The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Mar 2016
Randomized Controlled TrialJoint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee.
An experimental laboratory study with a repeated-measures crossover design. ⋯ Conditioned pain modulation was enhanced following joint mobilization, demonstrated by a global decrease in deep tissue pressure sensitivity. Joint mobilization may act via enhancement of descending pain mechanisms in patients with painful knee osteoarthritis.
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J Orthop Sports Phys Ther · Mar 2016
Randomized Controlled TrialThe Immediate Effects of Different Types of Ankle Support Introduced 6 Weeks After Surgical Internal Fixation for Ankle Fracture on Gait and Pain: A Randomized Crossover Trial.
Randomized 3-treatment, 3-period crossover trial. ⋯ At 6 weeks after surgical internal fixation for ankle fracture, pain and single-limb support time asymmetry over a short distance and for a short-term walk were immediately reduced with the use of a walker boot use and, to a lesser extent, a stirrup-brace compared to Tubigrip. Step width also widened in a walker boot, which may confer some additional gait stability. These results apply to immediate effects, so studies with longer-term follow-up are now indicated. The trial was registered at http://www.isrctn.com/ (ISRCTN84536917). Level of Evidence Therapy, level 2b.
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J Orthop Sports Phys Ther · Feb 2016
Randomized Controlled Trial Comparative StudyA Comparison of the Effects of Stabilization Exercises Plus Manual Therapy to Those of Stabilization Exercises Alone in Patients With Nonspecific Mechanical Neck Pain: A Randomized Clinical Trial.
Randomized clinical trial. ⋯ Therapy, level 1b.
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J Orthop Sports Phys Ther · Dec 2015
Randomized Controlled TrialThe Incremental Effects of Manual Therapy or Booster Sessions in Addition to Exercise Therapy for Knee Osteoarthritis: A Randomized Clinical Trial.
A factorial randomized controlled trial. ⋯ Distributing 12 sessions of exercise therapy over a year in the form of booster sessions was more effective than providing 12 consecutive exercise therapy sessions. Providing manual therapy in addition to exercise therapy improved treatment effectiveness compared to providing 12 consecutive exercise therapy sessions alone. Trial registered with the Australian New Zealand Clinical Trials Registry (ACTRN12612000460808).
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J Orthop Sports Phys Ther · Jul 2015
Randomized Controlled TrialThoracic Spine Manipulation in Individuals With Subacromial Impingement Syndrome Does Not Immediately Alter Thoracic Spine Kinematics, Thoracic Excursion, or Scapular Kinematics: A Randomized Controlled Trial.
Randomized controlled trial. ⋯ Therapy, level 1b-.