The Importance of Isometrics

An isometric contraction is a static form of exercise in which a muscle contracts to produce force without an appreciable change in muscle length and without visible joint movement1 We learn these basic concepts in school and are told to provide these types of interventions during the early phases of rehabilitation, but do we truly understand the…

Hip Pain: Return to Sport Considerations

Pre-arthritic hip pain is a common occurrence among athletes, especially those competing in ice hockey1 and field-based team sports (soccer, rugby, and football).2 While this area receives less attention than knee or shoulder injuries, current research is beginning to improve diagnosis and treatment of both intra-articular and extra-articular hip pathology. But, what about return to sport? What the Literature Says Determining…

Evidence-Based Strength Training: Gluteus Maximus

To build upon my previous post regarding Evidence-based Strength Training of the Gluteus Medius, I wrote the following article for MedBridge Education... Pain and Gluteal Strength The gluteal musculature has been implicated in many different pathologies due to its potential impact on lower extremity biomechanics. During weight bearing, the femur moves about a fixed patella and therefore excessive…

Conservative Management of Femoroacetabular Impingement

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… FAI Prevalence As mentioned in my previous post on differential diagnosis of femoroacetabular impingement (FAI), hip pain is an all too common occurrence among older adults and adolescents.1 Older adults. According to a survey and subsequent study of 2,221 German respondents…

Evolution of the Treatment-Based Classification for Low Back Pain

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… The prevalence and economic burden of low back pain (LBP) has reached an epidemic level and continues to put a strain on the U.S. healthcare system. According to Hoy et al, the overall incidence of LBP is between 1.5% and 36% with…

VMO: An Update

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… Patellofemoral pain syndrome (PFPS) is among the most common sports injuries and yet the current treatment protocols are not optimal. In particular, the latest research questions our ability to selectively recruit vastus medialis obliquus (VMO) and affect its timing and suggests…

Evidence-Based Strength Training: Gluteus Medius, An Update

To build upon my previous post regarding Evidence-based Strength Training of the Gluteus Medius, I wrote the following article for MedBridge Education... Pain and Gluteal Strength The gluteal musculature has been implicated in many different pathologies due to its potential impact on lower extremity biomechanics. During weight bearing, the femur moves about a fixed patella and…

CEU Review: Orthopedic Excellence: The Spine

Course Title: Orthopedic Excellence: The Spine Faculty: Chad Cook, PT, PhD, MBA, FAAOMPT and Eric Hegedus,PT, DPT, MHSc, OCS, CSCS Overview: Orthopedic Excellence: The Spine is a course series offered through the online continuing education company MedBridge Education. The series is broken into three regions (cervical, thoracic, and lumbar) and two categories (evaluation and treatment). All courses, excluding…

Differential Diagnosis: Athletic Pubalgia

In the next installment of the Differential Diagnosis Series for MedBridge Education, we are going to take a look at the difficult and complex diagnosis of Athletic Pubalgia... Pathophysiology and Anatomy Athletic pubalgia is a catch-all term for soft-tissue pathology in the groin, lower abdominal, pubic, and medial thigh regions. This pathology can be secondary to tendinopathies,…

What to Read: April-May 2015

Each month multiple bloggers, researchers, and clinicians produce evidence-based content that moves our profession forward. Below are several research and blog articles I recommend from this past month... Blog Posts: 1. "Stabbed in the back: Moving the knife out of back pain", by Jørgen Jevne 2. "Don't Freak Out: Treating Pain with Simple Fundamentals", by Greg…