Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.06.012
Stefano Negrini, Carlotte Kiekens, William Levack, Frane Grubisic, Francesca Gimigliano, Elena Ilieva, Meyer Thorsten
{"title":"Cochrane physical and rehabilitation medicine: A new field to bridge between best evidence and the specific needs of our field of competence","authors":"Stefano Negrini, Carlotte Kiekens, William Levack, Frane Grubisic, Francesca Gimigliano, Elena Ilieva, Meyer Thorsten","doi":"10.1016/j.math.2016.06.012","DOIUrl":"10.1016/j.math.2016.06.012","url":null,"abstract":"","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages vii-viii"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.06.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34754998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.07.008
Eva Barrett , Mary O'Keeffe , Kieran O'Sullivan , Jeremy Lewis , Karen McCreesh
{"title":"Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review","authors":"Eva Barrett , Mary O'Keeffe , Kieran O'Sullivan , Jeremy Lewis , Karen McCreesh","doi":"10.1016/j.math.2016.07.008","DOIUrl":"10.1016/j.math.2016.07.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Excessive thoracic kyphosis is considered a predisposing factor for shoulder pain, though there is uncertainty about the nature of the relationship between shoulder pain and thoracic spine posture. The aim of this systematic review was to investigate the relationship between thoracic kyphosis and shoulder pain, shoulder range of motion (ROM) and function.</p></div><div><h3>Methods</h3><p>Two reviewers independently searched eight electronic databases and identified relevant studies by applying eligibility criteria. Sources of bias were assessed independently by two reviewers using a previously validated tool (Ijaz et al., 2013). Data were synthesised using a level of evidence approach (van Tulder et al., 2003).</p></div><div><h3>Results</h3><p>Ten studies were included. Four studies were rated as low risk of bias, three at moderate risk of bias and three at high risk of bias. There is a moderate level of evidence of no significant difference in thoracic kyphosis between groups with and without shoulder pain. One study at high risk of bias demonstrated significantly greater thoracic kyphosis in people with shoulder pain (p < 0.05). There is a strong level of evidence that maximum shoulder ROM is greater in erect postures compared to slouched postures (p < 0.001), in people with and without shoulder pain.</p></div><div><h3>Conclusions</h3><p>Thoracic kyphosis may not be an important contributor to the development of shoulder pain. While there is evidence that reducing thoracic kyphosis facilitates greater shoulder ROM, this is based on single-session studies whose long-term clinical relevance is unclear. Higher quality research is warranted to fully explore the role of thoracic posture in shoulder pain.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 38-46"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.07.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34328611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.08.005
S. Michiels , P. Van de Heyning , S. Truijen , A. Hallemans , W. De Hertogh
{"title":"Does multi-modal cervical physical therapy improve tinnitus in patients with cervicogenic somatic tinnitus?","authors":"S. Michiels , P. Van de Heyning , S. Truijen , A. Hallemans , W. De Hertogh","doi":"10.1016/j.math.2016.08.005","DOIUrl":"10.1016/j.math.2016.08.005","url":null,"abstract":"<div><h3>Background</h3><p>Tinnitus can be related to many different aetiologies such as hearing loss or a noise trauma, but it can also be related to the somatosensory system of the cervical spine, called cervicogenic somatic tinnitus (CST). Case studies suggest a positive effect of cervical spine treatment on tinnitus complaints in patients with CST, but no experimental studies are available.</p></div><div><h3>Objective</h3><p>To investigate the effect of a multimodal cervical physical therapy treatment on tinnitus complaints in patients with CST.</p></div><div><h3>Design</h3><p>Randomized controlled trial.</p></div><div><h3>Patients</h3><p>Patients with a combination of severe subjective tinnitus (Tinnitus Functional Index (TFI): 25–90 points) and neck complaints (Neck Bournemouth Questionnaire (NBQ) > 14 points).</p></div><div><h3>Intervention</h3><p>All patients received cervical physical therapy for 6 weeks (12 sessions). Patients were randomized in an immediate-start therapy group (n = 19) and a 6-week delayed-start therapy group (n = 19).</p></div><div><h3>Measurements</h3><p>TFI and NBQ-scores were documented at baseline, after the wait-and-see period in the delayed-start group, after treatment and after 6 weeks follow-up. The Global Perceived Effect (GPE) was documented at all measuring moments, except at baseline.</p></div><div><h3>Results</h3><p>In all patients (n = 38) TFI and NBQ-scores decreased significantly after treatment (p = 0.04 and p < 0.001). NBQ-scores remained significantly lower after follow-up (p = 0.001). Immediately after treatment, 53% (n = 38) experienced substantial improvement of tinnitus. This effect was maintained in 24% of patients after follow-up at six weeks.</p></div><div><h3>Conclusion</h3><p>Cervical physical therapy can have a positive effect on subjective tinnitus complaints in patients with a combination of tinnitus and neck complaints. Larger studies, using more responsive outcome measures, are however necessary to prove this effect.</p></div><div><h3>Trial registration</h3><p><span>NCT02016313</span><svg><path></path></svg>.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 125-131"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34718755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.08.008
Mary C. Hannah, Janet Cope, Alec Palermo, Walker Smith, Valerie Wacker
{"title":"Comparison of two angles of approach for trigger point dry needling of the lumbar multifidus in human donors (cadavers)","authors":"Mary C. Hannah, Janet Cope, Alec Palermo, Walker Smith, Valerie Wacker","doi":"10.1016/j.math.2016.08.008","DOIUrl":"10.1016/j.math.2016.08.008","url":null,"abstract":"<div><h3>Study design</h3><p>Descriptive comparison study.</p></div><div><h3>Objective</h3><p>To assess the accuracy of two needle angle approaches for dry needling of the lumbar multifidus.</p></div><div><h3>Background</h3><p>Low back pain is a leading cause of disability around the world; the lumbar multifidus plays a vital role in low back health. Manual therapy such as dry needling can improve pain mediation and motor control activation of the lumbar multifidus. Clinicians practicing dry needling at the lumbar multifidus typically use an inferomedial approach considered non-controversial. Clinicians practicing electromyography and nerve conduction studies commonly sample the lumbar multifidus in a directly posteroanterior approach that may provide another option for dry needling technique.</p></div><div><h3>Methods</h3><p>Four human donors were used for a total of eight needle placements—four with an inferomedial orientation and four with a posteroanterior orientation. Each needle was placed from 1 to 1.5 cm lateral to the spinous process of L4 to the depth of the lumbar lamina. Each lower lumbar spine was then dissected to determine the structures that the needle traversed and the needle's final resting place.</p></div><div><h3>Results</h3><p>All four inferomedial approach needles ended at the lamina of the vertebrae below. All four posterior-anterior approach needles ended in the lamina of the same level.</p></div><div><h3>Conclusions</h3><p>All eight needles traversed the lumbar multifidus and ended in the lumbar lamina with little possibility of the needle entering the subarachnoid space. Thus both the inferomedial and the posteroanterior angles of approach are efficacious for clinicians to use in dry needling of the lumbar mulifidus.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 160-164"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55180436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.07.015
Ann-Christin Johansson , Hillevi Karlsson
{"title":"The Star Excursion Balance Test: Criterion and divergent validity on patients with femoral acetabular impingement","authors":"Ann-Christin Johansson , Hillevi Karlsson","doi":"10.1016/j.math.2016.07.015","DOIUrl":"10.1016/j.math.2016.07.015","url":null,"abstract":"<div><h3>Background</h3><p>A valid functional test, evaluating dynamic balance control, might be valuable clinic tool for evaluation of treatment outcome on patients with femoral acetabular impingement (FAI).</p></div><div><h3>Objectives</h3><p>The aim of this study was to evaluate criterion and divergent validity of the Star Excursion Balance Test (SEBT) on patients with bilateral FAI- changes, with unilateral clinical symptoms.</p></div><div><h3>Method</h3><p>In this cross sectional correlational and comparative study fifteen patients with bilateral FAI with unilateral symptoms and 15 controls participated. Criterion validity was determined by analysing agreement between SEBT and The Copenhagen Hip and Groin Outcome Score (HAGOS), The Hip Sports Activity Scale (HSAS), pain and leg strength on FAI patients. Divergent validity was determined by comparing SEBT on FAI patients with controls and by comparing SEBT on patient's symptomatic and asymptomatic hips.</p></div><div><h3>Results/findings</h3><p>SEBT posterolateral and posteromedial direction had high criterion validity in relation to HAGOS subscale pain intensity and symptoms (r<sup>s</sup> = 0.75, p = 0.001, respectively r<sup>s</sup> = 0.70, p = 0.004). Criterion validity was low in relation to HAGOS subscales sports, recreation, participation in physical activity and quality of life. SEBT in the posterolateral and posteromedial direction had good divergent validity (p = 0.006, respectively p = 0.001) and in the posterolateral direction SEBT could differentiate between patient's symptomatic and asymptomatic hip (p = 0.005).</p></div><div><h3>Conclusions</h3><p>SEBT in posterolateral and posteromedial direction has good criterion validity in relation to pain and other symptoms. In the posterolateral and posteromedial direction SEBT also had divergent validity. Clinically it is recommended to combine SEBT in the posterolateral and posteromedial direction with other measurements on patients with FAI.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 104-109"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.07.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34651694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.07.005
Vincent Dewitte , Wim Peersman , Lieven Danneels , Katie Bouche , Arne Roets , Barbara Cagnie
{"title":"Subjective and clinical assessment criteria suggestive for five clinical patterns discernible in nonspecific neck pain patients. A Delphi-survey of clinical experts","authors":"Vincent Dewitte , Wim Peersman , Lieven Danneels , Katie Bouche , Arne Roets , Barbara Cagnie","doi":"10.1016/j.math.2016.07.005","DOIUrl":"10.1016/j.math.2016.07.005","url":null,"abstract":"<div><h3>Background</h3><p>Nonspecific neck pain patients form a heterogeneous group with different musculoskeletal impairments. Classifying nonspecific neck pain patients into subgroups based on clinical characteristics might lead to more comprehensive diagnoses and can guide effective management.</p></div><div><h3>Objective</h3><p>To establish consensus among a group of experts regarding the clinical criteria suggestive of a clinical dominance of ‘articular’, ‘myofascial’, ‘neural’, ‘central’ and ‘sensorimotor control’ dysfunction patterns distinguishable in patients with nonspecific neck pain.</p></div><div><h3>Study design</h3><p>Delphi study.</p></div><div><h3>Methods</h3><p>A focus group with 10 academic experts was organized to elaborate on the different dysfunction patterns discernible in neck pain patients. Consecutively, a 3-round online Delphi-survey was designed to obtain consensual symptoms and physical examination findings for the 5 distinct dysfunction patterns resulting from the focus group.</p></div><div><h3>Results</h3><p>A total of 21 musculoskeletal physical therapists from Belgium and the Netherlands experienced in assessing and treating neck pain patients completed the 3-round Delphi-survey. Respectively, 33 (response rate, 100.0%), 27 (81.8%) and 21 (63.6%) respondents replied to rounds 1, 2 and 3. Eighteen ‘articular’, 16 ‘myofascial’, 20 ‘neural’, 18 ‘central’ and 10 ‘sensorimotor control’ clinical indicators reached a predefined ≥80% consensus level.</p></div><div><h3>Conclusion</h3><p>These indicators suggestive of a clinical dominance of ‘articular’, ‘myofascial’, ‘neural’, ‘central’, and ‘sensorimotor control’ dysfunction patterns may help clinicians to assess and diagnose patients with nonspecific neck pain. Future validity testing is needed to determine how these criteria may help to improve the outcome of physical therapy interventions in nonspecific neck pain patients.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 87-96"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34743248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.07.011
Nele Beeckmans , Astrid Vermeersch , Roeland Lysens , Peter Van Wambeke , Nina Goossens , Tinne Thys , Simon Brumagne , Lotte Janssens
{"title":"The presence of respiratory disorders in individuals with low back pain: A systematic review","authors":"Nele Beeckmans , Astrid Vermeersch , Roeland Lysens , Peter Van Wambeke , Nina Goossens , Tinne Thys , Simon Brumagne , Lotte Janssens","doi":"10.1016/j.math.2016.07.011","DOIUrl":"10.1016/j.math.2016.07.011","url":null,"abstract":"<div><h3>Background</h3><p>Inspiratory muscles, such as the diaphragm, play a key role in both respiration and spinal control. Therefore, diaphragm dysfunctions are often related to low back pain (LBP). However, few is known on the association between the presence of LBP and the presence of respiratory disorders (RD).</p></div><div><h3>Objectives</h3><p>To perform a systematic review on the relation between RD and LBP.</p></div><div><h3>Study design</h3><p>Systematic review.</p></div><div><h3>Methods</h3><p>Two reviewers searched on PubMed/MEDLINE for studies concerning LBP and RD, from 1950 up to January 2016. The search string consisted of the following key words: <em>low back pain, dyspnea, respiratory problems, lung diseases, comorbidity, pulmonary disease, chronic obstructive, smoking, asthma, allergy, sinusitis, respiratory tract infection</em> and <em>hyperventilation</em>. The aim was to evaluate a potential correlation, co-occurrence or causality between RD and LBP.</p></div><div><h3>Results</h3><p>A total of 16 articles were included. A significant correlation between the presence of LBP and the presence of RD such as dyspnea, asthma, different forms of allergy, and respiratory infections was found. No correlation was found between Chronic Obstructive Pulmonary Disease (COPD) and LBP, and no articles were found on the correlation between hyperventilation and LBP.</p></div><div><h3>Conclusions</h3><p>This is the first study providing an overview of the literature on the relation between LBP and RD. Immunological, biomechanical, psychosocial and socio-economic factors might explain this correlation. Smoking is likely to contribute. Future studies must reveal the causative relationship.</p></div><div><h3>Level of evidence</h3><p>Therapy, level 2a.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 77-86"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.07.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34739074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.06.004
Divya Bharatkumar Adhia , Steve Tumilty , Ramakrishnan Mani , Stephan Milosavljevic , Melanie D. Bussey
{"title":"Innominate segment deformation during passive hip abduction and external rotation","authors":"Divya Bharatkumar Adhia , Steve Tumilty , Ramakrishnan Mani , Stephan Milosavljevic , Melanie D. Bussey","doi":"10.1016/j.math.2016.06.004","DOIUrl":"10.1016/j.math.2016.06.004","url":null,"abstract":"<div><h3>Background</h3><p>Electromagnetic palpation-digitization technique for measurement of innominate motion involves calculation of innominate rotation using the innominate vector length in the neutral (NEUT) and combined hip abduction and external rotation (HABER) test positions. The innominate vector length [i.e., the segment between anterior superior iliac spine (ASIS) and posterior superior iliac spine (PSIS)] is not a rigid structure and its deformation could introduce an error influencing the final innominate rotation measurement.</p></div><div><h3>Objectives</h3><p>The aim of this study is to determine if there is significant deformation occurring in innominate vector length when the hip is loaded into the HABER test position.</p></div><div><h3>Method</h3><p>A cross sectional study using sixteen healthy individuals and a single tester was conducted. Four pelvic landmarks, left and right PSIS and ASIS, were palpated and digitized using 3D digitizing stylus of Polhemus electromagnetic tracking device, in two hip test positions, NEUT and 50° HABER. The innominate vector lengths were calculated from the 3D coordinates of pelvic landmarks, for each hip test positions.</p></div><div><h3>Results and conclusion</h3><p>Paired t-tests demonstrated no significant differences (p > 0.05) in the innominate vector lengths at the side of the load as well as the opposite innominate when either the right or left hip was loaded; thus indicating no significant bone deformation in innominate segment during the HABER test position.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 235-237"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34611327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manual TherapyPub Date : 2016-12-01DOI: 10.1016/j.math.2016.08.004
I. Ris , K. Søgaard , B. Gram , K. Agerbo , E. Boyle , B. Juul-Kristensen
{"title":"Does a combination of physical training, specific exercises and pain education improve health-related quality of life in patients with chronic neck pain? A randomised control trial with a 4-month follow up","authors":"I. Ris , K. Søgaard , B. Gram , K. Agerbo , E. Boyle , B. Juul-Kristensen","doi":"10.1016/j.math.2016.08.004","DOIUrl":"10.1016/j.math.2016.08.004","url":null,"abstract":"<div><h3>Aim</h3><p>To investigate the effect of combining pain education, specific exercises and graded physical activity training (exercise) compared with pain education alone (control) on physical health-related quality of life (HR-QoL) in chronic neck pain patients.</p></div><div><h3>Methods</h3><p>A multicentre randomised controlled trial of 200 neck pain patients receiving pain education. The exercise group received additional exercises for neck/shoulder, balance and oculomotor function, plus graded physical activity training. Patient-reported outcome measures (Short Form-36 Physical and Mental component summary scores, EuroQol-5D, Beck Depression Inventory-II, Neck Disability Index, Pain Bothersomeness, Patient-Specific Functioning Scale, Tampa Scale of Kinesiophobia, Global Perceived Effect) and clinical tests (Aastrand Physical Fitness, cervical Range of Motion, Pressure Pain Threshold at infraspinatus, tibialis anterior and cervical spine, Cranio-cervical Flexion, Cervical Extension muscle function, and oculomotion) were recorded at baseline and after 4 months.</p></div><div><h3>Results</h3><p>The exercise group showed statistically significant improvement in physical HR-QoL, mental HR-QoL, depression, cervical pressure pain threshold, cervical extension movement, muscle function, and oculomotion. Per protocol analyses confirmed these results with additional significant improvements in the exercise group compared with controls.</p></div><div><h3>Conclusions</h3><p>This multimodal intervention may be an effective intervention for chronic neck pain patients.</p></div><div><h3>Trial registration</h3><p>The trial was registered on <span>www.ClinicalTrials.gov</span><svg><path></path></svg> <span>NCT01431261</span><svg><path></path></svg> and at the Regional Scientific Ethics Committee of Southern Denmark S-20100069.</p></div>","PeriodicalId":49889,"journal":{"name":"Manual Therapy","volume":"26 ","pages":"Pages 132-140"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.math.2016.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34723640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}