In episode 4 of season 8 of Inside the Science we’re highlighting the study, “Centralization and directional preference: An updated systematic review with synthesis of previous evidence” with Dr. Stephen May. You’ll hear him share why the need for an updated systematic review, the consistency or variability of what was studied and the operational definitions of centralization and directional preference, the quality of the studies, the prevalence and the degree to which the data showed these two phenomena predict outcomes, the clinical implications and big takeaways.
Season 8, Episode 3 with Mark Laslett: Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests
In episode 3 of season 8 of Inside the Science we’re highlighting the study, “Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests” with Dr. Mark Laslett. You’ll hear him share what was in the literature and why he and his coauthors had the opportunity to conduct this study, specifics on the procedure of clinical examination of the spine and SI joint, the injection process, the results, and what they mean from a clinical utility perspective for SI joint provocation tests, the clinical implications and big takeaways.
Season 5, Episode 3 with Terry Rose: Measurement of outcomes for patients with centralising versus non-centralising neck pain
In episode 3 of season 5 of Inside the Science we’re highlighting the study, “Measurement of outcomes for patients with centralizing versus non-centralizing neck pain” with Dr. Terry Rose. He shares what was lacking in the literature which prompted this study, the operational definition of centralization which was used, the most important data he’d suggest we take from the results, the clinical implications and the big takeaways.
Season 4, Episode 2 with Sinikka Kilpikoski: Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method
In episode 2 of season 4 of Inside the Science we’re highlighting the pre-published study, “Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method ” with Dr. Sinikka Kilpikoski. She explains the differences in MRI findings in those who classified as derangement versus mechanically unresponsive radicular syndrome or MURS, the details of how this study was conducted, how she uses this information to educate others and with whom she shares it, the clinical implications and the big takeaways.
Season 2, Episode 12 with Ron Donelson: Can Large Disc Herniations Producing Radiculopathies Rapidly Improve?
In episode 12 of season 2 of Inside the Science we’re highlighting the study, “Can Large Cervical and Lumbar Disc Herniations Producing Radiculopathies Be Intentionally and Rapidly Improved?” with the author, Dr Ron Donelson. He shares how he’d suggest using this information as an advocate for a mechanical exam when patients present having a large herniation found on advanced imaging, who he’d share this data with, and the big takeaways.
Season 1, Episode 13 with Hans van Helvoirt: Epidural injection followed by MDT to prevent disc surgery
In episode 13 of season 1 of Inside the Science, we’re highlighting the study, Transforaminal Epidural Steroid Injections Followed by Mechanical Diagnosis and Therapy to Prevent Surgery for Lumbar Disc Herniation and discussing it with one of its authors Hans van Helvoirt. He shares a look at this popular paper analyzing the effects of epidural steroid injections on non-responders per MDT assessment. He explains what prompted this work, its clinical implications, how he uses it with patient education, the big takeaways, and recommended other work that would shed further light on this topic.
Season 1, Episode 4 with Ron Donelson: Predicting Annular Competence Based on Pain Response
In Season 1 Episode 4 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 background to the study, the limitations, big takeaways and an additional paper the avid clinician will want to read.