A5031536428- Myofascial pain diagnosis and treatment
- Acupuncture Treatment Research Studies
- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Shoulder Injury and Treatment
- Sympathectomy and Hyperhidrosis Treatments
- Pain Mechanisms and Treatments
- Pain Management and Placebo Effect
- Temporomandibular Joint Disorders
- Botulinum Toxin and Related Neurological Disorders
- Laser Applications in Dentistry and Medicine
- Sports injuries and prevention
- Spinal Fractures and Fixation Techniques
- Phonocardiography and Auscultation Techniques
- Shoulder and Clavicle Injuries
- Music Therapy and Health
- Migraine and Headache Studies
- Cardiac Health and Mental Health
- Spinal Dysraphism and Malformations
- Hip disorders and treatments
- Ophthalmology and Eye Disorders
- Pregnancy-related medical research
- Heart Rate Variability and Autonomic Control
- Elbow and Forearm Trauma Treatment
- Medical research and treatments
American Academy of Arts and Sciences
2013-2025
Universidad Rey Juan Carlos
2017-2024
Salford Royal Hospital
2015
Nova Southeastern University
2015
Montgomery Botanical Center
2008
University of Birmingham
2008
University of Missouri
2002
MRC Biostatistics Unit
1999
Papworth Hospital
1999
Birmingham City Hospital
1999
Objective: The purpose of this study was to examine the psychometric properties neck disability index (NDI) and numeric pain rating scale (NPRS) in patients with (NP) without concomitant upper extremity (UE) symptoms. Design: A secondary analysis 107 NP UE Test-retest reliability, construct validity, area under curve (AUC), minimum detectable change (MDC), clinically important difference (MCID) were calculated.Results: NDI exhibited excellent reliability (ICC = 0.88; [0.63 0.95]), while NPRS...
Randomized clinical trial.To compare the short-term effects of upper cervical and thoracic high-velocity low-amplitude (HVLA) thrust manipulation to nonthrust mobilization in patients with neck pain.Although HVLA are common interventions for management pain, no studies have directly compared both pain.Patients completed Neck Disability Index, numeric pain rating scale, flexion-rotation test measurement C1-2 passive rotation range motion, craniocervical flexion deep flexor motor performance....
Although commonly utilized interventions, no studies have directly compared the effectiveness of cervical and thoracic manipulation to mobilization exercise in individuals with cervicogenic headache (CH). The purpose this study was compare effects CH. One hundred ten participants (n = 110) CH were randomized receive both 58) or 52). primary outcome intensity as measured by Numeric Pain Rating Scale (NPRS). Secondary outcomes included frequency, duration, disability Neck Disability Index...
Objective Perform a clinimetric analysis of the visual analogue scale (VAS) and active pain-free mouth opening (PFMO) in patients with muscular temporomandibular disorder (mTMD).
Self-reported disability and pain intensity are commonly used outcomes in patients with cervicogenic headaches. However, there is a paucity of psychometric evidence to support the use these self-report for individuals treated Therefore, it unknown if measures reliable, responsive, or result meaningful clinically important changes this patient population.A secondary analysis randomized clinical trial (n = 110) examining effects spinal manipulative therapy without exercise Reliability,...
Study Design Randomized, single-blinded, multi-center, parallel-group trial. Objectives To compare the effects of adding electrical dry needling into a program manual therapy, exercise and ultrasound on pain, function related-disability in individuals with plantar fasciitis (PF). Background The isolated application needling, exercise, has been found to be effective for PF. However, no previous study investigated combined effect these interventions this population. Methods One hundred eleven...
Cardiovascular diseases are the leading cause of death and comorbidity worldwide. High blood pressure resting heart rate risk factors (or vital signs) critical to cardiovascular health, patient safety, medical management. Physiotherapists play a fundamental role in factor identification, early diagnosis, subsequent management disease. To date there is limited research Europe investigating level knowledge skills possessed by physiotherapists regarding disease screening. Three studies...
We have used flash photolysis of caged Ca 2+ and membrane capacitance measurements to probe exocytosis in chromaffin cells at low concentrations intracellular ([Ca ] i ) (<10 μM). observed a small pool granules that is more sensitive [Ca than the previously described “readily releasable pool.” Upon activation PKC, this “highly -sensitive pool” enhanced size greater extent readily but eliminated upon expression C-terminal deletion mutant (Δ9) synaptosome-associated protein 25 kDa...
Objectives: To compare the effects of adding electrical dry needling into a manual therapy (MT) and exercise program on pain, stiffness, function, disability in individuals with painful knee osteoarthritis (OA). Materials Methods: In total, 242 participants (n=242) OA were randomized to receive 6 weeks needling, MT, (n=121) or MT (n=121). The primary outcome was related-disability as assessed by Western Ontario McMaster Universities (WOMAC) Osteoarthritis Index at 3 months. Results:...
Thoracic spine thrust manipulation has been shown to improve patient-rated outcomes for individuals with neck pain. However, there is limited evidence of its effectiveness in patients cervical radiculopathy.To compare the immediate and short-term effects thoracic those a sham radiculopathy.In this multicenter randomized controlled trial, participants radiculopathy were receive either (n = 22) or 21) spine. Outcomes measured at baseline, immediately after treatment, follow-up 48 72 hours...
Background Currently, there is conflicting clinimetric data on the patient-rated tennis elbow evaluation (PRTEE) and a paucity of evidence regarding reliability, validity, responsiveness numeric pain rating scale (NPRS), function (TEFS) in patients with lateral tendinopathy.
Degenerative cervical myelopathy (DCM) is a clinical syndrome characterized by progressive compression of the spinal cord. DCM often looks like common symptoms aging or bilateral carpal tunnel in its early stages, requiring careful differential diagnosis. Identifying real challenge as no validated screening tools are available for making Potentially, individuals with may experience misdiagnosis substantial diagnostic delays, an enhanced risk irreversible neurological consequences if not...
Background: Chemotherapy-induced peripheral neuropathy (CIPN) affects 20-85% of individuals exposed to neurotoxic chemotherapeutic agents. Perineural electrical dry needling (PEDN) and neural mobilization (NM) interventions may be beneficial in the management chronic neurogenic pain; however, there is a paucity research on efficacy both for CIPN. Methods: Three patients were referred an outpatient physical therapy clinic with neuropathic pain associated Each underwent PEDN NM twice weekly...
There are a number of biochemical, biomechanical, endocrinological and neurovascular mechanisms underpinning the anti-nociceptive anti-inflammatory effects dry needling (DN). While myofascial trigger points likely play role in peripheral pain, diagnostic tool for localizing them has not been validated, DN studies that have targeted to elicit localized twitch responses reported mixed results. Therefore, mechanism responsible DN-mediated analgesia may be more complicated. activates...
The popping produced during high-velocity, low-amplitude (HVLA) thrust manipulation is a common sound; however to our knowledge, no study has previously investigated the location of cavitation sounds upper cervical spine. primary purpose was determine which side spine cavitates C1-2 rotatory HVLA manipulation. Secondary aims were calculate average number pops, duration manipulation, and single cavitation.Nineteen asymptomatic participants received two manipulations targeting right left...
Neck pain is one of the most common musculoskeletal disorders in clinical practice. However neck may mask more serious pathology. Although uncommon physiotherapy practices, it possible to encounter rare and extremely life-threatening conditions, such as craniovertebral congenital anomalies. Basilar invagination an abnormality where odontoid peg projects above foramen magnum commonest malformation craniocervical junction. Its prevalence general population estimated be 1 %. Furthermore, a...
BACKGROUND CONTEXTSpinal manipulation, spinal mobilization, and exercise are commonly used in individuals with cervicogenic headache (CH). Dry needling is being increasingly the management of CH. However, questions remain about effectiveness these therapies how they compare to each other.PURPOSEThe present study aims combined effects manipulation dry mobilization on pain disability CH.STUDY DESIGN/SETTINGRandomized, multicenter, parallel-group trial.PATIENT SAMPLEOne hundred forty-two...
High-velocity low-amplitude thrust spinal manipulation (SM) is a recommended and commonly used manual therapy intervention in physiotherapy. Beliefs surrounding the safety effectiveness of SM have challenged its use, even advocated for abandonment. Our study aimed to investigate knowledge beliefs by Italian physiotherapists compared with similar practitioners other countries.