute and chronic spinal disorders. One of the reasons for this is that it requires active participation on the part of the patient, both in performing and maintaining the effects of the treatment - thus decreasing the risk of patient dependency. DeRosa and Porterfield advocated the use of muscle energy technique as one of the preferred methods to apply "nondestructive forces" in order to facilitate movement at the site of impairment. If the patient is able to tolerate forces into the impaired joint area and more normal motion is restored, the patient should be able to improve spinal mobility with greater ease. Enhanced spinal mobility should lead to improved activity levels, which is imperative for the successful long-term management of low back pain. While muscle energy technique has found an increased audience with clinicians, very little has been published in the peer-reviewed literature on this intervention. Its wide-spread use in the clinic makes it imperative that we determine if this technique is viable procedure for the treatment of acute low back pain. The purpose of this randomized, double-blind, sequential clinical trial was to determine whether patients with acute low back pain would demonstrate a more rapid return to function, as assessed by the Oswestry Disability Index, after being treated with muscle energy technique treatment coupled with supervised strengthening exercises as compared to patients treated with supervised strengthening exercises alone. The following research hypothesis was investigated: There will be a statistically significant difference (p
Book Synopsis The impact of muscle energy technique on pain, functional mobility, and quality of life in an individual with low back pain by : Ashley Nebel
Download or read book The impact of muscle energy technique on pain, functional mobility, and quality of life in an individual with low back pain written by Ashley Nebel and published by . This book was released on 2016 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Low back pain (LBP) is a major cause of disability resulting in pain, reduced function, personal suffering, and societal burden in terms of health care costs and lost work productivity. It is estimated that 70-85 % of people experience LBP at some point in their lives and $50 billion is spent on treating LBP annually. Physical therapists are frequently involved in treatment of individuals with LBP, providing a multitude of interventions to improve mobility and reduce pain. Many individuals reduce their health care expenses and recover more quickly through conservative management provided by a physical therapist. One treatment often provided by physical therapists is the Muscle Energy Technique (MET). PURPOSE: MET currently has widespread use amongst physical therapists however, there is low quantity and quality of evidence available in the literature to support the use of MET by physical therapists to treat patients with LBP. The purpose of this case report is to describe the impact of MET usage on disability level, pain, and functional mobility in an individual with LBP treated in an outpatient physical therapy clinic. CASE DISCRIPTION: Subject: The patient, MR, is a 44 year old male without significant past medical history presenting to physical therapy 2-weeks after sustaining a low back injury at work. MR has a physically intensive job at a large international airport. Following the injury, MR reported severe LBP, inability to continue working, and difficulty standing and walking. At the time of initial evaluation, MR presented with severely limited lumbar AROM in all directions but especially flexion (limited 75%) as measured by goniometry. Lumbar alignment assessed by palpation of bilateral transverse processes during lumbar flexion and extension revealed a lumbar flexion restriction with L4-L5 and L5-S1 segments struck in extension and side-bending right (ERS right). Additionally, assessment of pelvic girdle dysfunction with seated forward flexion test and palpation of bony landmarks revealed a right anteriorly rotated innominate. Initial score on the Revised Oswestry Disability Index (ODI) indicated 50% impairment and Fear Avoidance Belief Questionnaire work subscale score (FABQW, completed retrospectively) was 42 points indicating high levels of fear and pain-avoidance behavior. Intervention: Treatment was provided for 2.5 weeks for 5 therapy sessions, and included lumbar MET, pelvic MET, myofascial release (MFR), and therapeutic exercise targeted toward self- correction of lumbar and pelvic alignment, and strengthening core musculature to increase lumbar stability. Lumbar and pelvic MT were contractions in a controlled direction against a counter-force supplied by the therapist, followed by intervals of assisted stretching into a new range of motion. OUTCOMES: The patient responded very well to all treatments provided. By the second session, the patient reported reduced pain to 1/10 on verbal analog scale (VAS). By the fourth session, the patient had lumbar AROM within normal limits. By the last session, the patient had returned to work and stated having made 100% progress towards improvement. Revised ODI improved from 50% to 0% while FABQW improved from 42/42 to 11/42 at discharge. These measures reveal greatly reduced self-perceived disability, fear, and pain-avoidance behavior. DISCUSSION: The results of this case suggest that MET may provide therapeutic benefit to patients with acute LBP. MR derived significant benefit with the application of only a few applications of MET to the lumbar spine and pelvis, building support for the efficiency of this technique in managing LBP.
Book Synopsis Muscle Energy Techniques by : Leon Chaitow
Download or read book Muscle Energy Techniques written by Leon Chaitow and published by W.B. Saunders Company. This book was released on 1996 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Diagnosis and Treatment of Movement Impairment Syndromes by : Shirley Sahrmann
Download or read book Diagnosis and Treatment of Movement Impairment Syndromes written by Shirley Sahrmann and published by Elsevier Health Sciences. This book was released on 2001-09-04 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by an acknowledged expert on muscle and movement imbalances, this well illustrated book presents a classification system of mechanical pain syndromes that is designed to direct the exercise prescription and the correction of faulty movement patterns. The diagnostic categories, associated muscle and movement imbalances, recommendations for treatment, examination, exercise principles, specific corrective exercises, and modification of functionalactivities for case management are described in detail. This book is designed to give practitioners an organized and structured method of analyzing the mechanical cause of movement impairment syndrome, the contributing factors and a strategy for management. * Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.
Book Synopsis Physical Therapy of the Cervical and Thoracic Spine by : Ruth Grant
Download or read book Physical Therapy of the Cervical and Thoracic Spine written by Ruth Grant and published by . This book was released on 1994 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: An overview of the subject for physical therapists presented in three sections: anatomy, biomechanics, and innervation; examination and assessment; and clinical management. Covers treatment by passive movement, recognizing four mechanisms of neurogenic pain, and management of neural injury by manual therapy. Includes discussion linking science, art, and placebo in manual therapy. This second edition contains eight new chapters. Annotation copyright by Book News, Inc., Portland, OR
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309459575 Total Pages :483 pages Book Rating :4.3/5 (94 download)
Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Book Synopsis Low Back Disorders by : Stuart McGill
Download or read book Low Back Disorders written by Stuart McGill and published by Human Kinetics. This book was released on 2007 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of 'Low Back Disorders' provides research information on low back problems and shows readers how to interpret the data for clinical applications.
Book Synopsis Science, Theory and Clinical Application in Orthopaedic Manual Physical Therapy: Applied Science and Theory by : Ola Grimsby
Download or read book Science, Theory and Clinical Application in Orthopaedic Manual Physical Therapy: Applied Science and Theory written by Ola Grimsby and published by Lulu.com. This book was released on 2008-09-16 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: This long awaited textbook from The Ola Grimsby Institute provides decades of clinical experience and reasoning, with both historical and current evidence, with rationale for both passive and active treatments in orthopaedic manual therapy. Practical guidelines for joint mobilization and exercise rehabilitation are presented with this logical and exciting work. Incorporating experience and science, this book provides new approaches and treatment principles to make what you already do more effective. Extensive Content: Over 535 pages and 275 illustrations, photographs and tables Ola Grimsby and his co-authors have compiled a significant resource for the practicing physical therapist, manual therapist or osteopath.
Book Synopsis Modern Neuromuscular Techniques E-Book by : Leon Chaitow
Download or read book Modern Neuromuscular Techniques E-Book written by Leon Chaitow and published by Elsevier Health Sciences. This book was released on 2010-08-25 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully updated throughout, this popular book explains the history, rationale, and detailed descriptions of the class of soft tissue manipulation methods known collectively as NMT techniques. Complete with accompanying website - www.chaitowonline.com - which contains film sequences of the author demonstrating the techniques, this book will be ideal for bodyworkers and acupuncturists in Europe, the USA and beyond. Facilitates the rapid and accurate identification of local soft-tissue dysfunction Explains the origin of soft tissue distress Provides diverse maps and explanations for the patterns of tender and trigger points seen daily in clinical practice Includes guidance on the use of NMT for the treatment of the symptoms of fibromyalgia and abdominal dysfunction Gives important guidance on the treatment of trigger points in treating lymphatic dysfunction Discusses the use of NMT in the management of pain and hyperventilation Explains the diagnostic and therapeutic value of tender reflex points related to viscero-somatic and somatic-visceral reflexes Describes both European and North American versions of NMT Provides a clear set of treatment options for all bodywork therapists and acupuncture practitioners Authored by a highly respected, internationally known teacher, practitioner and author, with contributions from three leading practitioners from the U.S. and Europe Contains a new chapter on the value of Thai Yoga massage, associated with NMT methodology Contains source material and commentary on the contribution of Raymond Nimmo DC in the evolution of NMT Website - www.chaitowonline.com - containing updated video clips demonstrating the application of NMT
Book Synopsis Manual Physical Therapy of the Spine - E-Book by : Kenneth A. Olson
Download or read book Manual Physical Therapy of the Spine - E-Book written by Kenneth A. Olson and published by Elsevier Health Sciences. This book was released on 2015-02-10 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master the techniques and problem-solving skills needed to manage spinal and TMJ disorders! Manual Physical Therapy of the Spine, 2nd Edition provides guidelines to manipulation, manual physical therapy examination, and treatment procedures of the spine and temporomandibular joint. Informed by evidence-based research, this text offers detailed instructions for reaching an accurate diagnosis and developing a plan of care. Written by well-known spinal manipulation expert Kenneth Olson, this resource provides the complete information you need to make sound decisions during clinical interventions. Descriptions of manual therapy techniques include evidence-based coverage of the examination and treatment of spine and TMJ disorders, along with discussions of alternative treatment methods and potential adverse effects and contraindications to manipulation. Guidelines for completing a comprehensive spinal examination include medical screening, the patient interview, disability assessment, and tests and measures, along with an evaluation of the examination findings and the principles involved in arriving at a diagnosis and plan of care. Impairment-based manual physical therapy approach includes a review of the evidence to support its use to evaluate and treat spinal and TMJ conditions. Case studies demonstrate the clinical reasoning used in manual physical therapy. Guide to Physical Therapist Practice terminology is incorporated throughout the book, using accepted terms familiar in physical therapy settings. Expert author Ken Olson is a highly respected authority on the subject of spinal manipulation in physical therapy. A clear, consistent format for explaining techniques makes this reference easy to use in the clinical setting. NEW! Coverage of emerging topics includes soft tissue assessment, mobilization, dry needling, myofascial pain and trigger points, thoracic outlet syndrome, cervicogenic dizziness, and differentiation of headache types, plus expanded coverage of examination procedures and psychologically informed management strategies for chronic low back pain. NEW! Full-color design and photographs show essential concepts and procedures from multiple angles, illustrating hand and body placement and direction of force. UPDATED evidence-based research provides the latest thinking on manual therapy of the spine.
Book Synopsis Tension-Type and Cervicogenic Headache by : César Fernández-de-las-Peñas
Download or read book Tension-Type and Cervicogenic Headache written by César Fernández-de-las-Peñas and published by Jones & Bartlett Learning. This book was released on 2010-10-22 with total page 533 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first textbook covering physical therapy as well as physical medicine aspects of these two highly prevalent headache disorders from both a clinical and evidence-based perspective. Written and contributed by international experts, Tension-Type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management provides the best current evidence on the pathophysiology, diagnosis, and management of patients with the highly prevalent tension type and cervicogenic headache, integrating the most recent clinical research data with basic science knowledge. It covers both physical therapy and phy
Book Synopsis Low Back and Neck Pain by : Paul C. Williams
Download or read book Low Back and Neck Pain written by Paul C. Williams and published by Charles C. Thomas Publisher. This book was released on 1974 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Mulligan Concept of Manual Therapy by : Wayne Hing
Download or read book The Mulligan Concept of Manual Therapy written by Wayne Hing and published by Elsevier Health Sciences. This book was released on 2019-09-01 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: All techniques comprehensively revised to align with current evidence-based practice 13 New Mulligan techniques An eBook included in all print purchases
Book Synopsis Clinical Neurodynamics by : Michael O. Shacklock
Download or read book Clinical Neurodynamics written by Michael O. Shacklock and published by Elsevier España. This book was released on 2005 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Applies and modifies Maitland techniques to neural mobilization, refining and improving practical skills for clinical physiotherapists and physically-based occupational therapists. The text outlines the concept of neurodynamics and the basic mechanisms in movement of the nervous system and describes what can go wrong. Causal mechanisms are linked to diagnosis and treatment of pain and musculoskeletal problems in a systematic way. Various treatment techniques for each diagnostic category are presented and applied to specific clinical problems such as neck pain, headache, tennis elbow, carpal tunnel syndrome, low back pain to name a few. These are common problems in which therapists often miss a neural component
Book Synopsis Treat Your Own Back by : Robin McKenzie
Download or read book Treat Your Own Back written by Robin McKenzie and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This easy to follow patient handbook provides the reader with an active self-treatment plan to resolve and manage back pain. First published in 1980, Treat Your Own Back has featured in many studies, which over the years have proven its benefits and validity. Study results show that exercises taken from Treat Your Own Back can decrease back pain within a week, and in some cases actually prevent back pain. Long term results include reduced pain episodes and decreased severity of pain."--Back cover.
Book Synopsis Evidence-based Manual Medicine by : Michael A. Seffinger
Download or read book Evidence-based Manual Medicine written by Michael A. Seffinger and published by Elsevier Health Sciences. This book was released on 2007-01-01 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offer your patients expanded options for musculoskeletal relief with the help of this innovative new resource on manual medicine. Experienced teachers and physicians show you exactly how to apply patient-focused, basic palpatory diagnostic and manual treatment procedures to achieve optimal outcomes and enhance patient comfort. Effectively diagnose and treat a wide range of musculoskeletal problems using direct and indirect myofascial release, isometric muscle energy, and indirect articular techniques. Teach your patients rehabilitative and preventive exercises as well as ergonomic guidelines to facilitate recovery. Confidently determine whether manipulative treatments are indicated using visual and palpation tests. Choose the best procedure for each patient with the help of detailed coverage describing each technique's effects and desired outcomes. Review clinical trials that document the effectiveness of manual techniques. Master techniques confidently with assistance from two authorities whom the AAFP invited to educate its members about manual approaches. Know exactly when and how to perform manual medicine techniques using step-by-step visual guidance from more than 700 photographs and drawings plus 62 video clips on the bonus DVD-ROM.
