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https://www.readbyqxmd.com/read/29113571/dual-task-assessment-protocols-in-concussion-assessment-a-systematic-literature-review
#1
Michelle Kleiner, Lynne Wong, Alexandra Dubé, Katie Wnuk, Susan W Hunter, Laura J Graham
Study Design Systematic review. Background When assessed in isolation, balance and neurocognitive testing may not be sufficiently responsive to capture changes that occur with concussion. Normal daily activities require simultaneous cognitive and physical demands. Therefore, a dual-task assessment paradigm should be considered to identify performance deficits. Objectives To evaluate the literature and identify dual-task testing protocols associated with changes in gait after concussion. Methods A systematic review of articles of individuals with concussion who underwent dual-task testing with a combination of motor and cognitive tasks...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29113570/a-novel-downhill-gait-training-program-following-a-total-knee-arthroplasty-a-case-report-highlighting-the-impacts-of-self-selected-speed-on-gait-symmetry
#2
Cody Blue, Sara Coomes, Yuri Yoshida
Study Design Case report. Background Walking plays an essential role in activities of daily living that lead to varied health benefits. Studies report gait speed and symmetry are impacted in individuals following TKA. Unfortunately, abnormal gait patterns persistently exist in individuals after TKA. Downhill walking may provide a simple and feasible exercise regimen to improve gait patterns. The purpose of this case report is to describe the application of a downhill treadmill training program and the subsequent changes in gait patterns in an individual following a unilateral TKA...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29113569/physical-therapy-rehabilitation-of-an-adolescent-pre-professional-dancer-following-os-trigonum-excision-a-case-report
#3
Alyson Filipa, Kelli Barton
Study Design Case report. Background An os trigonum can be a source of pain for dancers due to impingement during repetitive ankle plantarflexion movements. Following excision of an os trigonum, it is important to have a gradual, progressive return-to-dance program for optimal recovery. The purpose of this case report is to describe the post-operative management and return-to-dance progression of an adolescent dancer status post os trigonum excision. Case Description An adolescent pre-professional female dancer had an extensive history of left posterior heel pain beginning at age eight that led to surgical removal of an os trigonum at age fifteen...
November 7, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29105547/what-is-appropriate-surveillance-for-metal-on-metal-hip-arthroplasty-patients
#4
Gulraj S Matharu, Andrew Judge, Antti Eskelinen, David W Murray, Hemant G Pandit
The unexpected high revision rates of large-diameter (femoral head sizes of 36 mm or greater) metal-on-metal hip arthroplasties (MoMHAs) have led to worldwide regulatory authorities recommending regular surveillance, even for asymptomatic individuals. However, these recommendations are not evidence-based and are very costly. The rapidly evolving evidence base requires an update regarding the investigation and management of MoMHA patients. This article is the first of 2 (the second article in this series will consider the threshold for performing revision, and the outcomes following ARMD revision surgery: Matharu et al...
November 6, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/29089005/knee-ligament-sprain-guidelines-revision-2017-using-the-evidence-to-guide-physical-therapist-practice
#5
(no author information available yet)
Knee ligament sprain is one of the most common orthopaedic and sports injuries. Knee stability and movement coordination impairments can be improved by physical therapists during nonoperative and operative management. Implementation recommendations from clinical practice guidelines (CPGs), such as the revised guidelines on knee ligament sprains published in the November 2017 issue of JOSPT, can help to reduce unwarranted variation in clinical physical therapy practice, support evidence-informed practice, and add value at the point of care...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29089004/knee-stability-and-movement-coordination-impairments-knee-ligament-sprain-revision-2017
#6
David S Logerstedt, David Scalzitti, May Arna Risberg, Lars Engebretsen, Kate E Webster, Julian Feller, Lynn Snyder-Mackler, Michael J Axe, Christine M McDonough
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 knee ligament sprain...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29089003/knee-ligament-sprains-and-tears-clinical-practice-guidelines-ensuring-best-care
#7
(no author information available yet)
Knee injuries can sideline anyone. Physical therapists are leading the way to ensure that people with knee ligament injuries, including competitive and recreational athletes, receive the best care to optimize their recovery. JOSPT and the Orthopaedic Section of the American Physical Therapy Association first published clinical practice guidelines about knee ligament sprains in 2010. Now, revised guidelines in JOSPT's November 2017 issue provide updated recommendations based on best practices for evaluating, diagnosing, and treating knee ligament injuries...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29089002/beyond-the-joint-the-role-of-central-nervous-system-reorganizations-in-chronic-musculoskeletal-disorders
#8
Jean-Sébastien Roy, Laurent J Bouyer, Pierre Langevin, Catherine Mercier
To a large extent, management of musculoskeletal disorders has traditionally focused on structural dysfunctions found within the musculoskeletal system, mainly around the affected joint. While a structural-dysfunction approach may be effective for musculoskeletal conditions in some populations, especially in acute presentations, its effectiveness remains limited in patients with recurrent or chronic musculoskeletal pain. Numerous studies have shown that the human central nervous system can undergo plastic reorganizations following musculoskeletal disorders; however, they can be maladaptive and contribute to altered joint control and chronic pain...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29089001/november-2017-letter-to-the-editor-in-chief
#9
(no author information available yet)
Letter to the Editor-in-Chief of JOSPT as follows: "Representing the QuickDASH as a Single Score" with Authors' Response J Orthop Sports Phys Ther 2017;47(11):886-887. doi:10.2519/jospt.2017.0206.
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29089000/ununited-bone-ossicle-in-a-patient-with-patellar-tendinopathy
#10
Emily B Beyer, Elena J Jelsing, Wendy J Hurd
A 40-year-old man presented to a physician for knee pain when squatting and in resisted knee extension. The initial diagnosis was patellar tendinopathy. Following physical therapy treatment, a sports medicine physician was consulted for a second opinion. Radiography, diagnostic ultrasound, and magnetic resonance imaging were performed, confirming the original diagnosis and revealing Hoffa's fat pad impingement secondary to an ununited ossicle. J Orthop Sports Phys Ther 2017;47(11):885. doi:10.2519/jospt.2017...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29073842/the-influence-of-patient-choice-of-first-provider-on-costs-and-outcomes-analysis-from-a-physical-therapy-patient-registry
#11
Thomas R Denninger, Chad E Cook, Cole G Chapman, Timothy McHenry, Charles A Thigpen
Study Design Retrospective study. Background Alternative models of care which allow patients to choose direct access to physical therapy have shown promise in terms of cost reduction for neck and back pain. However, real-world exploration within the U.S. healthcare system is notably limited. Objectives To compare total claims paid and patient outcomes for patients with neck and back pain who chose physical therapy intervention via direct access versus from medical referral. Methods Data were accessed for care-seeking patients (n=603) between 2012-2014 with neck or back pain who chose to begin care either through traditional medical referral or direct access to a physical therapy led spine management program...
October 26, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29073841/individuals-post-achilles-tendon-rupture-exhibit-asymmetrical-knee-and-ankle-kinetics-and-loading-rates-during-a-drop-countermovement-jump
#12
Hayley C Powell, Karin Grävare Silbernagel, Annelie Brorsson, Roy Tranberg, Richard W Willy
Study Design Cross sectional, laboratory study. Background Asymmetrical knee loading has been reported in individuals post-Achilles tendon rupture during jogging and hopping. Yet, no studies have examined knee loads in individuals post-Achilles tendon rupture during high demand tasks, such as single limb landings. Objectives We sought to determine if individuals post-Achilles tendon rupture demonstrated asymmetrical knee loads and impact forces during drop countermovement jumps (Drop CMJ). Methods Achilles tendon length and single leg heel rise test for endurance were assessed in 34 individuals (31 male) 6...
October 26, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29073840/a-novel-apparatus-measuring-knee-flexor-strength-during-various-hamstring-exercises-a-reliability-and-retrospective-study
#13
Jack T Hickey, Peter F Hickey, Nirav Maniar, Ryan G Timmins, Morgan D Williams, Christian A Pitcher, David A Opar
Study Design Reliability and case-control injury study. Background Knee flexor strength is a key variable when dealing with hamstring strain injury (HSI) and methodologies of objective measurement are often limited to single exercises. Objectives To establish test re-test reliability of a novel apparatus measuring knee flexor strength during various hamstring exercises; to investigate whether these measures detect between-leg differences in males with and without history of unilateral HSI. Methods Twenty males without and ten males with previous unilateral HSI participated...
October 26, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29056072/the-shortmac-minimum-important-change-of-a-reduced-version-of-the-womac-osteoarthritis-index
#14
J Haxby Abbott, Catherine Hobbs, Moa Trial Team
Study Design Clinical measurement study; secondary analysis of randomized clinical trial data. Background A 12-item reduced-item version of the Western Ontario and McMaster (WOMAC), a condition-specific, patient-reported osteoarthritis index, has been derived, published and validated. The minimum important change (MIC) of the ShortMAC has not been reported, or compared with the traditional 24-item WOMAC. Objectives To investigate the MIC of the 12-item ShortMAC and the traditional 24-item WOMAC across 3 levels of patient-perceived global change...
October 21, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034802/unraveling-the-mechanisms-of-manual-therapy-modeling-an-approach
#15
Joel E Bialosky, Jason M Beneciuk, Mark D Bishop, Rogelio A Coronado, Charles W Penza, Corey B Simon, Steven Z George
Synopsis Manual therapy interventions are popular among individual healthcare providers and their patients; however, systematic reviews do not strongly support their effectiveness. Small treatment effect sizes of manual therapy interventions may result from a "one size fits all" approach to treatment. Mechanistic based treatment approaches to manual therapy offer an intriguing alternative for identifying patients likely to respond to manual therapy. However, the current lack of knowledge of the mechanisms through which manual therapy interventions inhibit pain limits such an approach...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034801/gluteus-minimus-and-gluteus-medius-muscle-activity-during-common-rehabilitation-exercises-in-healthy-postmenopausal-women
#16
Charlotte Ganderton, Tania Pizzari, Jill Cook, Adam Semciw
Study Design Controlled laboratory study, cross-sectional. Background The gluteus medius (GMed) and minimus (GMin) provide dynamic stability of the hip joint and pelvis and are susceptible to atrophy and injury with menopause, ageing and disease. Numerous exercises have been reported in the literature to elicit high levels of GMed activity, however few have differentiated between the portions of the GMed, and none have examined GMin. Objectives To quantify and rank the level of muscle activity of the 2 segments of GMin (anterior and posterior fibers) and 3 segments of GMed (anterior, middle and posterior fibers) during 4 isometric and 3 dynamic exercises in a group of healthy, post-menopausal women...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034800/hip-and-knee-strengthening-is-more-effective-than-knee-strengthening-alone-for-reducing-pain-and-improving-activity-in-individuals-with-patellofemoral-pain-a-systematic-review-with-meta-analysis
#17
Lucas R Nascimento, Luci F Teixeira-Salmela, Ricardo B Souza, Renan A Resende
Study Design Systematic review with meta-analysis. Background The addition of hip strengthening to knee strengthening for persons with patellofemoral pain has the potential to optimize treatment effects. There is a need to systematically review and pool the current evidence in this area. Objective To examine the efficacy of hip strengthening, associated or not with knee strengthening, to increase strength, reduce pain, and improve activity in individuals with patellofemoral pain. Methods A systematic review of randomized or controlled trials was performed...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034799/measurement-properties-of-a-test-battery-to-assess-postural-orientation-during-functional-tasks-in-patients-undergoing-acl-injury-rehabilitation
#18
Jenny Nae, Mark W Creaby, Gustav Nilsson, Kay M Crossley, Eva Ageberg
Study Design Cross-sectional study. Background Visual rating of postural orientation (PO) during functional tasks may be a valuable tool to track rehabilitation progress following anterior cruciate ligament (ACL) injury. A valid test battery assessing PO as a separate construct is lacking. Objectives To evaluate measurement properties of a test battery to assess PO in patients with ACL injury. Methods Content validity of functional tasks was assessed by expert focus group discussions. 51 patients (45% women) with ACL injury performed nine functional tasks of varying difficulty...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29034798/intramuscular-electrical-stimulation-for-muscle-activation-of-tibialis-anterior-after-surgical-repair-a-case-report
#19
Sharon Hollis, Philip McClure
Study Design Case report. Background Loss of voluntary activation of musculature can result in muscle weakness. External neuromuscular stimulation can be utilized to improve voluntary activation but is often poorly tolerated because of pain associated with required stimulus level. Intramuscular electrical stimulation requires much lower voltage and may be better tolerated and therefore more effective at restoring voluntary muscle activation. Case Description A 71-year-old male sustained a rupture of the distal attachment of the tibialis anterior tendon...
October 15, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29029566/associations-among-quadriceps-strength-and-rate-of-torque-development-6-weeks-post-anterior-cruciate-ligament-reconstruction-and-future-hop-and-vertical-jump-performance-a-prospective-cohort-study
#20
Yong-Hao Pua, Benjamin F Mentiplay, Ross A Clark, Jia-Ying Ho
Study Design Prospective cohort. Background Quadriceps strength is associated with hop distance and jump height in persons who have undergone anterior cruciate ligament (ACL) reconstruction. However, it is unknown whether the ability to rapidly generate quadriceps torque in the early phase of recovery is associated with future hopping and jumping performance in this population. Objective To evaluate the prospective associations among quadriceps strength and rate of torque development (RTD) and single-leg hop for distance, vertical jump height, vertical ground reaction force (vGRF), and vertical force loading rate during a landing task in persons who have undergone ACL reconstruction...
November 2017: Journal of Orthopaedic and Sports Physical Therapy
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