The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Mar 2020
Meta AnalysisTo Flex or Not to Flex? Is There a Relationship Between Lumbar Spine Flexion During Lifting and Low Back Pain? A Systematic Review With Meta-analysis.
To evaluate whether lumbar spine flexion during lifting is a risk factor for low back pain (LBP) onset/persistence or a differentiator of people with and without LBP. ⋯ There was low-quality evidence that greater lumbar spine flexion during lifting was not a risk factor for LBP onset/persistence or a differentiator of people with and without LBP. J Orthop Sports Phys Ther 2020;50(3):121-130. Epub 28 Nov 2019. doi:10.2519/jospt.2020.9218.
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J Orthop Sports Phys Ther · Mar 2020
EditorialOvercoming Overuse: Improving Musculoskeletal Health Care.
This is the first article in a series on "Overcoming Overuse" in musculoskeletal health care. Overuse is the use of services that are unlikely to improve patient outcomes, result in more harm than benefit, and would not be desired by an informed patient. ⋯ We focus on strategies to promote guideline-concordant care in rehabilitation practice and strategies to overcome overuse. J Orthop Sports Phys Ther 2020;50(3):113-115. doi:10.2519/jospt.2020.0102.
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A 35-year-old woman was referred to physical therapy by her primary care physician for right calf pain with gradual onset over 1 year. Following examination, the patient underwent 2 months of treatment; given limited progress, the patient was referred to an orthopaedist. Radiographs revealed several phleboliths and magnetic resonance imaging revealed an intramuscular vascular mass within the lateral gastrocnemius. J Orthop Sports Phys Ther 2020;50(2):110. doi:10.2519/jospt.2020.9091.
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J Orthop Sports Phys Ther · Jan 2020
Randomized Controlled TrialShort-term Effects of Thoracic Spine Thrust Manipulation, Exercise, and Education in Individuals With Low Back Pain: A Randomized Controlled Trial.
To determine the short-term effectiveness of thoracic manipulation when compared to sham manipulation for individuals with low back pain (LBP). ⋯ Therapy, level 1b. J Orthop Sports Phys Ther 2020;50(1):24-32. Epub 6 Dec 2019. doi:10.2519/jospt.2020.8928.
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J Orthop Sports Phys Ther · Jan 2020
Case ReportsAcute Fracture of the Third Metacarpal in a Handball Player.
A 20-year-old right hand-dominant male military cadet presented to the direct-access physical therapy clinic complaining of pain and swelling of his right hand, which was injured while competing in a team handball match the day before. Due to suspicion of a third metacarpal fracture, fluoroscopy was performed on the cadet's hand in the physical therapy clinic, and an apparent oblique fracture was noted. Confirmatory radiographs were ordered and the cadet was referred for orthopaedic consultation. J Orthop Sports Phys Ther 2020;50(1):44. doi:10.2519/jospt.2020.9034.