Peter Grant Osmotherly

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BACKGROUND Shoulder pain and dysfunction after neck dissection may result from injury to the accessory nerve. The effect of early physical therapy in the form of intensive scapular strengthening exercises is unknown. METHODS A total of 59 neck dissection participants were prospectively recruited for this study. Participants were randomly assigned to(More)
BACKGROUND The alar ligaments are integral to limiting occipito-atlanto-axial rotation and lateral flexion and enhancing craniocervical stability. Clinical testing of these ligaments is advocated prior to the application of some cervical spine manual therapy procedures. Given the absence of validation of these tests and the potential consequences if(More)
Screening for integrity of the ligaments of the craniocervical complex has been suggested prior to the application of manual techniques to the upper cervical spine. However, most tests proposed lack validation limiting their usefulness clinically. This study examined the effect of the anterior shear test for the transverse ligament and the distraction test(More)
Meniscoids are folds of synovial membrane that project into the articular cavities of zygapophyseal joints throughout the cervical spine. These structures have been implicated in musculoskeletal neck pain; however, their anatomy has not been extensively investigated. The purpose of this study was to explore the morphometry and composition of the cervical(More)
The morphology of the alar ligaments has been inconsistently described, particularly with regard to the existence of an atlantal portion. Despite these inconsistencies, these descriptions have been used to develop physical tests for the integrity of these ligaments in patients with cervical spine problems. The purpose of this study was to describe the(More)
BACKGROUND CONTEXT Innervation of anatomical structures is fundamental to their capacity to generate nociceptive impulses. Cervical spine meniscoids are hypothesized to be contributors to neck pain; however, their innervation is not comprehensively understood. PURPOSE This study aimed to examine the presence and morphology of nerve fibers within cervical(More)
The lateral atlantoaxial joints contain folds of synovium termed meniscoids that may potentially contribute to cervical spine pain; however, the anatomy of these structures has not been comprehensively investigated. The purpose of this study was to explore the morphology and morphometry of lateral atlantoaxial joint meniscoids. Twelve cadaveric hemi-spines(More)
Objectives: The role of intra-articular meniscoids in spinal pathology is unclear, and their anatomy not well understood. Spinal meniscoids have been identified in research using dissection and imaging. No previous studies have identified these structures using E12 sheet plastination; such methods of visualising meniscoids are likely of value in research(More)
Study Design Case-control study. Background Cervical spine meniscoids are thought to contribute to neck pain and hypomobility in individuals with chronic whiplash-associated disorder (WAD); however, their morphology has not been studied in a clinical population. Objectives To investigate cervical spine meniscoid morphology in individuals with chronic WAD.(More)
QUESTION Is urinary incontinence associated with falls in community-dwelling older people? DESIGN A systematic review and meta-analysis of observational studies investigating falls and urinary incontinence. PARTICIPANTS Community-dwelling older people. OUTCOME MEASURES Falls rather than fracture or injury, and any type of urinary incontinence. (More)