Extremities

Extensor/Flexor Ratio Associated With the Development of Knee Cartilage Degeneration

August 15, 2016 Osteoarthritis and Cartilage/OARS, Osteoarthritis Research Society TAKE-HOME MESSAGE People aged 50 to 60 years with no evidence of knee osteoarthritis (OA) were followed for 48 months to assess the impact of thigh muscle strength on the progression of knee cartilage degeneration. Thigh extension strength was associated with thigh muscle cross-sectional area (CSA). […]

Electrotherapy and acupuncture linked with decreased, delayed opioid use after TKA

Tedesco D, et al. JAMA Surg. 2017;doi:10.1001/jamasurg.2017.2872. August 16, 2017 Investigators found electrotherapy and acupuncture after total knee arthroplasty correlated with a decrease in and later use of opioids. Researchers performed a systematic review and found 5,509 studies of nonpharmacological interventions for postoperative pain following total knee arthroplasty. Of these studies, 39 randomized controlled trials […]

Treatment of Progressive First Metatarsophalangeal Hallux Valgus Deformity: A Biomechanically Based Muscle-Strengthening Approach

Treatment of Progressive First Metatarsophalangeal Hallux Valgus Deformity: A Biomechanically Based Muscle-Strengthening Approach Authors: Ward M. Glasoe, PT, PhD, ATC Synopsis Hallux valgus is a progressive deformity of the first metatarsophalangeal joint that changes the anatomy and biomechanics of the foot. To date, surgery is the only treatment to correct this deformity, though the recurrence […]

The Effect of Velocity of Joint Mobilization on Corticospinal Excitability in Individuals With a History of Ankle Sprain

Authors: Beth E. Fisher, PT, PhD, FAPTA Study Design Controlled laboratory study. Background Joint mobilization and manipulation decrease pain and improve patient function. Yet, the processes underlying these changes are not well understood. Measures of corticospinal excitability provide insight into potential mechanisms mediated by the central nervous system. Objectives To investigate the differential effects of […]

In the Treatment of Subacromial Impingement Syndrome Is Extra Corporeal Shock Wave Therapy Combined With Isokinetic Exercise for Rotator Cuff More Effective Than Extra Corporeal Shock Wave Therapy Alone?

In the Treatment of Subacromial Impingement Syndrome Is Extra Corporeal Shock Wave Therapy Combined With Isokinetic Exercise for Rotator Cuff More Effective Than Extra Corporeal Shock Wave Therapy Alone? A Randomized Clinical Trial Authors: Andrea Santamato Study Design Single-blind randomized trial. Background Extra corporeal shock wave therapy (ESWT) has been shown to produce good results […]

Hip Strength Deficits in People With Symptomatic Knee Osteoarthritis

Hip Strength Deficits in People With Symptomatic Knee Osteoarthritis: A Systematic Review With Meta-analysis Authors: Margaret Deasy, PT, MPhty Study Design Systematic review with meta-analysis. Background A complete understanding of impairments associated with knee osteoarthritis would optimize exercise interventions for people with knee osteoarthritis. Our current understanding of hip strength deficits in this population is […]

Cervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain

Cervicothoracic Manual Therapy Plus Exercise Therapy Versus Exercise Therapy Alone in the Management of Individuals With Shoulder Pain: A Multicenter Randomized Controlled Trial Authors: Paul E. Mintken, DPT Study Design Multicenter randomized controlled trial. Background Cervicothoracic manual therapy has been shown to improve pain and disability in individuals with shoulder pain, but the incremental effects […]

Degenerative changes of the sacroiliac auricular joint surface—validation of influential factors

Anatomical Science International pp 1–9 Nishi, K., Saiki, K., Imamura, T. et al. Anat Sci Int (2016). doi:10.1007/s12565-016-0354-x Abstract The purpose of this study was to clarify the relevance of degenerative changes in the sacroiliac joint (SIJ) and the joints in the lower limb and lumbar spine using age estimation methods. We also examined the […]

Knee Problems – Correcting a Knee Valgus for the Long Term

Still using Glute Medius activations to correct a knee valgus? How about trying to strengthen the Vastus Medialis for a knee valgus? If you are, you might not be thinking far enough to actually make a noticeable improvement of this common problem in dynamic contexts. In fact, you might be further ingraining imbalances by loading […]

Morbid Obesity and Total Joint Replacement: Is It Okay to Say No?

Clint Wooten, MD; Brian Curtin, MD Orthopedics July/August 2016 – Volume 39 · Issue 4: 207-209 Posted July 25, 2016 Our waiting room provides evidence each day that obesity continues to be a major problem, if not an epidemic, within the United States. It is particularly challenging in the world of arthroplasty. As reported by […]

Mindfulness Moderates Pain in Knee Osteoarthritis

July 19, 2016 Osteoarthritis and Cartilage/OARS, Osteoarthritis Research Society TAKE-HOME MESSAGE In this randomized comparative trial, 80 patients with knee osteoarthritis were enrolled and associations between mindfulness and health outcomes were evaluated. Mental and physical components of quality of life, self-efficacy, depression, and stress were associated with total mindfulness score. Mindfulness was not significantly associated […]

The Diagnostic Accuracy of Special Tests for Rotator Cuff Tear: The ROW Cohort Study.

Am J Phys Med Rehabil. 2016 Jul 6. [Epub ahead of print] Jain NB1, Luz J, Higgins LD, Dong Y, Warner JJ, Matzkin E, Katz JN. Author information Abstract OBJECTIVE: The aim was to assess diagnostic accuracy of 15 shoulder special tests for rotator cuff tears. DESIGN: From February 2011 to December 2012, 208 participants […]

Dietary Fat – Including Type – Matters in Knee OA Progression

06.27.2016 Saturated fats tied to faster symptom worsening by Wayne Kuznar Contributing Writer High intakes of total fat and particularly saturated fatty acids (SFA) increased the rate of structural progression of knee osteoarthritis (OA), whereas high intakes of unsaturated fatty acids appeared to slow the rate of radiographic progression in a prospective observational study. In […]

The Influence of Plantar Short Foot Muscle Exercises on Foot Posture and Fundamental Movement Patterns in Long-Distance Runners, a Non-Randomized, Non-Blinded Clinical Trial

PLoS One. 2016 Jun 23;11(6):e0157917. doi: 10.1371/journal.pone.0157917. eCollection 2016. Sulowska I1, Oleksy Ł1,2, Mika A1, Bylina D3, Sołtan J4. Abstract BACKGROUND: The objective of this study was to evaluate the influence of two kinds of plantar short foot muscles exercise on foot posture and fundamental movement patterns in long-distance runners. DESIGN: A parallel group non-blinded trial with 6-week follow-up. METHODS: […]

Enhanced function and quality of life following 5 months of exercise therapy for patients with irreparable rotator cuff tears – an intervention study – Full Text Article

June 8, 2016 Birgitte Hede Christensen Abstract Background Rotator cuff rupture is associated with dysfunction, pain and muscular weakness related to the upper extremity. Some evidence exists to support the beneficial effect of exercises but there is lack of evidence of which exercises imply the best effect and how physiotherapy should be administered. Therefore, the […]

Joint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee

Authors: Carol A. Courtney, PT, PhD Published: Journal of Orthopaedic & Sports Physical Therapy, 2016 Volume:46 Issue:3 Pages:168–176 DOI:10.2519/jospt.2016.6259 Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability of central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been found […]

Surgeon says this exercise cures 99% of shoulder pain – Videos

Thursday, May 26, 2016 If you train in combat sports, at some point, your shoulders hurt. It drives some people from the gym entirely. However, an orthopedic surgeon, John M. Kirsch, M.D., has an exercise protocol that he says eliminates 99% of shoulder pain. It’s not just non surgical, it’s free. The theory is, we […]

Tai Chi May Be as Good as PT for Knee Arthritis Pain

Janis C. Kelly May 18, 2016 The first randomized head-to-head comparison of tai chi and conventional physical therapy (PT) in patients with knee osteoarthritis (OA) shows equally good pain relief with either intervention, researchers report in an article published onlineMay 17 in the Annals of Internal Medicine. The researchers also show that tai chi was […]

Tai Chi Deemed Beneficial for Knee Osteoarthritis

— Similar benefits for Tai Chi, physical therapy; benefits of Tai Chi consistent across instructors TUESDAY, May 17, 2016 (HealthDay News) — For knee osteoarthritis, similar benefits are seen for Tai Chi and standard physical therapy, according to a study published online May 17 in the Annals of Internal Medicine. Chenchen Wang, M.D., from the […]

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities?

Are Acupuncture Therapies Effective for the Management of Musculoskeletal Disorders of the Extremities? A Systematic Review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration Authors: Jocelyn Cox, DC Study Design Systematic review. Background Acupuncture is a commonly used treatment for musculoskeletal disorders (MSDs); however, little is known about the effectiveness of acupuncture therapies […]