The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Mar 2014
A proposed diagnostic classification of patients with temporomandibular disorders: implications for physical therapists.
Physical therapists have an important role on the interprofessional team to provide care for people with temporomandibular disorders (TMDs). Diagnostic classification is a challenge in this population, given the complexities inherent in presentations of headache and orofacial pain, and is critical to selecting the appropriate intervention. The objectives of this paper were (1) to characterize the epidemiology and pathophysiology of the TMDs most commonly seen in the outpatient clinic, (2) to describe a systems screen to be used in the physical therapy examination to determine the need for interprofessional referral, and (3) to propose an approach for physical therapists to examine, evaluate, and classify patients with TMDs, based on previously validated methodologies. A modification of the diagnostic framework of the International Headache Society has provided the basis for the systems screen of people presenting with orofacial pain. The physical therapy examination and evaluation is based on the Diagnostic Criteria for TMD, developed and validated by a consortium of specialists from the American Academy of Orofacial Pain. ⋯ Diagnosis, level 5.
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The patient was a 21-year-old male cadet at a military academy who was evaluated by a physical therapist in a direct-access capacity for a chief complaint of low back pain that began the previous day after falling directly onto his back while snowboarding. Given the patient's history of trauma, worsening low back pain, and enlarged soft tissue mass in the lumbar region, the physical therapist ordered magnetic resonance imaging. The findings were consistent with a Morel-Lavallée lesion of the lumbar region.
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J Orthop Sports Phys Ther · Mar 2014
Randomized Controlled TrialDose optimization for spinal treatment effectiveness: a randomized controlled trial investigating the effects of high and low mobilization forces in patients with neck pain.
Randomized controlled trial. Objective To determine if force magnitude during posterior-to-anterior mobilization affects immediate and short-term outcomes in patients with chronic, nonspecific neck pain. ⋯ A specific dose of mobilization, in terms of applied force, appears necessary for reducing stiffness and potentially pain in patients with chronic neck pain. Changes were not observed immediately after mobilization, suggesting that its effects are not directly mechanical.
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J Orthop Sports Phys Ther · Mar 2014
Editorial Biography Historical Article2013 JOSPT Award recipients highlight the need to leverage patient expectations and prevent second anterior cruciate ligament injuries.
During the American Physical Therapy Association's Combined Sections Meeting in Las Vegas, Nevada in February 2014, JOSPT recognized the authors of the most outstanding research and clinical practice manuscripts published in JOSPT during the 2013 calendar year. The 2013 JOSPT Excellence in Research Award was presented to Mark D. ⋯ Bialosky, Paul Mintken, PT, DPT, and Joshua A. Cleland, PT, PhD for their paper titled “Patient Expectations of Benefit From Interventions for Neck Pain and Resulting Influence on Outcomes.”
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J Orthop Sports Phys Ther · Mar 2014
Case ReportsRehabilitation of proximal hamstring tendinopathy utilizing eccentric training, lumbopelvic stabilization, and trigger point dry needling: 2 case reports.
Case report. ⋯ Therapy, level 4.