MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'The Journal of Orthopaedic and Sports Physical Therapy' source. Thu, 27 Oct 2011 22:32:16 +0100 http://www.medworm.com/index.php?rid=5281449&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2649%2Farticle_detail.asp Gary Sutton, Mark R. Erickson, Jairus J. Quesnele, David M. Williams, Christopher D. BlessingJOSPT offers invited reviews of current titles. The October 2011 column includes 5 reviews of the following books: Athletic and Sports Issues in Musculoskeletal Rehabilitation; Biomechanics of Human Motion: Basics and Beyond for the Health Professions; Nerve and Vascular Injuries in Sports Medicine; Assessment and Treatment of Muscle Imbalance: The Janda Approach; and Ther Ex Notes: Clinical Pocket Guide. J Orthop Sports Phys Ther 2011;41(10):797-801. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5281449 Fri, 30 Sep 2011 05:00:00 +0100 5281449 http://www.medworm.com/index.php?rid=5191168&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2621%2Farticle_detail.asp Neck pain is very common. In the United States, between 30% and 50% of people suffer from an aching neck each year. Although neck pain can be caused by injury, most of this pain results from more gradual stresses, such as particular sitting, standing, or work postures, lifting patterns, or sleeping positions. Typical neck pain can also cause headaches, pain between your shoulders, or a feeling of knots in your neck and upper back muscles. Although manual therapy, sometimes called "manipulation," is a common treatment for many types of spine pain, some people are uncomfortable having their necks manipulated. Recently, though, researchers have tested the benefits of a thrust manipulation of the upper back to treat neck pain. A study published in the September 2011 issue of JOSPT pr... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191168 Thu, 01 Sep 2011 05:00:00 +0100 5191168 http://www.medworm.com/index.php?rid=5191167&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2622%2Farticle_detail.asp CONCLUSIONS: This study provides evidence that novice raters can perform digital algometry with adequate reliability for research and clinical use in people with and without neck pain. J Orthop Sports Phys Ther 2011;41(9):644-650. doi:10.2519/jospt.2011.3666 KEY WORDS: algometer, cervical spine, PPT, tibialis anterior (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191167 Thu, 01 Sep 2011 05:00:00 +0100 5191167 http://www.medworm.com/index.php?rid=5191166&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2623%2Farticle_detail.asp CONCLUSIONS: This manuscript presents information regarding the expected scores for PPT testing in people with acute or subacute neck pain. Clinicians can compare the results of individual patients against these population values, and researchers can incorporate the significant confounders of age, sex, and self-reported pain intensity into future research designs. J Orthop Sports Phys Ther 2011;41(9):651-657. doi:10.2519/jospt.2011.3667 KEY WORDS: algometry, cervical pain, hyperalgesia, hypersensitivity, whiplash (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191166 Thu, 01 Sep 2011 05:00:00 +0100 5191166 http://www.medworm.com/index.php?rid=5191165&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2624%2Farticle_detail.asp CONCLUSION: Sex, pain intensity, and PPT measured at a site distal to the injury were the most parsimonious set of predictors of short-term neck-related disability score, and represented promising additions to assessment of traumatic neck pain. Neither age nor PPT at the local site was able to explain significant variance beyond those 3 predictors. Limitations to interpretation are addressed. J Orthop Sports Phys Ther 2011;41(9):658-665. doi:10.2519/jospt.2011.3668 KEY WORDS: cervical spine, neck, PPT, WAD (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191165 Thu, 01 Sep 2011 05:00:00 +0100 5191165 http://www.medworm.com/index.php?rid=5191164&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2625%2Farticle_detail.asp DISCUSSION: This case report highlights the clinical decision-making process and management involved in an acute multiple ligamentous knee injury/reconstruction. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2011;41(9):675-686. doi:10.2519/jospt.2011.3453 KEY WORDS: ACL, anterior cruciate ligament, arthrofibrosis, posterolateral corner (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191164 Thu, 01 Sep 2011 05:00:00 +0100 5191164 http://www.medworm.com/index.php?rid=5191163&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2626%2Farticle_detail.asp CONCLUSION: Women with PTTD demonstrated decreased ankle and hip muscle performance bilaterally. J Orthop Sports Phys Ther 2011;41(9):687-694. doi:10.2519/jospt.2011.3427 KEY WORDS: acquired flatfoot deformity, PTTD, walking (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191163 Thu, 01 Sep 2011 05:00:00 +0100 5191163 http://www.medworm.com/index.php?rid=5191162&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2627%2Farticle_detail.asp Heike Krause, Kim DunleavyThe patient was a 74-year-old man, with a history of total knee arthoplasty 14 years earlier, after having sustained a pathological fracture of the proximal diaphysis of the left tibia following a fall. Given the unstable nature of the fracture and the severe osteolysis noted below the total knee arthroplasty, surgical management 1 day after the fall entailed packing cancellous bone graft into the defect and realigning the fracture. J Orthop Sports Phys Ther 2011;41(9):695. doi:10.2519/jospt.2011.0418 KEY WORDS: bone graft, radiography (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191162 Thu, 01 Sep 2011 05:00:00 +0100 5191162 http://www.medworm.com/index.php?rid=5191161&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2628%2Farticle_detail.asp Theodore CroyThe patient was a 26-year-old man with a history of a nonhealing, complicated right clavicle fracture. He also complained of right medial knee pain that was thought to be insidious in onset and made worse during magnetic resonance imaging, which was done to evaluate the status of the right clavicle fracture. Subsequent to the patient reporting his right knee pain to his orthopaedic surgeon, magnetic resonance imaging of the right knee was ordered. Anterior-to-posterior and lateral radiographs were then ordered by the physical therapist, which identified a radioopaque foreign body along the medial knee within the subcutaneous tissues. J Orthop Sports Phys Ther 2011;41(9):696. doi:10.2519/jospt.2011.0419 KEY WORDS: magnetic resonance imaging, radiography (Source: The Journal of ... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191161 Thu, 01 Sep 2011 05:00:00 +0100 5191161 http://www.medworm.com/index.php?rid=5191160&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2629%2Farticle_detail.asp A selection of products and developments of interest to JOSPT readers. J Orthop Sports Phys Ther 2011;41(9):697-699. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191160 Thu, 01 Sep 2011 05:00:00 +0100 5191160 http://www.medworm.com/index.php?rid=5191159&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2630%2Farticle_detail.asp Correction to an article published in August 2011 of the Journal of Orthopaedic & Sports Physical Therapy: Dolak KL, Silkman C, McKeon JM, Hosey RG, Lattermann C, Uhl TL. Hip strengthening prior to functional exercises reduces pain sooner than quadriceps strengthening in females with patellofemoral pain syndrome: a randomized clinical trial. J Orthop Sports Phys Ther 2011;41(8):560-570. Epub 7 June 2011. doi:10.2519/jospt.2011.3499 J Orthop Sports Phys Ther 2011;41(9):700. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191159 Thu, 01 Sep 2011 05:00:00 +0100 5191159 http://www.medworm.com/index.php?rid=5191170&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2619%2Farticle_detail.asp Michele SterlingIn recent times, there has been increased interest on the identification of nociceptive processes that may underlie various musculoskeletal conditions including neck pain and whiplash-associated disorder (WAD). The latter condition is recalcitrant to conservative treatment approaches and it has been logically reasoned that improved understanding of the processes underlying this and similar conditions may pave the way for the development and testing of improved management strategies. Recent data indicate that augmented central pain processing mechanisms (central hyperexcitability) is a likely feature of various musculoskeletal conditions, including WAD, cervical radiculopathy, and arthritis. More importantly, sensory responses indicative of augmented pain processing have dem... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191170 Wed, 31 Aug 2011 05:00:00 +0100 5191170 http://www.medworm.com/index.php?rid=5191169&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2620%2Farticle_detail.asp CONCLUSIONS: Thoracic spine thrust manipulation may provide short-term improvement in patients with acute or subacute mechanical neck pain. However, the body of literature is weak, and these results may not be generalizable. LEVEL OF EVIDENCE: Therapy, level 1b–. J Orthop Sports Phys Ther 2011;41(9):633-642. doi:10.2519/jospt.2011.3670 KEY WORDS: cervical spine, manipulative therapy, manual therapy (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191169 Wed, 31 Aug 2011 05:00:00 +0100 5191169 http://www.medworm.com/index.php?rid=5085220&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2613%2Farticle_detail.asp CONCLUSION: After ACL reconstruction, both male and female participants at the time of return to sport demonstrated involved limb asymmetries in peak VGRF during landing from a bipedal task. These deficits, which persist at the time of return to sport, may increase the risk of future injury and indicate that rehabilitation after ACL reconstruction may require more targeted interventions to address involved limb biomechanical deficits in athletes of both sexes prior to return to sport participation. J Orthop Sports Phys Ther 2011;41(8):553-559. doi:10.2519/jospt.2011.3591 KEY WORDS: ACL, drop vertical jump, female, male, vertical ground reaction force (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085220 Mon, 01 Aug 2011 05:00:00 +0100 5085220 http://www.medworm.com/index.php?rid=5085219&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2614%2Farticle_detail.asp Healthcare providers usually call pain at the front of your knee or under your kneecap patellofemoral pain syndrome. This pain may cause you to limp and may limit your activities, but there is good news: exercises can reduce knee pain and allow you to return to normal activities without needing surgery. A study published in the August 2011 issue of JOSPT provides new insight and evidence-based exercises to help answer which exercises are best at quickly reducing your pain.  J Orthop Sports Phys Ther 2011;41(8):571. doi:10.2519/jospt.2011.0505 KEY WORDS: hip, patellofemoral pain syndrome (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085219 Mon, 01 Aug 2011 05:00:00 +0100 5085219 http://www.medworm.com/index.php?rid=5085218&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2615%2Farticle_detail.asp Michael Bergin, James M. Elliott, Gwendolen JullThe patient was a 22-year-old male physical therapy student whose tutor suspected the absence of the lower portion of the left trapezius muscle. During left lower trapezius manual muscle testing, it was noted that he was unable to achieve satisfactory control of the left scapula and the left lower trapezius was visibly and palpably absent compared to the right side. Because absence of the lower trapezius muscle was suspected, magnetic resonance imaging was completed to confirm its absence. J Orthop Sports Phys Ther 2011;41(8):614. doi:10.2519/jospt.2011.0416 KEY WORDS: magnetic resonance imaging, neck pain, scapula (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085218 Mon, 01 Aug 2011 05:00:00 +0100 5085218 http://www.medworm.com/index.php?rid=5085217&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2616%2Farticle_detail.asp Joseph Miller, J. Parry GerberThe patient was an 18-year-old male military trainee who presented to a physical therapist with a chief complaint of right ankle pain following a combined plantar flexion-eversion ankle injury 3 days earlier. Based on the suspicion of a fracture, ankle radiographs were ordered by the physical therapist. On the lateral radiographic view, a longitudinal nondisplaced fracture of the posterior aspect of the distal tibia was appreciated. J Orthop Sports Phys Ther 2011;41(8):615. doi:10.2519/jospt.2011.0417 KEY WORDS: ankle, radiography, tibia (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085217 Mon, 01 Aug 2011 05:00:00 +0100 5085217 http://www.medworm.com/index.php?rid=5085216&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2617%2Farticle_detail.asp A selection of important abstracts of articles published in other journals. J Orthop Sports Phys Ther 2011;41(8):616-620. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085216 Mon, 01 Aug 2011 05:00:00 +0100 5085216 http://www.medworm.com/index.php?rid=5085215&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2618%2Farticle_detail.asp Correction to an article published in May 2011 of the Journal of Orthopaedic & Sports Physical Therapy: Briem K, Eythörsdöttir H, Magnúsdóttir RG, Pálmarsson R, Rúnarsdöttir T, Sveinsson T. Effects of Kinesio Tape compared with nonelastic sports tape and the untaped ankle during a sudden inversion perturbation in male athletes. J Orthop Sports Phys Ther 2011;41(5):328-335. doi:10.2519/jospt.2011.3501 J Orthop Sports Phys Ther 2011;41(8):621. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085215 Mon, 01 Aug 2011 05:00:00 +0100 5085215 http://www.medworm.com/index.php?rid=5191172&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2608%2Farticle_detail.asp CONCLUSION: A training program that included hip strengthening and movement training specific to single-leg squatting did not alter running mechanics but did improve single-leg squat mechanics. These results suggest that hip strengthening and movement training, when not specific to running, do not alter abnormal running mechanics. LEVEL OF EVIDENCE: Therapy, level 2b. J Orthop Sports Phys Ther 2011;41(9):625-632, Epub 12 July 2011. doi:10.2519/jospt.2011.3470 KEY WORDS: biomechanics, gluteus, knee, lower extremity (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191172 Tue, 12 Jul 2011 05:00:00 +0100 5191172 http://www.medworm.com/index.php?rid=5191171&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2612%2Farticle_detail.asp CONCLUSION: The results provide preliminary evidence that TrA and IO muscle resting and contracted thicknesses do not change post-SMT in patients with LBP in the LSE subgroup. In addition, while reductions in pain and disability were noted, they were not clinically meaningful. J Orthop Sports Phys Ther 2011;41(9):666-674, Epub 12 July 2011. doi:10.2519/jospt.2011.3685 KEY WORDS: low back pain, manual therapy, motor control exercise, ultrasound imaging (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5191171 Tue, 12 Jul 2011 05:00:00 +0100 5191171 http://www.medworm.com/index.php?rid=5085223&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2609%2Farticle_detail.asp CONCLUSION: No statistically significant association between submaximal isometric quadriceps force steadiness and peak knee external adduction moments during walking was found. It could be speculated that submaximal isometric quadriceps muscle force steadiness and knee joint loads during walking represent 2 distinctive pathways and may have independent influences on knee OA pathogenesis. J Orthop Sports Phys Ther 2011;41(8):592-599, Epub 12 July 2011. doi:10.2519/jospt.2011.3481 KEY WORDS: gait, knee OA, motor control, tibiofemoral joint (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085223 Tue, 12 Jul 2011 05:00:00 +0100 5085223 http://www.medworm.com/index.php?rid=5085222&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2610%2Farticle_detail.asp CONCLUSION: Dancers with AT demonstrate increased peak transverse and frontal plane kinematics when performing the takeoff of a saut de chat. These larger displacements may be either causative or compensatory factors in the development of AT. J Orthop Sports Phys Ther 2011;41(8):606-613, Epub 12 July 2011. doi:10.2519/jospt.2011.3580 KEY WORDS: ankle, biomechanics, dance, hip, leaps, saut de chat, tendon (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085222 Tue, 12 Jul 2011 05:00:00 +0100 5085222 http://www.medworm.com/index.php?rid=5085221&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2611%2Farticle_detail.asp CONCLUSION: The VISA-P-Sp questionnaire proved to be a valid and reliable instrument, sensitive to clinical changes and comparable to the original English-language version. J Orthop Sports Phys Ther 2011;41(8):581-591, Epub 12 July 2011. doi:10.2519/jospt.2011.3613 KEY WORDS: jumper’s knee, outcome measure, tendon, validation (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085221 Tue, 12 Jul 2011 05:00:00 +0100 5085221 http://www.medworm.com/index.php?rid=4991753&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2601%2Farticle_detail.asp Julie M. FritzThe availability of population-based survey data provides a unique opportunity to understand issues related to access and utilization of physical therapy in the United States, and to better gauge public perceptions of the profession. In our day-to-day routine, we all tend to consider our work as physical therapists on a one-to-one level with the patients we serve. Examining data from national population-based surveys can elevate our daily, ground-level viewpoint to a 30 000-foot perspective on the profession. This vantage point allows certain things to come into focus that would otherwise be obscured, and the vision may not always comport with our expectations.J Orthop Sports Phys Ther 2011;41(7):465-466. doi:10.2519/jospt.2011.0105KEY WORDS: physical therapy, population-base... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991753 Fri, 01 Jul 2011 05:00:00 +0100 4991753 http://www.medworm.com/index.php?rid=4991752&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2602%2Farticle_detail.asp We describe what meta-analysis is, what heterogeneity is, and how it affects meta-analysis, effect size, the modeling techniques of meta-analysis, and strengths and weaknesses of meta-analysis. Common components like forest plot interpretation, software that may be used, special cases for meta-analysis, such as subgroup analysis, individual patient data, and meta-regression, and a discussion of criticisms, are included. J Orthop Sports Phys Ther 2011;41(7):496-504. doi:10.2519/jospt.2011.3333KEY WORDS: forest plot, literature review, statistical analysis, systematic review (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991752 Fri, 01 Jul 2011 05:00:00 +0100 4991752 http://www.medworm.com/index.php?rid=4991751&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2603%2Farticle_detail.asp Carrie W. Hoppes, Robert J. Bahr, Benjamin K. PotterThe patient was a 23-year-old man currently serving in the military who presented to a direct access physical therapy clinic with a chief complaint of left elbow pain. Due to the traumatic mechanism of the injury and the patient's inability to fully extend his elbow, radiographs were ordered by the physical therapist. The lateral radiograph revealed a small triangular fracture fragment overlying the region of the coronoid process. The patient was referred to an orthopaedic surgeon who recommended conservative management.J Orthop Sports Phys Ther 2011;41(7):532. doi:10.2519/jospt.2011.0414KEY WORDS: elbow, radiography (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991751 Fri, 01 Jul 2011 05:00:00 +0100 4991751 http://www.medworm.com/index.php?rid=4991750&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2604%2Farticle_detail.asp Marco Barbero, Duccio BoscheriniThe patient was a 50-year-old woman who was referred to a physical therapist for management of chronic low back pain. Intervention by the physical therapist included therapeutic exercises and manual therapy. However, after 3 weeks, the patient was referred to a neurosurgeon due to worsening of symptoms and failure to respond to conservative interventions. Lumbar spine magnetic resonance imaging and myelography revealed a lesion consistent with a synovial cyst at the level of the left L3-4 facet joint. Following surgical excision of the cyst, the patient's symptoms resolved completely.J Orthop Sports Phys Ther 2011;41(7):533. doi:10.2519/jospt.2011.0415KEY WORDS: low back pain, magnetic resonance imaging, myelography (Source: The Journal of Orthopaedic an... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991750 Fri, 01 Jul 2011 05:00:00 +0100 4991750 http://www.medworm.com/index.php?rid=4991749&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2605%2Farticle_detail.asp Markus Melloh, Thomas BarzLetters to the Editor-in-Chief of JOSPT as follows:"Structural LSI Can Occur in the Absence of Functional LSI" and Authors' ResponseJ Orthop Sports Phys Ther 2011;41(7):534-535. doi:10.2519/jospt.2011.0201 (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991749 Fri, 01 Jul 2011 05:00:00 +0100 4991749 http://www.medworm.com/index.php?rid=4991748&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2606%2Farticle_detail.asp William Martinez, Jackie L. Whittaker, Michael Leal, Bryan Dennison, Kevin E. Baker, Andrew O'Donnell, Louis C. Almekinders, Gordon J. AlderinkJOSPT offers invited reviews of current titles. The July 2011 column includes 5 reviews of the following books: Treat Your Own Shoulder; Musculoskeletal Ultrasound With MRI Correlations; Clinical Prediction Rules: A Physical Therapy Reference Manual; MRI for Orthopaedic Surgeons; and Examination of Musculoskeletal Injuries: Third Edition. J Orthop Sports Phys Ther 2011;41(7):536-540. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991748 Fri, 01 Jul 2011 05:00:00 +0100 4991748 http://www.medworm.com/index.php?rid=5085227&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2593%2Farticle_detail.asp CONCLUSIONS: Trunk balance exercises combined with flexibility exercises were found to be more effective than a combination of strength and flexibility exercises in reducing disability and improving the physical component of quality of life in patients with chronic low back pain. LEVEL OF EVIDENCE: Therapy, level 1b–. J Orthop Sports Phys Ther 2011;41(8):542-552. Epub 7 June 2011. doi:10.2519/jospt.2011.3413 KEY WORDS: LBP, lumbar spine, stabilization (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085227 Tue, 07 Jun 2011 05:00:00 +0100 5085227 http://www.medworm.com/index.php?rid=5085226&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2594%2Farticle_detail.asp CONCLUSION: Both rehabilitation approaches improved function and reduced pain. For patients with PFPS, initial hip strengthening may allow an earlier dissipation of pain than exercises focused on the quadriceps. LEVEL OF EVIDENCE: Therapy, level 2b–. J Orthop Sports Phys Ther 2011;41(8):560-570. Epub 7 June 2011. doi:10.2519/jospt.2011.3499 KEY WORDS: anterior knee pain, clinical trial, kinetic chain, knee rehabilitation (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085226 Tue, 07 Jun 2011 05:00:00 +0100 5085226 http://www.medworm.com/index.php?rid=5085225&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2595%2Farticle_detail.asp CONCLUSION: The current study provides a detailed GPS analysis of the physical demands of international Rugby Union players. These data, when combined with game video footage, may assist sports medicine professionals in understanding the demands of the game and mechanism of injury, as well as improving injury rehabilitation. J Orthop Sports Phys Ther 2011;41(8):600-605, Epub 7 June 2011. doi:10.2519/jospt.2011.3508 KEY WORDS: GPS, rugby, scrums, tackles (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085225 Tue, 07 Jun 2011 05:00:00 +0100 5085225 http://www.medworm.com/index.php?rid=5085224&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2599%2Farticle_detail.asp Jackie L. Whittaker, Maria StokesSYNOPSIS: There is a growing trend in the physical therapy profession to use conventional grayscale brightness (B-mode) ultrasound imaging (USI) as a tool to assess the morphological (form and structure) and morphometric (measures of form) characteristics of muscle, and to use these findings to draw conclusions regarding muscle function. This trend is reflected in numerous published investigations. As many physical therapists may lack training in the principles and instrumentation underlying USI use, it is critical that therapists gain a clear understanding of the information that USI can, and cannot, provide about muscle function before employing the technique for either research or clinical applications. Failure to do so may result in the propagation of i... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=5085224 Tue, 07 Jun 2011 05:00:00 +0100 5085224 http://www.medworm.com/index.php?rid=4991756&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2597%2Farticle_detail.asp CONCLUSION: Sociodemographic and clinical factors are associated with those who get MD/PT care as compared to MD or DC care. We found evidence of an access disparity for physical therapy and identified population characteristics that both increase and reduce the likelihood of physical therapy service use. J Orthop Sports Phys Ther 2011;41(7):467-476, Epub 7 June 2011. doi:10.2519/jospt.2011.3637 KEY WORDS: health services utilization, low back pain, neck pain, treatment (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991756 Tue, 07 Jun 2011 05:00:00 +0100 4991756 http://www.medworm.com/index.php?rid=4991755&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2598%2Farticle_detail.asp CONCLUSIONS: The final multivariable model, including mother’s BME, percent trunk fat, and sitting trunk angle, explained 28% of the variance in BME performance, suggesting that for successful BME intervention a range of multidimensional variables should be considered. J Orthop Sports Phys Ther 2011;41(7):486-495, Epub 7 June 2011. doi:10.2519/jospt.2011.3638 KEY WORDS: Beiring-Sorenson, erector spinae, low back pain, lumbar spine (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991755 Tue, 07 Jun 2011 05:00:00 +0100 4991755 http://www.medworm.com/index.php?rid=4991754&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2600%2Farticle_detail.asp CONCLUSION: Focused screening for degenerative disc disease, obesity, and headache may be warranted. However, the same strategy was not supported for total number or severe comorbidities, at least when considering comparative rates from this cohort. Physical therapists should consider the potential influence of total number and severe comorbidities equally for all anatomical regions of musculoskeletal pain. LEVEL OF EVIDENCE: Differential diagnosis/symptom prevalence, level 3b. J Orthop Sports Phys Ther 2011;41(7):477-485, Epub 7 June 2011. doi:10.2519/jospt.2011.3686 KEY WORDS: comorbidity, medical screening, musculoskeletal pain (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991754 Tue, 07 Jun 2011 05:00:00 +0100 4991754 http://www.medworm.com/index.php?rid=4891548&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2585%2Farticle_detail.asp A torn anterior cruciate ligament (ACL), followed by reconstruction surgery, can be devastating for an athlete. Advances in physical therapy now help athletes improve rapidly during the early period after surgery. However, guidelines on how to determine if it is safe to return to sport are more general and vary widely. Athletes and the people who care about and for them need reliable and valid methods to determine when they are ready to return to sport. A study published in the June 2011 issue of JOSPT provides new insight and evidence-based tools to help answer this question. J Orthop Sports Phys Ther 2011;41(6):388. doi:10.2519/jospt.2011.0504 KEY WORDS: anterior cruciate ligament, hop tests, knee, prevention (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891548 Tue, 31 May 2011 05:00:00 +0100 4891548 http://www.medworm.com/index.php?rid=4891547&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2586%2Farticle_detail.asp CONCLUSION: PM muscle lengthening estimates were not linearly proportioned to shoulder joint motions, and varied for 3 portions of the PM. This information may help clinicians and researchers to estimate lengthening of PM portions throughout measurable shoulder motions. J Orthop Sports Phys Ther 2011;41(6):417-426. doi:10.2519/jospt.2011.3358KEY WORDS: exercises, modeling, neoplasms, shoulder, x-ray computed tomography VIDEOTo download a PowerPoint slideshow containing demonstrative video clips, please right click the link below and select Save Target As. June2011-Stegink-Jansen-Video.zip (26 MB) (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891547 Tue, 31 May 2011 05:00:00 +0100 4891547 http://www.medworm.com/index.php?rid=4891546&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2587%2Farticle_detail.asp Mary Beth Downs, Cindy LaPorteSYNOPSIS: Sensory testing is a common noninvasive method of evaluating nerve function that relies on the knowledge of skin dermatomes and sensory fields of cutaneous nerves. Research to determine the extent of the dermatomes was conducted in Europe during the late nineteenth and early twentieth centuries. Experiments performed on cadavers, monkeys, and human patients prior to 1948 resulted in the creation of similar but somewhat different dermatome maps. A radically different map with long, swirling dermatomes was produced by Keegan and Garrett in 1948. This map was derived largely by examining compression of dorsal nerve roots by vertebral disc herniation. The maps appearing in textbooks are inconsistent. Some books show a version of the early maps, some show... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891546 Tue, 31 May 2011 05:00:00 +0100 4891546 http://www.medworm.com/index.php?rid=4891545&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2588%2Farticle_detail.asp This report reviews the history, physical exam, and diagnostic imaging findings of a patient with the above symptoms. This patient, who had a history of multiple cervical spine injuries, was examined with 2 manual therapy provocative tests: the Sharp-Purser test, which is intended to stress the transverse ligament and odontoid, and the modified lateral shear test, which is intended to stress the alar ligaments. The lateral shear test was perceived as demonstrating excessive mobility and a soft end feel, with a “shift” of C1 on C2. Stress cervical radiographs, obtained using open-mouth projections in neutral, left, and right cervical lateral flexion, revealed a 3-mm lateral offset of the right lateral mass of C1 on C2. MRI evaluation of the lower cervical spine did not reveal an... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891545 Tue, 31 May 2011 05:00:00 +0100 4891545 http://www.medworm.com/index.php?rid=4891544&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2589%2Farticle_detail.asp Joseph A. Shrader, Galen O. JoeThe patient was a 45-year-old woman who was referred to a physical therapist and a physiatrist in a rehabilitation medicine department for evaluation and treatment of severe bilateral lower leg, ankle, and foot pain. The patient’s past medical history was significant for sickle cell disease and she had undergone an allogeneic stem cell transplant 4 months prior with Sirolimus prescribed to prevent rejection. Magnetic resonance imaging of both lower legs revealed extensive bone marrow edema, as well as soft tissue swelling about the lower legs and ankles. These findings, along with the patient’s presentation (constant bilateral pain and erythema of the lower legs within 6 months of transplantation) were found to be consistent with an atypical condi... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891544 Tue, 31 May 2011 05:00:00 +0100 4891544 http://www.medworm.com/index.php?rid=4891543&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2590%2Farticle_detail.asp Ashley H. Burns, Reg B. Wilcox IIIThe patient was a 39-year-old woman with a 3-month history of worsening right distal humerus pain that was insidious in onset. At the time of the initial physical therapy visit, the patient complained of weakness and numbness throughout the entire right upper extremity, with an inability to perform daily activities. Magnetic resonance imaging revealed extensive bone marrow signal abnormalities extending from the proximal humeral epiphysis to the distal humeral diaphysis. Further evaluation with radiographs and computed tomography revealed multiple lytic lesions through the humerus. Tissue biopsy confirmed a diagnosis of cystic fibrous dysplasia. J Orthop Sports Phys Ther 2011;41(6):459. doi:10.2519/jospt.2011.0413 KEY WORDS: arm, computed tomography, magne... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891543 Tue, 31 May 2011 05:00:00 +0100 4891543 http://www.medworm.com/index.php?rid=4891542&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2591%2Farticle_detail.asp A selection of products and developments of interest to JOSPT readers. J Orthop Sports Phys Ther 2011;41(6):460-463. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891542 Tue, 31 May 2011 05:00:00 +0100 4891542 http://www.medworm.com/index.php?rid=4882722&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2584%2Farticle_detail.asp Terese L. ChmielewskiSports fans know that movement patterns are important for athletic performance. Similarly, clinicians know that addressing abnormal movement patterns after an anterior cruciate ligament (ACL) reconstruction is important for a successful return to sport. The kinematic (motion) component of movement patterns is more easily observed than the kinetic (forces) component, thus more commonly addressed in ACL reconstruction rehabilitation. Ignoring the kinetic component, though, could impede a successful return to sport. Asymmetrical lower extremity loading has been reported in a variety of activities following ACL reconstruction, and may contribute to both short- and long-term consequences. It is important that clinicians become aware of the potential for asymmetrical lower e... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4882722 Tue, 31 May 2011 05:00:00 +0100 4882722 http://www.medworm.com/index.php?rid=4767490&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2579%2Farticle_detail.asp Whether you are the pitcher, coach, or concerned parent, the health of the athlete’s throwing arm is very important. A better understanding of the forces that occur during different types of baseball throws could lead to improved guidelines, helping to boost performance while preventing injuries. A study published in the May 2011 issue of JOSPT provides new insight into the forces placed on the shoulder and elbow during flat-ground and long-toss throws. J Orthop Sports Phys Ther 2011;41(5):304. doi:10.2519/jospt.2011.0503 KEY WORDS: elbow, pitcher, shoulder, throwing (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767490 Fri, 29 Apr 2011 05:00:00 +0100 4767490 http://www.medworm.com/index.php?rid=4767489&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2580%2Farticle_detail.asp Craig P. Hensley, Julia BurletteThe patient was a 57-year-old female who was referred to a physical therapist by an otolaryngologist with the diagnosis of postural dizziness. Findings from the physical therapist’s evaluation were discussed with the patient’s physician, who then ordered magnetic resonance imaging of the brain, which revealed a pituitary mass. The patient was referred to an endocrinologist and was diagnosed with a nonfunctioning pituitary adenoma. J Orthop Sports Phys Ther 2011;41(5):364. doi:10.2519/jospt.2011.0409 KEY WORDS: brain, headache, magnetic resonance imaging (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767489 Fri, 29 Apr 2011 05:00:00 +0100 4767489 http://www.medworm.com/index.php?rid=4767488&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2581%2Farticle_detail.asp Rami Weinberg, Stephen ReischlThe patient was a 28-year-old man with a history of a fracture at the base of the fifth metatarsal. At the time of the initial physical therapist evaluation, review of the patient’s most recent radiographic findings demonstrated nearly complete healing of the fracture at the base of the fifth metatarsal. After 3 weeks of physical therapist intervention, minimal pain reduction was noted. Therefore, the patient was referred for a new series of foot radiographs, which demonstrated complete healing of the fracture at the base of the fifth metatarsal and no insult to the os peroneum. These radiographic findings allowed the physical therapist to confidently proceed with conservative management. J Orthop Sports Phys Ther 2011;41(5):365. doi:10.2519/jospt.2011.0... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767488 Fri, 29 Apr 2011 05:00:00 +0100 4767488 http://www.medworm.com/index.php?rid=4767487&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2582%2Farticle_detail.asp Susanne Rein, Caroline LeclercqThe patient was an 18-year-old male rock climber who was referred to a hand surgeon with a chief complaint of worsening pain in the proximal phalanx of his right middle finger. Past surgical history for the patient included surgical reconstruction of the A2 and A3 pulleys of the left middle finger 2 years prior, following a finger injury that occurred while rock climbing.  While the A2 pulley was ruptured, the A3 pulley was absent and replaced by loose fibrous connective tissue. Magnetic resonance imaging was ordered, which demonstrated findings consistent with an absent A3 pulley of the right middle finger. Intraoperatively, these findings were confirmed and surgical reconstruction was performed. J Orthop Sports Phys Ther 2011;41(5):366. doi:10.2519/jos... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767487 Fri, 29 Apr 2011 05:00:00 +0100 4767487 http://www.medworm.com/index.php?rid=4767486&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2583%2Farticle_detail.asp A selection of important abstracts of articles published in other journals. J Orthop Sports Phys Ther 2011;41(5):367-372. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767486 Fri, 29 Apr 2011 05:00:00 +0100 4767486 http://www.medworm.com/index.php?rid=4991757&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2577%2Farticle_detail.asp DISCUSSION: Taping improved symptoms and function in this small case series. One possible explanation for this improvement may be the alteration of soft tissue alignment. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2011;41(7):514-519, Epub 6 April 2011. doi:10.2519/jospt.2011.3569KEY WORDS: overuse syndrome, tape, thumb, wrist (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991757 Wed, 06 Apr 2011 05:00:00 +0100 4991757 http://www.medworm.com/index.php?rid=4891550&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2576%2Farticle_detail.asp CONCLUSION: A single application of an MET for the GHJ horizontal abductors provides immediate improvements in both GHJ horizontal adduction and internal rotation ROM in asymptomatic collegiate baseball players. Application of MET for the horizontal abductors may be useful to gain ROM in overhead athletes. LEVEL OF EVIDENCE: Therapy, level 2b-. J Orthop Sports Phys Ther 2011;41(6):400-407, Epub 6 April 2011. doi:10.2519/jospt.2011.3292KEY WORDS: baseball, manual therapy, pitching, rehabilitation, stretching (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891550 Wed, 06 Apr 2011 05:00:00 +0100 4891550 http://www.medworm.com/index.php?rid=4891549&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2578%2Farticle_detail.asp CONCLUSION: These findings provide evidence that clinical improvement following SMT is associated with increased thickening of the LM muscle during a submaximal task. LEVEL OF EVIDENCE: Prognosis, level 4. J Orthop Sports Phys Ther 2011;41(6):389-399, Epub 6 April 2011. doi:10.2519/jospt.2011.3632KEY WORDS: low back pain, muscle contraction, transversus abdominis, ultrasound (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891549 Wed, 06 Apr 2011 05:00:00 +0100 4891549 http://www.medworm.com/index.php?rid=4767492&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2574%2Farticle_detail.asp CONCLUSION: Although screening for elevated fear-avoidance beliefs of physical activities significantly improves the FS outcomes predictive model, the amount of additional meaningful interpretation of FS outcomes was minimal. Exploration of other clinically relevant variables designed to improve outcomes prediction is warranted. LEVEL OF EVIDENCE: Prognosis, level 2c. J Orthop Sports Phys Ther 2011;41(5):336-345, Epub 6 April 2011. doi:10.2519/jospt.2011.3534KEY WORDS: computerized adaptive testing, outpatient rehabilitation, patient demographics, prediction models (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767492 Wed, 06 Apr 2011 05:00:00 +0100 4767492 http://www.medworm.com/index.php?rid=4767491&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2575%2Farticle_detail.asp CONCLUSIONS: Women with minimal, mild/moderate, or severe CTS exhibited less cervical range of motion compared to women of a similar age, suggesting that restricted cervical range of motion may be a common feature in individuals with CTS, independent of severity subgroups, as defined by electrodiagnosis. Future research should investigate cervical range of motion as a possible consequence or causative factor of CTS and related symptoms.J Orthop Sports Phys Ther 2011;41(5):305-310, Epub 6 April 2011. doi:10.2519/jospt.2011.3536KEY WORDS: CTS, electrodiagnosis, median nerve, neck, wrist (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767491 Wed, 06 Apr 2011 05:00:00 +0100 4767491 http://www.medworm.com/index.php?rid=4669551&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2573%2Farticle_detail.asp CONCLUSION: The IAROM device provides valid and reliable measurement of ankle dorsiflexion ROM. The IAROM device also allows calculation of stiffness by measuring ROM at multiple torque levels, although the reliability of the measurement is not optimal.J Orthop Sports Phys Ther 2011;41(4):274-280. doi:10.2519/jospt.2011.3397KEY WORDS: IAROM, plantar flexors, stiffness, talocrural joint (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4669551 Fri, 01 Apr 2011 05:00:00 +0100 4669551 http://www.medworm.com/index.php?rid=4663223&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2569%2Farticle_detail.asp Each year, about 200 000 patients decide to have a hip replacement. An important factor to consider is the recovery process following surgery. Researchers have found that most patients have decreased pain and improved ability to perform their daily activities after a hip replacement. However, what remains unknown is how long it takes to recover. In its April 2011 issue, JOSPT published a research study providing new evidence that can help you understand the time needed to recover after this surgery and how soon you will be able to walk more easily. J Orthop Sports Phys Ther 2011;41(4):240. doi:10.2519/jospt.2011.0502 KEY WORDS: hip pain, recovery (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663223 Fri, 01 Apr 2011 05:00:00 +0100 4663223 http://www.medworm.com/index.php?rid=4663222&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2570%2Farticle_detail.asp Tracy J. Brudvig, Mary FletcherThe patient was a 54-year-old woman with a 5-month history of worsening dizziness with head movements. She also complained of mild coordination problems and intermittent numbness and tingling in both upper extremities. Magnetic resonance imaging of the brain and orbits ordered by the patient’s neurologist revealed a left orbital mass thought to represent a benign optic nerve sheath meningioma. Management included close monitoring of the patient’s vision by the neurologist and referral to a physical therapist. On observation, the patient demonstrated a slowed gait and an inability to tandem walk. Range-of-motion assessment of the cervical spine revealed full pain-free motion. Although no visual deficits were noted, the patient complained of dizzine... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663222 Fri, 01 Apr 2011 05:00:00 +0100 4663222 http://www.medworm.com/index.php?rid=4663221&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2571%2Farticle_detail.asp Shanan L. Richard, Sharon S. Wang, Timothy J. GeorgelasThe patient was a 42-year-old woman who was referred to a physical therapist with diagnoses of lumbar degenerative joint disease and a left ankle fracture. The patient reported an insidious onset of low back and left lower extremity pain, which began approximately 2 years prior to referral. She reported having difficulties with balance, which ultimately led to a fall 1 year after her low back and left lower extremity pain began. Her fall resulted in a left ankle fracture that required open reduction and internal fixation. Magnetic resonance imaging of her brain and spine revealed a diffuse, abnormally increased cord signal. The patient was diagnosed with a thoracic syrinx, which is a longitudinal fluid-filled cavity along the spinal co... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663221 Fri, 01 Apr 2011 05:00:00 +0100 4663221 http://www.medworm.com/index.php?rid=4663220&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2572%2Farticle_detail.asp Corey M. Snyder, Michelle Lanouette, Michael E. Biller, Cynthia M. Chiarello, Marnie Vanden Noven, Marc T. Crawford, Joseph M. DavidJOSPT offers invited reviews of current titles. The April 2011 column includes 7 reviews of the following books: Arthroscopic Techniques of the Hip: A Visual Guide; Neurotrauma and Critical Care of the Spine; Therapeutic Exercise for Musculoskeletal Injuries: Third Edition; Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation, Second Edition; Effective Functional Progressions in Sport Rehabilitation; Aquatic Exercise for Rehabilitation and Training; and Core: Clinical Orthopaedic Exam. J Orthop Sports Phys Ther 2011;41(4):283-287. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663220 Fri, 01 Apr 2011 05:00:00 +0100 4663220 http://www.medworm.com/index.php?rid=4663219&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2573%2Farticle_detail.asp CONCLUSION: The IAROM device provides valid and reliable measurement of ankle dorsiflexion ROM. The IAROM device also allows calculation of stiffness by measuring ROM at multiple torque levels, although the reliability of the measurement is not optimal.J Orthop Sports Phys Ther 2011;41(4):274-280. doi:10.2519/jospt.2011.3397KEY WORDS: IAROM, plantar flexors, stiffness, talocrural joint (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663219 Fri, 01 Apr 2011 05:00:00 +0100 4663219 http://www.medworm.com/index.php?rid=4531409&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2565%2Farticle_detail.asp Guy G. SimoneauDuring APTA's Combined Sections Meeting in New Orleans, Louisiana in February 2011, the Journal of Orthopaedic & Sports Physical Therapy recognized for the seventh time the most outstanding research article and clinical practice article published in JOSPT within a calendar year. The JOSPT Excellence in Research Award is presented to the best article published within the category of research reports. The George G. Davies - James A. Gould Excellence in Clinical Inquiry Award is given to the best article among the categories of case reports, resident's case problems, clinical commentaries, and literature reviews. An award committee consisting of the JOSPT editor-in-chief, 2 JOSPT associate editors, and the research chairs of the Orthopaedic and Sports Physical Thera... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531409 Tue, 01 Mar 2011 05:00:00 +0100 4531409 http://www.medworm.com/index.php?rid=4531408&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2566%2Farticle_detail.asp Norman W. Gill, Lisa N. Konitzer, Carrie W. HoppesThe patient was a 27-year-old woman with an 18-month history of low back pain that was insidious in onset. She worked as a military pilot, and her pain was unresponsive to all nonsurgical measures. Magnetic resonance imaging revealed a L4-5 herniated nucleus pulposus, and 6 months later the patient underwent an L4-5 microdiscectomy. However, due to continued debilitating pain, she was medically removed from flight status and was pending discharge from the military. The patient underwent an L4-5 total disc replacement using the Maverick disc prosthesis. The patient began treatment with a physical therapist 1 month after total disc replacement surgery. At 6 months, 1 year, and 2 years following total disc replacement, Oswestry Disability Inde... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531408 Tue, 01 Mar 2011 05:00:00 +0100 4531408 http://www.medworm.com/index.php?rid=4531407&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2567%2Farticle_detail.asp Cameron W. MacDonald, Paul E. MintkenThe patient was a 41-year-old man who was referred to a physical therapist with a chief complaint of right anterior hip/groin pain. The patient’s symptoms started 6 months earlier after dunking a basketball and were exacerbated while moving boxes 4 months later. The patient reported morning stiffness and constant pain that was exacerbated by squatting and prolonged sitting. Right hip range of motion was limited to 85° of flexion and 0° of internal rotation with a painful “pinching” sensation noted in the groin region at end range of motion; these range-of-motion findings were consistent with a clinical diagnosis of hip osteoarthritis. Given the lack of improvement with conservative measures, the patient was referred to an ortho... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531407 Tue, 01 Mar 2011 05:00:00 +0100 4531407 http://www.medworm.com/index.php?rid=4531406&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2568%2Farticle_detail.asp A selection of products and developments of interest to JOSPT readers. J Orthop Sports Phys Ther 2011;41(3):202-206. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531406 Tue, 01 Mar 2011 05:00:00 +0100 4531406 http://www.medworm.com/index.php?rid=4991759&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2558%2Farticle_detail.asp CONCLUSION: Low-intensity pulsed ultrasound produced by a conventional therapeutic ultrasound unit can positively influence the calcaneus tendon healing process in rats. J Orthop Sports Phys Ther 2011;41(7):526-531, Epub 2 February 2011. doi:10.2519/jospt.2011.3468 KEY WORDS: biomechanical testing, physical agents, therapeutic ultrasound (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991759 Fri, 18 Feb 2011 05:00:00 +0100 4991759 http://www.medworm.com/index.php?rid=4991758&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2560%2Farticle_detail.asp CONCLUSION: On average, select knee angles will be maintained by the general population during the select heel raise test versions, but individualized performance is variable and total repetitions do not distinguish between versions. Clinicians should, therefore, interpret select heel raise test outcomes with caution when used to respectively assess and rehabilitate soleus and gastrocnemius function. J Orthop Sports Phys Ther 2011;41(7):505-513, Epub 18 February 2011. doi:10.2519/jospt.2011.3489 KEY WORDS: Achilles tendon, ankle, triceps surae (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4991758 Fri, 18 Feb 2011 05:00:00 +0100 4991758 http://www.medworm.com/index.php?rid=4891551&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2564%2Farticle_detail.asp CONCLUSION: Only 3 studies presented in this literature review were of high quality. Because all of the included studies assessed diagnostic accuracy among subclassifications of individuals suspected of having TMD, the ability of any of these tests to distinguish between patients with TMD versus patients without TMD remains unknown. Because of the lack of clear findings indicating compelling evidence for clinical diagnosis of TMD, and because of the low quality of most of these studies, the data are insufficient to support or reject these tests. LEVEL OF EVIDENCE: Diagnosis, level 2a–. J Orthop Sports Phys Ther 2011;41(6):408-416, Epub 18 February 2011. doi:10.2519/jospt.2011.3644KEY WORDS: head, jaw, TMJ (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891551 Fri, 18 Feb 2011 05:00:00 +0100 4891551 http://www.medworm.com/index.php?rid=4767494&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2561%2Farticle_detail.asp DISCUSSION: All patients responded well to our program. This case series suggests that patients with clinical evidence of an acetabular labral tear confirmed with MRI can show meaningful improvement with nonsurgical intervention. LEVEL OF EVIDENCE: Therapy, level 4.J Orthop Sports Phys Ther 2011;41(5):346-353, Epub 18 February 2011. doi:10.2519/jospt.2011.3225KEY WORDS: acetabulum, hip, labrum, rehabilitation (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767494 Fri, 18 Feb 2011 05:00:00 +0100 4767494 http://www.medworm.com/index.php?rid=4767493&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2562%2Farticle_detail.asp CONCLUSION: The variation in methods provided very different results. This illustrates the importance of comparing methodologies and reporting a range of values associated with the MCII, as such values vary, depending upon the methodology chosen. J Orthop Sports Phys Ther 2011;41(5):319-327, Epub 18 February 2011. doi:10.2519/jospt.2011.3515KEY WORDS: outcome assessment, rehabilitation, task performance and analysis, timed up and go (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767493 Fri, 18 Feb 2011 05:00:00 +0100 4767493 http://www.medworm.com/index.php?rid=4663226&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2557%2Farticle_detail.asp CONCLUSION: When measured from the habitual standing position, thoracic extension range of motion in young individuals is small and poorly correlated with the magnitude of the standing thoracic kyphosis. Unloaded positions (4-point kneeling and prone), compared to positions that load the spine (standing and sitting), appear to promote a greater range of thoracic extension motion.J Orthop Sports Phys Ther 2011;41(4):266-273, Epub 18 February 2011. doi:10.2519/jospt.2011.3456KEY WORDS: biomechanics, kyphosis, movement analysis, range of motion (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663226 Fri, 18 Feb 2011 05:00:00 +0100 4663226 http://www.medworm.com/index.php?rid=4663225&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2559%2Farticle_detail.asp CONCLUSION: These data suggest that, in patients with cervical, upper extremity, lumbar, or lower extremity complaints, fear-avoidance beliefs may have a similar influence on intake and change scores for pain intensity and function. General assessment of fear-avoidance beliefs using the FABQ-PA, especially to predict change scores, may be appropriate for use in patients with various musculoskeletal pain conditions.J Orthop Sports Phys Ther 2011;41(4):249-259, Epub 18 February 2011. doi:10.2519/jospt.2011.3488KEY WORDS: cervical spine, chronic low back pain, pain intensity, upper extremity (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663225 Fri, 18 Feb 2011 05:00:00 +0100 4663225 http://www.medworm.com/index.php?rid=4663224&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2563%2Farticle_detail.asp CONCLUSION: Patients with neck pain who met 4 of 6 of the CPR criteria for successful treatment of neck pain with a thoracic spine TJM demonstrated a more favorable response when the TJM was directed to the cervical spine rather than the thoracic spine. Patients receiving cervical TJM also demonstrated fewer transient side-effects. LEVEL OF EVIDENCE: Therapy, level 1b. J Orthop Sports Phys Ther 2011;41(4):208-220, Epub 18 February 2011. doi:10.2519/jospt.2011.3640KEY WORDS: clinical prediction rule, manual therapy, mobilization, prognosis (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663224 Fri, 18 Feb 2011 05:00:00 +0100 4663224 http://www.medworm.com/index.php?rid=4891553&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2550%2Farticle_detail.asp CONCLUSIONS: The IRD and abdominal muscle function of postpartum women improved but had not returned to normal values at 6 months after childbirth. Future research is essential to explore the need for intervention and, if needed, the effectiveness of specific intervention to reduce the size of IRD in postpartum women. J Orthop Sports Phys Ther 2011;41(6):435-443, Epub 2 February 2011. doi:10.2519/jospt.2011.3507KEY WORDS: abdomen, linea alba, pregnancy, rectus abdominis, strength (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891553 Wed, 02 Feb 2011 05:00:00 +0100 4891553 http://www.medworm.com/index.php?rid=4891552&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2552%2Farticle_detail.asp CONCLUSIONS: These findings indicate that, while unilateral deficits are present in individuals following ACL reconstruction, they may not be evident during bipedal performance or during modified versions of double-limb performance activities. Isolation of the involved limb with unilateral hopping tasks should be used to identify deficits in performance.J Orthop Sports Phys Ther 2011;41(6):377-387, Epub 2 February 2011. doi:10.2519/jospt.2011.3547KEY WORDS: anterior cruciate ligament, hop tests, knee, prevention (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4891552 Wed, 02 Feb 2011 05:00:00 +0100 4891552 http://www.medworm.com/index.php?rid=4767496&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2547%2Farticle_detail.asp CONCLUSION: While oscillatory joint mobilization to a force of 5 N resulted in temporary elongation of the posterior capsule, mobilization to loads of 20 and 40 N resulted in sustained elongation of the capsule for up to 1 hour. Our findings also suggest that mobilization up to loads that represent the beginning of the linear region of the load displacement curve could be performed without serious damage to the posterior capsule. J Orthop Sports Phys Ther 2011;41(5):311-318, Epub 18 February 2011. doi:10.2519/jospt.2011.3448KEY WORDS: biomechanics, manual therapy, shoulder flexibility, shoulder stretching, upper extremity (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767496 Wed, 02 Feb 2011 05:00:00 +0100 4767496 http://www.medworm.com/index.php?rid=4767495&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2551%2Farticle_detail.asp CONCLUSION: Decreased strength and EMG activation in a lengthened hamstrings range for the athletes with prior hamstring injury suggested a change in neuromuscular control. Lengthened range assessment of isokinetic eccentric flexor torque may be useful for the assessment of athletes with a prior injury; however, results should be confirmed with prospective studies.J Orthop Sports Phys Ther 2011;41(5):354-363, Epub 2 February 2011. doi:10.2519/jospt.2011.3268KEY WORDS: dynamometry, EMG, electromyography, strain (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767495 Wed, 02 Feb 2011 05:00:00 +0100 4767495 http://www.medworm.com/index.php?rid=4663230&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2545%2Farticle_detail.asp CONCLUSION: In selecting exercises that promote lower extremity muscle strengthening while minimizing patellofemoral joint loading, LSU and FSU should be considered over FSD exercises, if the same step height is used.J Orthop Sports Phys Ther 2011;41(4):241-248, Epub 2 February 2011. doi:10.2519/jospt.2011.3408KEY WORDS: anterior knee pain, biomechanics, patella, patellofemoral pain syndrome, step exercises (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663230 Wed, 02 Feb 2011 05:00:00 +0100 4663230 http://www.medworm.com/index.php?rid=4663229&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2549%2Farticle_detail.asp CONCLUSION: The results of this study demonstrate that individuals with unilateral neck pain exhibit significantly less lower trapezius strength on the side of neck pain compared to the contralateral side. This study suggests a possible association between lower trapezius muscle weakness and neck pain.J Orthop Sports Phys Ther 2011;41(4):260-265, Epub 2 February 2011. doi:10.2519/jospt.2011.3503KEY WORDS: cervical spine, scapula, shoulder (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663229 Wed, 02 Feb 2011 05:00:00 +0100 4663229 http://www.medworm.com/index.php?rid=4663228&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2555%2Farticle_detail.asp CONCLUSION: In treating PF, a TCFO used for 2 weeks, followed by a stretching program, provided preliminary evidence that first-step heel pain and foot and ankle function improve in the short term and up to 12 weeks. LEVEL OF EVIDENCE: Therapy, level 2b.J Orthop Sports Phys Ther 2011;41(4):221-231, Epub 2 February 2011. doi:10.2519/jospt.2011.3348KEY WORDS: foot, heel pain, plantar fascia, shoe inserts (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663228 Wed, 02 Feb 2011 05:00:00 +0100 4663228 http://www.medworm.com/index.php?rid=4663227&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2556%2Farticle_detail.asp CONCLUSION: Although there were variations in the recovery curves by measure, general patterns were noted. There was a rapid increase in both self-reported and physical performance measure scores for 12 to 15 weeks. Thereafter, we observed a slowing of recovery, with a plateau at 30 to 35 weeks for the 6MWT and later for the LEFS. These data can be used to make evidence-based decisions regarding prognosis and to guide the setting of measurable treatment goals. LEVEL OF EVIDENCE: Prognosis, level 1b.J Orthop Sports Phys Ther 2011;41(4):232-239, Epub 2 February 2011. doi:10.2519/jospt.2011.3516KEY WORDS: hip osteoarthritis, modeling, prognosis, recovery (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4663227 Wed, 02 Feb 2011 05:00:00 +0100 4663227 http://www.medworm.com/index.php?rid=4531412&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2548%2Farticle_detail.asp CONCLUSION: This systematic review found that the majority of clinical tests routinely employed to diagnose structural LSI demonstrated only limited ability to do so. The results do, however, indicate that the passive lumbar extension test may be useful in orthopaedic clinical practice to diagnose structural LSI. Additional research is required to further validate its use for diagnosing structural LSI in all populations of those with low back pain. LEVEL OF EVIDENCE: Diagnosis, level 2a. J Orthop Sports Phys Ther 2011;41(3):130-140, Epub 2 February 2011. doi:10.2519/jospt.2011.3457KEY WORDS: accuracy, low back pain, physical examination, validity (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531412 Wed, 02 Feb 2011 05:00:00 +0100 4531412 http://www.medworm.com/index.php?rid=4531411&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2553%2Farticle_detail.asp CONCLUSION: A high percentage of individuals diagnosed with clinical depression produced statistical and graphical representations of 5-position grip strength measures that suggested poor volitional effort, which is often interpreted as lack of sincerity of effort. Clinicians unaware of the presence of clinical depression in patients could misinterpret the results of 5-position grip strength testing in this population.J Orthop Sports Phys Ther 2011;41(3):149-154, Epub 2 February 2011. doi:10.2519/jospt.2011.3328KEY WORDS: dynamometry, hand, sincerity of effort (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531411 Wed, 02 Feb 2011 05:00:00 +0100 4531411 http://www.medworm.com/index.php?rid=4531410&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2554%2Farticle_detail.asp CONCLUSION: The VISA-P-G is a reliable and valid questionnaire for the self-assessment of pain, symptoms, and function in German-speaking patients with patellar tendinopathy. Its psychometric properties are comparable with the original English and international adaptations (Swedish, Dutch, and Italian).J Orthop Sports Phys Ther 2011;41(3):180-190, Epub 2 February 2011. doi:10.2519/jospt.2011.3354KEY WORDS: cross-cultural validation, jumper’s knee, knee, psychometrics (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531410 Wed, 02 Feb 2011 05:00:00 +0100 4531410 http://www.medworm.com/index.php?rid=4428429&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2544%2Farticle_detail.asp In its February 2011 issue, JOSPT published a research study that provides new evidence that can help people who suffer from heel pain. According to the study, although stretching the calf and foot can reduce heel pain, the addition of hands-on physical therapy resulted in better pain relief and greater improvements in function during the first month of treatment. This JOSPT Perspectives for Patients is designed for clinicians to give to their patients to explain how this new insight can affect their care.J Orthop Sports Phys Ther 2011;41(2):51-51. doi:10.2519/jospt.2011.0501KEY WORDS: calf stretch, foot stretch, hands-on therapy, heel pain, manual therapy, patient education (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4428429 Tue, 01 Feb 2011 05:00:00 +0100 4428429 http://www.medworm.com/index.php?rid=4423574&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2539%2Farticle_detail.asp Guy G. SimoneauProfessional journals have always had as a core mission to inform clinicians about the latest advances in evidence and practice. But we can take that mission one step further and help clinicians to effectively communicate these developments to their patients. Accordingly, in this month’s issue we launch a new feature: Perspectives for Patients. This single-page feature will offer clinicians and patients a credible source of new information derived from a published article and explain how it affects patient care.J Orthop Sports Phys Ther 2011;41(2):42. doi:10.2519/jospt.2011.0102KEY WORDS: patient education (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423574 Mon, 31 Jan 2011 05:00:00 +0100 4423574 http://www.medworm.com/index.php?rid=4423573&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2540%2Farticle_detail.asp CONCLUSIONS: This study provides evidence that the addition of TrP manual therapies to a self-stretching protocol resulted in superior short-term outcomes as compared to a self-stretching program alone in the treatment of patients with plantar heel pain. LEVEL OF EVIDENCE: Therapy, level 1b. J Orthop Sports Phys Ther 2011;41(2):43-50. doi:10.2519/jospt.2011.3504 KEY WORDS: ankle plantar flexors, plantar fasciitis, triceps surae (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423573 Mon, 31 Jan 2011 05:00:00 +0100 4423573 http://www.medworm.com/index.php?rid=4423572&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2541%2Farticle_detail.asp Joseph M. Molloy, Jeffrey C. Paschall, Liem T. Bui-MansfieldA 26-year-old man presented to physical therapy for evaluation of right shoulder pain. While history and physical examination findings were most consistent with right shoulder impingement, a firm mass over the acromioclavicular joint was observed. Radiographs of the right shoulder revealed a soft tissue prominence adjacent to the acromioclavicular joint, while contrast-enhanced magnetic resonance imaging revealed a 9 × 16-mm soft tissue mass arising from the right acromioclavicular joint. The patient underwent incisional biopsy, acromioclavicular joint capsulotomy, and distal clavicle excision. Histological evaluation revealed hyalinized fibrovascular connective tissue with focal calcification but no hemosiderin (insoluble i... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423572 Mon, 31 Jan 2011 05:00:00 +0100 4423572 http://www.medworm.com/index.php?rid=4423571&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2542%2Farticle_detail.asp Leslie C. Hair, Gail D. DeyleThe patient was a 33-year-old man who was referred to a physical therapist following a right ankle sprain. While the patient reported decreased pain and improved function of his right ankle over the course of care, he complained of a new insidious onset of right anterior hip pain. Radiographs of the hip were negative. The patient was treated by the physical therapist 4 times over the next month with manual therapy and therapeutic exercises, which resulted in moderate but temporary relief. Given the lack of response to conservative management and the poor sensitivity of conventional radiographs for early stage pathology, the physical therapist ordered a bone scan, which revealed increased radiopharmaceutical uptake in the lesser trochanteric region of the hip. A... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423571 Mon, 31 Jan 2011 05:00:00 +0100 4423571 http://www.medworm.com/index.php?rid=4423570&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2543%2Farticle_detail.asp A selection of important abstracts of articles published in other journals.J Orthop Sports Phys Ther 2011;41(2):120-126. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423570 Mon, 31 Jan 2011 05:00:00 +0100 4423570 http://www.medworm.com/index.php?rid=4767498&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2536%2Farticle_detail.asp CONCLUSION: Nonelastic sports tape may enhance dynamic muscle support of the ankle. The efficacy of Kinesio Tape in preventing ankle sprains via the same mechanism is unlikely, as it had no effect on muscle activation of the fibularis longus.J Orthop Sports Phys Ther 2011;41(5):328-335, Epub 5 January 2011. doi:10.2519/jospt.2011.3501KEY WORDS: electromyography, joint instability, SEBT, sprain (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767498 Wed, 05 Jan 2011 05:00:00 +0100 4767498 http://www.medworm.com/index.php?rid=4767497&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2537%2Farticle_detail.asp CONCLUSION: Hard, horizontal, flat-ground throws have biomechanical patterns similar to those of pitching and are, therefore, reasonable exercises for pitchers. However, maximum-distance throws produce increased torques and changes in kinematics. Caution is, therefore, advised in the use of these throws for rehabilitation and training. J Orthop Sports Phys Ther 2011;41(5):296-303, Epub 5 January 2011. doi:10.2519/jospt.2011.3568KEY WORDS: crow-hop, elbow, interval throwing program, kinematics, shoulder (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4767497 Wed, 05 Jan 2011 05:00:00 +0100 4767497 http://www.medworm.com/index.php?rid=4531413&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2534%2Farticle_detail.asp CONCLUSION: A device is described that fulfills most of the design criteria for providing feedback on forces for physical therapy students and may have applications in other fields.J Orthop Sports Phys Ther 2011;41(3):174-179, Epub 5 January 2011. doi:10.2519/jospt.2011.3461KEY WORDS: education, force feedback, manual therapy (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531413 Wed, 05 Jan 2011 05:00:00 +0100 4531413 http://www.medworm.com/index.php?rid=4423576&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2535%2Farticle_detail.asp CONCLUSION: The present findings suggest preoperative high-intensity resistance training of the quadriceps and hamstrings before HTO improves postoperative functioning in sport, recreation, and activities of daily living. LEVEL OF EVIDENCE: Therapy, level 2b.J Orthop Sports Phys Ther 2011;41(2):52-59, Epub 5 January 2011. doi:10.2519/jospt.2011.3490KEY WORDS: knee, muscular strength, osteoarthritis, prehabilitation, resistance training (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423576 Wed, 05 Jan 2011 05:00:00 +0100 4423576 http://www.medworm.com/index.php?rid=4423575&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2538%2Farticle_detail.asp CONCLUSION: A high prevalence of DE and MD exists among high school female athletes. Additionally, athletes with DE were over 2 times more likely to sustain a sports-related injury during a sports season. Screening and intervention programs designed to identify and decrease the prevalence of DE should be implemented with high school females. LEVEL OF EVIDENCE: Prognosis, level 2b.J Orthop Sports Phys Ther 2011;41(2):60-69, Epub 22 October 2010. doi:10.2519/jospt.2011.3312KEY WORDS: female athlete triad, musculoskeletal disorder, sports (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423575 Wed, 05 Jan 2011 05:00:00 +0100 4423575 http://www.medworm.com/index.php?rid=4531416&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2531%2Farticle_detail.asp DISCUSSION: Preinjury data may identify risk factors for ACL rupture. Future studies should examine whether a low external knee flexion moment during gait or sport-related activity is a risk factor for ACL rupture. The patient demonstrated deficits in gait and strength that persisted at 13 months postsurgery. LEVEL OF EVIDENCE: Therapy, level 4.J Orthop Sports Phys Ther 2011;41(3):191-199, Epub 4 January 2011. doi:10.2519/jospt.2011.3366KEY WORDS: anterior cruciate ligament, kinematic, kinetic, knee, motion analysis (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531416 Tue, 04 Jan 2011 05:00:00 +0100 4531416 http://www.medworm.com/index.php?rid=4531415&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2532%2Farticle_detail.asp CONCLUSIONS: These data suggest that, during symptom remission, individuals with recurrent LBP, compared to healthy individuals, may have greater activity in at least some parts of the LM. Further investigation is required to determine whether the LM percentage thickness change observed in this study may be explained by differential changes in deep and/or superficial fibers of LM activity. This observation may have implications for clinical practice, but requires further investigation.J Orthop Sports Phys Ther 2011;41(3):155-164, Epub 4 January 2011. doi:10.2519/jospt.2011.3410KEY WORDS: lumbar spine, spinal control, stabilization, ultrasound imaging (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531415 Tue, 04 Jan 2011 05:00:00 +0100 4531415 http://www.medworm.com/index.php?rid=4531414&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2533%2Farticle_detail.asp CONCLUSIONS: Individuals with LBP performed a lifting task with more inhaled lung volume than individuals without LBP. These findings are consistent with the theoretical link between breath control, intra-abdominal pressure, and lumbar segmental control. J Orthop Sports Phys Ther 2011;41(3):141-148, Epub 4 January 2011. doi:10.2519/jospt.2011.3437KEY WORDS: breath, instability, lumbar (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531414 Tue, 04 Jan 2011 05:00:00 +0100 4531414 http://www.medworm.com/index.php?rid=4301956&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2522%2Farticle_detail.asp Guy G. SimoneauFor subscribers new to JOSPT since last January and readers who have yet to take full advantage of the website, this Editor’s Note provides a guide to what JOSPT offers online. As we continue to enhance our means of disseminating information electronically, it is our goal to make the information more readily available using a variety of techniques reflecting the fast-moving pace of electronic media development. J Orthop Sports Phys Ther 2011;41(1):1-3. doi:10.2519/jospt.2011.0101 (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301956 Fri, 31 Dec 2010 05:00:00 +0100 4301956 http://www.medworm.com/index.php?rid=4301955&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2523%2Farticle_detail.asp Brian J. Eckenrode, Brian J. SennettThe patient was a 47-year-old woman who had been referred to a physical therapist following an anterior cruciate ligament reconstruction of the left knee, using a bone-patellar tendon-bone autograft. While temporary within-session knee extension range-of-motion gains were recorded following physical therapist interventions, there was a lack of sustained improvement. Magnetic resonance imaging revealed an intact anterior cruciate ligament graft and a moderate joint effusion, as well as an area of intra-articular arthrofibrosis anterior to the anterior cruciate ligament graft. The patient underwent arthroscopic surgery and, after debridement of the joint arthrofibrosis, was referred to the physical therapist. Following 2 months of treatment, the patient de... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301955 Fri, 31 Dec 2010 05:00:00 +0100 4301955 http://www.medworm.com/index.php?rid=4301954&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2524%2Farticle_detail.asp Elizabeth Poppert, Kornelia KuligThe patient was a 53-year-old man referred to a physical therapist with a chief complaint of worsening right medial knee pain of 3 months' duration. He had a history of anterior cruciate ligament reconstruction 7 years prior, and recent diagnostic imaging studies had not been performed. Physical examination of the right knee was unremarkable, without reproduction of his chief complaint of medial knee pain. During examination of the right hip, however, combined movements of hip flexion, internal rotation, and adduction, as well as hip distraction and compression, reproduced the patient's knee pain. While radiographs of the right knee were unremarkable, radiographs of the right hip revealed acetabular undercoverage, superolateral joint space narrowing... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301954 Fri, 31 Dec 2010 05:00:00 +0100 4301954 http://www.medworm.com/index.php?rid=4301953&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2525%2Farticle_detail.asp Presented here is the schedule of platform and poster research presentations made by the Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association (APTA) during APTA's Combined Sections Meeting, February 9-12, 2011, in New Orleans, LA.J Orthop Sports Phys Ther 2011;41(1):A1-A10KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301953 Fri, 31 Dec 2010 05:00:00 +0100 4301953 http://www.medworm.com/index.php?rid=4301952&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2526%2Farticle_detail.asp These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, OPL designates an Orthopaedic Section platform presentation.J Orthop Sports Phys Ther 2011;41(1):A12-A38KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301952 Fri, 31 Dec 2010 05:00:00 +0100 4301952 http://www.medworm.com/index.php?rid=4301951&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2527%2Farticle_detail.asp These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, SPL designates a Sports Physical Therapy Section platform presentation.J Orthop Sports Phys Ther 2011;41(1):A39-A51KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301951 Fri, 31 Dec 2010 05:00:00 +0100 4301951 http://www.medworm.com/index.php?rid=4301950&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2528%2Farticle_detail.asp These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, OPO designates an Orthopaedic Section poster presentation.J Orthop Sports Phys Ther 2011;41(1):A52-A93KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301950 Fri, 31 Dec 2010 05:00:00 +0100 4301950 http://www.medworm.com/index.php?rid=4301949&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2529%2Farticle_detail.asp These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, SPO designates a Sports Physical Therapy Section poster presentation.J Orthop Sports Phys Ther 2011;41(1):A94-A101KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301949 Fri, 31 Dec 2010 05:00:00 +0100 4301949 http://www.medworm.com/index.php?rid=4301948&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2530%2Farticle_detail.asp CONCLUSION: This study provides evidence that TENS applied in conjunction with therapeutic exercise and daily activities increases quadriceps activation in patients with tibiofemoral osteoarthritis and, while function improved for all participants, effects were greatest in the group treated with a combination of TENS and therapeutic exercises. LEVEL OF EVIDENCE: Therapy, level 1b–.J Orthop Sports Phys Ther 2011;41(1):4-12. doi:10.2519/jospt.2011.3447KEY WORDS: knee, OA, TENS, WOMAC (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301948 Fri, 31 Dec 2010 05:00:00 +0100 4301948 http://www.medworm.com/index.php?rid=4212830&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2516%2Farticle_detail.asp Guy G. SimoneauEditor-in-Chief Dr. Guy Simoneau recognizes the authors, associate editors, International Editorial Review Board members, and manuscript and musculoskeletal imaging reviewers who contributed to the various aspects of the Journal over the past 12 months. J Orthop Sports Phys Ther 2010;40(12):771-773. doi:10.2519/jospt.2010.0110KEY WORDS: authors, editorial board, reviewers (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212830 Tue, 30 Nov 2010 05:00:00 +0100 4212830 http://www.medworm.com/index.php?rid=4212829&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2517%2Farticle_detail.asp This report illustrates the importance of identifying stress fractures considered to be high risk. J Orthop Sports Phys Ther 2010;40(12):833. doi:10.2519/jospt.2010.0420 KEY WORDS: midtibial, radiography (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212829 Tue, 30 Nov 2010 05:00:00 +0100 4212829 http://www.medworm.com/index.php?rid=4212828&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2518%2Farticle_detail.asp Thomas L. Duquette, Daniel J. WatsonThe patient was a 21-year-old female who was currently enrolled in a military security forces training program. She had a 1-month history of worsening left anterior hip pain that was insidious in nature and limiting her ability to run. The patient was diagnosed as having a left hip strain, prescribed a nonsteroidal anti-inflammatory medication,given a reduced activity waiver, and referred to a physical therapist. Despite previous radiographs of the pelvis and hips that were interpreted as normal, the history and physical examination findings led the physical therapistto be concerned about the presence of a possible femoral neck stress fracture. Immediate magnetic resonance imaging of the left hip was obtained, which revealed a stress fracture of the basi... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212828 Tue, 30 Nov 2010 05:00:00 +0100 4212828 http://www.medworm.com/index.php?rid=4212827&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2519%2Farticle_detail.asp This index includes all authors and co-authors of manuscripts published in the Journal during 2010.J Orthop Sports Phys Ther 2010;40(12):835-856. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212827 Tue, 30 Nov 2010 05:00:00 +0100 4212827 http://www.medworm.com/index.php?rid=4212826&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2520%2Farticle_detail.asp This index includes all subjects of manuscripts published in the Journal during 2010.J Orthop Sports Phys Ther 2010;40(12):857-866. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212826 Tue, 30 Nov 2010 05:00:00 +0100 4212826 http://www.medworm.com/index.php?rid=4212825&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2521%2Farticle_detail.asp A selection of products and developments of interest to JOSPT readers. J Orthop Sports Phys Ther 2010;40(12):867-868. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212825 Tue, 30 Nov 2010 05:00:00 +0100 4212825 http://www.medworm.com/index.php?rid=4531417&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2515%2Farticle_detail.asp CONCLUSION: The results of this study provide evidence for higher experimental pressure pain sensitivity in the involved side of patients with unilateral shoulder pain and no difference between sides for thermal pain sensitivity. Females demonstrated higher pain sensitivity than males to pressure stimuli at the local shoulder region but not at the distal regions. Future studies should incorporate multiple stimuli when describing the pain profile of clinical populations.J Orthop Sports Phys Ther 2011;41(3):165-173, Epub 10 November 2010. doi:10.2519/jospt.2011.3416KEY WORDS: clinical examination, pain, shoulder pain (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4531417 Wed, 10 Nov 2010 05:00:00 +0100 4531417 http://www.medworm.com/index.php?rid=4423578&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2513%2Farticle_detail.asp CONCLUSIONS: After 6 weeks of balance training, individuals with CAI demonstrated enhanced dynamic balance, inversion joint position sense, and changes in motoneuron pool excitability compared to healthy controls who did not train. LEVEL OF EVIDENCE: Therapy, level 2b.J Orthop Sports Phys Ther 2011;41(2):81-89, Epub 10 November 2010. doi:10.2519/jospt.2011.3365KEY WORDS: ankle joint rehabilitation, dynamic balance, H-reflex, static balance (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423578 Wed, 10 Nov 2010 05:00:00 +0100 4423578 http://www.medworm.com/index.php?rid=4423577&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2514%2Farticle_detail.asp CONCLUSION: Strain on an experimentally contracted posterior GHJ capsule is highest when tested with a combination of GHJ internal rotation and humerus flexion.J Orthop Sports Phys Ther 2011;41(2):90-99, Epub 10 November 2010. doi:10.2519/jospt.2011.3357KEY WORDS: capsule, contracture, glenohumeral joint (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423577 Wed, 10 Nov 2010 05:00:00 +0100 4423577 http://www.medworm.com/index.php?rid=4212831&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2512%2Farticle_detail.asp CONCLUSION: Ultrasound imaging measurements of TrA thickness and length change were shown to be reliable using a novel method to control for medial-lateral transducer motion. Measuring different but unrelated dimensional changes in the TrA might provide further insight as to the function of the TrA.J Orthop Sports Phys Ther 2010;40(12):826-832, Epub 10 November 2010. doi:10.2519/jospt.2010.3000KEY WORDS: abdomen, low back pain, lumbar spine, stabilization (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212831 Wed, 10 Nov 2010 05:00:00 +0100 4212831 http://www.medworm.com/index.php?rid=4124388&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2507%2Farticle_detail.asp CONCLUSION: Rehabilitation programs focusing on knee strengthening exercises and knee strengthening exercises supplemented by hip strengthening exercises were both effective in improving function and reducing pain in sedentary women with PFPS. Improvements of pain and function were greater for the group that performed the hip strengthening exercises, but the difference was significant only for pain rating while descending stairs. LEVEL OF EVIDENCE: Therapy, level 1b–. J Orthop Sports Phys Ther 2010;40(11):736-742. doi:10.2519/jospt.2010.3246 KEY WORDS: anterior knee pain, chondromalacia, gluteus medius, knee, patella (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124388 Mon, 01 Nov 2010 05:00:00 +0100 4124388 http://www.medworm.com/index.php?rid=4124387&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2508%2Farticle_detail.asp CONCLUSIONS: The exercises investigated in this study resulted in a wide range of effort level for all 5 muscles monitored. Many of the exercises also resulted in an asymmetrical (right versus left side) activation level for a muscle, including the TrA. J Orthop Sports Phys Ther 2010;40(11):743-750. doi:10.2519/jospt.2010.3192 KEY WORDS: EMG, erector spinae, low back, lumbar spine (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124387 Mon, 01 Nov 2010 05:00:00 +0100 4124387 http://www.medworm.com/index.php?rid=4124386&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2509%2Farticle_detail.asp Elliot Greenberg, Lawrence WellsThe patient was an 11-year-old competitive gymnast with a 6-month history of left anteromedial hip pain and an internal snapping sensation, after experiencing pain and a deep "pop" in her hip after performing a hip hyperabduction maneuver. Hip radiographs taken at the time of the injury were normal. Despite activity modification, the patientís symptoms persisted. The patient was then referred to an orthopaedic surgeon who ordered magnetic resonance imaging of the patient's left hip, which was interpreted as normal. The orthopaedic surgeon recommended conservative management by a physical therapist. Following 2 months of treatment by the physical therapist, strength testing of the left hip was normal; however, hip range-of-motion findings... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124386 Mon, 01 Nov 2010 05:00:00 +0100 4124386 http://www.medworm.com/index.php?rid=4124385&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2510%2Farticle_detail.asp Mehul J. Desai, Girish PadmanabhanThe patient was a 19-year-old male, who was referred to a university spine center for joint evaluation by a physician and a physical therapist, for a chief complaint of persistent low back pain and right quadriceps tightness that were worse at night. The patient began experiencing his symptoms 5 months earlier while rock climbing. Prior to this evaluation, radiographs of the lumbar spine had been completed and were interpreted as normal. Additionally, treatment by a physical therapist did not result in improvement and the patient was not able to return to his preinjury activity level. Despite the lack of physical examination findings, magnetic resonance imaging of the lumbar spine was ordered. Magnetic resonance imaging revealed a 4-cm mass in the distal t... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124385 Mon, 01 Nov 2010 05:00:00 +0100 4124385 http://www.medworm.com/index.php?rid=4124384&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2511%2Farticle_detail.asp A selection of important abstracts of articles published in other journals. J Orthop Sports Phys Ther 2010;40(11):763-769. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124384 Mon, 01 Nov 2010 05:00:00 +0100 4124384 http://www.medworm.com/index.php?rid=4124389&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2506%2Farticle_detail.asp Michael D. Ross, William G. BoissonnaultThe physical therapy profession has long recognized the importance of physical therapists determining whether a need for a patient referral to another healthcare practitioner exists. This clinical decision is based on physical therapists recognizing patient history and physical examination red flag findings consistent with pathology that requires physician consultation and examination. The challenge to physical therapists is the current lack of evidence describing what red flag findings are representative of specific pathological conditions. J Orthop Sports Phys Ther 2010;40(11):682-684. doi:10.2519/jospt.2010.0109 KEY WORDS: low back pain, pathology (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124389 Sun, 31 Oct 2010 05:00:00 +0100 4124389 http://www.medworm.com/index.php?rid=4423580&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2495%2Farticle_detail.asp CONCLUSION: Pilates-based exercises are superior to minimal intervention for pain relief. Existing evidence does not establish superiority of Pilates-based exercise to other forms of exercise to reduce pain and disability for patients with persistent nonspecific low back pain. However, the relatively low quality of existing studies and the heterogeneity of pooled studies in this systematic review combine to suggest that these results should be interpreted with caution. LEVEL OF EVIDENCE: Therapy, level 1a–.J Orthop Sports Phys Ther 2011;41(2):70-80, Epub 22 October 2010. doi:10.2519/jospt.2011.3393KEY WORDS: exercise therapy, lumbar spine, rehabilitation (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423580 Fri, 22 Oct 2010 05:00:00 +0100 4423580 http://www.medworm.com/index.php?rid=4423579&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2498%2Farticle_detail.asp CONCLUSION: The multivariate model associated with FPI-6 scores comprised clinically plausible variables which inform the association between static and dynamic foot postures. Different cutoff values may be required when using the FPI-6 to screen for individuals with supinated feet, given the limited number of high-arched participants identified by FPI-6 classifications.J Orthop Sports Phys Ther 2011;41(2):100-107, Epub 22 October 2010. doi:10.2519/jospt.2011.3412KEY WORDS: anthropometrics, arch height, foot, foot posture index, podography (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423579 Fri, 22 Oct 2010 05:00:00 +0100 4423579 http://www.medworm.com/index.php?rid=4301958&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2499%2Farticle_detail.asp CONCLUSIONS: Findings suggest that classification by pain pattern and DP can improve a therapist’s ability to provide a short-term prognosis for function and pain outcomes. LEVEL OF EVIDENCE: Prognosis, level 1b–.J Orthop Sports Phys Ther 2011;41(1):22-31, Epub 22 October 2010. doi:10.2519/jospt.2011.3415KEY WORDS: computerized adaptive testing, lumbar spine, outcomes (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301958 Fri, 22 Oct 2010 05:00:00 +0100 4301958 http://www.medworm.com/index.php?rid=4301957&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2502%2Farticle_detail.asp CONCLUSION: Our results indicate that TJM to the lumbar spine does not appear to affect the resting or contraction thickness of TrA in healthy individuals. These findings are in contrast to previous research in which patients with LBP who met a CPR demonstrated an immediate decrease in resting thickness and an increase in contraction thickness in TrA following lumbar TJM.J Orthop Sports Phys Ther 2011;41(1):13-21, Epub 22 October 2010. doi:10.2519/jospt.2011.3311KEY WORDS: low back pain, manual therapy, rehabilitative ultrasound imaging (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4301957 Fri, 22 Oct 2010 05:00:00 +0100 4301957 http://www.medworm.com/index.php?rid=4212837&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2494%2Farticle_detail.asp CONCLUSION: Therapists’ ratings of perceived patient fear-avoidance were not associated with self-reported fear-avoidance scores, showing a potential disconnect between therapist judgments and commonly used fear-avoidance measures. Instead, therapist ratings had small but statistically significant correlations with pain catastrophizing and disability, findings that may support therapists’ inability to discriminate fear-avoidance from these other factors. The 2-item screening questions based on fear of physical activity and harm showed potential to identify elevated FABQ physical activity scores. LEVEL OF EVIDENCE: Differential diagnosis, level 2b. J Orthop Sports Phys Ther 2010;40(12):774-783, Epub 22 October 2010. doi:10.2519/jospt.2010.3381KEY WORDS: FABQ, low back pain, scre... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212837 Fri, 22 Oct 2010 05:00:00 +0100 4212837 http://www.medworm.com/index.php?rid=4212836&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2497%2Farticle_detail.asp CONCLUSION: Altered dynamic stability of the scapula may be present in patients with cervical disorders, which may be an important mechanism for maintenance of recurrence or exacerbation of symptoms in these patients. Patients with cervical disorders may demonstrate a difference in impairments, based on their diagnosis of IONP or WAD.J Orthop Sports Phys Ther 2010;40(12):784-791, Epub 22 October 2010. doi:10.2519/jospt.2010.3405KEY WORDS: control, kinetic, neck pain, stability, whiplash (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212836 Fri, 22 Oct 2010 05:00:00 +0100 4212836 http://www.medworm.com/index.php?rid=4212835&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2500%2Farticle_detail.asp CONCLUSION: Following receipt of instructions on optimal lower extremity movement pattern, women who demonstrate a moderate quality of movement, as assessed visually during the lateral step-down test, exhibit decreased ankle dorsiflexion range ofmotion compared to women with a good quality of movement. Clinicians should consider evaluating ankle dorsiflexion range of motion when observing an altered lower extremity movement pattern during the lateral step-down test.J Orthop Sports Phys Ther 2010;40(12):792-800, Epub 22 October 2010. doi:10.2519/jospt.2010.3424KEY WORDS: ACL, hip, knee, lateral step-down test, patellofemoral pain syndrome (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212835 Fri, 22 Oct 2010 05:00:00 +0100 4212835 http://www.medworm.com/index.php?rid=4212834&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2501%2Farticle_detail.asp DISCUSSION: The report illustrates the utility of a combination of physical examination, EMG and NCSs, and imaging in the diagnosis of a C8 radiculopathy in a patient presenting with forearm and hand symptoms but without cervical or upper quarter symptoms. LEVEL OF EVIDENCE: Diagnosis, level 4.J Orthop Sports Phys Ther 2010;40(12):811-817, Epub 22 October 2010. doi:10.2519/jospt.2010.3187KEY WORDS: electromyography, magnetic resonance imaging, neck nerve conduction studies, ulnar nerve (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212834 Fri, 22 Oct 2010 05:00:00 +0100 4212834 http://www.medworm.com/index.php?rid=4212833&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2503%2Farticle_detail.asp Carol A. Courtney, Alicia Emerson Kavchak, Carina D. Lowry, Michael A. O'HearnSYNOPSIS: Pain is a common complaint among clients seeking physical therapy services, yet interpretation of associated sensory changes can be difficult for the clinician. Musculoskeletal injury typically results in nociceptive pain due to noxious stimuli of the damaged muscle or joint tissues. However, with progression from acute to chronic stages, altered nociceptive processing can give rise to an array of sensory findings. Specifically, patients with chronic joint injury may present with signs and symptoms typically associated with neuropathic injury, due to changes in nociceptive processing. Clinical presentation may include expansion of hyperalgesia into adjacent and remote areas, allodynia, dysesthesias, and... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212833 Fri, 22 Oct 2010 05:00:00 +0100 4212833 http://www.medworm.com/index.php?rid=4212832&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2505%2Farticle_detail.asp CONCLUSIONS: In our sample, in which all individuals received physical therapy, and those who centralized received interventions based on the direction of centralization, SCL-90-R depression and somatization subscores were moderately associated with chronic pain and disability. This association was reduced when centralization and centralization-based treatment was considered in multivariable analyses.J Orthop Sports Phys Ther 2010;40(12):801-810, Epub 22 October 2010. doi:10.2519/jospt.2010.3334KEY WORDS: lumbar spine, physical therapy, psychological risk factors, SCL-90-R (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4212832 Fri, 22 Oct 2010 05:00:00 +0100 4212832 http://www.medworm.com/index.php?rid=4124391&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2496%2Farticle_detail.asp CONCLUSIONS: Physical therapy supplemented with graded exercise or graded exposure resulted in equivalent clinical outcomes for pain intensity and disability. The overall treatment effects were modest in this setting. Instead of being associated with a specific behavioral intervention, reductions in pain and disability were associated with reductions in depressive symptoms and pain catastrophizing, respectively. LEVEL OF EVIDENCE: Therapy, level 2b–. J Orthop Sports Phys Ther 2010;40(11):694-704, Epub 22 October 2010. doi:10.2519/ jospt.2010.3396 KEY WORDS: behavioral intervention, fear-avoidance model, pain catastrophizing (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124391 Fri, 22 Oct 2010 05:00:00 +0100 4124391 http://www.medworm.com/index.php?rid=4124390&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2504%2Farticle_detail.asp CONCLUSIONS: Bilateral mechanical nerve pain hypersensitivity is related to specific and particular nerve trunks in women with either unilateral LE or CTS. Our results suggest the presence of central and peripheral sensitization mechanisms in individuals with either LE or CTS. J Orthop Sports Phys Ther 2010;40(11):751-760, Epub 22 October 2010. doi:10.2519/jospt.2010.3331 KEY WORDS: elbow, median nerve, neck, pressure pain threshold, radial nerve, ulnar nerve (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124390 Fri, 22 Oct 2010 05:00:00 +0100 4124390 http://www.medworm.com/index.php?rid=4017604&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2490%2Farticle_detail.asp Guy G. Simoneau, Stephen C. AllisonPrior to the era of evidence-based practice, a common approach taught in entry-level physical therapy programs was relatively simplistic: (1) learn how to administer a clinical diagnostic test; (2) learn the result considered "positive" and the result considered "negative"; (3) conclude that a patient with a positive test result would likely have the target condition and a patient with a negative test result would not. Much has changed in the last 15 years. We have seen a significant shift in the way evidence is used to make clinical decisions about physical therapy interventions. However, despite these gains, more attention is needed to improve our understanding of the accuracy of commonly used diagnostic tests. Only in this way can w... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4017604 Thu, 30 Sep 2010 05:00:00 +0100 4017604 http://www.medworm.com/index.php?rid=4017603&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2491%2Farticle_detail.asp Lance M. Mabry, Michael D. Ross, Michael A. TallThe patient was an 87-year-old woman referred to a physical therapist for right buttock and lateral calf pain of insidious onset that had been present for the past 3 weeks. She also complained of a 5-day history of right anterior hip/groin pain. Due to concern for a recent fracture of the right hip or pelvis, based on prior radiographs and the patient's medical history, radiographs were ordered that demonstrated new superior and inferior right pubic rami fractures. An orthopaedic surgeon was immediately consulted who diagnosed the patient with insufficiency fractures of the right pubic rami. The patient was instructed on toe touch weight bearing with a walker for the right lower extremity, and the orthopaedic surgeon recommended treatment... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4017603 Thu, 30 Sep 2010 05:00:00 +0100 4017603 http://www.medworm.com/index.php?rid=4017602&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2492%2Farticle_detail.asp Christopher Neville, Kelly Meyers, Leonard HojnowskiThe patient was a 52-year-old woman with a chief complaint of left medial foot and ankle pain for the past 12 months that was of an insidious nature and on a worsening trend. High-frequency ultrasound was used to measure and assess the integrity of the tibialis posterior tendon and potentially provide further insight into the source of the symptoms. Examination of the left involved tibialis posterior tendon revealed gross abnormality with tendon enlargement, disruption in tendon structure, and fluid surrounding the tendon. The patient was subsequently diagnosed with left stage II (flexible flatfoot deformity) posterior tibial tendon dysfunction. The initial intervention included the use of an orthotic device designed, in theory, to addres... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4017602 Thu, 30 Sep 2010 05:00:00 +0100 4017602 http://www.medworm.com/index.php?rid=4017601&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2493%2Farticle_detail.asp Bruce Greenfield, Sam Kegerreis, Matt Walsworth, Andrew J. Starsky, Russell Woodman, Justin W. Berry, Laura CovillThe JOSPT offers invited reviews of current titles. The October 2010 column includes 7 reviews of the following books: Orthopaedic Trauma Care; Mechanisms and Management of Pain for the Physical Therapist; Fundamentals of Musculoskeletal Imaging, Third Edition; Gait Analysis: Normal and Pathological Function, Second Edition; The Lumbar Intervertebral Disc; Spine Classifications and Severity Measures; and Physical Agents in Rehabilitation: From Research to Practice, Third Edition.J Orthop Sports Phys Ther 2010;40(10):668-673. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4017601 Thu, 30 Sep 2010 05:00:00 +0100 4017601 http://www.medworm.com/index.php?rid=4423581&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2488%2Farticle_detail.asp DISCUSSION: The HOAC II requires the therapist to develop an evidence-based strategy for the examination that is based on initial hypotheses developed from the medical history and other data obtained prior to the examination. The examination was tailored to identify and quantify activity limitations and participation restrictions that we believed could help to explain why this patient had his health problem. The case demonstrates how all elements of the HOAC II can be used for what we consider to be relatively common types of patients. We believe that by applying the HOAC II on an individual-patient basis, therapists will be ideally positioned to apply evidence to patient care and to defend their interventions to colleagues and third-party payers. LEVEL OF EVIDENCE: Differential diagnosis,... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4423581 Fri, 17 Sep 2010 05:00:00 +0100 4423581 http://www.medworm.com/index.php?rid=4124392&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2485%2Farticle_detail.asp CONCLUSIONS: A quantitative and reliable diffusion-weighted MRI measure of cervical multifidus ADC has been described. There appears to be a fast and slow component ADC for the healthy multifidus, suggesting changes in extracellular and intracellular volume. Further comparative study is needed to quantify ADCs in the neck muscles in patients with traumatic whiplash. J Orthop Sports Phys Ther 2010;40(11):722-728, Epub 1 September 2010. doi:10.2519/jospt.2010.3423 KEY WORDS: cervical spine, magnetic resonance imaging, radiology (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124392 Wed, 01 Sep 2010 05:00:00 +0100 4124392 http://www.medworm.com/index.php?rid=4017606&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2486%2Farticle_detail.asp CONCLUSION: Compared to control participants, females with PFPS descend stairs with the knee in a more flexed position and have the hip in a more adducted and internally rotated position at foot contact during stair stepping at a comfortable speed. J Orthop Sports Phys Ther 2010;40(10):625-632, Epub 1 September 2010. doi:10.2519/jospt.2010.3185 KEY WORDS: hip, knee, patella (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4017606 Wed, 01 Sep 2010 05:00:00 +0100 4017606 http://www.medworm.com/index.php?rid=4017605&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2487%2Farticle_detail.asp CONCLUSION: Physical therapists should consider including quadriceps-strengthening and hip range-of-motion exercises when developing rehabilitation programs for patients with hip OA, with mild to moderate pain, aiming to improve functioning and reduce disability. J Orthop Sports Phys Ther 2010;40(10):616-624, Epub 1 September 2010. doi:10.2519/jospt.2010.3346 KEY WORDS: aerobic capacity, muscle strength, quality of life, range of motion, walking distance (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4017605 Wed, 01 Sep 2010 05:00:00 +0100 4017605 http://www.medworm.com/index.php?rid=3920052&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2484%2Farticle_detail.asp Corrections to the clinical practice guidelines published in June 2010 of the Journal of Orthopaedic & Sports Physical Therapy:Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ. Knee pain and mobility impairments: meniscal and articular cartilage lesions. J Orthop Sports Phys Ther 2010;40(6):A1-A35. doi:10.2519/jospt.2010.0304 J Orthop Sports Phys Ther 2010;40(9):597. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=3920052 Tue, 31 Aug 2010 05:00:00 +0100 3920052 http://www.medworm.com/index.php?rid=3920056&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2480%2Farticle_detail.asp Christopher R. Carcia, RobRoy L. Martin, Jeff R. Houck, Dane K. WukichThe Orthopaedic Section of the American Physical Therapy Association presents this sixth set of clinical practice guidelines on Achilles pain, stiffness, and muscle power deficits that are characteristic of Achilles Tendinitis. These clinical practice guidelines are linked to the International Classification of Functioning, Disability, and Health (ICF). The purpose of these practice guidelines is to describe evidence-based orthopaedic physical therapy clinical practice and provide recommendations for (1) examination and diagnostic classification based on body functions and body structures, activity limitations, and participation restrictions, (2) interventions provided by physical therapists, (3) and assessment of outcom... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=3920056 Mon, 30 Aug 2010 05:00:00 +0100 3920056 http://www.medworm.com/index.php?rid=3920055&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2481%2Farticle_detail.asp Janice K. Loudon, Nancy E. DiehlThe patient was a 14-year-old female with a 4-year history of left anterolateral foot and ankle pain of insidious onset that was first noticed while playing soccer. After a lack of progress with conservative measures for her left foot and ankle pain, the patient was evaluated by an orthopaedic surgeon. While conventional radiographs of the foot and ankle were normal, magnetic resonance imaging revealed generalized bone marrow edema in the navicular bone with irregularity along the lateral margin of the navicular bone and adjacent anterior margin of the anterior process of the calcaneus. These findings suggested possible sequelae of osteonecrosis or a partial coalition between the lateral margin of the navicular bone and anterior process of the calcaneus. Com... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=3920055 Mon, 30 Aug 2010 05:00:00 +0100 3920055 http://www.medworm.com/index.php?rid=3920054&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2482%2Farticle_detail.asp Heather Matheson, Trevor A. LentzThe patient was a 32-year-old male who sustained a noncontact left knee injury during a quick pivot on a planted left foot, while playing flag football. Radiographs of the left knee revealed findings consistent with a tibial spine avulsion fracture, while magnetic resonance imaging confirmed a medial tibial spine avulsion fracture. Bone marrow edema was noted in a pivot shift injury pattern involving the lateral femoral condyle and the lateral tibial plateau, and there was also a fracture of the posterior lateral tibial cortex at the site of the bone marrow edema. To determine the best course of treatment, a computed tomography scan was ordered to better visualize the extent of the avulsion fracture. The computed tomography scan demonstrated a comminuted fr... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=3920054 Mon, 30 Aug 2010 05:00:00 +0100 3920054 http://www.medworm.com/index.php?rid=3920053&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2483%2Farticle_detail.asp A selection of products and developments of interest to JOSPT readers.J Orthop Sports Phys Ther 2010;40(9):598-601. (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=3920053 Mon, 30 Aug 2010 05:00:00 +0100 3920053 http://www.medworm.com/index.php?rid=4124395&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2476%2Farticle_detail.asp CONCLUSION: In asymptomatic individuals, thoracic PA spinal stiffness is not significantly different when measured before and after thrust manipulation, but any potential mechanical effects appear associated with the manipulated spinal level rather than other levels. J Orthop Sports Phys Ther 2010;40(11):685-693, Epub 6 August 2010. doi:10.2519/jospt.2010.3271 KEY WORDS: physical therapy techniques, spinal manipulation, thoracic vertebrae (Source: The Journal of Orthopaedic and Sports Physical Therapy) The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124395 Fri, 06 Aug 2010 05:00:00 +0100 4124395 http://www.medworm.com/index.php?rid=4124394&cid=s_37843_66_f&fid=37843&url=http%3A%2F%2Fwww.jospt.org%2Fissues%2FarticleID.2477%2Farticle_detail.asp CONCLUSIONS: Release of the supraspinatus muscle produced early radial and longitudinal atrophy of the muscle. The functional implications of these adaptations would be most profound at early time points (particularly relevant for rehabilitation), when the muscle remains smaller in cross-sectional area and, due to reduced sarcomere number, would be forced to operate over a wider range of the length-tension curve and at higher velocities, all adaptations resulting in compromised force-generating capacity. These data are relevant to physical therapy because they provide tissue-level insights into impaired muscle and shoulder function following rotator cuff injury. J Orthop Sports Phys Ther 2010;40(11):729-735, Epub 6 August 2010. doi:10.2519/jospt.2010.3279 KEY WORDS: muscle plasticity, rota... The Journal of Orthopaedic and Sports Physical Therapy journals http://www.medworm.com/rss/comments.php?id=4124394 Fri, 06 Aug 2010 05:00:00 +0100 4124394