Internationally Peer Reviewed Journals Written by Mr Giles Gyer




Spinal manipulation therapy: is it all about the brain? A current review of the neurophysiological effects of manipulation

Spinal manipulation has been an effective intervention for the management of various musculoskeletal disorders. However, the mechanisms underlying the pain modulatory effects of spinal manipulation remain elusive. Although both biomechanical and neurophysiological phenomena have been thought to play a role in the observed clinical effects of spinal manipulation, a growing ……

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Rotator cuff impingement associated with Type III acromial morphology in a young athlete—a case for early imaging

Down-sloped or hooked acromion morphologies may cause bony encroachment on the soft tissues of the subacromial space, predisposing to shoulder impingement syndrome……

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Pregnancy-Related Hormonal Influences on the Musculoskeletal System, Lumbo-Pelvic Structures and Peripheral Joints: Some Practical Considerations for Manual Therapists

The effects of maternal hormones upon the spine and pelvis is not very well defined in the literature with evidence conflicting. Reports of hormonal effects…

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Is Prolotherapy an Effective Long-term Management for Discogenic Low Back Pain? – A Case Study with 10 Year Follow Up

Discogenic low back pain (DLBP), has been reported to account for 39% of all chronic lower back pain.
Several studies have also concluded that the presence of a high-intensity zone (HIZ) in the annulus on T2-weighted
sagittal lumbar MRI and in the context of a DLBP pattern, (88-99% correlation), suggest that an annular fissure of the disc is the main pain generator…

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Occupational hand injuries: a current review of the prevalence and proposed prevention strategies for physical therapists and similar healthcare professionals, by Giles Gyer

Hand injury is the second most common work-related musculoskeletal injury among physical therapists (PTs) and other manual therapy professionals such as osteopaths, physiotherapists, chiropractors, acupuncturists and massage therapists. However, the nature and extent of this problem have not been fully explored yet. Therefore, the objective of this study was to review the existing literature published on the prevalence, risk factors, consequences, and prevention of hand injuries among PTs and similar healthcare professionals. The lifetime prevalence of hand injuries was about 15%–46% and the annual prevalence was reported as 5%–30%. Thumb injuries were found to be the most prevalent of all injuries, accounting more than 50% of all hand-related problems.

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Poland syndrome is a rare genetic condition, which involves the chest. There is no genetic testing. Diagnosis is reliant upon history and examination findings. An overlooked feature of Poland’s syndrome is thoracic scoliosis. Spinal involvement may be predisposed by associated genetic muscle and skeletal anomalies affecting the serratus, latissimus dorsi,  external oblique, ribs, sternum and spine. This paper reviews the history of a patient referred for progressive postural changes and back  pain  associated  with  idiopathic  thoracolumbar  scoliosis,  who  on examination actually had Poland’s syndrome.

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