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Tara Parker-Pope Well column on new research that points to unexpected benefits from knee-replacement surgery; notes that for many knee-replacement patients, physical therapy after surgery brings a much-need bout of exercise and weight loss that can sometimes influence their daily habits and even save their lives. Drawing
 The physical therapists at the U.S. Open come from around the world, and the diversity means versatility in language and specialties.
 Corticosteroid injections provide only short-term relief, and resting may fail to make the injury any better.
In affluent areas, occupational therapists have taken their place among those helping successful students.
After the earthquake, amputees are especially affected by the acute shortage of medical care in Haiti.
 Health officials are facing a challenge: caring for thousands of trauma patients who are homeless or lack families to care for them.
 Some physical therapy has been proved to work, “but there is a lot of voodoo,” an expert says.
 A foam roller, a ball, your own fingers: All can be therapeutic devices when used properly.
As more casual athletes sign up for triathlons, the sport has seen a corresponding rise in injuries.
 A determined choreographer has done what therapists could not: She has dramatically changed the way Gregg Mozgala, a 31-year-old actor with cerebral palsy, walks.
 The pain of physical therapy is often soothed by the family of people who make up a session.
 Scott Young is a physical therapist in New York City with a penchant for junk food.
A carefully focused program of muscle strengthening can help patients recover from knee replacement surgery, a new study suggests.
Doctors are experimenting with radical solutions to ward off the effects of prolonged stays in intensive care units.
 Trapped in a body that can't walk, a woman learns to appreciate reality.
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Authors: Albertoni DB, Neumann DA
Abstract
Letter to the Editor-in-Chief of JOSPT. J Orthop Sports Phys Ther 2012;42(5):484. doi:10.2519/jospt.2012.0203.
PMID: 22549099 [PubMed - in process] (Source: Physical Therapy)
Authors:
Abstract
Aquatic physical therapy is a form of physical therapy performed in a pool. Exercising in water can be helpful in improving function, fitness, balance, coordination, flexibility, and strength. A study published in the May 2012 issue of JOSPT provides new insights on water's ability to decrease the load sustained by a runner, based on the depth of water in which the individual is running. J Orthop Sports Phys Ther 2012;42(5):445. doi:10.2519/jospt.2012.0504.
PMID: 22549731 [PubMed - in process] (Source: Physical Therapy)
CONCLUSIONS:The S-WMFT subacute and chronic versions are useful tools for assessing UEfunction in different subgroups of stroke patients, with evidence of construct validity andreliability. A high correlation between the tasks of hand to box and hand to table in the S-WMFTsubacute version suggests removing 1 of these 2 items is warranted.
PMID: 22556276 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Authors: Craik RL
PMID: 22550307 [PubMed - in process] (Source: Physical Therapy)
CONCLUSIONS:/b>Data suggested most patients with PFD receiving outpatient physical therapy services were female, younger than 65 years, and had disorders for more than 90 days. Combinations of urinary, bowel, and/or pelvic floor pain disorders were not uncommon.
PMID: 22539228 [PubMed - as supplied by publisher] (Source: Physical Therapy)
This article focuses on a patient with mild to moderate Parkinson disease.
PMID: 22539229 [PubMed - as supplied by publisher] (Source: Physical Therapy)
CONCLUSION: In a cohort of subjects who were tested 48 hours following the last game of the season and did not seek medical attention related to a concussion, a significant number of football players demonstrated limitations in neurocognitive and balance performance suggesting further research needs to be performed to improve recognition of an athlete's deficits and improve the ability to assess concussion. LEVEL OF EVIDENCE: Therapy, level 2b. J Orthop Sports Phys Ther, Epub 24 April 2012. doi:10.2519/jospt.2012.3798.
PMID: 22531476 [PubMed - as supplied by publisher] (Source: Physical Therapy)
CONCLUSIONS: Joint effusion after ACL injury does not directly mediate quadriceps activation failure seen after injury. Therefore, it should not be used as a clinical substitute for electrophysiological assessment of quadriceps activation. Patients presenting to physical therapy after ACL injury should be treated with high intensity neuromuscular electrical stimulation to help normalize this activation. J Orthop Sports Phys Ther, Epub 20 April 2012. doi:10.2519/jospt.2012.3793.
PMID: 22523081 [PubMed - as supplied by publisher] (Source: Physical Therapy)
DISCUSSION: Idiopathic, task-specific dystonia of the lower extremity is documented as a very rare occurrence, yet increasing trends in running participation may result in a higher incidence of this condition. Improved awareness of runner's dystonia in the present case may have enhanced the clinical decision making process and resulted in more timely and effective treatment solutions. Clinical examination findings including computerized gait analysis and electromyography can aid in the diagnosis of runner's dystonia in conjunction with imaging, blood, and genetic testing. LEVEL OF EVIDENCE: Diagnosis, level 4. J Orthop Sports Phys Ther, Epub 20 April 2012. doi:10.2519/jospt.2012.3892.
PMID: 22523088 [PubMed - as supplied by publisher] (Source: Physical Therapy)
CONCLUSIONS: Patients with mechanical neck pain receiving cervical thrust manipulation or treated with Kinesiotaping® exhibited similar reductions in neck pain intensity and disability and similar changes in active cervical range of motion except for rotation. Changes in neck pain surpassed the minimal clinically important difference (MCID), whereas changes in disability did not. Changes in cervical range of motion were small and not clinically meaningful. Because we did not include a control or placebo group in this study, we cannot rule out placebo effect or natural changes over time as potential reasons for the improvements measured in both groups. LEVEL OF EVIDENCE: Therapy, Level 1b. J Orthop Sports Phys Ther, Epub 20 April 2012. doi:10.2519/jospt.2012.4086.
PMID: 22523090 [PubMe...
CONCLUSION: In asymptomatic men, bilateral arm elevation is associated with movement of the thoracic spine towards extension but the amount of movement is variable among individuals. J Orthop Sports Phys Ther, Epub 20 April 2012. doi:10.2519/jospt.2012.4164.
PMID: 22523094 [PubMed - as supplied by publisher] (Source: Physical Therapy)
CONCLUSIONS: FS measures estimated by both questionnaires had similar psychometric characteristics. The LCAT FS estimates tended to be more discriminating than ODI FS estimates. MCII cut-scores by quartile of intake FS favored the LCAT. Given the need to be efficient and precise estimating measures of FS, particularly for older patients, results favor the LCAT in busy, automated outpatient therapy clinics increasingly serving an aging population. J Orthop Sports Phys Ther, Epub 19 April 2012. doi:10.2519/jospt.2012.3942.
PMID: 22517215 [PubMed - as supplied by publisher] (Source: Physical Therapy)
CONCLUSIONS: The difference in magnitude produced by the forces under different conditions was meaningful. When using a technique that involves a handheld transducer, the examiner should attempt to maintain consistent inward pressure of the transducer during USI to quantify the minimal change of lateral abdominal muscles. J Orthop Sports Phys Ther, Epub 19 April 2012. doi:10.2519/jospt.2012.4064.
PMID: 22517245 [PubMed - as supplied by publisher] (Source: Physical Therapy)
CONCLUSIONS:/b>Compared with CT, TBAT and RBAT exhibited differential effects on outcome measures. TBAT may improve temporal efficiency, smoothness, trunk control, and motor impairment of the distal upper limb. RBAT may improve shoulder flexion and quality of life.
PMID: 22517782 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Authors: Mullen AE, Wilmarth MA, Lowe S
Abstract
BACKGROUND AND PURPOSE:/b>A patient with multiple sclerosis (MS) may be seen by a physical therapist for evaluation before the MS diagnosis is definitively made, after a relapse, or during a progression. The diagnosis of MS should be part of the differential diagnosis if a patient with neurological issues fits the pattern of a progressive disease. MS can affect any part of the central nervous system. Cervical pathology can be confused with relapsing symptoms of MS. The purpose of this report is to demonstrate how easily cervical pathology can be overlooked in a patient with MS. CASE DESCRIPTION: /b>Two case reports of patients with relapsing MS are presented in this paper. Both cases were referred to physical therapy after fail...
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