Inside the Science

In S1E9 of Inside the Science, we're highlighting the study, Consistency of commonly used orthopedic special tests of the shoulder when used with the McKenzie system of mechanical diagnosis and therapy and discussing it with one of its authors Mr. Richard Rosedale. He shares a look at the results of three orthopedic special tests of the shoulder with and without the classification per Mechanical D...

In S1E8 of Inside the Science, we're highlighting the study, Pain and Functional Outcomes After Sacroiliac Joint Injection with Anesthetic and Corticosteroid at Six Months, Stratified by Anesthetic Response and Physical Exam Maneuvers and discussing it with the primary author, Dr. Byron Schneider. He shares the the six month outcomes of SI joint injection and their relationship to injection respon...

In episode 7 of season 1 of Inside the Science, we're highlighting the study, Validity of Physical Exam Maneuvers in the Diagnosis of Sacroiliac Joint Pathology, and discussing it with one of its authors Dr. Byron Schneider.  He shares the physical examination maneuvers and their sensitivity, specificity, and association with SI joint pathology.   We hope to deliver this content to the committed p...

In S1E6 of Inside the Science I'm joined by Ms. Audrey Long, to discuss her paper Specific Directional exercise for Low Back Pain; A Case Series which was published in Physiotherapy Canada in 2008. Audrey gives the back story of this case series and how it was born out of the previous RCT "Does it Matter Which Exercise" from 2004. She explains what prompted her to conduct it, how it was originally...

In S1E5 of Inside the Science, I'm joined by Ms. Audrey Long, author of Does it matter which exercise? A randomized controlled trial of exercise for low back pain which was published in Spine in 2004. Although it's over 15 years old it is a fundamental study for any clinician who evaluates and treats patients with low back pain. Being how common comparative effectiveness studies which show results...

In S1E4 of Inside the Science, we summarize and discuss with the author, Dr. Ron Donelson, the study, A Prospective Study of Centralization of Lumbar and Referred Pain: A Predictor of Symptomatic Discs and Annular Competence. This paper hypothesized that the morphology and image findings of lumbar discs could be predicted by MDT therapists based on their symptom response. Dr. Donelson gives some b...

In S1E3 we summarize a systematic review of the Sharp-Purser test by Dr. Cody Mansfield. We share its four aims including to determine its diagnostic accuracy, its reliability, its safety and patterns of use. We share sensitivity, specificity, positive and negative likelihood ratios and we hear from Dr. Mansfield as to what prompted this work.   We hope to deliver this content to the committed pro...

In S1E2 we highlight a case report by Dr. Cody Mansfield entitled, Cervical myelopathy causing numbness and paresthesias in lower extremities: A case report identifying the cause of a false positive Sharp–Purser test.  Differential diagnosis, the diagnostic accuracy and safety and appropriateness of utilizing the Sharp-Purser test are all major themes in this paper. Subscribers to the premium vers...

S1E1 includes a review of the JMMT 2019 study, The Cost Impact of Quality-Assured Mechanical Assessment in Primary Low Back Pain Care. Subscribers of Inside the Science premium will hear Dr. Donelson share the motivation behind conducting and publishing this study, limitations, the implications, additional studies and the big takeaways for those clinicians treating patients with low back pain.   W...