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Journal of Orthopaedic and Sports Physical Therapy

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https://www.readbyqxmd.com/read/29113571/dual-task-assessment-protocols-in-concussion-assessment-a-systematic-literature-review
#1
Michelle Kleiner, Lynne Wong, Alexandra Dubé, Katie Wnuk, Susan W Hunter, Laura J Graham
Study Design Systematic review. Background When assessed in isolation, balance and neurocognitive testing may not be sufficiently responsive to capture changes that occur with concussion. Normal daily activities require simultaneous cognitive and physical demands. Therefore, a dual-task assessment paradigm should be considered to identify performance deficits. Objectives To evaluate the literature and identify dual-task testing protocols associated with changes in gait after concussion. Methods A systematic review of articles of individuals with concussion who underwent dual-task testing with a combination of motor and cognitive tasks...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29113570/a-novel-downhill-gait-training-program-following-a-total-knee-arthroplasty-a-case-report-highlighting-the-impacts-of-self-selected-speed-on-gait-symmetry
#2
Cody Blue, Sara Coomes, Yuri Yoshida
Study Design Case report. Background Walking plays an essential role in activities of daily living that lead to varied health benefits. Studies report gait speed and symmetry are impacted in individuals following TKA. Unfortunately, abnormal gait patterns persistently exist in individuals after TKA. Downhill walking may provide a simple and feasible exercise regimen to improve gait patterns. The purpose of this case report is to describe the application of a downhill treadmill training program and the subsequent changes in gait patterns in an individual following a unilateral TKA...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29113569/physical-therapy-rehabilitation-of-an-adolescent-pre-professional-dancer-following-os-trigonum-excision-a-case-report
#3
Alyson Filipa, Kelli Barton
Study Design Case report. Background An os trigonum can be a source of pain for dancers due to impingement during repetitive ankle plantarflexion movements. Following excision of an os trigonum, it is important to have a gradual, progressive return-to-dance program for optimal recovery. The purpose of this case report is to describe the post-operative management and return-to-dance progression of an adolescent dancer status post os trigonum excision. Case Description An adolescent pre-professional female dancer had an extensive history of left posterior heel pain beginning at age eight that led to surgical removal of an os trigonum at age fifteen...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29073842/the-influence-of-patient-choice-of-first-provider-on-costs-and-outcomes-analysis-from-a-physical-therapy-patient-registry
#4
Thomas R Denninger, Chad E Cook, Cole G Chapman, Timothy McHenry, Charles A Thigpen
Study Design Retrospective study. Background Alternative models of care which allow patients to choose direct access to physical therapy have shown promise in terms of cost reduction for neck and back pain. However, real-world exploration within the U.S. healthcare system is notably limited. Objectives To compare total claims paid and patient outcomes for patients with neck and back pain who chose physical therapy intervention via direct access versus from medical referral. Methods Data were accessed for care-seeking patients (n=603) between 2012-2014 with neck or back pain who chose to begin care either through traditional medical referral or direct access to a physical therapy led spine management program...
October 26, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29073841/individuals-post-achilles-tendon-rupture-exhibit-asymmetrical-knee-and-ankle-kinetics-and-loading-rates-during-a-drop-countermovement-jump
#5
Hayley C Powell, Karin Grävare Silbernagel, Annelie Brorsson, Roy Tranberg, Richard W Willy
Study Design Cross sectional, laboratory study. Background Asymmetrical knee loading has been reported in individuals post-Achilles tendon rupture during jogging and hopping. Yet, no studies have examined knee loads in individuals post-Achilles tendon rupture during high demand tasks, such as single limb landings. Objectives We sought to determine if individuals post-Achilles tendon rupture demonstrated asymmetrical knee loads and impact forces during drop countermovement jumps (Drop CMJ). Methods Achilles tendon length and single leg heel rise test for endurance were assessed in 34 individuals (31 male) 6...
October 26, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29073840/a-novel-apparatus-measuring-knee-flexor-strength-during-various-hamstring-exercises-a-reliability-and-retrospective-study
#6
Jack T Hickey, Peter F Hickey, Nirav Maniar, Ryan G Timmins, Morgan D Williams, Christian A Pitcher, David A Opar
Study Design Reliability and case-control injury study. Background Knee flexor strength is a key variable when dealing with hamstring strain injury (HSI) and methodologies of objective measurement are often limited to single exercises. Objectives To establish test re-test reliability of a novel apparatus measuring knee flexor strength during various hamstring exercises; to investigate whether these measures detect between-leg differences in males with and without history of unilateral HSI. Methods Twenty males without and ten males with previous unilateral HSI participated...
October 26, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29056072/the-shortmac-minimum-important-change-of-a-reduced-version-of-the-womac-osteoarthritis-index
#7
J Haxby Abbott, Catherine Hobbs, Moa Trial Team
Study Design Clinical measurement study; secondary analysis of randomized clinical trial data. Background A 12-item reduced-item version of the Western Ontario and McMaster (WOMAC), a condition-specific, patient-reported osteoarthritis index, has been derived, published and validated. The minimum important change (MIC) of the ShortMAC has not been reported, or compared with the traditional 24-item WOMAC. Objectives To investigate the MIC of the 12-item ShortMAC and the traditional 24-item WOMAC across 3 levels of patient-perceived global change...
October 21, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034802/unraveling-the-mechanisms-of-manual-therapy-modeling-an-approach
#8
Joel E Bialosky, Jason M Beneciuk, Mark D Bishop, Rogelio A Coronado, Charles W Penza, Corey B Simon, Steven Z George
Synopsis Manual therapy interventions are popular among individual healthcare providers and their patients; however, systematic reviews do not strongly support their effectiveness. Small treatment effect sizes of manual therapy interventions may result from a "one size fits all" approach to treatment. Mechanistic based treatment approaches to manual therapy offer an intriguing alternative for identifying patients likely to respond to manual therapy. However, the current lack of knowledge of the mechanisms through which manual therapy interventions inhibit pain limits such an approach...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034801/gluteus-minimus-and-gluteus-medius-muscle-activity-during-common-rehabilitation-exercises-in-healthy-postmenopausal-women
#9
Charlotte Ganderton, Tania Pizzari, Jill Cook, Adam Semciw
Study Design Controlled laboratory study, cross-sectional. Background The gluteus medius (GMed) and minimus (GMin) provide dynamic stability of the hip joint and pelvis and are susceptible to atrophy and injury with menopause, ageing and disease. Numerous exercises have been reported in the literature to elicit high levels of GMed activity, however few have differentiated between the portions of the GMed, and none have examined GMin. Objectives To quantify and rank the level of muscle activity of the 2 segments of GMin (anterior and posterior fibers) and 3 segments of GMed (anterior, middle and posterior fibers) during 4 isometric and 3 dynamic exercises in a group of healthy, post-menopausal women...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034800/hip-and-knee-strengthening-is-more-effective-than-knee-strengthening-alone-for-reducing-pain-and-improving-activity-in-individuals-with-patellofemoral-pain-a-systematic-review-with-meta-analysis
#10
Lucas R Nascimento, Luci F Teixeira-Salmela, Ricardo B Souza, Renan A Resende
Study Design Systematic review with meta-analysis. Background The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment effects. There is a need to systematically review and pool the current evidence in this area. Objective To examine the efficacy of hip strengthening, associated or not with knee strengthening, to increase strength, reduce pain, and improve activity in individuals with patellofemoral pain. Methods A systematic review of randomized or controlled trials was performed...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034799/measurement-properties-of-a-test-battery-to-assess-postural-orientation-during-functional-tasks-in-patients-undergoing-acl-injury-rehabilitation
#11
Jenny Nae, Mark W Creaby, Gustav Nilsson, Kay M Crossley, Eva Ageberg
Study Design Cross-sectional study. Background Visual rating of postural orientation (PO) during functional tasks may be a valuable tool to track rehabilitation progress following anterior cruciate ligament (ACL) injury. A valid test battery assessing PO as a separate construct is lacking. Objectives To evaluate measurement properties of a test battery to assess PO in patients with ACL injury. Methods Content validity of functional tasks was assessed by expert focus group discussions. 51 patients (45% women) with ACL injury performed nine functional tasks of varying difficulty...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034798/intramuscular-electrical-stimulation-for-muscle-activation-of-tibialis-anterior-after-surgical-repair-a-case-report
#12
Sharon Hollis, Philip McClure
Study Design Case report. Background Loss of voluntary activation of musculature can result in muscle weakness. External neuromuscular stimulation can be utilized to improve voluntary activation but is often poorly tolerated because of pain associated with required stimulus level. Intramuscular electrical stimulation requires much lower voltage and may be better tolerated and therefore more effective at restoring voluntary muscle activation. Case Description A 71-year-old male sustained a rupture of the distal attachment of the tibialis anterior tendon...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992773/clinical-decision-making-in-the-management-of-patients-with-cervicogenic-dizziness-a-case-series
#13
Francis C Jung, Sherin Mathew, Andrew E Littmann, Cameron W MacDonald
Study Design Case series. Background Although growing recognition of cervicogenic dizziness (CGD) is emerging, there is still no "gold standard" for the diagnosis of CGD. The purpose of this case series is to describe the clinical decision making utilized in the management of seven patients presenting with CGD. Case Descriptions Patients presenting with neck pain and accompanying subjective symptoms including dizziness, unsteadiness, lightheadedness, and visual disturbance were selected. Clinical evidence of a temporal relationship between neck pain and dizziness with or without sensorimotor disturbances was sought...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992772/hip-abductor-muscle-volume-and-strength-differences-between-women-with-chronic-hip-joint-pain-and-asymptomatic-controls
#14
Matthew J Mastenbrook, Paul K Commean, Travis J Hillen, Gretchen B Salsich, Gretchen A Meyer, Michael J Mueller, John C Clohisy, Marcie Harris-Hayes
Study Design Secondary analysis, cross-sectional study. Background Chronic hip joint pain (CHJP) can lead to limitations in activity participation, but the musculoskeletal factors associated with the condition are relatively unknown. Understanding the factors associated with CHJP may help develop rehabilitation strategies to improve quality of life of individuals with long-term hip pain. Objectives To compare measures of hip abductor muscle volume and hip abductor muscle strength between women with CHJP and asymptomatic controls...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992771/reliability-and-validity-of-hip-stability-isometric-test-hipsit-a-new-method-to-assess-hip-posterolateral-muscle-strength
#15
Gabriel Peixoto Leão Almeida, Helena Larissa das Neves Rodrigues, Bruno Wesley de Freitas, Pedro Olavo de Paula Lima
Study Design Cross-sectional study. Background The Hip Stability Isometric Test (HipSIT) evaluates the strength of the hip posterolateral stabilizers in a position that favors greater activation of the gluteus maximus and gluteus medius and lower activation of the tensor fascia lata. Objectives To check the validity and reliability of the HipSIT and to evaluate the HipSIT in women with patellofemoral pain (PFP). Methods The HipSIT was evaluated with a hand-held dynamometer. During testing the participants were side-lying, with the legs positioned at 45° of hip flexion and 90° of knee flexion...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992770/influence-of-demographic-and-utilization-of-physical-therapy-interventions-on-clinical-outcomes-and-revision-rates-following-anterior-cruciate-ligament-reconstruction
#16
Caitlin J Miller, Jesse C Christensen, Ryan D Burns
Study Design Retrospective cohort from Intermountain Healthcare system Jan 2007-Dec 2014. Background Recent evolutions in healthcare delivery are putting physical therapists in the forefront to be more responsible for providing high-quality rehabilitation care within a more cost-effective manner. Studies investigating the association between physical therapy (PT) visit utilization and outcomes in vulnerable patient populations following anterior cruciate ligament reconstruction (ACLR) may provide useful insights...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992769/knee-extensor-rate-of-torque-development-before-and-after-arthroscopic-partial-meniscectomy-with-analysis-of-neuromuscular-mechanisms
#17
Daniel G Cobian, Cameron M Koch, Annunziato Amendola, Glenn N Williams
Study Design Descriptive, prospective single-cohort longitudinal study. Background Rapid torque development is essential in activities of daily living and sports, but isn't specifically tested by most physical therapists or incorporated into rehabilitation programs until late in the treatment process. Little evidence is available on quadriceps rate of torque development capacity before and after arthroscopic knee surgery. Objectives To study knee extensor rate of torque development, contributing mechanisms, and associations with strength and patient-reported outcomes, before and during the first six weeks after arthroscopic partial meniscectomy...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992768/peripheral-artery-disease-what-the-orthopaedic-physical-therapist-needs-to-know
#18
Matthew K Walsworth, Rob de Bie, Stephen Figoni, Jessica O'Connell
Synopsis Claudication from peripheral artery disease (PAD) may mimic or coexist with musculoskeletal conditions and represents an important diagnostic consideration in patients over 50. Physical therapists are optimally positioned to recognize this condition by incorporating a vascular history and physical examination in appropriately selected patients. Recognition of PAD is important both from the standpoint of addressing the ischemic risk to the limb and because PAD associated with high cerebrovascular and cardiovascular risk...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28990444/progress-in-the-full-text-publication-rate-of-orthopaedic-and-sport-physical-therapy-abstracts-presented-at-the-american-physical-therapy-association-s-combined-sections-meeting
#19
Stuart J Warden, Jacquelyn M Fletcher, Rick G Barker, Elizabeth A Guildenbecher, Colleen E Gorkis, William R Thompson
Study Design Descriptive study. Background Professional meetings, such as the American Physical Therapy Association's (APTA's) Combined Sections Meeting (CSM), provide forums for sharing information. However, it was reported that only one-quarter of orthopaedic and sports physical therapy abstracts presented at the CSM between 2000 and 2004 went on to full-text publication. This low conversion rate raises a number of concerns regarding the full dissemination of work within the profession. Objectives The purpose of this study was to determine the full-text publication rate of work presented in abstract form at subsequent CSMs and investigate factors influencing the rate...
October 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28990440/influence-of-passive-joint-stiffness-on-proprioceptive-acuity-in-individuals-with-functional-ankle-instability
#20
Hellen Veloso Rocha Marinho, Giovanna Mendes Amaral, Bruno de Souza Moreira, Vanessa Lara Araújo, Thales Rezende Souza, Juliana Melo Ocarino, Sérgio Teixeira da Fonseca
Study Design Controlled Laboratory Study; Cross-sectional. Background Deficits in ankle proprioceptive acuity have been reported in persons with functional instability of the ankle. Passive stiffness has been proposed as a possible mechanism underlying proprioceptive acuity. Objectives 1) to compare proprioceptive acuity and passive ankle stiffness between persons with and without functional ankle instability, and 2) to assess the influence of passive joint stiffness on the proprioceptive acuity in persons with functional ankle instability...
October 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
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