articles

I have attached 3 articles from the current issue of Spine. The first article is a paper written by John, Sara, and Julie on the responsiveness of the NPRS in patients with low back pain. The second pertains to centralization in patients with sciatica. Patients who did not centralize were 6 times more likeley to undergo surgery. The final article…

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The Quality Cure

Attached is an article that Larry Benz sent me outlining David Cutler’s viewpoint on how to reign in skyrocketing healthcare costs. To give some perspective, Mr. Cutler was instrumentally involved in drafting the 1993 healthcare reform policies in the first Clinton administration, which was a dismal failure.
Regardless of your political leanings, he offers great insight on how best…

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Special Tests

I’m not going to be able to reference this very well because the journal is in long term parking at the airport.  The recent JOSPT article regarding manipulation of the cervical spine that many of you were involved in writing has me thinking in a more broader, bigger picture way. 
How is it that we as a…

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Fusion versus Physical Therapy in Patients with Chronic Low Back Pain

My wife Amy sent me the following press release even before I came across the published papers in the most recent issue of the BMJ (and I am fairly astute at accessing information quickly). This reminds me that the information gap is quickly closing, empowering patients with timely information that may help them make informed decisions about possible treatment options…

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Manipulation and Stabilizing Exercise for Chronic Low Back Pain

Attached is a recently published paper by Niemisto and colleagues reporting a 2-year follow-up regarding the cost-effectiveness of manipulation, stabilizing exercises, and physician consultation versus physician consultation alone for patients with chronic LBP. Although clinical outcomes favored the combined manipulation and stabilizing exercise group (both pain and satisfaction), the one-point VAS improvement came at a cost…

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Washington State Practice Act

Washington state must truly have an arcane practice act. APTA has posted a press release regarding the recent signing of a modernized practice act. It is couched as a "victory", saying that the updated definition of physical therapy "reflects the actual treatment techniques practiced by physical therapists on a daily basis". Perhaps there are some small…

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