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Effectiveness of Diathermy in Comparison With Ultrasound or Corticosteroids in Patients With Tendinopathy: A Critically Appraised Topic

Philip A. Szlosek, John Taggart, Julie M. Cavallario, and Johanna M. Hoch

Clinical Scenario:

Many therapeutic modalities have been used to treat the pain and inflammation commonly associated with tendinopathies. One modality that has been used to treat patients with tendinopathies is diathermy.

Focused Clinical Question:

Is there evidence to suggest that diathermy is more or equally as effective at reducing pain in patients with tendinopathy when compared with ultrasound or corticosteroid treatments?

Summary of Search, “Best Evidence” Appraised, and Key Findings:

The literature was searched for randomized control trials (RCTs) that investigated the effects of diathermy treatments in comparison with ultrasound or corticosteroid treatments on pain in patients with tendinopathy. Three RCTs were selected from the search results and included in this critically appraised topic.

Clinical Bottom Line:

There is moderate evidence to support that diathermy is more effective at reducing pain in patients with tendinopathy than ultrasound and equally as effective as corticosteroid treatments.

Strength of Recommendation:

There is grade B evidence to support that diathermy is more effective at reducing pain in patients with tendinopathy than ultrasound and equally effective at reducing pain as corticosteroid treatments.

Cover Journal of Sport Rehabilitation

In Journal of Sport Rehabilitation Volume 23 (2014): Issue 4 (Jan 2014)

Open access

The Effect of Fibular Reposition Taping on Postural Control in Individuals With Chronic Ankle Instability: A Critically Appraised Topic

Bradley C. Jackson, Robert T. Medina, Stephanie H. Clines, Julie M. Cavallario, and Matthew C. Hoch

Clinical Scenario: History of acute ankle sprains can result in chronic ankle instability (CAI). Arthrokinematic changes resulting from CAI may restrict range of motion and contribute to postural control deficits. Mulligan or fibular reposition taping (FRT) has been suggested as a means to realign fibular positional faults and may be an effective way to improve postural control and balance in patients with CAI. Clinical Question: Is there evidence to suggest that FRT will improve postural control for patients with CAI in the affected limb compared with no taping? Summary of Key Findings: Three of the 4 included studies found no significant difference in postural control in patients receiving FRT compared with sham or no tape. Clinical Bottom Line: There is moderate evidence refuting the use of FRT to improve postural control in patients with CAI. Strength of Recommendation: There is grade B evidence to support that FRT does not improve postural control in people with CAI.

Cover Journal of Sport Rehabilitation

In Journal of Sport Rehabilitation Volume 28 (2019): Issue 2 (Feb 2019)

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Athletic Trainers’ Methods for Determining Return to Activity for Patients With an Ankle Sprain Part I: Types of Measures Used

Ryan S. McCann, Ashley M.B. Suttmiller, Phillip A. Gribble, and Julie M. Cavallario

Athletic trainers are commonly responsible for clearing patients with ankle sprains for return to activity. What criteria athletic trainers typically use to determine return to activity readiness in this population remains unclear. The purpose of this qualitative study was to examine criteria athletic trainers use to determine patients’ return to activity readiness following an ankle sprain. Participants varied in selected clinician-, patient-rated, and functional assessments for patients with ankle sprains. As many selected methods did not agree with expert consensus recommendations, more work is likely needed to instill best practices for evaluation of patients with ankle sprains.

Cover International Journal of Athletic Therapy and Training

In International Journal of Athletic Therapy and Training Volume 27 (2022): Issue 2 (Mar 2022)

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Athletic Trainers’ Methods for Determining Return to Activity for Patients With an Ankle Sprain Part II: Influences of Selected Outcomes

Ryan S. McCann, Ashley M.B. Suttmiller, Phillip A. Gribble, and Julie M. Cavallario

Athletic trainers’ reasons for selecting or avoiding certain evaluation techniques for patients with an ankle sprain are not fully understood. Such information is important to facilitating evidence-based practice and eliminating barriers. The purpose of this qualitative study was to determine what factors influence athletic trainers’ selection or avoidance of specific outcomes used to determine patients’ return to activity readiness following an ankle sprain. Participants cited many factors that facilitate and inhibit their use of best-practice recommendations and alternative methods for evaluating patients with ankle sprains. Athletic trainers’ should continue to promote facilitators and eliminate barriers to the use of best practices.

Cover International Journal of Athletic Therapy and Training

In International Journal of Athletic Therapy and Training Volume 27 (2022): Issue 2 (Mar 2022)

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Athletic Trainers’ Perceptions of Their Scope of Practice

Cailee E. Welch Bacon, Nydia L. Cabra, Taryn C. Pennington, Lindsey E. Eberman, and Julie M. Cavallario

All athletic trainers (ATs) must meet regulatory standards as outlined in state practice acts. While state practice acts are similar, some variations can lead to misunderstanding or unfamiliarity with appropriate scopes of practice. We aimed to describe ATs’ perceptions regarding athletic training scope of practice. Only 29.7% of respondents correctly identified state government as the agency that defines athletic training scope of practice and 51.7% agreed their respective state practice act limits the skills they can perform. To advocate for the profession, ATs must have a primary understanding of the laws and regulations that promote ATs to work at their fullest ability.

Cover International Journal of Athletic Therapy and Training

In International Journal of Athletic Therapy and Training Volume 28 (2023): Issue 5 (Sep 2023)

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Athletic Training Students’ Use of Evidence-Based Practice Professional Behaviors During Clinical Experiences: A Report From the Association for Athletic Training Education Research Network

Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, R. Curtis Bay, and Bonnie L. Van Lunen

With the incorporation of evidence-based practice (EBP) during patient care as a curricular content standard, professional programs must prepare athletic training students (ATSs) for the application of EBP during the delivery of patient care. We aimed to examine ATSs’ implementation of professional behaviors associated with EBP during patient encounters (PEs). Through a multisite panel design, we tracked numerous factors associated with PEs experienced by 363 ATSs of 12 professional athletic training programs. Generalized estimating equation models were used to analyze the likelihood that students included EBP behaviors during 30,522 PEs. Clinical site type (p < .001), student role (p < .001), and encounter length (p < .001) were associated with all three EBP professional behaviors while clinical site type (p < .001) was also associated with whether the ATS asked a question of a clinician, including their preceptor. Program administrators seeking to promote the greatest opportunities for ATSs to implement EBP during patient care should seek clinic-based or other nonacademic site types that promote longer PEs in which students can perform or assist their preceptor.
Cover International Journal of Athletic Therapy and Training

In International Journal of Athletic Therapy and Training Volume 29 (2024): Issue 5 (Sep 2024)