What We're Reading
A place to find literature supportive of the Bookhout Seminars approach
Key Findings: Manual therapy to address mobility restrictions of the thoracic spine and posterior glenohumeral capsule reduce signs and symptoms of shoulder impingement.
Key Findings: Neurodynamic treatment seems to be the most appropriate option to improve the passive knee extension ROM and the extensibility on hamstring musculature, proving to be more effective than other methods such as stretching.
Szulc P, Wendt M, Waszak M, Tomczak M, Cieślik K, Trzaska T. Med Sci Monit. 2015 Sep 29;21:2918-32
Key Findings: Muscle Energy Techniques used in conjunction with MeKenzie exercise is effective in improving ROM, pain and disc herniation size in patients with back pain. However, this study does apply McKenzie prior to MET and we would advocate that being done in reverse order.
Key Findings: Despite the emphasis on manipulation, patients who satisfy the manipulation clinical prediction rule will benefit equally from joint mobilizations. We believe this also applies to MET.
Key Findings: Resting multifidi and erector spinae stiffness as measured by Shear-wave elastography is associated with pain and disability in the back pain population.
Key Findings: Addressing extension loss in the lower thoracic spine in addition to standard lower quarter flexibility exercise can reduce slippage of lumbar spondylolisthesis.
Key Findings: The intercostal brachial nerve is the anatomic connection between the upper thoracic spine and brachial plexus. This study shows as low as T3 can have a direct connection to the medial cord of the brachial plexus. We have found addressing upper thoracic vertebral and rib mechanics is very beneficial to QU neurodynamics.
Key Findings: "1. Subclinical dysfunctions of the sacroiliac joints may cause functional gait disturbance. 2. Manipulation of the iliosacral joint exerts a significant effect on gait parameters, which may lead to improved gait economy and effec-tiveness. 3. Following manipulation of one iliosacral joint, altered gait parameters are noted on both the manipulated side and the contralateral side, which may translate into improved quality of locomotion."
Key Findings: Using directional specific exercise in conjunction with manual therapy is superior to manual therapy with general exercise. Our curriculum will show how to integrate specific exercise with FRS or ERS dysfunction.
Key Findings: Improving joint mobility in patients with chronic neck pain can improve longus colli recruitment.
Caamaño-Barrios LH, Galán-Del-Río F, Fernández-de-Las-Peñas C, Cleland JA, Plaza-Manzano G, Ortega-Santiago R. Musculoskelet Sci Pract. 2019 Dec;44:1
Key Findings: Those suffering from tension type headaches demonstrate system wide dural restrictions suggesting evaluation of the whole person is necessary in these challenging patients.
Key Findings: Physical therapy management of cervicogenic and tension type headaches should include specific exercise and manual therapy