Archives - Nov. 2, 2008

Patients with diabetes who participate in a program combining aerobic and high-force eccentric resistance exercise demonstrate improvements in glucose control, physical performance, and body fat composition, according to a study published in the November 2008 issue of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA).

URL:

http://www.jaoa.org/cgi/content/abstract/108/5/260

Keywords:

muncie technique; osteopathic manipulation; eustachian tube; otitis; vertigo; dizziness

Abstract:

In eustachian tube dysfunction, the eustachian tube fails to open sufficiently, resulting in a difference between the air pressure inside and outside the middle ear. This condition can cause pain and hearing loss and may lead to barotitis media, otitis media, tinnitus, and vertigo. Although several treatment options are available, from antibiotics to surgery, little documentation of osteopathic manipulative techniques exists. The current report discusses various treatment options, including the modified Muncie technique—a type of myofascial release administered inside the patient's mouth—for patients with eustachian tube dysfunction and its symptoms. An illustrative case of a 37-year-old woman who complained of intermittent vertigo and who was treated with this technique is included.

Notes:

La technique semble plutôt simple. Presque trop en fait pour croire que cela pourrait fonctionner.

URL:

http://jmmtonline.com/documents/v14n3/SchenkV14N3.pdf

Keywords:

dizziness; cervicogenic; orthopaedic manual therapy; vestibular physical therapy

Abstract:

The diagnosis and treatment of patients with dizziness of a cervical origin may pose a challenge for orthopaedic and vestibular physical therapy specialists. A thorough examination, which consists of a screening examination to rule out pathologies not amenable to sole physical therapy management and, if indicated, a physical therapy differential diagnostic process incorporating both cervical spine and vestibular tests and measures, may indicate an appropriate course of management. The treatment progression is then based on patient signs, symptoms, and response to physical therapy interventions. This case study describes the diagnosis, treatment, and outcomes of a patient with cervicogenic dizziness co-managed by a vestibular and an orthopaedic manual physical therapist.

Notes:

La conclusion: il semble y avoir un avantage à utiliser une combinaison de physiothérapie orthopédique et vestibulaire pour les étourdissements cervicogéniques. Par ailleurs, l'article est plein de références vers certains articles clés dans le champs des évidences scientifiques en ce qui a trait aux évaluation de la mobilité segmentaire et différentes techniqualitées entourant les céphalées cervicogéniques, dont d'ailleurs les excellents travaux de Jull.