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Sports physical therapy

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https://www.readbyqxmd.com/read/29669488/physical-activity-and-exercise-therapy-benefits-more-than-just-symptoms-and-impairments-in-people-with-hip-and-knee-osteoarthritis
#1
Søren T Skou, Bente Klarlund Pedersen, J Haxby Abbott, Brooke Patterson, Christian Barton
Synopsis Hip and knee osteoarthritis (OA) are among the leading causes of global disability, highlighting the need for early, targeted, and effective treatments. The benefits on symptoms and impairments of exercise therapy in people with hip and knee OA are substantial and supported by high-quality evidence, underlining that it should be part of first line treatment offered to all people with hip and knee OA in clinical practice. Furthermore, unlike other treatments for OA such as analgesia and surgery, exercise therapy is not associated with risk of serious harm...
April 18, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29629615/optimal-screening-for-prediction-of-referral-and-outcome-ospro-for-musculoskeletal-pain-conditions-results-from-the-validation-cohort
#2
Steven Z George, Jason M Beneciuk, Trevor A Lentz, Samuel S Wu, Yunfeng Dai, Joel E Bialosky, Giorgio Zeppieri
Study Design Observational, prospective cohort. Background Musculoskeletal pain is a common reason to seek healthcare and earlier non-pharmacological treatment and enhancement of personalized care options are two high priority areas. Validating concise assessment tools is an important step in establishing better care pathways. Objectives To determine the predictive validity of Optimal Screening for Prediction of Referral and Outcome (OSPRO) tools for individuals with neck, low back, shoulder, or knee pain. Methods A convenience sample (n = 440) was gathered by Orthopaedic Physical Therapy-Investigator Network clinics (n = 9)...
April 7, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29623750/considerations-in-the-diagnosis-and-accelerated-return-to-sport-of-a-professional-basketball-player-with-a-triceps-surae-injury-a-case-report
#3
Philip A Anloague, Donald S Strack
Study Design Case report. Background Acute injuries of the triceps surae and Achilles tendon are common in sports. Rupture of the plantaris tendon can be challenging to diagnose. There is limited evidence detailing the diagnosis, rehabilitation, and accelerated return to sport of elite professional basketball players who have suffered calf injuries. Case Description A 25-year-old male professional basketball player sustained injury to his calf during a professional basketball game. This case report details the presumptive diagnosis, graduated progression of intervention, and return to play of a professional sports person with a likely isolated plantaris tendon tear...
April 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607767/femoral-neck-stress-fracture-in-a-female-runner
#4
Meghan A Lamothe, James M Elliott, Alison H Chang
A 23-year-old woman was referred to physical therapy by her primary care physician for a 4-week history of right groin pain that had progressively worsened while training for a half-marathon. Before the physical therapy referral, the primary care physician ordered radiography of the right hip, which was unremarkable for fracture. Following examination, the physical therapist suspected osseous or soft tissue abnormality and requested that the primary care physician order magnetic resonance imaging without contrast, which revealed a femoral neck stress fracture...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607766/the-physiotherapy-for-femoroacetabular-impingement-rehabilitation-study-physiofirst-a-pilot-randomized-controlled-trial
#5
Joanne L Kemp, Sally L Coburn, Denise M Jones, Kay M Crossley
Study Design A pilot double-blind randomized controlled trial (RCT). Background The effectiveness of physical therapy for femoroacetabular impingement syndrome (FAIS) is unknown. Objectives To determine the feasibility of an RCT investigating the effectiveness of a physical therapy intervention for FAIS. Methods Participants were 17 women and 7 men (mean ± SD age, 37 ± 8 years; body mass index, 25.4 ± 3.4 kg/m2 ) with FAIS who received physical therapy interventions provided over 12 weeks. The FAIS-specific physical therapy group received personalized progressive strengthening and functional retraining...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607763/heterotopic-ossification-following-hip-arthroscopy
#6
Matt Barth, Gilbert M Willett, Kimberly Oliphant
A 21-year-old woman initiated physical therapy 4 days following hip arthroscopic labrum debridement and osteochondroplasty. During postoperative rehabilitation, the patient's status regressed. With persistent symptoms, at 10 weeks postsurgery a computed tomography scan revealed, as confirmed by radiographs, heterotopic ossification development. J Orthop Sports Phys Ther 2018;48(4):344. doi:10.2519/jospt.2018.7420.
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29602887/proximal-tibiofibular-joint-dislocation-treated-using-flexible-and-permanent-syndesmosis-fixation
#7
Antonio Carlos Moscon, Ana Luiza Cabrera Martimbianco, Aires Duarte Junior, Guilherme Conforto Gracitelli
We present the case of a 40-year-old man who suffered an isolated proximal tibiofibular dislocation of the left knee after a trauma during a soccer game. Physical examination and radiographic imaging revealed an anterolateral dislocation of the proximal fibula. The diagnosis was confirmed by MRI. The treatment choice was open reduction and internal fixation under direct visualisation using flexible and permanent internal fixation. Postoperative treatment includes knee immobilisation during the first week, and partial weight was allowed for 2 weeks progressing to full weight bearing over 4 weeks...
March 30, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29600588/cost-utility-of-a-six-month-programmed-sports-therapy-pst-in-patients-with-haemophilia
#8
J Koeberlein-Neu, B Runkel, T Hilberg
INTRODUCTION: Recurrent musculoskeletal haemorrhages in people with haemophilia (PwH) lead to restrictions in the locomotor system and, as a result, in physical performance, too. Due to its physical and psychological benefits, sport is increasingly re-commended for haemophilic patients. Evidence on the cost-effectiveness of sports therapy is still lacking. AIM: The aim of this study was to determine the cost-effectiveness of a 6-month programmed sports therapy (PST)...
March 30, 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/29596007/outpatient-physical-therapy-cardiovascular-assessment-physical-therapist-perspective-and-experience
#9
Ali Mufraih Albarrati
BACKGROUND: Physical therapists are recognized healthcare providers who play an important role in cardiovascular disease prevention. Heart rate (HR) and blood pressure (BP) are important parameters in cardiovascular risk assessment; however, physical therapists do not usually integrate them into clinical practice. Therefore, this study aimed to examine the current practice and opinion of outpatient physical therapists toward HR and BP measurements in clinics. METHODS: A 12-item survey questionnaire was distributed to outpatient physical therapists...
March 29, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29587572/outcomes-in-distressed-patients-with-chronic-low-back-pain-subgroup-analysis-of-a-clinical-trial
#10
Noa Ben-Ami, Yair Shapiro, Tamar Pincus
Study Design Subgroup analysis of a controlled clinical trial. Background Current evidence suggests that people with chronic low back pain who are distressed may require different interventions than do those who are not distressed. Recently, the enhanced transtheoretical model intervention (ETMI) reported significant improvements in disability and pain and increased physical activity in patients with chronic low back pain compared to physical therapy as usual. Objectives To compare outcomes between ETMI and physical therapy interventions for participants with and without self-reported distress...
March 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29584538/reducing-fear-of-reinjury-and-pain-perception-among-athletes-with-first-time-anterior-cruciate-ligament-reconstructions-by-implementing-imagery-training
#11
Rosa M Rodriguez, Ashley Marroquin, Nicole Cosby
Injuries are an inevitable part of competitive sports as well a recreational activities. Research shows that one of the most common musculoskeletal complaints that accounts for approximately 48 out of 1,000 patients are knee related injuries.1 As noted, approximately nine percent of these knee complaints are related to anterior cruciate ligament (ACL) injuries.2 ,3 The ACL is commonly injured in contact sports via a non-contact action such as planting, cutting, landing on a hyperextended knee, or pivoting and sudden deceleration...
March 27, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29581797/exercise-therapy-for-patients-with-type-2-diabetes-a-narrative-review
#12
REVIEW
Hidekatsu Yanai, Hiroki Adachi, Yoshinori Masui, Hisayuki Katsuyama, Akiko Kawaguchi, Mariko Hakoshima, Yoko Waragai, Tadanao Harigae, Hidetaka Hamasaki, Akahito Sako
To achieve excellent glycemic control in patients with type 2 diabetes, an adequate prescription of exercise therapy is required. The meta-analyses proposed that high-intensity training improves metabolic parameters in patients with pre-diabetes or type 2 diabetes and low physical activity is associated with an increased risk of incident type 2 diabetes. Here, we would introduce literatures about effects of physical activity on mortality, cardiovascular events, and metabolic parameters, to encourage understanding of exercise therapy, and then describe how to prescribe exercise therapy for patients with type 2 diabetes...
May 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29571265/variability-of-online-available-physical-therapy-protocols-from-academic-orthopedic-surgery-programs-for-arthroscopic-meniscus-repair
#13
Steven F DeFroda, Steven L Bokshan, Alex Boulos, Brett D Owens
OBJECTIVES: To evaluate the variability of arthroscopic meniscus repair rehabilitation protocols. METHODS: Arthroscopic meniscus repair rehabilitation protocols from Accreditation Council for Graduate Medical Education (ACGME) accredited orthopedic surgery programs available online were included for review. Data collection was performed to evaluate recommended weight bearing status and immobilization as well as the presence or absence of recommended therapies, goals for progression of range of motion, functional milestones, and activity initiation time points within each protocol...
March 23, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29527319/inferior-heel-pain-in-soccer-players-a-retrospective-study-with-a-proposal-for-guidelines-of-treatment
#14
Raoul Saggini, Maurizio Migliorini, Simona Maria Carmignano, Emilio Ancona, Chiara Russo, Rosa Grazia Bellomo
Background: The cause of heel pain among soccer players is multifactorial and is related to repetitive microtrauma due to impact forces involving technical moves, but also the playground, the exercise mode, the recovery time, the climatic conditions and the footwear used. Aim: To investigate the aetiology of plantar heel pain of soccer players with the objective of proposing an example of guidelines for treatment. Methods: We investigated the prevalence and characteristics of inferior heel pain of 1473 professional, semiprofessional and amateur players...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29527317/implication-of-exercise-interventions-on-sleep-disturbance-in-patients-with-pancreatic-cancer-a-study-protocol-for-a-randomised-controlled-trial
#15
Kazunori Yoh, Hiroki Nishikawa, Hirayuki Enomoto, Noriko Ishii, Yoshinori Iwata, Akio Ishii, Yukihisa Yuri, Yuho Miyamoto, Kunihiro Hasegawa, Chikage Nakano, Ryo Takata, Takashi Nishimura, Nobuhiro Aizawa, Yoshiyuki Sakai, Naoto Ikeda, Tomoyuki Takashima, Hiroko Iijima, Shuhei Nishiguchi
Introduction and purpose: Patients with pancreatic cancer (PC) have long been known to have high rates of depression. Depression in patients with PC can be linked to sleep disturbance. The American College of Sports Medicine notes that physical exercise is safe for most patients with cancer and physical inactivity should be avoided. However, clinical impacts of exercise interventions (EIs) on patients with PC have been poorly investigated. We aim to prospectively examine the effect of EIs on sleep disturbance in patients with PC using actigraphy, which is an objective measurement of motor activity and sleep...
2018: BMJ Open Gastroenterology
https://www.readbyqxmd.com/read/29511700/variability-of-united-states-online-rehabilitation-protocols-for-proximal-hamstring-tendon-repair
#16
Harry M Lightsey, David E Kantrowitz, Hasani W Swindell, David P Trofa, Christopher S Ahmad, T Sean Lynch
Background: The optimal postoperative rehabilitation protocol following repair of complete proximal hamstring tendon ruptures is the subject of ongoing investigation, with a need for more standardized regimens and evidence-based modalities. Purpose: To assess the variability across proximal hamstring tendon repair rehabilitation protocols published online by United States (US) orthopaedic teaching programs. Study Design: Cross-sectional study...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29490601/posterior-shoulder-tightness-to-treat-or-not-to-treat
#17
Kevin Hall, John D Borstad
Shoulder pain is a common musculoskeletal complaint that is difficult to treat because of the biomechanical complexity of the shoulder region, the interplay between mobility and stability, and the vital role played by the shoulder in moving, positioning, and providing stability for hand function. Despite advances in biomechanics and pain science, there is still much to learn about how impairments influence shoulder function and health. One impairment, posterior shoulder tightness (PST), is often noted in individuals with shoulder pain and consequently has generated much discussion and debate in recent years...
March 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29490600/scapholunate-dissociation
#18
Andrew Tomas
A 52-year-old man sustained an injury to the right wrist following a fall into a push-up position. Direct-access outpatient physical therapy evaluation was performed 24 hours after the injury. A scaphoid radiograph series, consistent with American College of Radiology guidelines, was obtained based upon examination findings. The radiographs revealed a scapholunate gap of 4 mm and a scapholunate angle of greater than 60°, suggestive of scapholunate dissociation. J Orthop Sports Phys Ther 2018;48(3):225. doi:10...
March 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29490598/imaging-helps-guide-physical-therapy-treatment-in-a-patient-with-diffuse-systemic-sclerosis-scleroderma
#19
Rosemarie A Curley, Alycia Markowski
A 50-year-old woman with an 8-year history of diffuse systemic sclerosis, a form of scleroderma, was referred by her rheumatologist to physical therapy for decreased finger range of motion (ROM) and pain that adversely affected her dexterity and ability to perform activities of daily living. To determine whether joint mobilization would be appropriate for this patient, posterior-to-anterior and modified lateral radiographs of both hands were requested by the physical therapist. Images showed significant bone loss in the distal phalanges of both thumbs and in the left third and fourth digits, and calcinosis in the tips of both thumbs...
March 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29486610/a-multicenter-double-blind-phase-iii-clinical-trial-to-evaluate-the-efficacy-and-safety-of-a-cell-and-gene-therapy-in-knee-osteoarthritis-patients
#20
Myung-Ku Kim, Chul-Won Ha, Yong In, Sung-Do Cho, Eui-Sung Choi, Jeong-Ku Ha, Ju-Hong Lee, Jae-Doo Yoo, Seong-Il Bin, Choong-Hyeok Choi, Hee-Soo Kyung, Myung-Chul Lee
OBJECTIVE: To test the clinical efficacy of TissueGene-C (TG-C), a cell and gene therapeutic for osteoarthritis consisting of non-transformed and transduced chondrocytes (3:1), retrovirally transduced to overexpress TGF-β1. DESIGN: We randomly assigned 163 with knee osteoarthritis to receive intra-articular TG-C or placebo in Kellgren-Lawrence grade 3 patients for clinical trial. Primary efficacy measures included criteria for subjective assessment by International Knee Documentation Committee (IKDC) and pain severity by Visual Analog Scale (VAS) for 52 weeks...
February 27, 2018: Human Gene Therapy. Clinical Development
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