All posts; Tags Include "Rehabilitation"
- February 16, 2010
- 01:34 PM
- 1,127 views
Goals and satisfaction with pain management
by Bronwyn Thompson in Healthskills: Skills for Healthy Living
I came across this paper by Rowland Hazard and colleagues amongst a whole lot of papers lying on my desk (those of you who’ve seen my desk will understand what a momentous occasion it was to find something there!). It describes a very useful finding from a study the group conducted on outcome measurement.
There [...]... Read more »
Hazard RG, Spratt KF, McDonough CM, Carayannopoulos AG, Olson CM, Reeves V, Sperry ML, & Ossen ES. (2009) The impact of personal functional goal achievement on patient satisfaction with progress one year following completion of a functional restoration program for chronic disabling spinal disorders. Spine, 34(25), 2797-802. PMID: 19910869
- February 8, 2010
- 06:00 AM
- 1,680 views
Pectoralis Minor Stretch
by Mike Reinold in MikeReinold.com
The Best Stretch for the Pectoralis Minor?
This post came about from some of the live Q&A that we had following my webinar last week on “assessing asymmetry in the overhead athlete – does asymmetry mean pathology?” (the webinar is now recorded and available for download if you couldn't make the live session). We discussed some asymmetries with the scapula and talked about stretching the pectoralis minor. I thought this would be...
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Borstad, J., & Ludewig, P. (2006) Comparison of three stretches for the pectoralis minor muscle. Journal of Shoulder and Elbow Surgery, 15(3), 324-330. DOI: 10.1016/j.jse.2005.08.011
- November 23, 2009
- 06:00 AM
- 1,284 views
Arthroscopic Rotator Cuff Repair – A Prospective Evaluation of Tendon Integrity at 1- and 2-Years
by Mike Reinold in MikeReinold.com
The amount of arthroscopic rotator cuff repairs being performed has skyrocketed in recent years. The last 20 years or so have seen the transition from a full open approach, to a combined arthroscopic and mini-open technique, to the current all-arthroscopic technique. The implications on rehabilitation are enormous, as patients are recovering faster with less pain and surrounding tissue involvement. Initially, the strength of these arthroscopic rotator cuff repairs was in question a........ Read more »
Nho SJ, Adler RS, Tomlinson DP, Allen AA, Cordasco FA, Warren RF, Altchek DW, & MacGillivray JD. (2009) Arthroscopic rotator cuff repair: prospective evaluation with sequential ultrasonography. The American journal of sports medicine, 37(10), 1938-45. PMID: 19531660
- November 16, 2009
- 06:00 AM
- 1,468 views
ACL Reconstruction Rehabilitation – The Long Term Effects of 2 Postoperative Rehabilitation Programs
by Mike Reinold in MikeReinold.com
A new study examining the outcomes of two different rehabilitation programs following anterior cruciate ligament (ACL) reconstruction was recently published in AJSM. The authors, from Oslo University in Norway, compared the outcomes from two groups of 74 patients (mean age 28 years old) after 6 months of rehabilitation. Group one performed a neuromuscular exercise program consisting of what the authors defined as balance exercises, dynamic joint stability exercises, plyometric exercise........ Read more »
Risberg MA, & Holm I. (2009) The long-term effect of 2 postoperative rehabilitation programs after anterior cruciate ligament reconstruction: a randomized controlled clinical trial with 2 years of follow-up. The American journal of sports medicine, 37(10), 1958-66. PMID: 19556470
- October 26, 2009
- 02:01 PM
- 1,509 views
The Best Exercises for the Gluteus Maximus and Gluteus Medius
by Mike Reinold in MikeReinold.com
In a past article, I discussed assessing and treating dysfunction of the gluteus medius. I reviewed an article from the Journal of Strength and Conditioning Research and the author’s recommendations. Taking this information one step further, a recent article in JOSPT has quantified electromyographic activity of the gluteus maximus and gluteus medius during common exercises. This information is helpful when deciding which exercises to perform in your patients or clients. ........ Read more »
DiStefano, L. (2009) Gluteal Muscle Activation During Common Therapeutic Exercises. Journal of Orthopaedic and Sports Physical Therapy. DOI: 10.2519/jospt.2009.2796
- October 19, 2009
- 06:00 AM
- 1,025 views
Identifying Early Signs and Symptoms of Adhesive Capsulitis
by Mike Reinold in MikeReinold.com
In my opinion, one of the most challenging disorders of the shoulder to properly diagnose during the early stages is adhesive capsulitis, or frozen shoulder. Let me explain that further – once a person has global tightness and loss of motion, this is a pretty easy diagnosis. But I often wonder if some of our patients with “shoulder pain” but not loss of motion may actually have stage one irritation of the capsule that could develop into adhesive capsulitis. If we........ Read more »
Walmsley S, Rivett DA, & Osmotherly PG. (2009) Adhesive capsulitis: establishing consensus on clinical identifiers for stage 1 using the DELPHI technique. Physical therapy, 89(9), 906-17. PMID: 19589853
- October 2, 2009
- 10:00 AM
- 1,046 views
Obesity and car crashes - does fat provide a protective cushion against injury?
by Travis Saunders, MSc in Obesity Panacea
While Travis and I often focus on the cardiometabolic and sometimes psychological complications of obesity, the consequences of carrying excess weight reach far beyond these two areas.
Take for example automobile collisions.
By and large, most cars on the road today are not built specifically to be driven by obese drivers. More importantly, the US Federal Motor Vehicle Safety regulations and New Car Assessment Program testing uses a crash test dummy with a BMI of ~25.5 kg/m2 to gauge how s........ Read more »
Kent, R., Forman, J., & Bostrom, O. (2009) Is There Really a “Cushion Effect”?: A Biomechanical Investigation of Crash Injury Mechanisms in the Obese. Obesity. DOI: 10.1038/oby.2009.315
- September 22, 2009
- 01:58 PM
- 1,221 views
When Pseudoscience Kills – Trust, Denialism, and Peter Duesberg
by colinhockings in Blue Genes
- This is a guest post written for Blue-Genes by Ben Vincent. He will be back regularly with more on HIV/AIDS
For scientists working in the field of HIV and AIDS, discussion of denialists can be at best tiring and at worst infuriating. This isn’t because a (‘good’) scientist can’t engage in a meaningful debate [...]... Read more »
Ascher, M., Sheppard, H., Jr, W., & Vittinghoff, E. (1993) Does drug use cause AIDS?. Nature, 362(6416), 103-104. DOI: 10.1038/362103a0
- September 17, 2009
- 04:00 PM
- 2,447 views
Could physical exercise help in preventing and treating drug abuse?
by Dave Munger in Cognitive Daily
Teens who routinely exercise (especially in organized activities like team sports) are less likely to smoke or abuse drugs or alcohol. This fact alone might make it seem like a no-brainer to include physical activities in substance-abuse prevention and treatment programs, but in fact little research has been done to figure out whether exercising actually causes people to be less interested in drugs and alcohol. It's also possible that potential substance-abusers are just uninterested in exercise........ Read more »
Smith, M., Schmidt, K., Iordanou, J., & Mustroph, M. (2008) Aerobic exercise decreases the positive-reinforcing effects of cocaine. Drug and Alcohol Dependence, 98(1-2), 129-135. DOI: 10.1016/j.drugalcdep.2008.05.006
- September 7, 2009
- 06:00 AM
- 1,558 views
Clinical Examination for Meniscus
by Mike Reinold in MikeReinold.com
Today’s post is a review of a recent meta-analysis looking at the accuracy of clinical tests for meniscal lesions from our friend Dan Lorenz, MS, PT, ATC/L, CSCS. RESEARCH UPDATE: Clinical Tests for Meniscal Lesions Dan Lorenz, MS, PT, ATC/L, CSCS It has been estimated that approximately 27% of all outpatient physical therapy visits are for knee pain.1 Of the many possible lesions causing pain, one common source is from a meniscal lesion. Recently, Meserve et al2 did a meta-analysis summar........ Read more »
Meserve BB, Cleland JA, & Boucher TR. (2008) A meta-analysis examining clinical test utilities for assessing meniscal injury. Clinical rehabilitation, 22(2), 143-61. PMID: 18212035
- August 19, 2009
- 04:54 AM
- 1,564 views
It’s not what you say, it’s the way that you say it?
by Bronwyn Thompson in Healthskills: Skills for Healthy Living
I have a bit of a theme happening - health care interactions. I think it’s because this week I’ve been talking about this with patients, and it seems to be something that either raises the hackles or fills them with gratitude! Anyway, I was glad to find this paper the other day on [...]... Read more »
Susanne Dibbelt,, Monika Schaidhammer, Christian Fleischer, Bernhard Greitemann. (2009) Patient–doctor interaction in rehabilitation: The relationship between perceived interaction quality and long-term treatment results. Patient Education and Counseling. info:/10.1016/j.pec.2009.07.031
- August 17, 2009
- 06:00 AM
- 1,452 views
Is Throwing a Curveball Dangerous to our Youth Baseball Pitchers?
by Mike Reinold in MikeReinold.com
Over the last few weeks, there has been some debate regarding the release of two recent studies that showed that curveballs may not be as damaging to our youth baseball pitchers as we had once thought. I tried to let this die down a bit before discussing it, as the general press really picked up on this and started a debate with absolutely no medical background. The New York Times discussed this recently and I even saw a couple of sportscasters on ESPN discussing this on TV........ Read more »
Dun S, Loftice J, Fleisig GS, Kingsley D, & Andrews JR. (2008) A biomechanical comparison of youth baseball pitches: is the curveball potentially harmful?. The American journal of sports medicine, 36(4), 686-92. PMID: 18055920
- July 16, 2009
- 06:00 AM
- 1,554 views
Are Tennis Elbow Straps Effective?
by Mike Reinold in MikeReinold.com
Lateral epicondylitis, or tennis elbow, is one of my least favorite injuries. It can be disabling, nagging, and sometimes even relentless! A commonly recommended treatment involves the use of a tennis elbow strap. There has been some support in the literature regarding these orthotics, however results in the literature have varied. A nice new study published in a recent issue of JOSPT assessed the efficacy of these devices in a group of 52 subjects with lateral epicondylitis.&........ Read more »
Fahimeh Sadat Jafarian, Ebrahim Sadeghi Demneh, Sarah F. Tyson. (2009) The Immediate Effect of Orthotic Management on Grip Strength of Patients With Lateral Epicondylosis . J Orthop Sports Phys.
- June 29, 2009
- 09:43 AM
- 1,523 views
Influence Hip Foot Patellofemoral Pain
by Mike Reinold in MikeReinold.com
The influence of the kinetic chain on the patellofemoral can not be underestimated. Because the knee is located mid-way through a weightbearing extremity, it is vulnerable to excessive force from biomechanical faults located both proximally and distally to the knee itself. While forces from the foot and ankle have been associated with patellofemoral pain for some time now, the influence of the hip is becoming more of a hot topic as research has demonstrated significant increases in forces........ Read more »
Powers CM. (2003) The Influence of Altered Lower-Extremity Kinematics on Patellofemoral Joint Dysfunction: A Theoretical Perspective. J Orthop Sports Phys Ther. DOI: 14669959
- June 23, 2009
- 10:50 AM
- 1,887 views
Biomechanics of Patellofemoral Rehabilitation
by Mike Reinold in MikeReinold.com
As we continue our journey through the diagnosis and treatment of patellofemoral injuries, it is time to shift gears from the basic principles of care and discuss our final two topics – the biomechanics of the patellofemoral joint itself and the biomechanical influence of the kinetic chain on the patellofemoral joint. To me, these are two extremely important topics that are often not addressed as much as they should. The following is part 6 of the series on solving the patellofemoral my........ Read more »
ESCAMILLA, R., ZHENG, N., MACLEOD, T., EDWARDS, W., HRELJAC, A., FLEISIG, G., WILK, K., MOORMANIII, C., & IMAMURA, R. (2008) Patellofemoral compressive force and stress during the forward and side lunges with and without a stride. Clinical Biomechanics, 23(8), 1026-1037. DOI: 10.1016/j.clinbiomech.2008.05.002
- June 3, 2009
- 11:25 AM
- 1,068 views
If We Know We Shouldn't...Why Do We Still Do?
by Jason L. Harris in Evidence Based Rehab
Ihave posted several articles on the overuse of imaging in musculoskeletal care (find them here, here, here, and here). Now we have another study from the Archives of Internal Medicine making not only that statement but going as far as speculating that this is related to financial gain, improved patient satisfaction, and potential for more harm that good.In a news release from Musculoskeletal Report, the study found:Patients were more likely to undergo imaging tests if their primary care physic........ Read more »
Hoangmai H. Pham, Bruce E. Landon, James D. Reschovsky, Beny Wu, & Deborah Schrag. (2009) Rapidity and Modality of Imaging for Acute Low Back Pain in Elderly Patients. Archives of Internal Medicine, 169(10), 972-981. DOI: http://archinte.ama-assn.org/cgi/content/full/169/10/972
- May 18, 2009
- 06:00 AM
- 1,489 views
Classification of Patellofemoral Pain
by Mike Reinold in MikeReinold.com
In 1998, one of the most influential publications of the last 2 decades was published on treatment of the patellofemoral joint. Four of the leaders and pioneers of sports medicine and orthopedic rehabilitation – Kevin Wilk, George Davies, Bob Mangine, and Terry Malone - teamed up to develop a classification system for the differential diagnosis of patellofemoral pathologies. This manuscript was the first to offer treatment strategies based on specific diagnoses for patellofemoral p........ Read more »
Wilk KE, Davies GJ, Mangine RE, Malone TR. (1998) Patellofemoral disorders: a classification system and clinical guidelines for nonoperative rehabilitation. JOSPT. DOI: 9809279
- May 13, 2009
- 06:00 AM
- 1,735 views
What Causes Patellofemoral Pain?
by Mike Reinold in MikeReinold.com
Patellofemoral disorders are often considered the most common knee pathology encountered by orthopedic and sports medicine clinicians. Some sources say that in the general population, 1 out of 4 will likely experience patellofemoral symptoms at some time in their life. Although patellofemoral disorders represent a common pathology, there is no consensus on the optimal management of this condition. This may be explained, in part, due to the various sources of pain that may be contribu........ Read more »
Dye SF, Vaupel GL, Dye CC. (1998) Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anesthesia. Am J Sports Med. DOI: 9850777
- May 4, 2009
- 10:39 AM
- 2,204 views
How Long Do You Immobilize the Shoulder After a Dislocation?
by Mike Reinold in MikeReinold.com
A recent guest post from Dan Lorenz discussed immobilizing the shoulder in a position of external rotation following an anterior dislocation. While this concept appears counterintuitive at first glance, there is enough evidence now to support the use of this position of shoulder immobilization. Studies have shown better approximation of the capsule to the glenoid and a reduced rate of recurrent instability when immobilized in external rotation. I would not say that any of this is currently........ Read more »
Scheibel, M., Kuke, A., Nikulka, C., Magosch, P., Ziesler, O., & Schroeder, R. (2009) How Long Should Acute Anterior Dislocations of the Shoulder Be Immobilized in External Rotation?. The American Journal of Sports Medicine. DOI: 10.1177/0363546509331943
- April 27, 2009
- 10:31 AM
- 1,317 views
The Role of the Transverse Abdominis in Low Back Pain
by Mike Reinold in MikeReinold.com
Today’s guest post is written by Harrison Vaughan, PT, DPT. Harrison is a physical therapy practicing in South Hill, VA at In Touch Therapy. His professional interests include clinical diagnostic tests and treatment consisting of orthopedic manual therapy, predominantly spinal manipulation. Harrison previously contributed an excellent article on the QUADAS tool to assess the quality of research on studies examining the efficacy of clinical examination tests. Transversu........ Read more »
Flynn, T. (2005) The Use of Ultrasound Imaging of the Abdominal Drawing-in Maneuver in Subjects With Low Back Pain. Journal of Orthopaedic and Sports Physical Therapy. DOI: 10.2519/jospt.2005.1780
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