Extremities

Immediate Effects of Thoracic Spine Manipulation Upon Shoulder Functionality in Patients With Sutured Rotator Cuff Repair: A Prospective Study

Pedro Belón-Perez, PT, MSc, Journal of Manipulative and Physiological Therapeutics September 2018 Volume 41, Issue 7, Pages 589–595 Abstract Objectives The purpose of this study was to evaluate the immediate effect of thoracic spine manipulation upon active flexion and abduction mobility of the shoulder, spine temperature, and the size of the subacromial space as measured […]

Effectiveness of Oral Pain Medication and Corticosteroid Injections for Carpal Tunnel Syndrome: A Systematic Review

Archives of Physical Medicine & Rehabilitation August 2018 Volume 99, Issue 8, Pages 1609–1622.e10 Bionka M. Huisstede, PhD Abstract Objective To present an evidence-based overview of the effectiveness of oral pain medication and corticosteroid injections to treat carpal tunnel syndrome (CTS). Data Sources The Cochrane Library, PubMed, Embase, CINAHL, and Physiotherapy Evidence Database were searched […]

Blood flow evaluation by dynamic magnetic resonance imaging of symptomatic rotator cuff tears and frozen shoulders

Journal of Shoulder and Elbow Surgery Hideyuki Sasanuma, MD, PhD DOI: https://doi.org/10.1016/j.jse.2018.05.042 Background This study compared imaging findings of blood flow changes between symptomatic rotator cuff tear (RCT) and frozen shoulder (FS) by using 3-dimensional dynamic magnetic resonance imaging (MRI) to determine the clinical characteristics of symptomatic RCT. Methods The 2 study groups comprised 31 […]

Effectiveness of Surgical and Postsurgical Interventions for Carpal Tunnel Syndrome—A Systematic Review

Huisstede, Bionka M. et al. Archives of Physical Medicine and Rehabilitation , Volume 99 , Issue 8 , 1660 – 1680.e21 Abstract Objective To present an evidence-based overview of the effectiveness of surgical and postsurgical interventions for carpal tunnel syndrome (CTS). Data Sources The Cochrane Library, PubMed, EMBASE, CINAHL, and PEDro were searched for relevant […]

Do Patients With Carpal Tunnel Syndrome Benefit From Low-Level Laser Therapy? A Systematic Review of Randomized Controlled Trials.

Arch Phys Med Rehabil. 2017 Jun 16. pii: S0003-9993(17)30391-X. doi: 10.1016/j.apmr.2017.06.002. [Epub ahead of print] Franke TP, Koes BW, Geelen SJ, Huisstede BM. Abstract OBJECTIVE: To systematically review the literature on the effectiveness of low-level laser therapy for patients with carpal tunnel syndrome. DATA SOURCES: The Cochrane Library, PubMed, Embase, CINAHL, and Physiotherapy Evidence Database […]

Additive Effect of Therapeutic Ultrasound in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial

Authors: Yigal Katzap, MPT Study Design A prospective, randomized, double-blinded, placebo-controlled clinical trial. Background Plantar fasciitis is the main cause of pain in the plantar surface of the heel. One of the most common conservative treatment modalities used by physical therapists worldwide is therapeutic ultrasound, despite the scarce evidence of its efficacy in the treatment […]

Clinical outcomes are associated with changes in ultrasonographic structural appearance after platelet-rich plasma treatment for knee osteoarthritis

International Journal of Rheumatic Diseases — Ahmad HS, et al. | June 01, 2018 Authors compared the effectiveness of platelet-rich plasma (PRP) and hyaluronic acid (HA) intra-articular injections as mono-therapeutic options for primary knee osteoarthritis (KOA). They also ascertained if the clinical outcomes were related to changes in the ultrasonography structural appearance. Findings suggested the […]

Hip Symptoms, Physical Performance, and Health Status in Older Adults With Chronic Low Back Pain: A Preliminary Investigation

July 2018 Volume 99, Issue 7, Pages 1273–1278 Gregory E. Hicks, PT, PhD Abstract Objectives To determine (1) whether there are differences in the prevalence of clinical hip symptoms between older adults with and without chronic low back pain (CLBP); and (2) whether coexisting hip symptoms are associated with worse physical performance and poorer health-related […]

Lower Quadriceps Rate of Force Development Is Associated With Worsening Physical Function in Adults With or at Risk for Knee Osteoarthritis: 36-Month Follow-Up Data From the Osteoarthritis Initiative

APM&R July 2018 Volume 99, Issue 7, Pages 1352–1359 Bo Hu, PhD Abstract Objective To determine the association between quadriceps rate of force development (RFD) and decline in self-reported physical function and objective measures of physical performance. Design Longitudinal cohort study. Setting Community-based sample from 4 urban areas. Participants Osteoarthritis Initiative participants with or at […]

Association of rapidly destructive osteoarthritis of the hip with intra-articular steroid injections – Full Text Article

Arthroplast Today. 2018 Jun; 4(2): 205–209. Published online 2018 May 7. doi: 10.1016/j.artd.2017.12.002 PMCID: PMC5994787 PMID: 29896554 Shane R. Hess, DO Abstract Background To assess the relationship between rapidly destructive osteoarthritis (RDOA) of the hip and intra-articular steroid injections. Methods Coding records from 2000 to 2013 were used to identify all subjects who had a […]

Clinical Benefits of Joint Mobilization on Ankle Sprains: A Systematic Review and Meta-Analysis

Archives of Physical Medicine and Rehabilitation July 2018 Volume 99, Issue 7, Pages 1395–1412.e5 Ishanka Weerasekara Abstract Objective To assess the clinical benefits of joint mobilization for ankle sprains. Data Sources MEDLINE, MEDLINE In-Process, Embase, AMED, PsycINFO, CINAHL, Cochrane Library, PEDro, Scopus, SPORTDiscus, and Dissertations and Theses were searched from inception to June 2017. Study […]

Relationship between knee alignment in asymptomatic subjects and flexibility of the main muscles that are functionally related to the knee – Full Text Article

Journal of International Medical Research María Orosia Lucha-López Article first published online: June 25, 2018 Received: June 26, 2017; Accepted: March 27, 2018 https://doi.org/10.1177/0300060518771825 Abstract Objective To assess the relationship between static frontal knee alignment in asymptomatic subjects and flexibility of the main muscles functionally related to the knee. Methods A descriptive cross-sectional study was […]

The immediate effect of a soft knee brace on dynamic knee instability in persons with knee osteoarthritis

This article suggests that people with knee arthritis may respond favorably to a soft knee brace.  The soft knee brace in this study was the GENUTEX A2, Human I, Bleiswijk, The Netherlands. Rheumatology — Cudejko T, et al. | June 22, 2018 Authors evaluated the impact of a soft knee brace on objectively assessed dynamic […]

For Knee Osteoarthritis, More Weight Loss Is Better

Clinical and mechanistic improvements seen with weight loss of 20% or more by Nancy Walsh, Senior Staff Writer, MedPage Today June 20, 2018 Older adults with knee osteoarthritis (OA) who lost 20% or more of their body weight had significant improvements in pain and function, and experienced benefits on multiple other clinical and mechanistic outcomes, a secondary analysis […]

Is local platelet-rich plasma injection clinically superior to hyaluronic acid for treatment of knee osteoarthritis? A systematic review of randomized controlled trials

Di Yalong Arthritis Research & Therapy 2018 20:128 https://doi.org/10.1186/s13075-018-1621-0© The Author(s). 2018 Received: 16 September 2017Accepted: 13 May 2018 Published: 19 June 2018 Abstract Background In this study, we evaluated whether platelet-rich plasma (PRP) is superior to hyaluronic acid (HA) in the treatment of knee osteoarthritis. Methods The Cochrane Central Register of Controlled Trials, PubMed, […]

Degenerative Changes in Asymptomatic Subjects: A Descriptive Study Examining the Supraspinatus Using Musculoskeletal Sonography in a Young Population.

J Allied Health. 2018 Summer;47(2):152-155. Guffey JS1, Barymon D, Doerflein C, Vo C, Bowen D. Abstract As many as 96% of persons over age 50 years may have shoulder abnormalities involving the rotator cuff. Many of these individuals remain asymptomatic. In contrast, there is limited research into the prevalence of shoulder pathology in the younger asymptomatic population. The supraspinatus muscle […]

Worse Knee OA Linked with Depression

by Nancy Walsh, Senior Staff Writer, MedPage Today June 14, 2018 AMSTERDAM — Among patients with knee osteoarthritis (OA), greater structural disease severity and worse functional limitations were associated with an increased risk of developing depression, a researcher reported here. Compared with patients in the lowest quintile, patients in the highest quintile of disease structural severity as measured according […]

Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review [Internet]

Chronic low back pain: At short term, massage, yoga, and psychological therapies (primarily Cognitive Behavioral Therapy) (strength of evidence [SOE]: moderate) and exercise, acupuncture, spinal manipulation, and multidisciplinary rehabilitation (SOE: low) were associated with slight improvements in function compared with usual care or inactive controls. Except for spinal manipulation, these interventions also improved pain. Effects […]

How to Treat Plantar Fasciitis

By Brad Beer Posted June 7, 2018 In Lower Limb, Running How common is plantar fasciitis? Plantar fasciitis is one of the most common causes of plantar heel pain in both runners and non runners, and one of the most prevalent causes of foot pain in general with 10% of people experiencing plantar fasciitis across […]

Canadian Guidelines for Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions

The Canadian Chiropractic Guideline Initiative (CCGI) has just finished appraising and summarizing this 2018 guideline published in JOSPT, “Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions”. This summary covers key recommendations for a physical examination (outcome measures, physical performance measures, and physical impairment measures), diagnosis, clinical course, risk factors, interventions, and imaging studies. […]