North American journal of sports physical therapy : NAJSPT最新文献

{"title":"The value of blowing up a balloon.","authors":"Kyndall L Boyle,&nbsp;Josh Olinick,&nbsp;Cynthia Lewis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Suboptimal breathing patterns and impairments of posture and trunk stability are often associated with musculoskeletal complaints such as low back pain. A therapeutic exercise that promotes optimal posture (diaphragm and lumbar spine position), and neuromuscular control of the deep abdominals, diaphragm, and pelvic floor (lumbar-pelvic stabilization) is desirable for utilization with patients who demonstrate suboptimal respiration and posture. This clinical suggestion presents a therapeutic exercise called the 90/90 bridge with ball and balloon. This exercise was designed to optimize breathing and enhance both posture and stability in order to improve function and/or decrease pain. Research and theory related to the technique are also discussed.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"179-88"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971640/pdf/najspt-05-179.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40089667","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":"Conservative rehabilitation of sciatic nerve injury following hamstring tear.","authors":"Peter D Aggen,&nbsp;Paul Reuteman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Study design: </strong>Resident's case report</p><p><strong>Background: </strong>There have been only a few case reports in the literature mentioning sciatic nerve injury following a hamstring tear. In previous cases surgical intervention was performed to debride scar tissue around the sciatic nerve with the goal of full return to function for the patient.</p><p><strong>Objectives: </strong>The purpose of this case report is to describe the conservative interventions that allowed for recovery from a hamstring tear with sciatic nerve involvement.</p><p><strong>Case description: </strong>The subject was a 53 year old female who developed foot drop and weakness in the common fibular nerve distribution following a grade 3 hamstring injury sustained during Nordic skiing. Nerve function and strength gradually returned over the course of several months of conservative rehabilitation which included on neural gliding and strengthening exercises.</p><p><strong>Outcomes: </strong>At 18 months post injury, the subject had returned to 95% of full sport function and 98% of full function with activities of daily living, as rated by the Hip Outcome Scale, and had full strength with manual muscle testing. Isokinetic testing revealed strength deficits of 11-23% in knee flexion peak torque at 60 degrees/second and 180 degrees/second respectively.</p><p><strong>Discussion: </strong>Sciatic nerve injury is a rare, but important potential consequence of severe hamstring strains. Clinicians should be cognizant of the potential injury to the nerve tissue following hamstring strains, so they may be dealt with in a prompt and appropriate manner. The use of neural gliding may be worth considering for a prophylactic effect following hamstring strains.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"143-54"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971645/pdf/najspt-05-143.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40089664","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":"Evaluating change in clinical status: reliability and measures of agreement for the assessment of glenohumeral range of motion.","authors":"Susan W Muir,&nbsp;Charlene Luciak Corea,&nbsp;Lauren Beaupre","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate intra-rater and inter-rater reliability and measurement error in glenohumeral range of motion (ROM) measurements using a standard goniometer.</p><p><strong>Study design: </strong>17 adult subjects with and without shoulder pathology were evaluated for active and passive range of motion. Fifteen shoulder motions were assessed by two raters to determine reliability. The intra-class correlation coefficients (ICC) were calculated and examined to determine if reliability of ICC ≥ 0.70 existed. The standard error of measurement (SEM) and the minimal clinical difference (MCD) were also calculated.</p><p><strong>Results: </strong>Thxe criterion reliability was achieved in both groups for intra-rater reliability of standing AROM abduction; supine AROM and PROM abduction, flexion, external rotation at 0° abduction; and for inter-rater reliability of supine AROM and PROM abduction, external rotation at 0° abduction. The SEM ranged from 4°-7° for intra-rater and 6°-9° for inter-rater agreement on movements that achieved the criterion reliability. The MCD ranged from 11°-16° for a single evaluator and 14°-24° for two evaluators.</p><p><strong>Conclusions: </strong>Assessment of AROM and PROM in supine achieves superior reliability. The use of either a single or multiple raters affects the number of movements that achieved clinically meaningful reliability. Some movements consistently did not achieve the criterion and may not be the best movements to monitor treatment outcome.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"98-110"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971638/pdf/najspt-05-098.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40088031","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":"Associations between three clinical assessment tools for postural stability.","authors":"Richard C Clark,&nbsp;Casie E Saxion,&nbsp;Kenneth L Cameron,&nbsp;J Parry Gerber","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Study design: </strong>Clinical Measurement, Correlation, Reliability</p><p><strong>Objectives: </strong>To assess the relationship between the Single Leg Balance (SLB), modified Balance Error Scoring System (mBESS), and modified Star Excursion Balance (mSEBT) tests and secondarily to assess inter-rater and test-retest reliability of these tests.</p><p><strong>Background: </strong>Ankle sprains often result in chronic instability and dysfunction. Several clinical tests assess postural deficits as a potential cause of this dysfunction; however, limited information exists pertaining to the relationship that these tests have with one another.</p><p><strong>Methods: </strong>Two independent examiners measured the performance of 34 healthy participants completing the SLB Test, mBESS test, and mSEBT at two different time periods. The relationship between tests was assessed using the Pearson Correlation and Fisher's Exact Tests. Inter-rater and test-retest reliability were assessed using the intraclass correlation coefficient (ICC) and Kappa statistics.</p><p><strong>Results: </strong>A significant correlation (r = -0.35) was observed between the mSEBT and the mBESS. Fisher's Exact Test showed a significant association between the SLB Test and mBESS (P = .048), but no association between the SLB and mSEBT (P = 1.000). Inter-rater reliability was excellent for the mSEBT and fair for the mBESS (ICCs of .91 and .61 respectively). Excellent agreement was observed between raters for the SLB test (k = 1.00). Test-retest reliability was excellent for the mSEBT (ICC = 0.98) and fair for the mBESS (ICC = 0.74). There was poor test-retest agreement for the SLB test (k = .211).</p><p><strong>Conclusion: </strong>THERE WAS A SIGNIFICANT RELATIONSHIP OBSERVED BETWEEN THE SLB TEST, MBESS TEST, AND MSEBT: however; strength of association measures showed limited overlap between these tests. This suggests that these tests are interrelated but may not assess equal components of postural stability.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"122-30"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971643/pdf/najspt-05-122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40088033","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 knee dislocation with lateral side injury: implementation of the knee symmetry model.","authors":"Angie Kinzer,&nbsp;Walter Jenkins,&nbsp;Scott E Urch,&nbsp;K Donald Shelbourne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rehabilitation following lateral side knee ligament repair or reconstruction has traditionally utilized a conservative approach. An article outlining a new concept in rehabilitation following ACL reconstruction called the Knee Symmetry Model was recently published(13). The Knee Symmetry Model can also be applied to rehabilitation of other knee pathologies including a knee dislocation with a lateral side injury.This Clinical Commentary describes the rehabilitation procedures used with patients who underwent surgery to repair lateral side ligaments, based upon the Knee Symmetry Model. These procedures were used previously to rehabilitate a group of patients with lateral side ligament repair as reported by Shelbourne et al(10). Outcome data and subjective knee scores for these patients were recorded via the International Knee Documentation Committee (IKDC) guidelines and modified Noyes survey scores and are summarized in this paper, as previously published. Rehabilitation following lateral side knee ligament repair using guidelines based upon the Knee Symmetry Model appears to provide patients with excellent long-term stability, normal ROM and strength, and a high level of function.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"155-65"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971646/pdf/najspt-05-155.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40089665","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":"Contralateral effects of disinhibitory tens on quadriceps function in people with knee osteoarthritis following unilateral treatment.","authors":"Brian G Pietrosimone,&nbsp;Susan A Saliba,&nbsp;Joseph M Hart,&nbsp;Jay Hertel,&nbsp;Christopher D Ingersoll","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Quadriceps activation failure is common in patients with tibiofemoral osteoarthritis (TFOA) and has been reported to occur bilaterally following acute and chronic knee injuries. Sensory transcutaneous electrical stimulation (TENS) applied to the knee has increased ipsilateral quadriceps activation, yet it remains unknown if repeated sensory TENS treatments affect activation in the contralateral quadriceps.</p><p><strong>Objective: </strong>To determine the effects of unilateral TENS treatment to the involved leg, in conjunction with 4-weeks of therapeutic exercise, on volitional quadriceps activation in the contralateral leg.</p><p><strong>Methods: </strong>Thirty-three patients with radiographically diagnosed TFOA were randomly assigned to the TENS, placebo, and the control groups. The involved leg was defined as the knee with highest degree of radiographically assessed TFOA. All participants completed a supervised 4-week lower extremity exercise program for the involved leg only. TENS and placebo TENS were worn throughout the rehabilitation sessions as well as during daily activities for those groups on the involved leg. Quadriceps central activation ratio (CAR), a measure of volitional muscular activation, was assessed in the uninvolved leg at baseline, 2-weeks and 4-weeks following the initiation of the intervention.</p><p><strong>Results: </strong>There were no differences between groups for quadriceps CAR (P=0.3).</p><p><strong>Discussion: </strong>Although significant differences were not found, strong to moderate within group effect sizes were calculated for the TENS group at 2 (d = .87) and 4 weeks (d = .54), suggesting that significant differences may be found in a larger population.</p><p><strong>Conclusions: </strong>Contralateral quadriceps CAR was not affected following a 4-week unilateral disinhibitory intervention in this sample.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"111-21"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971644/pdf/najspt-05-111.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40088032","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":"Return to division ia football following a 1 metatarsophalangeal joint dorsal dislocation.","authors":"Cora L Maglaya,&nbsp;Chad Cook,&nbsp;Hap Zarzour,&nbsp;Claude T Moorman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>BACKGROUND.: Although rare in occurrence, a dorsal dislocation of the 1st metatarsophalangeal (MTP) joint has been successfully treated using surgical and/or non-operative treatment. No descriptions of conservative intervention following a dorsal dislocation of the MTP joint in an athlete participating in a high contact sport are present in the literature. OBJECTIVES.: The purpose of this case report is to describe the intervention and clinical reasoning during the rehabilitative process of a collegiate football player diagnosed with a 1st MTP joint dorsal dislocation. The plan of care and return to play criteria used for this athlete are presented. CASE DESCRIPTION.: The case involved a 19-year-old male Division IA football player, who suffered a traumatic dorsal dislocation of the 1st MTP joint during practice. The dislocation was initially treated on-site by closed reduction. Non-operative management included immobilization, therapeutic exercises, non-steroidal anti-inflammatories, manual treatment, modalities, prophylactic athletic taping, gait training, and a sport specific progression program for full return to Division IA football. OUTCOMES.: Discharge from physical therapy occurred after six weeks of treatment. At discharge, no significant deviations existed during running, burst, and agility related drills. At a six-month follow-up, the patient reported full return to all football activities including contact drills without restrictions. DISCUSSION.: This case describes an effective six-week rehabilitation intervention for a collegiate football player who sustained a traumatic great toe dorsal dislocation. Further study is suggested to evaluate the intervention strategies and timeframe for return to contact sports.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"131-42"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971641/pdf/najspt-05-131.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40088034","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":"A new exercise for tennis elbow that works!","authors":"Phil Page","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eccentric exercise has been effectively used in the management of tendinopathies in multiple regions of the body. Lateral epicondylosis (\"tennis elbow\") is a common tendinopathy that has shown improvement following treatment utilizing isokinetic eccentric exercise. A novel exercise was developed for home-based eccentric exercise that has shown promise for use with patients with lateral epicondylosis. Clinicians should be aware of this exercise and consider it as an evidence-based intervention.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 3","pages":"189-93"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971639/pdf/najspt-05-189.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40089668","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":"Use of a functional movement screening tool to determine injury risk in female collegiate athletes.","authors":"Rita S Chorba,&nbsp;David J Chorba,&nbsp;Lucinda E Bouillon,&nbsp;Corey A Overmyer,&nbsp;James A Landis","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Athletes often utilize compensatory movement strategies to achieve high performance. However, these inefficient movement strategies may reinforce poor biomechanical movement patterns during typical activities, resulting in injury.</p><p><strong>Objectives: </strong>This study sought to determine if compensatory movement patterns predispose female collegiate athletes to injury, and if a functional movement screening (FMS™) tool can be used to predict injuries in this population.</p><p><strong>Methods: </strong>Scores on the FMS™, comprised of seven movement tests, were calculated for 38 NCAA Division II female collegiate athletes before the start of their respective fall and winter sport seasons (soccer, volleyball, and basketball). Seven athletes reported a previous history of anterior cruciate ligament reconstruction (ACLR). Injuries sustained while participating in sport activities were recorded throughout the seasons.</p><p><strong>Results: </strong>The mean FMS™ score and standard deviation for all subjects was 14.3±1.77 (maximum score of 21). Eighteen injuries (17 lower extremity, 1 lower back) were recorded during this study. A score of 14/21 or less was significantly associated with injury (P=0.0496). Sixty-nine percent of athletes scoring 14 or less sustained an injury. Odds ratios were 3.85 with inclusion of all subjects, and 4.58 with exclusion of ACLR subjects. Sensitivity and specificity were 0.58 and 0.74 for all subjects, respectively. A significant correlation was found between low-scoring athletes and injury (P=0.0214, r=0.76).</p><p><strong>Discussion: </strong>A score of 14 or less on the FMS™ tool resulted in a 4-fold increase in risk of lower extremity injury in female collegiate athletes participating in fall and winter sports. The screening tool was able to predict injury in female athletes without a history of major musculoskeletal injury such as ACLR.</p><p><strong>Conclusion: </strong>Compensatory fundamental movement patterns can increase the risk of injury in female collegiate athletes, and can be identified by using a functional movement screening tool.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 2","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953387/pdf/najspt-05-047.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40088026","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 of a female dancer with patellofemoral pain syndrome: applying concepts of regional interdependence in practice.","authors":"Caitlyn Welsh,&nbsp;William J Hanney,&nbsp;Laura Podschun,&nbsp;Morey J Kolber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Due to complex movements and high physical demands, dance is often associated with a multitude of impairments including pain of the low back, pelvis, leg, knee, and foot. This case report provides an exercise progression, emphasizing enhancement of strength and neuromuscular performance using the concept of regional interdependence in a 17 year old female dancer with patellofemoral pain syndrome.</p>","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"5 2","pages":"85-97"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953389/pdf/najspt-05-085.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40088030","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}