All posts; Tags Include "Rehabilitation"
- September 7, 2009
- 06:00 AM
- 1,606 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
- 1,595 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
- 1,500 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
- 1,674 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
- 1,626 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
- 1,970 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
- 1,090 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
- 1,569 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
- 1,791 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
- 2,276 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
- 1,404 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
- April 20, 2009
- 06:00 AM
- 1,726 views
Immobilizing the Shoulder in External Rotation
by Mike Reinold in MikeReinold.com
Today’s post comes from Dan Lorenz, MS, PT, ATC/L, CSCS. Dan is a graduate of the sports physical therapy fellowship at Duke University and is currently a sports medicine specialist at Providence Medical Center. He has great experience with a wide variety of orthopedic and sports medicine patients, including stints with the US Olympic Training Center, Chicago White Sox, and most recently the Kansas City Chiefs. Dan has previously guest posted on the relationship between hip m........ Read more »
Itoi, E., Hatakeyama, Y., Sato, T., Kido, T., Minagawa, H., Yamamoto, N., Wakabayashi, I., & Nozaka, K. (2007) Immobilization in External Rotation After Shoulder Dislocation Reduces the Risk of Recurrence. A Randomized Controlled Trial. The Journal of Bone and Joint Surgery, 89(10), 2124-2131. DOI: 10.2106/JBJS.F.00654
- April 5, 2009
- 02:39 PM
- 939 views
Long term effects of traumatic brain injury in children
by Nestor L. Lopez-Duran PhD in Child-Psych
What happens to kids who experience mild traumatic brain injuries?Keith Yeates, a prominent pediatric neuropsychologist working at Ohio State University, recently published an article that examines the long term effects of traumatic brain injuries in children. The authors report that close to half a million children and adolescents experience a mild traumatic brain injury every year. Yet, there
Read the full post at www.child-psych.org
Read the full post at www.child-psych.org
Read the full ........ Read more »
Yeates, K., Taylor, H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Wright, M., Nagin, D., & Jones, B. (2009) Longitudinal Trajectories of Postconcussive Symptoms in Children With Mild Traumatic Brain Injuries and Their Relationship to Acute Clinical Status. PEDIATRICS, 123(3), 735-743. DOI: 10.1542/peds.2008-1056
- March 31, 2009
- 06:00 AM
- 1,638 views
Low Back Pain and Hip Motion Correlation
by Mike Reinold in MikeReinold.com
Today’s post comes from Dan Lorenz, MS, PT, ATC/L, CSCS. Dan is a graduate of the sports physical therapy fellowship at Duke University and is currently a sports medicine specialist at Providence Medical Center. He has great experience with a wide variety of orthopedic and sports medicine patients, including stints with the US Olympic Training Center, Chicago White Sox, and most recently the Kansas City Chiefs. RESEARCH UPDATE: The Effect of Hip Rotation Deficits on Low Back and S........ Read more »
Ellison JB, Rose SJ, Sahrmann SA. (1990) Patterns of hip rotation range of motion: a comparison between healthy subjects and patients with low back pain. Phys Ther. DOI: 2144050
- March 21, 2009
- 05:35 PM
- 1,558 views
How Fast Do You Rehab Your Rotator Cuff Repair Patients?
by Mike Reinold in MikeReinold.com
That seems to be one of the most common questions I get regarding rehabilitation of the shoulder. It seems like clinicians want to know how everyone else is rehabilitation their patients following rotator cuff repair surgery. My guess is because most people feel that their physicians are too restrictive in their postoperative guidelines? Does that sound like you? Unfortunately the most optimal rehabilitation progression following a cuff repair has not been documented......... Read more »
Harryman DT 2nd et al. (1991) Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone joint Surg, 73(7), 982-989. DOI: 12098132
- March 15, 2009
- 02:27 PM
- 1,434 views
JAMA editor DeAngelis is actually Joe Pesci, circa Goodfellas
by Danny McCaslin in The Phrenologist's Notebook
Okay, my hiatus is over. Class is finished, and I’ve got three weeks to kill with work, blogging, and playing Lego Batman because I’m just that kind of geek.
Of course, the first blog I check when I come back is Mind Hacks, because it is one of the best psychology blogs out there, and I [...]... Read more »
Lacasse, J., & Leo, J. (2008) Escitalopram, Problem-Solving Therapy, and Poststroke Depression. JAMA: The Journal of the American Medical Association, 300(15), 1757-1758. DOI: 10.1001/jama.300.15.1757-c
Robinson, R., Jorge, R., Moser, D., Acion, L., Solodkin, A., Small, S., Fonzetti, P., Hegel, M., & Arndt, S. (2008) Escitalopram and Problem-Solving Therapy for Prevention of Poststroke Depression: A Randomized Controlled Trial. JAMA: The Journal of the American Medical Association, 299(20), 2391-2400. DOI: 10.1001/jama.299.20.2391
Robinson, R., Jorge, R., & Arndt, S. (2008) Escitalopram, Problem-Solving Therapy, and Poststroke Depression--Reply. JAMA: The Journal of the American Medical Association, 300(15), 1758-1759. DOI: 10.1001/jama.300.15.1758-b
- March 15, 2009
- 01:05 PM
- 1,727 views
Movement Science Podcast: On the Air!
by TexasOrtho in Orthopedic Physical Therapy
Ok folks here we are - my first podcast. This episode explores the relationship between motor learning, motor control deficits, and low back pain. I hope you enjoy my rookie effort and will hang in there as I continue to improve this new feature of my blog. Please let me know if you are having difficulty dowloading the podcast and I will get the bugs worked out asap! I hope to be up on iTunes soon so this should add an additional level of functionality to the show. Powered by Podbean........ Read more »
Allison, G., & Morris, S. (2008) Transversus abdominis and core stability: has the pendulum swung?. British Journal of Sports Medicine, 42(11), 630-631. DOI: 10.1136/bjsm.2008.048637
Hodges, P. (2007) Transversus abdominis: a different view of the elephant. British Journal of Sports Medicine, 42(12), 941-944. DOI: 10.1136/bjsm.2008.051037
Cook, J. (2008) Jumping on bandwagons: taking the right clinical message from research. British Journal of Sports Medicine, 42(11), 563-563. DOI: 10.1136/bjsm.2008.048629
Mulder T, Neinhuis B, & Pauwels J. (1996) The Assessment of Motor Recovery: A New Look at an Old Problem. J Electromyogr Kinisiol, 6(2), 137-145.
Hodges, P. (2003) Pain and motor control of the lumbopelvic region: effect and possible mechanisms. Journal of Electromyography and Kinesiology, 13(4), 361-370. DOI: 10.1016/S1050-6411(03)00042-7
- March 15, 2009
- 12:29 PM
- 561 views
Movement Science Podcast: On the Air!
by Texasortho in The Movement Science Blog and Podcast
Ok folks here we are - my first podcast. This episode explores the relationship between motor learning, motor control deficits, and low back pain. I hope you enjoy my rookie effort and will hang in there as I continue to improve this new feature of my blog. Please let me know if you are [...]... Read more »
Allison, G., & Morris, S. (2008) Transversus abdominis and core stability: has the pendulum swung?. British Journal of Sports Medicine, 42(11), 630-631. DOI: 10.1136/bjsm.2008.048637
Hodges, P. (2007) Transversus abdominis: a different view of the elephant. British Journal of Sports Medicine, 42(12), 941-944. DOI: 10.1136/bjsm.2008.051037
Cook, J. (2008) Jumping on bandwagons: taking the right clinical message from research. British Journal of Sports Medicine, 42(11), 563-563. DOI: 10.1136/bjsm.2008.048629
Mulder T, Neinhuis B, & Pauwels J. (1996) The Assessment of Motor Recovery: A New Look at an Old Problem. J Electromyogr Kinisiol, 6(2), 137-145.
Hodges, P. (2003) Pain and motor control of the lumbopelvic region: effect and possible mechanisms. Journal of Electromyography and Kinesiology, 13(4), 361-370. DOI: 10.1016/S1050-6411(03)00042-7
- February 16, 2009
- 06:00 AM
- 1,632 views
Complications Following Distal Radius Fractures
by Mike Reinold in MikeReinold.com
This week’s guest post is from Trevor Winnegge PT, DPT, MS, OCS, CSCS. Your may recognize the name, Trevor is a frequent commenter here on this website. Trevor has been practicing PT for over 8 years. He graduated from Northeastern University with a bachelors in PT and a master of science degree. He also graduated from Temple University with a Doctor of physical therapy degree. He is a board certified specialist in orthopedics and also a certified strength and conditioning speciali........ Read more »
H. S. Cheng, L. K. Hung, P. C. Ho, & J. Wong. (2008) AN ANALYSIS OF CAUSES AND TREATMENT OUTCOME OF CHRONIC WRIST PAIN AFTER DISTAL RADIAL FRACTURES. Hand Surgery, 13(01), 1. DOI: 10.1142/S0218810408003748
- February 9, 2009
- 07:00 AM
- 1,186 views
Stop the Madness!! - Low Back Pain and Routine Imaging
by Jason L. Harris in Evidence Based Rehab
Lancet recently published a systemic review looking at routine imaging for Low Back Pain (LBP) without "red flags" that would suggest serious underlying conditions (eg, myelopathy, cancer, fracture, etc). While the results aren't surprising to the majority of conservative musculoskeletal practitioners, they do need to be publicized to the general public just as much as the silly studies that show "acupuncture" being effective treatment fot LBP. The authors conclude:Lumbar imaging for low back ........ Read more »
Roger Chou, Rongwei Fu, John A Carrino, & Richard A Deyo. (2009) Imaging strategies for low-back pain: systematic review and meta-analysis. The Lancet, 373(9662), 463-472. DOI: 10.1016/S0140-6736(09)60172-0
Roger Chou, Rongwei Fu, John A Carrino, & Richard A Deyo. (2009) Imaging strategies for low-back pain: systematic review and meta-analysis. The Lancet, 373(9662), 463-472. DOI: 10.1016/S0140-6736(09)60172-0
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