 Effectiveness of Continuous Passive Motion and Conventional ::
Montgomery F, Eliasson M. Continuous passive motion compared to active physical therapy after knee arthroplasty: similar hospitalization times in a
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Terry O’Brien General Manager of Back Trouble UK says that, “Physical therapy has a significant benefit for mechanical back pain. Studies show that, for patients presenting with acute back pain, spinal mobilisation and/or manipulation is more effective than placebo in the short term and thus reduces the period of morbidity, allowing an earlier return to work.
Mastercases: Shoulder and Elbow Surgery - Google Books Result::
books.google.com/books?id=0fV4CJrP5uoC&pg=PA390&lpg=PA390&dq=passive+physical+therapy&source=web&ots=hnhOU-VUTx&sig=RIHr3HknNDhlDlaPYVcbGoTlXMk class=l>Mastercases: Shoulder and Elbow Surgery - Google Books Resultby Larry D. Field, Felix H. Savoie - 2003 - Medical Active and passive physical therapy exercises are continued on a daily, or twice daily, basis until 6 to 8 weeks postoperatively
http://books.google.com/books?id=0fV4CJrP5uoC&pg=PA390&lpg=PA390&dq=passive+physical+therapy&source=web&ots=hnhOU-VUTx&sig=RIHr3HknNDhlDlaPYVcbGoTlXMkHOME |
The timing of the treatment is important. If the medical practitioner is unskilled with physical therapy, referral is appropriate. Spinal manipulation is contraindicated or ineffective in patients with acute low back pain with spasm, fixed lateral scoliosis or sciatica.
The gentler technique of mobilisation may be effective in providing relief and shortening the period of disability. Once the severe pain and spasm phase subsides (average 3-7 days), then it is usually possible to apply the more vigorous spinal manipulation technique. However, it is possible to perform manipulation safely from the outset in many patients. These are the patients who often feel that something in their back has `jammed and feel the need for physical therapy. Such patients who have received relief, sometimes instantaneously, in the past for a similar disorder will seek out therapists who provide this treatment.
Musculoskeletal Pain Emanating from the Head and Neck: Current - Google Books Result::
books.google.com/books?id=LrVK7_Z3O-AC&pg=PA125&lpg=PA125&dq=passive+physical+therapy&source=web&ots=xd80Cw_lJG&sig=T3RQChhSwu5-DEicZA4F0WdVLxQ class=l>Musculoskeletal Pain Emanating from the Head and Neck: Current - Google Books Resultby Murray Allen - 1996 - Medical - 187 pagesObjectives: To present the pros and cons of passive physical therapy Conclusions: The long list of passive physical therapy modalities must be
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Continuous Passive Motion Devices::
Physical therapy of joints following surgery focuses both on passive motion to restore mobility and on active exercises to restore strength.
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Manipulations bad name, particularly among surgeons who have to deal with subsequent disrupted discs is related to inappropriate spinal manipulation that aggravates the problem or fails to help over a long period of time.
The management of back pain is incorrectly portrayed as a difficult problem shrouded in medical ignorance. The physician has to provide optimal circumstances for the dysfunction problem to heal itself. The key to successful management is for the practitioner to be well informed, confident and believable, and be prepared to give or organise safe effective physical therapy for back problems which are slow to respond to conservative methods.”
Terry O’Brien
www.backtrouble.co.uk
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