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https://www.readbyqxmd.com/read/27813685/physical-activity-and-intermittent-postconcussion-symptoms-after-a-period-of-symptom-limited-physical-and-cognitive-rest
#1
Quinton Sawyer, Brian Vesci, Tamara C Valovich McLeod
: Reference: Schneider KJ, Iverson GL, Emery CA, McCrory P, Herring SA, Meeuwisse WH. The effects of rest and treatment following sport-related concussion: a systematic review of the literature. Br J Sports Med. 2013;47(5):304-307. CLINICAL QUESTION: After concussion and a period of symptom-limited physical and cognitive rest, do athletes who experience intermittent symptoms return to asymptomatic condition more quickly with physical activity than with prolonged physical rest? DATA SOURCES: One investigator performed an individual search for each research question using the following databases: CINAHL, Cochrane Controlled Trials Registers, EMBASE, HealthSTAR, ProQuest, PsychInfo, PubMed, SPORTDiscus, and Web of Science...
September 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27796190/postoperative-physical-therapy-management-of-tendon-transfer-for-digital-wrist-extension-due-to-multifocal-motor-neuropathy
#2
Steve Volpe
Study Design Case report. Background Multifocal motor neuropathy is a progressive motor nerve disorder characterized by muscle weakness in the extremities. Muscle imbalance and weakness can become so severe that the involved extremity can be rendered nonfunctional. The purpose of this case report is to describe the physical therapy postoperative management of a patient who underwent a multiple tendon transfer to correct the loss of digital/wrist extension of the right upper extremity. Case Description A 38-year-old woman with a medical diagnosis of multifocal motor neuropathy, which caused muscle imbalance and weakness in the right hand, underwent a multiple tendon transfer to correct the loss of digit and wrist extension...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27796189/cervical-traction-for-managing-neck-pain-a-survey-of-physical-therapists-in-the-united-states
#3
Timothy J Madson, John H Hollman
Study Design Cross-sectional survey. Background Systematic reviews provide little support for traction in managing neck pain. While traction usage among physical therapists (PTs) in other countries has been described, usage in the United States has not been examined. Objective To examine how PTs use traction for patients with neck pain, when traction is used, delivery modes and parameters, supplemental interven¬tions, and whether professional demographics influence usage. Methods We surveyed a random sample of 4000 Orthopaedic Section members of the American Physical Therapy Association...
October 30, 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27651819/management-of-sport-injuries-with-korean-medicine-a-survey-of-korean-national-volleyball-team
#4
Changsop Yang, Eunyoung Lee, Eui-Hyoung Hwang, Ojin Kwon, Jun-Hwan Lee
The purpose of this study was to report the current state of Korean medicine (KM) treatment on sports injury by implementing survey with volleyball team medical doctors participating in 2013-2014 season. Six KM doctors completed a questionnaire that includes injury parameters: type, location, situation, and pain scores. We collected 166 injury cases from 94 Korean male and female national volleyball players. Knee (25.9%), low back (13.3%), elbow, and ankle (8.4%) injuries were most common. Joint (41.6%) and muscle (30...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/27622145/lateral-elbow-tendinopathy-evidence-of-physiotherapy-management
#5
EDITORIAL
Stasinopoulos Dimitrios
Lateral elbow tendinopathy (LET) is a common musculoskeletal/sports injury. A plethora of physiotherapy techniques has been proposed in the management of LET. The exercise programme is the most common treatment in the management of LET. The optimal protocol of exercise programme is still unknown. The effectiveness of the exercise programme is low when it is applied as monotherapy. Therefore, exercise programme is combined with other physiotherapy modalities such as soft tissue techniques, external support, acupuncture, manual therapy and electrotherapy, in the treatment of LET...
August 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27598553/manual-therapy-in-joint-and-nerve-structures-combined-with-exercises-in-the-treatment-of-recurrent-ankle-sprains-a-randomized-controlled-trial
#6
Gustavo Plaza-Manzano, Marta Vergara-Vila, Sandra Val-Otero, Cristina Rivera-Prieto, Daniel Pecos-Martin, Tomás Gallego-Izquierdo, Alejandro Ferragut-Garcías, Natalia Romero-Franco
BACKGROUND: Recurrent ankle sprains often involve residual symptoms for which subjects often perform proprioceptive or/and strengthening exercises. However, the effectiveness of mobilization to influence important nerve structures due to its anatomical distribution like tibial and peroneal nerves is unclear. OBJETIVES: To analyze the effects of proprioceptive/strengthening exercises versus the same exercises and manual therapy including mobilizations to influence joint and nerve structures in the management of recurrent ankle sprains...
December 2016: Manual Therapy
https://www.readbyqxmd.com/read/27477473/cervicothoracic-manual-therapy-plus-exercise-therapy-versus-exercise-therapy-alone-in-the-management-of-individuals-with-shoulder-pain-a-multicenter-randomized-controlled-trial
#7
Paul E Mintken, Amy W McDevitt, Joshua A Cleland, Robert E Boyles, Amber R Beardslee, Scott A Burns, Matthew D Haberl, Lauren A Hinrichs, Lori A Michener
Study Design Multicenter randomized controlled trial. Background Cervicothoracic manual therapy has been shown to improve pain and disability in individuals with shoulder pain, but the incremental effects of manual therapy in addition to exercise therapy have not been investigated in a randomized controlled trial. Objectives To compare the effects of cervicothoracic manual therapy and exercise therapy to those of exercise therapy alone in individuals with shoulder pain. Methods Individuals (n = 140) with shoulder pain were randomly assigned to receive 2 sessions of cervicothoracic range-of-motion exercises plus 6 sessions of exercise therapy, or 2 sessions of high-dose cervicothoracic manual therapy and range-of-motion exercises plus 6 sessions of exercise therapy (manual therapy plus exercise)...
August 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27477178/trichotillomania-bizzare-patern-of-hair-loss-at-11-year-old-girl
#8
Jana Zímová, Pavlína Zímová
Trichotillomania (TTM) is defined by the Diagnostics and Statistic Manual of Mental Disorders, 4th edition (DMS-IV) as hair loss from a patient`s repetitive self-pulling of hair. The disorder is included under anxiety disorders because it shares some obsessive-compulsive features. Patients have the tendency towards feelings of unattractiveness, body dissatisfaction, and low self-esteem (1,2). It is a major psychiatric problem, but many patients with this disorder first present to a dermatologist. An 11-year-old girl came to our department with a 2-month history of diffuse hair loss on the frontoparietal and parietotemporal area (Figure 1)...
June 2016: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/27266883/kinesio-taping-does-not-provide-additional-benefits-in-patients-with-chronic-low-back-pain-who-receive-exercise-and-manual-therapy-a-randomized-controlled-trial
#9
Marco Aurélio Nemitalla Added, Leonardo Oliveira Pena Costa, Diego Galace de Freitas, Thiago Yukio Fukuda, Renan Lima Monteiro, Evelyn Cassia Salomão, Flávia Cordeiro de Medeiros, Lucíola da Cunha Menezes Costa
Study Design Randomized controlled trial. Background Many clinical practice guidelines endorse both manual therapy and exercise as effective treatment options for patients with low back pain. To optimize the effects of the treatments recommended by the guidelines, a new intervention known as Kinesio Taping is being widely used in these patients. Objectives To determine the effectiveness of Kinesio Taping in patients with chronic nonspecific low back pain when added to a physical therapy program consisting of exercise and manual therapy...
July 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27252580/a-novel-way-of-functional-retraining-of-cervical-motor-control-in-a-water-polo-player-with-combined-cervicogenic-and-tension-type-headaches
#10
Marloes Thoomes-de Graaf, Erik Thoomes
This case report introduces an innovative and novel way of functionally retraining the sport specific cervical function in a 13-year-old elite water polo player with a combined tension type headache and cervicogenic headache. After an evidence based assessment and manipulative physical therapy management regime, consisting of manual mobilization and exercise focused on retraining the deep cervical flexors and sub-occipital extensors, the patient was left with persistent residual complaints inhibiting competitive level sport participation...
February 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27049600/lumbar-thrust-manipulation-and-exercise-for-the-treatment-of-mechanical-low-back-pain-in-adolescents-a-case-series
#11
Zachary Walston, Dale Yake
Study Design Case series. Background Low back pain (LBP) is an increasing problem in health care. The evidence for the use of spinal manipulative therapy to treat pediatric patients with LBP is minimal. The treatment of pediatrics with manual therapy, particularly spinal manipulation, is controversial within the medical community, primarily with respect to adverse events. The purpose of this case series was to illustrate the feasibility and safety of lumbar manipulation plus exercise in the adolescent population with mechanical LBP...
May 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27011304/prediction-of-outcome-in-women-with-carpal-tunnel-syndrome-who-receive-manual-physical-therapy-interventions-a-validation-study
#12
César Fernández-de-Las-Peñas, Joshua A Cleland, Jaime Salom-Moreno, María Palacios-Ceña, Almudena Martínez-Perez, Juan A Pareja, Ricardo Ortega-Santiago
Study Design Secondary analysis of a randomized trial. Background A clinical prediction rule to identify patients with carpal tunnel syndrome (CTS) most likely to respond to manual physical therapy has been published but requires further testing to determine its validity. Objective To assess the validity of a clinical prediction rule proposed for the management of patients with CTS in a different group of patients with a variety of treating clinicians. Methods A preplanned secondary analysis of a randomized controlled trial investigating the efficacy of manual physical therapies, including desensitization maneuvers of the central nervous system, in 120 women suffering from CTS was performed...
June 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/26952165/successful-treatment-of-a-guitarist-with-a-finger-joint-injury-using-instrument-assisted-soft-tissue-mobilization-a-case-report
#13
M Terry Loghmani, Amy J Bayliss, Greg Clayton, Evelina Gundeck
Finger injuries are common and can greatly affect a musician's quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage...
December 2015: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/26928735/know-pain-know-gain-a-perspective-on-pain-neuroscience-education-in-physical-therapy
#14
Adriaan Louw, Emilio J Puentedura, Kory Zimney, Stephen Schmidt
Chronic pain is incredibly complex, and so are decisions as to its treatment. During physical therapy care, pain neuroscience education (PNE) aims to help patients understand more about their pain from a biological and physiological perspective. Accompanying the growing evidence for the ability of PNE to reduce pain and disability in patients with chronic pain is an increased interest in PNE from scientists, educators, clinicians, and conference organizers. However, the rise in popularity of PNE has highlighted a historical paradox of increased knowledge not necessarily corresponding with improved care...
March 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/26868897/manual-therapy-and-exercise-for-a-patient-with-neck-tongue-syndrome-a-case-report
#15
Lisa Niethamer, Robin Myers
STUDY DESIGN: Case report. BACKGROUND: Neck-tongue syndrome (NTS) is defined as neck and/or head pain accompanied by ipsilateral dysesthesia of the tongue with sudden rotation of the head. Proposed causes include compression or irritation of the C2 nerve root as it courses behind the atlantoaxial joint or hypertrophy of the inferior oblique muscle. The primary purpose of this case report was to describe the conservative physical therapy treatment of a patient with uncomplicated NTS...
March 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/26816416/conservative-management-of-an-elite-ice-hockey-goaltender-with-femoroacetabular-impingement-fai-a-case-report
#16
Kyle MacIntyre, Brendan Gomes, Steven MacKenzie, Kevin D'Angelo
OBJECTIVE: To detail the presentation of an elite male ice hockey goaltender with cam-type femoroacetabular impingement (FAI) and acetabular labral tears. This case will outline the prevalence, clinical presentation, imaging criteria, pathomechanics, and management of FAI, with specific emphasis on the ice hockey goaltender. CLINICAL FEATURES: A 22-year old retired ice hockey goaltender presented to a chiropractor after being diagnosed by an orthopaedic surgeon with MRI confirmed left longitudinal and chondral flap acetabular labral tears and cam-type femoroacetabular impingement (FAI)...
December 2015: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/26778930/sport-concussion-knowledge-and-clinical-practices-a-survey-of-doctors-of-chiropractic-with-sports-certification
#17
William J Moreau, Dustin C Nabhan, Taylor Walden
OBJECTIVE: The purpose of this study is to describe the knowledge base and clinical practices regarding concussion by sports-certified doctors of chiropractic. METHODS: A 21-item survey was distributed to the 312 attendees of the 2014 American Chiropractic Board of Sports Physicians Sports Sciences Symposium. Results were measured by frequency analysis and descriptive statistics for all surveys completed by sports-certified chiropractors. RESULTS: Seventy-six surveys were returned by sports-certified doctors of chiropractic...
September 2015: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/26672025/determinants-of-return-to-play-after-the-nonoperative-management-of-hamstring-injuries-in-athletes-a-systematic-review
#18
Camille Fournier-Farley, Martin Lamontagne, Patrick Gendron, Dany H Gagnon
BACKGROUND: It is important for clinicians to rely on suitable prognosis factors after hamstring injuries because of the high incidence of these injuries and time away from athletic activities. PURPOSE: To summarize the current literature on factors that influence return to play after a hamstring injury in athletes. STUDY DESIGN: Systematic review. METHODS: A computer-assisted literature search of CINAHL, MEDLINE, Embase, and EBM Reviews databases (and a manual search of the reference lists of all selected articles) was conducted using keywords related to hamstring injuries and return to play...
August 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26558670/percutaneous-ultrasound-guided-hydrodissection-of-a-symptomatic-sural-neuroma
#19
Ryan R Fader, Justin J Mitchell, Vivek P Chadayammuri, John Hill, Michelle L Wolcott
Symptomatic neuromas of the sural nerve are a rare but significant cause of pain and debilitation in athletes. Presentation is usually in the form of chronic pain and dysesthesias or paresthesias of the lateral foot and ankle. Treatment traditionally ranges from conservative measures, such as removing all external compressive forces, to administration of nonsteroidal anti-inflammatory drugs, vitamin B6, tricyclic antidepressants, antiepileptics, or topical anesthetics. This article reports a case of sural nerve entrapment in a 34-year-old male triathlete with a history of recurrent training-induced right-sided gastrocnemius strains...
November 2015: Orthopedics
https://www.readbyqxmd.com/read/26140271/exercise-for-tendinopathy
#20
Stasinopoulos Dimitrios
Tendinopathies are one of the most common sports/musculoskeletal injury in modern western societies. Many physiotherapy approaches have been recommended in the literature for the management of tendinopathy. The most effective treatment in the management of tendinopathy is the eccentric training. Load, speed and frequency of contractions are the three principles of eccentric exercises, discussed in this report. However, eccentric training is not effective for all patients with tendinopathy and the effectiveness of this approach when applied as monotherapy is lower than it is applied as part of the rehabilitation process...
June 26, 2015: World Journal of Methodology
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