The Journal of orthopaedic and sports physical therapy
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Single-group, posttest only, using a sample of convenience. ⋯ Subjects with low back pain may have attempted to use extra mechanoreceptive cues to compensate for some kinesthetic deficit. Nevertheless, the kinesthetic test used was not sensitive enough to detect any repositioning deficits, and reasons for this are explored.
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J Orthop Sports Phys Ther · Feb 1999
Clinical usefulness of a cluster of sacroiliac joint tests in patients with and without low back pain.
Observation to examine the clinical usefulness of a cluster of sacroiliac joint tests. ⋯ The results of this study show that using a cluster of sacroiliac joint tests can be useful in identifying sacroiliac joint dysfunction in patients with low back pain.
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J Orthop Sports Phys Ther · Nov 1998
ReviewPhysical and arthroscopic examination techniques of the patellofemoral joint.
A systematic approach to the clinical history, physical, and arthroscopic examination of patellofemoral disorders will lead to improved diagnostic accuracy and clinical treatment success. We review important aspects of physical and arthroscopic examination of patellofemoral disorders Basic and advanced physical examination techniques are presented, and their clinical significance is reviewed. ⋯ Techniques to assess patellar tracking and the integrity of patellar restraints and to grade chondral lesions are outlined. Utilization of these techniques will improve clinical studies on the treatment of patellofemoral disorders.
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J Orthop Sports Phys Ther · Jun 1998
Preoperative indicators of motion loss and weakness following anterior cruciate ligament reconstruction.
Loss of motion and knee extension weakness are recognized as significant complications following anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to determine 1) what degree of preoperative motion loss represents a risk for postoperative motion problems and 2) if preoperative weakness (deficit > or = 20%) affects return of strength following surgery. Measurements of range of motion and strength were made on 102 patients (56 men, 46 women; age = 31 +/- 1 years) within 2 weeks prior to ACL reconstruction (preop) and repeated 6 months following surgery (postop). ⋯ Preop strength was not a good predictor of residual weakness following ACL reconstruction. The magnitude of the preop extension loss appears not to be a risk factor. It is the presence or absence of full extension equal to the contralateral leg that identifies risk for postop problems regaining extension.