Free-Weight Lifting helps a LOT for Low Back Pain

The effects of a free-weight-based resistance training intervention on pain, squat biomechanics and MRI-defined lumbar fat infiltration and functional cross-sectional area in those with chronic low back. Welch N, Moran K, Antony J, Richter C, Marshall B, Coyle J, Falvey E, Franklyn-Miller A. BMJ Open Sport Exerc Med. 2015 Nov 9;1(1) [FREE FULL TEXT] QUOTES: … Read more

Electric Stimulation for RSD / CRPS (Chad’s Review)

Complex Regional Pain Syndrome (CRPS) also known as reflex sympathetic dystrophy  (RSD), causalgia, and a host of other names is kind of like headaches and neuropathy were for me. In that I didn’t initially have any particular interest in the condition but I have a tremendous interests in electric stimulation, particularly electrical muscle stimulation (EMS) … Read more

Coracoid Pain Test does NOT diagnose Adhesive Capsulitis

Coracoid pain test: a new clinical sign of shoulder adhesive capsulitis.Carbone S, Gumina S, Vestri AR, Postacchini R. Int Orthop. 2010 Mar;34(3):385-8. “Patients with adhesive capsulitis were clinically evaluated to establish whether pain elicited by pressure on the coracoid area may be considered a pathognomonic sign of this condition. The study group included 85 patients … Read more

Coracoid Impingement Syndrome and Coracoidopathy

This blog is probably only of interest to professionals since coracoid impingement syndrome (CIS) is thought to be a very rare, though important, shoulder pathology. CIS describes when the coracoid process is thought to physically impinge upon the lesser tuberosity of the humerus, pinching the subscapularis tendon and perhaps the long head of the biceps … Read more

My Continued Electric Stimulation Headache Data

  The following is my headache results with electric muscle stimulation (EMS) and builds on a prior blog where I did the same thing but with somewhat different electrode placement, and slightly different parameters programmed into my EMS machines. Treatment results on 20 headaches had an average near immediate pain reduction of 90% effectiveness (which … Read more

EMS, High-Frequency Fatigue and Pain, Particularly Headaches & Back Pain

I needed a break from fasting papers and, while I’m a big, BIG fan of EMS, and to a substantially lesser extent TENS, I am underwhelmed by high “kilohertz-frequency” alternating type currents as is commonly used in Russian stimulation for strength and interferential currents (IFC), sometimes used for both strength and pain. However, I thought … Read more

Intermittent Fasting, BDNF, Depression, More

Dietary restriction stimulates BDNF production in the brain and thereby protects neurons against excitotoxic injury. Duan W, Lee J, Guo Z, Mattson MP. J Mol Neurosci. 2001 Feb;16(1):1-12. [FREE FULL TEXT] Abstract Dietary restriction (DR) increases the lifespan of rodents and increases their resistance to several different age-related diseases including cancer and diabetes. Beneficial effects … Read more

Exercise vs Intermittent Fasting for Longevity

Differential effects of intermittent feeding and voluntary exercise on body weight and lifespan in adult rats. Goodrick CL, Ingram DK, Reynolds MA, Freeman JR, Cider NL. J Gerontol. 1983 Jan;38(1):36-45. Abstract Male wistar rats were housed in laboratory cages or activity-wheel cages at eight 10.5 or 18 months of age. Part of each cage group … Read more

Placebo Effect: You Probably Shouldn’t Know This, But…

This is one of those papers where the abstract doesn’t quite cut it, and the whole paper was a fascinating read. I got thinking about it after reading my favorite paper on acupuncture, “Acupuncture is Theatrical Placebo” and I have since caught myself using the term “theatrical placebo” on the reg. That got me wondering and … Read more

Weight Loss, Set Point Theory, Metabolism and Thyroid Hormone

Do adaptive changes in metabolic rate favor weight regain in weight-reduced individuals? An examination of the set-point theory. Weinsier RL, Nagy TR, Hunter GR, Darnell BE, Hensrud DD, Weiss HL. Am J Clin Nutr. 2000 Nov;72(5):1088-94. [FREE FULL TEXT] From the study: Abstract BACKGROUND: Obese persons generally regain lost weight, suggesting that adaptive metabolic changes favor return … Read more

Intermittent Fasting and Circadian Rhythms

I had a blog idea comparing various cleansing/detoxification schemes with intermittent fasting, with the gist being that there are some similarities. Both probably make you feel better for largely the same reasons, but that fasting is better and free. With detoxing and cleansing, it seems that someone is always trying to separate you from your … Read more

Hip Pain, Trochanteric “Bursitis”/Tendinopathy, Exercise Best, Cortisone Worst

This study was more interesting in its entirety than its abstract. I thought the home exercises given were beyond banal, but they still turned out best in the long term. Cortisone injected into tendons was yet again shown to be fool’s gold, and shock wave therapy? I don’t know but I’m still skeptical. More comments … Read more

Neutral Spine Protects Against Axial Compression

Lumbar spine endplate fractures: Biomechanical evaluation and clinical considerations through experimental induction of injury. Curry WH, Pintar FA, Doan NB, Nguyen HS, Eckardt G, Baisden JL, Maiman DJ Paskoff GR, Shender BS, Stemper BD, J Orthop Res. 2015 Nov 26. Abstract Lumbar endplate fractures were investigated in different experimental scenarios, however the biomechanical effect of segmental … Read more

High Resistance / Weights Needed for Tendon Adaptation

Adaptational responses of the human Achilles tendon by modulation of the applied cyclic strain magnitude. Arampatzis A1, Karamanidis K, Albracht K. J Exp Biol. 2007 Aug;210(Pt 15):2743-53. [FREE FULL TEXT] Abstract Tendons are able to remodel their mechanical and morphological properties in response to mechanical loading. However, there is little information about the effects of … Read more

Massive Herniated Discs and Low Back Pain, the Good News

Conservatively treated massive prolapsed discs: a 7-year follow-up. Benson RT, Tavares SP, Robertson SC, Sharp R, Marshall RW. Ann R Coll Surg Engl. 2010 Mar;92(2):147-53. Abstract INTRODUCTION: The natural history of a lumbar hernia of the nucleus pulposus (HNP) is not fully known and clear indications for operative intervention cannot be established from the literature. … Read more

Creatine and Weight Training for Older Adults

Creatine supplementation during resistance training in older adults-a meta-analysis. Devries MC, Phillips SM. Med Sci Sports Exerc. 2014 Jun;46(6):1194-203. Abstract INTRODUCTION: Age-related sarcopenia and dynapenia have negative effects on strength and the ability to perform activities of daily living. Resistance training (RT) increases muscle mass and strength in older adults and is an established countermeasure … Read more

Coffee & Tea: How Much is Healthy?  

Coffee and tea: perks for health and longevity? Bhatti SK1, O’Keefe JH, Lavie CJ. Curr Opin Clin Nutr Metab Care. 2013 Nov;16(6):688-97. [FREE FULL TEXT] From the Abstract: RECENT FINDINGS: Tea consumption, especially green tea, is associated with significantly reduced risks for stroke, diabetes, depression, and improved levels of glucose, cholesterol, abdominal obesity and blood pressure. … Read more

Tennis Elbow, Strong Evidence AGAINST Platelet-Rich Plasma

Strong evidence against platelet-rich plasma injections for chronic lateral epicondylar tendinopathy: a systematic review. de Vos RJ, Windt J, Weir A. Br J Sports Med. 2014 Jun;48(12):952-6. Abstract BACKGROUND: Chronic lateral epicondylar tendinopathy is frequent in athletes, and platelet-rich plasma (PRP) is being used increasingly in its treatment. OBJECTIVE: To systematically review the literature on the … Read more

Intermittent Fasting Maintains Muscle when Dieting

Intermittent versus daily calorie restriction: which diet regimen is more effective for weight loss? Varady KA. Obes Rev. 2011 Jul;12(7):e593-601. [FREE FULL TEXT] Abstract Dietary restriction is an effective strategy for weight loss in obese individuals. The most common form of dietary restriction implemented is daily calorie restriction (CR), which involves reducing energy by 15-60% … Read more

Low Level Laser Doesn’t Work for Tendinitis Either

Clinical effectiveness of low-level laser therapy as an adjunct to eccentric exercise for the treatment of Achilles’ tendinopathy: a randomized controlled trial. Tumilty S, McDonough S, Hurley DA, Baxter GD. From the Abstract OBJECTIVE: To investigate the effectiveness of low-level laser therapy (LLLT) as an adjunct to a program of eccentric exercises for the treatment … Read more

Cold Laser, Low Level Laser, Anodyne… Bogus for Neuropathy

Does anodyne light therapy improve peripheral neuropathy in diabetes? A double-blind, sham-controlled, randomized trial to evaluate monochromatic infrared photoenergy. Lavery LA, Murdoch DP, Williams J, Lavery DC. Diabetes Care. 2008 Feb;31(2):316-21. Abstract OBJECTIVE: The purpose of this study was to determine the efficacy of anodyne monochromatic infrared photo energy (MIRE) in-home treatments over a 90-day period … Read more

Alcohol Dose and Mortality (Remedy or Poison?)

Alcohol dosing and total mortality in men and women: an updated meta-analysis of 34 prospective studies. Arch Intern Med. 2006 Dec 11-25;166(22):2437-45. Di Castelnuovo A, Costanzo S, Bagnardi V, Donati MB, Iacoviello L, de Gaetano G. [FREE FULL TEXT] Abstract BACKGROUND: Moderate consumption of alcohol is inversely related with coronary disease, but its association with … Read more

Alcohol Fights Fat (in moderation)

Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Wang L, Lee IM, Manson JE, Buring JE, Sesso HD. Arch Intern Med. 2010 Mar 8;170(5):453-61. [FREE FULL TEXT] Abstract BACKGROUND: The obesity epidemic is a major health problem in the United States. Alcohol consumption is a source of energy intake that may … Read more

Anorexia: Light Weightlifting is all but Worthless

Does resistance training improve the functional capacity and well being of very young anorexic patients? A randomized controlled trial. del Valle MF, Pérez M, Santana-Sosa E, Fiuza-Luces C, Bustamante-Ara N, Gallardo C, Villaseñor A, Graell M, Morandé G, Romo GR, López-Mojares LM,Ruiz JR, Lucía A. J Adolesc Health. 2010 Apr;46(4):352-8. Abstract PURPOSE: We determined the … Read more

Vegans vs Lacto-Ovo vs Pescetarians

Mortality in vegetarians and nonvegetarians: detailed findings from a collaborative analysis of 5 prospective studies. Key TJ, Fraser GE, Thorogood M, Appleby PN, Beral V, Reeves G, Burr ML, Chang-Claude J, Frentzel-Beyme R, Kuzma JW, Mann J, McPherson K. Am J Clin Nutr. 1999 Sep;70(3 Suppl):516S-524S. [FREE FULL TEXT] Abstract We combined data from 5 … Read more

Intense Strength Training for Anorexia, Works Great!

Resistance training enhances muscular performance in patients with anorexia nervosa: a randomized controlled trial. Fernandez-del-Valle M, Larumbe-Zabala E, Villaseñor-Montarroso A, Cardona Gonzalez C, Diez-Vega I, Lopez Mojares LM, Perez Ruiz M. International Journal of Eating Disorders 2014 Sep;47(6):601-9. From the Abstract METHODS: From a total of 36 female patients with AN-R, one group (intervention, n = 18) underwent … Read more

Cross Training: Weights, Cardio and Anxiety

State anxiety responses to 60 minutes of cross training. Hale BS, Koch KR, Raglin JS. Br J Sports Med. 2002 Apr;36(2):105-7. [free full text] Abstract OBJECTIVES: Significant reductions in state anxiety following bouts of aerobic exercise have been consistently noted, whereas changes are generally absent after acute resistance training. However, the influence of a single exercise … Read more

Short Term Fasting Increases Metabolic Rate

Resting energy expenditure in short-term starvation is increased as a result of an increase in serum norepinephrine. Zauner C, Schneeweiss B, Kranz A, Madl C, Ratheiser K, Kramer L, Roth E, Schneider B, Lenz K. Am J Clin Nutr. 2000 Jun;71(6):1511-5. [free full text] Abstract BACKGROUND: The effects of food restriction on energy metabolism have been under … Read more

Carbonized Rubber Electrodes Best for EMS & TENS

Factors influencing quadriceps femoris muscle torque using transcutaneous neuromuscular electrical stimulation.Physical Therapy. 1991 Oct;71(10):715-21; discussion 722-3. Lieber RL, Kelly MJ. Abstract Quadriceps femoris muscle torque was measured in 40 subjects during transcutaneous neuromuscular electrical stimulation (NMES). Three different electrode types (carbonized rubber, sponge, and adhesive) were used on each subject, permitting determination of the factors … Read more

Ness Handmaster EMS for Stroke, Didn’t Appear to Work

Electrical stimulation of the upper limb in stroke: stimulation of the extensors of the hand vs. alternate stimulation of flexors and extensors. de Kroon JR, IJzerman MJ, Lankhorst GJ, Zilvold G. American Journal of Physical Medicine & Rehabilitation. 2004 Aug;83(8):592-600. Abstract OBJECTIVE: To investigate whether there is a difference in functional improvement in the affected … Read more

Spinal Manipulation in Physical Therapy, Death Throes in Research

Basis for spinal manipulative therapy: a physical therapist perspective. Bialosky JE, Simon CB, Bishop MD, George SZ. J Electromyogr Kinesiol. 2012 Oct;22(5):643-7. [Free Full Text] My comments: This paper has an extremely well referenced number of facts seemingly leading to one conclusion, that oddly appears to escape the authors. I think this paper was intended … Read more

TENS, More Electric Stimulation is Better than Less

Adjusting pulse amplitude during transcutaneous electrical nerve stimulation (TENS) application produces greater hypoalgesia.Pantaleão MA, Laurino MF, Gallego NL, Cabral CM, Rakel B, Vance C, Sluka KA, Walsh DM, Liebano RE. J Pain. 2011 May;12(5):581-90. Abstract Transcutaneous electrical nerve stimulation (TENS) is a noninvasive technique used for pain modulation. During application of TENS there is a … Read more

TENS Electrodes Work Best Over Muscle or Soft Tissue

An investigation into the magnitude of the current window and perception of transcutaneous electrical nerve stimulation (TENS) sensation at various frequencies and body sites in healthy human participants. Hughes N, Bennett MI, Johnson MI.Clin J Pain. 2013 Feb;29(2):146-53. Abstract INTRODUCTION: Strong nonpainful transcutaneous electrical nerve stimulation (TENS) is prerequisite to a successful analgesic outcome although … Read more

Chiropractor Debunks Manipulation/Manual Therapy for Low Back Pain

Do manual therapies help low back pain? A comparative effectiveness meta-analysis. Menke JM. Spine (Phila Pa 1976). 2014 Apr 1;39(7) :E463-72. Abstract STUDY DESIGN: Meta-analysis methodology was extended to derive comparative effectiveness information on spinal manipulation for low back pain. OBJECTIVE: Determine relative effectiveness of spinal manipulation therapies (SMTs), medical management, physical therapies, and exercise … Read more

Electrical Stimulation for Paraplegia (Good News and Bad)

Muscle biopsies show that FES of denervated muscles reverses human muscle degeneration from permanent spinal motoneuron lesion. Kern H, Rossini K, Carraro U, Mayr W, Vogelauer M, Hoellwarth U, Hofer C.  J Rehabil Res Dev. 2005 May-Jun;42(3 Suppl 1):43-53. Abstract This paper presents biopsy analyses in support of the clinical evidence of muscle recovery induced … Read more

Electrical Stimulation for Aerobics

Neuromuscular electrical stimulation can elicit aerobic exercise response without undue discomfort in healthy physically active adults. Crognale D, Vito GD, Grosset JF, Crowe L, Minogue C, Caulfield B. J Strength Cond Res. 2013 Jan;27(1):208-15.[Free Full Text] Abstract Recent studies have suggested that subtetanic neuromuscular electrical stimulation (NMES) protocols applied to the quadriceps and hamstrings may … Read more

Manipulation & Mobilization for Chronic Low Back Pain, Not Worth the Effort

Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review. Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW. Spine (Phila Pa 1976). 2011 Jun;36(13) Abstract STUDY DESIGN: Systematic review of interventions. OBJECTIVE: To assess the effects of spinal manipulative therapy (SMT) for chronic low-back pain. SUMMARY OF … Read more

Manipulation vs Mobilization for Acute Low Back Pain, Neither Work

Spinal manipulative therapy for acute low-back pain. Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Cochrane Database Syst Rev. 2012 Sep 12;9 Abstract BACKGROUND: Many therapies exist for the treatment of low-back pain including spinal manipulative therapy (SMT), which is a worldwide, extensively practiced intervention. This report is an update of the … Read more

Intermittent Fasting (16/8) Improves Stroke Recovery

Intermittent fasting attenuates increases in neurogenesis after ischemia and reperfusion and improves recovery. Manzanero S, Erion JR, Santro T, Steyn FJ, Chen C, Arumugam TV, Stranahan AM. J Cereb Blood Flow Metab. 2014 May;34(5):897-905 [FREE FULL TEXT] Abstract Intermittent fasting (IF) is neuroprotective across a range of insults, but the question of whether extending the … Read more

Physical Therapy for Parkinson’s Loses to Strength & Conditioning

Comparison of strength training, aerobic training, and additional physical therapy as supplementary treatments for Parkinson’s disease: pilot study. Carvalho A, Barbirato D, Araujo N, Martins JV, Cavalcanti JL, Santos TM, Coutinho ES, Laks J, Deslandes AC. Clin Interv Aging. 2015 Jan 7;10:183-91. Abstract INTRODUCTION: Physical rehabilitation is commonly used in patients with Parkinson’s disease (PD) … Read more

Calorie Restriction Prevents Peripheral Nerve Damage

Lifelong calorie restriction alleviates age-related oxidative damage in peripheral nerves. Opalach K1, Rangaraju S, Madorsky I, Leeuwenburgh C, Notterpek L. Rejuvenation Res. 2010 Feb;13(1):65-74.  Abstract Aging is associated with protein damage and imbalance in redox status in a variety of cells and tissues, yet little is known about the extent of age-related oxidative stress in the peripheral … Read more

Exercise Won’t Selectively Activate the VMO but Electric Stimulation Will

Effects of electrical stimulation of vastus medialis obliquus muscle in patients with patellofemoral pain syndrome: an electromyographic analysis. Garcia FR1, Azevedo FM, Alves N, Carvalho AC, Padovani CR, Negrão Filho RF. Rev Bras Fisioter. 2010 Nov-Dec;14(6):477-82. Abstract BACKGROUND: The use of surface electromyography (SEMG) has been considered a tool for quantitative assessment of patellofemoral pain … Read more

Decreasing Calories 30% Increases Testosterone 21-27%

Impact of moderate calorie restriction on testicular morphology and endocrine function in adult rhesus macaques (Macaca mulatta). Sitzmann BD, Brown DI, Garyfallou VT, Kohama SG, Mattison JA, Ingram DK, Roth GS, Ottinger MA, Urbanski HF. Age (Dordr). 2014 Feb;36(1):183-97. Abstract: We previously reported that moderate calorie restriction (CR) has minimal impact on testicular gene expression … Read more

Caloric Restriction Decreases Muscle Cell Death with Age

Sarcopenia: the role of apoptosis and modulation by caloric restriction. Dirks Naylor AJ, Leeuwenburgh C. Exerc Sport Sci Rev. 2008 Jan;36(1):19-24. Abstract The mechanisms of sarcopenia have been slowly unraveled and likely involve activation of apoptosis. It is hypothesized that caloric restriction may, in part, attenuate sarcopenia by affecting apoptotic signaling. The signaling pathways responsible … Read more

Short Term Effects of the Epley Maneuver for BPPV

Short-term efficacy of Epley’s manoeuvre: a double-blind randomised trial. von Brevern M, Seelig T, Radtke A, Tiel-Wilck K, Neuhauser H, Lempert T. J Neurol Neurosurg Psychiatry. 2006 Aug;77(8):980-2. Abstract BACKGROUND: Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley’s manoeuvre. Thus far, the … Read more

McKenzie Method as Lackluster as Back School for Back Pain

Effectiveness of back school versus McKenzie exercises in patients with chronic nonspecific low back pain: a randomized controlled trial. Garcia AN, Costa Lda C, da Silva TM, Gondo FL, Cyrillo FN, Costa RA, Costa LO. Physical Therapy. 2013 Jun;93(6):729-47. Abstract BACKGROUND: Back School and McKenzie methods are popular active treatment approaches that include both exercises … Read more

Electric Stim to Prevent DVTs After Total Hip Replacement

Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty. Broderick BJ, Breathnach O, Condon F, Masterson E, Ólaighin G. J Orthop Surg Res. 2013 Mar 5;8:3. Abstract BACKGROUND: Patients post total hip arthroplasty (THA) remain at high risk of developing Deep Vein Thrombosis (DVT) during the recovery period following surgery despite the … Read more

Hamstring Activity During Sprints

Hamstring musculotendon dynamics during stance and swing phases of high-speed running. Chumanov ES, Heiderscheit BC, Thelen DG. Med Sci Sports Exerc. Med Sci Sports Exerc. 2011 Mar;43(3):525-32. Abstract INTRODUCTION: Hamstring strain injuries are common in sports that involve high-speed running. It remains uncertain whether the hamstrings are susceptible to injury during late swing phase, when … Read more

Fast Weight Lifting, Better Than Slow, for Osteopenia

J Appl Physiol (1985). 2005 Jul;99(1):181-8. Power training is more effective than strength training for maintaining bone mineral density in postmenopausal women. Stengel SV, Kemmler W, Pintag R, Beeskow C, Weineck J, Lauber D, Kalender WA, Engelke K. J Appl Physiol (1985). 2005 Jul;99(1):181-8. Abstract Physical exercise has a favorable impact on bones, but optimum training strategies … Read more

Yoga Only Delays Bone Loss in Osteopenic Women

The Effect of Yoga on Markers of Bone Turnover in Osteopenic Women: a Pilot Study. Balk, Judith; Gluck, Melissa; Bernardo, Lisa; Catov, Janet, International Journal of Yoga Therapy;2009, Vol. 19, 63-68 ABSTRACT Weight-bearing exercise is recommended to improve bone density. Hatha Yoga is a popular form of weight-bearing exercise that includes physical postures, stretching, breathing, … Read more

Vertebral Fractures after Yoga in Women with Osteopenia

Yoga spinal flexion positions and vertebral compression fracture in osteopenia or osteoporosis of spine: case series. Sinaki M. Pain Pract. 2013 Jan;13(1):68-75. [FREE FULL TEXT with good pics] Abstract OBJECTIVE: The objective of this report is to raise awareness of the effect of strenuous yoga flexion exercises on osteopenic or osteoporotic spines. We previously described … Read more

Just Squats for Osteoporosis Increases Bone Mineral Content

Maximal strength training in postmenopausal women with osteoporosis or osteopenia. Mosti MP1, Kaehler N, Stunes AK, Hoff J, Syversen U. J Strength Cond Res. 2013 Oct;27(10):2879-86. Abstract Current guidelines recommend weight-bearing activities, preferably strength training for improving skeletal health in patients with osteoporosis. What type of strength training that is most beneficial for these patients … Read more

Atrophy and Hypertrophy After Hamstring Strain in Athletes

MR observations of long-term musculotendon remodeling following a hamstring strain injury. Silder A, Heiderscheit BC, Thelen DG, Enright T, Tuite MJ. Skeletal Radiol. 2008 Dec;37(12):1101-9. Abstract OBJECTIVE: The objective of this study was to use magnetic resonance (MR) imaging to investigate long-term changes in muscle and tendon morphology following a hamstring strain injury. MATERIALS AND … Read more

Imbalance/Weak Hamstrings Predict Strains in Pro Soccer

Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. Croisier JL, Ganteaume S, Binet J, Genty M, Ferret JM. Am J Sports Med. 2008 Aug;36(8):1469-75. Abstract BACKGROUND: The relationship between muscle injury and strength disorders remains a matter of controversy. PURPOSE: Professional soccer players performed a preseason isokinetic testing aimed … Read more

NSAIDs vs Corticosteroid Injections for Frozen Shoulder

Comparison between NSAID and intra-articular corticosteroid injection in frozen shoulder of diabetic patients; a randomized clinical trial. Dehghan A, Pishgooei N, Salami MA, Zarch SM, Nafisi-Moghadam R, Rahimpour S, Soleimani H, Owlia MB. Exp Clin Endocrinol Diabetes. 2013 Feb;121(2):75-9. Abstract INTRODUCTION: Frozen shoulder or adhesive capsulitis is a relatively common encountered musculo-skeletal disease in which … Read more

Optimism, Physical Therapy and Everything Else

Optimism. Clin Psychol Rev. 2010 Nov;30(7):879-89. Carver CS, Scheier MF, Segerstrom SC. Abstract Optimism is an individual difference variable that reflects the extent to which people hold generalized favorable expectancies for their future. Higher levels of optimism have been related prospectively to better subjective well-being in times of adversity or difficulty (i.e., controlling for previous … Read more

EMS Effects the Brain as well as Muscles

Functional MRI determination of a dose-response relationship to lower extremity neuromuscular electrical stimulation in healthy subjects. Exp Brain Res. 2003 May;150(1):33-9. Epub 2003 Mar 27. Smith GV1, Alon G, Roys SR, Gullapalli RP. Abstract Although empirical evidence supports the use of neuromuscular electrical stimulation (NMES) to treat physical impairments associated with stroke, the mechanisms underlying … Read more

Emetophobia and the Biopsychosocial Model of Low Back, Neck Pain

Exposure therapy for emetophobia: a case study with three-year follow-up. J Anxiety Disord. 2013 Jun;27(5):527-34. Maack DJ, Deacon BJ, Zhao M. Abstract Emetophobia, also referred to as a specific phobia of vomiting, is a largely under-researched and poorly understood disorder with prevalence estimates of ranging between 1.7 and 3.1% for men and 6 and 7% … Read more

Return to NBA after ACL Reconstruction

Return-to-Sport and Performance After Anterior Cruciate Ligament Reconstruction in National Basketball Association Players. Harris JD, Erickson BJ, Bach BR Jr, Abrams GD, Cvetanovich GL, Forsythe B, McCormick FM, Gupta AK, Cole BJ. Sports Health. 2013 Nov;5(6):562-8. Abstract BACKGROUND: Anterior cruciate ligament (ACL) rupture is a significant injury in National Basketball Association (NBA) players. HYPOTHESES: NBA … Read more

Low Hip Strength Associated with Increased Spine Motion

Relationship between hip strength and trunk motion in college cross-country runners. Med Sci Sports Exerc. 2013 Jun;45(6):1125-30. Ford KR, Taylor-Haas JA, Genthe K, Hugentobler J. Abstract PURPOSE: Hip strength may directly relate to abnormal running mechanics and contribute to the high incidence of overuse injuries in distance runners. The purpose of this study was to … Read more

Muscle Strength Protective Against Arthritis

The role of muscles in joint degeneration and osteoarthritis. J Biomech. 2007;40 Suppl 1:S54-63. Epub 2007 Apr 16. Herzog W1, Longino D. Abstract The purpose of this work was to establish a controlled and reversible muscle weakness model for studying the effects of weakness on joint degeneration leading to osteoarthritis (OA). The knee extensor muscles … Read more

Physical Therapy After Vertebroplasty and Kyphoplasty

Significantly fewer refractures after vertebroplasty in patients who engage in back-extensor-strengthening exercises. Huntoon EA, Schmidt CK, Sinaki M. Mayo Clin Proc. 2008 Jan;83(1):54-7. Abstract OBJECTIVE: To determine whether patients with osteoporotic compression fractures would have decreased fracture recurrence or a longer time before refracture after percutaneous vertebroplasty (PVP) if they also participated in the Rehabilitation … Read more

Creatine Increases Strength with Parkinson’s Disease

Resistance training with creatine monohydrate improves upper-body strength in patients with Parkinson disease: a randomized trial. Neurorehabil Neural Repair. 2007 Mar-Apr;21(2):107-15. Hass CJ, Collins MA, Juncos JL. Abstract BACKGROUND: Persons with Parkinson disease (PD) exhibit decreased muscular fitness including decreased muscle mass, muscle strength, bioenergetic capabilities and increased fatigability. OBJECTIVE: This purpose of this investigation was to … Read more

So Called “Trunk Stabilization” Exercises are Anything But…

Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Physical Therapy. 2005 Mar;85(3):209-25. Koumantakis GA1, Watson PJ, Oldham JA. Abstract BACKGROUND AND PURPOSE: The purpose of this randomized controlled trial was to examine the usefulness of the addition of specific stabilization exercises to … Read more

Short Foot Exercise for Flat Feet

Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. Jung DY1, Koh EK, Kwon OY. J Back Musculoskelet Rehabil. 2011;24(4):225-31.  Abstract OBJECTIVE: To prevent overuse injuries related to excessively pronated feet, the strengthening of the foot intrinsic muscles has been recommended. … Read more

Plantar Fasciitis Stretches? Why My Patients Skip Them

Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain. A prospective, randomized study. J Bone Joint Surg Am. 2003 Jul;85-A(7):1270-7. DiGiovanni BF, Nawoczenski DA, Lintal ME, Moore EA, Murray JC, Wilding GE, Baumhauer JF. Abstract BACKGROUND: Approximately 10% of patients with plantar fasciitis have development of persistent and often disabling symptoms. A … Read more

Electric Stimulation and Plantar Fasciitis

Use of low-frequency electrical stimulation for the treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2009 Nov-Dec;99(6):481-8. Stratton M1, McPoil TG, Cornwall MW, Patrick K. Abstract BACKGROUND: Recent research has discussed the use of low-frequency electrical stimulation to increase blood flow by eliciting muscular contraction in soft tissues. This randomized clinical trial examined the … Read more

Post-Concussion Syndrome Treated With Aerobic Exercise

A preliminary study of subsymptom threshold exercise training for refractory post-concussion syndrome. Clin J Sport Med. 2010 Jan;20(1):21-7.  Leddy JJ, Kozlowski K, Donnelly JP, Pendergast DR, Epstein LH, Willer B. Abstract OBJECTIVE: To evaluate the safety and effectiveness of subsymptom threshold exercise training for the treatment of post-concussion syndrome (PCS). DESIGN: Prospective case series. SETTING: … Read more

Vestibular Rehabilitation & Post-Concussion Syndrome

Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurologic Physical Therapy. 2010 Jun;34(2):87-93. Alsalaheen BA, Mucha A, Morris LO, Whitney SL, Furman JM, Camiolo-Reddy CE, Collins MW, Lovell MR, Sparto PJ. Abstract BACKGROUND AND PURPOSE: Management of dizziness and balance dysfunction is a major challenge after concussion. The purpose of this study was … Read more

Resistance Training Improves Running Biomechanics

Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon). 2009 Jan;24(1):26-34. Snyder KR, Earl JE, O’Connor KM, Ebersole KT. Abstract BACKGROUND: Movement and muscle activity of the hip have been shown to affect movement of the lower extremity, and been related to injury. … Read more

Posterior Tibial Tendon Dysfunction & Muscle Weakness

Women with posterior tibial tendon dysfunction have diminished ankle and hip muscle performance. J Orthop Sports Physical Therapy. 2011 Sep;41(9):687-94. Kulig K, Popovich JM Jr, Noceti-Dewit LM, Reischl SF, Kim D. Abstract STUDY DESIGN: Controlled laboratory study using a cross-sectional design. OBJECTIVES: To characterize ankle and hip muscle performance in women with posterior tibial tendon … Read more

Orthotics Cause Shin Splints in Runners?

Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013 Nov 13;4:229-41. Newman P, Witchalls J, Waddington G, Adams R. Abstract BACKGROUND: Medial tibial stress syndrome (MTSS) affects 5%-35% of runners. Research over the last 40 years investigating a range of interventions has not … Read more

Patellofemoral Pain & Orthotics, Predicting Who Will Benefit

A clinical prediction rule for identifying patients with patellofemoral pain who are likely to benefit from foot orthoses: a preliminary determination. Br J Sports Med. 2010 Sep;44(12):862-6. 26. Vicenzino B1, Collins N, Cleland J, McPoil T. Abstract OBJECTIVE: To develop a clinical prediction rule to identify patients with patellofemoral pain (PFP) who are more likely … Read more