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Journal of Orthopaedic and Sports Physical Therapy

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https://www.readbyqxmd.com/read/28774219/nonoperative-management-and-rehabilitation-of-osteitis-pubis-pubic-bone-stress-in-professional-soccer-players-a-report-of-5-cases
#1
Stephen S McAleer, Ed Lippie, Darcy Norman, Helge Riepenhof
Study Design Case series. Background Pubic bone stress (PBS) is a common acute or chronic response of the pelvis in sports where sprinting, kicking, twisting and cutting are the dominant movements. Little literature exists regarding non-operative rehabilitation strategies for the condition and the outcome of conservative treatment has not been documented. Case Description Five professional and aspiring professional soccer players complaining of pubic symphysis pain, confirmed as PBS on magnetic resonance imaging and objective assessment...
August 3, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704627/task-specific-training-for-adults-with-chronic-knee-pain-a-case-series
#2
Allyn M Bove, Nancy Baker, Heather Livengood, Visnja King, Joseph Mancino, Adam Popchak, G Kelley Fitzgerald
Study Design Case series. Background Recent evidence suggests that traditional impairment-based rehabilitation approaches for patients with knee pain may not result in improved function or reduced disability. This case series describes a novel task-specific training approach to exercise therapy for patients with chronic knee pain and reports changes in measures of clinical outcome (pain and physical function) following participation in the training program. Case Description Seven patients with chronic knee pain aged ≥ 40 years were included...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704626/the-effectiveness-of-neural-mobilization-for-neuro-musculoskeletal-conditions-a-systematic-review-and-meta-analysis
#3
Annalie Basson, Benita Olivier, Richard Ellis, Michel Coppieters, Aimee Stewart, Witness Mudzi
Study Design Systematic review with meta-analysis. Background Neural mobilization (NM) or neurodynamics is a movement-based intervention aimed at restoring the homeostasis in and around the nervous system. The current level of evidence for NM is largely unknown. Objectives To determine the efficacy of NM for musculoskeletal conditions with a neuropathic component. Methods Databases were searched for randomised trials investigating the effect of NM for neuro-musculoskeletal conditions. Standard methods for article identification, selection and quality appraisal were used...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704625/neuro-endocrine-response-following-a-thoracic-spinal-manipulation-in-healthy-men
#4
Kesava Kovanur Sampath, Erik Botnmark, Ramakrishnan Mani, James David Cotter, Rajesh Katare, Pujika Emani Munasinghe, Steve Tumilty
Study Design Randomized controlled trial. Background Spinal manipulation (SM) can trigger a cascade of responses involving multiple systems including the sympathetic nervous system (SNS) and the endocrine system, specifically the hypothalamic-pituitary (HP) axis. However, no manual therapy study has investigated the neuroendocrine response to SM (i.e., SNS-HP axis) in the same trial. Objective To determine short-term changes in SNS activity; heart rate variability (HRV) and endocrine activity (cortisol, testosterone and testosterone/cortisol (T/C) ratio) following a thoracic SM...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704624/a-systematic-review-of-emg-studies-in-normal-shoulders-to-inform-postoperative-rehabilitation-following-rotator-cuff-repair
#5
Peter K Edwards, Jay R Ebert, Chris Littlewood, Tim Ackland, Allan Wang
Study Design Systematic review. Background Electromyography (EMG) has previously been used to guide postoperative rehabilitation progression following rotator cuff repair, to prevent deleterious loading of early surgical repair. Objective To review the current literature investigating EMG during rehabilitation exercises in normal shoulders, to identify exercises that meet a cut point of ≤15% maximal voluntary isometric contraction (MVIC) and unlikely to result in excessive loading in the early postoperative stages...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704623/process-of-change-in-pain-related-fear-clinical-insights-from-a-single-case-of-persistent-back-pain-managed-with-cognitive-functional-therapy
#6
J P Caneiro, Anne Smith, Martin Rabey, G Lorimer Moseley, Peter O'Sullivan
Study Design Single-case report with repeated measures over 18 months. Background Management of persistent low back pain (PLBP) associated with high pain-related fear is complex. This single-case report aims to provide clinicians with an insight to the process of change in a person with PLBP and high bending-related fear, managed with an individualized behavioral approach - Cognitive Functional Therapy (CFT). Case Description A retired manual worker with PLBP believed that his spine was degenerating, that bending would hurt him and avoidance was the only form of pain control...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704622/assessment-of-psychometric-properties-of-various-balance-assessment-tools-in-persons-with-cervical-spondylotic-myelopathy
#7
Alice Y Y Chiu, Marco Y C Pang
Study Design Clinical measurement; cross-sectional, repeated measures. Background Persons with cervical spondylotic myelopathy (CSM) are known to have balance impairments. The psychometric properties of various balance assessment tools have not been evaluated in this population. Objective To examine the floor and ceiling effects, item difficulty and item discrimination index, internal consistency, reliability, and validity of the Balance Evaluation Systems Test (BESTest), Mini-BESTest, Brief-BESTest and Berg balance scale (BBS) in persons with CSM...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704621/making-sense-of-low-back-pain-and-pain-related-fear
#8
Samantha Bunzli, Anne Smith, Robert Schütze, Ivan Lin, Peter O'Sullivan
Synopsis Pain-related fear is implicated in the transition from acute to chronic low back pain and the persistence of disabling low back pain, making it a key target for physiotherapy intervention. The current understanding of pain-related fear is that it is a psychopathological problem where people who catastrophise about the meaning of pain become trapped in a vicious cycle of avoidance behaviour, pain and disability, as recognised in the Fear Avoidance Model. However there is evidence that pain-related fear can also be seen as a common sense response to deal with low back pain, for example, when one is told that their back is vulnerable, degenerating or damaged...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28704620/rasch-model-analysis-gives-new-insights-into-the-structural-validity-of-the-quick-dash-in-patients-with-musculoskeletal-shoulder-pain
#9
Christina Jerosch-Herold, Rachel Chester, Lee Shepstone
Study Design Cross-sectional secondary analysis of a prospective cohort study. Background The Quick-DASH is a widely used outcome measure which has been extensively evaluated using classical test theory (CTT). Rasch model analysis can identify strengths and weaknesses of rating scales which goes beyond CTT approaches. It uses a mathematical model to test the fit between the observed data and expected responses and converts ordinal-level scores into interval-level measurement. Objective To test the structural validity of the Quick-DASH using Rasch analysis...
July 13, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28683231/sound-intensity-feedback-during-running-reduces-loading-rates-and-impact-peak
#10
Jeremiah J Tate, Clare E Milner
Study Design Controlled laboratory study, within session design. Background Gait retraining has been proposed as an effective intervention to reduce impact loading in runners at risk of stress fractures. Interventions that can be easily implemented in the clinic are needed. Objective To assess the immediate effects of sound intensity feedback related to impact during running on vertical impact peak (VIP), peak vertical instantaneous loading rate (VILR), and vertical average loading rate (VALR). Methods Fourteen healthy, college-aged runners who ran at least 9...
July 6, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28622751/clinical-prediction-models-for-patients-with-nontraumatic-knee-pain-in-primary-care-a-systematic-review-and-internal-validation-study
#11
Guus Panken, Arianne P Verhagen, Caroline B Terwee, Martijn W Heymans
Study Design A systematic review and validation study. Background Many prognostic models of knee pain outcomes have been developed for use in primary care. Variability among published studies with regard to patient population, outcome measures, and relevant prognostic factors hampers the generalizability and implementation of these models. Objectives To summarise existing prognostic models in patients with knee pain in a primary care setting and to develop and internally validate new summary prognostic model(s)...
June 16, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28760094/august-2017-letters-to-the-editor-in-chief
#12
(no author information available yet)
Letter to the Editor-in-Chief of JOSPT as follows: "Manual Therapy: More Than Elaborate Swordplay" with Authors' Response "Comparing Dry Needling to Corticosteroid Injection for Greater Trochanteric Pain Syndrome" with Authors' Response J Orthop Sports Phys Ther 2017;47(8):580-585. doi:10.2519/jospt.2017.0204.
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28760093/fracture-of-the-lateral-process-of-the-talus
#13
Jennifer Bell, Maggie Warren, Samuel Cotnoir
A 24-year-old woman fell while ice climbing and landed on her left foot. Radiographs were taken and read as noncontributory. Eight days after the injury, the patient was still unable to bear weight due to significant pain, so she self-referred to physical therapy. Following evaluation, she was referred to primary care for further imaging to rule out fracture. The physician ordered magnetic resonance imaging, which revealed a left mildly displaced fracture of the intra-articular lateral process of the talus...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28760092/when-chronic-pain-is-not-chronic-pain-lessons-from-3-decades-of-pain
#14
Alan J Taylor, Roger Kerry
The current move in physical therapy toward the biopsychosocial management of chronic pain has led some interpreters to call for a less hands-on approach, as awareness of central sensitization leads to specific management trends and a move away from pathoanatomical considerations. The authors of this Viewpoint suggest that no approach, no matter how vocal and evangelistic its followers, would likely be any more certain than what preceded it. This Viewpoint poses the question, why, when we (as a profession) appear (according to the new physical therapy gurus) to have been so wrong before, do we appear to believe that we are right this time? J Orthop Sports Phys Ther 2017;47(8):515-517...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28760091/pectoralis-major-rupture
#15
Joshua D Shumway, Danielle N Anderson, Dana J Hess
A 33-year-old male military service member was referred to physical therapy 4 days after competing in a bench-press competition, during which he was unable to accomplish an attempt due to a sharp/stabbing pain in his right shoulder. Given the concern for a ruptured pectoralis major, and after consultation with the orthopaedic surgeon and radiologist, magnetic resonance imaging was performed. Findings revealed a complete rupture of the pectoralis major tendon, with up to 5 cm of retraction. J Orthop Sports Phys Ther 2017;47(8):578...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28683233/development-of-a-clinician-rated-drop-vertical-jump-scale-for-patients-undergoing-rehabilitation-after-anterior-cruciate-ligament-reconstruction-a-delphi-approach
#16
Sheila S Gagnon, Trevor B Birmingham, Bert M Chesworth, Dianne Bryant, Melanie Werstine, J Robert Giffin
Study Design Delphi panel study. Background Biomechanical parameters measured during a drop vertical jump task are risk factors for anterior cruciate ligament (ACL) injury and are targeted during rehabilitation after ACL reconstruction. A clinically feasible tool that quantifies observed performance on the drop vertical jump would help inform treatment efforts. The content and scoring of such a tool should be deliberated on by a group of experts throughout its development. Objectives To establish consensus on the content and scoring of a clinician-rated drop vertical jump scale (DVJS) for use during rehabilitation after ACL reconstruction...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28683232/the-spadi-and-quickdash-are-similarly-responsive-in-patients-undergoing-physical-therapy-for-shoulder-pain
#17
Rachel Chester, Christina Jerosch-Herold, Jeremy Lewis, Lee Shepstone
Study Design Prospective multicenter longitudinal cohort study. Background A key component of assessing clinical effectiveness is to compare instruments measuring similar outcomes and to select one that is sufficiently responsive. Despite their widespread use in reporting outcomes, the responsiveness of the Shoulder Pain and Disability Index (SPADI) and the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH) has not been compared and reported within the same population...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28683230/observational-scapular-dyskinesis-known-groups-validity-in-patients-with-and-without-shoulder-pain
#18
Hillary A Plummer, Jonathan C Sum, Federico Pozzi, Rini Varghese, Lori A Michener
Study Design Cross-sectional. Background The scapular dyskinesis test (SDT) has demonstrated reliability and validity, but its utility for clinical decision making is unclear. Objectives To characterize the prevalence of scapular dyskinesis in participants with and without shoulder pain, and to determine the influence of blinding to the presence of shoulder pain on prevalence of scapular dyskinesis. Methods Participants (n = 135), 67 with shoulder pain and 68 healthy controls, were included in this study. The SDT was performed by 2 examiners, from a total of 21 physical therapists...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27814667/assessment-of-relationships-between-joint-motion-quality-and-postural-control-in-patients-with-chronic-ankle-joint-instability
#19
Dawid Bączkowicz, Krzysztof Falkowski, Edyta Majorczyk
Study Design Controlled laboratory study, cross-sectional. Background Lateral ankle sprains are among the most common injuries encountered during athletic participation. Following the initial injury, there is an alarmingly high risk of reinjury and development of chronic ankle instability (CAI), which is dependent on a combination of factors, including sensorimotor deficits and changes in the biomechanical environment of the ankle joint. Objective To evaluate CAI-related disturbances in arthrokinematic motion quality and postural control and the relationships between them...
August 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666405/neck-pain-revision-2017
#20
Peter R Blanpied, Anita R Gross, James M Elliott, Laurie Lee Devaney, Derek Clewley, David M Walton, Cheryl Sparks, Eric K Robertson
The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these revised clinical practice guidelines is to review recent peer-reviewed literature and make recommendations related to neck pain. J Orthop Sports Phys Ther...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
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