International Journal of Sports Physical Therapy最新文献

{"title":"Reliability of A Measuring Tape for Assessing Hip Adduction via Ober's Test.","authors":"Anthony D'Amico, Kevin Silva, Charla Bouranis, Katelyn Nicolay, Joseph Gallo","doi":"10.26603/001c.140659","DOIUrl":"10.26603/001c.140659","url":null,"abstract":"<p><strong>Background: </strong>Hip adduction is typically assessed via Ober's test, using a handheld goniometer or inclinometer. As an alternative, a measuring tape, is sometimes used for this purpose in clinical settings, but there is currently no evidence to support this method's reliability. # PurposeThe purpose of this study was to evaluate the intra-rater and inter-rater reliability, along with the measurement precision of assessing hip adduction via Ober's test with a measuring tape.</p><p><strong>Study design: </strong>Descriptive reliability study.</p><p><strong>Methods: </strong>A licensed athletic trainer conducted two Ober's tests on each hip of 31 healthy adults (62 hips), 30 minutes apart, and two separate licensed athletic trainers collected measurements of the test using a measuring tape, a handheld goniometer, and a digital inclinometer. Each athletic trainer was blinded to the other's results. An intraclass correlation coefficient was used to assess the inter-rater and intra-rater reliability of each measure.</p><p><strong>Results: </strong>Measuring tape (R hip: 0.90, L hip: 0.90), handheld goniometer (R hip: 0.80, L hip: 0.83), and digital inclinometer (R hip: 0.86, L hip: 0.90) all demonstrated 'good' inter-rater reliability. Measuring tape (R hip: 0.76, L hip: 0.83), handheld goniometer (R hip: .65, L hip: 0.77), and digital inclinometer (R hip: 0.73, L hip: 0.81) all demonstrated 'moderate' to 'good' intra-rater reliability.</p><p><strong>Conclusion: </strong>A measuring tape can be used to reliably evaluate hip adduction via Ober's test. Given its relative simplicity and low cost, it may be considered a viable tool for flexibility assessments, where applicable.</p><p><strong>Level of evidence: </strong>Level 3-Reliability study.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 7","pages":"1029-1038"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576623","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 Plantar Fascia.","authors":"Robert C Manske, Chris Wolfe, Phil Page, Michael Voight","doi":"10.26603/001c.141177","DOIUrl":"10.26603/001c.141177","url":null,"abstract":"<p><p>The plantar fascia is composed of fibrous connective tissue that forms a band running from the calcaneal tubercle distally to the toes. One of its main roles is to provide passive support to the medial longitudinal arch on the sole of the foot. This support is compared to a tie-rod tension producer during weight bearing. When loaded excessively during vocational or athletic activities, overuse in the form of plantar fasciitis can occur. Accurate diagnosis fascial injury is essential for appropriate treatment planning and optimizing patient outcomes. Diagnostic musculoskeletal (MSK) ultrasound offers a portable, real-time, and cost-effective alternative that is gaining traction in rehabilitation and sports medicine settings. MSK ultrasound has emerged as a valuable, non-invasive imaging modality for evaluating plantar fascia injuries including tissue hypertrophy or structural changes and damage at the calcaneal fascial enthesis. MSK ultrasound is adept at detecting changes in tendon tissue composition and integrity. Furthermore, this manuscript will review the utility of MSK ultrasound in evaluating the plantar fascial injury, including 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 7","pages":"1091-1096"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576707","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":"Comparative Analysis of Anatomical and Pathological Glenohumeral Internal Rotation Deficit Among Volleyball Players: A Cross-Sectional Study.","authors":"Nimrah Afzal, Ishaq Ahmed, Saania K Khanzada, Faryal Zaidi, Shagufta Arif, Syeda R Naqvi","doi":"10.26603/001c.141247","DOIUrl":"10.26603/001c.141247","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Glenohumeral internal rotation deficit (GIRD) has been widely researched in a variety of overhead sports, most notably baseball players. While some research involving volleyball players has been conducted, there is still a considerable gap in the current understanding of this topic. Volleyball play frequently results in obvious disparities in the range of motion between the dominant and non-dominant arms, notably in internal rotation, external rotation and total range of motion of the shoulder joint. GIRD has been associated with increased injury risk and shoulder strength deficits. However, distinguishing between anatomical GIRD (aGIRD) - a normal adaptation in overhead athletes and pathological GIRD (pGIRD) which is linked to injury and impaired performance - offers critical insight into how different subtypes may contribute to shoulder dysfunction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The purpose of this study was to analyze the prevalence of anatomical and pathological GIRD sub-types in volleyball players and examine their association with gender, court position, weekly practice time, and experience.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;One hundred-seventy professional and semi-professional volleyball players, 91 female and 79 male, participated in the study (Age: 24.45 ± 3.24). One hundred thirty-seven participants (80.6%) reported being right hand dominant. Thirty-three participants (19.4%) reported being left hand dominant. A universal goniometer was utilized to measure the internal rotation (IR) range of motion (ROM) and external rotation (ER) ROM of the dominant and non-dominant arms, and the total range of motion (TROM) was calculated. Chi-square tests were conducted to examine associations between GIRD classification (aGIRD, pGIRD, absent GIRD) and categorical variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A significantly higher prevalence of glenohumeral internal rotation deficit was observed in this study when compared to previous studies, accounting for 89.4% (152) of the total. Of those found to have glenohumeral internal rotation deficit 80 individuals (52.6%) had pGIRD and 72 individuals (37.4%) had aGIRD. There were associations between GIRD type and experience (p = 0.001), weekly practice time (p = 0.002), gender (p &lt; 0.001), and court position (p = 0.001). Athletes with more experience, higher practice time, and who were male were more likely to present with pGIRD. pGIRD was also more prevalent among middle and outside hitters, while aGIRD and normal GIRD were more common among setters and middle blockers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;These data suggest that a significant majority of volleyball players exhibit GIRD, with pGIRD being more prevalent among those affected. Factors such as experience, weekly practice time, gender, and court playing position were found to be significantly associated with the type of GIRD, highlighting the complex rel","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 7","pages":"974-984"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576705","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":"Current Concept Review: Medial Patellofemoral Ligament Reconstruction: From Rehabilitation to Return to Sport.","authors":"Chao-Jung Hsu, Charlie Lee, Rachel S Christensen, Timothy Y Liu","doi":"10.26603/001c.141128","DOIUrl":"10.26603/001c.141128","url":null,"abstract":"<p><p>Medial patellofemoral ligament (MPFL) reconstruction is a surgical procedure to improve the clinical outcomes for recurrent patellar dislocation. Current literature on MPFL reconstruction lacks the details on rehabilitation protocols and the criteria for clearance to sports participation. Additionally, research on biomechanical deficits after MPFL reconstruction remains limited, and psychological factors influencing return to sport (RTS) are often underemphasized. A comprehensive approach integrating clinical criteria, biomechanical assessments, and psychological considerations may optimize rehabilitation outcomes and RTS success. The purpose of this clinical commentary is to provide a comprehensive review of current literature in MPFL reconstruction rehabilitation and outcomes. This commentary will review published rehabilitation protocols to outline phase-specific guidelines. Current literature related to biomechanical characteristics, patient-reported outcomes, impairment and performance-based outcomes and psychological measures will be summarized. Finally, RTS guidelines with objective criteria will be provided. # Level of Evidence Level 5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 7","pages":"1074-1090"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576706","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":"Investigation of Force Plate Jump Testing Metrics Relevant to Return to Play Decision Making in Basketball Athletes After Anterior Cruciate Ligament Reconstruction.","authors":"Christopher S Hart, Elizabeth S Chumanov","doi":"10.26603/001c.141101","DOIUrl":"10.26603/001c.141101","url":null,"abstract":"<p><p>Force plate vertical jump testing can identify persistent lower limb asymmetries after anterior cruciate ligament reconstruction (ACLR). Unfortunately, there is no consensus on which vertical jump task, nor the hundreds of available metric assessment combinations that are relevant to basketball athletes after ACLR. # Purpose The purpose of this study was to examine the jump performances of high school and collegiate male basketball athletes in the final stages of ACLR rehabilitation to 1) establish referenceable between-limb symmetry scores, and 2) identify metrics that best detect between-limb asymmetry during common vertical jump tasks. # Study Design Retrospective cohort examination # Methods Forty-nine male high school and collegiate basketball athletes who underwent primary ACLR were examined using a dual force plate system in the final stages rehabilitation. Participants were subdivided into two groups: athletes who exhibited above or below 90% isokinetic quadriceps peak torque limb symmetry index (LSI). Select jump metrics were collected from three jumping tasks: double-leg countermovement jump (DL-CMJ), single-leg countermovement jump (SL-CMJ), and single-leg repeat hop (SL-RH). Referenceable LSI jump scores were reported using descriptive analysis and compared between the two groups using independent samples t-tests. # Results Significant differences in LSI between the two groups were identified (p< 0.05) during the DL-CMJ: eccentric rate of force development (MD= -22.6), concentric impulse (MD= -22.4), concentric impulse 100ms (MD= -24.0), contact time (MD= -.43), and peak take-off force (MD= -12.7), and during the SL-RH: jump height (MD= -12.4) and flight time:contact time (MD= 13.3). No significant differences were found during SL-CMJ testing. # Conclusions In the final phases of ACLR rehabilitation, basketball athletes who exhibit quadriceps strength asymmetry also demonstrated greater asymmetry during double-leg and single-leg reactive jumping tasks but not during single-leg countermovement jumps suggesting the importance of a battery of jump tests to ensure adequate restoration of physical qualities required for the sport. # Level of Evidence Level 3.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 7","pages":"985-994"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576708","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":"Administering the ACL-RSI Before or After ACL Functional Testing: Does It Matter?","authors":"Daniel Larson, Justin Rohrberg, Daniel Lorenz, Nicole Clark","doi":"10.26603/001c.138310","DOIUrl":"10.26603/001c.138310","url":null,"abstract":"<p><strong>Background: </strong>Psychological readiness after anterior cruciate ligament reconstruction (ACLR), as measured by the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale, has become a critical factor in determining an athlete's ability to return to sport. While the ACL-RSI is widely used, the influence of the timing of its administration in relation to physical performance testing has not been studied.</p><p><strong>Purpose/hypothesis: </strong>The primary aim of this study was to investigate the differences in ACL-RSI scores and subscale scores assessed up to one week before versus immediately after exposure to objective physical performance testing, but prior to reviewing the results with the athlete.</p><p><strong>Study design: </strong>Prospective case series.</p><p><strong>Methods: </strong>Fifty athletes recovering from ACLR participated in this study. The ACL-RSI questionnaire was administered within one week prior to and immediately after completing a return-to-sport physical performance testing battery. The testing included elements assessing maximum volitional force production, explosiveness, and hopping and landing ability. Changes in overall ACL-RSI scores and its subscales (emotions, confidence in performance, and risk appraisal) were analyzed.</p><p><strong>Results: </strong>No significant differences were found in ACL-RSI scores pre- to post return to sport testing (-2.27, p=0.125). However, there was a significant decrease in the emotions subscale (-5.08, p=0.006), suggesting that physical testing may negatively impact emotional readiness. The confidence in performance and risk appraisal subscales did not show significant changes. Despite no statistical differences in ACL-RSI scores pre- to post return to sport testing, 20% of participants exhibited a change in ACL-RSI scores that exceeded the minimal clinically important difference (MCID), highlighting individual variability in psychological responses to testing.</p><p><strong>Conclusion: </strong>The findings suggest that administering the ACL-RSI after physical performance testing may provide a more accurate assessment of some athletes' psychological readiness to return to sport. The significant reduction in the emotions subscale underscores the need for further research into the emotional impact of physical testing.</p><p><strong>Level of evidence: </strong>3b.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"770-778"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227192","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 it all About the Quads? Implications of the Calf Musculature Post-ACL Injury in Return to Sport Rehab.","authors":"Devin Christman, Dhinu J Jayaseelan","doi":"10.26603/001c.137697","DOIUrl":"10.26603/001c.137697","url":null,"abstract":"<p><p>Anterior cruciate ligament (ACL) injuries are a significant injury for athletes participating in cutting and pivoting sports requiring lengthy rehabilitation. Athletes undergoing anterior cruciate ligament reconstruction (ACLR) continue to be limited in the ability to return to their sport and to their prior level of performance despite undergoing postoperative rehabilitation. For those that do return to sport, re-injury rates remain high (~20%). Current rehabilitation guidelines address knee joint impairments and neurocognitive/sensorimotor factors, but do not address how the triceps surae muscles are also affected following ACL injury. This clinical commentary aims to examine the potential mechanisms surrounding the contributions of the gastrocnemius and soleus musculature on tibial kinematics, the effects ACL injury has on the calf musculature, and the potential clinical implications for prevention of subsequent injuries in the post ACLR rehabilitation framework. Sex differences and rehab considerations across the pre- and post-surgical ACLR timeline are also addressed. Level of Evidence: 5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"872-884"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227197","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 Reliability and Validity of Star Performer™ a Computerized tool for Quantifying the Star Excursion Balance Test.","authors":"Yongni Zhang, Yifan Liu, Tao Shang, Lina Jian, Jiayou Wang, Scot D Abbott, Jason Scibek, Kelton D Mehls, Christopher R Carcia, RobRoy L Martin","doi":"10.26603/001c.137953","DOIUrl":"10.26603/001c.137953","url":null,"abstract":"<p><strong>Background: </strong>The Star Excursion Balance Test (SEBT) is well recognized in both clinical and research settings as a reliable, valid, and responsive assessment. However, the SEBT is time consuming and inconvenient. To address this limitation, a new device called the Star Performer™ has been developed to improve the efficiency of SEBT.# PurposeTo investigate the test-retest reliability of Star Performer™ device and compare its validity to traditional SEBT methods.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Twenty-five subjects with lower extremity injuries participated in this study. Each subject performed the SEBT twice, with approximately seven days between tests. The Star Performer™ device and a tape measure were used to record three test trials for each test direction with the average of the three reach distances being used for analysis. Test-retest reliability was evaluated by calculating the intra-class correlation coefficients (ICC 3,1) between the average reaching distance for each SEBT direction across the two testing sessions. To assess the validity of the Star Performer™ device, the averaged reaching distance for each SEBT direction was compared with the measurements obtained from the tape measure.</p><p><strong>Results: </strong>Seventeen females (68%) and eight males (32%) with lower extremity injuries (mean age= 23.6 years, SD=3.9, range from 19-35) participated. The Star Performer™ demonstrated excellent test-retest reliability, with ICC 3,1 values ranging from 0.85 to 0.93 for the eight SEBT directions. The minimal detectable change at the 95% confidence level (MDC95) ranged from 2.56 to 5.37% for the eight directions. The Pearson correlation coefficients between the Star Performer™ and tape measure recordings ranged from 0.90 to 0.94 for the eight directions.</p><p><strong>Conclusion: </strong>This study provides evidence supporting the test-retest reliability and validity of the Star Performer™ for assessing SEBT performance. These findings suggest that Star Performer™ offers a precise and efficient approach to evaluate SEBT performance in individuals with lower extremity injuries.</p><p><strong>Level of evidence: </strong>Level 3b.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"779-792"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227272","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":"Vibration-Enhanced Suspension Training for Glenohumeral Stability and Strength after Shoulder Subluxation: A Case Series.","authors":"Javier Biel-Costa, Javier Peña, Jordi Vicens-Bordas, Bernat Busca, Joan Aguilera-Castells, Bernat de Pablo-Marquez, Albert Altarriba-Bartes","doi":"10.26603/001c.138305","DOIUrl":"10.26603/001c.138305","url":null,"abstract":"<p><strong>Background: </strong>While suspension and vibration training offer several benefits across various body regions, evidence for injury rehab remains limited.</p><p><strong>Hypothesis/purpose: </strong>The purpose of this case series was to examine the effect of seven weeks of strength training using a novel vibration device (superimposed vibration with 40 Hz frequency) with an attached suspension strap on two subjects recovering from a shoulder subluxation.</p><p><strong>Methods: </strong>Two physically active men who had sustained prior non-dominant subluxation underwent seven weeks of strength training using a suspension device operating at 40 Hz. An intervention comprising six exercises was performed twice weekly for seven weeks, divided into two blocks of three exercises: Block 1) suspended chest fly, inverted row, shoulder taps; Block 2) elbow flexion, standing overhead triceps extension, and the side plank. They performed three sets of eight repetitions in each block, resting 30 seconds between exercises and three minutes between blocks. Eight touches were performed per arm during the shoulder taps exercise, and the side plank was held for 25 seconds on each side. In addition to assessments of range of motion (ROM) and strength, the Y-Balance Test-Upper Quarter (YBT-UQ) and Closed Kinetic Chain Upper Extremity Stability Test (CKUEST) tests were performed to glenohumeral stability, and strength. Results: The greatest ROM improvements (~50%) were found in the internal rotation (IR) compared to a 5% in flexion and 20% in external rotation (ER). Glenohumeral stability increased in all the positions of the YBT-UQ for the injured arm (5% to 33% depending on the position), and the CKUEST (10-20%). Additionally, significant gains were seen in the injured arm during isometric push and pull tests (around 10%), but no differences in the dynamic strength in the bench press exercise force velocity profile.</p><p><strong>Conclusions: </strong>Using vibration-enhanced suspension training improved the joint stability and strength of the two subjects without adverse effects. Additional research is needed to confirm these findings.</p><p><strong>Level of evidence: </strong>4.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"832-841"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227274","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":"Postoperative Physical Therapy for Cervical Total Disc Replacement: A Case Report.","authors":"Leana Mosesian, Joseph M Derian, Grant D Shifflett, Justin M Lantz","doi":"10.26603/001c.137694","DOIUrl":"10.26603/001c.137694","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cervical total disc replacement (CTDR) was developed to decompress nervous structures, preserve spinal biomechanics, and reduce postoperative complications such as nonunion or fracture. There is no published literature regarding the optimal content, timing and duration of postoperative physical therapy (PT) for CTDR. Therefore, the purpose of this case report is to describe the postoperative PT management and one-year outcomes of a subject with CTDR as it relates to pain, function and quality of life.</p><p><strong>Case description: </strong>A 37-year-old male and Brazilian Jiu Jitsu athlete with cervical radiculopathy underwent a C5-C6 and C6-C7 discectomy with CTDR. The subject attended PT for 14 sessions across 16 weeks. Interventions included manual therapy (soft tissue and joint mobilization), therapeutic exercise targeting cervical spine, thoracic spine and upper extremity mobility and strength, and weightlifting body mechanics education. Radiographic confirmation of prosthesis placement and healing was monitored at postoperative weeks six and 12. The PT program was designed and progressed according to tissue healing timelines, subject response, clinical reasoning, and sport-specific demands.</p><p><strong>Outcomes: </strong>Improvements were noted with Neck Disability Index (14% to 0%), Patient Specific Functional Scale (3.4/10 to 10/10), Short Form-12 Physical Score (+5.4) and Mental Score (+25.7), and Numeric Pain Rating Scale (2/10 to 0/10). Cervical active range of motion (in degrees) improved in all motions, and deep neck flexor endurance from 5-35 seconds.</p><p><strong>Discussion: </strong>A multimodal PT program following CTDR based on tissue healing timelines and clinical reasoning improved pain, function and quality of life up to one year postoperatively without adverse effects in this athlete. # LEVEL OF EVIDENCE 4.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 6","pages":"842-854"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227200","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}