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https://www.readbyqxmd.com/read/29158960/a-combined-treatment-approach-emphasizing-impairment-based-manual-therapy-and-exercise-for-hip-related-compensatory-injury-in-elite-athletes-a-case-series
#1
Steve Short, Gretchen Short, Donald Strack, Philip Anloague, Brian Brewster
Background/Purpose: Athletes experiencing hip, groin, and low back pain often exhibit similar clinical characteristics. Individuals with hip, groin and low back pain may have the presence of multiple concurrent pathoanatomical diagnoses. Regardless, similar regional characteristics and dysfunction may contribute to the patient's chief complaint, potentially creating a sub-group of individuals that may be defined by lumbopelvic and hip mobility limitations, motor control impairments, and other shared clinical findings...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29158955/correlation-of-self-reported-outcome-measures-and-the-selective-functional-movement-assessment-sfma-an-exploration-of-validity
#2
Mark Riebel, Michael Crowell, Jeffrey Dolbeer, Eliza Szymanek, Don Goss
Background/Purpose: The Selective Functional Movement Assessment (SFMA) is a clinical model used to assist diagnosis and treatment of musculoskeletal disorders by identifying dysfunctions in movement patterns. Based on the premise that addressing movement dysfunction is associated with an improvement in patient outcomes, the validity of the SFMA would be strengthened by observed improvement in self-reported function being associated with change in movement patterns. The purpose of this study was to explore the validity of the SFMA by determining if a correlation exists between a change in self-reported outcome measures and attributes of the assessment...
November 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29156871/relationship-of-spinal-curvature-mobility-and-low-back-pain-in-women-with-and-without-urinary-incontinence
#3
Şeyda Toprak Çelenay, Derya Özer Kaya
Background/aim: This study aimed to investigate the relationship of sagittal spinal curvature, mobility, and low back pain (LBP) in women with and without urinary incontinence (UI). Materials and methods: Thirty-two women with UI (incontinence group) and 41 women without UI (control group) were included in this study. The sagittal spinal curvature and mobility were assessed with a Spinal Mouse device (IDIAG, Fehraltorf, Switzerland). Urogenital symptom distress, LBP, and disability caused by LBP were assessed using the Urogenital Distress Inventory-6 (UDI-6), a visual analog scale (VAS), and the Oswestry Disability Index (ODI), respectively...
August 23, 2017: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29146288/unusual-iliac-crest-stress-fracture-in-a-marathoner-a-case-report
#4
Amy M West, Kelly C McInnis
This case presentation describes a 50-year-old healthy woman who developed left sided hip pain while training for the Boston Marathon. Magnetic Resonance Imaging (MRI) demonstrates a stress fracture of the left iliac body. This injury is unique in that it did not occur in the setting of low bone mineral density and it does not fall into the current published radiographic categorization based on location of injury. This case illustrates an uncommon and atypical bone stress injury in an endurance athlete. It should be considered in the differential diagnosis of runners presenting with hip or lumbopelvic pain...
November 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29141615/kinematic-characterization-of-clinically-observed-aberrant-movement-patterns-in-patients-with-non-specific-low-back-pain-a-cross-sectional-study
#5
Peemongkon Wattananon, David Ebaugh, Scott A Biely, Susan S Smith, Gregory E Hicks, Sheri P Silfies
BACKGROUND: Clinical observation of aberrant movement patterns during active forward bending is one criterion used to identify patients with non-specific low back pain suspected to have movement coordination impairment. The purpose of this study was to describe and quantify kinematic patterns of the pelvis and trunk using a dynamics systems approach, and determine agreement between clinical observation and kinematic classification. METHOD: Ninety-eight subjects performed repeated forward bending with clinical observation and kinematic data simultaneously collected...
November 15, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29140180/the-role-of-lumbopelvic-hip-complex-stability-in-softball-throwing-mechanics
#6
Gabrielle G Gilmer, Jessica K Washington, Jeffrey Dugas, James Andrews, Gretchen D Oliver
CONTEXT: Studies have found that a 20% reduction in energy generation from the lumbopelvic-hip complex (LPHC) during overhead throws leads to a 34% increase in load on the shoulder. OBJECTIVE: The purpose of this study was to assess the effects of LPHC stability, via the single leg squat (SLS) assessment, on throwing mechanics of softball athletes. DESIGN: Prospective cohort study. SETTING: Laboratory setting. PARTICIPANTS: Fifty softball athletes (164...
November 15, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29130657/-comparison-of-uss-combined-with-sacroiliac-screw-and-cmas-iliosacral-fixation-in-the-treatment-of-unstable-sacral-fracture
#7
Liang Li, Zhong Huang, Zhen Tan, Wei-Kun Meng, Qiang Guo, Zhen Zhang, Cheng-Xi Wu, Lei Liu, Fu-Guo Huang, Guang-Lin Wang
OBJECTIVE: To compare the effectiveness of two lumbopelvic fixation procedures for treating unstable sacral fractures. METHODS: The clinical data of 47 patients were treated for unstable sacral fractures in the West China Hospital of Sichuan University from January 2010 to December 2014 were reviewed. Twentytwo patients (28 sides) were treated with USS combined with iliosacral screw (group A),while 25 patients (39 sides) were treated with closed multiaxial screws (CMAS) iliosacral fixation system combined with Posterior Segmental Spinal Fixation system (group B)...
September 2017: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/29110219/reduction-and-fixation-of-displaced-u-shaped-sacral-fractures-using-lumbopelvic-fixation-technical-recommendations
#8
Stefan Piltz, Bianka Rubenbauer, Wolfgang Böcker, Heiko Trentzsch
PURPOSE: U-shaped sacral fractures are extremely rare injuries that usually occur as a result of falls from considerable heights. Almost all treatment methods described to date aim solely at stabilizing the fracture but do not contribute to supporting the reduction of such fractures. Using existing implants the purpose of this study is to present a surgical technique that facilitates both the reduction and the stabilization of these injuries. The presented technique was evaluated in a series of three cases...
November 6, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29064868/association-between-previous-injury-and-risk-factors-for-future-injury-in-preprofessional-ballet-and-contemporary-dancers
#9
Sarah J Kenny, Luz Palacios-Derflingher, Qian Shi, Jackie L Whittaker, Carolyn A Emery
OBJECTIVES: To determine the prevalence of self-reported 1-year injury history and examine its association with preparticipation evaluation components aimed at predicting future injury risk (PPE-IP) among preprofessional ballet and contemporary dancers. DESIGN: Cross-sectional study. SETTING: Preprofessional ballet school, university contemporary dance program. PARTICIPANTS: Full-time preprofessional ballet and contemporary dancers...
October 20, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29037626/the-acute-effects-of-ankle-mobilisations-on-lower-extremity-joint-kinematics
#10
Louis P Howe
INTRODUCTION: Previous investigations have identified compensatory movement strategies (CMS) within the lower extremity or lumbopelvic complex during closed chain exercises may be associated with a loss of ankle dorsiflexion range of motion (ROM). The aim of this study was to investigate the acute effects of ankle mobilisations on proximal joint kinematics during a movement task that demands a high amount of ankle dorsiflexion ROM. METHODS: Eight healthy males (mean (SD) age 25 (4) years) demonstrating side-to-side asymmetry during the weight-bearing lunge test (WBLT) and CMS during the single-leg step-down exercise were accepted for this study...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29031958/reference-values-and-reliability-for-lumbopelvic-strength-and-endurance-in-asymptomatic-subjects
#11
Isadora O de Oliveira, Bruna Pilz, Roberto L G Santos, Rodrigo A Vasconcelos, Wilson Mello, Débora B Grossi
BACKGROUND: Assessing the lumbopelvic region is useful for detecting many musculoskeletal dysfunctions and also performance deficits. Several clinical tests are used to assess this region, however, reference values and results related to method, reliability and error measurements of these tests have not been reported. OBJECTIVES: To establish reference values and determine reliability, standard error of measurement (SEM), typical error of measurement (TEM) and minimum detectable change (MDC) of a set of clinical tests used for assessing the lumbopelvic region in subjects divided by gender, age group and physical activity levels...
September 29, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29025041/trigger-points-pressure-pain-hyperalgesia-and-mechanosensitivity-of-neural-tissue-in-women-with-chronic-pelvic-pain
#12
Pedro Fuentes-Márquez, Marie Carmen Valenza, Irene Cabrera-Martos, Ana Ríos-Sánchez, Olga Ocón-Hernández
Objectives: This study aims to evaluate the presence of myofascial trigger points (TrPs), widespread pressure pain sensitivity, and mechanosensitivity of neural tissue in women with chronic pelvic pain. Design: Case-control study. Setting: Faculty of Health Sciences. Subjects: Forty women with chronic pelvic pain between age 18 and 60 years and 40 matched healthy controls were included in the study. Methods: TrPs were bilaterally explored in gluteus maximus, gluteus medius, gluteus minimus, quadratus lumborum, and adductor magnus muscles...
August 25, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28987767/effects-of-high-heeled-footwear-on-static-and-dynamic-pelvis-position-and-lumbar-lordosis-in-experienced-younger-and-middle-aged-women
#13
Jan Schroeder, Karsten Hollander
There is still conflicting evidence about the effect of high-heeled footwear on posture, especially if methodological confounders are taken into account. The purpose of this study was to investigate the effect of high-heeled footwear on lumbopelvic parameters in experienced younger and middle-aged women while standing and walking. Thirty-seven experienced younger (n=19:18-25 years) and middle-aged (n=18:26-56 years) women were included in this randomized crossover study. Using a non-invasive back shape reconstruction device (rasterstereography), static (pelvic tilt and lumbar lordosis angle) and dynamic (pelvic rotation, median lumbar lordosis angle and range of motion) parameters representing pelvis position and lumbar curvature were measured...
September 28, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28951781/habitual-pelvic-posture-and-time-spent-sitting-measurement-test-retest-reliability-for-the-lumoback-device-and-preliminary-evidence-for-slouched-posture-in-individuals-with-low-back-pain
#14
Hiroshi Takasaki
OBJECTIVES: It has been difficult to monitor the pelvic position during actual daily life. However, recent developments in wearable device technologies, such as the LUMOback device, provide the possibility to evaluate habitual pelvic posture and time spent sitting during daily life. The current study aimed (1) to investigate test-retest reliability for habitual pelvic posture and time spent sitting with the LUMOback in individuals with prolonged low back pain (low back pain group) and without low back pain (control group), and (2) to preliminarily investigate differences in those measures between groups...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28943193/epidemiology-of-musculoskeletal-injuries-sustained-by-naval-special-forces-operators-and-students
#15
Mita Lovalekar, Katherine A Perlsweig, Karen A Keenan, Thomas M Baldwin, Michael Caviston, Anne E McCarthy, Jeffrey J Parr, Bradley C Nindl, Kim Beals
OBJECTIVES: The aim of this analysis was to describe the incidence and common types of medical chart-reviewed musculoskeletal injuries, among four distinct groups of Naval Special Warfare (NSW) personnel: Sea, Air, and Land (SEAL) Operators, SEAL Qualification Training (SQT) students, Special Warfare Combatant-craft Crewman (SWCC) Operators, and Crewman Qualification Training (CQT) students. DESIGN: Descriptive cross-sectional study. METHODS: Medical records were reviewed for 920 NSW personnel...
September 9, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28924625/-course-of-operative-treatment-of-a%C3%A2-sacral-insufficiency-fracture-successful-or-serious-treatment
#16
A Lattauschke, F Klauke, B W Ullrich, G O Hofmann, T Mendel
A monolateral sacrum fracture was primarily diagnosed with a CT and treated with PMMA augmented SI screw fixation. The following CT showed an unexpected contralateral fracture which led to the need for a lumbopelvic stabilization. In the course of 6 months, successively occurring adjacent fractures required recurrent vertebroplasty. Most of these fractures could only be diagnosed through MRI. It remains unclear, whether initially even the contralateral sacral ala was fractured.
October 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28898747/contraction-of-the-transverse-abdominal-muscle-in-pelvic-girdle-pain-is-enhanced-by-pain-provocation-during-the-task
#17
Jan M Mens, Annelies Pool-Goudzwaard
BACKGROUND: Understanding of the pathogenesis of pain in the lumbopelvic region remains a challenge. It is suggested that lumbopelvic pain is related to decreased contraction of the transverse abdominal muscles (TrA). OBJECTIVE: To investigate how pain provoked by a task influences TrA contraction during that task. DESIGN: A case-control cross-sectional study. METHOD: We recruited 40 non-pregnant women with persistent pregnancy-related posterior pelvic girdle pain (PGP) and 33 parous women (healthy controls) without PGP...
September 6, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28869318/exercise-for-the-prevention-of-low-back-and-pelvic-girdle-pain-in-pregnancy-a-meta-analysis-of-randomized-controlled-trials
#18
REVIEW
R Shiri, D Coggon, K Falah-Hassani
BACKGROUND AND OBJECTIVE: The effect of exercise in prevention of low back and pelvic girdle pain during pregnancy is uncertain. This study aimed to assess the effect of exercise on low back pain, pelvic girdle pain and associated sick leave. DATABASES AND DATA TREATMENT: Literature searches were conducted in PubMed, EMBASE, Cochrane Library, Google Scholar, ResearchGate and ClinicalTrials.gov databases from their inception through May 2017. Randomized controlled trials (RCTs) were eligible for inclusion in the review if they compared an exercise intervention with usual daily activities and at least some of the participants were free from low back pain and/or pelvic girdle pain at baseline...
September 4, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/28844565/within-between-session-reliability-and-agreement-of-lumbopelvic-kinematics-in-the-sagittal-plane-during-functional-movement-control-tasks-in-healthy-persons
#19
Thomas Matheve, Liesbet De Baets, Fabian Rast, Christoph Bauer, Annick Timmermans
A lack of adequate lumbopelvic movement control has been suggested as an underlying mechanism contributing to the development and persistence of low back pain and lower limb pathologies. The purpose of this study was to assess the within and between session reliability (i.e. the ability to discriminate between subjects), and the agreement (i.e. whether scores are identical on repeated measures) of lumbopelvic kinematics in the sagittal plane during functional movement control tasks. Kinematics were measured with a portable inertial measurement unit system...
August 24, 2017: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/28838597/myofascial-force-transmission-in-the-lower-limb-an-in-vivo-experiment
#20
Hellen Veloso Rocha Marinho, Giovanna Mendes Amaral, Bruno Souza Moreira, Thiago Ribeiro Teles Santos, Fabrício Anicio Magalhães, Thales Rezende Souza, Sérgio Teixeira Fonseca
Anatomical studies have shown structural continuity between the lumbopelvic region and the lower limb. The present study aimed to verify how simultaneous changes on knee/hip positions modify the ankle's resting position and passive torque. Thirty-seven subjects underwent an isokinetic assessment of ankle passive torque. The relationship between the absolute values of ankle passive resistance torque and the ankle angular position was used to calculate the dependent variables: ankle resting position (position in which the passive resistance torque is zero); and ankle passive torque at 0° (torque at the neutral position of the ankle in the sagittal plane)...
October 3, 2017: Journal of Biomechanics
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