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Eleftherios Paraskevopoulos, Georgios Gioftsos, Georgios Georgoudis, and Maria Papandreou

Adherence to exercise rehabilitation has been shown to be an important factor that may influence successful treatment. In professional athletes, a significant reduction in exercise adherence delays recovery. The aim of this study was to explore barriers to and facilitators of exercise rehabilitation adherence in injured volleyball athletes. Eight professional volleyball athletes were recruited, and qualitative data were collected using semistructured interviews. All athletes had completed their rehabilitation program after they had suffered a musculoskeletal injury. All data were analyzed using thematic analysis after the investigators ensured that saturation had been reached. Pain was identified as a significant barrier to exercise adherence by all athletes. The provision of social support, including mental, practical, and task related, also had a significant positive impact. The athletes’ ability to develop the necessary coping strategies and confidence on performing exercises at home was also mentioned as a factor that affected exercise adherence, although less often.

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Graig M. Chow, Lindsay M. Garinger, Jaison Freeman, Savanna K. Ward, and Matthew D. Bird

The first session with an athlete–client presents an opportunity to establish the working alliance, acquire useful information to facilitate case conceptualization, and develop an effective treatment plan with appropriate intervention. Although sport psychology professionals have independently

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Melissa Theige and Shannon David

effective at rehabilitating some athletes with acetabular labral tears. However, this method should not be applied to every athlete based on the low strength of current research. Treatment plans should be decided upon on a case-by-case basis. Strength of Recommendation The studies located were of low

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Timothy A. Kulpa, Jamie Mansell, Anne Russ, and Ryan Tierney

did not discuss limitations of their studies and two studies 25 , 27 failed to report measures of variability. Clinical Bottom Line There is moderate evidence to support the inclusion of aerobic and SST exercise in the multimodal treatment plan for patients after concussions. All five articles

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Nicholas Hattrup, Kacey Ohlemeyer, Zachary Schmidt, Emily Gibb, and Nicholas Pfeifer

utilized neural sliders, 10 – 14 whereas only 2 incorporated the use of tensioners into the treatment plan. 10 , 14 • All studies incorporated the use of neurodynamic treatments because the patient had minimal improvement with traditional musculoskeletal rehabilitation (eg, stretching, therapeutic

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Emily R. Hunt, Cassandra N. Parise, and Timothy A. Butterfield

of patient function, as well as patient strength at long-term follow-ups. However, patient goals, normal activities of daily living, and sport activity level should all be taken into consideration when choosing the best treatment plan for patients. Furthermore, the absence of randomized control

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Doyglas R. Keskula, Jewell B. Duncan, and Virginia L. Davis

This paper describes the rehabilitation of a patient following a medial meniscus transplant. Both preoperative and postoperative history and relevant physical findings are presented. Rehabilitation goals and the corresponding treatment plan are discussed, with an emphasis on functional outcomes. A general framework for treatment addressing impairment and functional goals is outlined. Progression of the rehabilitation program was based on surgical precautions and the patient's tolerance to the exercise progression. This case study demonstrates that appropriate surgical intervention combined with a properly designed rehabilitation program contributed to the improved functional abilities of this patient.

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Danny Pincivero, Joe H. Gieck, and Ethan N. Saliba

A treatment and rehabilitation protocol was implemented on a university football player sustaining a second-degree lateral ankle sprain. The initial treatment plan involved the application of the RICE principle (rest, ice, compression, and elevation). This particular rehabilitation protocol was aimed at restoring range of motion and function at the earliest possible time with the use of a cryokinetic technique developed by Knight and with progressive exercise. The subject in this case study returned to full participation 6 days postinjury. The results from this report indicate that a program of cryokinetics and functional progressive exercise performed within pain-free limits can greatly enhance the return of an athlete to competition.

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Karen M. Griffin, Cindy O. Henry, and J. W. Thomas Byrd

Objective:

To explain the basic fundamentals of patient assessment after hip arthroscopy, formulation of a treatment plan, and detailed essentials of postoperative rehabilitation.

Data Sources:

Established literature and the evolution of a protocol developed in treating over 150 hip-arthroscopy patients and numerous patients with symptomatic hip disease.

Data Synthesis:

Although the pathological process being addressed and the surgical technique employed in its management influence the protocol, the common goals of rehabilitation are to reduce discomfort and improve function. These common goals, first realized in the postoperative rehabilitation process, have been found to have similar application in the conservative management of patients with symptomatic hip disease.

Conclusions:

Arthroscopy has necessitated the development of a postoperative rehabilitation protocol. Principles previously employed in other joints are now finding application in the hip.

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Lori A. Michener

Outcome measures can be classified as clinician rated and patient rated. Clinician-rated measures predominantly assess impairments, whereas patient-rated measures, also known as patient-based measures, are designed to evaluate the impact of the injury on a patient’s daily activities, work, and recreation. Currently, there is a greater reliance on clinician-rated impairment measures for clinical decision making, specifically with treatment planning and assessing outcomes of care. To comprehensively evaluate the effect of an injury, patient-rated outcome measures must be used because they allow for the assessment of a patient’s ability to perform daily activities and participate in work and recreation that is affected by an injury. Clinician-rated impairment measures should be used to guide the development of a treatment program, and patient-rated measures should be used for both treatment-program development and assessing treatment outcomes in daily clinical practice. The purposes of this article are to describe patient- and clinician-rated outcome measures and to provide guidance and illustrate the benefits of the use of these measures in clinical decision making and documenting outcomes of care.