North American journal of sports physical therapy : NAJSPT最新文献_第5页

The use of patellar taping in the treatment of a patient with a medial collateral ligament sprain. 髌骨胶布在治疗内侧副韧带扭伤患者中的应用。

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-05-01

Chana Frommer, Michael Masaracchio

{"title":"The use of patellar taping in the treatment of a patient with a medial collateral ligament sprain.","authors":"Chana Frommer, Michael Masaracchio","doi":"","DOIUrl":"","url":null,"abstract":"Background: The medial collateral ligament (MCL) is one of the most frequently injured ligaments in the knee. The purpose of this case report is to describe conservative management of a 13 year-old soccer player with a one year history of untreated intermittent bilateral anterior knee pain who sustained a grade II MCL sprain while playing soccer and returned to competitive play within four weeks. The use of patellar taping as an adjunct to treatment will be introduced.Case description: Based on the physical examination findings, the patient's injury was classified as a grade II MCL sprain. The patient was treated successfully with a combination of modalities, manual therapy, and therapeutic exercise. Specifically, patellar taping was added to the traditional physical therapy regimen. Pain scale ratings, strength assessment, and a variety of functional outcome assessment tools were used to determine progression and outcomes.Outcomes: Following one session of modalities, manual therapy, patellar taping, and education in a home exercise program (HEP), the patient reported decreased overall left knee pain and increased comfort with knee active range of motion (AROM). Throughout the four weeks of treatment, the patient was compliant with the HEP. During this time, the patient continued to demonstrate improvement in pain, strength, AROM, and functional activities. Upon discharge, the patient was cleared for full return to sports.Discussion: The novel intervention in this case report was the taping of the patella medially. This patient returned to sports two weeks earlier than the average athlete with a grade II MCL sprain.","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"4 2","pages":"60-9"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953326/pdf/najspt-04-060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29829846","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}

引用次数: 0

Using rolling to develop neuromuscular control and coordination of the core and extremities of athletes. 使用滚动来发展神经肌肉的控制和协调核心和四肢的运动员。

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-05-01

Barbara J Hoogenboom, Michael L Voight, Gray Cook, Lance Gill

{"title":"Using rolling to develop neuromuscular control and coordination of the core and extremities of athletes.","authors":"Barbara J Hoogenboom, Michael L Voight, Gray Cook, Lance Gill","doi":"","DOIUrl":"","url":null,"abstract":"Rolling is a movement pattern seldom used by physical therapists for assessment and intervention with adult clientele with normal neurologic function. Rolling, as an adult motor skill, combines the use of the upper extremities, core, and lower extremities in a coordinated manner to move from one posture to another. Rolling is accomplished from prone to supine and supine to prone, although the method by which it is performed varies among adults. Assessment of rolling for both the ability to complete the task and bilateral symmetry may be beneficial for use with athletes who perform rotationally-biased sports such as golf, throwing, tennis, and twisting sports such as dance, gymnastics, and figure skating. Additionally, when used as intervention techniques, the rolling patterns have the ability to affect dysfunction of the upper quarter, core, and lower quarter. By applying proprioceptive neuromuscular facilitation (PNF) principles, the therapist may assist patients and clients who are unable to complete a rolling pattern. Examples given in the article include distraction/elongation, compression, and manual contacts to facilitate proper rolling. The combined experience of the four authors is used to describe techniques for testing, assessment, and treatment of dysfunction, using case examples that incorporate rolling. The authors assert that therapeutic use of the developmental pattern of rolling with techniques derived from PNF is a hallmark in rehabilitation of patients with neurologic dysfunction, but can be creatively and effectively utilized in musculoskeletal rehabilitation.","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"4 2","pages":"70-82"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953329/pdf/najspt-04-070.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828650","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}

引用次数: 0

Treatment of lateral knee pain by addressing tibiofibular hypomobility in a recreational runner. 通过解决休闲跑步者的胫腓骨活动能力低下来治疗外侧膝关节疼痛。

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-02-01

James R Beazell, Terry L Grindstaff, Eric M Magrum, Robert Wilder

{"title":"Treatment of lateral knee pain by addressing tibiofibular hypomobility in a recreational runner.","authors":"James R Beazell, Terry L Grindstaff, Eric M Magrum, Robert Wilder","doi":"","DOIUrl":"","url":null,"abstract":"Background: Altered joint arthrokinematics can affect structures distal and proximal to the site of dysfunction. Hypomobility of the proximal tibiofibular joint may limit ankle dorsiflexion and indirectly alter stresses about the knee.Objectives: To examine the effect of addressing hypomobility of the proximal tibiofibular joint in an individual with lateral knee pain.Case description: A 24 year old female recreational runner presented with a three month history of right lateral knee pain. Limited right ankle dorsiflexion was noted and determined to be related to decreased mobility of the proximal tibiofibular joint, as well as, the talocrural and distal tibiofibular joints. Functional movement deficits were noted during the squat test and step down test. Treatment was performed three times over the course of two weeks which included proximal tibiofibular joint manipulation and an exercise program consisting of hip strengthening, balance, and gastrocnemius/soleus muscle complex stretching.Outcomes: Immediately following intervention, improvements were noted for ankle dorsiflexion, squat test, and step down test. One week following the initial intervention the patient reported she was able to run pain free.Discussion: Addressing impairments distant to the site of dysfunction, such as the proximal tibiofibular joint, may be indicated in individuals with lateral knee pain.","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"4 1","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953316/pdf/najspt-04-021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828655","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}

引用次数: 0

Acetabular labral tears: diagnostic accuracy of clinical examination by a physical therapist, orthopaedic surgeon, and orthopaedic residents. 髋臼唇撕裂:物理治疗师、骨科医生和骨科住院医师临床检查诊断的准确性。

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-02-01

Barbara A Springer, Norman W Gill, Brett A Freedman, Amy E Ross, Matthew A Javernick, Kevin P Murphy

{"title":"Acetabular labral tears: diagnostic accuracy of clinical examination by a physical therapist, orthopaedic surgeon, and orthopaedic residents.","authors":"Barbara A Springer, Norman W Gill, Brett A Freedman, Amy E Ross, Matthew A Javernick, Kevin P Murphy","doi":"","DOIUrl":"","url":null,"abstract":"Background: Previous studies have shown military physical therapists (PT) to have comparable clinical diagnostic accuracy (CDA) and interobserver agreement to orthopaedic surgeons (OS). However, no studies have examined hip pathology or used intraoperative findings as the reference standard for diagnosis.Objective: To compare the CDA of physical examination findings among a PT, an OS, and two surgical orthopaedic residents (ORs) for hip labral tears.Methods: Thirty-six patients (15 males, 21 females) aged 18-47 (mean + SD, 31.4 + 8.1 years) with 37 symptomatic hips were enrolled in a prospective study and underwent a standardized clinical examination followed by hip arthroscopy. A PT, an OS, and two ORs independently performed history and examinations with the emphasis of diagnosis on the results of six special tests.Results: Thirty-two of 37 individuals (86%) had labral tears to the hip at arthroscopy. Analysis of agreement between clinical diagnosis and intra-operative findings of a labral tear produced a CDA of 85.3% (29/34 correct) for the PT, 84.4% (27/32 correct) for the OS, and 80.0% (24/30 correct) for ORs. No significant difference in CDA occurred in comparing the PT, OS, and ORs.Conclusions: Using arthroscopy as the reference standard, hip labral tears were clinically suspected with 80-85% accuracy. The clinical diagnostic accuracy of the PT, OS, and ORs was high with no significant difference between examiners. In this study, an experienced PT, an OS, and two ORs demonstrated similarly high diagnostic skills.","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"4 1","pages":"38-45"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953315/pdf/najspt-04-038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828657","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}

引用次数: 0

Rehabilitation for Patients Following ACL Reconstruction: A Knee Symmetry Model. 前交叉韧带重建术后患者的康复：膝关节对称模型

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-02-01

Angie Biggs, Walter L Jenkins, Scott E Urch, K Donald Shelbourne

引用次数: 0

Comprehensive Sports Medicine Treatment of an Athlete Who Runs Cross-Country and is Iron Deficient. 缺铁越野跑运动员的综合运动医学治疗。

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-02-01

Jason Brumitt, Linda McIntosh, Richard Rutt

{"title":"Comprehensive Sports Medicine Treatment of an Athlete Who Runs Cross-Country and is Iron Deficient.","authors":"Jason Brumitt, Linda McIntosh, Richard Rutt","doi":"","DOIUrl":"","url":null,"abstract":"Background: Optimal athletic performance may be dependent upon an athlete maintaining adequate iron levels through the consumption of dietary forms of iron and subsequent metabolism. Endurance athletes, especially female distance runners, have been identified as being at risk for developing iron deficiency. While iron deficiency is treatable, early diagnosis may be delayed if an adequate medical history and evaluation is not conducted.Objective: To describe the evaluation, diagnosis, and comprehensive sports medicine treatment of a collegiate cross-country athlete with a medical diagnosis of iron deficiency with anemia and sports-related musculoskeletal pain.Case description: A 21-year-old female collegiate cross-country athlete experienced a decline in her running performance beginning her freshman year of school. She continued to experience degradation in sports performance despite medical intervention. Two-and-a-half years after initially seeking medical attention she was diagnosed with iron deficiency with anemia by a primary care medical doctor. Additionally, the subject required rehabilitation due to the onset of sports-related musculoskeletal symptoms.Outcomes: Comprehensive treatment for this patient consisted of iron supplementation, therapeutic exercises, manual therapy, and modalities. The athlete was able to compete during her entire cross-country season and earn All-American status at the Division-III level.Discussion: Sports medicine professionals must consider iron deficiency as a possible differential diagnosis when evaluating endurance athletes. Subtle signs of iron deficiency may, unfortunately, be overlooked ultimately delaying treatment.","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"4 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953317/pdf/najspt-04-013.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828654","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}

引用次数: 0

Examination and intervention for sinus tarsi syndrome. 跗骨窦综合征的检查与干预。

North American journal of sports physical therapy : NAJSPT Pub Date : 2009-02-01

Kevin Helgeson

引用次数: 0

Multiligamentous knee injuries - surgical treatment algorithm. 膝关节多韧带损伤-手术治疗算法。

North American journal of sports physical therapy : NAJSPT Pub Date : 2008-11-01

Charles L Cox, Kurt P Spindler

{"title":"Multiligamentous knee injuries - surgical treatment algorithm.","authors":"Charles L Cox, Kurt P Spindler","doi":"","DOIUrl":"","url":null,"abstract":"The concept of multiligamentous knee injuries encompasses a large variety of presenting combinations, and the existing published literature lacks adequately sized prospective comparative patient-reported outcome studies to guide clinical decision making. The decisions of operative versus nonoperative management, timing of surgery, repair versus reconstruction, use of allograft versus auto-graft, choice of which ligaments to treat, and rehabilitation protocols remain controversial despite the fact that multiligament injuries have been shown to represent approximately 11-20% of knee ligament sprains presenting for treatment. For the purposes of this manuscript, a multiligamentous knee injury is defined as one complete cruciate tear (grade III) plus a partial or complete collateral tear (grade II or III) or a partial or complete tear of the other cruciate (grade II or III). A surgical treatment algorithm is proposed based upon a review of case series literature and clinical experience in an academic sports medicine practice setting. Use of our proposed surgical algorithms may facilitate clinical decision making in an attempt to restore stability, preserve function, and maximize return to activity.","PeriodicalId":88617,"journal":{"name":"North American journal of sports physical therapy : NAJSPT","volume":"3 4","pages":"198-203"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953345/pdf/najspt-03-198.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29828605","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}

引用次数: 0

Surgical treatment and rehabilitation of combined complex ligament injuries. 复合韧带损伤的外科治疗与康复。

North American journal of sports physical therapy : NAJSPT Pub Date : 2008-11-01

Richard L Romeyn, Jason Jennings, George J Davies

引用次数: 0

Biomechanics of Multi-ligament Knee Injuries (MLKI) and Effects on Gait. 膝关节多韧带损伤的生物力学及对步态的影响。

North American journal of sports physical therapy : NAJSPT Pub Date : 2008-11-01

Mark V Paterno, Timothy E Hewett

引用次数: 0