Exercise Prescription and Patellofemoral Pain: Evidence for Rehabilitation

2005 ◽  
Vol 14 (1) ◽  
pp. 72-88 ◽  
Author(s):  
Lori Bolgla ◽  
Terry Malone
Keyword(s):  
Pain Syndrome ◽  
Patellofemoral Pain Syndrome ◽  
Primary Treatment ◽  
Patellofemoral Pain ◽  
Data Sources ◽  
Therapeutic Effects ◽  
Kinetic Chain ◽  
Data Synthesis ◽  
Study Selection ◽  
Type Data

Objective:To provide evidence regarding the therapeutic effects of exercise on subjects with patellofemoral-pain syndrome (PFPS).Data Sources:Evidence was compiled with data located using the Medline, CINAHL, and SPORTDiscus databases from 1985 to 2004 using the key wordspatellofemoral pain syndrome, exercise, rehabilitation,andstrength.Study Selection:The literature review examined intervention studies evaluating the effectiveness of exercise in subjects specif-cally diagnosed with PFPS. Articles were selected based on clinical relevance to PFPS rehabilitation that required an intervention of a minimum of 4 weeks.Data Synthesis:The review supports using exercise as the primary treatment for PFPS.Conclusions:Evidence exists regarding the use of isometric, isotonic, isokinetic, and closed kinetic chain exercise. Although clinicians have advocated the use of biofeedback and patella taping, there is limited evidence regarding the efficacy of these interventions on subjects diagnosed with PFPS.

Recovery and Return to Activity Following Exertional Heat Stroke: Considerations for the Sports Medicine Staff

2007 ◽  
Vol 16 (3) ◽  
pp. 163-181 ◽  
Author(s):  
Brendon P. McDermott ◽  
Douglas J. Casa ◽  
Susan W. Yeargin ◽  
Matthew S. Ganio ◽  
Lawrence E. Armstrong ◽  
...  
Keyword(s):  
Data Extraction ◽  
Heat Stroke ◽  
Data Sources ◽  
Exertional Heat Stroke ◽  
Data Synthesis ◽  
Residual Symptoms ◽  
Study Selection ◽  
Initial Care ◽  
Type Data ◽  
Return To Activity

Objective:To describe the current scientific evidence of recovery and return to activity following exertional heat stroke (EHS).Data Sources:Information was collected using MEDLINE and SPORTDiscus databases in English using combinations of key words, exertional heat stroke, recovery, rehabilitation, residual symptoms, heat tolerance, return to activity, and heat illness.Study Selection:Relevant peer-reviewed, military, and published text materials were reviewed.Data Extraction:Inclusion criteria were based on the article’s coverage of return to activity, residual symptoms, or testing for long-term treatment. Fifty-two out of the original 554 sources met these criteria and were included in data synthesis.Data Synthesis:The recovery time following EHS is dependent on numerous factors, and recovery length is individually based and largely dependent on the initial care provided.Conclusion:Future research should focus on developing a structured return-to-activity strategy following EHS.

Effectiveness of Physical Therapy Treatments on Lateral Epicondylitis

2008 ◽  
Vol 17 (2) ◽  
pp. 119-136 ◽  
Author(s):  
Mohamed Kohia ◽  
John Brackle ◽  
Kenny Byrd ◽  
Amanda Jennings ◽  
William Murray ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Treatment Options ◽  
Lateral Epicondylitis ◽  
Data Sources ◽  
Cochrane Library ◽  
Future Research ◽  
Data Synthesis ◽  
Study Selection ◽  
Type Data ◽  
Therapy Interventions

Objective:To analyze research literature that has examined the effectiveness of various physical therapy interventions on lateral epicondylitis.Data Sources:Evidence was compiled with data located using the PubMed, EBSCO, The Cochrane Library, and the Hooked on Evidence databases from 1994 to 2006 using the key words lateral epicondylitis, tennis elbow, modalities, intervention, management of, treatment for, radiohumeral bursitis, and experiment.Study Selection:The literature used included peer-reviewed studies that evaluated the effectiveness of physical therapy treatments on lateral epicondylitis. Future research is needed to provide a better understanding of beneficial treatment options for people living with this condition.Data Synthesis:Shockwave therapy and Cyriax therapy protocol are effective physical therapy interventions.Conclusions:There are numerous treatments for lateral epicondylitis and no single intervention has been proven to be the most efficient. Therefore, future research is needed to provide a better understanding of beneficial treatment options for people living with this condition.

Defining and Measuring Functional Limitations and Disability in the Athletic Shoulder

2001 ◽  
Vol 10 (3) ◽  
pp. 221-231 ◽  
Author(s):  
Douglas R. Keskula ◽  
Jason Lott
Keyword(s):  
Outcome Measures ◽  
English Language ◽  
Functional Limitations ◽  
Self Report ◽  
Data Sources ◽  
Measurement Properties ◽  
Data Synthesis ◽  
Shoulder Dysfunction ◽  
Study Selection ◽  
Type Data

Objective:To define, identify, and briefly describe functional outcome measures for assessing functional limitations and disability in athletes with shoulder conditions.Data Sources:The MEDLINE and CINAHL databases were searched for English-language articles published from 1982 to 2000, using the termsfunctional outcomes, shoulder, questionnaires, disability,andfunctional limitations,among others.Study Selection:The authors identified disease-specific self-report questionnaires that assess functional limitations and disability in patients with shoulder dysfunction.Data Synthesis:When describing outcome measures, the authors considered the items to be assessed, the measurement properties, and the practicality of the test. They categorized the available measures designed to assess patients with shoulder instability or general shoulder conditions.Conclusions:The ability to define and measure function is a fundamental consideration in managing athletes with shoulder dysfunction. The measures described might be useful in assessing functional limitations and disability in such athletes.

Etiology of Patellar Tendinopathy in Athletes

2005 ◽  
Vol 14 (3) ◽  
pp. 259-272 ◽  
Author(s):  
Sheri A. Hale
Keyword(s):  
Clinical Management ◽  
Data Sources ◽  
Patellar Tendinopathy ◽  
Extrinsic Factors ◽  
Data Synthesis ◽  
Medline Search ◽  
Complex Process ◽  
Study Selection ◽  
Joint Dynamics ◽  
Type Data

Objective:To review the etiology of patellar tendinopathy as it relates to clinical management of chronic patellar-tendon disease in athletes.Data Sources:Information was gathered from a MEDLINE search of literature in English using the key wordspatellar tendinitis, patellar tendonitis, patellar tendinosis, patellar tendinopathy,andjumper’s knee.Study Selection:All relevant peer-reviewed literature in English was reviewed.Data Synthesis:The etiology of patellar tendinopathy is multifactorial, incorporating both intrinsic and extrinsic factors. Age, muscle flexibility, training program, and knee-joint dynamics have all been associated with patellar tendinopathy. The roles of gender, body morphology, and patellar mobility in patellar tendinopathy are unclear.Conclusions:The pathoetiology of patellar tendinopathy is a complex process that results from both an inflammatory response and degenerative changes. There is a tremendous need for research to improve our understanding of the pathoetiology of patellar tendinopathy and its clinical management.

Rehabilitation for Functional Ankle Instability

2003 ◽  
Vol 12 (2) ◽  
pp. 133-142 ◽  
Author(s):  
Diane Madras ◽  
J. Bradley Barr
Keyword(s):  
Ankle Instability ◽  
Data Sources ◽  
Ankle Sprains ◽  
Training Methods ◽  
Review Of The Literature ◽  
Data Synthesis ◽  
Study Selection ◽  
Single Leg Stance ◽  
Type Data ◽  
Balance Problems

Objective:The article presents a focused review of the literature surrounding training methods for addressing the proprioceptive loss and subsequent balance problems that result from inversion ankle sprains.Data Sources:The authors searched the MEDLINE and CINAHL databases for the period 1985 through December 2001 using the key wordsankle, ankle sprain,andrehabilitation.Study Selection:Any study investigating a rehabilitation or prevention program for the proprioceptive or balance aspects of ankle instability was included.Data Synthesis:Key components of the training regimen used in each study are described, and major findings are summarized.Conclusions:Based on the literature reviewed, there is evidence to suggest that training programs for individuals with ankle instability that include ankle-disk or wobble-board activities help improve single-leg-stance balance and might decrease the likelihood of future sprains.

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