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Journal of Orthopaedic and Sports Physical Therapy

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https://www.readbyqxmd.com/read/28504068/psychometric-properties-of-the-deep-muscle-contraction-scale-for-assessment-of-the-drawing-in-maneuver-in-patients-with-chronic-nonspecific-low-back-pain
#1
Crystian B Oliveira, Ruben F Negrão Filho, Márcia R Franco, Priscila K Morelhão, Amanda C Araujo, Rafael Z Pinto
Study Design A prospective cohort study. Background Motor control dysfunctions have been commonly reported in patients with chronic non-specific low back pain (LBP). Physiotherapists need clinical tools with adequate psychometric properties to assess such patients in clinical practice. The deep muscle contraction (DMC) scale is a clinical rating scale for assessing patients' ability to voluntarily contract deep abdominal muscles. Objectives To investigate the intra-rater reliability, floor and ceiling effects, internal and external responsiveness and correlation analysis (with ultrasound measures) of the DMC scale in patients with chronic non-specific LBP undergoing a lumbar stabilization exercise program...
May 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28504067/effectiveness-of-inclusion-of-dry-needling-into-a-multimodal-therapy-program-for-patellofemoral-pain-a-randomized-parallel-group-trial
#2
Gemma V Espí-López, Pilar Serra-Añó, Juan Vicent-Ferrando, Miguel Sánchez-Moreno-Giner, Jose L Arias-Buría, Joshua Cleland, César Fernández-de-Las-Peñas
Study Design Randomized controlled trial. Background Evidence suggests that multimodal interventions including exercise therapy may be effective for patellofemoral pain (PFP), however no study has investigated the effects of trigger point dry needling (TrP-DN) in people with PFP. Objectives To compare the effects of adding TrP-DN into a manual therapy and exercise program on pain, function, and disability in individuals with PFP. Methods Individuals with PFP (n=60) recruited from a public hospital in Valencia (Spain) were randomly allocated to manual therapy and exercises (n=30) or manual therapy and exercise plus TrP-DN (n=30)...
May 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28504066/the-association-of-recreational-and-competitive-running-with-hip-and-knee-osteoarthritis-a-systematic-review-and-meta-analysis
#3
Eduard Alentorn-Geli, Kristian Samuelsson, Volker Musahl, Cynthia L Green, Mohit Bhandari, Jón Karlsson
Study Design Systematic review and meta-analysis. Background Running is a healthy and popular activity worldwide, but data regarding its association with osteoarthritis (OA) are conflicting. Objectives To evaluate the association of hip and knee OA with running and to explore the influence of running intensity on this association. Methods PubMed, EMBASE and Cochrane Library databases were used to identify studies investigating the occurrence of OA of the hip and/or knee among runners. Studies comparing this occurrence between runners and controls (sedentary, non-running individuals) were meta-analyzed...
May 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28499344/the-responsiveness-and-minimal-important-change-mic-of-the-western-ontario-shoulder-instability-index-wosi-and-oxford-shoulder-instability-score-osis
#4
Just A van der Linde, Derk A van Kampen, Loes W A H van Beers, Derek F P van Deurzen, Daniël B F Saris, Caroline B Terwee
Study Design A prospective cohort study. Background Patient Reported Outcome Measurements (PROMs) are widely used to evaluate functional limitations. Considering PROMs for shoulder instability, information is lacking with regard to what constitutes a relevant change from baseline scores. Objectives To evaluate the responsiveness of the Western Ontario Shoulder Instability Index (WOSI) and the Oxford Shoulder Instability Score (OSIS) and estimate their Minimal Important Change (MIC). Methods 105 consecutive patients with shoulder instability completed five PROMs at baseline and at 6-months follow-up...
May 12, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28499343/knee-loading-deficits-during-dynamic-tasks-in-individuals-following-acl-reconstruction
#5
Kristamarie A Pratt, Susan M Sigward
Study Design Controlled laboratory study, cross-sectional. Background Well documented deficits in sagittal plane knee loading, during dynamic tasks indicate individuals limit the magnitude of knee loading following anterior cruciate ligament reconstruction (ACLR). It is unknown how these individuals modulate the speed of knee flexion during loading, which is particularly important as they progress to running during rehabilitation. Objective To investigate how individuals following anterior cruciate ligament reconstruction perform dynamic knee loading tasks compared to healthy controls...
May 12, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355981/risk-of-recurrence-of-low-back-pain-a-systematic-review
#6
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
#7
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/28355977/three-patients-with-lower-extremity-tumors-referred-through-medical-channels-to-physical-therapists-a-description-of-clinical-reasoning-screening-and-collaborative-practice
#8
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
#9
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/28257615/development-and-reliability-of-the-timed-functional-arm-and-shoulder-test-tfast
#10
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
#11
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/28459193/l1-epithelioid-hemangioma
#12
Joel D Davis, Shane Koppenhaver
A 24-year-old male soldier on limited-duty status was referred to physical therapy by his primary care physician for a 2-year history of insidious-onset and slowly progressive low back pain. Lumbar radiographs were noncontributory. Shortly after initiating rehabilitation, the patient underwent magnetic resonance imaging that was previously ordered by his primary care physician. Radiology identified a complex mass and cortical fracturing within the L1 vertebral body, and subsequent computed tomography imaging demonstrated mixed sclerotic and lytic foci at L1...
May 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28459192/rehabilitation-2030-a-call-to-action-relevant-to-improving-musculoskeletal-health-care-globally
#13
Andrew M Briggs, Karsten E Dreinhöfer
The profile of human health is changing across the globe such that the burden of noncommunicable diseases (NCDs), particularly musculoskeletal conditions, is becoming more profound. Such change demands that health systems adapt to better support people in maintaining a functional health state and quality of life, as life expectancy continues to increase. In parallel to the rising burden of NCDs, in particular a disability burden, the need for rehabilitation services is increasing. The World Health Organization (WHO) responded recently with "Rehabilitation 2030: A Call for Action" (February 6-7, 2017, Geneva, Switzerland) and the publication of key recommendations for action...
May 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28459191/extradural-cystic-lesion
#14
Jeffery Dolbeer, Michael Crowell, Donald Goss
A 21-year-old male military academy cadet was evaluated in a physical therapy clinic for worsening lower back pain 2 months after picking up a dumbbell. Following examination and follow-up, the therapist ordered radiographs and referred the patient to primary care due to worsening symptoms. Magnetic resonance imaging ordered by the physician revealed an extradural cystic lesion. J Orthop Sports Phys Ther 2017;47(5):368. doi:10.2519/jospt.2017.6584.
May 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28459190/placebo-mechanisms-of-manual-therapy-a-sheep-in-wolf-s-clothing
#15
Joel E Bialosky, Mark D Bishop, Charles W Penza
When a physical therapist provides a manual therapy (MT) intervention for a patient presenting with pain and the patient experiences a positive clinical outcome, we cannot answer as to why this occurs. Would we continue to devote valuable time and financial resources to learning and improving our skills in providing MT interventions if the related clinical outcomes were placebo responses? In this Viewpoint, the authors conceptualize placebo as an active and important mechanism of MT and argue that placebo mechanisms deserve consideration as an important component of the treatment effect...
May 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355979/longitudinal-monitoring-of-patients-with-chronic-low-back-pain-during-physical-therapy-treatment-using-the-start-back-screening-tool
#16
Flávia Cordeiro Medeiros, Leonardo Oliveira Pena Costa, Marco Aurélio Nemitalla Added, Evelyn Cassia Salomão, Lucíola da Cunha Menezes Costa
Study Design Preplanned 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 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 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...
May 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
#17
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 (LSIs) to quantify quadriceps strength and hop scores. Whether using the uninvolved limb in LSIs is optimal is unknown. Objectives To evaluate the uninvolved limb as a reference standard for LSIs utilized in return-to-sport testing and its relationship with second ACL injury rates...
May 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-us-physical-therapists
#18
Carlos E Ladeira, M Samuel Cheng, Rubens A da Silva
Study Design Electronic cross-sectional survey. Background The American Physical Therapy Association (APTA) evidence-based practice guideline for low back pain (LBP) elaborated on strategies to manage nonspecific 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. Objectives To assess American physical therapists' adherence to the clinical practice guidelines (CPGs) for LBP of the Orthopaedic Section of the APTA, and to compare adherence among physical therapists with different qualifications...
May 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
#19
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
#20
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
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