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Journal of Orthopaedic and Sports Physical Therapy

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https://www.readbyqxmd.com/read/30208796/non-radiographic-measurement-of-hallux-valgus-angle-using-self-photography
#1
Satoshi Yamaguchi, Aya Sadamasu, Seiji Kimura, Ryuichiro Akagi, Yohei Yamamoto, Yasunori Sato, Takahisa Sasho, Seiji Ohtori
Background The reference standard of hallux valgus angle measurement is to use radiographs of the feet. However, its availability is constrained due to cost and radiation exposure. Less invasive non-radiographic assessments have been proposed. However, a measurement using self-photography has not been reported. Objectives To determine 1) the reliability of hallux valgus angle measurement using the same photographs of the feet (pHVA), 2) the reliability of repeated self-photography trials, and 3) the measurement error when the radiographic hallux valgus ankle (rHVA) was estimated using pHVA...
September 12, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30208795/exploratory-study-of-6-month-pain-trajectories-in-individuals-with-predominant-patellofemoral-osteoarthritis-a-cohort-study
#2
Kathryn Mills, Jillian P Eyles, Michael A Martin, Mark J Hancock, David J Hunter
Study Design Prospective longitudinal cohort study. Background Knowledge of patellofemoral (PF) osteoarthritis (OA) pain trajectories is vital for clinicians and patients to make disease-specific decisions regarding treatment options and tailor coping strategies. Objectives To describe pain trajectories of people living with PF OA presenting to a chronic care management program. Second, to explore baseline characteristics associated with different trajectories. Methods Eighty-eight participants presenting to a chronic care management program reported their worst pain over the previous week at baseline, 6, 12, 18 and 26 weeks using a 10-cm visual analogue scale...
September 12, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30208794/blood-flow-restricted-resistance-exercise-as-a-post-orthopedic-surgery-rehabilitation-modality-a-review-of-venous-thromboembolism-risk
#3
Colin W Bond, Kyle J Hackney, Scott L Brown, Benjamin C Noonan
Synopsis Restoration of skeletal muscle mass and strength are critical to successful outcomes following orthopedic surgery. Blood flow restricted resistance exercise (BFR) has emerged as an attractive candidate to augment traditional low intensity physical rehabilitation exercise, and has yielded successful outcomes over a wide variety of applications. BFR is well tolerated and safe for the majority of individuals, though the post-surgical orthopedic patient has additional considerations due to their heightened risk for venous thromboembolism (VTE)...
September 12, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30208793/persistent-pain-after-wrist-or-hand-fracture-development-and-validation-of-a-prognostic-model
#4
Aidan G Cashin, Adrian C Traeger, Markus Hübscher, G Lorimer Moseley, Flavia Di Pietro, Luke Parkitny, James H McAuley
Study Design Secondary analysis of a prospective cohort study. Background Worldwide, the incidence of wrist fracture is increasing. There are currently no externally validated prognostic models to inform early decision making for these patients. Objectives To develop and validate a prognostic model from a comprehensive range of candidate prognostic factors that can identify patients at risk of developing persistent pain following wrist or hand fracture. Methods We developed and validated a prognostic model using secondary data derived from a prospective cohort study (n=715) with recruitment sites in three metropolitan hospitals in Sydney, Australia...
September 12, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30124352/comparison-of-2-forms-of-kinetic-biofeedback-on-the-immediate-correction-of-knee-extensor-moment-asymmetry-following-total-knee-arthroplasty-during-decline-walking
#5
Jesse C Christensen, K Bo Foreman, Paul C LaStayo, Robin L Marcus, Christopher E Pelt, Ryan L Mizner
Study Design Controlled laboratory study; cross-sectional. Background Individuals with total knee arthroplasty (TKA) display inter-limb knee extensor moment asymmetry during level walking that is exacerbated as task demands are increased. Studies utilizing biofeedback to correct inter-limb knee extensor moment asymmetry following TKA have reported mixed results. Objective To compare the immediate effect of two forms of real-time kinetic biofeedback [vertical ground reaction force (vGRF) or knee extensor moment (KEM)] on improving inter-limb peak knee extensor moment symmetry during the weight acceptance phase of decline walking in persons who have undergone TKA...
August 20, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30053795/clinical-predictors-of-dynamic-lower-extremity-stiffness-during-running
#6
Jonathan S Goodwin, J Troy Blackburn, Todd A Schwartz, D S Blaise Williams
Study Design Cross-sectional controlled laboratory study. Background Lower extremity stiffness describes the relative loading and kinematics of the entire lower extremity during ground contact. Previously injured subjects demonstrate altered lower extremity stiffness values. Clinical analysis of lower extremity stiffness is not currently feasible due to increased time and cost. Objective To determine the clinical identifiable contributors to lower extremity stiffness. Methods Ninety-two healthy runners completed a clinical screening involving passive assessment of hip, knee, and ankle range of motion along with body anthropometrics...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30053794/changes-in-measures-of-cervical-spine-vestibulo-ocular-reflex-dynamic-balance-and-divided-attention-following-sport-related-concussion-in-elite-youth-ice-hockey-players
#7
Kathryn J Schneider, Willem H Meeuwisse, Luz Palacios-Derflingher, Carolyn A Emery
Background Concussion is a commonly occurring injury. The extent to which the cervical spine, vestibulo-ocular reflex (VOR), dynamic balance and divided attention are affected following concussion is not well understood. Objective To evaluate acute changes in measures of 1) cervical spine, 2) VOR function, 3) dynamic balance and 4) tasks of divided attention in elite youth ice hockey players following a sport-related concussion. Methods Elite 13-17 year old ice hockey players completed cervical spine measures [cervical flexor endurance test (CFE), head perturbation test, anterolateral strength, cervical flexion rotation test, joint position error], VOR [head thrust test, dynamic visual acuity (DVA) (clinical and computerized)], dynamic balance [Functional Gait Assessment (FGA)] and divided attention [Walking While Talking (WWTT) test] preseason and following concussion...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30053793/rehabilitation-of-an-adolescent-equestrian-athlete-with-a-history-of-multiple-concussions-a-case-report-describing-an-adapted-return-to-sport-protocol
#8
Kelli B Gunter, Christopher J Shields, Summer D Ott, Rogelio A Coronado
Study Design Case report. Background Equestrian riding is a sport with a high risk of concussion. Currently, the literature guiding rehabilitation for concussions in equestrian athletes is limited, especially for directing return to sport. Case Description A 14-year-old female equestrian athlete presented to physical therapy following her third concussion in three years. Her primary complaints were headaches, dizziness, difficulty concentrating, light sensitivity, and neck pain. On examination, the patient demonstrated reproduction of symptoms during testing of vestibular-ocular reflex (VOR), showed a 3-line symptomatic loss on the Dynamic Visual Acuity Test (DVAT), and had impairments in the Joint Position Error (JPE) test (1/5 correct on the left; 4/5 correct on the right) and Balance Error Scoring System (BESS) (38/60 errors)...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30053792/self-reported-home-exercise-adherence-a-validity-and-reliability-study-using-concealed-accelerometers
#9
Philippa J A Nicolson, Rana S Hinman, Tim V Wrigley, Paul W Stratford, Kim L Bennell
Study Design Clinical measurement study. Background Accurate measurement of adherence to prescribed exercise programs is essential. Diaries and self-rated scales are commonly used, yet little evidence exists demonstrating their validity or reliability. Objectives To examine the concurrent validity of adherence to home strengthening exercises measured by: i) exercise diaries and ii) a self-rated scale, compared to adherence measured using an accelerometer concealed in an ankle cuff weight. Test-retest reliability of the self-rated scale was also assessed...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30053791/psychological-readiness-to-return-to-sport-is-associated-with-knee-kinematic-asymmetry-during-gait-following-acl-reconstruction
#10
Ryan Zarzycki, Mathew Failla, Jacob Capin, Lynn Snyder-Mackler
Study Design Controlled laboratory study; cross sectional. Background Gait asymmetry frequently is observed following anterior cruciate ligament reconstruction (ACLR). Psychological readiness to return to sport is associated with functional and activity related outcomes after ACLR. However, the association between gait asymmetry and psychological readiness to return to sport is unknown. Objectives To determine the relationship between kinematic and kinetic measures of knee symmetry during gait and psychological readiness to return to sport following ACLR...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30053790/psychometric-properties-of-the-dance-functional-outcome-survey-dfos-reliability-validity-and-responsiveness
#11
Shaw Bronner, Evie Chodock, Igor Edwardo Reis Urbano, Teresa Smith
Study Design Prospective cohort study. Background There are no outcomes measures that focus on the unique functional requirements of dancers. Objectives To evaluate test-retest reliability, internal consistency, construct validity, sensitivity and responsiveness of the Dance Functional Outcome Survey (DFOS) in professional and pre-professional adult dancers. Methods We examined test-retest reliability of DFOS in 198 healthy and injured dancers within 2-wks using intraclass correlation coefficients (ICC2,1 )...
July 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30032699/does-healthcare-utilization-before-hip-arthroscopy-predict-healthcare-utilization-after-surgery-in-the-united-states-military-health-system-an-investigation-into-health-seeking-behavior
#12
Derek Clewley, Daniel I Rhon, Timothy Flynn, Charles D Sissel, Chad Cook
Study Design Observational cohort. Background The influence of prior patterns of healthcare utilization on future healthcare utilization has had minimal investigation in populations with musculoskeletal disorders. Objective The purpose of this study was to explore the relationship between pre-surgical healthcare utilization and post-surgical healthcare utilization in a population of patients undergoing hip surgery in the United States Military Health System. Methods Person-level data were captured for patients undergoing hip arthroscopy in the Military Health System were collected from 2003 to 2015, capturing all encounters 12 months before and 24 months after surgery for every individual...
July 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/30032698/bilateral-alterations-in-running-mechanics-and-quadriceps-function-following-unilateral-anterior-cruciate-ligament-reconstruction
#13
Derek N Pamukoff, Melissa M Montgomery, Kevin H Choe, Tyler J Moffit, Steven A Garcia, Michael N Vakula
Study Design Controlled laboratory study; cross-sectional. Background Individuals who have undergone anterior cruciate ligament reconstruction (ACLR) have quadriceps muscle impairments that influence gait mechanics and may contribute to an elevated risk of knee osteoarthritis. Objective To compare running mechanics and quadriceps function between individuals who have undergone ACLR to a control group, and evaluate the association between quadriceps function and running mechanics. Methods Thirty-eight individuals who previously underwent primary unilateral ACLR (mean ± standard deviation time since reconstruction, 48...
July 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29996735/detection-of-knee-power-deficits-following-acl-reconstruction-using-wearable-sensors
#14
Kristamarie A Pratt, Susan M Sigward
Study Design Controlled laboratory setting. Background Individuals following anterior cruciate ligament reconstruction (ACLR) present with significant knee power absorption deficits during deceleration of dynamic tasks. An inability to quantify these deficits clinically may underlie their persistence. Recent studies suggest that segment angular velocities measured with wearable inertial sensors have the potential to provide valuable information about knee power during a single limb loading task. However, diagnostic accuracy of these measures and procedures need to be established before translating this information to clinical practice...
July 11, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29996734/additive-effect-of-therapeutic-ultrasound-in-the-treatment-of-plantar-fasciitis-a-randomized-controlled-trial
#15
Yigal Katzap, Michael Haidukov, Olivier M Berland, Ron Ben Itzhak, Leonid Kalichman
Study Design A prospective, randomized, double-blinded, placebo-controlled clinical trial. Background Plantar fasciitis is the main cause of pain in the plantar surface of the heel. One of the most common conservative treatment modalities used by physical therapists worldwide is therapeutic ultrasound, despite the scarce evidence of its efficacy in the treatment of plantar fasciitis. Objective To evaluate the additive effect of therapeutic ultrasound in the treatment of plantar fasciitis in terms of pain, function, and quality of life...
July 11, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29932876/how-do-novice-runners-with-different-body-mass-index-commence-a-self-chosen-running-regime
#16
Michael Lejbach Bertelsen, Mette Hansen, Sten Rasmussen, Rasmus Oestergaard Nielsen
Study Design An explorative 7-day prospective cohort study. Background Overweight and obese novice runners are subjected to a higher load per stride than their normal-weight peers. Yet, do they reduce their running dose accordingly when commencing a self-chosen running regime? Objectives To describe and compare the preferred running dose in normal-weight (NWR), overweight (OWR) and obese novice runners (OBR) when they commence a self-chosen running regime. Methods 914 novice runners were categorized into one of 3 exposure groups based on their body mass index (BMI): (i) NWR (BMI<25, n=405, reference group); (ii) OWR (BMI 25 to <30, n=341); and (iii) OBR (BMI ≥30, n=168)...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29932875/perceptions-of-rehabilitation-and-return-to-sport-among-high-school-athletes-with-acl-reconstruction-a-qualitative-research-study
#17
Justin DiSanti, Caroline Lisee, Karl Erickson, David Bell, Michael Shingles, Christopher Kuenze
Study Design Phenomenographic, cross-sectional. Background Adolescent athletes struggle to return to sport (RTS) following ACL reconstruction (ACLR) for a number of physical and psychosocial reasons. The ability to incorporate contextual evidence obtained directly from patients with the growing body of quantitative rehabilitation research may aid clinicians in taking an evidence-based approach to rehabilitation and return to sports within the adolescent population.. Objectives To assess perceived barriers to RTS as well as positive and negative factors influencing recovery among high school athletes with recent history of ACLR...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29932874/an-overview-of-systematic-reviews-on-patient-reported-outcome-measures-used-on-neck-disorders
#18
Pavlos Bobos, Joy C MacDermid, David M Walton, Anita Gross, P Lina Santaguida
Study Design Overview of systematic reviews. Background The evaluation of psychometric properties of neck Patient-Reported Outcome Measures (PROMs) from multiple systematic reviews (SRs) will provide a broader view and may identify potential conflicting or consistent results for their psychometric properties. Objective The purpose of this study was to conduct an overview of SRs and synthesize evidence to establish the current state of knowledge on psychometric properties of PROM's for patients with neck disorders...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29932873/validity-of-clinical-small-fiber-sensory-testing-to-detect-small-nerve-fiber-degeneration
#19
Colette Ridehalgh, Oliver P Sandy-Hindmarch, Aninna B Schmid
Study Design Prospective, cross-sectional diagnostic accuracy study. Background Small nerve fiber degeneration (SFD) commonly occurs in patients with peripheral neuropathies, resulting in deterioration in nerve function. Currently, the gold standard to identify SFD is through skin biopsies. Simple clinical tests aim to identify SFD, but their validity remains unknown. Objectives To examine the validity of clinical tests to assess SFD using carpal tunnel syndrome (CTS) as a model system. Methods 107 participants (22 healthy, 85 with CTS) underwent pinprick testing over the index finger, and had cold and warm detection thresholds taken (CDT, WDT) using quantitative sensory testing (QST)...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29932872/clinimetric-testing-of-the-lumbar-spine-instability-questionnaire
#20
Bruno T Saragiotto, Chris G Maher, Charles H New, Mark Catley, Mark J Hancock, Chad Cook, Paul W Hodges
Study Design Clinical measurement study. Background The Lumbar Spine Instability Questionnaire (LSIQ) is a self-report measure of 15 items. Previous studies have used the LSIQ as a measure of clinical instability; however, a comprehensive evaluation of its clinimetric properties has not been conducted. Objectives The aim of this study was to evaluate the clinimetric properties of the LSIQ in patients with chronic non-specific low back pain (LBP). Methods We included patients with non-specific LBP presenting to primary care clinicians in Australia...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
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