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Journal of Orthopaedic and Sports Physical Therapy

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https://www.readbyqxmd.com/read/28257620/the-effectiveness-of-combined-exercise-interventions-for-preventing-postmenopausal-bone-loss-a-systematic-review-and-meta-analysis
#1
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. Objectives 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 Jan1, 2016...
March 3, 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
#2
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
#3
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/28257617/examination-of-the-validity-of-a-clinical-prediction-rule-to-identify-patients-with-shoulder-pain-likely-to-benefit-from-cervicothoracic-manipulation
#4
Paul E Mintken, Amy W McDevitt, Lori A Michener, Robert E Boyles, Amber R Beardslee, Scott A Burns, Matthew D Haberl, Lauren A Binder, 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 (CT) 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 (ROM) exercises plus 6 sessions of stretching and strengthening exercises (Ex group), or 2 sessions of CT manipulation and ROM exercises followed by 6 sessions of stretching and strengthening exercise (MT+Ex group)...
March 3, 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
#5
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 three scoring measures: SBT overall, psychosocial, and categorical scores. Objective Our study aimed to compare the predictive validity of three 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...
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
#6
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
#7
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/28158961/people-with-chronic-neck-pain-walk-with-a-stiffer-spine
#8
Deborah Falla, Leonardo Gizzi, Hesam Parsa, Angela Dieterich, Frank Petzke
Study Design Case-control. Background People with chronic neck pain present a number of sensorimotor and biomechanical alterations, yet little is known about the influence of neck pain on gait and motions of the spine during gait. Objective To evaluate the spine kinematics and gait characteristics in people with non-specific chronic neck pain. Methods People with chronic non-specific neck pain and age and gender matched asymptomatic controls walked on a treadmill at three different speeds (self-selected, 3km/h, 5km/h) either with their head in a neutral position or rotated 30º...
February 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
#9
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/28245749/march-2017-letters-to-the-editor-in-chief
#10
(no author information available yet)
Letters to the Editor-in-Chief of JOSPT as follows: "Regarding 'Unraveling the Complexity of Low Back Pain'" with Authors' Response "Beall's List Has Vanished: What Next?" with Editor-in-Chief Response J Orthop Sports Phys Ther 2017;47(3):219-223. doi:10.2519/jospt.2017.0202.
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28245748/2016-jospt-reviewer-of-the-year-award
#11
J Haxby Abbott
The winner of the JOSPT Reviewer of the Year Award was Roy Bechtel, PT, PhD, who performed with consistent excellence across 3 categories: (1) willingness to serve the Journal by conducting reviews, (2) insightfulness and constructiveness of the reviews, and (3) promptness of turnaround. We are very grateful to all of the many reviewers who served the Journal during 2016 by providing excellent, timely, and constructive reviews, and thank and congratulate Dr Bechtel in particular for consistently providing high-quality peer reviews for JOSPT and the authors who submit their work to the Journal...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28245747/hemangioma-in-the-anterior-thigh-with-corresponding-periosteal-bone-reaction
#12
Robyn K Fuchs, Amy J Bayliss, Stuart J Warden
A 24-year-old female runner presented to physical therapy via direct access with an 8-month history of mid-thigh pain. At the onset of her symptoms, radiographs were negative; following physical therapy evaluation, additional imaging was requested. Lateral-view radiographs revealed cortical hypertrophy with no stress fracture. Magnetic resonance imaging revealed an enhancing mass adjacent to the anterolateral surface of the mid shaft of the femur, with associated cortical hypertrophy, consistent with a deep intramuscular hemangioma...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28245746/cervical-traction-for-managing-neck-pain-a-survey-of-physical-therapists-in-the-united-states
#13
Timothy J Madson, John H Hollman
Study Design Cross-sectional survey. Objective To examine the use of traction by physical therapists for patients with neck pain, including how and when traction is used, the delivery modes and parameters, supplemental interventions, and influence of professional demographics on usage. Background Systematic reviews provide little support for traction in managing neck pain. While traction usage among physical therapists in other countries has been described, usage in the United States has not been examined. Methods A random sample of 4000 Orthopaedic Section members of the American Physical Therapy Association were surveyed...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28245745/atypical-clinical-presentation-of-rapidly-progressing-femoral-head-avascular-necrosis
#14
Joseph A Signorino, Dhinu J Jayaseelan, Kathleen Brindle
A 51-year-old man presented to an urgent care facility 2 weeks after onset of left lateral hip and buttock pain. Radiographs were noncontributory. An orthopaedist referred him to physical therapy, but due to the worsening clinical presentation, he was referred back to the orthopaedist for additional evaluation. Magnetic resonance imaging was ordered and demonstrated abnormal femoral head and acetabular contour, extensive bone marrow edema, and a complex joint effusion. He was diagnosed with femoral head avascular necrosis...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28245744/carpal-tunnel-syndrome-physical-therapy-or-surgery
#15
(no author information available yet)
Carpal tunnel syndrome causes pain, numbness, and weakness in the wrist and hand. Nearly 50% of all work-related injuries are linked to carpal tunnel syndrome, and people with this injury are more likely to miss work because of it. Patients with carpal tunnel syndrome can be treated with physical therapy or surgery. Although surgery may be considered when the symptoms are severe, more than a third of patients do not return to work within 8 weeks after an operation. Based on the potential side effects and risks of surgery, patients often ask if they might try physical therapy first...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28245743/trigger-point-dry-needling
#16
(no author information available yet)
Increasingly, physical therapists in the United States and throughout the world are using dry needling to treat musculoskeletal pain, even though this treatment has been a controversial addition to practice. To better generalize to physical therapy practice the findings about dry needling thus far, the authors of a study published in the March 2017 issue of JOSPT identified the need for a systematic review examining the effectiveness of dry needling performed by physical therapists on people with musculoskeletal pain...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28158964/hip-and-lumbar-spine-physical-examination-findings-in-people-presenting-with-low-back-pain-with-or-without-lower-extremity-pain
#17
Heidi Prather, Abby Cheng, Karen Steger-May, Vaibhav Maheshwari, Linda Van Dillen
Study Design Prospective cohort study, cross-sectional design. Background The hip-spine syndrome is described in patients with known arthritis of the hip. This study describes the hip examination findings of people presenting with low back pain (LBP). Objectives To (1) report examination findings of the hip in patients with LBP and (2) compare pain and function in patients with positive hip examination findings to those in patients without positive hip examination findings. Methods An examination and validated questionnaires of spine and hip pain and function were completed...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28158963/the-effectiveness-of-manual-therapy-versus-surgery-on-self-reported-function-cervical-range-of-motion-and-pinch-grip-force-in-carpal-tunnel-syndrome-a-randomized-clinical-trial
#18
César Fernández-de-Las-Peñas, Joshua Cleland, María Palacios-Ceña, Stella Fuensalida-Novo, Juan A Pareja, Cristina Alonso-Blanco
Study Design Randomized parallel-group trial. Background Carpal tunnel syndrome (CTS) is a common pain condition that can be managed surgically or conservatively. Objective To compare the effectiveness of manual therapy versus surgery for improving self-reported function, cervical range of motion, and pinch-tip grip force in women with CTS. Methods In this randomized clinical trial, 100 women with CTS were randomly allocated to either a manual therapy (n = 50) or a surgery (n = 50) group. The primary outcome was self-rated hand function, assessed with the Boston Carpal Tunnel Questionnaire...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28158962/the-effectiveness-of-trigger-point-dry-needling-for-musculoskeletal-conditions-by-physical-therapists-a-systematic-review-and-meta-analysis
#19
Eric Gattie, Joshua A Cleland, Suzanne Snodgrass
Study Design Systematic review and meta-analysis. Background An increasing number of physical therapists in the United States and throughout the world are using dry needling to treat musculoskeletal pain. Objective To examine the short- and long-term effectiveness of dry needling delivered by a physical therapist for any musculoskeletal pain condition. Methods Electronic databases were searched. Eligible randomized controlled trials included those with human subjects who had musculoskeletal conditions that were treated with dry needling performed by a physical therapist, compared with a control or other intervention...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28158960/dry-needling-combined-with-physical-therapy-in-patients-with-chronic-postsurgical-pain-following-total-knee-arthroplasty-a-case-series
#20
Rodrigo Núñez-Cortés, Carlos Cruz-Montecinos, Álvaro Vásquez-Rosel, Orlando Paredes-Molina, Antonio Cuesta-Vargas
Study Design Case series. Background This case series describes a combined program of dry needling and therapeutic exercise in a small group of patients with persistent pain following total knee arthroplasty (TKA). Case Description Fourteen patients who underwent TKA had persistent postsurgical pain and myofascial trigger points that were nonresponsive to treatment with conventional physical therapy and/or medication. The patients received a weekly dry needling treatment in combination with therapeutic exercises for 4 weeks...
March 2017: Journal of Orthopaedic and Sports Physical Therapy
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