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Research

The Back Stability Clinic operationalises and utilises cutting edge research. Our clinic co-ordinator was the first physiotherapist in the world to recognise the potential of ultrasound imaging as an assessment and treatment modality for motor control of the muscles which protect the spine. She pioneered this treatment approach, conducted her PhD on this topic, and has published several research papers on its efficacy (see reference list below). This approach is now used all around the world.

The research supports the use of ultrasound imaging as the most effective method of regaining motor control of the abdominal and back muscles, which are essential for the successful management of spinal pain. Research has been conducted on several groups of people, including those with and without low back pain and elite athletes, Collaborative research is currently being conducted internationally with the European Space Agency and also in Australia with the Lions AFC. The American Military has recently adopted our programme, based on our research results, to help to prevent LBP in American soldiers. We have published papers on successful rehabilitation of elite cricketers with low back pain in research conducted with Cricket Australia.

Many places claim to offer you similar services as the Back Stability Clinic. There is only one genuine Back Stability Clinic. You can be confident that the people who actually developed and researched this programme are caring for you personally.

Research papers are available for your perusal in the waiting room, before and after treatments, in the BSC patient information folder.

Resources

Hides JA, Stanton W, Freke M, Wilson S, McMahon S, Richardson C (2008): MRI study of the Size, Symmetry and Function of the Trunk Muscles among Elite Cricketers With and Without Low Back Pain. BJSM doi:10.1136/bjsm.2007.044024

Belavy D, Hides JA, Wilson S, Dimeo FC, Rittweger J, Felsenberg D, Richardson CA (2008): Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bedrest. Spine 33(5): E121-E131

Hides JA, BelavĂ˝ DL, Wilson SJ, Rittweger J, Felsenberg Richardson C (2007) MRI Assessment of Trunk Muscles During Prolonged Bed Rest. Spine 32(15):1687-1692

Hides JA, Stanton W, McMahon S, Sims K, Richardson C (2008): The effect of stabilization training on multifidus muscle size among young elite cricketers. JOSPT 38(3): 101-108.

Hides J, Gilmore C, Stanton W and Bohlscheid E (2008): Multifidus size and symmetry among chronic lower back pain and health asymptomatic subjects. Manual Therapy 13:43-49.

Stokes M, Hides J, Elliot J, Kiesel K, Hodges P (2007) Rehabilitative ultrasound imaging of the posterior paraspinal muscles, JOSPT 37 (10):581-595.

Teyhen DS, Gill NW, Whittaker JL, Henry SM, Hides JA, Hodges PW (2007) Rehabilitative Ultrasound Imaging of the Abdominal Muscles JOSPT 37(8):450-466.

Hides JA, Miokovic T, Belavy D, Stanton W, Richardson C (2007): Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: An intrarater reliability study. JOSPT37(8): 480-486

Hides JA, Wong I, Wilson S, Belavy D, Richardson CA (2007): Assessment of abdominal muscle function during a stimulated unilateral weight-bearing task using ultrasound imaging. JOSPT 37(8):467-471

Wallwork T, Hides J, Stanton W, Belavy D (2007): Intrarater and interrater reliability of Assessment of Lumbar Multifidus muscle thickness using rehabilitative ultrasound imaging. JOSPT 37(10):608-612.

Claus A, Hides J, Moseley L, Hodges P (2007).
Standing or sitting: do postures and disc pressures predict annulus stress, degeneration or low back pain? J of Electromyography & Kinesiology (in press)

Whittaker JL, Whitman JM, Stokes M, Hides JA, Childs JL, Teyhen DS (2006): Professional issues associated with use of rehabilitative ultrasound imaging by physical therapists. JOSPT (Abs) 36(8): A5-6

Hides JA (2006): Rehabilitative ultrasound imaging of the lumbar multifidus muscle: Biofeedback training, clinical and research applications. JOSPT (Abs) 36(8): A12

Hides JA (2006): Ultrasound imaging of the lateral abdominal muscles: Validation of ultrasound imaging by comparison with magnetic resonance imaging. JOSPT (Abs) 36(8): A7-A8

Van K, Hides JA, Richardson CA (2006): The Use of Real- time Ultrasound Imaging for Biofeedback of Multifidus Muscle Contraction in Healthy Subjects. JOSPT: 36(12) 920-925.

Pirouzi S, Hides JA, Richardson C, Darnell R, Toppenberg R (2006): Low back pain patients demonstrate increased hip extensor muscle activity during standardised submaximal rotation efforts. Spine 31(26):

Hides J, Wilson S, Stanton W, McMahon S, Keto H, McMahon K, Bryant M, Richardson C (2006): MRI investigation into the function of the transversus abdominis muscle during ‘drawing in’ of the abdominal wall. Spine: 31(6)E175-E178.

Belavy DL, Richardson CA, Wilson S, Darnell R, Hides J, Toppenberg R, Elmann-Larsen B, Rittweger J, Felsenberg D (2005): Long-term overactivity in the oblique abdominal muscles after 8 weeks bedrest. Possible implications for musculoskeletal health. Journal of Gravitational Physiology 12(1) 157-158.

Richardson C, Hides J, Wilson S, Belavy D, Stanton W, McCook D, Elmann-Larson B, Rittweger J, Felsenberg D (2005). MRI measures of the lumbo-pelvic muscles in bedrest
and follow-up: Implications for exercise countermeasures in microgravity. Journal of Gravitational Physiology 12(1): 117-118.

Richardson CA, Hides JA, Wilson S, Stanton W, Snijders CJ (2005): Lumbo-pelvic joint protection against antigravity forces: motor control and segmental stiffness assessed with magnetic resonance imaging. Journal of Gravitational Physiology 11(2): 119-122.

Richardson CA, Hides JA (2004) Chapter 31: The rationale for a motor control program for the treatment of spinal muscle dysfunction. In: Boyling J, Jull G (eds) Modern Manual Therapy of the Vertebral Column. Edinburgh: Churchill Livingstone, pp. 443-450.

Richardson CA, Hides JA (2004): Chapter 5: stiffness of the lumbo-pelvic region for load transfer. Appendix: the use of real-time ultrasound imaging in Physiotherapy. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Hides JA (2004) Chapter 8: Joint injury. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Hides JA (2004) Chapter 11: Paraspinal mechanisms in low back pain. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Richardson CA, Hides JA, Hodges P (2004) Chapter 13: Principles of the ‘segmental stabilization’ exercise model. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Hides JA, Richardson CA, Hodges P (2004) Chapter 14: Local segmental control. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Richardson CA, Hides JA (2004) Chapter 15: Closed chain segmental control. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Richardson CA, Hides JA (2004) Chapter 16: Open chain segmental control and progression into function. In: Richardson CA, Hodges PW, Hides JA (2004). Therapeutic Exercise for Lumbopelvic Stabilisation: A Motor Control Approach for the Treatment and Prevention of Low Back Pain, 2nd edn. Edinburgh: Churchill Livingstone.

Richardson CA, Hodges PW, Hides JA (2004): Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. Churchill Livingstone: Edinburgh.

Hides JA, Richardson CA, Jull GA (2003): Use of real-time ultrasound for feedback in rehabilitation. In: Beeton K (ed.) Manual Therapy Masterclasses: The Vertebral Column. Edinburgh: Churchill Livingstone, pp127-138.

Richardson CA, Hides JA (2003) Chapter 41: The rationale for a motor control program for the treatment of spinal muscle dysfunction. In: Boyling J, Jull G (eds). Modern Manual Therapy of the Vertebral Column.

Hides JA, Richardson CA (2003): Segmental stabilisation training in lumbo-pelvic pain disorders. New Zealand Journal of Sports Medicine 31(1): 10-18.

Hides JA (2003): The role of core stability muscles in the assessment and treatment of low back pain. Scientific basis for back stabilization programmes. CPD Rheumatology Journal 3(3): 82-85

Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS, Storm J (2002): The relationship between the transversely oriented abdominal muscles, sacroiliac joint mechanics and low back pain. Spine 27(4):399-405.

Hides JA, Richardson CA (2001): Exercise and pain. In: Strong J, Unruh A, Wright A, Baxter G (Eds). Pain: A Textbook for Therapists. Churchill Livingstone. pp. 245-267.

Hides JA, Jull GA, Richardson CA (2001): Long-term effects of specific stabilizing exercises for first episode low back pain, Spine 26(11):e243-e248.

Richardson CA, Jull GA, Hides JA (2000): A new clinical model of the muscle dysfunction linked to the disturbance of spinal stability: Implications for treatment of low back pain. In: Twomey L, Taylor JR (eds) Physical Therapy of the Low Back. Churchill Livingstone, pp. 249-268.

Hides JA, Scott Q, Jull G, Richardson C (2000): A clinical palpation test to check the activation of the deep stabilising muscles of the spine. International Sportmed Journal (ISMJ) 1(4).

Richardson CA, Jull GA, Hodges PW, Hides JA (1999): Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain. Edinburgh: Churchill Livingstone.

Hides JA (1999): The deep stabilising muscles of the lumbo-pelvic regions: Observations of the pre- and post partum periods. Journal of the National Continence and Women’s Health Group 17: 12-14.

Hides JA (1999): New directions for the conservative management of low back pain: A review of a back stabilisation program. Australian Musculoskeletal Medicine 4(2): 42-45.

Hides JA, Richardson CA, Jull GA (1998): Use of real-time ultrasound imaging for feedback in rehabilitation. Manual Therapy 3(3):125-131.

Hides JA, Jull GA, Richardson CA, Hodges PW (1997): Local joint stabilisation: Specific assessment and exercises for low back pain. Manual Therapie, 8-15.

Stokes M, Hides J, Nassiri DK (1997): Musculoskeletal ultrasound imaging: diagnostic and treatment aid in rehabilitation. Physical Therapy Reviews 2(2): 73-92.

Hides JA, Richardson CA, Jull GA (1996): Multifidus muscle recovery is not automatic following resolution of acute first episode low back pain. Spine 21(23) 2763-2769.

Grant RJ, Forrester CA, Hides JA (1995): Screen based keyboard operation: the adverse effects on the neural system. Australian Journal of Physiotherapy 41(2):99-107.

Hides JA, Richardson CA, Jull GA, Davies SE (1995): Ultrasound imaging in rehabilitation. Australian Journal of Physiotherapy 41(3): 187-193.

Hides JA, Richardson CA, Jull GA (1995): MRI and ultrasonography of the lumbar multifidus muscle. Spine 20: 54-58.

Hides JA, Stokes MJ, Saide M, Jull GA and Cooper DH (1994): Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain. Spine 19(2): 165-172.

Hides JA, Cooper DH and Stokes MJ (1992): Diagnostic ultrasound imaging for measurement of the lumbar multifidus muscle in normal young adults. Physiotherapy Theory and Practice 8 : 19-26.

Stokes MJ, Hides JA, Jull GA, Cooper DH (1992): Mechanism of Human paraspinal muscle wasting with acute low back pain. Journal of Physiology (Abs) 452 : 2801.