International Journal of Sports Physical Therapy最新文献

{"title":"Qualitative Evaluation of Patient Experiences with Low-Load Blood Flow Restriction and Heavy-Load Resistance Training Post-ACL Reconstruction.","authors":"Baris Koc, Edwin Jansen, Ole de Jong, Tom Ehlen, Lisa van Rijn, Rob de Bie, Martijn Schotanus","doi":"10.26603/001c.143781","DOIUrl":"10.26603/001c.143781","url":null,"abstract":"<p><strong>Background: </strong>Low-load blood flow restriction training (LL-BFRT) has been suggested as an alternative to heavy-load resistance training (HLRT) following anterior cruciate ligament (ACL) reconstruction. While current research primarily focuses on the clinical outcomes of LL-BFRT and HLRT, patients' experiences with these rehabilitation methods remain unexplored. Such an exploration may provide insights that can contribute to more patient-centered rehabilitation approaches.</p><p><strong>Purpose: </strong>This study aims to explore patients' experiences with strength rehabilitation using LL-BFRT or HLRT following ACL reconstruction. Study design: Qualitative Cohort study.</p><p><strong>Methods: </strong>Patients who had undergone primary bone-patellar tendon-bone ACL reconstruction and completed an LL-BFRT or HLRT protocol within the prior six months were contacted to participate in semi-structured interviews. All interviews were audio-recorded, transcribed verbatim, and anonymized. An inductive thematic analysis was conducted to identify key themes and patterns.</p><p><strong>Results: </strong>Ten participants were interviewed, with five in the LL-BFRT group and five in the HLRT group. The interviews were conducted, on average, four months after completion of the strength rehabilitation protocol. The inductive thematic analysis revealed four main themes: experiences with strength training, perceived benefits, challenges encountered, and impact on the recovery process. All participants experienced progression in muscle strength. Three participants in the LL-BFRT group reported thigh muscle pain, whereas four participants in the HLRT group noted knee pain during strength rehabilitation. Overall, participants had positive views on their recovery process, except for two participants in the HLRT group who reported negative effects on their recovery due to persistent knee pain.</p><p><strong>Conclusion: </strong>The results of this study highlights patients' experiences with LL-BFRT and HLRT following ACL reconstruction. The findings indicate that LL-BFRT may be suitable in the early rehabilitation phase, as knee pain in the HLRT group may negatively affect the recovery process.</p><p><strong>Level of evidence: </strong>NA.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 10","pages":"1479-1488"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and Opportunities for Injury Reduction and Performance Development in Elite Youth Team Sport Schools: A Practice-Based Opinion.","authors":"Filip F Staes, Styn Vereecken, Wouter P Timmerman, Camille Tooth, Suzanne Gard, Kobe C Houtmeyers, Arne Jaspers","doi":"10.26603/001c.144053","DOIUrl":"10.26603/001c.144053","url":null,"abstract":"<p><p>Performance enhancement and injury risk reduction are crucial for youth elite athletes. The pursuit of both these goals remains challenging in team sports as individual needs must be balanced with collective training goals. Despite the available evidence on screening, maturation, monitoring, and staff involvement, the optimal approach for enhancing performance while reducing injury risk in young athletes has yet to be defined, and integrating evidence into clinical settings remains a significant challenge. This clinical commentary aims to share the decision-making process regarding performance enhancement and injury reduction in volleyball players within a youth elite sports school, considering maturation and a context of limited budgets for the use of advanced monitoring tools. A youth elite sports school offers a structured environment that allows young athletes, aged 12-18, to combine education with a sport-specific elite athletic development program supervised by a multidisciplinary team. The authors address challenges related to preparticipation screening, maturation differentiation, low-budget monitoring, and communication. Based on literature, the daily experiences and project outcomes, opportunities for an integrated approach are identified which offer scalable, evidence-informed solutions to optimize performance development. # Level of Evidence 5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 10","pages":"1547-1556"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kinematic and Kinetic Risk Factors Exist Bilaterally During the First and Second Landing of the Drop Vertical Jump in Adolescent Patients following ACL Reconstruction.","authors":"Katie Sloma, Ashley Erdman, Ava Davis, Alex Loewen, Henry Ellis, Philip Wilson, Sophia Ulman","doi":"10.26603/001c.144188","DOIUrl":"10.26603/001c.144188","url":null,"abstract":"<p><p>Most anterior cruciate ligament (ACL) tears occur during non-contact, deceleration phases of sports activity. Injury risk screenings use the drop vertical jump (DVJ) to assess landing mechanisms, but no researchers have examined biomechanical differences between the first and second landings in youth athletes following ACL reconstruction. # Purpose The purpose of this study was to compare biomechanical risk factors in the first and second DVJ landings in both the surgical (affected) and unaffected limbs in youth athletes recently cleared for RTP following ACL reconstruction. # Study Design Cross Sectional # Methods A total of 58 youth athletes (37 females, 21 males; 15.9 ± 1.9 years; 164.0 ± 9.5 cm; 66.0 ± 15.3 kg) who had undergone ACL reconstruction (ACLR) and were granted return to play (RTP) clearance from their physician participated in this study between 2020 and 2024. Kinematic and kinetic data using 3-Dimensional motion capture were collected while participants performed a series of dynamic tasks which included a DVJ with standardized instructions. Wilcoxon signed-rank tests were performed to determine significant differences between the first (1st) and second (2nd) DVJ landings, as well as between the affected (AFF) and unaffected (UNAFF) limbs. Effect sizes (r) were computed for all significant comparisons. A Holm-Bonferroni correction was applied within each comparison group due to multiple comparisons. # Results There were greater biomechanical risk factors associated with dynamic knee valgus during the first landing, including knee valgus (AFF: p<0.001; UNAFF: p=0.001), hip internal rotation (AFF: p<0.001; UNAFF: p<0.001), knee external rotation (UNAFF: p<0.001). Overall, there were more significant biomechanical risk factors in the unaffected limb compared to the affected limb in both landings. A stiffer landing, with less trunk flexion (AFF: p<0.001; UNAFF: p<0.001), knee flexion (AFF: p<0.001; UNAFF: p<0.001), and hip flexion (AFF: p<0.001; UNAFF: p<0.001) was observed in the second landing. # Conclusion More biomechanical risk factors occurred during the first landing of the DVJ, with more risk factors present in the unaffected limb during both landings. These findings highlight the need for a comprehensive DVJ assessment of both landings and both limbs for evaluation of RTP readiness following ACL reconstruction. # Level of Evidence III.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 10","pages":"1436-1447"},"PeriodicalIF":2.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The International Federation of Sports Physical Therapy at the World Physiotherapy Congress 2025: Shaping a Global Commitment to Sustainable Athlete Health.","authors":"Suzanne Gard, Eva Ursej, Derya Ozer Kaya, Florian Forelli, Mina Samukawa","doi":"10.26603/001c.143626","DOIUrl":"10.26603/001c.143626","url":null,"abstract":"<p><p>Health and physical activity are important for sport injury prevention in athletes. A clinical seminar session at the World Physiotherapy Congress 2025 in Tokyo highlighted the need for sports physiotherapists to identify and address risk factors, design individualized prevention programs, and use their expertise when working with athletes. The purpose of this perspective article is to revisit the content of that seminar and encourage the employment of primary, secondary, and tertiary prevention strategies to positively affect athlete health and ensure sustainable performance among athletes.</p><p><strong>Level of evidence: </strong>5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1432-1435"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a Squat Visual Biofeedback Program After ACL Reconstruction: Protocol for a Prospective, Parallel, Randomized Controlled Trial.","authors":"Michael J Wellsandt, Neal Weldon, Dave M Werner, Matthew L McManigal, Matthew A Tao, Michael D Rosenthal, Balasrinivasa R Sajja, Christopher S Wichman, Ashley Baker, Christopher Johnson, Zachary Specht, Brittany A Weaver, Brian Knarr, Caleb Nabower, Elizabeth Wellsandt","doi":"10.26603/001c.142879","DOIUrl":"10.26603/001c.142879","url":null,"abstract":"<p><strong>Background: </strong>Altered knee joint loading is pervasive and persistent after anterior cruciate ligament reconstruction (ACLR) and a significant driver for the development of knee osteoarthritis (OA).</p><p><strong>Purpose: </strong>To describe a prospective, parallel, randomized controlled trial aiming to evaluate the efficacy of an eight-week squat visual biofeedback program implemented early after ACLR.</p><p><strong>Study design: </strong>Randomized controlled clinical trial.</p><p><strong>Methods: </strong>Thirty-four individuals (13-35 years of age) will be recruited for a prospective, parallel, randomized controlled trial. Embedded within progressive, criterion-based post-operative physical therapy, participants will be randomly allocated to an eight-week bodyweight squatting program either with or without visual biofeedback initiated when 50% weightbearing is allowed by the treating surgeon. Outcomes will be measured at pre- and post-intervention, six months post-ACLR, and nine months post-ACLR. The primary outcomes are 1) change in knee flexion moment impulse interlimb ratio during squatting at post-intervention, and 2) change in cartilage microstructure from pre-intervention to six months. Secondary outcomes include 1) knee flexion moment impulse interlimb ratio during squatting at six months post-ACLR, 2) peak knee flexion moment interlimb ratio during gait at post-intervention and six months post-ACLR, and 3) quadriceps strength at post-intervention and six months post-ACLR. Exploratory outcomes include knee range of motion and effusion, single-legged hop tests, daily physical activity, additional movement biomechanics, and patient-reported outcomes.</p><p><strong>Discussion: </strong>This study will assess the efficacy of an eight-week squat visual biofeedback program implemented early after ACLR. Findings will inform the future development and testing of comprehensive knee loading rehabilitation interventions that seek to optimize both the magnitude and frequency of knee joint loading to prevent early knee OA after ACL injuries.</p><p><strong>Level of evidence: </strong>NA.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov reference: NCT05363683. Registered May 6, 2022.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1364-1376"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation Following a Latarjet After a Failed Labral Repair in a Female Overhead Athlete: A Resident's Case Report.","authors":"Timothy Sieng, John Cicciaro, Jon Michelini, Kevin Farmer, Giorgio Zeppieri","doi":"10.26603/001c.143147","DOIUrl":"10.26603/001c.143147","url":null,"abstract":"<p><strong>Background & purpose: </strong>The Latarjet procedure is a well-established method for surgical stabilization in the case of recurrent anterior shoulder instability. The purpose of this case report was to describe the post-operative physical therapy progression and outcome of a Division I women's basketball player following an open Latarjet procedure. # Case Description The subject was a 23-year-old female Division I collegiate basketball player who had experienced multiple shoulder dislocations during basketball-related activities. Initial management consisted of six weeks of physical therapy. However, the subject reported continued instability and underwent a right shoulder arthroscopic anterior labral repair (Bankart) and returned to sport eight months post-surgery. Following her return, the subject sustained multiple recurrent shoulder dislocations during practice. The subject then underwent an open Latarjet procedure. Physical therapy interventions followed a sequential and multi-phased approach based on time for tissue physiologic healing and individual progression. Subject reported outcomes including the Pennsylvania Shoulder Score (PSS), Quick DASH, the single assessment numeric evaluation (SANE) and the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) were assessed in addition to isokinetic strength and performance testing to determine return to sport readiness. # Outcomes The subject completed 30 sessions of physical therapy over 16 weeks. Clinically meaningful improvements were observed in subject reported outcomes at return to sport, including the PSS, QuickDASH, SANE, and OSPRO-YF. Additionally, improvements in shoulder strength, endurance, power, and performance measures exceeded thresholds of clinical significance. Follow-up imaging (CT and radiographs) showed osseous mineralization with no acute abnormalities. # Conclusion The subject of this case report returned to full sports participation following a Latarjet procedure at five months post-operative. Rehabilitation following a Latarjet procedure in a female overhead athlete presents several challenges.</p><p><strong>Level of evidence: </strong>Level 5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1388-1400"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proprioceptive Neuromuscular Facilitation for the Upper Extremity and Scapula: Review and Update on Rehabilitation of Shoulder Pathology.","authors":"Michael Higgins, Carolyn Greer","doi":"10.26603/001c.143176","DOIUrl":"10.26603/001c.143176","url":null,"abstract":"<p><p>Proprioceptive Neuromuscular Facilitation (PNF) has deep roots in neurological rehabilitation for the treatment of neuromuscular disorders that has carried over into musculoskeletal rehabilitation and human performance. There are two major aspects of PNF in musculoskeletal practice, stretching and strengthening, but this commentary only addresses the effects of strengthening. Techniques that do not incorporate all the original principles and guidelines as described in the literature are often miscategorized as PNF. The purpose of this clinical update/commentary is to review the essential principles, guidelines, and techniques for the effective utilization of PNF strengthening exercises for the upper extremity highlighting the importance of regaining/maintaining the synergist relationship between the glenohumeral joint and scapula. It will also provide recommended sequencing, exercise parameters, and present evidence of the effectiveness of incorporating PNF patterns into the rehabilitation programs for upper extremity pathologies. # Level of Evidence 5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1407-1419"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hamstrings Volumetric Adaptations to a Four-Week Nordic Hamstring Exercise Protocol in Individuals with ACL Reconstruction: A Preliminary Case Series.","authors":"Grant E Norte, Amanda M Murray, Justin L Rush, David A Sherman, Neal R Glaviano","doi":"10.26603/001c.143149","DOIUrl":"10.26603/001c.143149","url":null,"abstract":"<p><strong>Background: </strong>Hamstrings atrophy is widely reported following anterior cruciate ligament reconstruction (ACLR) with hamstrings tendon (HT) autograft. Nordic hamstring exercise (NHE) has yielded improvements in hamstrings volumes among uninjured individuals, yet this has not been investigated following ACLR.</p><p><strong>Purpose: </strong>To describe changes in hamstrings volumes following an isolated NHE protocol among individuals with a history of ACLR via HT.</p><p><strong>Study design: </strong>Prospective case series.</p><p><strong>Methods: </strong>Individuals (age 18-35) with primary, unilateral ACLR via HT was recruited from an a larger clinical trial. Participants were not engaged in formal rehabilitation at enrollment. Outcomes were assessed in a university research laboratory and medical center. Involved limb muscle volumes were quantified for the total hamstrings, biceps femoris long head, biceps femoris short head, semimembranosus, and semitendinosus via magnetic resonance imaging before and after a standardized, progressive four-week (10-session) NHE protocol. Average peak eccentric force was quantified using a NordBord dynamometer during the first and last exercise sessions. Change scores were reported descriptively as percentages (%) and their magnitudes were quantified using effect sizes (Cohen's d).</p><p><strong>Results: </strong>Seven individuals participated (age: 22.0±2.3 years, time from surgery: 53.6±29.5 months). Volumetric changes ranged -6.0 to 17.6% across participants and muscles. On average, trivial-to-moderate magnitude increases in hamstrings volumes (3.3-7.2%, d=0.12-0.53) were observed, except for semimembranosus (0.0%, d=0.01). Changes in eccentric force ranged -3.2 to 19.4% across participants. On average, a moderate magnitude increase in force (11.0%, d=0.53) was observed.</p><p><strong>Conclusion: </strong>The majority of participants in this case series demonstrated trivial-to-moderate increases in hamstrings muscle volumes in parallel with a moderate increase in eccentric force after four weeks of isolated NHE. Variable responses to exercise appear to support the need for individualized exercise prescription in this population.</p><p><strong>Level of evidence: </strong>4.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1377-1387"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Deceleration the Key Element in Vertical Jump Performance to Return to Sport After Anterior Cruciate Ligament Reconstruction With Hamstring Graft? A Preliminary Study.","authors":"Florian Forelli, Ayrton Moiroux-Sahraoui, Branis Nekhouf, Ismail Bouzekraoui Alaoui, Amaury Vandebrouck, Pascal Duffiet, Louis Ratte, Maciej Bialy, Andreas Bjerregaard, Jean Mazeas, Maurice Douryang, Alexandre Rambaud","doi":"10.26603/001c.142878","DOIUrl":"10.26603/001c.142878","url":null,"abstract":"<p><strong>Background/purpose: </strong>Anterior cruciate ligament reconstruction (ACLR) often leads to persistent neuromuscular deficits, complicating return-to-sport decisions. Reliable functional assessments are needed to guide RTS after ACLR. The main objective was to examine countermovement jump (CMJ) measures to identify which parameters can best distinguish between ACLR and control participants. The secondary objective was to determine whether performance alterations between operated and non-operated limb exist during CMJ after ACLR.</p><p><strong>Design: </strong>Non-randomized, single blinded, cross-sectional study.</p><p><strong>Methods: </strong>Limb symmetry index (LSI) was calculated for vertical ground reaction force (vGRF), maximal power (MP), and eccentric rate of force development (RFDe) during countermovement jumps (CMJ) performed on force plates by an ACLR group (n=64) and a control group (n=47). First analysis compared LSI vGRF, LSI MP and LSI RFDe between groups. Secondary analysis compared vGRF, MP and RFDe between the operated/non-operated limb in the ACLR group and dominant/non-dominant limb in the control group. Between-group comparisons were made using Mann-Whitney tests due to non-normal data distribution. Effect sizes were calculated to assess the magnitude of differences.</p><p><strong>Results: </strong>Participants included 64 ACLR patients (mean age 26.5 ± 5.0 years; 33 females) and 47 controls (mean age 23.6 ± 2.1 years; 24 females). CMJ measures in the ACLR group were significantly reduced for LSI vGRF (p < 0.001), LSI MP (p < 0.001) and LSI RFDe (p < 0.001). The ACLR group exhibited significant differences between both limbs in terms of vGRF (p < 0.001), MP ( p < 0.001), and RFDe (p < 0.01). No significant limb differences were found in the control group.</p><p><strong>Conclusion: </strong>Measures of deceleration from the CMJ are altered after ACLR and should be considered throughout rehabilitation.</p><p><strong>Level of evidence: </strong>3.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1321-1329"},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Musculoskeletal Ultrasound in the Evaluation of the Metacarpal Phalangeal and Proximal Phalangeal Extensor Tendons.","authors":"Robert C Manske, Chris Wolfe, Phil Page, Michael Voight","doi":"10.26603/001c.143602","DOIUrl":"10.26603/001c.143602","url":null,"abstract":"<p><p>Injuries to the hand and fingers are among the most common injuries in orthopedics and general practice, as they are the part of the human body that interacts most frequently with our environment. Diagnostic musculoskeletal (MSK) ultrasound offers a portable, real-time, and cost-effective alternative that is very useful for obtaining information about small structures like the finger extensor tendons. MSK ultrasound is adept at detecting changes in both tendon tissue composition and integrity. This manuscript will review the utility of MSK ultrasound in evaluating finger extensor tendons and include a review of its anatomy, common injury patterns, sonographic techniques, and clinical implications for professional rehabilitation. By integrating MSK ultrasound into clinical practice, providers can improve the accuracy of diagnosis, enhance diagnostic confidence, monitor healing progression, and guide rehabilitation strategies to optimal patient outcomes.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 9","pages":"1420-1431"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}