Evidence Based Medicine
At Therapeutic Associates, we strive to utilize an Evidence-Based Medicine (EBM) approach in order to best serve our patients, fellow clinicians, and third party payers. In order to keep our colleagues and referral sources updated on our efforts, we are reviewing research as it relates to conditions treated in our clinic. Each review will focus on a particular condition and examine several pieces of literature that may directly or indirectly affect our treatment approach for that condition.
Click on a condition or topic to jump to the EBM study:
- Effective Exercise Intervention
- Knee & Hip Osteoarthritis (OA)
- Low Back Pain (LBP)
- Neck Pain
- Shoulder Pain
- Whiplash Associated Disorder (WAP)
- Patella Femoral Pain Syndrome
- Rehabilitation Prior to ACL Reconstruction
- Stott® Pilates in Orthopaedic Physical Therapy
- Shoulder Impingement Syndrome
- Are Trekking Poles Right For You?
- Effect of Therapeutic Exercise vs. Manual Therapy on Athletes with Chronic Low Back Pain (LBP)
Effective Exercise Intervention Download PDF Patients are less accurate and less compliant in the performance of their exercises when a brochure or handout and minimal instruction is given, as compared to instruction and live instruction and modeling by a physical therapist. This is regardless of whether the handout or brochure is given alone or in combination with General Practitioner…Read more |
Knee & Hip Osteoarthritis (OA) Download PDF A combination of manual physical therapy and physical therapist instructed therapeutic exercise has been repeatedly shown to be more effective than a variety of other commonly used interventions for reducing pain and disability associated with musculoskeletal conditions, including osteoarthritis (knee and hip), acute and chronic LBP...Read more |
Low Back Pain (LBP) Download PDF Patients managed with this treatment-based classification system experience significant decreases in pain, disability, and work restrictions when compared to traditional care. Therapists can use predictive clinical examination findings to match patients to a specific treatment. This may include: manipulation and exercise, specific exercises…Read more |
Neck Pain Download PDF Among patients with neck pain, with or without headache or upper extremity symptoms, a combination of manual physical therapy and exercise is more beneficial than primary care management (PCM), medication, manual therapy alone, a variety of exercise approaches performed alone, and “low tech” or “high tech” exercise alone….Read more |
Shoulder Pain Download PDF At 12 weeks, twice as many patients with shoulder dysfunction and pain who received primary medical care (PCM) and manual therapy plus exercise had achieved complete recovery versus those receiving usual medical care only. In addition, it took 1 year for patients who received primary care management only to achieve the same…Read more |
Whiplash Associated Disorder (WAP) Download PDF Patients with elevated levels of psychological distress is a nearly uniform finding in patients with WAD as is associated with several predictive factors. Early referral to physical therapy results in superior short and longterm outcomes when compared to immobilization with a soft collar and advice to rest, even in patients with identified elevated...Read more |
Patella Femoral Pain Syndrome Download PDF Individuals with patellofemoral pain are likely to have impaired hip abduction strength on their involved extremity compared to their uninjured extremity. These individuals also have global strength deficits when compared to age and gender controls. Therefore, it is important to assess for hip abduction strength deficits among individuals with patellofemoral pain and address these limitations when present. At TAI Canyon Park, we examine…Read more |
Rehabilitation Prior to ACL Reconstruction Download PDF After injury to the anterior cruciate ligament the quadriceps has been shown to have significant weakness which may be contributed to both atrophy and lack of activation due to inhibition. According to Eitzen, et al. the preoperative strength of the quadriceps is the most important predictor of knee function 2 years after reconstruction. In addition to strength, range of motion must also be a consideration. McHugh, et al. states the presence of extension range of motion deficits...Read more |
Stott® Pilates in Orthopaedic Physical Therapy Download PDF An exercise approach, frequently referred to as Pilates, because of a foundation in the teachings of Joseph Pilates (1880-1967) was initially practiced almost exclusively by athletes and dancers. However, in recent years, Pilates has become a popular trend in rehabilitation and fitness. Stott Pilates, specifically, altered Joseph Pilates’s original program by incorporating more preparatory exercises and modifications to improve safety and maintain neutral spine position…Read more |
Shoulder Impingement Syndrome Download PDF The shoulder is an extremely mobile joint. With this mobility, there needs to be good dynamic control from the shoulder musculature to provide stability to the shoulder joint. Without adequate control from the shoulder stabilizing muscles, individuals become susceptible to conditions such shoulder impingement syndrome (SIS). Individuals with SIS often present with a consistent history of pain with overhead activities, reaching, and activities that place the arm behind the back…Read more |
Are Trekking Poles Right For You? Download PDF Upright sticks have been used for ages by shepherds, hikers, and skiers. Hikers, in particular, have found that poles help reduce ankle pain and add stability while on very rocky terrain. In the 1980’s, a therapeutic technique was developed that used a pole to promote normalized postural tone and improved dynamic trunk control in patients with neurological disorders. The enhanced body alignment, as well as the diminished…Read more |
Effect of Therapeutic Exercise vs Manual Therapy on Athletes with Chronic Low Back Pain Download PDF Rehabilitation professionals treat individuals suffering from chronic low back pain (CLBP) using a variety of treatment approaches including manual therapy and the prescription of therapeutic exercises. The use of manual therapy, specifically joint mobilization of the lumbar spine, may significantly decrease a patient’s pain and contribute to improvement in his or her functioning. Exercise may also improve pain and functioning, with some patients reporting gains…Read more |
Evidence Based Medicine
