What We're Reading

A place to find literature supportive of the Bookhout Seminars approach


Effect of manual physiotherapy in homogeneous individuals with subacromial shoulder impingement: A randomized controlled trial. Land H, Gordon S, Watt K. Physiother Res Int. 2019 Jan 25:e1768. [Epub ahead of print]

Key Findings: Manual therapy to address mobility restrictions of the thoracic spine and posterior glenohumeral capsule reduce signs and symptoms of shoulder impingement.

Effects of neurodynamic treatment on hamstrings flexibility: A systematic review and meta-analysis. López López L, Torres JR, Rubio AO, Torres Sánchez I, Cabrera Martos I, Valenza MC. Phys Ther Sport. 2019 Nov;40:244-250. Epub 2019 Oct 15. Review

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.


Impact of McKenzie Method Therapy Enriched by Muscular Energy Techniques on Subjective and Objective Parameters Related to Spine Function in Patients with Chronic Low Back Pain.

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.

No Differences in Outcomes in People with Low Back Pain Who Met the Clinical Prediction Rule for Lumbar Spine Manipulation When a Pragmatic Non-thrust Manipulation Was Used as the Comparator. Learman K et al. Physiother Can. (2014).

Key Findings: Despite the emphasis on manipulation, patients who benefiting from manipulation will benefit equally from joint mobilizations. We believe this also applies to MET.

Lumbar muscle stiffness is different in individuals with low back pain than asymptomatic controls and is associated with pain and disability, but not common physical examination findings. Koppenhaver S, et al. Musculoskelet Sci Pract. 2019 Nov 1;45:102078.

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.

Motor Control

Ultrasonographic analysis of the neck flexor muscles in patients with chronic neck pain and changes after cervical spine mobilization. Jesus-Moraleida FR, et al.  J Manipulative Physiol Ther. 2011 Oct;34(8):514-24.

Key Findings: Improving joint mobility in patients with chronic neck pain can improve longus colli recruitment.


Non-pharmacological Management of Persistent Headaches Associated with Neck Pain: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Côté P, et al. Eur J Pain. 2019 Feb 1. [Epub ahead of print] Review.

Key Findings: Physical therapy management of cervicogenic and tension type headaches should include specific exercise and manual therapy