result in sensory and motor deficits of the involved upper limb that includes paresthesia, anesthesia, and muscle weakness, along with neuropathic pain usually described as “burning” or “shooting” pain. 4 CR can impair patients’ ability to function properly, and the symptoms may lead to work absence and
Search Results
The Effectiveness of Neuromobilization in Patients With Cervical Radiculopathy: A Systematic Review With Meta-Analysis
Eleftherios Paraskevopoulos, George Koumantakis, and Maria Papandreou
The Effectiveness of Nonoperative Treatment for Anterior Cruciate Ligament Rupture on Patient-Reported Outcomes and Muscular Strength: A Critically Appraised Topic
Emily R. Hunt, Cassandra N. Parise, and Timothy A. Butterfield
the best and most current literature that measured the effects of conservative, nonoperative ACL treatment on quadriceps strength and patient-perceived function using isokinetic dynamometry, the single-leg hop test, or the International Knee Documentation Committee (IKDC) subjective knee form. Focused
Cross-Cultural Adaptation and Validation of the German Version of the Upper Limb Functional Index
Miguel Ortega-Castillo, Antonio Cuesta-Vargas, Markus Melloh, and Manuel Trinidad-Fernández
= 50) 26 models. Using the ULFI-G in clinical practice may offer valuable insights into patients’ upper limb function, both for patients and clinicians. Its short completion time and readability allow for better monitoring and integration in the daily practice, fostering patients’ involvement in their
Evaluation of Knee-Specific Patient-Reported Outcome Measures Using Rasch Analysis
James L. Farnsworth II, Todd Evans, Helen Binkley, and Minsoo Kang
Patient-reported outcome measures (PROMs) help clinicians evaluate patients’ perceptions of changes in their own health status. These tools are especially valuable for measuring attributes that cannot be directly measured, such as pain, or that are not pragmatic or feasible to measure (eg, function
Development and Validation of a Novel Knee-Specific Patient-Reported Outcomes Measure
James L. Farnsworth II, Todd Evans, Helen Binkley, and Minsoo Kang
supported when the items from a PROM are relevant and logical for the outcome of interest. For example, a knee-specific PROM should only include items that measure knee-specific function. Evidence of structural validity can be supported through an examination of the relationship between examinees and their
Acute Effects of Scapular Mobilization in Shoulder Dysfunction: A Double-Blind Randomized Placebo-Controlled Trial
Ozgur Surenkok, Aydan Aytar, and Gul Baltaci
Objective:
The aim of this study was to evaluate the initial effects of scapular mobilization (SM) on shoulder range of motion (ROM), scapular upward rotation, pain, and function.
Design:
Pretest–posttest for 3 groups (SM, sham, and control).
Setting:
A double-blinded, randomized, placebo-controlled trial was conducted to evaluate the initial effect of the SM at a sports physiotherapy clinic.
Participants:
39 subjects (22 women, 17 men; mean age 54.30 ± 14.16 y, age range 20-77 y).
Interventions:
A visual analog scale, ROM, scapular upward rotation, and function were assessed before and just after SM. SM (n = 13) consisted of the application of superoinferior gliding, rotations, and distraction to the scapula. The sham (n = 13) condition replicated the treatment condition except for the hand positioning. The control group (n = 13) did not undergo any physiotherapy and rehabilitation program.
Main Outcome Measures:
Pain severity was assessed with a visual analog scale. Scapular upward rotation was measured with a baseline digital inclinometer. Constant Shoulder Score (CSS) was used to measure shoulder function.
Results:
After SM, we found significant improvements for shoulder ROM, scapular upward rotation, and CSS between pretreatment and posttreatment compared with the sham and control groups. In the sham group, shoulder-ROM values increased or decreased for the shoulder and scapular upward rotation was not changed. Pain, ROM, and physical function of the shoulder were not significantly different in the sham group than in controls (P > .05).
Conclusions:
SM may be a useful manual therapy technique to apply to participants with a painful limitation of the shoulder. SM increases ROM and decreases pain intensity.
Immediate Effects of Ankle Joint Mobilization With Movement on Postural Control, Range of Motion, and Muscle Strength in Healthy Individuals: A Randomized, Sham-Controlled Trial
Murat Tomruk, Melda Soysal Tomruk, Emrullah Alkan, and Nihal Gelecek
neurons and enhancing the neuromuscular function of joint stabilizing muscles suggests that ankle joint mobilization may improve postural control. 9 The effects of Mulligan’s MWM on ankle ROM, strength, and postural control in people with ankle disorders had previously been investigated. 4 , 7 , 10
The Effects of Scapular Mobilization in Patients With Subacromial Impingement Syndrome: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial
Aydan Aytar, Gul Baltaci, Tim Uhl, Handan Tuzun, Pinar Oztop, and Metin Karatas
Objective:
To determine the effects of scapular mobilization on function, pain, range of motion, and satisfaction in patients with subacromial impingement syndrome (SAIS).
Design:
Randomized, double-blind, placebo-controlled clinical trial.
Setting:
University hospital clinics in Turkey.
Participants:
66 participants (mean ± SD age 52.06 ± 3.71 y) with SAIS.
Interventions:
Participants were randomized into 3 groups: scapular mobilization, sham scapular mobilization, and supervised exercise. Before the interventions transcutaneous electrical stimulation and hot pack were applied to all groups. Total intervention duration for all groups was 3 wk with a total of 9 treatment sessions.
Main Outcome Measures:
Shoulder function and pain intensity were primary outcome measures; range of motion and participant satisfaction were secondary outcome measures. Shoulder function was assessed with the short form of the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH). A visual analog scale was used to evaluate pain severity. Active range of motion was measured with a universal goniometer. A 7-point Likert scale was used to evaluate satisfaction. Outcome measurements were performed at baseline, before visits 5 and 10, 4 wk after visit 9, and 8 wk after visit 9.
Results:
There was no group difference for DASH score (P = .75), pain at rest (P = .41), pain with activity (P = .45), pain at night (P = .74), and shoulder flexion (P = .65), external rotation (P = .63), and internal rotation (P = .19). There was a significant increase in shoulder motion and function and a significant decrease in pain across time when all groups were combined (P < .001). The level of satisfaction was not significantly different for any of the questions about participant satisfaction between all groups (P > .05).
Conclusion:
There was not a significant advantage of scapular mobilization for shoulder function, pain, range of motion, and satisfaction compared with sham or supervised-exercise groups in patients with SAIS.
Treating Lateral Epicondylopathy With Dry Needling and Exercise: A Case Series
Brian V. Hortz and Sue Falsone
Given the pain- and function-related disability found in LE, several outcome measures were selected. 1 – 3 Outcome measures used in this case series consisted of the Patient-Rated Tennis Elbow Evaluation (PRTEE) Questionnaire. The PRTEE allows patients to rate their levels of tennis elbow pain and
The Effect of Hip Joint Mobilizations Using a Mobilization Belt on Hip Range of Motion and Functional Outcomes
Alex Brun and Michelle A. Sandrey
Mobility at the hip is an often overlooked, yet a critical component of everyday function and sport. It is necessary for proper, efficient gait as well as movements such as squatting, 1 standing up, changing direction, and running. The anatomical configuration at the hip joint is what provides the
