The Journal of orthopaedic and sports physical therapy
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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.
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J Orthop Sports Phys Ther · Nov 2020
EditorialOvercoming Overuse Part 2: Defining and Quantifying Health Care Overuse for Musculoskeletal Conditions.
In this series on "Overcoming Overuse," we explore the issue of health care overuse and how it may be identified in musculoskeletal physical therapy. In part 2, we frame health care overuse as a continuum from overuse to appropriate care, and consider how to measure overuse. ⋯ To ensure that musculoskeletal health care is of high value and sustainable, we encourage physical therapists to reflect on their practice. J Orthop Sports Phys Ther 2020;50(11):588-591. doi:10.2519/jospt.2020.0109.
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A 9-year-old active girl presented to physical therapy via direct access with intermittent severe pain deep in the distal third of her left thigh that had a 2-year history. Twenty months prior, her pediatrician ordered radiographs that were noncontributory and diagnosed her with "growing pains." During examination, an osseous nontender enlargement of the femur was found proximal to the patella, and the patient was referred to her pediatrician for imaging. Radiographs demonstrated an expansile bone lesion with a mixed matrix and an open surgical biopsy determined the mass to be consistent with nonbacterial osteomyelitis. J Orthop Sports Phys Ther 2020;50(10):585. doi:10.2519/jospt.2020.9221.
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A 37-year-old military service-member was referred to physical therapy with a greater-than-6-month history of low back pain with intermittent and worsening left posterolateral lower-leg pain and paresthesia with activity. He was diagnosed by his primary care physician with exertional compartment syndrome and referred to orthopaedic services. Following examination, the physical therapist ordered a duplex ultrasound, which demonstrated an anomaly at the popliteal artery, resulting in a diagnosis of popliteal artery entrapment syndrome, confirmed by computed tomography angiography and magnetic resonance imaging. J Orthop Sports Phys Ther 2020;50(9):531. doi:10.2519/jospt.2020.9568.
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J Orthop Sports Phys Ther · Sep 2020
ReviewSticking to It: A Scoping Review of Adherence to Exercise Therapy Interventions in Children and Adolescents With Musculoskeletal Conditions.
To identify and categorize barriers, facilitators, and strategies to boost exercise therapy adherence in youth with musculoskeletal conditions to inform research and clinical practice. ⋯ A diversity of barriers to and facilitators of exercise therapy for youth with musculoskeletal conditions were identified. Efforts to link adherence-boosting strategies to an individual's needs should be considered. Making exercise enjoyable, social, and convenient may be important to maximizing adherence in this population. J Orthop Sports Phys Ther 2020;50(9):503-515. Epub 1 Aug 2020. doi:10.2519/jospt.2020.9715.