MedWorm: Physical Therapy

Humanities in gross anatomy project: A novel humanistic learning tool at Des Moines University

Anatomical Sciences Education — Tue, 09 Feb 2010 00:00:00 +0100

Gross anatomy affords physical therapy students an opportunity to discover human morphology by intimately studying the dead. Moreover, it also exposes future physical therapists to the humanistic aspects of the profession. In 2007, anatomy faculty decided to socialize students to the humanities with a new course requirement: Humanities in Gross Anatomy Project (HuGA) Project. At the end of the course, students, either individually or as a group, submitted a project that described how they had been personally touched by the donor's gift and how the gift contributed to their professional growth and education. The submission could be in the form of a narrative, poem, song, video, etc. All students met the three grading criteria that were established; thus taking the first step in socializing ...

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Dwarfism topic of monthly genetic series

Baylor College of Medicine News — Mon, 08 Feb 2010 05:00:00 +0100

Short stature and dwarfism will be the topic of discussion in a public seminar Feb. 16 at the Health Museum of Houston . About two out of 100 children have short stature, which can be caused by a variety of genetic conditions such as dwarfism, brittle bone syndromes or a growth hormone deficiency. The forum will feature Dr. V. Reid Sutton , associate professor of molecular and human genetics at Baylor College of Medicine, and Stephanie O’Connor, physical therapist at Texas Children's Hospital, who will offer information about genetic causes of the disease and give physical therapy tips. Sponsored by BCM and Texas Children’s Hospital, the event is part of the monthly “Evening with Genetics” lecture series organized by BCM’s department of molecular and human gen...

Six Things We Can Learn From Olympians

Health News from Medical News Today — Sat, 06 Feb 2010 09:00:00 +0100

Olympic athletes inspire us with their fierce discipline and natural talent as they smash records, going higher, further and faster. Their can-do spirit encourages us all to take on new challenges. Whether your goal is to complete your first marathon, improve your golf game or compete in a triathlon competition, there are lessons to be learned from the best of the best. "The Olympics symbolize the chance for all of us to push the boundaries of human potential," said Chris Sebelski, assistant professor of physical therapy at Saint Louis University... (Source: Health News from Medical News Today)

With Health Reform Stalled, Medicare Coverage For Some Therapies Subject To Caps

Health News from Medical News Today — Fri, 05 Feb 2010 13:00:00 +0100

Stalled health care reform efforts have created several unresolved issues, some of which related to Medicare and Medicaid. The Hill: "Medicare beneficiaries face a steep cliff in their coverage for physical therapy and similar treatments due to Congress's failure to enact a healthcare reform bill. On Jan. 1, the clock started ticking for those patients who need physical, occupational or speech therapy, which is now subject to an annual limit on benefits... (Source: Health News from Medical News Today)

Physical Therapists Offer Snow Shovelers Advice To Avoid Injuries

Rehabilitation News From Medical News Today — Fri, 05 Feb 2010 12:00:00 +0100

Physical Therapists Offer Snow Shovelers Advice To Avoid Injuries

Health News from Medical News Today — Fri, 05 Feb 2010 12:00:00 +0100

As the Mid-Atlantic states brace for another bout of winter weather expected to produce a heavy amount of snowfall, the American Physical Therapy Association (APTA) is offering tips on how to properly shovel snow to minimize the risk of injury. "Snow shoveling is a repetitive activity that can cause muscle strain to the lower back and shoulders, especially if a person is out of condition," says APTA spokesperson Margot Miller, PT, of Cloquet, Minnesota. "Snow shoveling is also heavy work, so it's important to pay attention to how you lift... (Source: Health News from Medical News Today)

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Pediatric Physical Therapy - Facts and Information

Disabled World — Thu, 04 Feb 2010 17:15:13 +0100

Pediatric physical therapy helps with the detection of health issues, using a number of modalities in order to treat disorders in children. (Source: Disabled World)

Muscle Activation and Perceived Loading During Rehabilitation Exercises: Comparison of Dumbbells and Elastic Resistance.

Physical Therapy — Thu, 04 Feb 2010 00:00:00 +0100

CONCLUSIONS:/b> Comparably high levels of muscle activation were obtained during resistance exercises with dumbbells and elastic tubing, indicating that therapists can choose either type in clinical practice. The Borg CR10 can be a useful aid in estimating intensity of individual rehabilitation protocols. PMID: 20133444 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Construct Validity of Muscle Force Tests of the Rotator Cuff Muscles: An Electromyographic Investigation.

Physical Therapy — Thu, 04 Feb 2010 00:00:00 +0100

CONCLUSIONS:/b> The results confirmed the appropriateness of 9 commonly used clinical tests for isolating rotator cuff muscles, but suggested that several other muscle force tests were equally appropriate for isolating these muscles. PMID: 20133443 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Muscle performance during isokinetic concentric and eccentric abduction in subjects with subacromial impingement syndrome

European Journal of Applied Physiology — Wed, 03 Feb 2010 17:55:53 +0100

Abstract Peak torque (PT), total work (TW) and acceleration time (AT) were measured during isokinetic concentric and eccentric abduction of the shoulder in subjects with subacromial impingement syndrome (SIS) and healthy subjects. The SIS group consisted of 27 subjects (33.48 ± 9.94 years) with unilateral SIS and it was divided into two groups: (1) SIS with the dominant involved side, (2) SIS with the nondominant involved side. The control group consisted of 23 healthy subjects (32.26 ± 9.04 years). PT, TW and AT were measured bilaterally at 60 and 180°/s. No significant interactions were found between group and side (P > 0.05), as well as no significant main effects of group and side (P > 0.05) for all variables dur...

Decreased Muscle Strength Predicts Functional Impairments In Older Adults

Health News from Medical News Today — Wed, 03 Feb 2010 08:00:00 +0100

Decreased muscle strength is associated with difficulty in performing functional activities such as stooping, crouching, or kneeling (SCK) in older adults, according to an observational study published in the January issue of Physical Therapy, (PTJ) the scientific journal of the American Physical Therapy Association (APTA). These researchers found that adults with SCK difficulty had significant decreases in adjusted strength measurements of trunk extensor, knee extensor, and ankle flexion muscles... (Source: Health News from Medical News Today)

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Decreased Muscle Strength Predicts Functional Impairments In Older Adults

Pain / Anesthetics News From Medical News Today — Wed, 03 Feb 2010 08:00:00 +0100

Decreased Muscle Strength Predicts Functional Impairments In Older Adults

Seniors / Aging News From Medical News Today — Tue, 02 Feb 2010 11:00:00 +0100

Decreased Muscle Strength Predicts Functional Impairments In Older Adults

Health News from Medical News Today — Tue, 02 Feb 2010 11:00:00 +0100

Decreased muscle strength is associated with difficulty in performing functional activities such as stooping, crouching, or kneeling (SCK) in older adults, according to an observational study published in the January issue of Physical Therapy , (PTJ) the scientific journal of the American Physical Therapy Association (APTA). These researchers found that adults with SCK difficulty had significant decreases in adjusted strength measurements of trunk extensor, knee extensor, and ankle flexion muscles... (Source: Health News from Medical News Today)

Most patients gain weight after getting a new knee

Medicineworld.org: New Article Alert — Mon, 01 Feb 2010 14:04:53 +0100

You'd think folks who've had knee replacement surgery -- finally able to walk and exercise without pain -- would lose weight instead of put on pounds, but surprisingly that's not the case, as per a University of Delaware study. Scientists Joseph Zeni and Lynn Snyder-Mackler in the Department of Physical Therapy in UD's College of Health Sciences observed that patients typically drop weight in the first few weeks after total knee arthroplasty (TKA), but then the number on the scale starts creeping upward, with an average weight gain of 14 pounds in two years........ (Source: Medicineworld.org: New Article Alert)

Sleep-disordered breathing, behavior, and academic performance in Taiwan schoolchildren

Sleep and Breathing — Mon, 01 Feb 2010 06:47:31 +0100

Conclusion Our study suggests that children with severe SDB may predispose to somatic complaints and attention problems so that sleep examination or medical intervention might be provided at an early age in these children. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11325-010-0329-4Authors Hua Ting, Chung-Shan Medical University Department of Physical Medicine and Rehabilitation Taichung Taiwan Republic of ChinaRuey-Hong Wong, Chung-Shan Medical University Department of Public Health 110 Chien-Kuo N Rd, Sec. 1 Taichung 40242 Taiwan Republic of ChinaHao-Jan Yang, Chung-Shan Medical University Department of Public Health 110 Chien-Kuo N Rd, Sec. 1 Taichung 40242 Taiwan Republic of ChinaShu-Ping Lee, Asia University Department of Foreign Languages ...

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Decreased muscle strength predicts functional impairments in older adults

EurekAlert! - Social and Behavioral Science — Mon, 01 Feb 2010 05:00:00 +0100

(American Physical Therapy Association) Decreased muscle strength is associated with difficulty in performing functional activities such as stooping, crouching or kneeling in older adults, according to an observational study published in the January issue of Physical Therapy, the scientific journal of the American Physical Therapy Association (APTA). These researchers found that adults with SCK difficulty had significant decreases in adjusted strength measurements of trunk extensor, knee extensor and ankle flexion muscles. (Source: EurekAlert! - Social and Behavioral Science)

PICOMM-Issue 54

Podiatry Internet Communications — Mon, 01 Feb 2010 00:01:27 +0100

Treatment of chronic lateral ankle instability: a modified broström technique using three suture anchors Journal of Orthopaedic Surgery and Research Xinning Li, Timothy J Lin and Brian D Busconi Original article: Ankle sprains are very common injuries seen in the athletic and young population. Majority of patients will improve with a course of rest and physical therapy. However, [...] (Source: Podiatry Internet Communications)

Femoroacetabular impingement in a running athlete.

Pain Physician — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Ames PS, Heikes CS A 40-year-old man was referred to physical therapy by his primary care physician for a chief complaint of proximal left groin/quadriceps pain, which had been present for the past 3 months after initiating a running program. In addition to initiating a physical therapy treatment plan, the referring physician was consulted to discuss possible diagnostic imaging, primarily due to the worsening symptoms and loss of hip range of motion. Radiographic evaluation, including frog leg lateral and anterior-posterior pelvic views, demonstrated decreased femoral head-neck offset, with prominence of the femoral head-neck junction. The patient then underwent magnetic resonance imaging, which demonstrated some prominence of the anterolateral femoral head-neck junction. The ...

An interdisciplinary approach to manage cancer cachexia.

Clinical Journal of Oncology Nursing — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Granda-Cameron C, Demille D, Lynch MP, Huntzinger C, Alcorn T, Levicoff J, Roop C, Mintzer D Cancer cachexia occurs in about 33% of newly diagnosed patients with cancer and may lead to delayed, missed, or decreased treatments. An interdisciplinary team approach to manage cancer cachexia may result in fewer missed treatments and improved outcomes. The palliative care program of an urban community cancer center developed an interdisciplinary clinic to treat cancer cachexia with the goal of using an interdisciplinary approach to improve symptom management, nutrition, function, and quality of life (QOL) for patients with cancer at high risk for malnutrition. The Cancer Appetite and Rehabilitation Clinic team completes medical, nutritional, speech, swallowing, and physical therapy ...

Physical therapy

Optometry - Journal of the American Optometric Association — Mon, 01 Feb 2010 00:00:00 +0100

“Joint pain and dysfunction are among the most common medical problems in the world,” according to www.physicaltherapy.com. The site also states, “More than 90% of these problems can be managed successfully by carefully following a supervised rehabilitation program which includes hands-on treatment techniques, exercise and prevention education.” This is something that can be done by a physical therapist. However, it appears from information on physical therapy that most physical therapists work in conjunction with orthopedic physicians and others, such as clinics and hospitals, as opposed to massage therapists who develop their own practices for the most part to relax patients and relieve stress. (Source: Optometry - Journal of the American Optometric Association)

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Lower extremity injuries: is it just about hip strength?

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Heiderscheit BC Patellofemoral pain and iliotibial band syndromes continue to puzzle and oftentimes frustrate both patients and clinicians alike. While a myriad of treatments, including footwear, orthoses, bracing, patellar taping, and quadriceps strengthening, have been traditionally promoted and sometimes shown to be moderately effective, improvements in symptoms and function are not universal. In recent years, a trend toward consideration of more proximal influences on knee injuries (ie, lumbopelvic and hip regions) has continued to grow as insights are gained into this potential mechanism. However, the specific cause-effect relationship is not as clear as we might anticipate. This special issue of the Journal provides a compilation of papers focused on further defining the...

February 2010 errata.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Addition to the conflict of interest in an article published in September 2006 and addition of an abstract to the CSM Sports Physical Therapy Section platform presentation abstracts published in January 2010 of the Journal of Orthopaedic & Sports Physical Therapy:Seiger C, Draper DO. Use of pulsed shortwave diathermy and joint mobilizations to increase ankle range of motion in the presence of surgical implanted metal: a case series. J Orthop Sports Phys Ther 2006;36(9):669-677. doi:10.2519/ jospt.2006.2198 CSM 2010 Sports Physical Therapy Section Abstracts: Platform Presentations SPL1-SPL27. J Orthop Sports Phys Ther 2009;40(1):A40-A51. PMID: 20118532 [PubMed - in process] (Source: Physical Therapy)

February 2010 abstracts.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: A selection of important abstracts of articles published in other journals. J Orthop Sports Phys Ther 2010;40(2):123-128. PMID: 20118531 [PubMed - in process] (Source: Physical Therapy)

Distinct hip and rearfoot kinematics in female runners with a history of tibial stress fracture.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

CONCLUSION: Runners with a previous tibial stress fracture exhibited greater peak hip adduction and rearfoot eversion angles during the stance phase of running compared to healthy controls. A consequence of these mechanics may be altered load distribution within the lower extremity, predisposing individuals to stress fracture. J Orthop Sports Phys Ther 2010;40(2):59-66. doi:10.2519/jospt.2010.3024. PMID: 20118528 [PubMed - in process] (Source: Physical Therapy)

The architectural design of the gluteal muscle group: implications for movement and rehabilitation.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Ward SR, Winters TM, Blemker SS SYNOPSIS: The organization of fibers within a muscle (architecture) defines the performance capacity of that muscle. In the current commentary, basic architectural terms are reviewed in the context of the major hip muscles and then specific illustrative examples relevant to lower extremity rehabilitation are presented. These data demonstrate the architectural and functional specialization of the hip muscles, and highlight the importance of muscle physiology and joint mechanics when evaluating and treating musculoskeletal disorders. J Orthop Sports Phys Ther 2010;40(2):95-102. doi:10.2519/jospt.2010.3302. PMID: 20118527 [PubMed - in process] (Source: Physical Therapy)

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The influence of abnormal hip mechanics on knee injury: a biomechanical perspective.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Powers CM SYNOPSIS: During the last decade, there has been a growing body of literature suggesting that proximal factors may play a contributory role with respect to knee injuries. A review of the biomechanical and clinical studies in this area indicated that impaired muscular control of the hip, pelvis, and trunk can affect tibiofemoral and patellofemoral joint kinematics and kinetics in multiple planes. In particular, there is evidence that motion impairments at the hip may underlie injuries such as anterior cruciate ligament tears, iliotibial band syndrome, and patellofemoral joint pain. In addition, the literature suggests that females may be more disposed to proximal influences than males. Based on the evidence presented as part of this clinical commentary, it can be argu...

Kinesiology of the hip: a focus on muscular actions.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Neumann DA SYNOPSIS: The 21 muscles that cross the hip provide both triplanar movement and stability between the femur and acetabulum. The primary intent of this clinical commentary is to review and discuss the current understanding of the specific actions of the hip muscles. Analysis of their actions is based primarily on the spatial orientation of the muscles relative to the axes of rotation at the hip. The discussion of muscle actions is organized according to the 3 cardinal planes of motion. Actions are considered from both femoral-on-pelvic and pelvic-on-femoral perspectives, with particular attention to the role of coactivation of trunk muscles. Additional attention is paid to the biomechanical variables that alter the effectiveness, force, and torque of a given muscle a...

Hamstring strain injuries: recommendations for diagnosis, rehabilitation, and injury prevention.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG SYNOPSIS: Hamstring strain injuries remain a challenge for both athletes and clinicians, given their high incidence rate, slow healing, and persistent symptoms. Moreover, nearly one third of these injuries recur within the first year following a return to sport, with subsequent injuries often being more severe than the original. This high reinjury rate suggests that commonly utilized rehabilitation programs may be inadequate at resolving possible muscular weakness, reduced tissue extensibility, and/or altered movement patterns associated with the injury. Further, the traditional criteria used to determine the readiness of the athlete to return to sport may be insensitive to these persistent deficits, resulting in a p...

Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

CONCLUSION: Females with a previous history of ITBS demonstrate a kinematic profile that is suggestive of increased stress on the iliotibial band. These results were generally similar to those reported for a prospective study conducted within the same laboratory environment. J Orthop Sports Phys Ther 2010;40(2):52-58. Epub 31 December 2009. doi:10.2519/jospt.2010.3028. PMID: 20118523 [PubMed - in process] (Source: Physical Therapy)

Strengthening and neuromuscular reeducation of the gluteus maximus in a triathlete with exercise-associated cramping of the hamstrings.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

DISCUSSION: A program of gluteus maximus strengthening and neuromuscular training eliminated EAMC of the hamstrings in this patient. Given that the hamstrings and gluteus maximus work as agonists to decelerate the thigh during terminal swing phase and control hip flexion during loading response of running, we postulate that strengthening of the gluteus maximus decreased the relative effort required by the hamstrings, thus reducing EAMC. The results of the EMG evaluation that was performed as part of this case report provides support for this hypothesis. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2010;40(2):112-119, Epub 31 December 2009. doi:10.2519/jospt.2010.3110. PMID: 20118522 [PubMed - in process] (Source: Physical Therapy)

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Treatment of an individual with piriformis syndrome focusing on hip muscle strengthening and movement reeducation: a case report.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

DISCUSSION: This case highlights an alternative view of the pathomechanics of piriformis syndrome (overstretching as opposed to overshortening) and illustrates the need for functional movement analysis as part of the examination of these patients. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2010;40(2):103-111, Epub 31 December 2009. doi:10.2519/jospt.2010.3108. PMID: 20118521 [PubMed - in process] (Source: Physical Therapy)

On "Motor control exercise for chronic low back pain..." Costa LOP, Maher CG, Latimer J, et al. Phys Ther. 2009;89:1275-1286.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Hart DL, Werneke MW PMID: 20123694 [PubMed - in process] (Source: Physical Therapy)

On "Motor control exercise for chronic low back pain..." Costa LOP, Maher CG, Latimer J, et al. Phys Ther. 2009;89:1275-1286.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Weiss PC PMID: 20123693 [PubMed - in process] (Source: Physical Therapy)

Invited commentary.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Bowden MG, Behrman AL PMID: 20123692 [PubMed - in process] (Source: Physical Therapy)

Invited commentary.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Eng JJ PMID: 20123691 [PubMed - in process] (Source: Physical Therapy)

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Stepping forward with gait rehabilitation.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Eng JJ, Mulroy SJ PMID: 20123690 [PubMed - in process] (Source: Physical Therapy)

Jacquelin perry, 9 feet tall.

Physical Therapy — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Craik RL PMID: 20123689 [PubMed - in process] (Source: Physical Therapy)

Outcome of knee injuries in general practice: 1-year follow-up.

The British Journal of General Practice — Mon, 01 Feb 2010 00:00:00 +0100

CONCLUSION: The vast majority of patients report clinically relevant recovery. There is no clear difference in outcomes between patients with meniscal tears or ligament lesions and patients without these diagnoses. PMID: 20132694 [PubMed - in process] (Source: The British Journal of General Practice)

The Reason for Failure of Participation in Physical Therapy and Occupational Therapy During Cancer Inpatient Rehabilitation and the Effect of a Simple Intervention (727)

Journal of Pain and Symptom Management — Mon, 01 Feb 2010 00:00:00 +0100

Recognize what limits cancer patients from participating fully on an inpatient rehabilitation unit. (Source: Journal of Pain and Symptom Management)

Most Patients Gain Weight After Getting A New Knee

Health News from Medical News Today — Sun, 31 Jan 2010 08:00:00 +0100

You'd think folks who've had knee replacement surgery -- finally able to walk and exercise without pain -- would lose weight instead of put on pounds, but surprisingly that's not the case, according to a University of Delaware study. Researchers Joseph Zeni and Lynn Snyder-Mackler in the Department of Physical Therapy in UD's College of Health Sciences found that patients typically drop weight in the first few weeks after total knee arthroplasty (TKA), but then the number on the scale starts creeping upward, with an average weight gain of 14 pounds in two years... (Source: Health News from Medical News Today)

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Lower Extremity Injuries: Is It Just About Hip Strength?

The Journal of Orthopaedic and Sports Physical Therapy — Sun, 31 Jan 2010 05:00:00 +0100

Bryan C. HeiderscheitPatellofemoral pain and iliotibial band syndromes continue to puzzle and oftentimes frustrate both patients and clinicians alike. While a myriad of treatments, including footwear, orthoses, bracing, patellar taping, and quadriceps strengthening, have been traditionally promoted and sometimes shown to be moderately effective, improvements in symptoms and function are not universal. In recent years, a trend toward consideration of more proximal influences on knee injuries (ie, lumbopelvic and hip regions) has continued to grow as insights are gained into this potential mechanism. However, the specific cause-effect relationship is not as clear as we might anticipate. This special issue of the Journal provides a compilation of papers focused on further defining the contrib...

Evaluation of the current administration's activities and presentation of the new editors of the Brazilian Journal of Physical Therapy

Revista Brasileira de Fisioterapia — Sat, 30 Jan 2010 16:12:44 +0100

(Source: Revista Brasileira de Fisioterapia)

The view of Brazilian orthopedists on partial weight bearing in open fractures of the tibial shaft following osteosynthesis

Revista Brasileira de Fisioterapia — Sat, 30 Jan 2010 16:12:44 +0100

CONCLUSIONS: It was concluded that there is a preference for external fixation, that most orthopedists refer patients to physical therapy and that the synthesis material influences restrictions on partial weight bearing. (Source: Revista Brasileira de Fisioterapia)

February 2010 Errata

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

Addition to the conflict of interest in an article published in September 2006 and addition of an abstract to the CSM Sports Physical Therapy Section platform presentation abstracts published in January 2010 of the Journal of Orthopaedic & Sports Physical Therapy:Seiger C, Draper DO. Use of pulsed shortwave diathermy and joint mobilizations to increase ankle range of motion in the presence of surgical implanted metal: a case series. J Orthop Sports Phys Ther 2006;36(9):669-677. doi:10.2519/ jospt.2006.2198 CSM 2010 Sports Physical Therapy Section Abstracts: Platform Presentations SPL1-SPL27. J Orthop Sports Phys Ther 2009;40(1):A40-A51. (Source: The Journal of Orthopaedic and Sports Physical Therapy)

February 2010 Abstracts

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

A selection of important abstracts of articles published in other journals. J Orthop Sports Phys Ther 2010;40(2):123-128. (Source: The Journal of Orthopaedic and Sports Physical Therapy)

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Enchondroma in a Running Athlete With Persistent Mid-Thigh Pain

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

Evangelos Pappas, Bohdanna T. Zazulak, Lee D. KatzThe patient was a 22-year-old male who developed right mid-thigh pain after increasing his running mileage in a short period. Anterior-posterior and lateral radiographs of the femur were completed and interpreted as normal, and the patient was diagnosed with a muscle strain. Three months later the patient was seen by a sports medicine physician because of persistent right mid-thigh pain with running. Repeat radiographs revealed periosteal thickening of the medial cortex of the right femur consisten with a stress reaction and subtle irregular calcifications in the central diaphysis of the femur. The patient was diagnosed with a femoral shaft stress fracture and referred for magnetic resonance imaging, which revealed a lobular lesion occupyin...

Femoroacetabular Impingement in a Running Athlete

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

Peter S. Ames, Christie S. HeikesA 40-year-old man was referred to physical therapy by his primary care physician for a chief complaint of proximal left groin/quadriceps pain, which had been present for the past 3 months after initiating a running program. In addition to initiating a physical therapy treatment plan, the referring physician was consulted to discuss possible diagnostic imaging, primarily due to the worsening symptoms and loss of hip range of motion. Radiographic evaluation, including frog leg lateral and anterior-posterior pelvic views, demonstrated decreased femoral head-neck offset, with prominence of the femoral head-neck junction. The patient then underwent magnetic resonance imaging, which demonstrated some prominence of the anterolateral femoral head-neck junction. The...

Distinct Hip and Rearfoot Kinematics in Female Runners With a History of Tibial Stress Fracture

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

CONCLUSION: Runners with a previous tibial stress fracture exhibited greater peak hip adduction and rearfoot eversion angles during the stance phase of running compared to healthy controls. A consequence of these mechanics may be altered load distribution within the lower extremity, predisposing individuals to stress fracture. J Orthop Sports Phys Ther 2010;40(2):59-66. doi:10.2519/jospt.2010.3024 KEY WORDS: gait, injury, knee, lower leg, overuse, running (Source: The Journal of Orthopaedic and Sports Physical Therapy)

The Architectural Design of the Gluteal Muscle Group: Implications for Movement and Rehabilitation

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

Samuel R. Ward, Taylor M. Winters, Silvia S. BlemkerSYNOPSIS: The organization of fibers within a muscle (architecture) defines the performance capacity of that muscle. In the current commentary, basic architectural terms are reviewed in the context of the major hip muscles and then specific illustrative examples relevant to lower extremity rehabilitation are presented. These data demonstrate the architectural and functional specialization of the hip muscles, and highlight the importance of muscle physiology and joint mechanics when evaluating and treating musculoskeletal disorders. J Orthop Sports Phys Ther 2010;40(2):95-102. doi:10.2519/jospt.2010.3302 KEY WORDS: exercise, gluteus maximus, gluteus medius, hip, rehabilitation (Source: The Journal of Orthopaedic and Sports Physical Therapy...

The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 30 Jan 2010 05:00:00 +0100

Christopher M. PowersSYNOPSIS: During the last decade, there has been a growing body of literature suggesting that proximal factors may play a contributory role with respect to knee injuries. A review of the biomechanical and clinical studies in this area indicated that impaired muscular control of the hip, pelvis, and trunk can affect tibiofemoral and patellofemoral joint kinematics and kinetics in multiple planes. In particular, there is evidence that motion impairments at the hip may underlie injuries such as anterior cruciate ligament tears, iliotibial band syndrome, and patellofemoral joint pain. In addition, the literature suggests that females may be more disposed to proximal influences than males. Based on the evidence presented as part of this clinical commentary, it can be argued...

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Neurological Therapy - Facts and Information

Disabled World — Fri, 29 Jan 2010 23:18:45 +0100

Neurological physical therapy is a form of therapy that is focused on working with people who have a type of neurological disorder or disease. (Source: Disabled World)

Restore Access to Rehabilitative Services for Medicare Beneficiaries

Disabled World — Fri, 29 Jan 2010 16:37:45 +0100

APTA Calls on Congress to Restore Access to Rehabilitative Services for Medicare Beneficiaries - Congress must act immediately to restore access to rehabilitative services for Medicare beneficiaries as many senior citizens and people with disabilities are nearing arbitrary limits (also known as therapy caps) on services provided by physical therapists and other health care providers in outpatient health care settings, says the American Physical Therapy Association (APTA). (Source: Disabled World)

APTA Calls On Congress To Restore Access To Rehabilitative Services For Medicare Beneficiaries

Health News from Medical News Today — Fri, 29 Jan 2010 10:00:00 +0100

Congress must act immediately to restore access to rehabilitative services for Medicare beneficiaries as many senior citizens and people with disabilities are nearing arbitrary limits (also known as therapy caps) on services provided by physical therapists and other health care providers in outpatient health care settings, says the American Physical Therapy Association (APTA). The Medicare program began enforcement of the $1,860 limit on outpatient rehabilitation services on January 1... (Source: Health News from Medical News Today)

APTA Calls On Congress To Restore Access To Rehabilitative Services For Medicare Beneficiaries

Rehabilitation News From Medical News Today — Fri, 29 Jan 2010 10:00:00 +0100

Congress must act immediately to restore access to rehabilitative services for Medicare beneficiaries as many senior citizens and people with disabilities are nearing arbitrary limits (also known as therapy caps) on services provided by physical therapists and other health care providers in outpatient health care settings, says the American Physical Therapy Association (APTA)... (Source: Rehabilitation News From Medical News Today)

Geriatric Physical Therapy - Facts and Information

Disabled World — Thu, 28 Jan 2010 03:28:30 +0100

Geriatric physical therapy was defined as a medical specialty in 1989 and covers a broad area of concerns regarding people as they continue the process of aging, although it commonly focuses on older adults. (Source: Disabled World)

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How to Develop Patient-Centered Research: Some Perspectives Based on Surveys Among People With Rheumatic Diseases in Scandinavia.

Physical Therapy — Thu, 28 Jan 2010 00:00:00 +0100

Authors: Kjeken I, Ziegler C, Skrolsvik J, Bagge J, Smedslund G, Tøvik A, Dagfinrud HS, Petersson IF, Hagen KB Patient-centered research addresses the research agenda of patients and captures aspects of health and functioning that they consider important. Yet, those who live with a disease or condition have limited influence when it comes to setting the research agenda, and we know little about how they experience being participants in research studies. Furthermore, knowledge is limited concerning factors enhancing or hindering patients' participation in trials and the format that people with rheumatic diseases and their families prefer for dissemination of the results from clinical research. This perspective article describes the research priorities of people with rheumatic disea...

McConnell Taping Shifts the Patella Inferiorly in Patients With Patellofemoral Pain: A Dynamic Magnetic Resonance Imaging Study.

Physical Therapy — Thu, 28 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> The inferior shift in patellar displacement with taping partially explains the previously documented decrease in pain due to increases in contact area. The lack of alteration in 5 of the 6 kinematic variables with taping may have been due to the fact that post-taping kinematic alterations are sensitive to the baseline kinematic values. PMID: 20110340 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Interhemispheric Modulation Induced by Cortical Stimulation and Motor Training.

Physical Therapy — Thu, 28 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> The results indicate that tDCS enhances the effects of unilateral motor training and contralateral hand restraint on motor function, and this benefit is associated with a different mechanism of action characterized by bihemispheric modulation in which TCI from the dominant to the nondominant hemisphere is decreased. Transcranial direct current stimulation might be a useful tool to enhance the motor effects of constraint-induced movement therapy. PMID: 20110339 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This is a long-awaited book on a method of physiotherapy practice that predominates in neurological rehabilitation in Europe and is widely recognised internationally. The Bobath Concept has had a major impact on the physiotherapy profession and the clinical skills of physiotherapists. Whilst there is no doubt that this approach to neurological rehabilitation is very influential, the evidence base to explain its effectiveness is poorly researched. Unfortunately, this book does little to address the issue, either in its appraisal of current evidence or in academic discussion of gaps between clinical experience and research. The preface states that the book is written primarily for clinicians; as such, it should – but does not – incorporate the latest available evidence and research to ex...

What does the clinical doctorate in physical therapy mean for rural communities?

Physiotherapy Research International — Wed, 27 Jan 2010 00:00:00 +0100

Conclusions. In general, the respondents did not indicate that the DPT has had large effects on rural health care. However, future research should consider the negative and positive effects that may occur as DPT therapists make up a larger share of the workforce. Further, there are several areas where increased collaboration could be mutually beneficial to physical therapy educators, practitioners and rural communities. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

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Dance Movement Therapist (DMT) Career Overview

About.com Health Careers — Wed, 27 Jan 2010 00:00:00 +0100

If you have ever studied dance or simply enjoyed dancing of any sort, you probably know how much fun dancing can be, and how it can relieve stress and provide a range of other benefits, both physical and emotional. Dance can free your mind, soul and body, while contributing to your physical well-being by burning calories and strengthening muscle tone. But did you know that dance movement may be utilized in a clinical setting? If you love to dance, this could be a health career for you, especially if you have extensive dance experience and training. Dance movement therapy is the clinical practice of using movement to treat a variety of physical and psychological conditions ranging from mild impairments to more severe diseases. The field of dance therapy combines some of the principles of p...

Aquatic Therapy - Facts and Information

Disabled World — Tue, 26 Jan 2010 03:32:03 +0100

Aquatic therapy is a form of physical therapy that is performed in a pool. The use of heat and warm water is preferable in association with aquatic therapy. (Source: Disabled World)

Morphological Changes After Pelvic Floor Muscle Training Measured by 3-Dimensional Ultrasonography: A Randomized Controlled Trial.

Obstetrics and Gynecology — Mon, 25 Jan 2010 04:54:57 +0100

CONCLUSION:: Supervised pelvic floor muscle training can increase muscle volume, close the levator hiatus, shorten muscle length, and elevate the resting position of the bladder and rectum. CLINICAL TRIAL REGISTRATION:: www.clinicaltrials.gov, NCT00271297. LEVEL OF EVIDENCE:: I. PMID: 20093905 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)

The effectiveness and cost-evaluation of manual therapy and physical therapy in patients with sub-acute and chronic non specific neck pain. Rationale and design of a Randomized Controlled Trial (RCT).

BMC Musculoskeletal Disorders — Sun, 24 Jan 2010 00:00:00 +0100

DiscussionThis paper presents details on the rationale of MTU, design, methods and operational aspects of the trial.Trial registration: ClinicalTrials.gov Identifier: NCT00713843 (Source: BMC Musculoskeletal Disorders)

Cognitive and physical performance in patients with asymptomatic carotid artery disease

Journal of Neurology — Sat, 23 Jan 2010 07:41:21 +0100

Abstract The purpose of this study was to determine if patients with asymptomatic carotid artery stenosis and occlusion demonstrate deficits in cognitive and physical performance. The relationship between cognitive measures and performance of instrumental activities of daily living was examined. Seventy-nine patients with asymptomatic carotid artery stenosis of moderate and severe degrees or occlusion were tested. Cognition was assessed via the repeatable battery for the assessment of neuropsychological status (RBANS) and the executive interview (EXIT). Physical performance was assessed via the physical performance test (PPT) and the Lawton instrumental activities of daily living (IADL). Deficits in the RBANS visuospatial/constructional, attention, language and delayed mem...

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James Prister To Chair AHA's Section For Long-Term Care And Rehabilitation

Health News from Medical News Today — Fri, 22 Jan 2010 09:00:00 +0100

James Prister, President and CEO of RML Specialty Hospital in Hinsdale, Ill., is the 2010 chair of the American Hospital Association's (AHA) Section for Long-Term Care and Rehabilitation. As chair, Prister will lead the section's governing council which advises the AHA on public policy issues of concern to all post-acute and continuing care providers. The governing council represents executives from among the nation's leading rehabilitation, acute long-term care, skilled, home health and continuing care services... (Source: Health News from Medical News Today)

James Prister To Chair AHA's Section For Long-Term Care And Rehabilitation

Rehabilitation News From Medical News Today — Fri, 22 Jan 2010 09:00:00 +0100

James Prister, President and CEO of RML Specialty Hospital in Hinsdale, Ill., is the 2010 chair of the American Hospital Association's (AHA) Section for Long-Term Care and Rehabilitation. As chair, Prister will lead the section's governing council which advises the AHA on public policy issues of concern to all post-acute and continuing care providers... (Source: Rehabilitation News From Medical News Today)

Editorial Board

Physical Therapy in Sport — Thu, 21 Jan 2010 15:32:47 +0100

(Source: Physical Therapy in Sport)

Diary dates

Physical Therapy in Sport — Thu, 21 Jan 2010 15:32:47 +0100

2010 19–21 February (Source: Physical Therapy in Sport)

Pediatric Endurance and Limb Strengthening (PEDALS) for Children With Cerebral Palsy Using Stationary Cycling: A Randomized Controlled Trial.

Physical Therapy — Thu, 21 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> Significant improvements in locomotor endurance, gross motor function, and some measures of strength were found for the cycling group but not the control group, providing preliminary support for this intervention. As statistical differences were not found in baseline-postintervention change scores between the 2 groups; the results did not demonstrate that stationary cycling was more effective than no intervention. The results of this phase I study provide guidance for future research. PMID: 20093327 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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Aerobic Exercise During Early Rehabilitation for Cervical Spinal Cord Injury.

Physical Therapy — Thu, 21 Jan 2010 00:00:00 +0100

DISCUSSION:/b> The patient experienced typical complications associated with acute SCI (eg, orthostatic hypotension, urinary tract infections). He exhibited several signs of improved exercise tolerance and wheelchair mobility during the 2-month program, indicating potential cardiovascular and functional improvements from the exercise training. PMID: 20093326 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Comprehensive Facial Rehabilitation Improves Function in People With Facial Paralysis: A 5-Year Experience at the Massachusetts Eye and Ear Infirmary.

Physical Therapy — Thu, 21 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> For 160 patients with facial paralysis, statistically significant improvements after facial rehabilitation were shown; the improvements appeared to be long lasting with continued treatment. The improvements in the FGS scores indicated that patients can successfully manage symptoms with rehabilitation and underscored the importance of specialized therapy in the management of facial paralysis. PMID: 20093325 [PubMed - as supplied by publisher] (Source: Physical Therapy)

New $300,000 Grant Opportunity Offered Through Foundation For Physical Therapy

Health News from Medical News Today — Wed, 20 Jan 2010 14:00:00 +0100

The Foundation for Physical Therapy will begin accepting letters of intent to apply for the new $300,000 Clagett Family Research Grant on January 19, 2010. The grant was recently established to fund researchers investigating exercise interventions for older adults living with multiple chronic conditions. "The Clagett Family Research Grant is an exciting opportunity for researchers to investigate a high impact clinical research topic... (Source: Health News from Medical News Today)

New $300,000 Grant Opportunity Offered Through Foundation For Physical Therapy

Rehabilitation News From Medical News Today — Wed, 20 Jan 2010 14:00:00 +0100

The Foundation for Physical Therapy will begin accepting letters of intent to apply for the new $300,000 Clagett Family Research Grant on January 19, 2010. The grant was recently established to fund researchers investigating exercise interventions for older adults living with multiple chronic conditions... (Source: Rehabilitation News From Medical News Today)

The Patient Who Falls: "It's Always a Trade-off" [Care of the Aging Patient: From Evidence to Action]

JAMA — Tue, 19 Jan 2010 20:51:25 +0100

Falls are common health events that cause discomfort and disability for older adults and stress for caregivers. Using the case of an older man who has experienced multiple falls and a hip fracture, this article, which focuses on community-living older adults, addresses the consequences and etiology of falls; summarizes the evidence on predisposing factors and effective interventions; and discusses how to translate this evidence into patient care. Previous falls; strength, gait, and balance impairments; and medications are the strongest risk factors for falling. Effective single interventions include exercise and physical therapy, cataract surgery, and medication reduction. Evidence suggests that the most effective strategy for reducing the rate of falling in community-living older adults m...

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Noninvasive Treatment Strategy for Swallowing Problems Related to Prolonged Nonoral Feeding in Spinal Muscular Atrophy Type II

Dysphagia — Tue, 19 Jan 2010 17:42:24 +0100

Abstract A 25-year-old patient with spinal muscular atrophy (SMA) type II was referred due to swallowing problems related to prolonged nonoral feeding. Restriction of jaw movement, neck stiffness, absence of oral food intake, and weakness of the oropharyngeal and laryngeal muscles were considered to be the main factors contributing to the deterioration of his swallowing function. Treatment comprised exercises to improve flexibility of the neck and temporomandibular joint, tactile oral stimulation, passive and active oropharyngolaryngeal exercises, and supraglottic swallowing maneuvers. Treatment was performed for 30 min per day, three times a week, for 7 months. On initial videofluoroscopic examination, the patient was unable to safely tolerate any per-oral nutri...

Ten-digit replantation with seven years follow-up: A case report

Microsurgery — Tue, 19 Jan 2010 00:00:00 +0100

In this report, we present a case of successful replantation of 10-digit complete amputation and results of postoperative rehabilitation in 7 years follow-up. The rehabilitation program included psychotherapy, physical therapy, sensory re-education, and measurements. At the 7 years postoperatively, the static two-point discriminations of replanted digits ranged from 4 to 11 mm. Grasping powers ranged from 69 to 81 lb, and pinching powers ranged from 13 to 19 lb. The patient returned to the previous employment. Our experience has demonstrated that systemic postoperative rehabilitation and measurements could achieve satisfactory recovery of the sensory and motor functions of multiple-digit replantation. © 2010 Wiley-Liss, Inc. Microsurgery, 2010. (Source: Microsurgery)

Wii board helps physios strike a balance after strokes

New Scientist - Health — Sat, 16 Jan 2010 10:02:52 +0100

Games console extra could provide a cheap alternative to physical therapy equipment used to get stroke victims walking again (Source: New Scientist - Health)

Moral distress in physical therapy practice.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:24 +0100

Authors: Carpenter C ABSTRACT The purpose of this article is to discuss the theoretical concept of moral distress in the context of current physical therapy practice and ethics knowledge and differentiate it from emotional distress and burnout. Moral distress, largely discussed in nursing, is a theoretical concept that has the potential to elucidate the experiences of physical therapists delivering direct care to patients in complex health care situations and to contribute to physical therapy ethics knowledge and education. It focuses attention on the role of moral agent and the ethical dimensions of practice, offers a basis for dialogue among health professionals, and promotes analysis of the impact of the organizational environment on practice. The article concludes by suggesting how...

Nonoperative management of a patient with a two-part minimally displaced proximal humerus fracture: A case report.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:08 +0100

Authors: Withrow PM, Stoecker JL, Stevens K, Clark K ABSTRACT Proximal humerus fractures account for up to 10% of all fractures; however, the literature lacks any detailed nonoperative management protocols or treatment progression guidelines that are based on large randomized controlled trials. Several studies support conservative treatment of minimally displaced fractures, yet they do not document the specific interventions used nor do they provide rationale for progression. This case report describes the conservative rehabilitation of a patient following a traumatic, minimally displaced, two-part proximal humerus fracture. The patient was a 58-year-old female who was referred to physical therapy 4 weeks following arm sling immobilization with the primary goal of returning to full-tim...

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Use of electrical stimulation and exercise to increase muscle strength in a patient after surgery for cervical spondylotic myelopathy.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:05 +0100

Authors: Pastor D ABSTRACT Current literature offers little research on the restoration of function in patients following anterior decompression surgery for cervical spondylotic myelopathy. This case report describes the functional outcomes for a physical therapy program using a protocol of alternate day electrical stimulation to hip and knee extensor muscles along with exercise. The protocol, designed to increase lower extremity strength necessary for ambulation in a patient who was status post anterior cervical decompression and fusion surgery, consisted of treatment sessions five times per week for 6 weeks and included electrical stimulation [medium frequency alternating current (MFAC)] in conjunction with active range of motion exercises, followed by functional mobility training an...

Kinesiology of the Hip: A Focus on Muscular Actions

The Journal of Orthopaedic and Sports Physical Therapy — Thu, 14 Jan 2010 05:00:00 +0100

Donald A. NeumannSYNOPSIS: The 21 muscles that cross the hip provide both triplanar movement and stability between the femur and acetabulum. The primary intent of this clinical commentary is to review and discuss the current understanding of the specific actions of the hip muscles. Analysis of their actions is based primarily on the spatial orientation of the muscles relative to the axes of rotation at the hip. The discussion of muscle actions is organized according to the 3 cardinal planes of motion. Actions are considered from both femoral-on-pelvic and pelvic-on-femoral perspectives, with particular attention to the role of coactivation of trunk muscles. Additional attention is paid to the biomechanical variables that alter the effectiveness, force, and torque of a given muscle action. ...

Hamstring Strain Injuries: Recommendations for Diagnosis, Rehabilitation, and Injury Prevention

The Journal of Orthopaedic and Sports Physical Therapy — Thu, 14 Jan 2010 05:00:00 +0100

Bryan C. Heiderscheit, Marc A. Sherry, Amy Silder, Elizabeth S. Chumanov, Darryl G. ThelenSYNOPSIS: Hamstring strain injuries remain a challenge for both athletes and clinicians, given their high incidence rate, slow healing, and persistent symptoms. Moreover, nearly one third of these injuries recur within the first year following a return to sport, with subsequent injuries often being more severe than the original. This high reinjury rate suggests that commonly utilized rehabilitation programs may be inadequate at resolving possible muscular weakness, reduced tissue extensibility, and/or altered movement patterns associated with the injury. Further, the traditional criteria used to determine the readiness of the athlete to return to sport may be insensitive to these persistent deficits, ...

Effect of Treadmill Training and Supramalleolar Orthosis Use on Motor Skill Development in Infants With Down Syndrome.

Physical Therapy — Thu, 14 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> Orthoses may have a detrimental effect on overall gross motor skill development. PMID: 20075148 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Increasing Muscle Extensibility: A Matter of Increasing Length or Modifying Sensation?

Physical Therapy — Thu, 14 Jan 2010 00:00:00 +0100

Authors: Weppler CH, Magnusson SP Various theories have been proposed to explain increases in muscle extensibility observed after intermittent stretching. Most of these theories advocate a mechanical increase in length of the stretched muscle. More recently, a sensory theory has been proposed suggesting instead that increases in muscle extensibility are due to a modification of sensation only. Studies that evaluated biomechanical properties of muscles immediately after stretching and after short-term (3- to 8-week) stretching programs support this sensory theory of increasing muscle extensibility. The biomechanical effects of long-term (>8 weeks) and chronic stretching programs have not yet been evaluated. The purposes of this article are to review each of these proposed theories an...

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Therapy May Relieve Breast Cancer Surgery Complication

MedlinePlus Health News — Wed, 13 Jan 2010 14:00:00 +0100

Early physical therapy prevented or reduced secondary lymphedema in study patients Source: HealthDay Related MedlinePlus Topics: Breast Cancer, Rehabilitation (Source: MedlinePlus Health News)

Evidence-based rehabilitation following anterior cruciate ligament reconstruction

Knee Surgery, Sports Traumatology, Arthroscopy — Wed, 13 Jan 2010 06:50:58 +0100

Abstract Following a bone-patellar tendon-bone autograft (BPTB) or four-stranded semitendinosus/gracilis tendons autograft (ST/G) anterior cruciate ligament (ACL) reconstruction, the speed and safety with which an athlete returns to sports (or regains the pre-injury level of function) depends on the rehabilitation protocol. Considering the large differences in clinical and outpatient protocols, there is no consensus regarding the content of such a rehabilitation program. Therefore, we conducted a systematic review to develop an optimal evidence-based rehabilitation protocol to enable unambiguous, practical and useful treatment after ACL reconstruction. The systematic literature search identified 1,096 citations published between January 1995 and December 2006. Thirty-two s...

Antibodies targeting mutated citrullinated vimentin in patients with psoriatic arthritis

Clinical Rheumatology — Wed, 13 Jan 2010 06:43:44 +0100

Abstract Antibodies against mutated citrullinated vimentin (anti-MCV) are of a comparable diagnostic value in rheumatoid arthritis (RA) as antibodies targeting citrullinated peptides (anti-CCP). Anti-CCP are present in up to 15% of psoriatic arthritis (PsA) patients, while the prevalence of anti-MCV in PsA patients has been poorly investigated. The aim of the present study was to assess the prevalence and relevance of anti-MCV antibodies in PsA patients. The study included 56 PsA patients. Clinical features, disease activity, and functional ability were noted by an experienced rheumatologist. Serum samples of all patients were analyzed for anti-MCV and anti-CCP antibodies using enzyme-linked immunosorbent assay. Data on 92 patients with RA, 44 patients with other inflammat...

Physical Therapy Can Cut Risk of Post-Surgical Lymphedema

Modern Medicine — Wed, 13 Jan 2010 00:00:00 +0100

The risk of secondary lymphedema in breast cancer surgery patients can be significantly reduced by the early introduction of post-surgical physical therapy, according to a study published online Jan. 12 in BMJ. (Source: Modern Medicine)

Retrospective trial of complete decongestive physical therapy for lower extremity secondary lymphedema in melanoma patients

Supportive Care in Cancer — Mon, 11 Jan 2010 18:20:47 +0100

Conclusions CDPT provides relief in signs and symptoms for patients with SL following groyne dissection. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00520-009-0803-3Authors Eli Carmeli, Tel Aviv University Tel Aviv IsraelRoberto Bartoletti, Tel Aviv University Tel Aviv Israel Journal Supportive Care in CancerOnline ISSN 1433-7339Print ISSN 0941-4355 (Source: Supportive Care in Cancer)

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Retrospective chart review of vaginal diazepam suppository use in high-tone pelvic floor dysfunction

International Urogynecology Journal — Mon, 11 Jan 2010 18:19:28 +0100

Abstract To study intravaginal diazepam suppositories as adjunctive treatment for high-tone pelvic floor dysfunction (HTPFD) and sexual pain. A retrospective chart review was conducted on 26 patients who received diazepam suppositories as adjuvant therapy to pelvic physical therapy and intramuscular trigger point injections for bladder pain, sexual pain, and levator hypertonus. Pelvic floor muscular tone and pain were assessed by palpation and perineometry; sexual pain was objectively rated by Female Sexual Function Index (FSFI) and the Visual Analog Scale for Pain (VAS-P). Twenty-five out of 26 patients reported subjective improvement with suppository use; six out of seven sexually active patients resumed intercourse. Sexual pain as assessed on FSFI and serial VAS-P impro...

Periodic Paralysis Study Reveals Gene Causing Disorder

Health News from Medical News Today — Sat, 09 Jan 2010 08:00:00 +0100

Scientists have identified a gene underlying a disease that causes temporary paralysis of skeletal muscle. The finding, they say, illustrates how investigations of rare genetic diseases can drive insights into more common ones. The finding is reported in the January 8, 2010 issue of the journal Cell. The disease, known as thyrotoxic hypokalemic periodic paralysis, causes acute attacks of weakness in muscles that control movement. Symptoms range from difficulty grasping objects or rising from a lying position to incapacitating weakness of the body that prevents movement... (Source: Health News from Medical News Today)

Periodic Paralysis Study Reveals Gene Causing Disorder

Cardiovascular / Cardiology News From Medical News Today — Sat, 09 Jan 2010 08:00:00 +0100

Effect of opioid administration on cardiorespiratory and muscle oxygenation during lifting in chronic back pain patients

European Journal of Applied Physiology — Fri, 08 Jan 2010 21:37:29 +0100

The objectives of this study were to examine the effects of opioid administration on the acute cardiorespiratory and muscle oxygenation responses during a repetitive lifting and lowering test (RLL) to voluntary fatigue in participants with chronic low back pain (LBP). Written informed consent was obtained from 27 LBP participants (mean age 50.9 ± 16.4 years) who completed one testing session during which they were administered a saline placebo and opioid (1 μg/kg of fentanyl intravenously) in random order. The participants performed the RLL at a rate that they felt that they could sustain for an 8-h working day. Acute opioid administration increased the total lifting time and total work done during RLL by 35 and 48%, respectively (p < 0.05). However,...

Reliability of clinical diagnosis in intraarticular hip diseases

Knee Surgery, Sports Traumatology, Arthroscopy — Fri, 08 Jan 2010 09:07:54 +0100

This study investigated the ability of experienced orthopedic surgeons to agree on a diagnosis of labral tear, femoroacetabular impingement (FAI), and capsular laxity using clinical examination. Eight patients under the care of an experienced hip arthroscopist underwent independent clinical evaluations by six orthopedic surgeons who specialized in management hip pain. No attempt was made to regulate the evaluation process as surgeons performed their examination as they would in their own practice. Average subject age was 27 years (19–47 years) with five females and three males. Subjects subsequently underwent arthroscopic surgery by the treating surgeon. Surgical findings were recorded with respect to the presence or absence of a labral tear, FAI, and/or capsular laxity. ...

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Personal Best: Treat Me, but No Tricks Please

NYT — Thu, 07 Jan 2010 05:57:54 +0100

Some physical therapy has been proved to work, “but there is a lot of voodoo,” an expert says. (Source: NYT)

Physical Therapy in the Emergency Department: Development of a Novel Practice Venue.

Physical Therapy — Thu, 07 Jan 2010 00:00:00 +0100

This report details the design and early implementation of a physical therapist service in the emergency department (ED) of a large, urban hospital and presents recommendations for assessing the effectiveness of physical therapists in this setting. CASE DESCRIPTION: /b> Emergency departments serve multiple purposes in the American health care system, including care of patients with non-life-threatening illnesses. Physical therapists have expertise in screening for problems that are not amenable to physical therapy and in addressing a wide range of acute and chronic musculoskeletal pain problems. This expertise invites inclusion into the culture of ED practice. This administrative case report describes planning and early implementation of a physical therapist practice in an ED, shares pr...

Balance Impairment as a Risk Factor for Falls in Community-Dwelling Older Adults Who Are High Functioning: A Prospective Study.

Physical Therapy — Thu, 07 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> Not all methods of evaluating balance impairment are associated with falls. The number of people identified as having balance impairment varies with the measurement tool; therefore, the measurement tools are not interchangeable or equivalent in defining an at-risk population. The thresholds established in this study indicate individuals who should receive further comprehensive fall assessment and treatment to prevent falls. PMID: 20056721 [PubMed - as supplied by publisher] (Source: Physical Therapy)

An Exercise and Education Program Improves Well-Being of New Mothers: A Randomized Controlled Trial.

Physical Therapy — Thu, 07 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> A physical therapy exercise and health education program is effective in improving postnatal well-being. Routine use of this program may reduce longer-term problems such as postnatal depression. PMID: 20056720 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Progressive Resistance Training Improves Overall Physical Activity Levels in Patients With Early Osteoarthritis of the Knee: A Randomized Controlled Trial.

Physical Therapy — Thu, 07 Jan 2010 00:00:00 +0100

CONCLUSIONS:/b> Patients with early-onset OA of the knee can engage in an RT program without sacrificing their overall MVPA levels. These results support the value of RT for management of knee OA. PMID: 20056719 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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Personal Best: Treat Me, but No Tricks Please

NYT > Health — Wed, 06 Jan 2010 20:43:22 +0100

A little something called stretching can go a long way towards easing pain. (Source: NYT > Health)

Pre-operative assessment enables early diagnosis and recovery of shoulder function in patients with breast cancer

Breast Cancer Research and Treatment — Wed, 06 Jan 2010 18:07:07 +0100

Abstract In order to determine the extent and time course of upper limb impairment and dysfunction in women being treated for breast cancer (BC), and followed prospectively, a novel physical therapy surveillance model post-treatment was used. Subjects included adult women with newly diagnosed, untreated, unilateral, Stage I to III BC, and normal physiological and biomechanical shoulder function. Subjects were excluded if they had a previous history of BC, or prior injury or surgery of the affected upper limb. Measurements included body weight, shoulder ranges of motion (ROM), manual muscle tests, pain levels, upper limb volume, and an upper limb disability questionnaire (ULDQ). Measurements were taken at baseline (pre-surgery), and 1, 3–6, and 12 months post-surgery...

Factors affecting short-term precision of musculoskeletal measures using peripheral quantitative computed tomography (pQCT)

Osteoporosis International — Wed, 06 Jan 2010 06:48:14 +0100

Conclusions pQCT is a relatively precise technique for the assessment of bone and muscle, but precision is influenced by time between repeat scans and subject anthropometric characteristics. Investigators and clinicians need to be aware of these factors influencing pQCT outcomes as they may influence statistical power in clinical studies and the characterization of change in individual patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00198-009-1151-3Authors R. R. Swinford, Indiana University Department of Physical Therapy, School of Health and Rehabilitation Sciences 1140 W. Michigan St., CF-326 Indianapolis IN 46202 USAS. J. Warden, Indiana University Department of Physical Therapy, School of Health and Rehabilitation Sciences 1140 W. Mich...

Physical Therapy Treatment of Persistent Genital Arousal Disorder During Pregnancy: A Case Report

The Journal of Sexual Medicine — Wed, 06 Jan 2010 00:00:00 +0100

Conclusion. Treatment with pelvic floor manual therapy directed at the pudendal nerve may provide safe and significant relief from PGAD symptoms in a pregnant woman patient. Rosenbaum TY. PCOS and urethrovaginal space: 3D volumetric and vascular analysis. J Sex Med **;**:**[ndash]**. (Source: The Journal of Sexual Medicine)

Pelvic Floor Muscle Assessment Outcomes in Women With and Without Provoked Vestibulodynia and the Impact of a Physical Therapy Program

The Journal of Sexual Medicine — Wed, 06 Jan 2010 00:00:00 +0100

Conclusion. Women with PVD demonstrated altered PFM behavior when compared with controls, providing empirical evidence of PFMD, especially at the superficial layer. A PT rehabilitation program specifically targeting PFMD normalized PFM behavior in women with PVD. Gentilcore-Saulnier, E, McLean L, Goldfinger C, Pukall CF, and Chamberlain S. Pelvic floor muscle assessment outcomes in women with and without provoked vestibulodynia and the impact of a physical therapy program. J Sex Med **;**:**[ndash]**. (Source: The Journal of Sexual Medicine)

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Correction of Posterior Shoulder Tightness Is Associated With Symptom Resolution in Patients With Internal Impingement

The American Journal of Sports Medicine — Tue, 05 Jan 2010 22:07:53 +0100

Conclusion Resolution of symptoms after physical therapy treatment for internal impingement was related to correction of posterior shoulder tightness but not correction of GIRD. (Source: The American Journal of Sports Medicine)

CSM 2010 Sports Physical Therapy Section Abstracts: Poster Presentations SPO2272-SPO2298.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: The 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 poster presentation.The Orthopaedic and Sports Section abstracts are exclusively offered online for download. J Orthop Sports Phys Ther 2009;39(1):A99-A109. PMID: 20044711 [PubMed - as supplied by publisher] (Source: Physical Therapy)

CSM 2010 Orthopaedic Section Abstracts: Poster Presentations OPO2074-OPO2192.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: The 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 poster presentation.The Orthopaedic and Sports Section abstracts are exclusively offered online for download.J Orthop Sports Phys Ther 2009;40(1):A52-A98. PMID: 20044710 [PubMed - as supplied by publisher] (Source: Physical Therapy)

CSM 2010 Sports Physical Therapy Section Abstracts: Platform Presentations SPL1-SPL27.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: The 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 platform presentation.J Orthop Sports Phys Ther 2009;40(1):A40-A51. PMID: 20044709 [PubMed - as supplied by publisher] (Source: Physical Therapy)

CSM 2010 Orthopaedic Section Abstracts: Platform Presentations OPL1-OPL67.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: The 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 platform presentation.J Orthop Sports Phys Ther 2010;40(1):A12-A39. PMID: 20044708 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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CSM Orthopaedic and Sports Physical Therapy Section Programming 2010.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: A summary of the schedule of platform and poster research presentations made by the Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association during APTA's Combined Sections Meeting, February 17-20, 2010, in San Diego, CA.J Orthop Sports Phys Ther 2010;40(1):A1-A11. PMID: 20044707 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Radial Head Fracture Following a Fall.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: Dauber JA, Naspinsky SR A 26-year-old man who was serving in the military was referred to a physical therapist for an acute right elbow sprain following a fall on an outstretched hand 36 hours prior. The patient reported immediate pain and restricted elbow motion following the injury. Because the history and physical examination findings were concerning for a possible radial head fracture, the physical therapist ordered elbow radiographs. The anterior-to-posterior radiographic view revealed a nondisplaced longitudinal radial head fracture involving the lateral one third of the radial head, while the lateral radiographic view revealed lucencies anterior and posterior to the distal humerus, indicating displacement of the anterior and posterior fat pads due to joint effusion. The...

An Expanding Delivery Model Helps Clinicians Access the Literature.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

Authors: Simoneau GG One of the biggest challenges clinicians face is keeping abreast of new information that affects the evaluation and treatment of their patients. The Journal of Orthopaedic & Sports Physical Therapy (JOSPT) was created in 1979 with this mandate in mind, using the established technology of the day: print on paper. A recent survey of JOSPT's readers confirms that the print version of the Journal remains valuable as a means of delivering this critical information. Yet the same survey demonstrates that the electronic distribution of searchable Journal articles, along with supplemental information such as videos and downloadable slides, is gaining increased attention and use. The website has become a cost- and time-effective and efficient means of acquiring this know...

Effects of a Wobble Board-Based Therapeutic Exergaming System for Balance Training on Dynamic Postural Stability and Intrinsic Motivation Levels.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

CONCLUSIONS: The findings suggest that exercising with the therapeutic exergaming system showed similar improvements in dynamic postural stability and showed a greater level of interest and enjoyment when compared to a group doing similar balance training without the game system. LEVEL OF EVIDENCE: Therapy, level 2b. J Orthop Sports Phys Ther 2010;40(1):11-19, Epub 7 December 2009. doi:10.2519/jospt.2010.3121. PMID: 20044704 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

CONCLUSIONS: Differences were observed between men and women in 4 postoperative surgical categories in each of the clinical outcomes but not for number of physical therapy visits or LOS. Statistically significant and clinically meaningful pain and disability improvements were reported for each gender within each shoulder category. Results from this study may help therapists estimate the prognosis of males and females receiving nonstandardized postoperative physical therapy in 4 different shoulder surgical categories. LEVEL OF EVIDENCE: Therapy, level 2b. J Orthop Sports Phys Ther 2010;40(1):20-29, Epub 7 December 2009. doi:10.2519/jospt.2010.3043. PMID: 20044703 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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A Magnetic Resonance Imaging Investigation of the Transversus Abdominis Muscle During Drawing-in of the Abdominal Wall in Elite Australian Football League Players With and Without Low Back Pain.

Physical Therapy — Sun, 03 Jan 2010 15:36:05 +0100

CONCLUSIONS: This study provides evidence of an altered ability to draw-in the abdominal wall in footballers with current LBP. Retraining contraction of the TrA muscle may constitute one part of an exercise-therapy approach for athletes with current LBP. J Orthop Sports Phys Ther 2010;40(1):4-10, Epub 3 December 2009. doi:10.2519/jospt.2010.3177. PMID: 20044702 [PubMed - as supplied by publisher] (Source: Physical Therapy)

The Roles of Occupational Therapy, Physical Therapy, and Speech/Language Pathology in Primary Care

The Journal for Nurse Practitioners — Fri, 01 Jan 2010 00:00:00 +0100

This article describes the different rehabilitation disciplines and some of the ways in which their services may benefit patients. (Source: The Journal for Nurse Practitioners)

The Relationship of Transversus Abdominis and Lumbar Multifidus Activation and Prognostic Factors for Clinical Success With a Stabilization Exercise Program: A Cross-Sectional Study

Archives of Physical Medicine and Rehabilitation — Fri, 01 Jan 2010 00:00:00 +0100

Conclusions: Decreased LM muscle activation, but not TrA muscle activation, is associated with the presence of factors predictive of clinical success with a stabilization exercise program. Our findings provide researchers and clinicians with evidence regarding the construct validity of the prognostic factors examined in this study, as well as the potential clinical importance of the LM muscle as a target for stabilization exercises. (Source: Archives of Physical Medicine and Rehabilitation)

Hypnotic effect on temporomandibular disorder pain

Dental Abstracts — Fri, 01 Jan 2010 00:00:00 +0100

The causes and mechanisms producing temporomandibular disorders (TMDs) are not fully understood, but the clinical manifestations include pain in the jaw and surrounding tissues, limited jaw movement, and joint noises. Possible contributors include occlusal factors, parafunctional clenching and grinding, genetics, psychosocial factors, and neurobiological components. Treatments include oral splints, pharmacological agents, biofeedback, physical therapy, self-care, and cognitive behavioral therapy. Hypnosis has relieved pain in several chronic pain conditions, such as cancer, headaches, and migraines, but is relatively untested in orofacial pain conditions. The effect on oral function and psychological outcome was investigated after hypnosis was used for TMD. (Source: Dental Abstracts)

Low back pain in adolescents: a comparison of clinical outcomes in sports participants and nonparticipants.

J Athl Train — Fri, 01 Jan 2010 00:00:00 +0100

Conclusions: Adolescents with LBP due to sports participation received more treatment but experienced less improvement in disability than nonparticipants. This may indicate a worse prognosis for sports participants. Further research is required. PMID: 20064050 [PubMed - in process] (Source: J Athl Train)

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Physical therapy management of primary lymphedema in the lower extremities: A case report.

Physiotherapy Theory and Practice — Fri, 01 Jan 2010 00:00:00 +0100

Authors: Greene R, Fowler R Lymphedema is the tissue fluid accumulation that arises as a consequence of impaired lymphatic drainage. Lymphedema can result from either congenital (primary) or acquired (secondary) anomalies. Primary lymphedema affects 1-2 million people in the United States. Women are more affected by this disorder than men. The management of lymphedema by physical therapists usually includes a combination of skin care, external pressure, isotonic exercise, and massage. This case report describes the course of treatment for a 24-year-old female with stages 2 and 3 primary lymphedema. The goals of physical therapy intervention were as follows: 1) to reduce total limb girth circumference for both lower extremities; 2) to improve skin texture; 3) to promote independence wit...

Description of a multifaceted rehabilitation program including overground gait training for a child with cerebral palsy: A case report.

Physiotherapy Theory and Practice — Fri, 01 Jan 2010 00:00:00 +0100

Authors: Farrell E, Naber E, Geigle P This case describes the outcomes of a multifaceted rehabilitation program including body weight-supported overground gait training (BWSOGT) in a nonambulatory child with cerebral palsy (CP) and the impact of this treatment on the child's functional mobility. The patient is a nonambulatory 10-year-old female with CP who during an inpatient rehabilitation stay participated in direct, physical therapy 6 days per week for 5 weeks. Physical therapy interventions included stretching of her bilateral lower extremities, transfer training, bed mobility training, balance training, kinesiotaping, supported standing in a prone stander, two trials of partial weight-supported treadmill training, and for 4 weeks, three to five times per week, engaged in 30 minute...

Caring for Machado–Joseph disease: Current understanding and how to help patients

Parkinsonism and Related Disorders — Fri, 01 Jan 2010 00:00:00 +0100

Abstract: Machado–Joseph disease or spinocerebellar ataxia 3 (MJD/SCA3) is a clinically heterogeneous, neurodegenerative disorder characterized by varying degrees of ataxia, ophthalmoplegia, peripheral neuropathy, pyramidal dysfunction and movement disorder. MJD/SCA3 is caused by a CAG repeat expansion mutation in the protein coding region of the ATXN3 gene located at chromosome 14q32.1. Current hypotheses regarding pathogenesis favor the view that mutated ataxin-3, with its polyglutamine expansion, is prone to adopt an abnormal conformation, engage in altered protein–protein interactions and aggregate. Expanded CAG repeat length correlates with the range and severity of the clinical manifestations and inversely correlates with age of disease onset. Though MJD/SCA3 is classically descr...

Ankle Muscle Activation When Using the Both Sides Utilized (BOSU) Balance Trainer

Journal of Strength and Conditioning Research — Thu, 31 Dec 2009 15:16:14 +0100

Laudner, KG and Koschnitzky, MM. Ankle muscle activation when using the Both Sides Utilized (BOSU) balance trainer. J Strength Cond Res 24(1): 218-222, 2010-The use of the Both Sides Utilized (BOSU) balance trainer has become increasingly popular among fitness and medical personnel. Many fitness facilities, physical therapy clinics, and athletic training rooms routinely use this piece of equipment for strengthening, balance training, functional assessments, and rehabilitating various injuries. However, there are currently little data describing the effectiveness of this balance device. Therefore, the purpose of this study was to determine which side of the BOSU balance trainer would generate a greater amount of tibialis anterior, peroneus longus, or medial gastrocnemius muscle activity usi...

Competitive Female Runners With a History of Iliotibial Band Syndrome Demonstrate Atypical Hip and Knee Kinematics

The Journal of Orthopaedic and Sports Physical Therapy — Thu, 31 Dec 2009 05:00:00 +0100

CONCLUSION: Females with a previous history of ITBS demonstrate a kinematic profile that is suggestive of increased stress on the iliotibial band. These results were generally similar to those reported for a prospective study conducted within the same laboratory environment. J Orthop Sports Phys Ther 2010;40(2):52-58. Epub 31 December 2009. doi:10.2519/jospt.2010.3028 KEY WORDS: ankle, biomechanics, foot, running (Source: The Journal of Orthopaedic and Sports Physical Therapy)

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Strengthening and Neuromuscular Reeducation of the Gluteus Maximus in a Triathlete With Exercise-Associated Cramping of the Hamstrings

The Journal of Orthopaedic and Sports Physical Therapy — Thu, 31 Dec 2009 05:00:00 +0100

DISCUSSION: A program of gluteus maximus strengthening and neuromuscular training eliminated EAMC of the hamstrings in this patient. Given that the hamstrings and gluteus maximus work as agonists to decelerate the thigh during terminal swing phase and control hip flexion during loading response of running, we postulate that strengthening of the gluteus maximus decreased the relative effort required by the hamstrings, thus reducing EAMC. The results of the EMG evaluation that was performed as part of this case report provides support for this hypothesis. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2010;40(2):112-119, Epub 31 December 2009. doi:10.2519/jospt.2010.3110 KEY WORDS: hip, lower extremity, muscle cramping, running (Source: The Journal of Orthopaedic and Sports P...

Treatment of an Individual With Piriformis Syndrome Focusing on Hip Muscle Strengthening and Movement Reeducation: A Case Report

The Journal of Orthopaedic and Sports Physical Therapy — Thu, 31 Dec 2009 05:00:00 +0100

DISCUSSION: This case highlights an alternative view of the pathomechanics of piriformis syndrome (overstretching as opposed to overshortening) and illustrates the need for functional movement analysis as part of the examination of these patients. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2010;40(2):103-111, Epub 31 December 2009. doi:10.2519/jospt.2010.3108 KEY WORDS: biomechanics, gluteus, hip pain, radiculopathy, sciatica (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM 2010 Sports Physical Therapy Section Abstracts: Poster Presentations SPO2272-SPO2298

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

The 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 poster presentation.The Orthopaedic and Sports Section abstracts are exclusively offered online for download. J Orthop Sports Phys Ther 2009;39(1):A99-A109KEY WORDS: Combined Sections Meeting, CSM, Sports posters (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM 2010 Orthopaedic Section Abstracts: Poster Presentations OPO2074-OPO2192

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

The 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 poster presentation.The Orthopaedic and Sports Section abstracts are exclusively offered online for download.J Orthop Sports Phys Ther 2009;40(1):A52-A98KEY WORDS: Combined Sections Meeting, CSM, Orthopaedic Section posters (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM 2010 Sports Physical Therapy Section Abstracts: Platform Presentations SPL1-SPL27

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

The 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 platform presentation.J Orthop Sports Phys Ther 2009;40(1):A40-A51KEY WORDS: Combined Sections Meeting, CSM, Sports platforms (Source: The Journal of Orthopaedic and Sports Physical Therapy)

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CSM 2010 Orthopaedic Section Abstracts: Platform Presentations OPL1-OPL67

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

The 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 platform presentation.J Orthop Sports Phys Ther 2010;40(1):A12-A39KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM Orthopaedic and Sports Physical Therapy Section Programming 2010

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

A summary of the schedule of platform and poster research presentations made by the Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association during APTA's Combined Sections Meeting, February 17-20, 2010, in San Diego, CA.J Orthop Sports Phys Ther 2010;40(1):A1-A11KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

Radial Head Fracture Following a Fall

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

James A. Dauber, Scott R. NaspinskyA 26-year-old man who was serving in the military was referred to a physical therapist for an acute right elbow sprain following a fall on an outstretched hand 36 hours prior. The patient reported immediate pain and restricted elbow motion following the injury. Because the history and physical examination findings were concerning for a possible radial head fracture, the physical therapist ordered elbow radiographs. The anterior-to-posterior radiographic view revealed a nondisplaced longitudinal radial head fracture involving the lateral one third of the radial head, while the lateral radiographic view revealed lucencies anterior and posterior to the distal humerus, indicating displacement of the anterior and posterior fat pads due to joint effusion. The p...

An Expanding Delivery Model Helps Clinicians Access the Literature

The Journal of Orthopaedic and Sports Physical Therapy — Wed, 30 Dec 2009 05:00:00 +0100

Guy G. SimoneauOne of the biggest challenges clinicians face is keeping abreast of new information that affects the evaluation and treatment of their patients. The Journal of Orthopaedic & Sports Physical Therapy (JOSPT) was created in 1979 with this mandate in mind, using the established technology of the day: print on paper. A recent survey of JOSPT's readers confirms that the print version of the Journal remains valuable as a means of delivering this critical information. Yet the same survey demonstrates that the electronic distribution of searchable Journal articles, along with supplemental information such as videos and downloadable slides, is gaining increased attention and use. The website has become a cost- and time-effective and efficient means of acquiring this knowledge,...

Ten year celebration – A decade of progress for physical therapy in sport

Physical Therapy in Sport — Wed, 30 Dec 2009 00:00:00 +0100

Welcome to the start of a new decade with the first issue of the eleventh volume of Physical Therapy in Sport, and it is timely to reflect on the 10 years since its inception in the current format. Physical Therapy in Sport has come a very long way in a relatively short space of time and has developed from a UK publication into a truly international one that is represented at every level from the Associate Editors. Editorial Committee, International Advisory Board, reviewers, authors and readers. In 2008 the journal was read online in 71 different countries, remarkable given that many developing countries still have limited online access. This obviously includes many countries where English is not the first language. Not only does it have an international audience Physical Therapy in Sport...

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Randomized Trial Assessing the Impact of a Musculoskeletal Intervention for Pain Before Participating in a Weight Management Program.

Journal of Cardiopulmonary Rehabilitation and Prevention — Fri, 25 Dec 2009 00:00:00 +0100

CONCLUSIONS: Musculoskeletal and physical therapy intervention directed at decreasing musculoskeletal pain in obese individuals prior to participation in a WM program reduces reported musculoskeletal pain for those participants completing the program but does not significantly improve weight loss over 6 months, compared with individuals with comparable musculoskeletal pain who enter directly into a WM program. PMID: 20040884 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)

A morphological adaptation of the thoracic and lumbar vertebrae to lumbar hyperlordosis in young and adult females

European Spine Journal — Thu, 24 Dec 2009 19:57:35 +0100

Abstract The lumbar shape in females is thought to be unique, compensating for lumbar hyperlordosis. Yet, the morphological adaptation of various vertebral parameters in the thoracic and lumbar spine to this unique posture in young and adult females has only been partially addressed in the literature. Our aim was to investigate the gender association to vertebral shape in the thoracic and lumbar spine as a possible adaptation to lumbar hyperlordosis in young and adult females. A three-dimensional digitizer was used to measure the vertebral body sagittal wedging, relative spinous process thickness, and relative interfacet width at the T1–L5 level. Two hundred and forty complete, non-pathological skeletons of adults and 32 skeletons of young individuals were assessed. Thre...

Perioperative management of immunosuppression in rheumatic diseases—what to do?

Rheumatology International — Thu, 24 Dec 2009 19:56:16 +0100

Abstract To stop or not to stop immunosuppressive therapy in the perioperative setting puts the clinician to a challenge. The risk of potential wound infection with possible septic or even lethal consequences needs to be weighted against exacerbation of the rheumatic disease. However, exacerbation of autoimmune inflammatory activity needs to be treated with increasing immunosuppressive medication, thus leading to enhanced risk of local and systemic infection as well. Unfortunately, up to now there is no data from randomized, double-blind controlled clinical trials available on how to steer immunosuppressive therapy in the perioperative setting, making evidence-based recommendations difficult. Neither is there good evidence, if the risk of infectious complications under imm...

Attitudes of Students in Medicine, Nursing, Occupational Therapy, and Physical Therapy Toward Interprofessional Education

Journal of Allied Health — Thu, 24 Dec 2009 15:19:26 +0100

(Source: Journal of Allied Health)

The Holiday Rush Can Be A Pain In The Neckâ�¦And Backâ�¦And Shoulderâ�¦Learn How To Prevent It

Health News from Medical News Today — Tue, 22 Dec 2009 08:00:00 +0100

To most of us the holiday season is all about tradition, fun, and family, but if we're not careful, the holidays can also be a pain in the neck-literally-says the American Physical Therapy Association (APTA). Typical holiday activities, such as shopping "till you drop," lifting heavy boxes and presents, and countless hours of cooking and baking, can cause muscles to work harder than usual, many times resulting in neck, shoulder, and back pain... (Source: Health News from Medical News Today)

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How To Prevent Pain In The Neck, Back And Shoulders This Holiday Season

Pain / Anesthetics News From Medical News Today — Tue, 22 Dec 2009 08:00:00 +0100

How To Prevent Pain In The Neck, Back And Shoulders This Holiday Season

Pain / Anesthetics News From Medical News Today — Tue, 22 Dec 2009 08:00:00 +0100

Chronic Subjective Dizziness (CSD) vs. Conversion Disorder: Discussion of clinical findings and rehabilitation.

American Journal of Audiology — Tue, 22 Dec 2009 00:00:00 +0100

CONCLUSIONS: The audiologist is in a key position to identify individuals with CSD and conversion disorder, two conditions that can be effectively managed if properly recognized. The authors demonstrate an effective team-approach program that includes the audiologist's contribution to differential diagnosis, education of patients and other clinicians about these conditions and development of recommendations for neurologic, psychiatric, otologic, and physical therapy referrals. PMID: 20029054 [PubMed - as supplied by publisher] (Source: American Journal of Audiology)

New study on the Brazilian physical therapy researcher

Revista Brasileira de Fisioterapia — Mon, 21 Dec 2009 15:54:51 +0100

(Source: Revista Brasileira de Fisioterapia)

Physical therapy treatment on frailty syndrome: systematic review

Revista Brasileira de Fisioterapia — Mon, 21 Dec 2009 15:54:51 +0100

CONCLUSION: There is little evidence of the effect of physical therapy intervention on frail community-dwelling elders; thus, it is not possible to reach a consensus or conclusion on the effectiveness of the therapeutic regimens proposed for this complex syndrome. (Source: Revista Brasileira de Fisioterapia)

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Muscle fatigue assessment by mechanomyography during application of NMES protocol

Revista Brasileira de Fisioterapia — Mon, 21 Dec 2009 15:54:51 +0100

CONCLUSIONS: MMG is a technique that can be simultaneously applied to NMES because there is no electrical interference and it can be used during functional movements in the NMES-generated muscle contraction. Article registered in the Australian New Zealand Clinical Trials Registry (ANZCTR) under the number ACTRN12609000866202. (Source: Revista Brasileira de Fisioterapia)

Association between visual deficit and clinical-functional characteristics among community-dwelling older adults

Revista Brasileira de Fisioterapia — Mon, 21 Dec 2009 15:54:51 +0100

OBJETIVO: Identificar os fatores funcionais associados com o déficit visual em idosos da comunidade. MÉTODOS: Foram avaliados 96 idosos quanto à acuidade visual por meio da tabela direcional de Snellen e categorizados em relação à baixa visão (acuidade visual 0,3). Os fatores funcionais analisados foram: número de quedas, presença de doenças visuais, saúde mental, pela Geriatric Depression Scale (GDS), funcionalidade nas atividades diárias pelo Brazilian OARS Multidimensional Functional Assessment Questionnaire (BOMFAQ) e a mobilidade funcional pelo Timed Up & Go Test (TUG). A análise inferencial foi realizada por meio dos testes Qui-Quadrado, Mann-Whitney e Coeficiente de Correlação de Spearman, considerando α=0,05. RESULTADOS: Apresentaram baixa visão 17,7% (n=17) dos id...

Progressive resistance training in chronic musculoskeletal disorders

Revista Brasileira de Reumatologia — Mon, 21 Dec 2009 15:17:47 +0100

CONCLUSION: Based on the findings of this review, the use of progressive resistance training to complement traditional exercises used in rehabilitation of chronic musculoskeletal diseases is recommended in order to standardize treatment protocols, with adequate control of individual load, and to optimize training results. However, it should be emphasized that further studies are necessary for more reliable conclusions. (Source: Revista Brasileira de Reumatologia)

Parents' perspectives on occupational therapy and physical therapy goals for children with cerebral palsy.

Disability and Rehabilitation — Sat, 19 Dec 2009 06:58:05 +0100

Conclusions. The variability noted both in parents' desired role in goal setting and in goals important to parents highlights the importance of establishing trusting relationships with families so that family goals, values, individual circumstances, and desired level of participation in goal setting can be openly discussed. PMID: 20001831 [PubMed - in process] (Source: Disability and Rehabilitation)