Neck Pain Best Practice: Treatment-Based Classification

The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education… Among one of the most common musculoskeletal complaints, neck pain has been estimated to affect between 22% and 77% of individuals in their lifetime according to the Neck Pain Clinical Practice Guidelines published by Childs et al. While this pain…

Research Review: Validation of a Clinical Prediction Rule to Identify Patients with LBP Likely to Respond to Stabilization Exercises

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…

NMES, The Missing Link.

The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education... Following any type of surgery, significant weakness of the primary and secondary musculature is common. For example, quadriceps weakness has been documented during the immediate post-operative phase following surgery (Snyder-Mackler et al), as well as years following rehabilitation (Rosenberg et…

Research Review: Effect of Prehabilitation on the Outcome of Anterior Cruciate Ligament Reconstruction

In my first in a series of 'Research Review' articles for MedBridge Education, I will review a recent study that appeared in The American Journal of Sports Medicine.  Shaarani et al investigated the utility of a Prehabilitation program for patients scheduled to undergo anterior cruciate ligament reconstruction (ACLR). Considering the variable rate of return to sport…

The Psychology of Return to Sport

Biomechanical and neuromuscular factors receive considerable attention in discussing Return to Sport Following ACL Reconstruction. Psychological considerations, however, despite playing an integral role in returning an injured athlete to their respective sport, often go under-appreciated. The purpose of this piece is therefore to briefly review the literature related to the psychology of ACL injury and…

What is the Key to the ACL Epidemic? Prevention.

In my previous post, I discussed the current research and concepts with regards to Return to Sport following Anterior Cruciate Ligament Reconstruction (ACLR)... Now it is time to discuss how we, as clinicians, can help to prevent these injuries altogether. A recent Systematic Review and Meta-analysis of 14 studies and 27,000 participants conducted by Gagnier…

ACL Reconstruction: When Can I Play Again?

"When can I play ___________ again?" Such a simple question. Following an anterior cruciate ligament reconstruction (ACLR), this is the answer that everyone (clinician, patient, coach, and parent) wants to know. Unfortunately, this simple question does not have a simple answer. With copious amounts of research devoted to this pathology, it would seem like an…

Differential Diagnosis: Femoroacetabular Impingement

Hip pain is an all too common occurrence among older adults and adolescents alike. According to a survey and subsequent study conducted based on a predominantly female German population by Thiem et al. Out of the 2,221 individuals (> 40 years old) who responded, 15.2% reported hip pain and 3.5% reported bilateral hip pain. Similarly,…

Evidence-Based Strength Training: Rotator Cuff

This will be the first in a series of monthly posts that I will be contributing to MedBridge Education, who is an online continuing education resource for physical and occupation therapists... According to Sipes et al, 30% of athletes suffer a shoulder injury during their career. Of those injuries, subacromial impingement syndrome and rotator cuff…