Publications by authors named "Wainner R"

Multichannel (multicolor) imaging has become a powerful technique in biology research for performing in vivo neuronal calcium imaging, colocalization of fluorescent labels, non-invasive pH measurement, and other procedures. We describe a novel add-on approach for simultaneous multichannel optical microscopy based on simple wedge prisms. Our device requires no alignment and is simple, robust, user-friendly, and less expensive than current commercial instruments based on switchable filters or dual-view strategies.

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: Nonrandomized controlled trial. : To determine whether translational manipulation under anesthesia/local block (TMUA) adds to the benefit of mobilization and range of motion exercise for improving pain and functional status among patients with adhesive capsulitis of the shoulder (AC). : TMUA has been shown to improve pain and dysfunction in patients with AC.

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Background: Initial management decisions following a new episode of low back pain (LBP) are thought to have profound implications for health care utilization and costs. The purpose of this study was to evaluate the impact of early and guideline adherent physical therapy for low back pain on utilization and costs within the Military Health System (MHS).

Methods: Patients presenting to a primary care setting with a new complaint of LBP from January 1, 2007 to December 31, 2009 were identified from the MHS Management Analysis and Reporting Tool.

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Study Design: A retrospective cohort design was conducted using data from an electronic survey and an existing commercial outcomes database.

Objective: To compare the clinical outcomes of patients with musculoskeletal conditions treated by physical therapists who had completed residency or fellowship programs versus those who had not.

Background: There is an increasing focus on specialization through postprofessional education in physical therapy residency and fellowship programs.

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Objective: The purposes of this descriptive and exploratory study were to examine electrophysiological measures of ulnar sensory nerve function in disease free adults to determine reliability, determine reference values computed with appropriate statistical methods, and examine predictive ability of anthropometric variables.

Methods: Antidromic sensory nerve conduction studies of the ulnar nerve using surface electrodes were performed on 100 volunteers. Reference values were computed from optimally transformed data.

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The term 'regional interdependence' or RI has recently been introduced into the vernacular of physical therapy and rehabilitation literature as a clinical model of musculoskeletal assessment and intervention. The underlying premise of this model is that seemingly unrelated impairments in remote anatomical regions of the body may contribute to and be associated with a patient's primary report of symptoms. The clinical implication of this premise is that interventions directed at one region of the body will often have effects at remote and seeming unrelated areas.

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Background Context: The psychometric properties of many outcome tools commonly used with patients with lumbar spinal stenosis have yet to be examined.

Purpose: Examine the test-retest reliability, responsiveness, and minimum levels of detectable and clinically important differences for several outcome measures in a cohort of patients with lumbar spinal stenosis.

Study Design/setting: Cohort secondary analysis of a randomized clinical trial of patients with lumbar spinal stenosis receiving outpatient physical therapy.

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Study Design: A retrospective cohort.

Objective: To describe physical therapy utilization following primary care consultation for low back pain (LBP) and evaluate associations between the timing and content of physical therapy and subsequent health care utilization and costs.

Summary Of Background Data: Primary care management of LBP is highly variable and the implications for subsequent costs are not well understood.

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Identifying and implementing techniques for carbon management has become an important endeavor in the mitigation of global climate change. Two important techniques being pursued are geologic and terrestrial carbon sequestration. With regard to terrestrial sequestration, in order to accurately monitor changes in soil carbon potentially induced by sequestration practices, rapid, cost-effective, and accurate measurements must be developed.

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Article Synopsis
  • The study is a secondary analysis of a randomized clinical trial aimed at comparing treatment outcomes for patients with mechanical neck pain receiving cervical thrust manipulations versus those receiving only nonthrust manipulations within a multimodal physical therapy program.
  • Both treatment groups showed improvements in pain and disability scores over time, but the low statistical power limited the ability to detect significant differences between the two approaches.
  • No serious adverse reactions were reported, indicating that the treatments were safe for the patients involved in the study.
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Objective: To determine whether military health care beneficiaries with low back pain (LBP) who are likely to respond successfully to spinal manipulation experience a difference in short-term clinical outcomes based on the manipulation technique that is used.

Methods: Sixty patients with LBP identified as likely responders to manipulation underwent a standardized clinical examination and were randomized to receive a lumbopelvic (LP) or lumbar neutral gap (NG) manipulation technique. Outcome measures were a numeric pain rating scale and the modified Oswestry Disability Questionnaire.

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Article Synopsis
  • A randomized clinical trial was conducted to evaluate the effectiveness of a manual physical therapy and exercise (MTE) treatment for mechanical neck pain and upper extremity symptoms compared to a minimal intervention (MIN) approach.
  • * The study involved 94 patients, measuring various outcomes like neck disability, pain levels, and patient satisfaction over multiple time points.
  • * Results showed that the MTE group experienced significantly greater improvements in pain and disability scores as well as higher rates of perceived treatment success after one year compared to the MIN group.
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Article Synopsis
  • The study aimed to explore pain referral patterns from asymptomatic costotransverse joints using intra-articular injections in healthy male volunteers.
  • A total of 21 injections were performed, with 16 deemed successful, producing varying degrees of pain, primarily characterized as a deep, dull ache.
  • Results showed localized pain patterns without referrals to the chest wall or arms, indicating the need for more research to understand differences from symptomatic cases.
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The Orthopaedic Section of the American Physical Therapy Association presents this second set of clinical practice guidelines on neck pain, linked to the International Classification of Functioning, Disability, and Health (ICF). The purpose of these practice guidelines is to describe evidence-based orthopaedic physical therapy clinical practice and provide recommendations for (1) examination and diagnostic classification based on body functions and body structures, activity limitations, and participation restrictions, (2) prognosis, (3) interventions provided by physical therapists, and (4) assessment of outcome for common musculoskeletal disorders.

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The study was an exploratory, one group pretest/post-test study, with the objective of investigating the short-term effects of thoracic spine thrust manipulations (TSTMs) on patients with shoulder impingement syndrome (SIS). There is evidence that manual physical therapy that includes TSTM and non-thrust manipulation and exercise is effective for the treatment of patients with SIS. However, the relative contributions of specific manual therapy interventions are not known.

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Study Design: Prospective cohort/predictive validity study.

Objective: To determine the predictive validity of selected clinical exam items and to develop a clinical prediction rule (CPR) to determine which patients with patellofemoral pain syndrome (PFPS) have a positive immediate response to lumbopelvic manipulation.

Background: Quadriceps muscle function in patients with PFPS was recently shown to improve following treatment with lumbopelvic manipulation.

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A sensor for the rapid (10-ms response time) measurement of vapors from the hydrocarbon-based fuels JP-8, DF-2, and gasoline is described. The sensor is based on a previously reported laser-mixing technique that uses two tunable diode lasers emitting in the near-infrared spectral region [Appl. Opt.

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We describe the development and characterization of a near-infrared diode-laser-based sensor to measure the vapor from trace gases having unstructured absorption spectra. The technique uses two equal amplitude-modulated laser beams, with the modulation of the two lasers differing in phase by 180 deg. One of the laser beams is at a wavelength absorbed by the gas [for these experiments, vapor is from pyridine (C(5)H(5)N)], and the second laser beam is at a wavelength at which no absorption occurs.

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We demonstrate a new imaging technique for velocity measurements in particle-laden flows. The technique, particle vaporization velocimetry, is a form of flow tagging based on laser vaporization of absorbing particles at defined locations in the flow. The locations of these tagged regions are then interrogated after a known delay to determine the convective velocity.

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Background And Purpose: The primary purpose of this study was to develop a clinical prediction rule (CPR) for identifying patients with knee pain and clinical evidence of knee osteoarthritis (OA) with favorable short-term response to hip mobilizations. The secondary purpose was to determine the predictive validity of individual clinical tests for identifying these same patients.

Subjects And Methods: Sixty subjects with knee OA, aged 51 to 79 years, completed self-report questionnaires, a clinical examination of the hip and knee, and functional tests and were treated with 4 hip mobilizations.

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Study Design: Predictive validity/diagnostic test study.

Objective: To determine the predictive validity and interrater reliability of selected clinical exam items and to develop a clinical prediction rule (CPR) to determine which patients respond successfully to patellar taping.

Background: Patellar taping is often used to treat patients with PFPS.

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