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Journal of Orthopaedic and Sports Physical Therapy

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https://www.readbyqxmd.com/read/28355981/risk-of-recurrence-of-low-back-pain-a-systematic-review
#1
Tatiane M da Silva, Kathryn Mills, Benjamin T Brown, Robert D Herbert, Christopher G Maher, Mark J Hancock
Study Design Systematic review. Background While most people with acute low back pain (LBP) recover quickly, recurrences are believed to be common. No high quality systematic review has been published on the risk of recurrences of LBP, or of factors which predict LBP recurrence. Objectives The aim of this study was to investigate the risk of and prognostic factors for a recurrence of LBP, in patients who have recovered from a previous episode of LBP within the last year. Methods Systematic searches were conducted of MEDLINE, EMBASE and CINAHL databases...
March 29, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355980/star-excursion-balance-test-anterior-asymmetry-is-associated-with-injury-status-in-division-i-collegiate-athletes
#2
Mikel R Stiffler, David R Bell, Jennifer L Sanfilippo, Scott J Hetzel, Kristen A Pickett, Bryan C Heiderscheit
Study Design Retrospective cohort. Background Star Excursion Balance Test (SEBT) performance differs by sport in healthy collegiate athletes and lower extremity injury rates also vary among sports, sex, and athletic exposure. The relationship between SEBT performance and injury risk has not been evaluated with consideration of these additional variables which may be necessary to fully describe the relationship between SEBT performance and injury risk. Objectives To assess the association between pre-season SEBT performance and non-contact injury occurrence to the knee or ankle in Division I collegiate athletes when controlling for sport, sex, and athletic exposure...
March 29, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355979/serial-monitoring-of-patients-with-chronic-low-back-pain-during-physical-therapy-treatment-using-the-start-back-screening-tool
#3
Flávia Cordeiro Medeiros, Leonardo Oliveira Pena Costa, Marco Aurélio Nemitalla Added, Evelyn Cassia Salomão, Lucíola da Cunha Menezes Costa
Study Design Pre-planned secondary analysis of a randomized clinical trial. Background The STarT Back Screening Tool (SBST) was developed to screen and to classify patients with low back pain (LBP) into subgroups for the risk of having a poor prognosis. However, this classification at baseline does not take into account variables that can influence the prognosis during treatment or over time. Objectives 1) To investigate the changes in the risk subgroup measured by the SBST over a period of 6 months and 2) to assess the long-term predictive ability of the SBST when administered at different time points...
March 29, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355978/limb-symmetry-indexes-can-overestimate-knee-function-after-anterior-cruciate-ligament-injury
#4
Elizabeth Wellsandt, Mathew J Failla, Lynn Snyder-Mackler
Study Design Prospective cohort. Background The high risk of second anterior cruciate ligament (ACL) injuries after return-to-sport highlights the importance of return-to-sport decision-making. Objective return-to-sport criteria frequently use limb symmetry indexes (LSI's) to quantify quadriceps strength and hop scores. Whether using the uninvolved limb in LSI's is optimal is unknown. Objectives To evaluate the uninvolved limb as a reference standard for LSI's utilized in return-to-sport testing and its relationship with second ACL injury rates...
March 29, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355977/three-patients-with-lower-extremity-tumors-referred-through-medical-channels-to-physical-therapists-a-description-of-clinical-reasoning-screening-and-collaborative-practice
#5
Seth Peterson, Thomas Denninger, Scott Porter
Study Design Resident's case problem. Background Although rare in the general population, bone and soft tissue tumors may be more frequently encountered in patients seeking physical therapy because of the propensity to mimic commonly treated musculoskeletal disorders. Screening for tumors requires the physical therapist be attentive to unexpected findings. The purpose of this paper was to describe the clinical reasoning and screening processes of physical therapists that facilitated the timely recognition of bone and soft tumors in 3 patients referred through medical channels...
March 29, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355976/on-ice-return-to-hockey-progression-after-anterior-cruciate-ligament-reconstruction
#6
Jacob J Capin, William Behrns, Karen Thatcher, Amelia Arundale, Angela Hutchinson Smith, Lynn Snyder-Mackler
Synopsis Limited literature exists pertaining to rehabilitation of ice hockey players seeking to return-to-sport after anterior cruciate ligament reconstruction (ACLR). The purpose of this clinical commentary is to present a criterion-based, return-to-ice hockey progression for athletes after ACLR. First, we review pertinent literature and provide previously published guidelines on general rehabilitation after ACLR. Then, we present a four-phase, on-ice skating progression with objective criteria to initiate each phase...
March 29, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257619/complaints-of-upper-extremity-numbness-and-tingling-relieved-with-dry-needling-of-the-teres-minor-and-infraspinatus-a-case-report
#7
Elizabeth Lane, Derek Clewley, Shane Koppenhaver
Study Design Case report. Background Abnormal sensation, such as numbness or tingling, is traditionally thought to originate from neural compression. There is limited evidence to support reports of abnormal sensation arising from a trigger point. Case Description The patient was a 60-year-old female with primary complaints of right shoulder pain and secondary complaints of neck pain and right upper extremity numbness. Cervical spine neurological examination was unremarkable, and manual examination did not reproduce the patient's arm numbness or tingling symptoms...
March 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257618/clinical-specialization-and-adherence-to-evidence-based-practice-guidelines-for-low-back-pain-management-a-survey-of-united-states-physical-therapists
#8
Carlos E Ladeira, M Samuel Cheng, Rubens A da Silva
Study Design Electronic cross-sectional survey. Background The American Physical Therapy Association (APTA) EBP guideline for low back pain (LBP) elaborated on strategies to manage non-specific LBP in routine physical therapy practice. This guideline described LBP associated with mobility deficit, leg pain and a directional preference, coordination impairment (lumbar instability), and fear avoidance behavior (FAB). Objectives To assess American physical therapists' (PTs) adherence to the Clinical Practice Guidelines (CPG) for LBP of the Orthopaedic Section of the APTA, and to compare adherence among PTs with different qualifications...
March 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257615/development-and-reliability-of-the-timed-functional-arm-and-shoulder-test-tfast
#9
Kshamata M Shah, Timothy Baker, Abigail Dingle, Thomas Hansmeier, Matthew Jimenez, Sarah Lopez, Dylan Marks, Daniel Safford, Amanda Sternberg, Jeffrey Turner, Philip W McClure
Study Design Repeated-measures clinical measurement reliability study. Background While there are some shoulder functional tests for athletes, no widely used performance test of arm and shoulder function currently exists to assess lower level upper extremity functional demands, for example in a non-athlete population or elderly individuals. In these individuals, functional measures rely on patient self-report. Objectives Describe the development of the Timed Functional Arm and Shoulder Test (TFAST), age-related scores and between-session reliability in a group of asymptomatic high-school athletes, young, middle-aged and older adults, and a preliminary group of symptomatic patients...
March 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257614/dry-needling-versus-cortisone-injection-in-the-treatment-of-greater-trochanteric-pain-syndrome-a-non-inferiority-randomized-clinical-trial
#10
Kindyle L Brennan, Bryce C Allen, Yolanda Munoz Maldonado
Study Design Prospective, randomized, partially-blinded. Background Greater trochanteric pain syndrome (GTPS) is the current terminology for what was once called greater trochanteric or sub-gluteal bursitis. Cortisone (corticosteroid) injections into the lateral hip is a traditionally accepted treatment for this condition. However, the effectiveness of injecting the bursa with steroids is increasingly being questioned, and an equally effective treatment with fewer adverse side-effects would be beneficial. Objective To investigate whether administration of dry needling (DN) is non-inferior to cortisone injections in reducing lateral hip pain and improving function in patients with GTPS...
March 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28158958/the-responsiveness-and-interpretability-of-the-shoulder-pain-and-disability-index
#11
Marloes Thoomes-de Graaf, Wendy Scholten-Peeters, Edwin Duijn, Yasmaine Karel, Henrica C W de Vet, Bart Koes, Arianne Verhagen
Study Design Clinical measurement study; prospective cohort design. Background Shoulder pain is a common disorder and treatment is most often focused on a reduction of pain and functional disabilities. Several reviews have encouraged the use of the Shoulder Pain and Disability Index (SPADI) to objectify functional disabilities. It is important to assess the responsiveness and interpretability of the SPADI when it is used by patients seeking help by a physical therapist for their shoulder pain in primary care setting...
February 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363275/2016-jospt-awards-additive-effects-and-biological-mechanisms-of-interventions-offer-important-insights
#12
J Haxby Abbott
During the American Physical Therapy Association's Combined Sections Meeting in San Antonio, TX in February 2017, JOSPT recognized the authors of the most outstanding research and clinical practice manuscripts published in JOSPT during 2016. The 2016 JOSPT Excellence in Research Award was presented to Carol A. Courtney, Alana D. Steffen, César Fernández-de-las-Peñas, John Kim, and Samuel J. Chmell, MD, for their March 2016 article "Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363274/april-2017-letter-to-the-editor-in-chief
#13
Michael T Cibulka, Bruno T Saragiotto, Chris G Maher, Mark J Hancock, Bart W Koes
Letter to the Editor-in-Chief of JOSPT as follows: "Subgrouping Patients With Low Back Pain" with Authors' Response J Orthop Sports Phys Ther 2017;47(4):295. doi:10.2519/jospt.2017.0203.
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363273/intra-articular-focal-nodular-synovitis-of-the-knee
#14
Cortney Shewmaker
A 32-year-old woman was referred to physical therapy by her primary care provider (PCP) for complaints of limited right knee extension and pain. Radiographs of her right knee ordered by her PCP prior to physical therapy evaluation were noncontributory. To rule out intra-articular pathology, the physical therapist ordered magnetic resonance imaging, which revealed an intra-articular mass. The radiologist recommended contrast imaging to further characterize the mass, which was found to be consistent with focal nodular synovitis...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363272/left-knee-synovial-osteochondromatosis
#15
Jason T Cirolia
A 28-year-old male military service member reported to a physical therapist with progressively worsening left knee pain during impact activity and with work duties. Following examination, he physical therapist ordered radiographs of the knee, which revealed severe osteochondromatosis and tricompartmental arthritis. J Orthop Sports Phys Ther 2017;47(4):294. doi:10.2519/jospt.2017.7016.
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363271/prediction-of-future-injury-in-sport-primary-and-secondary-anterior-cruciate-ligament-injury-risk-and-return-to-sport-as-a-model
#16
Timothy E Hewett
Can we predict future events? Biostatisticians might answer with an unequivocal yes and state that logistic regression models do exactly that: they predict the relative risk of an outcome on the basis of logistic regression of multiple independent variables. If this is the case, then which approaches improve predictive capability? We are not attempting to predict individual events in individual athletes. However, certain approaches can improve predictive power. J Orthop Sports Phys Ther 2017;47(4):228-231. doi:10...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363270/hip-pain-dry-needling-versus-cortisone-injections
#17
(no author information available yet)
Greater trochanteric pain syndrome (GTPS) is chronic, intermittent pain and tenderness on the outside of the hip. The medical community once thought that a swollen hip bursa was the source of such pain, which led to the use of corticosteroid injections to the bursa to help decrease swelling and pain. However, researchers now believe that injuries to the muscles and tendons around the hip are the actual cause of this pain, and that inflammation is often not involved. A study published in the April 2017 issue of JOSPT explores dry needling as an alternative to cortisone injections to reduce pain and improve function in patients with GTPS...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257620/the-effectiveness-of-combined-exercise-interventions-for-preventing-postmenopausal-bone-loss-a-systematic-review-and-meta-analysis
#18
Renqing Zhao, Mengyi Zhang, Qi Zhang
Study Design Systematic review and meta-analysis. Background It remains unclear whether exercise combining different types of physical activities (combined exercise interventions) would effectively preserve postmenopausal women's bone mineral density (BMD) at different sites. Objective To examine the impact of combined exercise interventions on lumbar spine, femoral neck, total hip, and total body BMD in postmenopausal women. Methods An electronic database search was conducted in PubMed, EMBASE, SPORTDiscus, and Web of Science up to January 1, 2016...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257617/examination-of-the-validity-of-a-clinical-prediction-rule-to-identify-patients-with-shoulder-pain-likely-to-benefit-from-cervicothoracic-manipulation
#19
Paul E Mintken, Amy W McDevitt, Lori A Michener, Robert E Boyles, Amber R Beardslee, Scott A Burns, Matthew D Haberl, Lauren A Hinrichs, Joshua A Cleland
Study Design Secondary analysis of a randomized controlled trial. Background Prognostic variables identifying patients with shoulder pain who are likely to respond to cervicothoracic manipulation have been reported; however, they have yet to be validated. Objective To examine the validity of previously reported prognostic variables in predicting which patients with shoulder pain will respond to cervicothoracic manipulation. Methods Participants (n = 140) with a report of shoulder pain were randomly assigned to receive either 2 sessions of range-of-motion exercises plus 6 sessions of stretching and strengthening exercises (exercise group), or 2 sessions of cervicothoracic manipulation and range-of-motion exercises followed by 6 sessions of stretching and strengthening exercise (manipulative-therapy-plus-exercise group)...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28257616/evaluation-of-the-start-back-screening-tool-for-prediction-of-low-back-pain-intensity-in-an-outpatient-physical-therapy-setting
#20
Irene Toh, Hwei-Chi Chong, Jennifer Suet-Ching Liaw, Yong-Hao Pua
Study Design Prospective cohort study. Background Optimal management of patients with low back pain (LBP) relies on accurate prognosis of future clinical outcomes. The STarT Back Screening Tool (SBT), a prognostic index developed and validated in the primary care setting, has 3 scoring measures: SBT overall, psychosocial, and categorical scores. Objective Our study aimed to compare the predictive validity of 3 SBT measures with future pain intensity in patients receiving physical therapy for LBP. Methods Two hundred seven patients with LBP receiving physical therapy completed the SBT at initial (baseline) evaluation and were evaluated 12 weeks later for their pain intensity...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
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