Review
Rehabilitation
Fabrice Mallard, Jessica J. Wong, Nadege Lemeunier, Pierre Cote
Summary: For adults with cervical radiculopathy, multimodal rehabilitation care may provide small reduction in neck pain or improvement in function. Although the certainty of the evidence is low, it is considered an effective strategy for the management of cervical radiculopathy.
JOURNAL OF REHABILITATION MEDICINE
(2022)
Article
Multidisciplinary Sciences
Seungyoon Paik, Yunhee Choi, Chun Kee Chung, Young Il Won, Sung Bae Park, Seung Heon Yang, Chang-Hyun Lee, John Min Rhee, Kyoung-Tae Kim, Chi Heon Kim
Summary: ObjectivePosterior full-endoscopic cervical foraminotomy (PECF) is a minimally invasive surgical technique for treating cervical radiculopathy. This study aimed to compare the cervical kinematics between patients with foraminal stenosis (FS) and disc herniation (DH) after PECF.
Article
Rehabilitation
Anneli Peolsson, Johanna Wibault, Hakan Lofgren, Asa Dedering, Birgitta Oberg, Peter Zsigmond, Charlotte Wahlin
Summary: This study aimed to compare the work ability benefits of a structured postoperative treatment (SPT) and a standard care approach (SA) after ACDF surgery. Both interventions significantly improved work ability, with factors such as expectation to work within the next 6 months, self-reported neck functioning, and work-related neck load being important predictors of work ability at the 2-year follow-up.
JOURNAL OF OCCUPATIONAL REHABILITATION
(2022)
Article
Clinical Neurology
Morsi Khashan, Jesus de Santiago, Itai Pardo, Gilad Regev, Dror Ophir, Khalil Salame, Zvi Lidar, Silviu Brill, Uri Hochberg
Summary: This study evaluated the outcomes of retro-laminar cervical blocks (RLCB) in patients with cervical radiculopathy. The results showed that RLCB could be an alternative to cervical epidural steroid injections (ESI) and decompressive surgery, as it provided significant pain reduction and improved functional outcomes for most patients.
Article
Clinical Neurology
Faye Y. Chiou-Tan
Summary: This AANEM monograph explores musculoskeletal mimics of cervical radiculopathy, including head/neck pain, referred pain from shoulder pathology, joint hyperlaxity and instability, etc. Formulating a differential diagnosis and recognizing mimics can decrease the time between symptom onset and diagnosis/treatment plan.
Article
Clinical Neurology
Simran Chhugani, Nivedita Agarwal, Faraz Sheikh, Florina Borca, Aginor Spanoulis, Ian Galea
Summary: The study found that cervical spinal degenerative disease (SDD) is more common in patients with progressive multiple sclerosis (MS), with foraminal stenosis being a significant feature. Therefore, a higher index of suspicion for cervical SDD is needed in progressive MS patients experiencing appropriate neurological symptoms, to guide appropriate treatment or monitoring.
EUROPEAN JOURNAL OF NEUROLOGY
(2021)
Article
Clinical Neurology
Ji Yeon Kim, Dong Hwa Heo, Dong Chan Lee, Tae Hyun Kim, Choon Keun Park
Summary: This study compared the clinical and radiological outcomes between conventional posterior endoscopic cervical foraminotomy (PECF) and modified inclined technique for PECF. The modified inclined technique showed better foraminal expansion and lower facet resection rate, resulting in improved postoperative neck and arm pain symptoms.
Article
Multidisciplinary Sciences
J. Hutchins, K. Lagerstrand, E. Stavlid, P-A Svensson, K. Rennerfelt, H. Hebelka, H. Brisby
Summary: This study aimed to test the feasibility of a new compression device and evaluate the image quality and foraminal properties during a Spurling test under MRI acquisition. The results showed that using this novel device for individualized provocation test could obtain satisfactory image quality and reveal changes in cervical lordosis and foraminal cross distance, which may help detect changes in foraminal properties.
SCIENTIFIC REPORTS
(2023)
Review
Public, Environmental & Occupational Health
Quan-You Gao, Fei-Long Wei, Kai-Long Zhu, Cheng-Pei Zhou, Hu Zhang, Wen-Xing Cui, Tian Li, Ji-Xian Qian, Ding-Jun Hao
Summary: A network meta-analysis was conducted to evaluate the clinical efficacy and safety of various surgical interventions for pure cervical radiculopathy. The results showed no significant differences between treatments in terms of major clinical effectiveness and safety outcomes. Anterior cervical foraminotomy, posterior cervical foraminotomy, and anterior cervical discectomy with fusion and additional plating had higher postoperative success rates. Cervical disc replacement had a higher rate of postoperative complications. Autologous bone graft showed better relief from arm pain and neck disability.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Clinical Neurology
Hiroki Kozuki, Nobuaki Tadokoro, Naoki Aoyama, Katsuhito Kiyasu, Ryuichi Takemasa, Masahiko Ikeuchi
Summary: This study investigates the association between nerve root cross-sectional area (CA) on ultrasonography (US) and other examinations such as MRI or compound muscle action potentials (CMAPs) in degenerative cervical spine diseases. The results suggest that using US in addition to other diagnostic methods can contribute to the evaluation of nerve root conditions in these diseases.
Article
Clinical Neurology
Kathrin Haertig, Cornelius Kronlage, Julia Wittlinger, Till-Karsten Hauser, Alexander Grimm
Summary: The study found that neuroforaminal stenosis does not cause detectable enlargement of cervical nerve roots on ultrasound. This suggests that ultrasound assessment of cervical nerve root size in the diagnostic evaluation of PNP is unlikely to be confounded by common degenerative changes of the cervical spine.
CLINICAL NEUROPHYSIOLOGY
(2022)
Article
Rehabilitation
Joshua Plener, Silvano Mior, Melissa Atkinson-Graham, Sheilah Hogg-Johnson, Pierre Cote, Carlo Ammendolia
Summary: The study aims to develop a rehabilitation program for degenerative cervical radiculopathy (DCR) based on the perspectives of those suffering from the condition. Through qualitative interviews, the study found that patients desire a patient-centered approach, validating and reassuring healthcare providers, easier access to healthcare services, a supportive team environment, and peer support. The ideal rehabilitation program can be conceptualized using the enactive-biopsychosocial model.
DISABILITY AND REHABILITATION
(2023)
Review
Clinical Neurology
Axumawi Gebreyohanes, Marios Erotocritou, David Choi
Summary: This systematic review examines the prevalence and outcome of motor deficits in degenerative cervical radiculopathy. The review finds high baseline prevalence of motor deficits and highlights the lack of evidence on motor outcomes after intervention.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Gun Keorochana, Chakkraphan Tantrakansakun, Chinnawut Suriyonplengsaeng, Pilan Jaipanya, Thamrong Lertudomphonwanit, Pittavat Leelapattana, Pongsthorn Chanplakorn, Chaiwat Kraiwattanapong
Summary: This study investigated the anatomical relationship between bony landmark V point, dural sac, nerve roots, and intervertebral disc. The results suggest that during posterior endoscopic cervical foraminotomy or discectomy, bone removal and neural decompression should be performed based on the specific location.
GLOBAL SPINE JOURNAL
(2023)
Article
Rehabilitation
Paul M. Kitei, David E. Surrey, Jeremy I. Simon, David S. Stolzenberg
Summary: The epidural space can be accessed for corticosteroid injections to treat radicular pain either through an interlaminar or transforaminal approach. If conventional access is not desired or contraindicated, a transarticular approach can be considered. This approach has been described using computed tomography guidance in the cervical spine, but not fluoroscopic guidance. This article describes a fluoroscopy-guided cervical transarticular approach to the epidural space and reviews the literature on computed tomography-guided techniques. The risks of transarticular epidural injections are low when performed carefully to avoid direct contact with critical structures.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2023)
Article
Orthopedics
Federico Pozzi, Catarina O. Sousa, Hillary A. Plummer, Brittany Andrade, Daniel Awokuse, Naoko Kono, Wendy J. Mack, Shawn C. Roll, Lori A. Michener
Summary: This study investigates the incidence of shoulder pain and its association with supraspinatus tendon morphology and psychosocial distress in novice individuals exposed to repetitive shoulder tasks. The results show a higher incidence of shoulder pain in individuals exposed to repetitive tasks, with the greatest thickening of the supraspinatus tendon observed in those with pain. Concurrently, anxiety levels increased in individuals with shoulder pain.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2022)
Article
Sport Sciences
Sebastian Klich, Pascal Madeleine, Krzysztof Ficek, Klaudia Sommer, Cesar Fernandez-de-Las-Penas, Lori A. Michener, Adam Kawczynski
Summary: This study investigates the acute effects of repeated climbing actions on functional and morphological measures of the shoulder girdle. The study finds that range of motion and muscle strength decrease after climbing, while muscle/tendon stiffness and thickness increase. However, there is a decrease in acromiohumeral distance.
RESEARCH IN SPORTS MEDICINE
(2023)
Article
Orthopedics
Nestor Requejo-Salinas, Jeremy Lewis, Lori A. Michener, Roy La Touche, Ruben Fernandez-Matias, Juan Tercero-Lucas, Paula Rezende Camargo, Marcus Bateman, Filip Struyf, Jean-Sebastien Roy, Anju Jaggi, Timothy Uhl, Leanne Bisset, Craig A. Wassinger, Robert Donatelli, Melina Nevoeiro Haik, Enrique Lluch-Girbes
Summary: A Delphi study was conducted to identify the most relevant clinical descriptors for diagnosing rotator cuff related shoulder pain (RCRSP). Consensus was reached on 18 clinical descriptors across six clinical domains.
BRAZILIAN JOURNAL OF PHYSICAL THERAPY
(2022)
Article
Sport Sciences
Hillary A. Plummer, Shannon M. Plosser, Paul R. Diaz, Nicholas J. Lobb, Lori A. Michener
Summary: This study assessed the effectiveness of a standardized exercise program on shoulder range of motion (ROM) and rotational strength in collegiate baseball players during the fall season. The results showed that the program led to increased horizontal adduction ROM and internal rotation strength, and decreased external rotation ROM and strength in the non-throwing arm.
INTERNATIONAL JOURNAL OF SPORTS PHYSICAL THERAPY
(2022)
Article
Engineering, Biomedical
Sevgi Sevi Yesilyaprak, Ertugrul Yuksel, Melike Gizem Kalayci, Nuri Karabay, Lori A. Michener
Summary: Observable scapular dyskinesis is associated with biomechanical deficits. This study investigated the effects of kinesio taping (KT) on these deficits. The results suggest that KT is not recommended for ameliorating the biomechanical deficits associated with shoulder pain in individuals with scapular dyskinesis free from shoulder pain.
JOURNAL OF APPLIED BIOMECHANICS
(2022)
Article
Sport Sciences
Hillary A. Plummer, Zhongjie Cai, Hannah Dove, Geoff Hostetter, Thomas Brice, Audrey Chien, Lori A. Michener, Jonathan C. Sum, Andrew Hawkins, Bernard Li
Summary: This study found that hip abduction asymmetry in pitchers is related to subsequent upper extremity injuries, while there is no relationship between hip abduction strength and injury in position players.
SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH
(2023)
Article
Orthopedics
Nicholas J. Lobb, Ziang Lu, Emma Long, Kira Chow, Lori A. Michener
Summary: This study used ultrasound to examine the bilateral medial elbows of asymptomatic collegiate pitchers and found that the throwing arm had greater UCL thickening, enthesopathy/intra-ligamentous calcification, and greater laxity of the ulnohumeral joint compared to the non-throwing arm. Furthermore, degeneration of the UCL was related to increased elbow joint gapping.
SKELETAL RADIOLOGY
(2023)
Article
Rehabilitation
Mathew J. Failla, Paul E. Mintken, Amy W. McDevitt, Lori A. Michener
Summary: The study aims to investigate the trajectory and predictors of patient acceptable symptom state (PASS) defined recovery in musculoskeletal shoulder pain patients over a period of 6 months. The results indicate that different trajectory groups show varying levels of disability, with the Early Recovery group having the highest recovery rate. The odds of early recovery are associated with greater changes in symptoms during the first month of treatment.
JOURNAL OF MANUAL & MANIPULATIVE THERAPY
(2023)
Article
Clinical Neurology
Justin M. Lantz, Callie Roberts, Blake Formanek, Lori A. Michener, Raymond J. Hah, Jeffrey C. Wang, Zorica Buser
Summary: This study aimed to describe the incidence of complications associated with cervical spine surgery and post-operative physical therapy (PT), and to identify if the timing of initiation of post-operative PT impacts the incidence rates. The results showed that the most common post-operative complications included new onset cervicalgia, revision, and wound infection. The timing of initiation of PT at 2, 8, or 12 weeks post-operatively did not affect the complication rates.
EUROPEAN SPINE JOURNAL
(2023)
Article
Orthopedics
Lionel Chia, David Taylor, Evangelos Pappas, Eric J. Hegedus, Lori A. Michener
Summary: Current injury-specific return-to-performance rehabilitation programs lack comprehensiveness, intensity, and consensus. Backward design can improve sports injury rehabilitation practices by encouraging practitioners to start with the end in mind and design transferable and context-specific plans.
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY
(2022)
Article
Orthopedics
Catarina O. Sousa, Jose Diego S. Nascimento, Federico Pozzi, Joseph R. Kardouni, Lori A. Michener
Summary: The study aimed to evaluate the feasibility, reliability, and validity of the Shoulder Performance Activity Test (SPAT), a new performance-based test. Participants with and without shoulder pain were included, and the SPAT tasks were assessed based on time, pain, and effort. Results demonstrated that the SPAT is a feasible and reliable test, able to differentiate between individuals with and without pain, different levels of pain, and involved and uninvolved shoulders.
Article
Orthopedics
Lori A. Michener, Jill Heitzman, Laurel D. Abbruzzese, Salvador L. Bondoc, Kristin Bowne, Phillip Troy Henning, Heidi Kosakowski, Brian G. Leggin, Ann M. Lucado, Amee L. Seitz
Summary: A clinical practice guideline on glenohumeral joint osteoarthritis was developed by a volunteer guideline development group consisting of physical therapists, an occupational therapist, and a physician from the American Physical Therapy Association (APTA). The guideline is based on systematic reviews and accepted approaches for physical therapist management of this condition. It is also available in Spanish.
Article
Engineering, Biomedical
M. Sakurai, A. J. Barrack, N. J. Lobb, C. P. Wee, P. R. Diaz, L. A. Michener, A. R. Karduna
Summary: This study investigated the relationship between elbow varus torque and ball velocity in collegiate pitchers and found that there was a significant relationship, but individual differences were present.
SPORTS BIOMECHANICS
(2023)
Meeting Abstract
Sport Sciences
Oscar Vila Dieguez, Lori A. Michener
MEDICINE & SCIENCE IN SPORTS & EXERCISE
(2022)
Correction
Engineering, Biomedical
S. S. Yesilyaprak, E. Yuksel, M. G. Kalayci, N. Karabay, L. A. Michener
JOURNAL OF APPLIED BIOMECHANICS
(2022)
