The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Jun 2018
Meta AnalysisEffectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy for Treating Low Back Pain: Literature Review With Meta-analysis.
Study Design Literature review with meta-analysis. Background The McKenzie Method of Mechanical Diagnosis and Therapy (MDT), a classification-based system, was designed to classify patients into homogeneous subgroups to direct treatment. Objectives To examine the effectiveness of MDT for improving pain and disability in patients with either acute (less than 12 weeks in duration) or chronic (greater than 12 weeks in duration) low back pain (LBP). ⋯ Level of Evidence Therapy, level 1a. J Orthop Sports Phys Ther 2018;48(6):476-490. Epub 30 Mar 2018. doi:10.2519/jospt.2018.7562.
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J Orthop Sports Phys Ther · Jun 2018
Observational StudyOptimal Screening for Prediction of Referral and Outcome (OSPRO) for Musculoskeletal Pain Conditions: Results From the Validation Cohort.
Study Design Observational, prospective cohort. Background Musculoskeletal pain is a common reason to seek health care, and earlier nonpharmacological treatment and enhancement of personalized care options are 2 high-priority areas. Validating concise assessment tools is an important step toward establishing better care pathways. ⋯ The additional variance explained was small, and future research is necessary to determine whether these tools can be used as measurement adjuncts to improve management of musculoskeletal pain. J Orthop Sports Phys Ther 2018;48(6):460-475. Epub 7 Apr 2018. doi:10.2519/jospt.2018.7811.
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J Orthop Sports Phys Ther · Jun 2018
Case ReportsType III Salter-Harris Fracture After an Onside Kick.
A 14-year-old male football player consulted a sports physical therapist 1 week after being kicked in the front part of his left knee as he was trying to recover an onside kick. Because of these findings in a 14-year-old adolescent, a radiological examination was recommended to rule out a tibia eminence or growth-plate fracture. Radiographs revealed a nondisplaced type III Salter-Harris fracture of the lateral tibial plateau. J Orthop Sports Phys Ther 2018;48(6):511. doi:10.2519/jospt.2018.7868.
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J Orthop Sports Phys Ther · Jun 2018
The Role and Value of Symptom-Modification Approaches in Musculoskeletal Practice.
The diversity of models of care in contemporary musculoskeletal physical therapy can be confusing for patients and practicing clinicians. There is, however, a common theme to many of these seemingly disparate models of care: symptom modification. ⋯ This Viewpoint explores the role of symptom modification in rehabilitation and specifically addresses (1) symptom modification within the kinesiopathological model of pain, (2) symptom modification in clinical practice, and (3) potential commonality in seemingly divergent models of clinical practice. J Orthop Sports Phys Ther 2018;48(6):430-435. doi:10.2519/jospt.2018.0608.
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JOSPT Editor Steven J. Kamper introduces the "Evidence in Practice" series, which aims to help practicing physical therapists build expertise in understanding research. Each article will focus on one feature of the research process and explain the basics concisely in nontechnical language. ⋯ The focus will be on clinical research, as opposed to basic discovery research, to reflect the core purpose and readership of the Journal. It is our hope that Evidence in Practice becomes a valuable resource for clinicians attempting to meet the challenge of integrating research evidence into their care delivery. J Orthop Sports Phys Ther 2018;48(6):429. doi:10.2519/jospt.2018.0105.