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Introduction
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Publications
Publications (218)
Background: Previous research has examined the acute effects of high-intensity exercise on muscle contractility, revealing potential interference in reaching peak contraction. This study aims to evaluate the impact of a standardized kettlebell swing protocol on low back musculature contractility, measured by tensiomyography (TMG), and pain sensitiv...
Depression and chronic pain are prevalent and often co-occurring conditions that pose substantial treatment challenges and economic burdens in the developed world. Research suggests that depression and chronic pain share overlapping pathways, particularly within the anterior cingulate cortex, which plays a critical role in emotional regulation and...
Ice applications have been used for centuries to decrease pain and inflammation following orthopedic procedures and musculoskeletal injuries. While there is merit to using ice, more recent advancements in research and recovery have cast doubt on the efficacy of icing. Namely, concerns over suppressing the natural healing process have steered many c...
Hanney, WJ, Perez, A, Collado, G, Palmer, AC, Wilson, AT, Richardson, RM, and Kolber, MJ. J Strength Cond Res XX(X): 000-000, 2024-Kettlebell swings (KBSs) are commonly used to target the lumbar erector spinae and lower body musculature. This exercise exhibits distinct loading properties that requires cyclical contraction of the trunk extensors and...
Background:
Temporomandibular disorders are a source of orofacial pain. Understanding clinimetric properties of evaluation procedures is necessary for assessing impairments and determining response to interventions.
Purpose:
Reliability, minimal detectable change (MDC95), and 95% limits of agreement of TMJ examination procedures were investigate...
Introduction:
Approximately 50% of firefighter injuries occur in the musculoskeletal system. Poor movement quality increases injury risk, while movement-based interventions may reduce injuries.
Purpose:
Investigate the effectiveness of auto-generated exercise programming on movement literacy scores among firefighters with lower baseline Function...
Background:
Previous qualitative research has listed trust as a component of the therapeutic alliance in physical therapy.
Objective:
Quantitatively correlate trust and therapeutic alliance in physical therapy care for patients with chronic low back pain. The secondary aim was to investigate the relation of trust and therapeutic alliance with ou...
Playing a musical instrument necessitates stability in the hands, neck, shoulders, and trunk, involving both isotonic and isometric movements, muscular endurance, and various other physical demands. Musicians, especially those engaged in professional or educational pursuits, often dedicate several hours each day to practicing and performing. Despit...
Background: Low back pain (LBP) has been shown to have various biological, psychological, and social factors that affect prognosis. However, it is unclear how personality may influence self-reported outcome measures and therapeutic alliance (TA). Methods: Eysenck’s personality inventory was used to assess personality, while the numeric pain rating...
Background
Up to 67% of adults experience shoulder pain in their lifetime. Numerous factors are related to the etiology of shoulder pain, one of which is thought to be scapular dyskinesis (SD). Given the prevalence of SD among the asymptomatic population a concern is that the condition is being medicalized (clinical findings suggested to require tr...
Background
Prognostic variables for assessing people with whiplash associated disorder (WAD) following a motor vehicle collision (MVC) have been evaluated in numerous studies. However, there is minimal evidence assessing how these variables may differ between males and females.
Question/Purpose
1) To assess if the sex of a person interacts with kn...
Blood flow restriction (BFR) is an augmented training method that utilizes a proximal extremity tourniquet to occlude the venous and partially occlude the arterial blood flow during specific exercise programming or at rest. BFR training (BFRT) has gained popularity among the exercise science and rehabilitation professions as a means of stimulating...
Several mechanisms may influence recovery and act as a complementary intervention to regenerative medicine. One area of consideration that may improve clinical outcomes in patients receiving regenerative medicine treatments is the utilization of supplementary interventions referred to as regenerative rehabilitation. One such intervention may be the...
Background: Personality type plays a key role in how individuals respond to a variety of stimuli; however, it is unclear if there is a significant influence on pain perception. While pain is associated with many conditions, chronic low back pain (cLBP) is one of the most prevalent and debilitating problems in modern society. Treating this condition...
Purpose: This study was conducted to investigate the efficacy of a combined minimally processed bone marrow aspirate (BMA), adipose graft, and leukocyte-rich platelet-rich plasma (PRP) intra-articular injection series on pain, function, and global rating of change (GROC) among patients with glenohumeral osteoarthritis (GHOA) and record any complica...
Introduction:
Enhancing the therapeutic alliance has been associated with improved outcomes for patients with chronic low back pain (CLBP). Qualitatively trust has been described to be part of the therapeutic alliance, but it has not been measured quantitatively within the physical therapy literature.
Objective:
Examine the relationship between...
Low back pain (LBP) is a significant problem in industrialized society with a considerable economic impact. There are many treatment approaches for LBP; however, many are expensive and possess questionable efficacy. An often-overlooked aspect of care for individuals with LBP is establishment of a positive therapeutic alliance. The therapeutic allia...
Tensiomyography (TMG) is a noninvasive tool used to assess contractile tissue properties during an isometric muscle contraction. Owing to portability and versatility for assessing muscle parameters, TMG may be of value to the strength and conditioning (S&C) specialist. The purpose of this systematic review was to investigate the reliability of TMG...
# Background
Range of motion (ROM) impairments of the overhead athletes' shoulder are commonly addressed through mobility-based treatments, however, adaptations from humeral torsion (HT) are not amenable to such interventions. A clinical measurement to quantify HT has been proposed, however, the validity is not conclusive.
# Purpose
The primary...
Background: Owing to a paucity of research on minimally processed orthobiologics, we sought to investi-gate the efficacy of minimally processed bone marrow aspirate (BMA) and fat graft with a leukocyte-rich, platelet-rich plasma (PRP) intra-articular injection series on pain, function, and global rating of change (GROC) among patients with severe k...
Personality type can influence pain perception and prognosis. Therefore, it is important for clinicians to consider personality factors that may influence outcomes and understand personality inventories to garner a better understanding of how an individual may perceive pain. This paper explores different elements that contribute to low back pain (L...
# Background
Mechanical percussion devices have become popular among sports medicine professionals. These devices provide a similar effect as manual percussion or tapotement used in therapeutic massage. To date, there are few published studies or evidence-based guidelines for these devices. There is a need to understand what professionals believe...
Purpose:
Kinesiology taping is a common intervention used to treat individuals with shoulder pain. While there have been several studies published to date evaluating the effectiveness of this intervention, a systematic review with meta-analysis synthesizing the collective effectiveness of kinesiology taping is not available. Therefore, the purpose...
Back-off sets or down sets are a training paradigm that use an initial heavy loaded set followed by a subsequent rest period and a planned load reduction. Back-off sets are a way to maintain or increase training volume through a load reduction for subsequent sets. By reducing load, a desired number of repetitions can be achieved as opposed to a red...
Background:
Sports rehabilitation professionals often prescribe unstable objects for balance training. Unfortunately, there is a lack of measurement of balance confidence when incorporating these objects. Currently, there is no consensus on the optimal balance confidence measure or proposed progression of unstable objects. Understanding the influe...
Background:
Muscle length is a common component of the physical therapy examination, which may include the prone knee flexion (Ely) and active knee extension (AKE) tests. Clinicians using these tests should understand the clinimetric properties.
Purpose:
To investigate the reliability and minimal detectable change (MDC95) of the Ely and AKE test...
Objective
This study sought to determine if a mammogram performed in a multi-sensory environmental upgraded room (UR) is associated with improved image quality when compared to a standard room (SR).
Methods
A retrospective analysis (interrupted time series design) of compression force and posterior nipple line (PNL) measurements was performed on 3...
Background:
Intrinsic factors including altered joint motion in the upper extremity may lead to altered biomechanics in tennis players and could result in symptoms of lateral elbow tendinopathy.
Purpose:
To compare upper extremity passive motion and elbow carrying angle between three groups of women: recreational tennis players with LET, non-sym...
Degenerative musculoskeletal disorders are one of the top causes of pain and disability in the adult population. Current available alternatives to mitigate symptoms include conservative treatments such as the administration of pharmacological agents and an educative approach towards lifestyle modification. The use of certain analgesics, such as opi...
Nontraumatic shoulder disorders are prevalent among weight-training participants as a result of training patterns as well as adaptive shoulder joint and muscle characteristics. This article presents a progressive approach to exercises designed to mitigate well known joint and muscle characteristics that have been associated with shoulder disorders....
Study design:
Randomized clinical trial.
Objectives:
To determine the immediate and short-term effects of cervical spine high velocity low amplitude thrust (HVLAT) added to behavioral education, soft tissue mobilization, and a home exercise program (HEP) on reducing pain and dysfunction in individuals with a primary complaint of temporomandibula...
Background: Mammography is the gold standard for breast cancer detection; however, examination related pain and anxiety affects patient satisfaction and adherence to future screenings. Evidence suggests that environmental modulation may attenuate pain and anxiety, which may improve patient satisfaction and likelihood to return for future screenings...
Stem cell injections are a promising nonsurgical biological intervention that seek to augment the body's self-healing capacity. Owing to a growing range of clinical indications and excellent safety profile, sports medicine professionals are likely to encounter individuals who received or are considering stem cell injections. This column provides an...
ACHILLES TENDINOPATHY (AT) IS A CONDITION WHEREBY INDIVIDUALS EXPERIENCE PAIN AND IMPAIRMENTS AS A RESULT OF PATHOLOGICAL CHANGES AT THE ACHILLES TENDON AND NEIGHBORING TISSUES. THIS ARTICLE PROVIDES AN EVIDENCE-BASED OVERVIEW OF THE STRUCTURAL PATHOLOGY AND CLINICAL SEQUELA ASSOCIATED WITH AT. THE EVIDENCE UNDERPINNING MORE COMMON TREATMENTS, WITH...
Background: Posterior shoulder tightness (PST) has been implicated in the etiology of numerous shoulder disorders and is a source of stiffness in both postoperative and nonsurgical cohorts. Identifying efficacious interventions to address PST has the potential to impact patient outcomes in both operative and nonoperative cohorts. Our purpose was to...
Objective
To investigate the role of thoracic spine manipulation (TSM) on pain and disability in the management of mechanical neck pain (MNP).
Data sources
Electronic databases PubMed, CINAHL, Pedro, Embase, AMED, the Cochrane Library, and clinicaltrials.gov were searched in January 2018.
Study selection
Eligible studies were completed RCTs, writ...
PRISMA 2009 checklist.
(DOC)
Cash-based physical therapy, a model in which the clinicians do not accept insurance payments and accept only direct payment, is quickly becoming an enticing option for clinicians who own their own practice. The purpose of this study was to describe service utilization for a single cash-based physical therapy clinic. Forty-eight charts of patients...
This investigation measured the reliability of the numeric pain rating scale (NPRS) for roller massage (RM) over two sessions and compared it to pressure pain threshold (PPT) during a third session. Twenty-five subjects participated. Session one, subjects rolled on 3
different rollers and filled out the NPRS for each roller then chose their preferr...
PLATELET-RICH PLASMA (PRP) IS AN EMERGING BIOLOGICAL TREATMENT OPTION FOR MUSCULOSKELETAL INJURIES. ALTHOUGH THERE IS A GROWING BODY OF EVIDENCE FOR THIS INTERVENTION, A CONSENSUS REMAINS DISTANT REGARDING PREPARATION PARAMETERS, NUMBER OF INJECTIONS, POSTPROCEDURAL CARE, AND VALUE WITHIN THE REALM OF ALTERNATIVE TREATMENT OPTIONS. THIS POINT-COUNT...
Hypothesis and background:
Posterior shoulder tightness (PST) has been linked to numerous shoulder pathologies in both the general and athletic populations. Several methods for documenting PST have been described in the literature, which may lend to variability in clinical practice and research. The purpose of this study was to perform a systemati...
Owing to a growing interest in treatments that use the body's innate healing mechanisms, sports medicine professionals are likely to encounter individuals with musculoskeletal injuries who received platelet-rich plasma (prp). this column presents strategies that foster recovery and harness the regenerative potential of prp. evidence underpinning th...
Platelet-Rich plasma (prp) is an autologous biological intervention that seeks to augment the body's self-healing capacity. as a promising nonsurgical treatment option for musculoskeletal injuries, prp has enthused significant interest among patients and sports medicine professionals. owing to a growing range of clinical indications and excellent s...
Background:
Physical therapy is an important treatment option for patients with low back pain (LBP). However, whether to refer patients for physical therapy and the timing of initiation remain controversial.
Objective:
The objective of this study was to evaluate the impact of receiving physical therapy and the timing of physical therapy initiati...
The squat is a fundamental movement for weightlifting and sport performance and may be used for assessing injury risk and functional independence. The purpose of this column is to present an evidence-based discussion of the influence that femoral acetabular impingement may have on squat performance.
Study Design
Randomized clinical trial.
Background
The comparative effectiveness between nonthrust manipulation (NTM) and thrust manipulation (TM) for mechanical neck pain has been investigated, with inconsistent results.
Objective
To compare the clinical effectiveness of concordant cervical and thoracic NTM and TM for patients with mechanical ne...
Objectives
To determine the efficacy of IASTM of the gastrocnemius-soleus complex in comparison to a traditional stretching intervention on dorsiflexion ROM.
Methods
Sixty healthy participants were randomly allocated to one of 3 groups: IASTM (n = 20), stretching (n = 20), or control group (n = 20). The dependent variables for this study was dorsi...
Background:
Two-dimensional (2D) analysis has the potential to identify individuals at risk for knee injury by measuring genu valgus during sport related tasks. The reliability of 2D mobile motion analysis in measuring genu valgus during a single leg hop test on individuals with anterior knee pain has not been examined.
Purpose:
To assess the re...
A 15-year-old adolescent boy was referred by an orthopaedic surgeon for treatment of right gluteal and thigh pain. Following treatment that reduced his pain, he experienced acute onset of bilateral radiculopathy. He was referred back to the physician, who ordered radiographs and magnetic resonance imaging, which identified a grade IV isthmic spondy...
Background:
Shoulder pain affects up to 67% of the population at some point in their lifetime with subacromial pain syndrome (SAPS) representing a common etiology. Despite a plethora of studies there remains conflicting evidence for appropriate management of SAPS.
Purpose:
To compare outcomes, for individuals diagnosed with SAPS, performing a 6-...
ROTATOR CUFF TENDINOPATHY IS A PREVALENT CONDITION AMONG BOTH THE GENERAL AND ATHLETIC POPULATIONS, WITH MANY OF THESE INDIVIDUALS SEEKING CONSERVATIVE CARE AT SOME POINT. THE UNDERSTANDING OF TENDINOPATHIES HAS CHANGED DRAMATICALLY OVER THE PAST DECADE, AS HAVE MANAGEMENT OPTIONS. THIS ARTICLE PROVIDES AN OVERVIEW OF CURRENT TRENDS IN THE UNDERSTA...
Background:
The surveillance of hip injuries and risk factors have become an emerging focus in sports medicine due to the increased recognition of hip pathologies. Researchers suggest that decreased hip range of motion (ROM) is a risk factor for injury in various athletic activities. One under reported population that has potential for hip injurie...
Background:
Posterior shoulder tightness (PST) is a postoperative complication leading to pain, impaired mobility, and reduced function. Despite the potential morbidity associated with PST, no studies have investigated the efficacy of shoulder-stretching methods in the postsurgical population. The purpose of this study was to determine the short-t...
Background: Manual pressure palpation is an examination technique used in the classification of myofascial pain syndrome (MPS) and fibromyalgia (FM). Currently, there are no validated systems for classifying results. A valid and reliable pressure pain threshold scale (PPTS) may provide a means for clinicians to grade, document, and report findings....
Background:
The use of foam rollers to provide soft-tissue massage has become a common intervention among health and fitness professionals. Recently, manufacturers have merged the science of vibration therapy and foam rolling with the development of vibrating foam rollers. To date, no peer reviewed investigations have been published on this techno...
Objective
To investigate the role of early initiation of rehabilitation on length of stay (LOS) and cost following total hip arthroplasty, total knee arthroplasty, or unicompartmental knee arthroplasty.
Data sources
Electronic databases PubMed, CINAHL, Pedro, Embase, AMED, and the Cochrane Library were searched in July 2016. Five additional trials...
PRISMA 2009 checklist.
(DOC)
Modified Downs and Black checklist.
(DOCX)
Osteoporosis is a metabolic skeletal disease characterized by reduced bone mineral density that effects both sexes. an estimated 200 million people worldwide have osteoporosis, which includes 54 million people ages 50 years or older in the United States. Over the past few decades, knowledge of this condition has grown and successful management stra...
The squat is a fundamental movement for weight lifting and sport performance. Beyond performance, both unilateral and bilateral squats are used to assess dynamic lower extremity control, and they may be of value for assessing injury risk and functional independence. The purpose of this column is to present an evidence-based discussion of the influe...
Objective
Clinicians and researchers often use the numeric pain rating scale (NPRS) and visual analog scale (VAS) to measure and track pain in individuals with myofascial pain syndrome (MPS) and fibromyalgia (FM). The VAS is often used as a reference standard in chronic pain research. To date, no studies have specifically measured the concurrent va...
Background:
The use of foam rollers to provide tissue massage is a commonly used intervention by rehabilitation professionals for their patients and clients. Currently, there is no consensus on the optimal foam rolling treatment approach. Of particular interest are the effects of different instructional methods of foam rolling, as individuals ulti...
Introduction:
Myofascial pain is a common impairment treated with various manual interventions including spinal thrust manipulation and stretching; however, the comparative efficacy of each intervention is uncertain. Therefore, the purpose of this investigation was to evaluate thrust manipulation targeting the cervicothoracic junction compared to...
Introduction. Low back pain (LBP) is one of the most common medical conditions in the United States. Clinical practice guidelines recommend active treatment approaches; however, there continues to be a significant disparity in how patients with LBP are treated. Therefore, the purpose of this systematic review is to evaluate the reported efficacy of...
The roman chair back extension exercise is performed with the intent of improving hip and spinal extensor muscle performance. Despite evidence supporting the aforementioned benefits, performance of this exercise may increase the risk for low back pain among certain population subgroups. Although a clear verdict on the risk-to-benefit ratio remains...
Context:
Foam rolling is a popular intervention used by allied health professionals and the general population. Current research suggests that foam rolling may have an effect on the ipsilateral antagonist muscle group and produce a cross-over effect in the muscles of the contralateral limb. The purpose of this study was to examine the acute effect...
Background:
An alternative approach to facilitate movement and control through the trunk and pelvis is belly dancing. Investigations of belly dancing mechanics indicate similar muscular activation patterns of those known to influence chronic low back pain (cLBP). However, no documented studies have examined its effectiveness as a treatment for cLB...
Seventy percent of the population will experience neck pain (np) at some point in their lifetime. Although the etiology of np is multifactorial, discogenic pathology has been implicated as a common source of symptoms. Many of these individuals seek conservative care that requires long-term management strategies extending beyond formal rehabilitatio...
THE ABDOMINAL CRUNCH IS A WELL-KNOWN EXERCISE PERFORMED BY GENERAL AND ATHLETIC POPULATIONS FOR THE PURPORTED BENEFITS OF IMPROVING FITNESS ATTRIBUTES, SPORT PERFORMANCE, AND CORE MUSCLE FUNCTION. DESPITE THE BENEFITS, PARTICIPATION MAY INCREASE ONE'S RISK FOR LOW BACK PAIN. WHILE A CLEAR VERDICT ON THE RISK-TO-BENEFIT RATIO REMAINS ELUSIVE, A DISC...
The purpose of this study was to investigate the short-term effect of kettlebell swings (KBSs) on lumbopelvic pressure pain thresholds (PPTs) in healthy adults. Sixty participants (male=23, female=37, mean age=25.12 years ±2.86, height=170.73 cm ± 9.2, mass=70.49 kg ± 13.32) were randomized into one of two groups. The experimental group performed a...
The purpose of this study was to measure passive hip internal (IR) and external rotation (ER) range of motion (ROM) in collegiate baseball pitchers and compare to published youth and professional values. Measures were taken on the bilateral hips of 29 participants (mean age 20.0±1.4, range 18-22 years). Results identified no significant differences...
Hip osteoarthritis (OA) will affect approximately 25% of the population at some point in their lifetime. Although the etiology of hip oa is multifactorial, risk factors seem to have a role in both the incidence and escalation of signs and symptoms. This article presents an overview of risk factors associated with hip oa. Evidence underpinning and r...
Subacromial impingement syndrome (SIS) has been reported as an etiological source of shoulder pain among weight-training (WT) participants; however, a paucity of evidence exists to describe intrinsic risk factors. The purpose of this study was to investigate specific risk-related joint and muscle adaptations among WT participants identified as havi...
Hand held dynamometry (HHD) is a more objective way to quantify muscle force production (MP) compared to traditional manual muscle testing. HHD reliability can be negatively impacted by both the strength of the tester and the subject particularly in the lower extremities due to larger muscle groups. The primary aim of this investigation was to asse...
Background:
Low back pain (LBP) is common and associated healthcare costs are significant. While clinical practice guidelines have been established in an attempt to reduce costs and healthcare utilization, it is unclear if adherence to physical therapy guidelines for those with LBP is efficacious. Therefore, the purpose of this study was to assess...
Modified Downs & Black Scale.
(DOCX)
