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https://www.readbyqxmd.com/read/29468901/osteochondritis-dissecans-of-the-knee-conservative-treatment-strategies-a-systematic-review
#1
Luca Andriolo, Christian Candrian, Tiziana Papio, Alessia Cavicchioli, Francesco Perdisa, Giuseppe Filardo
Objective Osteochondritis dissecans (OCD) lesions are a relevant problem that affects the long-term prognosis of young patients. The purpose of this study was to analyze the evidence on potential and indications of nonsurgical treatment strategies for knee OCD. Design The search was conducted on 3 medical electronic databases according to PRISMA guidelines, including reports of any level of evidence dealing with the conservative management of knee OCD. Of 1688 identified records, 55 full-text articles were screened: 27 studies met the inclusion criteria, for a total of 908 knees, and were used for the analysis...
February 1, 2018: Cartilage
https://www.readbyqxmd.com/read/29449771/the-effectiveness-of-manual-physical-therapy-interventions-in-pediatric-patients-with-anterior-hip-pain-a-retrospective-study
#2
Mindy Galleher, Briana Crowe, Mitchell Selhorst
Objectives: The purposes of this study were to: (1) assess the benefit of adding manual therapy (MT) to physical therapy care in pediatric patients with anterior hip pain; (2) assess the relative risk of adverse reactions when MT is used; and (3) report the types of MT used. Methods: This study was a retrospective chart review of patients treated in a hospital-based sports medicine clinic. The charts of 201 patients (mean age = 14.23 ± 2.15 years) met the inclusion criteria and were reviewed...
December 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29443538/arthroscopic-surgery-or-physical-therapy-for-patients-with-femoroacetabular-impingement-syndrome-a-randomized-controlled-trial-with-2-year-follow-up
#3
Nancy S Mansell, Daniel I Rhon, John Meyer, John M Slevin, Bryant G Marchant
BACKGROUND: Arthroscopic hip surgery has risen 18-fold in the past decade; however, there is a dearth of clinical trials comparing surgery with nonoperative management. PURPOSE: To determine the comparative effectiveness of surgery and physical therapy for femoroacetabular impingement syndrome. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: Patients were recruited from a large military hospital after referral to the orthopaedic surgery clinic and were eligible for surgery...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29427238/opinion-paper-scientific-philosophical-and-legal-consideration-of-doping-in-sports
#4
REVIEW
Massimo Negro, Natale Marzullo, Francesca Caso, Luca Calanni, Giuseppe D'Antona
The term doping is generally used to indicate practices based on the use of performance-enhancing drugs (PEDs) or the abuse of medical therapies. Mostly analysed by doctors and officials, doping nevertheless also requires a philosophical consideration to avoid being simplistically portrayed as an isolated practice. To do this, we need to pay attention to the contradictions and paradoxes in the modern approach to doping in sport. In this context, doping is not only relevant to the health of an individual involved in the violation of World Anti-Doping Agency (WADA) criteria, but it actually represents a double-edged phenomenon containing ethical and legal points of view...
February 9, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29420236/risk-factors-diagnosis-and-non-surgical-treatment-for-meniscal-tears-evidence-and-recommendations-a-statement-paper-commissioned-by-the-danish-society-of-sports-physical-therapy-dssf
#5
Jonas Bloch Thorlund, Carsten Bogh Juhl, Lina Holm Ingelsrud, Søren Thorgaard Skou
This statement aimed at summarising and appraising the available evidence for risk factors, diagnostic tools and non-surgical treatments for patients with meniscal tears. We systematically searched electronic databases using a pragmatic search strategy approach. Included studies were synthesised quantitatively or qualitatively, as appropriate. Strength of evidence was determined according to the Grading of Recommendations Assessment Development and Evaluation framework. Low-quality evidence suggested that overweight (degenerative tears, k=3), male sex (k=4), contact and pivoting sports (k=2), and frequent occupational kneeling/squatting (k=3) were risk factors for meniscal tears...
February 2, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29415981/acute-exertional-compartment-syndrome-with-rhabdomyolysis-case-report-and-review-of-literature
#6
Brandon McKinney, Christopher Gaunder, Ross Schumer
BACKGROUND Acute exertional compartment syndrome (AECS) is a rare cause of leg pain often associated with a delay in diagnosis and potentially leading to irreversible muscle and nerve damage. CASE REPORT We present the case of a previously healthy, high-level athlete who presented with the acute onset of unilateral anterior leg pain and foot drop the day after a strenuous workout. He was diagnosed with compartment syndrome and rhabdomyolysis. His management included emergent fluid resuscitation, fasciotomies, debridement of necrotic muscle from his anterior compartment, and delayed primary closure...
February 8, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29409092/-gallop-in-the-routineergometrie-only-chore-or-diagnostic-challenge
#7
Stephan Knöchner, K Kronberg, U Schumann
ANAMNESIS:  A 47-year-old recreational sportsman showed in a routine ergometry polymorphic ventricular extrasystoles with good physical performance. INVESTIGATIONS:  In resting ECG impressed ventricular extrasystoles (VES) predominantly right-hand-block-like with superior axis, a long-term ECG yielded up to 100 VES per hour. Echocardiographically imposing 4 - 5 trabeculae, feathered, reticular structures apically in the left and lower in the right ventricle...
February 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29406836/differential-diagnosis-in-a-patient-presenting-with-both-systemic-and-neuromusculoskeletal-pathology-resident-s-case-problem
#8
Evan J Petersen, Stephanie M Thurmond
Study Design Resident's case problem. Background Patients presenting with multiple symptomatic areas pose a diagnostic challenge for the physical therapist. Though musculoskeletal and nonmusculoskeletal symptoms typically present separately, they can occur simultaneously and mimic each other. Consequently, the ability to differentiate between musculoskeletal and nonmusculoskeletal symptoms is an important skill for physical therapists. The purpose of this resident's case problem was to describe the clinical-reasoning process leading to medical and physical therapy management of a patient presenting with upper and lower back pain, bilateral radiating arm and leg pain, and abdominal pain...
February 6, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29405819/effect-of-12-week-rebound-therapy-exercise-on-static-stability-of-patients-with-spinal-cord-injury
#9
Morteza Sadeghi, Gholamali Ghasemi, Mohammadtaghi Karimi
BACKGROUND: In order to resolve the impairments associated with SCI such as decreased balance, patients have been recommended to undergo various therapeutic strategies, including the use of different physical exercise methods. The aim of this study was to evaluate the efficiency of using rebound therapy (exercise on a trampoline) on SCI individuals' static stability. METHODS: Sixteen SCI people (ASIA classification: A=6, B=6, C=2, D=2) were randomly assigned to an experimental (rebound exercise) group or a control group...
February 6, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29403305/spotlight-on-topographical-pressure-pain-sensitivity-maps-a-review
#10
REVIEW
Francisco Alburquerque-Sendín, Pascal Madeleine, César Fernández-de-Las-Peñas, Paula Rezende Camargo, Tania Fátima Salvini
Mechanical hyperalgesia defined as decreased pressure pain thresholds (PPTs) is commonly associated with pain. In this narrative review, we report the current state of the art within topographical pressure sensitivity maps. Such maps are based on multiple PPT assessments. The PPTs are assessed by an a priori defined grid with special focus on both spatial and temporal summation issues. The grid covers the muscle or the body region of interest using absolute or relative values determined from anatomical landmarks or anthropometric values...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29392091/chronic-remote-ischemic-conditioning-may-mimic-regular-exercise-perspective-from-clinical-studies
#11
Wenbo Zhao, Sijie Li, Changhong Ren, Ran Meng, Xunming Ji
Chronic remote ischemic conditioning (RIC), particularly long-term repeated RIC, has been applied in clinical trials with the expectation that it could play its protective roles for protracted periods. In sports medicine, chronic RIC has also been demonstrated to improve exercise performance, akin to improvements seen with regular exercise training. Therefore, chronic RIC may mimic regular exercise, and they may have similar underlying mechanisms. In this study, we explored the common underlying mechanisms of chronic RIC and physical exercise in protecting multiple organs and benefiting various populations, the advantages of chronic RIC, and the challenges for its popularization...
February 2018: Aging and Disease
https://www.readbyqxmd.com/read/29385941/tarlov-cysts-in-a-woman-with-lumbar-pain
#12
Justin M Lantz, Kimiko A Yamada, Raymond J Hah
A 25-year-old woman presented to her primary care physician with thoracic spine pain; two weeks later, she returned to her primary care physician with lumbar spine pain that limited exercise and sitting for 30 minutes or less. The patient was referred to physical therapy for examination, then referred back to her primary care physician after complaints raised concern for a mass or other source of neurologic compression. Magnetic resonance imaging was performed and revealed 4 sacral perineural (Tarlov) cysts...
February 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29385940/knee-pain-and-mobility-impairments-meniscal-and-articular-cartilage-lesions-revision-2018
#13
David S Logerstedt, David A Scalzitti, Kim L Bennell, Rana S Hinman, Holly Silvers-Granelli, Jay Ebert, Karen Hambly, James L Carey, 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 meniscus and articular cartilage lesions...
February 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29364040/comparison-of-upper-trapezius-and-infraspinatus-myofascial-trigger-point-therapy-by-dry-needling-in-overhead-athletes-with-unilateral-shoulder-impingement-syndrome
#14
Fahimeh Kamali, Ehsan Sinaei, Maryam Morovati
CONTEXT: Chronic musculoskeletal disorders in shoulder joint are often associated with myofascial trigger points (MTrP), particularly in the upper trapezius (UT) muscle. Dry needling (DN) is a treatment of choice for myofascial pain syndrome. However, local lesions and severe post-needle soreness sometimes hamper the direct application of DN in the UT. Therefore, finding an alternative point of treatment seems useful in this regard. OBJECTIVE: To compare the efficacy of UT versus infraspinatus (ISP) DN on pain and disability of subjects with shoulder pain...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29364025/the-utilization-of-interval-throwing-programs-in-the-physical-therapy-setting-a-cross-sectional-survey
#15
Corbin A Hedt, S Brett Holland, Bradley S Lambert, Joshua D Harris, Patrick C McCulloch
CONTEXT: Interval throwing programs (ITP) have long been used in the physical therapy setting to aid in the safe and efficacious return to sport for an overhead athlete. However, the overall utilization and variation of interval throwing programs are unknown in the physical therapy setting leading to potential inconsistencies in treatment paradigms. OBJECTIVE: To determine if differences in practice patterns exist among active physical therapists of various experience levels with regards to years of experience and advanced certifications...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29363053/is-platelet-rich-plasma-prp-effective-in-the-treatment-of-acute-muscle-injuries-a-systematic-review-and-meta-analysis
#16
REVIEW
Alberto Grassi, Francesca Napoli, Iacopo Romandini, Kristian Samuelsson, Stefano Zaffagnini, Christian Candrian, Giuseppe Filardo
BACKGROUND: Muscle lesions account for one-third of sport-related injuries, thus representing a substantial problem for both players and their teams. The use of platelet-rich plasma (PRP) injections is rapidly growing in clinical practice, prompted by an unmet clinical need with a large commercial market. However, after early reports of positive preliminary experience, higher quality studies recently questioned the real benefit provided by PRP injections to promote muscle healing and return to sport...
January 23, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29335854/nonreconstruction-options-for-treating-medial-ulnar-collateral-ligament-injuries-of-the-elbow-in-overhead-athletes
#17
REVIEW
Nicholas J Clark, Vishal S Desai, Joshua D Dines, Mark E Morrey, Christopher L Camp
PURPOSE OF REVIEW: This review aims to describe the nonreconstructive options for treating ulnar collateral ligament (UCL) injuries ranging from nonoperative measures, including physical therapy and biologic injections, to ligament repair with and without augmentation. RECENT FINDINGS: Nonoperative options for UCL injuries include guided physical therapy and biologic augmentation with platelet-rich plasma (PRP). In some patients, repair of the UCL has shown promising return to sport rates by using modern suture and suture anchor techniques...
January 15, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29335629/a-prospective-randomized-evaluation-of-the-feasibility-of-exergaming-on-patients-undergoing-hematopoietic-stem-cell-transplantation
#18
Helge Schumacher, Sabrina Stüwe, Peter Kropp, Doreen Diedrich, Sebastian Freitag, Nico Greger, Christian Junghanss, Mathias Freund, Inken Hilgendorf
The positive effects of physical and sports therapy for strain dependent physical practice and improved quality of life (QoL) are well known. Nevertheless, the available capacities and problem-oriented therapies in the setting of hematopoietic stem cell transplantation (HSCT) are limited. We conducted a prospective, randomized study among 42 HSCT recipients in order to investigate the influence of exergaming on Nintendo Wii® or classical physiotherapy (PT) on physical fitness and psychological well-being. The trial included evaluation of muscle strength, endurance, physical activity, distress, QoL, anxiety, and depression...
January 15, 2018: Bone Marrow Transplantation
https://www.readbyqxmd.com/read/29331594/effects-of-physical-activity-on-the-symptoms-of-tourette-syndrome-a-systematic-review
#19
David D Kim, Darren E R Warburton, Nana Wu, Alasdair M Barr, William G Honer, Ric M Procyshyn
There is irrefutable evidence that routine physical activity or exercise can offer considerable health benefits to individuals living with various mental disorders. However, it is not clear what effect physical activity has on the symptoms of Tourette syndrome. Despite a paucity of evidence, physical activity or exercise has already been recommended by various health organizations for the management of tics. We provide a systematic review of the effects of physical activity or exercise on tic symptomology in individuals with Tourette syndrome...
December 8, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29330176/therapists-experiences-with-a-new-treatment-combining-physical-exercise-and-dietary-therapy-the-ped-t-for-eating-disorders-an-interview-study-in-a-randomised-controlled-trial-at-the-norwegian-school-of-sport-sciences
#20
Maria Bakland, Jorunn Sundgot-Borgen, Rolf Wynn, Jan H Rosenvinge, Annett Victoria Stornæs, Gunn Pettersen
OBJECTIVES: The aim of the current study is to explore how therapists running a guided physical exercise and dietary therapy programme (PED-t) experience their contribution to the treatment of patients with bulimia nervosa and binge eating disorder. METHODS: Ten therapists running the PED-t were semistructurally interviewed and the transcribed interviews were analysed using a systematic text condensation approach. SETTING: The study was run within the context of a randomised controlled trial at the Norwegian School of Sport Sciences...
January 11, 2018: BMJ Open
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