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Effectiveness of Therapeutic Ultrasound in Adhesive Capsulitis. Fall 2008
OBJECTIVE: There is a lack of evidence about the effectiveness of therapeutic ultrasound (US) compared with placebo US in the treatment of adhesive capsulitis. This study was performed to assess the effectiveness of therapeutic US in the treatment of adhesive capsulitis.
CONCLUSION: Our results suggest that US compared with sham US gives no relevant benefit in the treatment of adhesive capsulitis. Effectiveness of US might be masked by worse pre-treatment values of the US group and higher exercise compliance of the sham US group.
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The Efficacy of Intermittent Cervical Traction in Patients with Chronic Neck Pain. Fall 2008
OBJECTIVE: Previous studies about the usefulness of traction therapy have concluded with conflicting results. The aim of this study was to examine its efficacy in chronic neck pain.
CONCLUSION: No specific effect of traction over standard physiotherapeutic interventions was observed in adults with chronic neck pain. We suggest the clinicians to consider this condition and to focus on exercise therapy in the management of patients suffering from this condition.
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Effect of Stretching on Strength Loss and Pain After Eccentric Exercise. Fall 2008
PURPOSE: The purposes of the this study were to determine whether stretch-induced strength loss was muscle length dependent (study 1) and whether passive stretching prior to eccentric exercise affected strength loss and pain on subsequent days (study 2).
CONCLUSION: Stretch-induced strength loss was dependent on muscle length, such that strength was decreased with the muscle group in a shortened position, but not with the muscle group in a lengthened position. Strength loss and pain after eccentric exercise were generally unaffected by prior stretching, with the exception that stretching prevented strength loss when assessed with the muscle in a lengthened position.
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The Effect of Abdominal Stabilization Contractions on Posteroanterior Spinal Stiffness. Fall 2008
OBJECTIVE: To quantify the immediate change in posteroanterior (PA) spinal stiffness produced by different combinations of trunk muscle contraction. SUMMARY OF BACKGROUND DATA: The abdominal hollow and the abdominal brace are 2 different combinations of trunk muscle contractions that are commonly prescribed to increase spinal stability. Unfortunately, the immediate effect of these different contractions on spinal stiffness (one indicator of spinal stability) has not yet been quantified directly.
CONCLUSION: In asymptomatic subjects, the abdominal brace contraction provided an OBJECTIVE: To quantify the immediate change in posteroanterior (PA) spinal stiffness produced by different combinations of trunk muscle contraction. immediate PA stiffening effect that was significantly greater in magnitude when compared with conditions of rest and abdominal hollowing. These findings may allow clinicians to better match commonly prescribed contraction-based interventions with specific patient needs. Future work is required to assess the long-term effect of repeated abdominal brace and hollow contractions on PA spinal stiffness and low back pain.
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Low-Intensity Pulsed Ultrasound for Chronic Patellar Tendinopathy: a Randomized, Double-Blind, Placebo-Controlled Trial Fall 2008
OBJECTIVE: Patellar tendinopathy (PT) is a common and significant clinical condition for which there are few established interventions. One intervention that is currently being used clinically to manage PT symptoms is the introduction of low-intensity pulsed ultrasound (LIPUS). The aim of this study was to investigate the clinical efficacy of LIPUS in the management of PT symptoms.
CONCLUSION: These findings suggest that LIPUS does not provide any additional benefit over and above placebo in the management of symptoms associated with PT.
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Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain Fall 2008
BACKGROUND AND PURPOSE: Posterior-to-anterior (PA) mobilization and press-up exercises are common physical therapy interventions used to treat low back pain. The purpose of this study was to examine the immediate effects of PA mobilization and a press-up exercise on pain with standing extension and lumbar extension in people with nonspecific low back pain.
DISCUSSION AND CONCLUSION: The findings of this study support the use of PA mobilization and a press-up exercise for improving lumbar extension in people with nonspecific low back pain. Although statistically significant within-group changes in pain were detected, the clinical meaningfulness of these changes is questionable.
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The role of pelvic floor physical therapy in the treatment of pelvic and genital pain-related sexual dysfunction Summer 2008
PURPOSE: This Continuing Medical Education article is to describe the musculoskeletal components involved in pelvic and genital pain syndromes and associated sexual dysfunction, introduce specific physical therapy assessment and intervention techniques, and provide suggestions for facilitating an effective working relationship among practitioners involved in treating these conditions.
CONCLUSIONS: Physical therapy treatment of pelvic pain is an integral component of the multidisciplinary approach to CPP and associated sexual dysfunction.
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Hip Strength and Hip and Knee Kinematics During Stair Descent in Females With and Without Patellofemoral Pain Syndrome Summer 2008
PURPOSE: To determine if females presenting with patellofemoral pain syndrome (PFPS) from no discernable cause other than overuse demonstrate hip weakness and increased hip internal rotation, hip adduction, and knee valgus during stair descent.
CONCLUSION: Subjects with PFPS had significant hip weakness but did not demonstrate altered hip and knee kinematics as previously theorized. Additional investigations are needed to better understand the association between hip weakness and PFPS etiology.
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Differential effects of strength versus power training on bone mineral density in postmenopausal women: a 2-year longitudinal study Spring 2008
Objectives: To investigate the effect of two different schemes of loading in resistance training on bone mineral density (BMD) and pain in pretrained postmenopausal women.
Methods: 53 pretrained women (mean (SD) age 58.2 (3.7) years) who carried out a mixed resistance and gymnastics programme were randomly assigned to a strength training (ST) or power training (PT) group. The difference between the two groups was the movement velocity during the resistance training (ST, 4 s (concentric)/4 s (eccentric); PT, explosive/4 s).
Conclusion: The results show that PT may be superior for maintaining BMD in postmenopausal women. Furthermore, PT was safe as it did not lead to increased injury or pain.
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Muscle Strength After Anterior Shoulder Stabilization: Arthroscopic Versus Open Bankart Repair. Fall 2007
Background: A number of reports have been made on the muscle strength at the last follow-up after arthroscopic or open Bankart repairs. Few have analyzed the change over time in muscle strength and compared the changes between different operative methods. Hypothesis: Muscle strength recovers faster after arthroscopic Bankart repair than after open Bankart repair, and the final muscle strength is not different between the 2 procedures.
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Can vitamin C prevent complex regional pain syndrome in patients with wrist fractures? A randomized, controlled, multicenter dose-response study. Fall 2007
Background: Complex regional pain syndrome type I is treated symptomatically. A protective effect of vitamin C (ascorbic acid) has been reported previously. A dose-response study was designed to evaluate its effect in patients with wrist fractures.
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Effect of neck exercise on sitting posture in patients with chronic neck pain. Summer 2007
Poor sitting posture has been implicated in the development and perpetuation of neck pain symptoms. This study had two purposes: (1) to compare change in cervical and thoracic posture during a distracting task between subjects with chronic neck pain and control subjects and (2) to compare the effects of two different neck exercise regimens on the ability of people with neck pain to maintain an upright cervical and thoracic posture during this task.
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High-intensity resistance training amplifies muscle hypertrophy and functional gains in persons with Parkinson's disease. Summer 2007
Strength deficits in persons with Parkinson's disease (PD) have been identified as a contributor to bradykinesia. The purpose of this exploratory study was to examine, in persons with PD, the changes in quadriceps muscle volume, muscle force production and mobility as a result of a 12-week high-force eccentric resistance training program and to compare the effects to a standard-care control.
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Quadriceps strength may decrease 4 years after knee surgery. Spring 2007
The objective of this study was to evaluate thigh muscle strength, functional performance, and self-reported outcome in patients with nontraumatic meniscus tears 4 years after operation and to study the impact of a strength deficit on self-reported outcome.
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Steroids cause the same tissue changes as tendon injury. Spring 2007
Patients who get a steroid injection in their shoulder for rotator cuff pain relief or improved shoulder function should not return to their regular activities or start physical therapy for a few weeks.
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High-intensity resistance training amplifies muscle hypertrophy and functional gains in persons with Parkinson's disease. Winter 2006
The purpose of this exploratory study was to examine, in persons with Parkinson's disease (PD), the changes in quadriceps muscle volume, muscle force production, and mobility as a result of a 12-week high-force eccentric resistance training program and to compare the effects to a standard-care control.
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Manual physical therapy interventions and exercise for patients with temporomandibular disorders. Winter 2006
The purpose of this study was to investigate the outcome of a series of consecutive patients with temporomandibular disorder (TMD) who were treated with manual physical therapy interventions and exercise
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Effect of Brisk Walking in 1 or 2 Daily Bouts and Moderate Resistance Training on Lower-Extremity Muscle Strength, Balance, and Walking Performance in Women Who Recently Went Through Menopause: a Randomized, Controlled Trial. Fall 2006
The purpose of this study was to examine the effects and feasibility of an exercise program of one or two bouts of walking and resistance training on lower-extremity muscle strength (the force-generating capacity of muscle), balance, and walking performance in women who recently went through menopause.
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Management of Symphysis Pubis Dysfunction During Pregnancy Using Exercise and Pelvic Support Belts. Spring 2006
Objective: To investigate the effects of exercise, advice and pelvic support belts on the management of symphysis pubis dysfunction during pregnancy.
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Passive Stretching Does Not Enhance Outcomes in Patients with Plantarflexion Contracture After Cast Immobilization for Ankle Fracture: A Randomized Controlled Trial. Fall 2005
Objective: To compare the efficacy of short and long duration passive stretches with a control treatment for the management of plantarflexion contracture after cast immobilization for ankle fracture.
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Two Exercise Interventions for the Management of Patients with Ankylosing Spondylitis: A Randomized Control Trial. Summer 2005
Objective: The purpose of this clinical trial was to evaluate the impact of a 4-month comprehensive protocol of strengthening and flexibility exercises developed by the research group versus conventional exercises for patients with Ankylosing Spondylitis on functional and mobility outcomes.
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Treating Female Infertility and Improving IVF Pregnancy Rate with a Manual Physical Therapy Technique Winter 2005
Objective: To assess the effectiveness of site-specific manual soft tissue therapy in 1) facilitating natural fertility and 2) improving in vitro fertilization (IVF) pregnancy rates in women with histories indicating abdominopelvic adhesion formation.
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Physical Therapy Corner: Thoracic Outlet Syndrome Fall 2004
Article covers basic anatomy, signs and symptoms, causes of neurovascular compression, diagnosis and treatment.
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