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Journal of Orthopaedic and Sports Physical Therapy

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
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
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
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
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
Chad E Cook, Joshua A Cleland, Paul E Mintken
Predatory journals are compromising the scientific credibility of "published" research. Past concerns with predatory journals have included the lack of a peer-review process, lack of an editorial board, and little to no description of the publication's ethical standards. In this editorial, we describe the ease with which bogus information can be published in predatory journals, and outline 3 risks to credible science associated with published information and downstream referencing, which may occur through source amnesia bias...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Matthew Low
Motor control is a popular concept within physical therapy practice and has received a significant amount of attention over the last 25 years. It has been implicitly conceived and understood by clinicians and researchers throughout this time, yet appears to differ considerably with respect to its definition and translation into clinical practice. The purpose of this Viewpoint is to outline the history of motor control and its use in musculoskeletal physical therapy practice and to highlight the consequences of its interpretation and variation in its use...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Steven J Kamper
Despite the fact that a randomized controlled trial (RCT), by definition, can't exist without one, the control group is the forgotten stepchild of the RCT. The nature of the control group in part determines the research question that the RCT answers, and only by understanding the precise question can the results be sensibly interpreted. Given that RCTs always measure relative effectiveness of the treatment and control interventions, it is important that interpretation reflects this. That means that conclusions that a treatment is effective should always state, "compared to the control intervention...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Ryan G Boggs, Arthur J Nitz
A 27-year-old man presented to an outpatient physical therapy clinic with left lateral foot pain after playing lacrosse 1 day prior. Ultrasound imaging was performed immediately by the physical therapist, focusing on the fifth metatarsal distal shaft. Images obtained with a 13- to 6-MHz linear transducer demonstrated cortical bone disruption. The patient's primary care physician subsequently ordered radiographs, which demonstrated an obliquely oriented fracture through the shaft of the fifth metatarsal. J Orthop Sports Phys Ther 2018;48(11):903...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Robert Geddens, Scott C Dembowski
A 19-year-old female US Army trainee presented to a direct-access physical therapy clinic reporting 1 week of bilateral dorsal foot pain that was worse on the right than the left side. Due to swelling, focal tenderness, and pain, the physical therapist ordered radiographs to evaluate for a potential stress fracture. The radiographs revealed that the fourth metatarsals were notably shorter than the others, but were negative for other pathology. J Orthop Sports Phys Ther 2018;48(11):904. doi:10.2519/jospt.2018...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Derek Clewley, Daniel I Rhon, Timothy W Flynn, Charles D Sissel, Chad E Cook
BACKGROUND: The influence of prior patterns of health care utilization on future health care utilization has had minimal investigation in populations with musculoskeletal disorders. OBJECTIVES: The purpose of this study was to explore the relationship between presurgical health care utilization and postsurgical health care utilization in a population of patients undergoing hip surgery in the US Military Health System. METHODS: In this observational cohort study, person-level data were collected for patients undergoing hip arthroscopy in the Military Health System from 2003 to 2015, capturing all encounters 12 months before and 24 months after surgery for every individual...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Kristamarie A Pratt, Susan M Sigward
BACKGROUND: Following anterior cruciate ligament reconstruction (ACLR), individuals 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 (SLL) task. However, the diagnostic accuracy of these measures and procedures needs to be established before translating this information to clinical practice...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Yigal Katzap, Michael Haidukov, Olivier M Berland, Ron Ben Itzhak, Leonid Kalichman
BACKGROUND: Plantar fasciitis is the chief cause of pain in the plantar surface of the heel. Therapeutic ultrasound is one of the most common conservative treatment modalities used by physical therapists worldwide, despite scarce evidence of its efficacy in treating 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. METHODS: In this prospective, randomized, double-blind, placebo-controlled clinical trial, 54 patients with plantar fasciitis, aged 24 to 80 years, who met the inclusion criteria were randomized into an active intervention and a control group...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Michael Lejbach Bertelsen, Mette Hansen, Sten Rasmussen, Rasmus Oestergaard Nielsen
BACKGROUND: Overweight and obese novice runners are subjected to a higher load per stride than their normal-weight peers. Do they reduce their running dose accordingly when beginning a self-chosen running regime? OBJECTIVES: To describe and compare the preferred running dose in normal-weight, overweight, and obese novice runners when they commence a self-chosen running regime. METHODS: In this exploratory, 7-day prospective cohort study, 914 novice runners were categorized into 1 of 3 exposure groups, based on their body mass index (BMI): (1) normal weight (BMI less than 25 kg/m2 , n = 405; reference group), (2) overweight (BMI of 25 to less than 30 kg/m2 , n = 341), and (3) obese (BMI of 30 kg/m2 or greater, n = 168)...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Rafael Heiss, Marion Kellermann, Bernd Swoboda, Casper Grim, Christoph Lutter, Matthias S May, Wolfgang Wuest, Michael Uder, Armin M Nagel, Thilo Hotfiel
BACKGROUND: Delayed-onset muscle soreness (DOMS) is one of the most common reasons for impaired muscle performance in sports. However, little consensus exists regarding which treatments may be most effective, and the underlying mechanisms are poorly understood. OBJECTIVES: To investigate the influence of compression garments on the development of DOMS, focusing on changes in muscle perfusion and muscle stiffness. METHODS: In this controlled laboratory study with repeated measures, muscle perfusion and stiffness, calf circumference, muscle soreness, passive ankle dorsiflexion, and creatine kinase levels were assessed in participants before (baseline) a DOMS-inducing eccentric calf exercise intervention and 60 hours later (follow-up)...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Adam Meierbachtol, William Yungtum, Eric Paur, John Bottoms, Terese L Chmielewski
BACKGROUND: Decreased psychological readiness for sport may contribute to poor return-to-sport rates after anterior cruciate ligament reconstruction (ACLR). Though advanced rehabilitation is used to improve functional readiness for sport after ACLR, the effect of advanced rehabilitation on psychological readiness is unknown. OBJECTIVE: To examine changes in psychological and functional measures and readiness for sport based on these measures in patients with ACLR following advanced group training...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Eric R Wagner, Muriel J Solberg, Laurence D Higgins
BACKGROUND: It is widely believed that structured rehabilitation programs by professional therapists help guide patients through the various recovery periods after shoulder arthroplasty, speeding up their recovery and improving their final functional gains. However, to our knowledge, there are no studies providing information about the current state of physical rehabilitation use after shoulder arthroplasty. OBJECTIVES: To describe the variation in physical rehabilitation utilization after total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA), and to identify differences in utilization based on type of insurance (private versus public), sex, age, and region of the country...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
Lisbeth Hartvigsen, Alice Kongsted, Werner Vach, Louis-Rachid Salmi, Lise Hestbaek
BACKGROUND: A diagnostic classification algorithm, "the Petersen classification," consisting of 12 categories based on a standardized examination protocol, was developed for the primary purpose of identifying clinically homogeneous subgroups of individuals with low back pain (LBP). OBJECTIVES: To investigate whether a diagnostic classification algorithm is associated with activity limitation and LBP intensity at follow-up assessments of 2 weeks, 3 months, and 1 year, and whether the algorithm improves outcome prediction when added to a set of known predictors...
November 2018: Journal of Orthopaedic and Sports Physical Therapy
(no author information available yet)
A selection of products and developments of interest to JOSPT readers. J Orthop Sports Phys Ther 2018;48(10):827-828. doi:10.2519/jospt.2018.48.10.827.
October 2018: Journal of Orthopaedic and Sports Physical Therapy
Alan C Lee, Todd E Davenport, Ken Randall
Telehealth physical therapy has the potential to transform many critical areas of care in musculoskeletal practice. However, the amount of hype around telehealth needs to be carefully examined, because widespread implementation has been stalled by payment and regulatory barriers in physical therapy. The purposes of this Viewpoint are to highlight (1) the current level of implementation, (2) telehealth musculoskeletal evidence, and (3) future opportunities in the digital age. J Orthop Sports Phys Ther 2018;48(10):736-739...
October 2018: Journal of Orthopaedic and Sports Physical Therapy
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