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…
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,…
Below is an article written for MikeReinold.com... Anterior cruciate ligament (ACL) rupture1,2 and patellofemoral pain syndrome (PFPS)3,4,5 are two of the most common lower extremity complaints that physicians or physical therapists will encounter. In addition to the high incidence of these pathologies, with regards to ACL injury, very high ipsilateral re-injury and contralateral injury have…
In the next installment of the Research Review Series, we discuss a recent randomized controlled study investigating the effectiveness of a manual therapy program specifically tailored to increase the intervertebral foramen (IVF) versus a general manual therapy program in patients presenting with cervical radiculopathy3. Study Design Participant and assessor-blinded randomized clinical trial. Subjects Thirty-six subjects were…
Scapulothoracic Muscles and Pain As I mentioned in Part 1, weakness or poor neuromuscular control of the periscapular muscles has been implicated in subacromial impingement1,2, lateral epicondylalgia3-5, cervicogenic headache6, and neck pain7,8. Specifically, insidious onset of neck pain and whiplash associated disorder (WAD) have been linked with a significant delay in and shorter duration of…
In the next installment of the Evidence-Based Strength Training Series for MedBridge Education, we are going to take a look at the often-neglected scapulothoracic musculature... Typically when considering the management of painful upper quarter conditions, local exercise and manual therapy interventions are employed judiciously. However, when utilizing a proper movement assessment or regional interdependence philosophy, impairments…
In the next instalment of the Research Review Series, we discuss the impact of real-time feedback in addition to post-response feedback compared to post-response feedback alone on jumping-landing mechanics in a young female population1. Study Design Randomized controlled trial. Subjects Thirty-six pain-free females were recruited from the general student population at the University of Toledo and assigned…
The following is an article written for the online, video-based physical therapy continuing education company MedBridge… Helping individuals with chronic pain and significant functional limitations is a remarkably difficult and delicate task. Numerous treatment philosophies are available to clinicians from the overtly biomechanical (Cyriax, Kaltenborn, Sahrmann, etc.) to more patient-response driven (Maitland, Mckenzie, etc.). Unfortunately, no one…
The following is another article written for the online, video-based physical therapy continuing education company MedBridge… Amongst overhead throwing athletes, there are several injuries that typically come to mind, and at the top of that list is the Superior Labral Anterior to Posterior (SLAP) Lesion. While this is not an overly common injury for the general population,…
The following is another article written for the online, video-based physical therapy continuing education company MedBridge… Recently, a lot of attention has been paid to re-injury and return to sport following anterior cruciate ligament reconstruction (ACLR) and the results continue to be less than exceptional. A recent case series of elite collegiate athletes who suffered ACL injuries…
John Snyder, DPT 