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International Journal of Sports Physical Therapy

Scott W Cheatham, Kyle R Stull
Roller massage (RM) has become a popular intervention used by rehabilitation professionals and active individuals. The emerging popularity has resulted in the production of various types of rollers and a growing body of research on the therapeutic effects and science behind RM. Despite the growing popularity and research, there is no consensus on clinical standards such as a describing the intervention, indications, precautions, contraindications, and assessment. There have been no specific peer reviewed publications that have discussed such standards...
August 2018: International Journal of Sports Physical Therapy
Catherine Logan, Amir Shahien, Burak Altintas, Peter J Millett
Background: Sternoclavicular (SC) joint instability is a rare injury, but one with profound implications given its proximity to vital structures and function as the only true articulation between the upper extremity and axial skeleton. The majority of SC joint instability can be treated non-operatively; however, there is a role for reconstruction in the presence of instability that results in pain and dysfunction that is refractory to conservative management or deformity resulting in functional impairment...
August 2018: International Journal of Sports Physical Therapy
Matthew Senese, Elliot Greenberg, J Todd Lawrence, Theodore Ganley
Background: Surgical outcomes following isolated posterior cruciate ligament reconstruction (PCLR) have been noted to be less satisfactory than the anterior cruciate ligament. Limited understanding of optimal rehabilitation has been implicated as a contributing factor. Hypothesis/Purpose: The purpose of this review was to gather the literature related to isolated PCLR rehabilitation, extract and summarize current rehabilitation guidelines, identify timeframes and functional measurements associated with common rehabilitation topics and provide recommendations for future research...
August 2018: International Journal of Sports Physical Therapy
Firas Mourad, Filippo Maselli, Alberto Patuzzo, Alessio Siracusa, Luigi Di Filippo, James Dunning, César Fernández de Las Peñas
Background and purpose: Elbow pain is common in young gymnasts and is frequently encountered by physical therapists working in direct access outpatient clinics. Most elbow pain is benign; however, non-specific symptoms can mask serious medical pathologies, as is the case with osteochondritis dissecans (OCD). OCD is a joint condition in which bone underneath the cartilage of a joint dies due to lack of blood flow. Risk factor analysis, palpable joint tenderness and swelling, joint locking, and a history of high intensity repetitive activities may inform the clinical reasoning; however, the diagnosis of OCD is best made using magnetic resonance imaging (MRI)...
August 2018: International Journal of Sports Physical Therapy
Valerie F Stevenson, Russell T Baker, Alan Nasypany
Background and Purpose: The nervous system plays a significant role in groin/hip flexor pain which is a common complaint in the active population. Patient examinations that lack consideration of the nervous system's involvement may result in chronic pain and dysfunctional breathing patterns due to continuously excited (also known as "up-related") primal reflexes. Primal Reflex Release Technique™ (PRRT™) is a novel treatment paradigm that was designed to calm primal reflexes from their excitatory state...
August 2018: International Journal of Sports Physical Therapy
Sarah Correll, Jennifer Field, Heather Hutchinson, Gabby Mickevicius, Amber Fitzsimmons, Betty Smoot
Background: Range of motion (ROM) of the shoulder is an integral component of assessment of musculoskeletal shoulder impairments. ROM is typically measured using a universal goniometer (UG). The UG has demonstrated good intra and inter-rater reliability for measuring shoulder ROM, although limitations exist. In recent years, alternative measurement devices such as smartphone applications and digital goniometers have been introduced, potentially addressing some of the shortcomings of the UG...
August 2018: International Journal of Sports Physical Therapy
Sarah S Gascon, Gabrielle G Gilmer, Matthew M Hanks, Jessica K Washington, Gretchen D Oliver
Background: The scapula is a critical link utilized in the kinetic chain to achieve efficient overhead movement and transfer energy from the lower extremity to the upper extremity. Additionally, daily activities such as sitting at a computer or driving in a car may negatively influence an individual's ability to maintain proper body posture and therefore compromise those movements. To reduce these negative influences, posture garments have been designed to cue the individual in maintaining and improving posture and alignment, specifically targeting scapular positioning...
August 2018: International Journal of Sports Physical Therapy
Keith M Baumgarten, Roy Osborn, Will E Schweinle, Matthew J Zens, Elizabeth A Helsper
Background: Scapular substitution is an alteration of scapulohumeral kinematics that may occur when patients have shoulder pain or dysfunction. These abnormal scapular kinematic patterns have been recognized in patients with rotator cuff tears. It remains unknown if 1) normal scapular kinematics can be restored with rehabilitation after rotator cuff repair surgery and 2) abnormal scapular kinematics are associated with inferior patient-determined outcome scores, range of motion, or strength...
August 2018: International Journal of Sports Physical Therapy
Ross Armstrong
Background: Generalized joint hypermobility is commonly measured using the Beighton and Horan Joint Mobility Index which provides a Beighton score of 0-9. Generally, scores of > 4 are classified as hypermobile however joint hypermobility classification lacks consistency across the literature. Purpose: The aim of the study was to compare the relative contribution of five joints to joint hypermobility scores in female and male rugby players, female netball players, female dancers and male and female age matched controls...
August 2018: International Journal of Sports Physical Therapy
Barton N Bishop, Jay Greenstein, Jena L Etnoyer-Slaski, Heidi Sterling, Robert Topp
Background: Strengthening and activation of the gluteus maximus and gluteus medius while minimizing the contribution of the tensor fascia latae are important components in the treatment of many lower limb injuries. Previous researchers have evaluated a myriad of exercises that activate the gluteus maximus (GMax) and gluteus medius (GMed), however, limited research has been performed describing the role of the addition of elastic resistance to commonly used exercises. Purpose: The primary purpose of this study was to determine the gluteal-to-tensor fascia latae muscle activation (GTA index) and compare electromyographic muscle activation of the GMax, GMed, and TFL while performing 13 commonly prescribed exercises designed to target the GMax and GMed...
August 2018: International Journal of Sports Physical Therapy
Fabio S de Freitas, Lee E Brown, Willy A Gomes, David G Behm, Paulo H Marchetti
Background: Kinesiology Tape (KT) is widely used in sports rehabilitation and by those performing physical activity, however, there is no consensus in the scientific literature about its effectiveness on performance, strength or muscle activation.Purpose: The purpose of this study was to measure the acute effects of KT in static rest, and during knee extension maximal voluntary isometric contraction (MVIC) performance in resistance trained men.Study Design: Observational, descriptive, comparative...
August 2018: International Journal of Sports Physical Therapy
MacGregor Hall, J Chadwick Smith
Background: Foam Rolling (FR) has steadily gained in popularity as an intervention to increase range of motion (ROM) and reduce pain. It is believed that FR can remove restrictions due to fascial adhesions, thus improving ROM. FR has been proposed as a means to increase ITB length as a means to achieve these outcomes. Previous research has focused on the effects of FR over both muscle and fascia tissue together. However, no studies have examined the effects of FR over fascial tissue not containing muscle...
August 2018: International Journal of Sports Physical Therapy
Mitchell J Rauh
Background: Participation in high school cross-country continues to increase with over 492,000 participants during the 2016-17 cross-country season. Several studies have indicated a high incidence of running-related injuries (RRI) in high school cross-country runners. Risk factors for RRI can be divided between intrinsic and extrinsic risk factors. Intrinsic risk factors such as structural asymmetries have received less attention in recent years. Purpose: The primary purposes of the current study were to (1) describe the prevalence of leg-length inequality among female and male high school cross-country runners, and (2) to determine whether leg-length inequality was associated with increased RRI in female and male high school cross-country runners...
August 2018: International Journal of Sports Physical Therapy
Douglas Adams, Federico Pozzi, Richard W Willy, Anthony Carrol, Joseph Zeni
Background: Wearable devices validly assess spatiotemporal running parameters (cadence, vertical oscillation and ground contact time), but the relationship between these parameters and lower limb loading parameters (loading rate, peak vertical ground reaction force [vGRF] and braking impulse) is unknown. Purpose: To characterize changes in lower limb loading parameters in runners instructed to run with increased cadence or low vertical oscillation, and to determine whether the change in spatiotemporal parameters predicted the changes in lower limb loading parameters...
August 2018: International Journal of Sports Physical Therapy
David J Cornell, Kyle T Ebersole
Background: A new functional movement assessment, known as the Fusionetics- Movement Efficiency (ME) Test, has recently been introduced in the literature. Before the potential clinical utility of the ME Test can be examined, the reliability of this assessment must be established. Purpose: To examine the intra-rater test-retest reliability of the Fusionetics- ME Test. Study Design: Cross-sectional. Methods: ME Test data were collected among 23 (6 males, 17 females) university students (mean ± SD, age = 25...
August 2018: International Journal of Sports Physical Therapy
Ross Armstrong, Matt Greig
Background: Rugby union is a collision sport which is associated with a high injury rate and therefore the development of effective injury prevention strategies is required. Purpose: This study aimed to determine whether the Functional Movement Screen™ (FMS™) components can predict injury in female and male rugby union players and whether differences exist in the FMS™ scores of injured and non-injured players. Study Design: Prospective cohort study...
August 2018: International Journal of Sports Physical Therapy
Aspen C Terry, Mark D Thelen, Michael Crowell, Donald L Goss
Background: The Musculoskeletal Readiness Screening Tool (MRST) was developed in an effort to consistently predict injury among military personnel. Current injury prediction tools have not consistently predicted injury in this population. The MRST is comprised of the weight bearing forward lunge, modified deep squat, closed kinetic chain upper extremity stability test (CKCUEST), forward step down with eyes closed, stationary tuck jump, unilateral wall sit hold, and subjective, individual perceived level of risk for injury...
August 2018: International Journal of Sports Physical Therapy
Quenten L Hooker, Robert Shapiro, Terry Malone, Michael B Pohl
Background: The knee joint is one of the most frequently injured regions in the game of golf, and the loads experienced by the knee during the golf swing are typically greater than during other activities of daily living. Altering movement patterns is a common strategy that can be used to reduce loading on the knee joint but has received little attention during studies of the golf swing. The primary aim of this study was to examine the effect altering golf stance has on the lead limb peak external knee adduction moment...
August 2018: International Journal of Sports Physical Therapy
Craig E Pfeifer, Paul F Beattie, Ryan S Sacko, Amy Hand
Background: With the increasing number of individuals participating in sports every year, injury - specifically anterior cruciate ligament (ACL) injury - remains an inherent risk factor for participants. The majority of ACL injuries occur from a non-contact mechanism, and there is a high physical and financial burden associated with injury. Understanding the risk factors for ACL injury may aid in the development of prevention efforts. Purpose: The purpose of this review was to synthesize and appraise existing literature for risk factors associated with non-contact anterior cruciate ligament (ACL) injury in both sexes...
August 2018: International Journal of Sports Physical Therapy
Zakariya Nawasreh, Gabrielle Adams, Olivia Pryzbylkowski, David Logerstedt
Background: There are inconsistencies in the reported rates of second anterior cruciate ligament (ACL) injuries per limb, patients' sex and graft types after primary ACL reconstruction (ACLR). There are also inconsistencies regarding the influence of these factors on the occurrence of second ACL injury after primary ACLR. Purpose: To determine the rate of second ACL injury, to either the ipsilateral graft or contralateral healthy ACL, as influenced by sex, age, and graft types and to determine the influence of sex, age, and graft types on the occurrence of second ACL injury after primary ACLR...
August 2018: International Journal of Sports Physical Therapy
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