All posts; Tags Include "Rehabilitation"

April 27, 2009
10:31 AM
1,945 views

The Role of the Transverse Abdominis in Low Back Pain

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
2,125 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
1,264 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
2,161 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
2,074 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
1,845 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
2,097 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
903 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
2,233 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
1,458 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

February 2, 2009
10:38 AM
2,411 views

The Use of Glucosamine and Chondroitin Sulfate for Knee Arthritis

by Mike Reinold in MikeReinold.com

A recent review from the January 2009 issue of the Journal of Arthroscopy reviewed the use of glucosamine and chondroitin sulfate for knee osteoarthritis. Considering the vast amount of people suffering from knee arthritis and the increasing cost of medical care for these patients, the use of any type of supplement to reduce symptoms is welcome. Research into the efficacy of glucosamine and chondroitin sulfate is certainly not new with studies dating back to 1969. Howev........ Read more »

C VANGSNESSJR, W SPIKER, & J ERICKSON. (2009) A Review of Evidence-Based Medicine for Glucosamine and Chondroitin Sulfate Use in Knee Osteoarthritis. Arthroscopy: The Journal of Arthroscopic , 25(1), 86-94. DOI: 10.1016/j.arthro.2008.07.020

January 22, 2009
06:00 AM
2,490 views

Autologous Chondrocyte Implantation or Microfracture?

by Mike Reinold in MikeReinold.com

The current issue of AJSM has two great articles regarding articular cartilage repair procedures that go very well together. I think this is an amazing aspect of orthopedics as we are making ground on developing ways to restore normal cartilage. The implications of this are staggering. If you share an interest in articular cartilage repair, I recommend you read the special issue of JOSPT on articular cartilage and meniscal repair procedures that I guest edited, specifical........ Read more »

E. Kon, A. Gobbi, G. Filardo, M. Delcogliano, S. Zaffagnini, & M. Marcacci. (2008) Arthroscopic Second-Generation Autologous Chondrocyte Implantation Compared With Microfracture for Chondral Lesions of the Knee: Prospective Nonrandomized Study at 5 Years. The American Journal of Sports Medicine, 37(1), 33-41. DOI: 10.1177/0363546508323256

K. Zaslav, B. Cole, R. Brewster, T. DeBerardino, J. Farr, P. Fowler, & C. Nissen. (2008) A Prospective Study of Autologous Chondrocyte Implantation in Patients With Failed Prior Treatment for Articular Cartilage Defect of the Knee: Results of the Study of the Treatment of Articular Repair (STAR) Clinical Trial. The American Journal of Sports Medicine, 37(1), 42-55. DOI: 10.1177/0363546508322897

January 19, 2009
01:01 PM
2,187 views

Quality assessment of diagnostic accuracy

by Bronwyn Thompson in Healthskills: Skills for Healthy Living

I was taking a moment or two to looked through some of my RSS feeds, and came across this post on the quality of diagnostic accuracy. QUADAS stands for:

Q – Quality

A – Assessment of

D – Diagnostic

A – Accuracy

S – Studies

It’s especially developed for people who use physical assessment, and in this post written by physiotherapist [...]... Read more »

Penny Whiting, Anne WS Rutjes, Johannes B Reitsma, Patrick MM Bossuyt, & Jos Kleijnen. (2003) The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Medical Research Methodology, 3(1), 25. DOI: 10.1186/1471-2288-3-25

January 19, 2009
06:04 AM
2,148 views

Using the QUADAS Tool to Assess the Quality of Research

by Mike Reinold in MikeReinold.com

Have you been feeling lately that the quality of research reports are not always the same across journals? Or that some articles you read do not appear to have the best methodology? With all the emphasis on evidence based medicine, it is more valuable now than ever to assure that research reports are of superior quality to assure that we are conveying accurate information to our colleagues. Today’s guest post is written by Harrison Vaughan, PT, DPT. Harrison is a phys........ Read more »

Penny Whiting, Anne WS Rutjes, Johannes B Reitsma, Patrick MM Bossuyt, & Jos Kleijnen. (2003) The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Medical Research Methodology, 3(1), 25. DOI: 10.1186/1471-2288-3-25

January 6, 2009
08:11 AM
3,200 views

The Use of Postoperative Bracing Following ACL Reconstruction

by Mike Reinold in MikeReinold.com

How often do you use an immobilizer after ACL reconstruction? The January 2009 issue of American Journal of Sports Medicine is out and there a few interesting articles I wanted to feature. The first of which discusses the use of knee bracing and immobilization postoperatively following ACL reconstruction using a hamstring tendon graft. The Use of Postoperative Bracing Following ACL Reconstruction In this study, 82 patients were randomized into two groups: 1) a group of........ Read more »

L. A. Hiemstra, S. M. Heard, T. M. Sasyniuk, G. L. Buchko, J. G. Reed, & B. J. Monteleone. (2008) Knee Immobilization for Pain Control After a Hamstring Tendon Anterior Cruciate Ligament Reconstruction: A Randomized Clinical Trial. The American Journal of Sports Medicine, 37(1), 56-64. DOI: 10.1177/0363546508322896

December 28, 2008
11:07 AM
1,927 views

Are you an expert clinician?

by TexasOrtho in Orthopedic Physical Therapy

If you've been reading my posts for a little while now, you might have noticed I place a high value on education. I've been teaching as an adjunct instructor for over eleven years at a local university and regularly take students on clinical rotation. After a recent four-week (entirely too short) rotation with two year-one PT students, I found myself looking back on to their experiences at the clinic and wondering what I could have done better. They both had a great experience, but I couldn't he........ Read more »

Jones M. (1992) Clinical reasoning in manual therapy . Physical Therapy, 72(12), 875-884. DOI: http://physicaltherapyjournal.org/cgi/content/abstract/72/12/875

December 27, 2008
09:05 PM
2,296 views

Manual Therapy: What is REALLY going on?

by TexasOrtho in Orthopedic Physical Therapy

Earlier in my PT career I often called B.S. on forms of treatment that didn't seem to pass the smell test. Manual therapists in particular seemed susceptible to jumping on the bandwagons driven by chiropractors (i.e. adjustments, active release therapy, and craniosacral therapy). Not only did I try to avoid any professional association with whom I perceived as quacks, I went out of my way to disprove their methods. As you can imagine, telling someone who believes in Santa Clause "there really is........ Read more »

J BIALOSKY, M BISHOP, D PRICE, M ROBINSON, & S GEORGE. (2008) The mechanisms of manual therapy in the treatment of musculoskeletal pain: A comprehensive model. Manual Therapy. DOI: 10.1016/j.math.2008.09.001

December 22, 2008
06:00 AM
1,695 views

Predicting Which Patients Will Not Respond to Physical Therapy

by Mike Reinold in MikeReinold.com

We are lucky to feature a guest post from Christie Downing, PT, DPT, cert MDT, ICLM. Christie works at Alexian Brothers Rehabilitation Hospital in Elk Grove Village, IL. She specialize in musculoskeletal care as well as lymphedema management. She is a MDT credentialed provider and student in the Diploma level of MDT, focusing primarily in MDT in both spine and extremity problems. Predicting Which Patients Will Not Respond to Physical Therapy Now, I love my........ Read more »

Werneke M, & Hart DL. (2001) Centralization Phenomenon as a Prognostic Factor for Chronic Low Back Pain and Disability. Spine, 26(7), 758-764. DOI: http://journals.lww.com/spinejournal/pages/articleviewer.aspx?year

December 15, 2008
12:17 PM
3,188 views

Assessing and Treating Dysfunction of the Gluteus Medius

by Mike Reinold in MikeReinold.com

The October 2008 issue of the Journal of Strength and Conditioning has an impressive review article of the anatomy, function, assessment, and strengthening of the gluteus medius from a group of clinicians in New Zealand. The authors do a good job reviewing some of the basic anatomy and function of the muscle and relating this information to research reports looking at dysfunction and treatment of the muscle for several lower extremity injuries. I think this is a great topic of discussion ........ Read more »

Presswood L, Cronin J, Keogh J, & Whatman C. (2008) Gluteus Medius: Applied Anatomy, Dysfunction, Assessment, and Progressive Strengthening. . Strength and Conditioning Journal, 30(5), 41-53. DOI: http://www.nsca-scj.org/pt/re/ssc/fulltext.00126548-200810000-00007.htm;jsessionid

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