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Journal of Orthopaedic and Sports Physical Therapy

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https://read.qxmd.com/read/30770031/knee-function-strength-and-resumption-of-preinjury-sports-participation-in-young-athletes-following-anterior-cruciate-ligament-reconstruction
#1
Matthew P Ithurburn, Matthew A Longfellow, Staci Thomas, Mark V Paterno, Laura C Schmitt
BACKGROUND: Following anterior cruciate ligament reconstruction (ACLR), young athletes demonstrate deficits in knee function and strength whose association with successful return to preinjury sports participation is not well understood. OBJECTIVES: To examine differences in knee function and strength at the time of return-to-sport clearance between young athletes who successfully resumed preinjury sports participation, those who did not resume preinjury sports participation, and those who sustained a second anterior cruciate ligament (ACL) injury by 1 year following return-to-sport clearance...
February 15, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30759359/patient-and-parent-perceptions-of-rehabilitation-factors-that-influence-outcomes-after-anterior-cruciate-ligament-reconstruction-and-clearance-to-return-to-sport-in-adolescents-and-young-adults-a-qualitative-investigation
#2
Mark V Paterno, Laura C Schmitt, Staci Thomas, Nicholas Duke, Rebecca Russo, Catherine C Quatman-Yates
STUDY DESIGN: Qualitative study with an interpretive phenomenological methodology. BACKGROUND: Wide variation in outcomes after anterior cruciate ligament reconstruction (ACLR) exists among adolescents and young adults. However, little evidence is available regarding key rehabilitation factors that may be driving these differences. OBJECTIVE: The aim of this study was to explore patient and parent perceptions of key rehabilitation drivers related to outcomes after ACLR...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30759358/treatment-effect-sizes-for-pain-and-disability-are-moderated-by-the-delivery-approach-for-mechanical-diagnosis-and-therapy-in-a-population-with-low-back-pain-a-systematic-review-with-a-meta-regression-approach
#3
Mark H Halliday, Alessandra N Garcia, Anita B Amorim, Gustavo C Machado, Jill A Hayden, Evangelos Pappas, Paulo H Ferreira, Mark J Hancock
STUDY DESIGN: Systematic review. BACKGROUND: Mechanical Diagnosis and Therapy (MDT) is a treatment-based classification system founded on three core principles; classification into diagnostic syndromes, classification-based intervention and appropriate application of force. Many randomized controlled trials have investigated the efficacy of MDT for low back pain (LBP); however, results have varied. The inconsistent delivery of MDT across trials may explain the different findings...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30759357/short-term-effects-of-manual-therapy-in-patients-after-surgical-fixation-of-ankle-and-or-hindfoot-fracture-a-randomized-clinical-trial
#4
Stephanie R Albin, Shane L Koppenhaver, Robin Marcus, Lee Dibble, Mark Cornwall, Julie M Fritz
STUDY DESIGN: Multi-site double blind randomized clinical trial. BACKGROUND: Patients with surgical fixation of ankle and/or hindfoot fractures often experience decreased range of motion and loss of function following surgery and post-surgical immobilization, yet there is minimal evidence to guide care for these patients. OBJECTIVES: To assess if manual therapy produces short-term improvements in range of motion, muscle stiffness, gait, and balance for patients undergoing operative fixation of an ankle and/or hindfoot fracture...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30759356/potential-nervous-system-sensitization-in-patients-with-persistent-lower-extremity-tendinopathies-3-case-reports
#5
Dhinu J Jayaseelan, Matthew J Weber, Holly Jonely
STUDY DESIGN: Case report. BACKGROUND: Tendinopathy is a condition often associated with pain, functional and sport performance limitations. While targeted exercise prescriptions are often effective, many patients with tendinopathy develop persistent symptoms. Emerging evidence suggests a possible link between nervous system sensitization and tendinopathy. If so, identifying and treating specific pain mechanisms may improve outcomes. CASE DESCRIPTION: Three patients were seen in physical therapy for complaints of ongoing chronic tendon pain and self-reported disability, despite being treated previously and receiving evidence-informed care...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30759355/hybrid-approach-to-treatment-tailoring-for-low-back-pain-a-proposed-model-of-care
#6
Paul W Hodges
Various approaches are used to guide treatment selection in low back pain. These have been considered in isolation and often tested against each other. An alternative view is that benefit may be gained from a model of care that involves a hybrid of approaches. This commentary considers potential benefits of a sequentially applied hybrid approach for treatment tailoring to optimise resource allocation to those most likely to require comprehensive care and then decision-making towards treatment paths with greatest potential for success...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30759354/a-retrospective-review-of-high-level-performance-after-the-return-to-run-clinical-pathway-in-patients-using-the-intrepid-dynamic-exoskeletal-orthosis
#7
Brittney Mazzone, Shawn Farrokhi, Andrew DePratti, Julianne Stewart, Kimberly Rowe, Marilynn Wyatt
BACKGROUND: Severe ankle and foot injuries in the U.S. military can result in high-level functional limitation, lost duty days and medical discharge. OBJECTIVE: To assess the effectiveness of the Return to Run Clinical Pathway (RTR) in returning patients with lower extremity fractures who utilize the Intrepid Dynamic Exoskeletal Orthosis (IDEO) to high-level mobility. METHODS: Thirty service members with lower extremity fractures who utilized the IDEO unilaterally and completed the RTR at Naval Medical Center San Diego were included...
February 13, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30658051/the-epidemiology-of-low-back-pain-and-injury-in-dance-a-systematic-review
#8
Christopher T V Swain, Elizabeth J Bradshaw, Christina L Ekegren, Douglas G Whyte
STUDY DESIGN: Systematic review. BACKGROUND: Dance is a physical pursuit that involves loading the spine through repetitive dynamic movements and lifting tasks. As such, low back pain (LBP) and low back injury (LBI) have been identified as common health problems within contemporary dance and classical ballet populations. However, clarity regarding the experience of LBP and LBI in dance is lacking. OBJECTIVES: To systematically review and synthesize the epidemiology on LBP and LBI in dance populations...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30658050/ultrasound-guided-percutaneous-electrical-stimulation-of-the-radial-nerve-for-a-patient-with-lateral-elbow-pain-a-case-report-with-a-2-year-follow-up
#9
José L Arias-Buría, Joshua A Cleland, Youssef R El Bachiri, Gustavo Plaza-Manzano, César Fernández-de-Las-Peñas
STUDY DESIGN: Case report. BACKGROUND: Patients with lateral elbow pain are often diagnosed of lateral epicondylalgia (LE). Lateral elbow pain is often associated with dysfunction of the wrist extensor muscles; however, in some cases, it can also mimic signs and symptoms of radial nerve dysfunction. CASE DESCRIPTION: A 43-year-old male originally referred with a diagnosis of LE as a result of playing table tennis and who previously responded favorably to manual therapy and exercise presented to the clinic for treatment...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30658049/a-12-week-tailored-manual-therapy-and-home-stretching-program-based-on-level-of-irritability-and-range-of-motion-impairments-in-patients-with-primary-frozen-shoulder-contracture-syndrome-a-case-series-with-9-months-follow-up
#10
Lirios Dueñas, Mercè Balasch-Bernat, Marta Aguilar-Rodríguez, Filip Struyf, Mira Meeus, Enrique Lluch
STUDY DESIGN: Case series. BACKGROUND: Manual therapy has been demonstrated to reduce pain and improve function in patients with frozen shoulder contracture syndrome (FSCS), but no evidence exists to support one form of manual therapy over another. The purpose of this case series was to describe both short and long-term outcomes after a manual therapy program and home stretching exercises based on specific impairments in shoulder mobility and level of tissue irritability in patients with FSCS...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30658048/the-impact-of-decreased-scapulothoracic-upward-rotation-on-subacromial-proximities
#11
Rebekah L Lawrence, Jonathan P Braman, Paula M Ludewig
BACKGROUND: Decreased scapulothoracic upward rotation has been theorized to increase an individual's risk for rotator cuff compression by reducing the clearance for the tendons in the subacromial space (i.e. subacromial proximities). However, the impact of decreased scapulothoracic upward rotation on subacromial proximities has not been tested during dynamic in vivo shoulder motion. OBJECTIVE: Determine the impact of decreased scapulothoracic upward rotation on subacromial proximities...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30658047/maintaining-lumbar-spine-stability-a-study-of-the-specific-and-combined-effects-of-abdominal-activation-and-lumbosacral-orthosis-on-lumbar-intrinsic-stiffness
#12
Christian Larivière, Jean-Alexandre Boucher, Hakim Mecheri, Daniel Ludvig
STUDY DESIGN: An experimental and comparative study. BACKGROUND: Two potential interventions for enhancing lumbar stability are to actively increasing abdominal muscle activity, either through abdominal drawing-in maneuver (ADIM) or bracing and increasing lumbar stiffness passively using a lumbosacral orthosis (LSO). OBJECTIVE: To compare the increase in lumbar stiffness of 2 active interventions (ADIM vs bracing) and 1 passive intervention (LSO), and to evaluate the combined effect of active (abdominal bracing) and passive interventions...
January 18, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30645949/the-potential-role-of-the-cervical-spine-in-sports-related-concussion-clinical-perspectives-and-considerations-for-risk-reduction
#13
Michael Streifer, Allison M Brown, Tara Porfido, Ellen Zambo Anderson, Jennifer Buckman, Carrie Esopenko
Sports-related concussions (SRC) occur due to biomechanical forces to the head or neck that can result in pathophysiological changes in the brain. The musculature of the cervical spine has been identified as one potential factor in reducing SRC risk as well as underlying sex differences in SRC rates. Recent research has demonstrated that linear and rotational head acceleration, as well as the magnitude of force, upon impact is influenced by cervical spine biomechanics. Increased neck strength and girth is associated with reduced linear and rotational head acceleration during impact...
January 15, 2019: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30526232/real-time-biofeedback-of-performance-to-reduce-braking-forces-associated-with-running-related-injury-an-exploratory-study
#14
Christopher Napier, Christopher L MacLean, Jessica Maurer, Jack E Taunton, Michael A Hunt
BACKGROUND: Running-related injury (RRI) rates are high and may be associated with increased peak braking forces (PBF) and vertical loading rates. Gait retraining has been suggested by some experts to be an effective method to reduce loading parameters. OBJECTIVES: To investigate 1) whether PBF could be decreased following an 8-session gait retraining program among a group of female recreational runners and 2) the self-selected kinematic strategies to achieve this reduction...
December 7, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30526231/preparing-for-half-marathon-the-association-between-changes-in-weekly-running-distance-and-running-related-injuries-does-it-matter-how-the-running-is-scheduled
#15
Camma Damsted, Erik Thorlund Parner, Henrik Sørensen, Laurent Malisoux, Adam Hulme, Nielsen Rasmus Oestergaard
STUDY DESIGN: A prospective cohort study with a study period of 14-weeks. BACKGROUND: Sudden changes in training load have been suggested to play a key role in the development of running-related injury (RRI). Since the injury mechanism also depends on the runner's musculoskeletal load capacity, the running schedule undertaken prior to the sudden change may influence the amount of change a runner is able to tolerate before placing the runner at a high risk of RRI...
December 7, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30501388/the-addition-of-glenohumeral-adductors-coactivation-to-a-rotator-cuff-exercises-program-for-rotator-cuff-tendinopathy-a-single-blind-randomized-controlled-trial
#16
Nicolas Boudreau, Nathaly Gaudreault, Jean-Sébastien Roy, Sonia Bédard, Frédéric Balg
STUDY DESIGN: Single-blind, randomized controlled trial. BACKGROUND: Treatments for rotator cuff (RC) tendinopathy include RC muscle strengthening to promote better muscle recruitment in order to minimize subacromial narrowing during active movement. Glenohumeral adductors recruitment has also been shown to prevent such narrowing in asymptomatic individuals; therefore, adding glenohumeral adductor coactivation during RC strengthening could enhance the efficacy of RC strengthening...
November 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30501387/influence-of-aging-on-lower-extremity-sagittal-plane-variability-during-5-essential-sub-phases-of-stance-in-male-recreational-runners
#17
Jacqueline Morgan, Yong Ung Kwon, D S Blaise Williams
STUDY DESIGN: Cross-sectional design. BACKGROUND: Inter-joint coordination variability measures the ability of the human system to regulate multiple movement strategies. Normal aging may reduce variability resulting in a less adaptive system. Additionally, when older runners are asked to run at speeds greater than preferred, this added constraint may place older runners at greater risk for injury. OBJECTIVES: To examine the influence of normal aging on coordination variability across five distinct phases of stance in runners during preferred and fixed speeds...
November 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30501386/the-effects-of-needling-therapies-on-muscle-force-production-a-systematic-review-and-meta-analysis
#18
Cody Mansfield, Lucas VanEtten, Richard Willy, Stephanie Di Stasi, Robert Magnussen, Matthew Briggs
STUDY DESIGN: Systematic review with meta-analysis. BACKGROUND: Needling has been shown to decrease pain in the short-term; however, its effects on muscle force production are unclear. OBJECTIVE: Evaluate the evidence regarding the comparative effects of needling on muscle force production. METHODS: An electronic search was performed using keywords related to needling. Methodological quality of articles was appraised and effect sizes calculated...
November 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30501385/the-association-between-passing-return-to-sport-criteria-and-second-anterior-cruciate-ligament-injury-risk-a-systematic-review-with-meta-analysis
#19
Justin M Losciale, Rachael M Zdeb, Leila Ledbetter, Michael P Reiman, Timothy C Sell
STUDY DESIGN: Systematic review with meta-analysis. BACKGROUND: There is no consensus on the components of return-to-sport (RTS) testing following anterior cruciate ligament reconstruction (ACLR) or if passing RTS criteria can reduce the risk of re-injury. OBJECTIVES: Determine if objective criteria-based RTS decisions are associated with less risk of a second ACL injury (either graft failure or contralateral ACL injury). METHODS: An electronic literature search was conducted in PubMed/MEDLINE, Embase, CINAHL, SPORTDiscus and ProQuest Dissertations and Theses Global using database specific vocabulary related to ACLR and RTS...
November 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://read.qxmd.com/read/30704360/cervical-fracture-with-posterior-ligamentous-injury-while-skydiving
#20
Warren Flautt, Robert Rowland, Richard B Westrick
A 46-year-old male soldier reported to an emergency department with severe acute neck pain immediately following a hyperflexion injury during recreational skydiving. He was evaluated in the emergency department, including radiographs, and released with a diagnosis of "acute neck strain." After presenting with continued neck pain, he was sent for consultation with a physical therapist. The physical therapist ordered cervical spine radiographs, which revealed findings consistent with cervical fracture and ligamentous disruption...
February 2019: Journal of Orthopaedic and Sports Physical Therapy
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