Hello John,
Here is another:
Kilpikoski S e.a.
Interexaminer reliability of low back pain assessment using the McKenzie
method.
Spine 2002;27:E207-E214
with kind regards
Sylvia van den Heuvel, physiotherapist, subject librarian
Nederlands Paramedisch Instituut
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John Willenbruch schreef:
>
> Just a few points I would be interested in clarifying.
>
> 1, has anyone tried to categorise back pain in any extensive,
> reproducible way that you know of? I couldn't find any.
>
> 2, How can you say that "the most common type of painful problem:
> abnormal neurodynamics" even exists let alone is most common given
> that to my knowledge (correct me if I am wrong) there has been no way
> of grouping these patients together using any diagnostic tool or a
> pattern in differential diagnosis (a recipe for abnormal
> neurodynamics???)
>
> Thanks in advance,
>
> John Willenbruch
>
> >There are certainly conditions that conform fairly well to
> >predictable
> >patterns of recovery over time given proper position and metabolic
> >economy.
> >Protocols for things like post-op rotator cuff repair and a variety
> >of knee
> >problems come to mind and a "recipe" for the care provided in such a
> >circumstance is well known and, I think, justifiable. However,
> >conditions
> >that involve the nervous system to the extent that spinal pain does
> >will
> >never respond in a predictable manner because of the geometry of the
> >system, the mercurial nature of its response to provocation and the
> >simple
> >fact that complex systems like this (as opposed to the connective
> >and
> >contractile tissue) universally defy prediction. An interesting book
> >regarding such things is "Ubiquity: The Science of History or Why
> >The World
> >is Simpler Than We Think" by Mark Buchanan. At least I think that's
> >what
> >it's about. It's the main reference for my essay "The End of
> >Evaluation?"
> >on my web site .
> >
> >Recipes make some sense to me but not when it comes to the most
> >common type
> >of painful problem: abnormal neurodynamics.
> >
> >Barrett L. Dorko, P.T.
> >
> >Also
>
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