The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Dec 2020
EditorialOvercoming Overuse Part 3: Mapping the Drivers of Overuse in Musculoskeletal Health Care.
Overcoming overuse in musculoskeletal health care requires an understanding of its drivers. In this, the third article in a series on "Overcoming Overuse" of musculoskeletal health care, we consider the drivers of overuse under 4 domains: (1) the culture of health care consumption, (2) patient factors and experiences, (3) clinician factors and experiences, and (4) practice environment. ⋯ We map drivers to potential solutions to overcome overuse. J Orthop Sports Phys Ther 2020;50(12):657-660. doi:10.2519/jospt.2020.0111.
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J Orthop Sports Phys Ther · Dec 2020
Does Movement Change When Low Back Pain Changes? A Systematic Review.
To investigate the relationship between changes in volitional spinal movement (including muscle activity) and changes in pain or activity limitation at the individual level in people with nonspecific low back pain. ⋯ A relationship between changes in movement and changes in pain or activity limitation was infrequently observed at the individual level; however, a paucity of high-quality evidence precludes a definitive understanding of this relationship. J Orthop Sports Phys Ther 2020;50(12):664-680. Epub 28 Oct 2020. doi:10.2519/jospt.2020.9635.
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A 45-year-old man presented to an emergency department reporting back pain, bilateral lower extremity weakness with paresthesia, and 1 episode of bladder incontinence. Radiographs and magnetic resonance imaging of the thoracolumbar spine were negative for cauda equina syndrome and positive for central canal stenosis and cord signal change from T2 to T4. ⋯ Two days later, the patient underwent emergency thoracic laminectomies, without fusion, for decompression of the spinal stenosis had resulted in thoracic myelopathy. J Orthop Sports Phys Ther 2020;50(12):723. doi:10.2519/jospt.2020.9262.
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J Orthop Sports Phys Ther · Dec 2020
Case ReportsParesthesia Post Total Knee Arthroplasty Secondary to Severe Thoracic Spinal Cord Compression.
A 57-year-old obese man was referred to a physical therapist 14 weeks after left knee arthroplasty due to loss of function and worsening symptoms. Following examination, due to the worsening and progressive weakness that is atypical after this surgery, the physical therapist and surgeon agreed to refer the patient to the emergency department. Magnetic resonance imaging revealed T11-12 spinal canal stenosis with cord compression. J Orthop Sports Phys Ther 2020;50(12):724. doi:10.2519/jospt.2020.9655.