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Sports medicine & physical therapy

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https://www.readbyqxmd.com/read/27908650/musculoskeletal-conditions-in-a-pediatric-population-with-ehlers-danlos-syndrome
#1
Courtney M Stern, Michael J Pepin, Joan M Stoler, Dennis E Kramer, Samantha A Spencer, Cynthia J Stein
OBJECTIVE: To describe musculoskeletal conditions in children with Ehlers-Danlos syndrome (EDS). STUDY DESIGN: A retrospective medical record review was performed, which evaluated 205 patients with EDS (ages 6-19 years) seen in sports medicine or orthopedic clinic at a large pediatric hospital over a 5-year period. RESULTS: Female (n = 147) and male (n = 57) patients were identified (mean age 12.7 years). The most common EDS subtype (55...
November 28, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27878317/-what-is-currently-available-for-sport-medicine-therapy
#2
U Tegtbur
After 30 years of age physical capacity decreases with increasing age by 5-20% per decade. High physical activity in daily life as well as exercise training of endurance, strength, coordination and mobility can delay the functional and anatomical loss of muscle, bone, cartilage and connective tissue by more than 10 years. In recent years, numerous concepts have scientifically been proven in the exercise therapy of internal diseases; therefore, similar to drug treatment, cellular mechanisms of exercise training adaptation are known in detail...
December 2016: Der Internist
https://www.readbyqxmd.com/read/27849130/treatment-of-muscle-injuries-in-football
#3
Peter Ueblacker, Lutz Haensel, Hans-Wilhelm Mueller-Wohlfahrt
Muscle injuries are frequent and represent one of the most substantial medical problems in professional football. They can have both traumatic and overuse causes with direct practical consequence due to differences in terms of the post-primary care regimen and prognosis. An accurate diagnosis is the first step towards a specific treatment and usually allows to predict return to play (RTP). Current treatment principles have no firm scientific basis; they are practiced largely as empirical medicine due to a lack of prospective randomised studies...
November 16, 2016: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27811513/patellofemoral-pain-and-instability-in-adolescent-athletes
#4
Matthew Bessette, Paul Saluan
Injuries and disorders of the patellofemoral joint in the adolescent athlete can encompass a wide spectrum of symptomatology and pathology. Anterior knee pain is a common presenting symptom in sports medicine clinics, and can have numerous underlying etiologies. This activity-related pain may be the manifestation of enthesopathy, tendinopathy, fat pad impingement, or numerous other conditions, but is more commonly related to more subtle skeletal and muscular imbalances. Treatment is typically nonoperative in nature, and excellent results are reported with physical therapy...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27796192/measuring-up-to-expectation-cognitive-bias-in-wrist-range-of-motion-measurement
#5
Nirit Rotem-Lehrer, Natali Singer, Ofri Reshit, Shmuel Springer
Study Design Controlled laboratory study, cross-sectional design. Background The role of cognitive biases and their effect on a wide range of aspects relevant to clinical medicine has become the focus of a growing body of research, yet their effect in physical therapy is not well established. Objectives To test whether anchoring information provided to physical therapists prior to assessment of wrist range of motion (ROM) may induce bias in the measurement. Methods A total of 120 physical therapists participated in the study...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27741219/statements-of-agreement-from-the-targeted-evaluation-and-active-management-team-approaches-to-treating-concussion-meeting-held-in-pittsburgh-october-15-16-2015
#6
Michael W Collins, Anthony P Kontos, David O Okonkwo, Jon Almquist, Julian Bailes, Mark Barisa, Jeffrey Bazarian, O Josh Bloom, David L Brody, Robert Cantu, Javier Cardenas, Jay Clugston, Randall Cohen, Ruben Echemendia, R J Elbin, Richard Ellenbogen, Janna Fonseca, Gerard Gioia, Kevin Guskiewicz, Robert Heyer, Gillian Hotz, Grant L Iverson, Barry Jordan, Geoffrey Manley, Joseph Maroon, Thomas McAllister, Michael McCrea, Anne Mucha, Elizabeth Pieroth, Kenneth Podell, Matthew Pombo, Teena Shetty, Allen Sills, Gary Solomon, Danny G Thomas, Tamara C Valovich McLeod, Tony Yates, Ross Zafonte
BACKGROUND: Conventional management for concussion involves prescribed rest and progressive return to activity. Recent evidence challenges this notion and suggests that active approaches may be effective for some patients. Previous concussion consensus statements provide limited guidance regarding active treatment. OBJECTIVE: To describe the current landscape of treatment for concussion and to provide summary agreements related to treatment to assist clinicians in the treatment of concussion...
December 2016: Neurosurgery
https://www.readbyqxmd.com/read/27665247/multimodal-impairment-based-physical-therapy-for-the-treatment-of-patients-with-post-concussion-syndrome-a-retrospective-analysis-on-safety-and-feasibility
#7
Patrick Grabowski, John Wilson, Alyssa Walker, Dan Enz, Sijian Wang
OBJECTIVE: Demonstrate implementation, safety and feasibility of multimodal, impairment-based physical therapy (PT) combining vestibular/oculomotor and cervical rehabilitation with sub-symptom threshold exercise for the treatment of patients with post-concussion syndrome (PCS). SETTING: University hospital outpatient sports medicine facility. PARTICIPANTS: Twenty-five patients (12-20 years old) meeting World Health Organization criteria for PCS following sport-related concussion referred for supervised PT consisting of sub-symptom cardiovascular exercise, vestibular/oculomotor and cervical spine rehabilitation...
June 7, 2016: Physical Therapy in Sport
https://www.readbyqxmd.com/read/27651819/management-of-sport-injuries-with-korean-medicine-a-survey-of-korean-national-volleyball-team
#8
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/27632842/rehabilitation-after-hamstring-strain-injury-emphasizing-eccentric-strengthening-at-long-muscle-lengths-results-of-long-term-follow-up
#9
Timothy F Tyler, Brandon M Schmitt, Stephen J Nicholas, Malachy McHugh
CONTEXT: Hamstring strain injuries have a high recurrence rate. OBJECTIVE: To determine if a protocol emphasizing eccentric strength training with the hamstrings in a lengthened position resulted in a low recurrence rate. DESIGN: Longitudinal cohort study Setting: Sports medicine physical therapy clinic. PARTICIPANTS: 50 athletes with hamstring strain injury (age 36±16 yo; 30 men, 20 women; 3 G1, 43 G2, 4 G3; 25 recurrent injuries) followed a 3-phase rehabilitation protocol emphasizing eccentric strengthening with the hamstrings in a lengthened position...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27629403/the-warwick-agreement-on-femoroacetabular-impingement-syndrome-fai-syndrome-an-international-consensus-statement
#10
D R Griffin, E J Dickenson, J O'Donnell, R Agricola, T Awan, M Beck, J C Clohisy, H P Dijkstra, E Falvey, M Gimpel, R S Hinman, P Hölmich, A Kassarjian, H D Martin, R Martin, R C Mather, M J Philippon, M P Reiman, A Takla, K Thorborg, S Walker, A Weir, K L Bennell
The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome. 22 panel members and 1 patient from 9 countries and 5 different specialties participated in a 1-day consensus meeting on 29 June 2016. Prior to the meeting, 6 questions were agreed on, and recent relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on the topics of the agreed questions at Sports Hip 2016, an open meeting held in the UK on 27-29 June...
October 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27347866/timing-of-physical-therapy-referral-in-adolescent-athletes-with-acute-spondylolysis-a-retrospective-chart-review
#11
Mitchell Selhorst, Anastasia Fischer, Kristine Graft, Reno Ravindran, Eric Peters, Richard Rodenberg, Eric Welder, James MacDonald
OBJECTIVES: The purposes of this study were (1) to determine whether the duration of rest before referral to physical therapy (PT) affects the time to make a full return to activity for patients with an acute spondylolysis, (2) to assess the safety of an early referral to PT in patients with an acute spondylolysis. STUDY DESIGN: Retrospective chart review. SETTING: Hospital-based sports medicine clinic. PATIENTS: The medical charts of 196 adolescent athletes (mean age = 14...
June 22, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27347857/effectiveness-of-shockwave-treatment-combined-with-eccentric-training-for-patellar-tendinopathy-a-double-blinded-randomized-study
#12
Karin M Thijs, Johannes Zwerver, Frank J G Backx, Victor Steeneken, Stephan Rayer, Petra Groenenboom, Maarten H Moen
OBJECTIVE: To evaluate the effectiveness of a combined treatment of focused shockwave therapy (ESWT) and eccentric training compared with sham-shockwave therapy (placebo) and eccentric training in participants with patellar tendinopathy (PT) after 24 weeks. DESIGN: Randomized controlled trial. SETTING: Sports medicine departments of a university hospital and a general hospital in the Netherlands. PARTICIPANTS: Fifty-two physically active male and female participants with a clinical diagnosis of PT (mean age: 28...
June 22, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27301864/health-promotion-for-young-patients-with-haemophilia-counselling-adjuvant-exercise-therapy-and-school-sports
#13
Judith Sondermann, Marco Herbsleb, Frank-Detlef Stanek, Holger Gabriel, Karim Kentouche
: The haemophilia treatment centre of the Clinic for Children and Youth Medicine in Jena extends medical care by health-promotion measures, namely: health counselling, adjuvant exercise therapy and school sports. In addition to the regular medical checks at the treatment centre patients are examined regarding physical fitness, joint situation, quality of life in general and disease-specific manner, as well as psycho-social and nutritional behaviour. Findings and medical results of the examinations are integrated into an individual advice on therapy, school sports, and health recommendations...
June 15, 2016: Hämostaseologie
https://www.readbyqxmd.com/read/27245490/tarsometatarsal-lisfranc-joint-injury-in-an-athlete-with-persistent-foot-pain
#14
Eric T Greenberg, Hayley Rintel Queller
The patient was a 20-year-old female ultimate frisbee player who felt a "pop" in her left foot with resultant pain and bruising along the plantar aspect of her midfoot. She was seen by an orthopaedic physician, who ordered standard radiographs that were found to be unremarkable. Although initial non-weight-bearing films were normal, these findings do not rule out tarsometatarsal joint injury. Following presentation to physical therapy 4 months after the initial injury, the patient was referred to a sports medicine physician...
June 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27215867/us-army-physical-therapist-roles-and-contributions-in-operations-enduring-freedom-and-iraqi-freedom
#15
Scott W Shaffer, Josef H Moore
Musculoskeletal injuries are a leading cause of health care utilization, medical evacuation, and disability. US Army physical therapists (PTs) have served as physician extenders for the management of nonsurgical neuromusculoskeletal injuries since the Vietnam conflict. The roles and evidence supporting US Army physical therapy continue to evolve. This article discusses the different levels of care and roles of US Army PTs, the contributions and evidence regarding US Army physical therapy, and physical therapy lessons learned during Operations Enduring Freedom and Iraqi Freedom...
April 2016: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/27206853/using-the-modified-delphi-method-to-establish-clinical-consensus-for-the-diagnosis-and-treatment-of-patients-with-rotator-cuff-pathology
#16
Breda H Eubank, Nicholas G Mohtadi, Mark R Lafave, J Preston Wiley, Aaron J Bois, Richard S Boorman, David M Sheps
BACKGROUND: Patients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold: 1) to develop a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings; and 2) to establish clinical practice guidelines for the diagnosis and treatment of rotator cuff pathology to inform decision-making processes within the algorithm...
2016: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/27137981/benefits-of-physical-exercise-in-postmenopausal-women
#17
Nicolás Mendoza, Carlos De Teresa, Antonio Cano, Débora Godoy, Fidel Hita-Contreras, Maryna Lapotka, Placido Llaneza, Pedro Manonelles, Antonio Martínez-Amat, Olga Ocón, Laura Rodríguez-Alcalá, Mercedes Vélez, Rafael Sánchez-Borrego
Physical inactivity not only places women's health at risk during menopause, but also increases menopausal problems. Abundant evidence links habitual physical exercise (PE) to a better status on numerous health indicators and better quality of life and to the prevention and treatment of the ailments that typically occur from mid-life onwards. We can infer that PE is something more than a lifestyle: it constitutes a form of therapy in itself. A panel of experts from various Spanish scientific societies related to PE and menopause (Spanish Menopause Society, Spanish Cardiology Society, Spanish Federation of Sports Medicine) met to reach a consensus on these issues and to decide the optimal timing of and methods of exercise, based on the best evidence available...
April 26, 2016: Maturitas
https://www.readbyqxmd.com/read/27018510/emerging-trends-in-anterior-cruciate-ligament-reconstruction
#18
Jacob Budny, Joseph Fox, Michael Rauh, Marc Fineberg
Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed and researched orthopedic procedures. As technology and comparative research have advanced, surgical practices have changed to achieve a superior outcome. Our group performed a survey of orthopedic surgeons to evaluate current practice trends and techniques as a follow-up to similar surveys performed in 1999 and 2006. In a survey between 2013 and 2014 consisting of 35 questions regarding the surgical technique, graft choice, fixation method, and perioperative care in ACL reconstruction was sent electronically to the members of the American Orthopaedic Society of Sports Medicine and the Arthroscopy Association of North America...
March 28, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/26678445/long-term-effect-of-exercise-therapy-and-patient-education-on-impairments-and-activity-limitations-in-people-with-hip-osteoarthritis-secondary-outcome-analysis-of-a-randomized-clinical-trial
#19
Ida Svege, Linda Fernandes, Lars Nordsletten, Inger Holm, May Arna Risberg
BACKGROUND: The effect of exercise on specific impairments and activity limitations in people with hip osteoarthritis (OA) is limited. OBJECTIVE: The study objective was to evaluate the long-term effect of exercise therapy and patient education on range of motion (ROM), muscle strength, physical fitness, walking capacity, and pain during walking in people with hip OA. DESIGN: This was a secondary outcome analysis of a randomized clinical trial...
June 2016: Physical Therapy
https://www.readbyqxmd.com/read/26568507/nonpharmacologic-options-for-treating-acute-and-chronic-pain
#20
REVIEW
Peter I-Kung Wu, Alec Meleger, Alan Witkower, Timothy Mondale, Joanne Borg-Stein
This article provides a broad overview of the clinical nonpharmacologic treatment options for managing acute and chronic pain. Physical therapy and modalities, interventional techniques, emerging regenerative medicine, and cognitive behavioral paradigms of treatment are presented. Recommendations are evidence-based and are a practical resource for the musculoskeletal pain and sports medicine practitioner.
November 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
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