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https://www.readbyqxmd.com/read/29682311/acl-reconstruction-with-hamstring-tendon-autograft-and-accelerated-brace-free-rehabilitation-a-systematic-review-of-clinical-outcomes
#1
Rob P A Janssen, Nicky van Melick, Jan B A van Mourik, Max Reijman, Lodewijk W van Rhijn
Objective: To investigate the clinical outcomes after hamstring tendon autograft ACL reconstruction (ACLR) with accelerated, brace-free rehabilitation. Design: Systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data sources: Embase, MEDLINE Ovid, Web of Science, Cochrane CENTRAL and Google scholar from 1 January 1974 to 31 January 2017. Eligibility criteria for selecting studies: Study designs reporting outcomes in adults after arthroscopic, primary ACLR with hamstring autograft and accelerated, brace-free rehabilitation...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29678170/self-reported-functional-recovery-after-reconstruction-versus-repair-in-acute-anterior-cruciate-ligament-rupture-rotor-a-randomized-controlled-clinical-trial
#2
Barbara C Boer, Roy A G Hoogeslag, Reinoud W Brouwer, Anna Demmer, Rianne M H A Huis In 't Veld
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is today's surgical gold standard for ACL rupture. Although it provides satisfactory results, not all patients return to their previous activity level and moreover, early posttraumatic osteoarthritis is not prevented. As such, a renewed interest has emerged in ACL suture repair combined with dynamic augmentation. Compared to ACL reconstruction, the hypothesized advantages of ACL suture repair are earlier return to sports, reduction of early posttraumatic osteoarthritis and preservation of the patient's native ACL tissue and proprioceptive envelope of the knee...
April 20, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29675503/factors-affecting-subjective-and-objective-outcomes-and-return-to-play-in-anterior-cruciate-ligament-reconstruction-a-retrospective-cohort-study
#3
Federica Rosso, Davide E Bonasia, Umberto Cottino, Simone Cambursano, Federico Dettoni, Roberto Rossi
Purpose  To analyze the prognostic factors influencing subjective and objective outcomes and return to play (RTP) after anterior cruciate ligament reconstruction (ACL-R). Methods  Primary ACL-Rs using a transtibial technique performed between 2008 and 2012 were included. Data regarding patients, surgery, sports, and rehabilitation, including an on-field rehabilitation (OFR) and duration of the rehabilitation program, were collected. The International Knee Documentation Committee (IKDC) subjective and objective evaluation forms, and the Knee Injury and Osteoarthritis Outcome Score and Lysholm questionnaires were used for the assessment of subjective and objective outcomes...
March 2018: Joints
https://www.readbyqxmd.com/read/29671010/-biomechanical-screening-for-injury-prevention-the-importance-of-3d-motion-analysis-in-high-performance-sports
#4
REVIEW
H Dewitz, B Yildirim, P Klein
Standardized clinical diagnostic procedures cannot assess the functionality of the anatomical structures in sport-specific movement. Biomechanical screening is able to detect deficits but is not sufficiently and objectively precise with the current clinical examination tools including conventional imaging techniques. The fields of use of functional testing methods are versatile and range from injury prevention analysis, screening during rehabilitation phases up to the return-to-play decision. Using simple musculoskeletal function analysis it is difficult to assess the risk of injuries...
April 18, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29667429/quadriceps-function-knee-pain-and-self-reported-outcomes-in-patients-with-anterior-cruciate-ligament-reconstruction
#5
Adam S Lepley, Brian Pietrosimone, Marc L Cormier
CONTEXT:   Interactions among muscle strength, pain, and self-reported outcomes in patients with anterior cruciate ligament reconstruction (ACLR) are not well understood. Clarifying these interactions is of clinical importance because improving physical and psychological function is thought to optimize outcomes after ACLR. OBJECTIVE:   To examine the relationships among neuromuscular quadriceps function, pain, self-reported knee function, readiness to return to activity, and emotional response to injury both before and after ACLR...
April 18, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29666879/-muscle-injuries-in-professional-football-treatment-and-rehabilitation
#6
REVIEW
H Riepenhof, R Del Vescovo, J-N Droste, S McAleer, A Pietsch
BACKGROUND: Muscle injuries are common in professional sports, especially in football. Recent epidemiological studies showed that muscle injuries account for more than 30% of professional football injuries (1.8-2.2/1000 h exposure); however, even though there are significant differences within a European comparison, a single professional football team diagnosed on average 12 muscle injuries per season, corresponding to more than 300 availability days lost. OBJECTIVE: The aim of this work is to present the diagnosis, general treatment and comprehensive management of muscle injuries in professional football...
April 17, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29663013/bone-to-bone-integrations-were-complete-within-5-months-after-anatomical-rectangular-tunnel-anterior-cruciate-ligament-reconstruction-using-a-bone-patellar-tendon-bone-graft
#7
Hironari Masuda, Shuji Taketomi, Hiroshi Inui, Naoya Shimazaki, Nobuhiro Nishihara, Seikai Toyooka, Hirotaka Kawano, Takumi Nakagawa
PURPOSE: Anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BTB) graft is known to provide secure fixation due to the direct bone-to-bone integration of the bone plug and bone tunnel. It is important to know the time required for bone integration when designing the postoperative rehabilitation protocol or deciding when the patient can return to competition-level activity, especially if the patient is an athlete. However, because reports are scarce, the period necessary for bone-to-bone integration after ACL reconstruction using a BTB graft remains unclear...
April 16, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29659299/low-1-year-return-to-sport-rate-after-anterior-cruciate-ligament-reconstruction-regardless-of-patient-and-surgical-factors-a-prospective-cohort-study-of-272-patients
#8
Eric Hamrin Senorski, Eleonor Svantesson, Susanne Beischer, Christoffer Thomeé, Roland Thomeé, Jón Karlsson, Kristian Samuelsson
BACKGROUND: There is insufficient knowledge about the way that concomitant injuries affect the short-term likelihood of a return to a knee-strenuous sport after anterior cruciate ligament (ACL) reconstruction. Hypotheses/Purpose: The purpose was to study whether patient characteristics, concomitant injuries, and graft choice at primary ACL reconstruction can predict return to sport (RTS) 1 year after surgery. The hypotheses were that younger age at the time of ACL reconstruction would positively affect RTS, while the presence of concomitant injuries would negatively affect RTS 1 year after surgery...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29627091/applying-scientific-principles-to-enhance-paralympic-classification-now-and-in-the-future-a-research-primer-for-rehabilitation-specialists
#9
REVIEW
Sean M Tweedy, Mark J Connick, Emma M Beckman
Para-sport classification systems define eligibility for Para sport and provide a competition structure that controls for the impact of impairment on the outcome of competition. This article focuses on the classification of para athletes with physical impairments. Development of classification systems based on scientific evidence has only recently been made possible by adoption of a statement of the purpose of classification by the International Paralympic Committee and its member organizations. Rigorous descriptive science can improve extant systems of classification and a recently published study described a data-driven classification structure with validity superior to that of the extant system...
May 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29624450/national-athletic-trainers-association-position-statement-evaluation-management-and-outcomes-of-and-return-to-play-criteria-for-overhead-athletes-with-superior-labral-anterior-posterior-injuries
#10
Lori A Michener, Jeffrey S Abrams, Kellie C Huxel Bliven, Sue Falsone, Kevin G Laudner, Edward G McFarland, James E Tibone, Charles A Thigpen, Timothy L Uhl
OBJECTIVE:   To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:   In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29623751/scapular-muscle-activity-during-static-yoga-postures
#11
Jaclyn N Chopp-Hurley, Courtney Prophet, Brynn Thistle, Jessica Pollice, Monica R Maly
Study Design Controlled laboratory study; cross-sectional. Background Despite the growing popularity of yoga, little is known about the muscle activity of the scapular stabilizers during isometric yoga postures and their potential utility in shoulder rehabilitation. Objectives To examine scapular stabilizer muscle activation during various yoga postures. Methods Twenty women with yoga experience and no shoulder pain or injury participated. Electromyography was used to record upper, middle and lower trapezius as well as serratus ante-rior muscle activity during 15 yoga postures...
April 6, 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
#12
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/29621885/improvement-in-exercise-capacity-and-delayed-anaerobic-metabolism-induced-by-far-infrared-emitting-garments-in-active-healthy-subjects-a-pilot-study
#13
Valentina Mantegazza, Mauro Contini, Maurizia Botti, Ada Ferri, Francesca Dotti, Pierluigi Berardi, Piergiuseppe Agostoni
Background Far-infrared-emitting garments have several biological properties including the capability to increase blood perfusion in irradiated tissues. Design The aim of the study was to evaluate whether far-infrared radiation increases exercise capacity and delays anaerobic metabolism in healthy subjects. Methods With a double-blind, crossover protocol, a maximal cardiopulmonary exercise test was performed in 20 volunteers, wearing far-infrared or common sport clothes, identical in texture and colour. Results Comparing far-infrared with placebo garments, higher oxygen uptake at peak of exercise and longer endurance time were observed (peak oxygen uptake 38...
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29614469/gait-and-functionality-of-individuals-with-visual-impairment-who-participate-in-sports
#14
Edson Soares da Silva, Gabriela Fischer, Rodrigo Gomes da Rosa, Pedro Schons, Luísa Beatriz Trevisan Teixeira, Wouter Hoogkamer, Leonardo Alexandre Peyré-Tartaruga
BACKGROUND: Individuals with visual impairment (VI) have often been observed to walk slower than individuals with unimpaired vision. These observations might be confounded by typical low levels of physical activity and greater sedentary behavior in individuals with VI than the overall population. RESEARCH QUESTION: Here, we compared gait and balance measures between individuals with VI who participate in disability sports, and activity level matched sighted individuals...
March 30, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29609792/-the-nurse-and-the-reconstruction-of-military-casualties-through-sport
#15
REVIEW
Marie-Hedwige Boutet-de Basquiat, Anne Paris, Aline Delalande, Lackhéna Sarhok, Aurore Nguyen, Marie Thomas-Pohl
Soldiers are confronted with physical and mental injuries which constitute a social trauma. The French army has put in place tools, notably sports courses, to favour resilience and the reintegration of casualties. Nurses and nurse assistants working in physical medicine and rehabilitation and psychiatry, play a key role using their skills to support this scheme which runs outside the hospital setting.
April 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29607766/the-physiotherapy-for-femoroacetabular-impingement-rehabilitation-study-physiofirst-a-pilot-randomized-controlled-trial
#16
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/29607764/impairment-based-rehabilitation-following-hip-arthroscopy-postoperative-protocol-for-the-hip-arthroscopy-international-randomized-controlled-trial
#17
Josh Heerey, May Arna Risberg, Janicke Magnus, HÅvard Moksnes, Thomas Ødegaard, Kay Crossley, Joanne L Kemp
Synopsis The number of hip arthroscopies for the management of femoroacetabular impingement syndrome and other hip intra-articular conditions has grown exponentially in the last decade. Postoperative rehabilitation is part of the treatment algorithm, although there is a lack of high-quality studies on the efficacy of both surgery and postoperative rehabilitation programs. It is known that impairments can be present up to 2 years after hip arthroscopy, with individuals exhibiting reduced function and quality of life when compared to those of similar age, highlighting a need to improve postoperative care...
April 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29607763/heterotopic-ossification-following-hip-arthroscopy
#18
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/29602305/rasch-analysis-of-the-activities-specific-balance-confidence-abc-scale-in-older-adults-seeking-outpatient-rehabilitation-services
#19
Ying-Chih Wang, Bhagwant Sindhu, Leigh Lehman, Xiaoyan Li, Sheng-Che Yen, Jay Kapellusch
Study Design Cross-sectional study of 5,012 older patients seeking outpatient rehabilitation therapy in 123 clinics. Background The Activities-Specific Balance Confidence (ABC) Scale measures confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness. Objectives Our purposes were to: (1) examine the ABC Scale (0-100) using the Rasch analysis, (2) assess statistically reliable change, and (3) develop a functional staging to guide clinical interpretation of the patient's improvement...
March 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29602304/effectiveness-of-the-mckenzie-method-mechanical-diagnosis-and-therapy-for-treating-low-back-pain-literature-review-with-meta-analysis
#20
Olivier T Lam, David M Strenger, Matthew Chan-Fee, Paul Thuong Pham, Richard A Preuss, Shawn M Robbins
Study Design Literature review with meta-analysis. Background Mechanical Diagnosis and Therapy (MDT), a classification-based system, aims to classify patients into homogenous subgroups to direct treatment. Objectives To examine MDT's effectiveness for improving pain and disability in patients with either acute (<12 weeks duration) or chronic (>12 weeks duration) low back pain (LBP). Methods Randomized controlled trials examining MDT in patients with LBP were identified from 6 databases. Independent investigators assessed the studies for exclusion, extracted data, and assessed risk of bias...
March 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
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