Hello list members
I am sorry to back track onto a topic but a list member told me that there
was good evidence saying that the use of muscle imbalance techniques reduced
pain. My arguement was that of the few articles I had read only one even
mentioned pain, but spurred on by my friend from the list I continued to
read trying to find the holy grail a muscle imbalance article with a visual
analogue scale (or similar). The search so far:
Jull, Comerford, Richardson. Strategies for the initial activation of
dynamic lumbar stabilisation.
Hodges, Richardson. Dysfunction of Transversus Abdominis Associated with
Chronic low back pain. 1995 MPAA Conference
Richardson. Muscle control in spinal instability: advancement through
interaction of clinical skills and scientific research. MPAA 1995
Richardson, Jull, Wolfhart. Ballistic exercise: Can it undermine the
protective stability role of the lumbar musculature.
Richardson Toppenberg. An initial evaluation of eight abdominal
exercises..... Australian Physiothertapy 1990.
Hides, Stokes, Saide et al. Evidence of lumar multifidus..... Spine (1994)
Richardson et al. Techniques for active lumbar stabilisation.... Ozzy
physio 1992
Richardson, Jull. Muscle control-pain control. What exercises would you
prescribe)Manual therapy 1995
(sorry at this point I got far too bored of typeing and imagined you would
of reading)
There are a further 11 I have read and about another 15 on top of that my
boss has read and none of them evaluated improvement or othertwise of pain
or function with muscle imbalance techniques except one:
O'Sullivan, Twomey and Allison. Evaluation of specific stabilisng exercise
in the treatment of chronic low back pain with radiological diagnosis of
spondylosis or spondylolisethesis MPAA Conference proceedings 1995.
However no specific results were available except for the author stateing
that results were significant and positive.
Now call me a pommey cynic but are all you Ozzies pulling just teaching us
Brits a load of rubbish with your fancy theoretically useful stability
exercises, or is there any better evidence out there saying this actually
helps patients?
Cheers,
John
P.S. I do like the idea of haveing sound theory before imposeing techniques
on patients, a highly original approach, maybe we should have done that with
electrotherapy.
_________________________________________________________________________
Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.
Share information about yourself, create your own public profile at
http://profiles.msn.com.
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|