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https://www.readbyqxmd.com/read/28704627/task-specific-training-for-adults-with-chronic-knee-pain-a-case-series
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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/28701269/retraction-notice-to-abduction-external-rotation-position-in-magnetic-resonance-arthrography-for-the-diagnosis-of-rotator-cuff-tears-j-orthop-sci-21-2016-446-451
#9
Wenjun Qiu, Xianzhong Tang, Yifan Li, Yunhan Ji, Wei Xu
No abstract text is available yet for this article.
July 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28683233/development-of-a-clinician-rated-drop-vertical-jump-scale-for-patients-undergoing-rehabilitation-after-acl-reconstruction-a-delphi-approach
#10
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 upon by a group of experts throughout its development. Objectives To establish consensus on the content and scoring on a Clinician-Rated Drop Vertical Jump Scale (DVJS) for use during rehabilitation after ACL reconstruction...
July 6, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28683232/spadi-and-quickdash-are-similarly-responsive-in-patients-undergoing-physical-therapy-for-shoulder-pain
#11
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 outcome, the responsiveness of the Shoulder Pain and Disability Index (SPADI) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), have not been compared and reported within the same population. Objective To compare the responsiveness of the SPADI and QuickDASH in a single large cohort of patients...
July 6, 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
#12
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/28683230/observational-scapular-dyskinesis-known-groups-validity-in-patients-with-and-without-shoulder-pain
#13
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 the utility for clinical decision-making is unclear. Objectives 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...
July 6, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666405/neck-pain-revision-2017
#14
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
https://www.readbyqxmd.com/read/28666404/neck-pain-associated-with-a-bony-metastatic-tumor
#15
Maria Alice Mainenti Pagnez, Leandro Calazans Nogueira, James M Elliott
A 78-year-old man was referred to physical therapy with a 5-month history of nontraumatic neck pain and reductions in active bilateral rotation without radiculopathy. Radiography and computed tomography taken 2 months prior demonstrated age-related multilevel degenerative disc disease. Following physical therapy with no improvement in symptoms, magnetic resonance imaging with contrast and bone scintigraphy were ordered by the physician. An expansile lesion in the right lateral mass of the atlas on magnetic resonance imaging was consistent with a metastatic activity...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666403/cervical-myelopathy-in-a-patient-referred-for-lower-extremity-symptoms
#16
Steven M Jackson
The patient was a 38-year-old male referred to physical therapy with complaints of right lower extremity radicular pain and left lower extremity weakness. Following physical therapy examination, the primary care physician referred the patient to a neurologist, who performed electromyography and nerve conduction studies and ordered a magnetic resonance image. Cervical spine imaging revealed a C5-6 disc extrusion with myelopathy. J Orthop Sports Phys Ther 2017;47(7):510. doi:10.2519/jospt.2017.5071.
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666402/neck-pain-guidelines-revision-2017-using-the-evidence-to-guide-physical-therapist-practice
#17
(no author information available yet)
Neck pain is a common and costly condition. Pain and disability from many types of neck pain can be improved by nonsurgical interventions provided by physical therapists. Best practice physical therapy requires an evidence-based approach, and clinical practice guidelines (CPGs), such as the revised CPG on neck pain published in the July 2017 issue of JOSPT, help clinicians to stay current and translate evidence into practice. J Orthop Sports Phys Ther 2017;47(7):511-512. doi:10.2519/jospt.2017.0507.
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666401/practice-safe-driving
#18
(no author information available yet)
More than 30,000 people die in motor vehicle collisions each year in the United States. Distracted, drowsy, and drunk driving cause most motor vehicle collision injuries and deaths. An editorial published in the October 2016 issue of JOSPT identified the global need for effective strategies to reduce, if not eliminate, preventable injuries, including whiplash-associated disorders and deaths from distracted driving. This is a call to action for everyone who gets behind the wheel of a car. J Orthop Sports Phys Ther 2017;47(7):449...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666400/neck-pain-clinical-practice-guidelines-help-ensure-quality-care
#19
(no author information available yet)
In 2008, physical therapists published the first neck pain clinical practice guidelines. These guidelines have been updated and are now available in the July 2017 issue of JOSPT. To update these guidelines, physical therapists teamed with the International Collaboration on Neck Pain to identify leading practices. These revised guidelines provide direction to clinicians as they screen, evaluate, diagnose, and make treatment-based classifications of neck pain. They also outline the best nonsurgical treatment options based on the published literature...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28666399/toward-improving-outcomes-in-whiplash-implementing-new-directions-of-care
#20
Julie Fritz
This special issue of JOSPT is the second of a 2-part series on whiplash-associated disorders (WADs). Part 1 was published in the October 2016 issue of the Journal. The articles in these 2 special issues highlight that, while we know a great deal about WAD, there are profound gaps in our understanding of how to more effectively work with patients to limit the consequences of this disorder. The information provided in the special-issue articles can help move physical therapy practice and research toward pragmatic and effective solutions for the perplexing condition of WAD...
July 2017: Journal of Orthopaedic and Sports Physical Therapy
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