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…
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…
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… 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…
The following is another article written for the online, video-based physical therapy continuing education company MedBridge… A lot has been written and researched with regards to return to sport criteria and testing for injuries of the lower extremity, and more specifically following anterior cruciate ligament reconstruction (ACL-R), however little attention has been given to injuries of the…
In the next installment of my Research Review Series for MedBridge Education, we discuss a recent randomized controlled study investigating the validity of a clinical prediction rule for identifying patients with low back pain likely to respond favorably to a spinal stabilization program. Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP…
The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education… Knee osteoarthritis (Knee OA) is one of the most prevalent and debilitating orthopedic complaints for 28% of adults over 45 years old and 37% of those over 65 years old in the United States. In addition, 1.6% of adults over…
Study Design Prospective, observational cohort study. Subjects Fifteen participants (7 male, 8 female) with a mean age of 55 years old were recruited from a convenience sample of consecutive patients evaluated for knee osteoarthritis (OA) at the Physical Therapy Clinic, Brooke Army Medical Center, San Antonio, Texas. With regards to severity, ten patients had bilateral…
Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP and referred to physical therapy at 1 of 5 outpatient clinics of Clalit Health Services in the Tel-Aviv metropolitan area, Israel, were recruited for this study. Of these 105 patients, 40 were positive on the Stabilization CPR and 65 were negative. The…
John Snyder, DPT 