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Preseason Vertical Center of Mass Displacement During Running and Bone Mineral Density Z-Score Are Risk Factors for Bone Stress Injury Risk in Collegiate Cross-country Runners. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-12-01 Mikel R Joachim,Stephanie A Kliethermes,Bryan C Heiderscheit
OBJECTIVES: To (1) assess relationships between running biomechanics, bone health, and bone stress injuries (BSIs), and (2) determine which variables constitute the most parsimonious BSI risk model among collegiate cross-country runners. DESIGN: Prospective, observational cohort study. METHODS: Running gait and bone mineral density (BMD) data from healthy collegiate cross-country runners were collected
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Adding Brief Pain Science or Ergonomics Messages to Guideline Advice Did Not Increase Feelings of Reassurance in People With Acute Low Back Pain: A Randomized Experiment. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-12-01 Giovanni E Ferreira,Joshua R Zadro,Adrian C Traeger,Caitlin P Jones,Courtney A West,Mary O'Keeffe,Hazel Jenkins,James McAuley,Christopher G Maher
OBJECTIVE: To investigate the effects of adding pain science or ergonomics messages to guideline advice on feelings of reassurance and management intentions among people with acute low back pain (LBP). DESIGN: Three-arm parallel-group randomized experiment. METHODS: We recruited people with acute LBP (pain for ≤6 weeks) to participate in an online experiment. Participants were randomized at a 1:1:1
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Better safe than sorry? A systematic review and meta-analysis on time to return to sport after ACL reconstruction as a risk factor for second ACL injury. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-30 Ramana Piussi,Rebecca Simonson,Bálint Zsidai,Alberto Grassi,Jon Karlsson,Francesco Della Villa,Kristian Samuelsson,Eric Hamrin Senorski
OBJECTIVE: To analyse the timing of Return to Sports (RTS) as a potential risk factor for a second anterior cruciate ligament (ACL) injury after ACL reconstruction. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: The Cochrane Library, EMbase, MEDLINE, AMED and PEDro databases were searched in August 2021 and November 2022. STUDY SELECTION CRITERIA: Clinical studies published in English
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Preseason Measures of Cervical Spine Function, Vestibulo-Ocular Reflex, Dynamic Balance, and Divided Attention in Youth Ice Hockey Players. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-30 Robert F Graham,Paul H Eliason,Amanda M Black,Stacy Sick,Geoff M Schneider,Olivia A Galea,Carolyn A Emery,Kathryn J Schneider
OBJECTIVES: Report typical scores and examine preseason cervical spine, vestibulo-ocular reflex, dynamic balance, and divided attention measures in competitive youth ice hockey players aged 10-18 years with and without a previous concussion history. DESIGN: Cross-sectional secondary analysis. METHODS: The exposure of interest was self-reported history of concussion. The main outcomes were cervical
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Conditioned Pain Modulation Does Not Differ Between People With Lower-Limb Tendinopathy and Nontendinopathy Controls: A Systematic Review With Individual Participant Data Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2024-01-01 Myles C Murphy,Nonhlanhla Mkumbuzi,Jordan Keightley,William Gibson,Patrick Vallance,Henrik Riel,Melanie Plinsinga,Ebonie K Rio
OBJECTIVE: To explore whether people with lower-limb tendinopathy have reduced relative conditioned pain modulation (CPM) when compared to nontendinopathy controls. DESIGN: Systematic review with individual participant data (IPD) meta-analysis. LITERATURE SEARCH: Eight databases were searched until August 29, 2022. STUDY SELECTION CRITERIA: Cross-sectional studies comparing the magnitude of the CPM
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Effectiveness of Interventions Aimed at Changing Movement Patterns in People With Patellofemoral Pain: A Systematic Review With Network Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-12-01 Guilherme S Nunes,Jênifer de Oliveira,George-Sebastian Iacob,Luis Ulisses Signori,Ane P Diel,Rafaela Schreiner,Matheus Weide Solner
OBJECTIVE: To summarize the effectiveness of interventions for changing movement during weight-bearing functional tasks in people with patellofemoral pain (PFP). DESIGN: Systematic review with network meta-analysis (NMA). LITERATURE SEARCH: Medline, Embase, CINAHL, SPORTDiscus, and Cochrane Library were searched from inception up to May 2023. STUDY SELECTION CRITERIA: Randomized controlled trials involving
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Pros and Cons of Using Artificial Intelligence Chatbots for Musculoskeletal Rehabilitation Management. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-12-01 Giacomo Rossettini,Chad Cook,Alvisa Palese,Paolo Pillastrini,Andrea Turolla
SYNOPSIS: Artificial intelligence (AI), specifically large language models (LLMs), which focus on the interaction between computers and human language, can influence musculoskeletal rehabilitation management. AI chatbots (eg, ChatGPT, Microsoft Bing, and Google Bard) are a form of large language models designed to understand, interpret, and generate text similar to what is produced by humans. Since
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Running-Related Injuries among more than 7000 runners in 87 different countries: The Garmin-RUNSAFE Running Health Study. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-16 Rasmus Nielsen,Daniel Ramskov,Chloe Taneil Blacket,Laurent Malisoux
OBJECTIVE: To describe the cumulative injury proportion after 1,000 and 2,000 kilometers of running amongst runners from 87 countries worldwide using wearable devices. Secondly, examine if the cumulative injury proportion differed between runners from different countries. DESIGN: Cohort study with an 18-month follow-up. METHODS: Runners aged ≥18 years who were familiar with the English language, and
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Barriers and enablers to using intervention reporting guidelines in sports and exercise medicine trials: a mixed-methods study. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-16 Harrison J Hansford,Aidan G Cashin,Joseph Doyle,Hayley B Leake,James H McAuley,Matthew D Jones
OBJECTIVE: To identify barriers and facilitators for using intervention reporting guidelines (CERT and TIDieR) from authors of randomised controlled trials in sports and exercise medicine journals. DESIGN: Mixed-methods cross sectional online survey. METHODS: We recruited authors of randomised controlled trials published from 2nd June 2018 to 2nd June 2022 in the ten leading sports and exercise medicine
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Risk Factors for Running-Related Injury in High School and Collegiate Cross Country Runners: A Systematic Review. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-16 Mikel R Joachim,Matthew L Kuik,Brian J Krabak,Emily M Kraus,Mitchell J Rauh,Bryan C Heiderscheit
OBJECTIVE: To summarize and describe risk factors for running-related injuries (RRI) among high school and collegiate cross country runners. DESIGN: Descriptive systematic review. LITERATURE SEARCH: Four databases (Scopus, SPORTDiscus, CINAHL, Cochrane) were searched from inception to August 2023. STUDY SELECTION CRITERIA: Studies assessing RRI risk factors in high school or collegiate runners using
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Minimal Intervention of Patient Education for Low Back Pain: A Systematic Review with Meta-Analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-16 Luís A Gomes,Ana M Rodrigues,Danielle Windt,Diogo Pires,Vera Afreixo,Helena Canhão,Eduardo B Cruz
OBJECTIVE: To explore the effects of minimal intervention of patient education (MIPE) for reducing disability and pain intensity in patients with low back pain (LBP). DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials. LITERATURE SEARCH: We searched the MEDLINE, Embase, CENTRAL, CINAHL, and PsycINFO databases from inception to May 2023. STUDY SELECTION CRITERIA:
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The Tendinopathy Game Changers: Five papers from the last five years that just might change how you manage tendons. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-16 Myles C Murphy,Ebonie K Rio
SYNOPSIS: The clinical and scientific understanding of tendinopathy has substantially advanced since the Fifth International Scientific Tendinopathy Symposium in 2019. This editorial aims to highlight some of the fantastic tendinopathy research from the past five years. We have selected what we consider the 'best paper' for each year from 2019 to 2023, which just might change how you treat tendons
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Diagnostic Imaging for Achilles Tendinopathy: Unnecessary Scans? Valuable Insights? Multi-disciplinary Clinician-Scientists Present a Nuanced View. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-16 Ruth L Chimenti,Mederic M Hall,J Turner Vosseller
SYNOPSIS: Clinical practice guidelines for Achilles tendinopathy do not recommend imaging to inform diagnosis. However, there is considerable variation in how imaging is used, particularly in research and sports. Early imaging risks that people who see the images presume that what they ‘see’ as pathology is the primary cause of pain; patients might end up receiving invasive treatments on the basis
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Asking the Right Question Is Key to Getting a Valuable Answer. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Matthew S Tenan
Letter to the Editor-in-Chief in response to JOSPT article "The Relationship Between Neck Strength and Sports-Related Concussion in Team Sports: A Systematic Review With Meta-analysis" by Garrett JM et al. J Orthop Sports Phys Ther 2023;53(11):726. doi:10.2519/jospt.2023.0204.
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Reply to "Asking the Right Question Is Key to Getting a Valuable Answer". J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Joel M Garrett,Kerry Peek,Daniel J Hoek,Marco Mastrorocco,Thomas B McGuckian
Author response to the JOSPT Letter to the Editor-in-Chief "Asking the Right Question is Key to Getting a Valuable Answer" J Orthop Sports Phys Ther 2023;53(11):726-727. doi:10.2519/jospt.2023.0204-R.
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Indeed, Correlation Does Not Indicate Causation! J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Guilherme S Nunes,Wandréa S L A de Moraes,Vanderson de Souza Sampaio,Nayara Ribeiro Seda,Gabriel Dos Santos Mouta,Anna Julia Meireles Dangui,Rafael de Souza Petersen,Theresa Helissa Nakagawa
Author response to the JOSPT Letter to the Editor-in-Chief "Lower-Limb Kinematics and Clinical Outcomes: Correlation Does not Imply Causality" J Orthop Sports Phys Ther 2023;53(11):723-725. doi:10.2519/jospt.2023.0203-R.
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Lower-Limb Kinematics and Clinical Outcomes: Correlation Does Not Imply Causality. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Gabriel Peixoto Leão Almeida,João Felipe Miranda Rios
Letter to the Editor-in-Chief in response to JOSPT article "Are changes in dynamic knee movement control related to changes in pain or function in people with knee disorders?" by Nunes GS, de Moraes WSLA, de Souza Sampaio V, et al. J Orthop Sports Phys Ther 2023;53(11):1. doi:10.2519/jospt.2023.0203.
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Effects of Hip Pain Diagnostic Labels and Their Explanations on Beliefs About Hip Pain and How to Manage It: An Online Randomized Controlled Trial. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Travis Haber,Michelle Hall,Fiona Dobson,Belinda J Lawford,Fiona McManus,Karen E Lamb,Rana S Hinman
OBJECTIVES: To compare the effects of diagnostic labels and their explanations on people's beliefs about managing hip pain. DESIGN: Online randomized controlled trial involving 626 participants. METHODS: Participants aged ≥45 years with and without hip pain considered a hypothetical scenario (initial doctor consultation for hip pain). They were randomized to receive a diagnostic label and explanation
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Relationships Between Common Preseason Screening Measures and Dance-Related Injuries in Preprofessional Ballet Dancers. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Meghan L Critchley,Stephan Bonfield,Reed Ferber,Kati Pasanen,Sarah J Kenny
OBJECTIVE: To examine modifiable and nonmodifiable factors for associations with dance-related injury among preprofessional ballet dancers over 5 academic years. DESIGN: Prospective cohort study. METHODS: Full-time preprofessional ballet dancers (n = 452; 399 female; median age [range], 15 years [11-21]) participated across 5 academic years at a vocational school. Participants completed baseline screening
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Can Clinicians Trust Objective Measures of Hip Muscle Strength From Portable Dynamometers? A Systematic Review With Meta-analysis and Evidence Gap Map of 107 Studies of Reliability and Criterion Validity Using the COSMIN Methodology. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Marina C Waiteman,Micah C Garcia,Ronaldo V Briani,Grant Norte,Neal R Glaviano,Fábio M De Azevedo,David M Bazett-Jones
OBJECTIVE: To summarize the evidence on reliability and criterion validity of hip muscle strength testing using portable dynamometers. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: Five databases were searched from inception to March 2023. STUDY SELECTION CRITERIA: We included studies investigating reliability or criterion validity of hip flexor, extensor, abductor, adductor, or
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Knee Injury and Osteoarthritis Outcome Score Interpretation Thresholds at 3 and 12 Months After Arthroscopic Meniscal Surgery. What Changes, and What Stays the Same? J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Lina Holm Ingelsrud,Berend Terluin,Jonas Bloch Thorlund,Julie Rønne Pedersen,Ewa M Roos
OBJECTIVE: To evaluate the change in minimal important change (MIC), patient acceptable symptom state (PASS), and treatment failure (TF) thresholds for the Knee injury and Osteoarthritis Outcome Score (KOOS) from 3 to 12 months following arthroscopic meniscus surgery. DESIGN: Retrospective cohort study. METHODS: We included patients from the Knee Arthroscopy Cohort Southern Denmark who had meniscus
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Musculoskeletal Injury in an Australian Professional Ballet Company, 2018-2021: 953 Medical-Attention and 706 Time-Loss Injuries Over 4 Years. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Louise Drysdale,Zara Gomes,Liam Toohey,Kate Pumpa,Phil Newman
OBJECTIVES: To describe the incidence rate, frequency, severity, recurrence, and burden of musculoskeletal injury in professional ballet. STUDY DESIGN: Descriptive epidemiological (retrospective). METHODS: Professional dancers (n = 73, 40 females, 33 males) provided consent for retrospective review of musculoskeletal injury data. Medical-attention injuries were reported to and recorded by onsite physiotherapists
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TENDINopathy Severity Assessment - Achilles (TENDINS-A): Development and Content Validity Assessment of a New Patient-Reported Outcome Measure for Achilles Tendinopathy. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Myles C Murphy,Richard Newsham-West,Jill Cook,Ruth L Chimenti,Robert-Jan de Vos,Nicola Maffulli,Peter Malliaras,Nonhlanhla Mkumbuzi,Craig Purdam,J Turner Vosseller,Ebonie K Rio
OBJECTIVE: To develop a new patient-reported outcome measure (PROM) assessing TENDINopathy Severity of the Achilles (TENDINS-Achilles) and evaluate its content validity. DESIGN: Mixed-methods, modified Delphi. METHODS: We performed 1 round of semistructured one-on-one interview responses with professionals and patients, for initial item generation. This was followed by 1 round of survey responses for
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Terminating Corticosteroid Injection in Tendinopathy? Hasta la Vista, Baby. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-11-01 Tjerk So Sleeswijk Visser,Robbart van Linschoten,Bill Vicenzino,Adam Weir,Robert-Jan de Vos
SYNOPSIS: Two recent randomized-controlled trials showed promising results of local corticosteroid injections combined with exercise therapy for Achilles tendinopathy and plantar fasciopathy. Should clinicians go back to using corticosteroid injections to treat tendinopathy? Are corticosteroids back (baby)? In this viewpoint we critically appraise the new evidence and humbly share our clinical reasoning
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Who's Afraid of Electrical Stimulation? Let's Re-Visit the Application of NMES at the Knee. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-30 Elanna Arhos,Naoaki Ito,Airelle Giordano,Thomas P Nolan,Lynn Snyder-Mackler,Karin Grävare Silbernagel
BACKGROUND: Restoring quadriceps strength is essential for successful rehabilitation of knee injuries, but many athletes return to their previous activity with persisting muscle weakness. Strong evidence supports using neuromuscular electrical stimulation (NMES) to improve quadriceps strength, however, there is a lack of widespread clinical implementation. We believe there is a critical need to provide
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Effectiveness of Exercise Interventions for Preventing Neck Pain: A Systematic Review With Meta-analysis of Randomized Controlled Trials. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01 Florian Teichert,Vera Karner,Rebekka Döding,Tobias Saueressig,Patrick J Owen,Daniel L Belavy
OBJECTIVE: To update the evidence on the effectiveness of exercise interventions to prevent episodes of neck pain. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: MEDLINE, Embase, CENTRAL, CINAHL, SPORTDiscus, PEDro, and trial registries from inception to December 2, 2022. Forward and backward citation searches. STUDY SELECTION CRITERIA: Randomized controlled trials (RCTs) that enrolled
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Football Players With Hip Dysplasia: The Relationship Between Muscle Strength, Functional Performance, Self-reported Sport and Recreation, Cartilage Defects, and Sex. A Cross-sectional Study. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01 Michael J M O'Brien,Joanne L Kemp,Adam Ivan Semciw,Inger Mechlenburg,Julie S Jacobsen,Matthew G King,Mark J Scholes,Peter R Lawrenson,Rintje Agricola,Richard B Souza,Joshua Heerey
OBJECTIVE: In symptomatic football players with hip dysplasia, we aimed to explore the relationships between self-reported sport and recreation ability and (1) hip muscle strength, (2) functional performance, and investigate if these relationships were modified by sex or cartilage defects. METHODS: In this cross-sectional study, football players (n = 50) with longstanding (>6 months) hip and/or groin
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Hip Pain and Physical Therapy Nonarthritic Hip Pain: What Is It? What Should I Do About It? How Do I Get Back to My Regular Activities? J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01
Hip pain can have many causes, both arthritic and non-arthritic. Experts in managing hip pain developed a guideline to help rehabilitation clinicians help you understand more about hip pain. Here we explain what physical therapy might offer you if you have hip pain and arthritis has been ruled out. You will find out about some of the leg strength and balance tests your physical therapist might ask
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The Effect of a Psychologically Informed Video Series to Treat Adolescents With Patellofemoral Pain: A Randomized Controlled Trial. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01 Mitchell Selhorst,Jessica Hoehn,Laura Schmitt,Jason Benedict,Alicia Fernandez-Fernandez
OBJECTIVE: To test whether a series of brief, psychologically informed educational videos added to physical therapy improved function among adolescents with patellofemoral pain. The secondary aims were to assess pain and psychological beliefs. DESIGN: A double-blinded randomized controlled trial. METHODS: Sixty-eight adolescents with patellofemoral pain were randomly assigned to view brief, psychologically
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Drawing a "Perfect Circle": How Clinicians Can Become Better Communicators. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01 Seth Peterson,Maxi Miciak,Michelle Kleiner,John Woolf,Todd Davenport
SYNOPSIS: Despite the importance of communication in person-focused care, biomedical knowledge and technical skill development are often prioritized in physical therapy education. As clinicians and educators, we contend that mindfulness and reflection nurture effective communication approaches and support physical therapists in navigating the complexity and uncertainty that comprise most clinical interactions
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What Factors Do Clinicians, Coaches, and Athletes Perceive Are Associated With Recovery From Low Back Pain in Elite Athletes? A Concept Mapping Study. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01 Larissa Trease,Andrea B Mosler,Alex Donaldson,Mark J Hancock,Michael Makdissi,Kellie Wilkie,Joanne Kemp
OBJECTIVE: Identify factors that elite sport clinicians, coaches, and athletes perceive are associated with low back pain (LBP) recovery. DESIGN: Concept mapping methodology. METHOD: Participants brainstormed, sorted (thematically), and rated (5-point Likert scales: importance and feasibility) statements in response to the prompt, "What factors are associated with the recovery of an elite athlete from
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Which Psychological and Psychosocial Constructs Are Important to Measure in Future Tendinopathy Clinical Trials? A Modified International Delphi Study With Expert Clinician/Researchers and People With Tendinopathy. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2024-01-01 Carl Stubbs,Sean McAuliffe,Ruth L Chimenti,Brooke K Coombes,Terry Haines,Luke Heales,Robert Jan de Vos,Greg Lehman,Adrian Mallows,Lori A Michner,Neal L Millar,Seth O'Neill,Kieran O'Sullivan,Melanie Plinsinga,Michael Rathleff,Ebonie Rio,Megan Ross,Jean-Sebastien Roy,Karin Gravare Silbernagel,Athol Thomson,Tim Trevail,Inge van den Akker-Scheek,Bill Vicenzino,Johan W S Vlaeyen,Rafael Zambelli Pinto,Peter
OBJECTIVE: To identify which psychological and psychosocial constructs to include in a core outcome set to guide future clinical trials in the tendinopathy field. DESIGN: Modified International Delphi study. METHODS: In 3 online Delphi rounds, we presented 35 psychological and psychosocial constructs to an international panel of 38 clinician/researchers and people with tendinopathy. Using a 9-point
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Hip Pain and Movement Dysfunction Associated With Nonarthritic Hip Joint Pain - 2023 Revision Using the Evidence to Guide Musculoskeletal Rehabilitation Practice. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-09-01
Nonarthritic hip joint pain is a collection of conditions involving intra-articular structures of the hip, including femoroacetabular impingement syndrome (FAIS), developmental dysplasia of the hip (DDH), hip instability, acetabular labral tears, osteochondral lesions, loose bodies, and ligamentum teres tears. Pain in the hip region can also involve non-musculoskeletal, lumbosacral spine, intra-articular
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What's in a Name? Introducing Movement Science Media: The JOSPT Community's Guide to Quality Musculoskeletal Rehabilitation Content. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-09-01 Rob Bennett,Clare L Ardern
SYNOPSIS: The Journal of Orthopaedic & Sports Physical Therapy was first published in the summer of 1979 by the Orthopaedic and Sports Sections of the American Physical Therapy Association. The journal's mission was to publish scientifically rigorous content and promote its application to movement-related health. In 1979, we were focused solely on 1 journal, and the publishing organization shared the
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Quantifying Fear Avoidance Behaviors in People With Concussion: A COSMIN-Informed Systematic Review. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-09-01 Liam J Sherwood,Vasileios Korakakis,Andrea B Mosler,Lauren Fortington,Myles C Murphy
OBJECTIVE: The validity of existing fear avoidance behavior patient-reported outcome measures (PROMs) for concussion is unknown. This study aims to (1) identify PROMs that assess fear avoidance behavior in individuals with concussion and (2) assess the measurement properties of these PROMs. DESIGN: A systematic review of outcome measurement instruments using the COnsensus-based Standards for the selection
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Benefits and Harms of Spinal Manipulative Therapy for Treating Recent and Persistent Nonspecific Neck Pain: A Systematic Review With Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-09-01 Silvia Minnucci,Tiziano Innocenti,Stefano Salvioli,Silvia Giagio,Marzia Stella Yousif,Francesca Riganelli,Chiara Carletti,Daniel Feller,Fabrizio Brindisino,Agostino Faletra,Alessandro Chiarotto,Firas Mourad
OBJECTIVE: We aimed to estimate the benefits and harms of cervical spinal manipulative therapy (SMT) for treating neck pain. DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials (RCTs). LITERATURE SEARCH: We searched the MEDLINE, Cochrane CENTRAL, Embase, CINAHL, PEDro, Chiropractic Literature Index bibliographic databases, and grey literature sources, up to June
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Spinal Manipulative Therapy for Nonspecific Low Back Pain: Does Targeting a Specific Vertebral Level Make a Difference?: A Systematic Review With Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-09-01 Peter Westlund Sørensen,Casper Glissmann Nim,Erik Poulsen,Carsten Bogh Juhl
OBJECTIVE: We aimed to examine whether targeting spinal manipulative therapy (SMT), by applying the intervention to a specific vertebral level, produces superior clinical outcomes than a nontargeted approach in patients with nonspecific low back pain. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: MEDLINE, Embase, CENTRAL, CINAHL, Scopus, PEDro, and Index to Chiropractic Literature
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Diagnostic Accuracy of Clinical Tests for Assessing Greater Trochanteric Pain Syndrome: A Systematic Review With Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2024-01-01 Rita Kinsella,Adam I Semciw,Lyndon J Hawke,James Stoney,Peter F M Choong,Michelle M Dowsey
OBJECTIVE: We aimed to evaluate the accuracy of clinical tests that are used to diagnose greater trochanteric pain syndrome (GTPS) in clinical practice. DESIGN: Diagnostic test accuracy systematic review with meta-analysis. LITERATURE SEARCH: MEDLINE, Embase, CINAHL, AMED, and SPORTDiscus were searched using key words mapped to diagnostic test accuracy for GTPS. STUDY SELECTION CRITERIA: Studies with
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Systematic Reviews 2 - Synthesizing the Evidence: Linking Evidence to Practice. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-08-01 Steven J Kamper
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Systematic Reviews 1 - Gathering the Evidence: Linking Evidence to Practice. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-08-01 Steven J Kamper
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The Relationship Between Neck Strength and Sports-Related Concussion in Team Sports: A Systematic Review With Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-10-01 Joel M Garrett,Marco Mastrorocco,Kerry Peek,Daniel J van den Hoek,Thomas B McGuckian
OBJECTIVE: We aimed to quantify the relationship between neck strength and sports-related concussion (SRC) for athletes participating in team sports. DESIGN: Etiology systematic review with meta-analysis. LITERATURE SEARCH: PubMed, PsycINFO, MEDLINE, CINAHL, CENTRAL, and Scopus were searched on March 17, 2022, and updated on April 18, 2023. STUDY SELECTION CRITERIA: Team sports where an opponent invades
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Expert Consensus for the Use of Outpatient Rehabilitation Visits After Total Knee Arthroplasty: A Delphi Study. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-09-01 Jeremy Graber,Laura Churchill,Tamara Struessel,Shane O'Malley,Michael Bade,Jennifer Stevens-Lapsley
OBJECTIVE: There is no consensus for how to use rehabilitation visits after total knee arthroplasty (TKA). We sought to develop expert recommendations for outpatient rehabilitation visit usage after TKA. DESIGN: Delphi study. METHODS: First, we developed a broad list of preliminary visit usage recommendations, which were specific to patients' recovery status (ie, slow, typical, or fast recovery) and
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Broken Machines or Active Bodies? Part 3. Five Recommendations to Shift the Way Clinicians Communicate With People Who Are Seeking Care for Osteoarthritis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-07-01 Samantha Bunzli,Nicholas F Taylor,Penny O'Brien,Jason A Wallis,J P Caneiro,Robyn Woodward-Kron,David J Hunter,Peter F Choong,Michelle M Dowsey,Nora Shields
SYNOPSIS: In parts 1 and 2 of this series, we highlighted the dominant impairment way of talking about osteoarthritis: talking that frames osteoarthritis as a disease of cartilage worsened by physical activity that can only be "cured" by replacing the joint. An alternative understanding that counters common misconceptions about osteoarthritis, and links physical activity and healthy lifestyles to improvements
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Hip Pain and Movement Dysfunction Associated With Nonarthritic Hip Joint Pain: A Revision. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-07-01 Keelan R Enseki,Nancy J Bloom,Marcie Harris-Hayes,Michael T Cibulka,Ashley Disantis,Stephanie Di Stasi,Philip Malloy,John C Clohisy,Robroy L Martin
The Academy of Orthopaedic Physical Therapy (AOPT), formerly the Orthopaedic Section of the American Physical Therapy Association (APTA), has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health
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Resistance, Motor Control, and Mindfulness-Based Exercises Are Effective for Treating Chronic Nonspecific Neck Pain: A Systematic Review With Meta-Analysis and Dose-Response Meta-Regression. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-08-01 Juliane Mueller,Jonas Weinig,Daniel Niederer,Sarah Tenberg,Steffen Mueller
OBJECTIVE: We aimed to analyze the effects and dose-response relationship of the most effective exercises for improving pain and disability in people with chronic nonspecific neck pain. DESIGN: Intervention systematic review with meta-analysis. LITERATURE SEARCH: We searched the PubMed, PEDro, and CENTRAL databases from their inception to September 30, 2022. STUDY SELECTION CRITERIA: We included randomized
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Youth With a Sport-Related Knee Injury Exhibit Significant and Persistent Knee-Related Quality-of-Life Deficits at 12-Month Follow-up Compared to Uninjured Peers. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-08-01 Christina Y Le,Jean-Michel Galarneau,Stephanie R Filbay,Carolyn A Emery,Patricia J Manns,Jackie L Whittaker
OBJECTIVE: We aimed to compare knee-related quality of life (QOL) between youth with and without an intra-articular, sport-related knee injury at baseline (≤4 months postinjury), 6-month, and 12-month follow-up, and assess the association between clinical outcomes and knee-related QOL. DESIGN: Prospective cohort study. METHODS: We recruited 86 injured and 64 uninjured youth (similar age, sex, sport)
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Patient-Reported Outcome Measures for Adults and Adolescents With Patellofemoral Pain: A Systematic Review of Construct Validity, Reliability, Responsiveness, and Interpretability Using the COSMIN Methodology. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-08-01 Lisa T Hoglund,David A Scalzitti,Dhinu J Jayaseelan,Lori A Bolgla,Susan Flannery Wainwright
OBJECTIVE: We aimed to appraise the construct validity, reliability, responsiveness, and interpretability of patient-reported outcome measures (PROMs) used to assess function and pain in adults and adolescents with patellofemoral pain (PFP). DESIGN: Systematic review of measurement properties LITERATURE SEARCH: We searched the PubMed, CINAHL, Scopus, SPORTDiscus, and Cochrane Library databases from
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Knee- and Overall Health-Related Quality of Life Following Anterior Cruciate Ligament Injury: A Cross-sectional Analysis of Australian and Canadian Cohorts. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-07-01 Brooke E Patterson,Carolyn Emery,Kay M Crossley,Adam G Culvenor,Jean-Michel Galarneau,Jacob L Jaremko,Clodagh M Toomey,Ali Guermazi,Jackie L Whittaker
OBJECTIVE: To describe the knee- and overall health-related quality of life (QOL) 3 to 12 years after anterior cruciate ligament (ACL) tear, and to assess the association of clinical and structural features with QOL after ACL tear. DESIGN: Cross-sectional analysis of combined data from Australian (n = 76, 5.4 years postinjury) and Canadian (n = 50, 6.6 years postinjury) prospective cohort studies.
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Broken Machines or Active Bodies? Part 2. How People Talk About Osteoarthritis and Why Clinicians Need to Change the Conversation. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-06-01 Samantha Bunzli,Nicholas F Taylor,Penny O'Brien,Jason A Wallis,J P Caneiro,Robyn Woodward-Kron,David J Hunter,Peter F Choong,Michelle M Dowsey,Nora Shields
SYNOPSIS: How people talk about osteoarthritis may impact outcomes, including uptake of guideline recommendations related to activity-based lifestyles and interventions. In this editorial, we describe 2 key ways of talking, based on findings from our systematic review of 62 qualitative studies exploring the perceptions of people with knee osteoarthritis (n = 1208), their carers (n = 28), and clinicians
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A Second Look at the Risks of Serious Adverse Events with Orthopaedic Manual Therapy, Paracetamol, and NSAID Treatment of Neck Pain. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-06-01 Chris Maher,Andrew McLachlan,Christina Abdel Shaheed
Letter to the Editor-in-Chief in response to JOSPT article "International Framework for Examination of the Cervical Region for Potential of Vascular Pathologies of the Neck Prior to Musculoskeletal Intervention: International IFOMPT Cervical Framework" by Rushton A, Carlesso LC, Flynn T, et al. J Orthop Sports Phys Ther 2023;53(6):1-2. doi:10.2519/jospt.2023.0202.
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Combining Neurocognitive and Functional Tests to Improve Return-to-Sport Decisions Following ACL Reconstruction. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-08-01 Dustin R Grooms,Meredith Chaput,Janet E Simon,Cody R Criss,Gregory D Myer,Jed A Diekfuss
SYNOPSIS: Neuroplasticity after anterior cruciate ligament (ACL) injury alters how the nervous system generates movement and maintains dynamic joint stability. The postinjury neuroplasticity can cause neural compensations that increase reliance on neurocognition. Return-to-sport testing quantifies physical function but fails to detect important neural compensations. To assess for neural compensations
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Exercise Increases Pain Self-efficacy in Adults With Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-06-01 Yannick L Gilanyi,Michael A Wewege,Brishna Shah,Aidan G Cashin,Christopher M Williams,Simon R E Davidson,James H McAuley,Matthew D Jones
OBJECTIVE: To determine the effect of exercise on pain self-efficacy in adults with nonspecific chronic low back pain (NSCLBP). DESIGN: Intervention systematic review with meta-analysis LITERATURE SEARCH: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, PsycINFO, and CINAHL databases from October 20, 2018, to March 23, 2022. SELECTION CRITERIA: We included randomized
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A Call for Improving Research on Pain Neuroscience Education and Chronic Pain: An Overview of Systematic Reviews. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-06-01 Javier Martinez-Calderon,Emma Kwan-Yee Ho,Paulo Henrique Ferreira,Cristina Garcia-Muñoz,Olga Villar-Alises,Javier Matias-Soto
OBJECTIVE: We aimed to summarize the evidence of the effects of pain neuroscience education delivered alone or combined with other interventions for chronic pain. DESIGN: An overview of systematic reviews with meta-analysis. LITERATURE SEARCH: CINAHL (via EBSCOhost), Embase, PsycINFO (via ProQuest), PubMed, and the Cochrane Library were searched from their inception to November 14, 2022. STUDY SELECTION
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Broken Machines or Active Bodies? Part 1. Ways of Talking About Health and Why It Matters. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-05-01 Samantha Bunzli,Nicholas F Taylor,Penny O'Brien,Jason A Wallis,J P Caneiro,Robyn Woodward-Kron,David J Hunter,Peter F Choong,Michelle M Dowsey,Nora Shields
SYNOPSIS: This editorial series raises awareness among clinicians about how ways of talking about orthopaedic conditions can influence what people who are seeking health care (1) think about their health and (2) what they do to manage their health. In part 1, we introduce you to ways of talking about health, using osteoarthritis as a case study. In part 2, we describe 2 contrasting ways of talking
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Description, Prediction, and Causation in Sport and Exercise Medicine Research: Resolving the Confusion to Improve Research Quality and Patient Outcomes. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-07-01 Justin M Losciale,Garrett S Bullock,Gary S Collins,Amelia J H Arundale,Tom Hughes,Nigel K Arden,Jackie L Whittaker
SYNOPSIS: Researchers often assign a label (such as a risk factor or predictor) to a characteristic that is statistically associated with an outcome (such as future injury). Labeling signifies that the characteristic has an established clinical value. More often than not, these labels are assigned prematurely and haphazardly. The rampant practice conflates research goals, the ultimate clinical value
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Are Changes in Dynamic Knee Movement Control Related to Changes in Pain or Function in People With Knee Disorders? A Systematic Review and Meta-analysis. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-07-01 Guilherme S Nunes,Wandréa S L A de Moraes,Vanderson de Souza Sampaio,Nayara Ribeiro Seda,Gabriel Dos Santos Mouta,Anna Julia Meireles Dangui,Rafael de Souza Petersen,Theresa Helissa Nakagawa
OBJECTIVE: To study whether changes in dynamic knee valgus or varus were associated with changes in pain or function in people with knee disorders. DESIGN: Systematic review with meta-analysis. LITERATURE SEARCH: We searched the MEDLINE, Embase, CINAHL, SPORTDiscus, Cochrane Library, and Web of Science, from inception up to January 2023. STUDY SELECTION CRITERIA: We included randomized controlled trials
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Using Randomized Controlled Trials in the Sports Medicine and Performance Environment: Is It Time to Reconsider and Think Outside the Methodological Box? J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-06-01 Garrett S Bullock,Patrick Ward,Tom Hughes,Charles A Thigpen,Chad E Cook,Ellen Shanley
SYNOPSIS: Randomized controlled trials (RCTs) are ubiquitous in medicine and have facilitated great strides in clinical care. However, when applied in sport, RCTs have limitations that hinder implementing effective interventions in the real-world clinical setting. Pragmatic clinical trials offer some solutions. Yet due to the competitive, high-pressure nature of sport at the individual, team, and governing
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Classifying Nonspecific Low Back Pain for Better Clinical Outcomes: Current Challenges and Paths Forward. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-05-01 Scott D Tagliaferri,Patrick J Owen,Clint T Miller,Ulrike H Mitchell,Katja Ehrenbrusthoff,Daniel L Belavy
SYNOPSIS: Low back pain classification systems are structured assessments used to guide choices of more specific treatments. Classification systems examined in randomized controlled trials have limited effects on pain intensity and disability compared to nonclassified interventions. Potential reasons for the lack of efficacy include (1) failing to assess multidimensional factors that contribute to
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Neck Strength Assessment Offers No Clinical Value in Predicting Concussion in Male Professional Rugby Players: A Prospective Cohort Study. J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-05-01 Mairead Liston,Chris Leckey,Andrew Whale,Nicol van Dyk
OBJECTIVE: To determine if neck muscle strength and endurance are associated with concussion injuries in professional, male rugby players. Playing position, history of previous concussion, and age were also considered. DESIGN: Prospective cohort study METHODS: One hundred thirty-six male, professional rugby players completed neck strength testing that comprised a peak isometric test, an endurance test
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Tennis Elbow: What Is It? How Do I Get Back to My Regular Activities? J. Orthop. Sports Phys. Ther. (IF 6.1) Pub Date : 2023-04-01
You do not have to play tennis to get tennis elbow-a very common problem for people who do lots of repetitive movements of the wrist, forearm and elbow, such as carpentry, painting or racquet sports. Most people with tennis elbow feel pain on the outside of their elbow and upper forearm. Experts in managing elbow pain developed a guideline for rehabilitation clinicians to use to help you understand