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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/28459193/l1-epithelioid-hemangioma
#6
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
#7
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
#8
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
#9
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/28439705/cementless-oxford-medial-unicompartimental-knee-replacement-an-independent-series-with-a-5-year-follow-up
#10
Benjamin Panzram, Ines Bertlich, Tobias Reiner, Tilman Walker, Sébastien Hagmann, Tobias Gotterbarm
PURPOSE: Cemented unicompartmental knee replacement (UKR) has proven excellent long-term survival rates and functional scores in Price et al. (Clin Orthop Relat Res 435:171-180, 2005), Price and Svard (Clin Orthop Relat Res 469(1):174-179, 2011) and Murray et al. (Bone Joint Surg Br 80(6):983-989, 1998). The main causes for revision, aseptic loosening and pain of unknown origin might be addressed by cementless UKR in Liddle et al. (Bone Joint J 95-B(2):181-187, 2013), Pandit et al. (J Bone Joint Surg Am 95(15):1365-1372, 2013), National Joint Registry for England, Wales and Northern Ireland: 10th Annual Report 2013 ( http://www...
April 24, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28363275/2016-jospt-awards-additive-effects-and-biological-mechanisms-of-interventions-offer-important-insights
#11
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
#12
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
https://www.readbyqxmd.com/read/28363273/intra-articular-focal-nodular-synovitis-of-the-knee
#13
Cortney Shewmaker
A 32-year-old woman was referred to physical therapy by her primary care provider (PCP) for complaints of limited right knee extension and pain. Radiographs of her right knee ordered by her PCP prior to physical therapy evaluation were noncontributory. To rule out intra-articular pathology, the physical therapist ordered magnetic resonance imaging, which revealed an intra-articular mass. The radiologist recommended contrast imaging to further characterize the mass, which was found to be consistent with focal nodular synovitis...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363272/left-knee-synovial-osteochondromatosis
#14
Jason T Cirolia
A 28-year-old male military service member reported to a physical therapist with progressively worsening left knee pain during impact activity and with work duties. Following examination, he physical therapist ordered radiographs of the knee, which revealed severe osteochondromatosis and tricompartmental arthritis. J Orthop Sports Phys Ther 2017;47(4):294. doi:10.2519/jospt.2017.7016.
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363271/prediction-of-future-injury-in-sport-primary-and-secondary-anterior-cruciate-ligament-injury-risk-and-return-to-sport-as-a-model
#15
Timothy E Hewett
Can we predict future events? Biostatisticians might answer with an unequivocal yes and state that logistic regression models do exactly that: they predict the relative risk of an outcome on the basis of logistic regression of multiple independent variables. If this is the case, then which approaches improve predictive capability? We are not attempting to predict individual events in individual athletes. However, certain approaches can improve predictive power. J Orthop Sports Phys Ther 2017;47(4):228-231. doi:10...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28363270/hip-pain-dry-needling-versus-cortisone-injections
#16
(no author information available yet)
Greater trochanteric pain syndrome (GTPS) is chronic, intermittent pain and tenderness on the outside of the hip. The medical community once thought that a swollen hip bursa was the source of such pain, which led to the use of corticosteroid injections to the bursa to help decrease swelling and pain. However, researchers now believe that injuries to the muscles and tendons around the hip are the actual cause of this pain, and that inflammation is often not involved. A study published in the April 2017 issue of JOSPT explores dry needling as an alternative to cortisone injections to reduce pain and improve function in patients with GTPS...
April 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28355981/risk-of-recurrence-of-low-back-pain-a-systematic-review
#17
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
#18
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/28355979/longitudinal-monitoring-of-patients-with-chronic-low-back-pain-during-physical-therapy-treatment-using-the-start-back-screening-tool
#19
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
#20
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
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