Journal of Orthopaedic & Sports Physical Therapy最新文献

{"title":"Lower-Limb Kinematics and Clinical Outcomes: Correlation Does Not Imply Causality.","authors":"Gabriel Peixoto Leão Almeida, João Felipe Miranda Rios","doi":"10.2519/jospt.2023.0203","DOIUrl":"10.2519/jospt.2023.0203","url":null,"abstract":"<p><p>Letter to the Editor-in-Chief in response to <i>JOSPT</i> article \"Are changes in dynamic knee movement control related to changes in pain or function in people with knee disorders?\" by Nunes GS, de Moraes WSLA, de Souza Sampaio V, et al. <i>J Orthop Sports Phys Ther 2023;53(11):1. doi:10.2519/jospt.2023.0203</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"0 11","pages":"723"},"PeriodicalIF":6.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Clinicians Trust Objective Measures of Hip Muscle Strength From Portable Dynamometers? A Systematic Review With Meta-analysis and Evidence Gap Map of 107 Studies of Reliability and Criterion Validity Using the COSMIN Methodology.","authors":"Marina C Waiteman,&nbsp;Micah C Garcia,&nbsp;Ronaldo V Briani,&nbsp;Grant Norte,&nbsp;Neal R Glaviano,&nbsp;Fábio M De Azevedo,&nbsp;David M Bazett-Jones","doi":"10.2519/jospt.2023.12045","DOIUrl":"10.2519/jospt.2023.12045","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To summarize the evidence on reliability and criterion validity of hip muscle strength testing using portable dynamometers. <b>DESIGN:</b> Systematic review with meta-analysis. <b>LITERATURE SEARCH:</b> Five databases were searched from inception to March 2023. <b>STUDY SELECTION CRITERIA:</b> We included studies investigating reliability or criterion validity of hip flexor, extensor, abductor, adductor, or internal/external rotator strength testing with portable dynamometers in injury-free individuals or those with pelvic/lower limb musculoskeletal disorders. <b>DATA SYNTHESIS:</b> We performed meta-analyses for each muscle group, position, and method of fixation. We rated pooled results as sufficient (>75% of studies with correlations ≥0.70), insufficient (>75% of studies with correlations <0.70), or inconsistent (sufficient/insufficient results). We assessed the quality of evidence, created evidence gap maps, and made clinical recommendations. <b>RESULTS:</b> We included a total of 107 studies (reliability 103, validity 14). The intrarater and interrater reliability for hip muscle strength testing across different positions and methods of fixation was sufficient (intraclass correlation coefficient = 0.78-0.96) with low- to high-quality evidence. Criterion validity was less investigated and mostly inconsistent (very low-to moderate-quality evidence) with a wide range of correlations (r = 0.40-0.93). <b>CONCLUSION:</b> Hip muscle strength testing using portable dynamometers is reliable. The use of portable dynamometers as clinical surrogates for measuring strength using an isokinetic dynamometer requires further investigation. Clinicians testing hip muscle strength with portable dynamometers should use external fixation seated for hip flexors, prone or supine for hip extensors, side-lying or supine for abductors and adductors, and prone and seated for internal and external rotators. <i>J Orthop Sports Phys Ther 2023;53(11):655-672. Epub 3 October 2023. doi:10.2519/jospt.2023.12045</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":" ","pages":"655-672"},"PeriodicalIF":6.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41105820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indeed, Correlation Does Not Indicate Causation!","authors":"Guilherme S Nunes, Wandréa S L A de Moraes, Vanderson de Souza Sampaio, Nayara Ribeiro Seda, Gabriel Dos Santos Mouta, Anna Julia Meireles Dangui, Rafael de Souza Petersen, Theresa Helissa Nakagawa","doi":"10.2519/jospt.2023.0203-R","DOIUrl":"10.2519/jospt.2023.0203-R","url":null,"abstract":"<p><p>Author response to the <i>JOSPT</i> Letter to the Editor-in-Chief \"Lower-Limb Kinematics and Clinical Outcomes: Correlation Does not Imply Causality\" <i>J Orthop Sports Phys Ther 2023;53(11):723-725. doi:10.2519/jospt.2023.0203-R</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"53 11","pages":"723-725"},"PeriodicalIF":6.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drawing a \"Perfect Circle\": How Clinicians Can Become Better Communicators.","authors":"Seth Peterson,&nbsp;Maxit Miciak,&nbsp;Michelle Kleiner,&nbsp;John Woolf,&nbsp;Todd Davenport","doi":"10.2519/jospt.2023.11917","DOIUrl":"10.2519/jospt.2023.11917","url":null,"abstract":"<p><p><b>SYNOPSIS:</b> Despite the importance of communication in person-focused care, biomedical knowledge and technical skill development are often prioritized in physical therapy education. As clinicians and educators, we contend that mindfulness and reflection nurture effective communication approaches and support physical therapists in navigating the complexity and uncertainty that comprise most clinical interactions. We suggest that clinicians be mindful of the self, the patient, and the context when interacting with patients. Although being mindful cultivates awareness and curiosity, being reflective is an active practice that can be used while deliberating about the right thing to do or say in a particular situation. In this Viewpoint, we offer clinicians and educators suggestions for engaging in mindful and reflective practices. Through the contemplative practices of mindfulness and reflection, clinicians can better cultivate their communication expertise and good practice. <i>J Orthop Sports Phys Ther 2023;53(10):579-584. Epub: 8 September 2023. doi:10.2519/jospt.2023.11917</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":" ","pages":"579-584"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10197524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of a Psychologically Informed Video Series to Treat Adolescents With Patellofemoral Pain: A Randomized Controlled Trial.","authors":"Mitchell Selhorst, Jessica Hoehn, Laura Schmitt, Jason Benedict, Alicia Fernandez-Fernandez","doi":"10.2519/jospt.2023.12041","DOIUrl":"10.2519/jospt.2023.12041","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To test whether a series of brief, psychologically informed educational videos added to physical therapy improved function among adolescents with patellofemoral pain. The secondary aims were to assess pain and psychological beliefs. <b>DESIGN:</b> A double-blinded randomized controlled trial. <b>METHODS:</b> Sixty-eight adolescents with patellofemoral pain were randomly assigned to view brief, psychologically informed videos (n = 34) or control videos (n = 34) in addition to usual care physical therapy. The psychologically informed videos targeted fear-avoidance beliefs, kinesiophobia, and pain catastrophizing. The control videos conveyed basic anatomy, biomedical factors, and lower extremity mechanics. Outcomes were assessed at baseline, 3 weeks, 6 weeks (primary end point), and 3 months. The primary outcome was change in the Anterior Knee Pain Scale. Secondary outcomes were changes in Numeric Pain-Rating Scale and psychological beliefs (Modified Fear-Avoidance Beliefs Questionnaire-Physical Activity, Tampa Kinesiophobia Scale-11, and Pain Catastrophizing Scale-Child). <b>RESULTS:</b> Adolescents in the psychologically informed group experienced significantly greater improvements in function (Anterior Knee Pain Scale mean difference = 8 points; 95% CI: 2.2, 13.2; <i>P</i> = .01) and pain (Numeric Pain-Rating Scale mean difference = 1.2 points; 95% CI: 0.1, 2.4; <i>P</i> = .04) at 6 weeks compared to the control group. The psychologically informed group had significantly greater reductions in psychological beliefs over time than the control group (<i>P</i>≤.001; partial η² = 0.32). <b>CONCLUSION:</b> Incorporating psychologically informed education into physical therapy care improved function, pain, and psychological beliefs to a greater extent than the control group. <i>J Orthop Sports Phys Ther 2023;53(10):1-9. Epub: 14 September 2023. doi:10.2519/jospt.2023.12041</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":" ","pages":"634–642"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10598690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip Pain and Physical Therapy Nonarthritic Hip Pain: What Is It? What Should I Do About It? How Do I Get Back to My Regular Activities?","authors":"","doi":"10.2519/jospt.2023.0506","DOIUrl":"https://doi.org/10.2519/jospt.2023.0506","url":null,"abstract":"<p><p>Hip pain can have many causes, both arthritic and non-arthritic. Experts in managing hip pain developed a guideline to help rehabilitation clinicians help you understand more about hip pain. Here we explain what physical therapy might offer you if you have hip pain and arthritis has been ruled out. You will find out about some of the leg strength and balance tests your physical therapist might ask you to do, and exercises to help alleviate your hip pain and improve your strength, movement and balance.<i>J Orthop Sports Phys Ther 2023;53(10):643-644. doi:10.2519/jospt.2023.0506</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"53 10","pages":"643-644"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip Pain and Physical Therapy Nonarthritic Hip Pain: What Is It? What Should I Do About It? How Do I Get Back to My Regular Activities?","authors":"","doi":"10.2519/jospt.2023.12236","DOIUrl":"10.2519/jospt.2023.12236","url":null,"abstract":"<p><p>Hip pain can have many causes, both arthritic and non-arthritic. Experts in managing hip pain developed a guideline to help rehabilitation clinicians help you understand more about hip pain. Here we explain what physical therapy might offer you if you have hip pain and arthritis has been ruled out. You will find out about some of the leg strength and balance tests your physical therapist might ask you to do, and exercises to help alleviate your hip pain and improve your strength, movement and balance.<i>J Orthop Sports Phys Ther 2023;53(10):1-2. doi:10.2519/jospt.2023.12236</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"0 10","pages":"643–644"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Exercise Interventions for Preventing Neck Pain: A Systematic Review With Meta-analysis of Randomized Controlled Trials.","authors":"Florian Teichert, Vera Karner, Rebekka Döding, Tobias Saueressig, Patrick J Owen, Daniel L Belavy","doi":"10.2519/jospt.2023.12063","DOIUrl":"10.2519/jospt.2023.12063","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To update the evidence on the effectiveness of exercise interventions to prevent episodes of neck pain. <b>DESIGN:</b> Systematic review with meta-analysis. <b>LITERATURE SEARCH:</b> MEDLINE, Embase, CENTRAL, CINAHL, SPORTDiscus, PEDro, and trial registries from inception to December 2, 2022. Forward and backward citation searches. <b>STUDY SELECTION CRITERIA:</b> Randomized controlled trials (RCTs) that enrolled adults without neck pain at baseline and compared exercise interventions to no intervention, placebo/sham, attention control, or minimal intervention. Military populations and astronauts were excluded. <b>DATA SYNTHESIS:</b> Random-effects meta-analysis. Risk of bias was assessed using the Cochrane RoB 2 tool. The certainty of evidence was judged according to the GRADE approach. <b>RESULTS:</b> Of 4703 records screened, 5 trials (1722 participants at baseline) were included and eligible for meta-analysis. Most (80%) participants were office workers. Risk of bias was rated as some concerns for 2 trials and high for 3 trials. There was moderate-certainty evidence that exercise interventions probably reduce the risk of a new episode of neck pain (OR, 0.49; 95% confidence interval: 0.31, 0.76) compared to no or minimal intervention in the short-term (≤12 months). The results were not robust to sensitivity analyses for missing outcome data. <b>CONCLUSION:</b> There was moderate-certainty evidence supporting exercise interventions for reducing the risk for an episode of neck pain in the next 12 months. The clinical significance of the effect is unclear. <i>J Orthop Sports Phys Ther 2023;53(10):1-16. Epub: 8 September 2023. doi:10.2519/jospt.2023.12063</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":" ","pages":"594–609"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Football Players With Hip Dysplasia: The Relationship Between Muscle Strength, Functional Performance, Self-reported Sport and Recreation, Cartilage Defects, and Sex. A Cross-sectional Study.","authors":"Michael J M O'Brien, Joanne L Kemp, Adam Ivan Semciw, Inger Mechlenburg, Julie S Jacobsen, Matthew G King, Mark J Scholes, Peter R Lawrenson, Rintje Agricola, Richard B Souza, Joshua Heerey","doi":"10.2519/jospt.2023.12026","DOIUrl":"10.2519/jospt.2023.12026","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> In symptomatic football players with hip dysplasia, we aimed to explore the relationships between self-reported sport and recreation ability and (1) hip muscle strength, (2) functional performance, and investigate if these relationships were modified by sex or cartilage defects. <b>METHODS:</b> In this cross-sectional study, football players (n = 50) with longstanding (>6 months) hip and/or groin pain, a positive flexion/adduction/internal rotation test, and a lateral-center-edge angle <25° were included. Hip muscle strength and functional performance were assessed. Self-reported sport and recreation ability was quantified using the sports and recreational subscales from the International Hip Outcome Tool-33 (iHOT-Sport) and the Copenhagen Hip and Groin Outcome Score (HAGOS-Sport). Relationships were evaluated using regression models with sex and cartilage defects as potential effect modifiers. <b>RESULTS:</b> There was a positive linear relationship between the one-leg-rise test and the iHOT-Sport subscale (β = 0.61; 95% CI: 0.09, 1.14). A polynomial (concave) relationship was found between peak eccentric adduction strength and the HAGOS-Sport subscale (β = -30.88; 95% CI: -57.78, -3.99). Cartilage defects modified the relationship between peak isometric adduction strength and HAGOS-Sport, with those with cartilage defects having a polynomial (convex) relationship (β = 36.59; 95% CI: 12.74, 60.45), and those without cartilage defects having no relationship. <b>CONCLUSION:</b> One-leg-rise performance and adduction strength were associated with self-reported sport and recreation ability, indicating a possible relationship between physical function, hip joint structure, and sport and recreation ability in football players with hip dysplasia. <i>J Orthop Sports Phys Ther 2023;53(10):1-8. Epub: 8 September 2023. doi:10.2519/jospt.2023.12026</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":" ","pages":"626–633"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Neck Strength and Sports-Related Concussion in Team Sports: A Systematic Review With Meta-analysis.","authors":"Joel M Garrett, Marco Mastrorocco, Kerry Peek, Daniel J van den Hoek, Thomas B McGuckian","doi":"10.2519/jospt.2023.11727","DOIUrl":"10.2519/jospt.2023.11727","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> We aimed to quantify the relationship between neck strength and sports-related concussion (SRC) for athletes participating in team sports. <b>DESIGN:</b> Etiology systematic review with meta-analysis. <b>LITERATURE SEARCH:</b> PubMed, PsycINFO, MEDLINE, CINAHL, CENTRAL, and Scopus were searched on March 17, 2022, and updated on April 18, 2023. <b>STUDY SELECTION CRITERIA:</b> Team sports where an opponent invades the player's territory (eg, football, rugby, basketball) that reported at least 1 measure of neck strength, and 1 measure of SRC incidence, using cohort, case-control, or cross-sectional study designs. The Newcastle-Ottawa scale was used to assess risk of bias; certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach. <b>DATA SYNTHESIS:</b> Studies were summarized qualitatively and quantitatively. To understand the relationship between neck strength and future SRC incidence, random-effects meta-analysis was conducted on prospective longitudinal studies. <b>RESULTS:</b> From a total of 1445 search results, eight studies including 7625 participants met the inclusion criteria. Five studies reported a relationship between greater neck strength or motor control and reduced concussion incidence. Pooled results from 4 studies indicated small (<i>r</i> = 0.08-0.14) nonsignificant effects with substantial heterogeneity (I²>90%). The considerable heterogeneity is likely a result of synthesized studies with vastly different sample characteristics, including participant age, playing level, and sports. <b>CONCLUSIONS:</b> There was very low-certainty evidence suggesting a small, nonsignificant relationship between greater neck strength and a lower risk of sustaining a SRC. <i>J Orthop Sports Phys Ther 2023;53(10):1-9. Epub: 10 July 2023. doi:10.2519/jospt.2023.11727</i>.</p>","PeriodicalId":50099,"journal":{"name":"Journal of Orthopaedic & Sports Physical Therapy","volume":"0 10","pages":"585–593"},"PeriodicalIF":6.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}