The Journal of orthopaedic and sports physical therapy
-
J Orthop Sports Phys Ther · May 2016
Case ReportsImpact of Radius Malunion on Wrist Contact Mechanics.
The patient was a 15-year-old adolescent girl with a chief complaint of intermittent pain and clicking at her right distal radioulnar joint, after having fractured her forearm 5 months previously. Radiographs of the patient's forearm indicated a midshaft radial deformity. Given the patient's pain and limited range of motion, computed tomography imaging was requested to assess whether the midshaft malunion resulted in distal radioulnar joint instability and to plan the corrective osteotomy. J Orthop Sports Phys Ther 2016;46(5):399. doi:10.2519/jospt.2016.0406.
-
J Orthop Sports Phys Ther · May 2016
Case ReportsLumbar Thrust Manipulation and Exercise for the Treatment of Mechanical Low Back Pain in Adolescents: A Case Series.
Study Design Case series. Background Low back pain (LBP) is an increasing problem in health care. The evidence for the use of spinal manipulative therapy to treat pediatric patients with LBP is minimal. ⋯ Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2016;46(5):391-398. Epub 6 Apr 2016. doi:10.2519/jospt.2016.6366.
-
J Orthop Sports Phys Ther · Apr 2016
The Influence of Centralization and Directional Preference on Spinal Control in Patients With Nonspecific Low Back Pain.
Prospective cohort, test-retest design. ⋯ Therapy, level 2b.
-
J Orthop Sports Phys Ther · Mar 2016
Randomized Controlled TrialJoint Mobilization Enhances Mechanisms of Conditioned Pain Modulation in Individuals With Osteoarthritis of the Knee.
An experimental laboratory study with a repeated-measures crossover design. ⋯ Conditioned pain modulation was enhanced following joint mobilization, demonstrated by a global decrease in deep tissue pressure sensitivity. Joint mobilization may act via enhancement of descending pain mechanisms in patients with painful knee osteoarthritis.
-
J Orthop Sports Phys Ther · Mar 2016
Randomized Controlled TrialThe Immediate Effects of Different Types of Ankle Support Introduced 6 Weeks After Surgical Internal Fixation for Ankle Fracture on Gait and Pain: A Randomized Crossover Trial.
Randomized 3-treatment, 3-period crossover trial. ⋯ At 6 weeks after surgical internal fixation for ankle fracture, pain and single-limb support time asymmetry over a short distance and for a short-term walk were immediately reduced with the use of a walker boot use and, to a lesser extent, a stirrup-brace compared to Tubigrip. Step width also widened in a walker boot, which may confer some additional gait stability. These results apply to immediate effects, so studies with longer-term follow-up are now indicated. The trial was registered at http://www.isrctn.com/ (ISRCTN84536917). Level of Evidence Therapy, level 2b.