Tag: Rehabilitation

OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritisOARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis

OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritisBannuru RR, Osani MC, Vaysbrot EE, Arden N, Bennell K, Bierma-Zeinstra SMA, Kraus VB, Lohmander LS, Abbott JH, Bhandari M, Blanco F, Espinosa R, Haugen IK, Lin J, Mandl LA, Moilanen E, Nakamura N, Snyder-Mackler L, Trojian T, Underwood M, McAlindon TE. Osteoarthritis Cartilage. 2019 Jul 3. pii: S1063-4584(19)31116-1. doi: 10.1016/j.joca.2019.06.011. [Epub ahead of print]Full Text is Not Freely AvailableThe Osteoarthritis Research Society International has updated its guidelines for non-surgical management of knee, hip, and polyarticular osteoarthritis. The authors recommend core treatments, which are appropriate for use by most people in almost any situation and deemed safe for use in combination with first line and second line treatments. The authors also provided recommendations for people with various comorbidities (e.g., gastrointestinal or cardiovascular). View 201 other recent position statements, consensus statements, guidelines, and recommendations related to sports medicine….

Treat the Whole Patient, Not Just the InjuryTreat the Whole Patient, Not Just the Injury

Athletic Trainers’ Influence on National Collegiate Athletic Association Division I Athletes’ Basic Psychological Needs During Sport Injury RehabilitationBejar MP, Raabe J, Zakrajsek RA, Fisher LA, Clement D. J Athl Train, 2019. doi.org/10.4085/1062-6050-112-18Full Text Freely AvailableTake Home Message:An athlete’s overall motivation during rehabilitation of an athletic injury is enriched when their psychological needs of competence, autonomy, and relatedness are met. Athletic Trainers have the unique ability to foster these needs while treating an injured athlete.Many athletes will have negative thoughts and experiences during injury recovery, which may adversely affect their motivation and willingness to adhere to rehabilitation protocols. An athlete’s ability to be motivated during injury rehabilitation relies on 3 psychological needs during the recovery process: 1.  competence = “successfully performing tasks and adapting to the demands of the environment” 2.  autonomy  = “having meaningful input into decisions and acting in accordance with one’s values” 3.  relatedness = “feeling connected, valued, and accepted by important” peopleHowever, we poorly understand how an injured athlete thinks an athletic trainer (AT) can influence their motivation and psychological needs during the rehabilitation process. Therefore, the authors conducted interviews with 10 NCAA Division I athletes (7 females) who had sustained an injury (<1 year prior to interview) that resulted in…

SI Dysfunction? Manipulate it, Exercise it, or BOTHSI Dysfunction? Manipulate it, Exercise it, or BOTH

Effectiveness of Exercise Therapy and Manipulation on Sacroiliac Joint Dysfunction: A Randomized Controlled TrialNejati P, Safarcherati A, & Karimi F.  Pain Physician. 2019; 22:53-61. Full Text Freely AvailableTake Home Message: Overall, exercise and manipulation may provide early improvements for patients with sacroiliac joint dysfunction. However, patients should be re-evaluated before 6 months to determine treatment plans moving forward since the combination of exercise and manipulation was not better than performing exercise or mobilizations alone after 6 months.Sacroiliac joint dysfunction is a common cause of low back pain.  While exercise is considered to be effective for generalized low back pain, it remains unclear what is the best way to treat low back pain caused by sacroiliac joint dysfunction.  The authors of this study conducted a randomized controlled trial to evaluate the effectiveness of exercise therapy, manipulation therapy, and exercises + manipulation therapy among people with sacroiliac joint dysfunction.Read more »…

Physical Therapy or Surgery for a Meniscus Tear?Physical Therapy or Surgery for a Meniscus Tear?

While recent research is showing similar results between physical therapy and surgery for a meniscus tear, there are still certain patients that would benefit from surgery. Not every patient, or meniscus tear, is the same. Here’s what we know about who will respond best from surgery, or physical therapy after a meniscus tear.
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