Extremities

Restricted Hip Mobility: Clinical Suggestions for Self-Mobilization and Muscle Re-Education – Full Text

Michael P. Reiman, PT, DPT, SCS, OCS, ATC, FAAOMPT, CSCS Abstract Restricted hip mobility has shown strong correlation with various pathologies of the hip, lumbar spine and lower extremity. Restricted mobility can consequently have deleterious effects not only at the involved joint but throughout the entire kinetic chain. Promising findings are suggesting benefit with skilled […]

Gout: DASH Diet Lowers Serum Uric Acid

Pam Harrison August 25, 2016 The DASH diet lowers elevated serum uric acid levels to almost the same extent as pharmacological preparations in individuals at risk for gout, a large intervention trial indicates. “The DASH diet is a well-known diet for blood pressure, a condition common in 75% of gout patients, so we wanted to […]

Strong Muscles Protect Damaged Knees

by Mike Bassett, Contributing Writer, MedPage Today September 12, 2016 Low knee extensor (KE) muscle strength is associated with an increased risk of systematic and functional deterioration in knee osteoarthritis (KOA), a team of international investigators has found. Adam G. Culvenor, PhD, Institute of Anatomy, Paracelsus Medical University in Salzburg, Austria and colleagues, conducted a systematic review and […]

Hip fractures: Most elderly unlikely to fully recover

New study supports the need for frank discussions about the likelihood of ever making a full recovery Date: September 8, 2016 Source: Springer Summary: One in every two older persons who have suffered a hip fracture will never be as physically active and independent as they were before. The odds are even lower for the very old and […]

Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial

CMAJ September 6, 2016 vol. 188 no. 12 First published June 6, 2016, doi: 10.1503/cmaj.151003 Vincent C.H. Chung, PhD Abstract Background: The effectiveness of acupuncture for managing carpal tunnel syndrome is uncertain, particularly in patients already receiving conventional treatments (e.g., splinting). We aimed to assess the effects of electroacupuncture combined with splinting. Methods: We conducted […]

Disease-specific pain and function predict future pain impact in hip and knee osteoarthritis

Clin Rheumatol. 2016 Sep 6. [Epub ahead of print] Carlesso LC, Hawker GA, Waugh EJ, Davis AM. Abstract The objective of this study is to determine if osteoarthritis (OA) pain and function, persistent low back pain (LBP) and psychosocial factors predict future pain impact (PI) in people with hip and knee OA. In a population-based […]

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: […]