The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · May 2019
Case ReportsSlipped Capital Femoral Epiphysis Presenting as Quadriceps Strain.
An active 14-year-old adolescent boy with left hip pain of 3 weeks in duration was referred for physical therapy consultation by his pediatrician, with a diagnosis of left quadriceps strain. Based on the findings during examination, the physical therapist immediately contacted the pediatrician to request radiographs, which confirmed a diagnosis of slipped capital femoral epiphysis. J Orthop Sports Phys Ther 2019;49(5):356. doi:10.2519/jospt.2019.8772.
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J Orthop Sports Phys Ther · May 2019
Case ReportsIncomplete Fracture of the Anterior Superior Iliac Spine.
A 32-year-old woman presented to physical therapy with left anterior superior iliac spine (ASIS) pain that began during running 2 weeks prior. Following examination by two different physical therapists and noncontributory radiographs ordered by a sports medicine physician, she was referred for further imaging. Sonography and magnetic resonance imaging indicated an incomplete anterior superior iliac spine avulsion fracture and edema of the tensor fascia latae. J Orthop Sports Phys Ther 2019;49(5):355. doi:10.2519/jospt.2019.8504.
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J Orthop Sports Phys Ther · Apr 2019
Case ReportsCalcaneal Osteosarcoma in a Patient Referred for Plantar Heel Pain.
A 28-year-old man was referred to physical therapy from his primary care provider with variable and intermittent left lateral plantar heel pain that began insidiously about 10 months prior. Radiographs of the foot and ankle were completed prior to the physical therapy evaluation and interpreted as noncontributory. ⋯ Percutaneous biopsy confirmed a diagnosis of calcaneal osteogenic sarcoma. J Orthop Sports Phys Ther 2019;49(4):285. doi:10.2519/jospt.2019.8430.
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J Orthop Sports Phys Ther · Apr 2019
Treatment Effect Sizes of Mechanical Diagnosis and Therapy for Pain and Disability in Patients With Low Back Pain: A Systematic Review.
Mechanical Diagnosis and Therapy (MDT) is a treatment-based classification system founded on 3 core principles: classification into diagnostic syndromes, classification-based intervention, and appropriate application of force. Many randomized controlled trials have investigated the efficacy of MDT for low back pain; however, results have varied. The inconsistent delivery of MDT across trials may explain the different findings. ⋯ Therapy, level 1a. J Orthop Sports Phys Ther 2019;49(4):219-229. Epub 13 Feb 2019. doi:10.2519/jospt.2019.8734.
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J Orthop Sports Phys Ther · Apr 2019
Promoting the Use of Self-management Strategies for People With Persistent Musculoskeletal Disorders: The Role of Physical Therapists.
Persistent musculoskeletal pain is a worldwide health problem resulting in negative effects on individuals' wellbeing and substantial costs to society. Recently, there has been discussion about effective treatment approaches to persistent musculoskeletal disorders, including low back pain. In this Viewpoint, the authors argue that self-management strategies are essential to the management of persistent musculoskeletal disorders and outline the physical therapist's role in supporting effective self-management. J Orthop Sports Phys Ther 2019;49(4):212-215. doi:10.2519/jospt.2019.0605.