Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Stabilization Exercises vs Manual Therapy for LBP
- And Finally, a Story about MRI Variability in diagnostic error rates of Lumbar spine MRI examinations
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #582 recorded February 10, 2017.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Stabilization Exercises vs Manual Therapy for LBP
A study published in the journal Physical Therapy in Sport performed a systematic review with a meta-analysis to examine the efficacy of stabilization exercises versus general exercises or manual therapy in patients with low back pain.
The study searched MEDLINE, Cochrane Controlled Trials, etc., for randomized controlled trials that examined the efficacy of stabilization exercises compared to general exercises or manual therapy on pain, disability, and function in patients with low back pain.
Weighted mean differences (WMD) and 95% confidence intervals were calculated.
The study concluded that stabilization exercises were as efficacious as manual therapy in decreasing pain and disability and should be encouraged as part of musculoskeletal rehabilitation for low back pain.
Surf to our Show Notes for Links – http://www.physicaltherapyinsport.com/article/S1466-853X(16)30071-2/fulltext?rss=yes
MRI Variability in diagnostic error rates of Lumbar spine MRI examinations
In today’s health-care climate, magnetic resonance imaging (MRI) is often perceived as a commodity-a service where there are no meaningful differences in quality and thus an area in which patients can be advised to select a provider based on price and convenience alone.
If this prevailing view is correct, then a patient should expect to receive the same radiological diagnosis regardless of which imaging center he or she visits, or which radiologist reviews the examination. Based on their extensive clinical experience, the authors believe that this assumption is not correct and that it can negatively impact patient care, outcomes, and costs.
This study, published in the Spine Journal, was designed to test the authors’ hypothesis that radiologists’ reports from multiple imaging centers performing a lumbar MRI examination on the same patient over a short period of time will have (1) marked variability in interpretive findings and (2) a broad range of interpretive errors.
The conclusion of this study found marked variability in the reported interpretive findings and a high prevalence of interpretive errors in radiologists’ reports of an MRI examination of the lumbar spine performed on the same patient at 10 different MRI centers over a short time period.
As a result, the authors conclude that where a patient obtains his or her MRI examination and which radiologist interprets the examination may have a direct impact on radiological diagnosis, subsequent choice of treatment, and clinical outcome.
Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/27867079
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.