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Get Your Move Back With Boxing

Did you know that boxing is used in physical therapy clinics all over the world to assist with movement deficits and conditions? Patients can benefit from this style of therapeutic activity by challenging their endurance, dynamic balance, ability to judge distances and build hand-eye coordination, all while having a good time! Studies have found the […]
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PASS Passes to Evaluate Success of Anterior Cruciate Ligament Reconstruction

Prospective Evaluation of the Patient Acceptable Symptom State to Identify Clinically Successful Anterior Cruciate Ligament Reconstruction        Vega JF, Jacobs CA, Strnad GJ, Farrow L, Jones MH, Miniaci A, Parker RD, Rosneck J, Saluan P, Williams JS, Spindler KP. Am J Sports Med. 2019 [Epub ahead of print]https://journals.sagepub.com/doi/full/10.1177/0363546519831008Take Home Message: A single Patient Acceptable Symptom State question may be enough to identify a patient who views their knee recovery as unsuccessful after an anterior cruciate ligament reconstruction. Many clinicians omit patient-reported outcome measuresduring evaluations because they are at least in part to time consuming. For example, the Knee Injury and Osteoarthritis Outcome Score (KOOS), which is commonly used following an anterior cruciate ligament reconstruction to measure a patient’s view of their recovery, has over 40 questions. One way to reduce the burden on a patient is to use a single-item, patient-reported outcome measure such as the Patient Acceptable Symptom State (PASS). However, there has been no research to determine if a PASS question could be a surrogate for a lengthier joint-specific patient-reported outcome measure. Hence, the authors conducted a cohort study to determine if the response to a PASS question would relate to a successful outcome 1 year after an…

Golf Injuries That Can Be Treated With Physical Therapy

In Arizona, residents can enjoy year-round sun shine and a dry heat, also known as perfect golfing weather. During our winter months, we see a great influx of travelers escaping the snowstorms in their home states. Golfing is one of the most popular forms of exercise for this population as it helps them stay fit […]
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The Exercise and Sports Science Australia position statement: Exercise medicine in Cancer Management

The Exercise and Sports Science Australia position statement: Exercise medicine in Cancer ManagementHayes SC,  Newton RU, Spence RR, Galvão DA. Journal of Science and Medicine in Sport. 10 May 2019. https://doi.org/10.1016/j.jsams.2019.05.003Full Text is Freely AvailableExercise and Sports Science Australia (ESSA) published an updated position statement on cancer-specific exercise prescription. The authors address the recommended process for targeted exercise prescription for patients with cancer, core components of exercise prescription, and behavioral change strategies.View 195 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine….

A 3-Step Plan to Deal with Burnout as a Physical Therapist

Burnout as a physical therapist is very common, but it isn’t your fault. Getting past it has to become your mission. The only way to fix our situation is to change it ourselves with the support of others. Remember, burnout is not the end, burnout is the beginning. What comes after it is what will ultimately define you. It can be the first step in going from average to amazing. Here’s a 3-step plan that I used to get started.
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International consensus definitions of video signs of concussion in professional sports.

International consensus definitions of video signs of concussion in professional sports.Davis GA, Makdissi M, Bloomfield P, Clifton P, Echemendia RJ, Falvey ÉC, Fuller GW, Green G, Harcourt P, Hill T, McGuirk N, Meeuwisse W, Orchard J, Raftery M, Sills AK, Solomon GS, Valadka A, McCrory P. Br J Sports Med. 2019 Apr 6. pii: bjsports-2019-100628. doi: 10.1136/bjsports-2019-100628. [Epub ahead of print]Full Text is Not Freely AvailableRepresentatives from seven sporting bodies (Australian Football League, Cricket Australia, Major League Baseball, NFL, NHL, National Rugby League, World Rugby) reached consensus on video signs considered most useful in identifying a possible concussion. The key signs were lying motionless, motor incoordination, impact seizure, tonic posturing, no protective action – floppy, and blank/vacant look. These signs are defined in the consensus statement. View 191 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine….

Hand Therapy: Thumb Arthritis and Trigger Point Dry Needling

The most prevalent area of arthritis of any joint in the body is the 1st CMC joint which occurs at the base of the thumb. This joint is unique in that it is a saddle joint. One side is a dome and the other side is shaped like a U that fits on the dome. […]
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Repair may be Just as Good as Reconstruction

Acute Anterior Cruciate Ligament Rupture: Repair or Reconstruction?Hoogeslag RAG, Brouwer RW, Boer BC, de Vries AJ, and Huis in ‘t Veld H. Am J Sports Med. 2019. [Epub Ahead of Print].https://journals.sagepub.com/doi/abs/10.1177/0363546519825878Take Home Message: People who receive a dynamic augmented anterior cruciate ligament (ACL) repair have similar outcomes to those who receive an ACL reconstruction during the first 2 years after surgeryMany clinicians have discussed the pros and cons of a surgical reconstruction or conservative care for an anterior cruciate ligament (ACL) rupture. In recent years, there has also been a renewed interest in re-assessing suture repair of a ruptured ACL. Therefore, Hoogeslag and colleagues completed a randomized trial to examine patient-reported, clinical, and radiological outcomes among young adults receiving a dynamic augmented ACL repair or ACL reconstruction.Read more »…

CrossFit Injuries, Kettlebell Grip, and How to Review an Article

Catch up on all my latest content and articles to read from around the web. This week’s Stuff You Should Read comes from the Orthopaedic Journal of Sports Medicine, Kiefer Lammi, and Erik Meira.
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The Use of PROMs Among Athletic Trainers Remains Low

Use of Patient-Reported Outcome Measures in Athletic Training: Common Measures, Selection Considerations, and Practical Barriers.Lam KC, Harrington KM, Cameron KL, Valier ARS. J Athl Train. 2019 [Epub ahead of print]Full Text is Freely AvailableTake Home Message: The use of patient-reported outcome measures (PROMs) remains low among athletic trainers; however, athletic trainers who use PROMs commonly use injury- or joint-specific PROMs or single-item PROMs. Time to complete and score PROMs are important barriers to using PROMs.The “Athletic Training Education Competencies” and the “Role Delineation/Practice Analysis” emphasizes the support for the implementation of patient-reported outcome measures (PROMs) into clinical practice to enhance patient care. However, athletic trainers appear reluctant to use them due to barriers such as time constraints. A better understanding of how athletic trainers perceive and use PROMs may help improve the adoption of PROMs into clinical practice. Therefore, the authors created a survey, which was distributed to ~18,000 athletic trainers to describe the commonly used PROMs, why those PROMS are selected, and barriers and reasons for not using PROMs.Read more »…