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Articles 61 - 78 of 78
Full-Text Articles in Investigative Techniques
A Case Report Of The Evaluation And Management Of Low Back Pain In A High School Basketball Player, K Leveston, K Neelon, E Ephran
A Case Report Of The Evaluation And Management Of Low Back Pain In A High School Basketball Player, K Leveston, K Neelon, E Ephran
Clinical Practice in Athletic Training
Background: Low back pain can be a tough injury to endure, especially in the growing high school athlete.3 LBP in a high school athlete can be caused by various factors, such as structural deformities, mobility deficits, and so much more. The majority of LBP in adolescents is nonspecific LBP, which is defined as LBP that does not cause systemic or structural changes.5 Nonspecific LBP is often a result of other etiologies such as hypermobile or hypomobile segments of the spine, hip mobility deficits, gait, sleeping positions, or improper weightlifting form. Differential Diagnoses: Other possible diagnoses of LBP in adolescents could …
Comparison Of The Closed Shoulder Reduction Techniques: An Evidence-To-Practice Review, Kaitlin Sznajder, Dylan Arango, Zachary K. Winkelmann
Comparison Of The Closed Shoulder Reduction Techniques: An Evidence-To-Practice Review, Kaitlin Sznajder, Dylan Arango, Zachary K. Winkelmann
Clinical Practice in Athletic Training
The shoulder joint is one of the most dislocated joints in the body. It does not have substantial bony support which allows for a large range of motion. Shoulder joints most commonly dislocate anteriorly, and less often dislocate posteriorly and inferiorly. There is a myriad of ways to reduce a shoulder dislocation including closed and open techniques. The purpose of this evidence-to-practice review is to summarize which closed shoulder reduction techniques are most effective and apply those results to an athletic training setting. The authors of this guiding systematic review studied multiple articles that compared different closed shoulder reduction techniques …
Body Tempering And Its Effect On Ankle Dorsiflexion And Power, Neal Ori, Justin Goins, Jay Patel, Robbie Ingle
Body Tempering And Its Effect On Ankle Dorsiflexion And Power, Neal Ori, Justin Goins, Jay Patel, Robbie Ingle
Clinical Practice in Athletic Training
Body Tempering (BT) is a newer myofascial release (MFR) technique that is used by athletes and healthcare professionals. The effects of BT are stated to be similar to foam rolling (FR) and other MFR techniques, but there is minimal research assessing the effects of BT on power and range of motion (ROM). The purpose of this study was to determine the effect of BT on ankle dorsiflexion ROM and power, as well as to compare the effects of BT to traditional FR. Twenty college-aged participants (10 males-10 females) were tested before and after intervention on three measurements of the broad …
Using The Mulligan Mobilization With Movement And Fibular Repositioning To Treat High School Patients With A Grade One Lateral Ankle Sprain, Alexander Zettlemoyer, Rich Patterson, Russell Baker, Alan Nasypany
Using The Mulligan Mobilization With Movement And Fibular Repositioning To Treat High School Patients With A Grade One Lateral Ankle Sprain, Alexander Zettlemoyer, Rich Patterson, Russell Baker, Alan Nasypany
Clinical Practice in Athletic Training
Ankle injuries are common among high school athletics with the highest incidence rates in boys and girls basketball and boys football. Novel treatment paradigms like the Mulligan Mobilization with Movement (MWM) in conjunction with fibular repositioning tape have shown promising results in reducing pain, disability, and time lost due to lateral ankle sprains (LAS). However, research focusing on Mulligan treatment strategies and ankle swelling following a LAS is limited. Therefore, the purpose of this case series was to evaluate the combined effects of the MWM and fibular repositioning taping on swelling, function, and pain in high school patients with an …
Improving Ankle Range Of Motion With The Use Of Instrument Assisted Soft Tissue Mobilization: A Validation Case Study, Sarah Jakubek, Elena Robinson, Annette D. Monk
Improving Ankle Range Of Motion With The Use Of Instrument Assisted Soft Tissue Mobilization: A Validation Case Study, Sarah Jakubek, Elena Robinson, Annette D. Monk
Clinical Practice in Athletic Training
The purpose of this case validation study was to examine the effects of Instrument-Assisted Soft Tissue Mobilization (IASTM) on the ankle. The patient population consisted of nine participants (2 females, 7 males, age = 16± 2 years) from a suburban high school in Illinois. Each patient completed an IASTM treatment program, incorporating the Graston Technique (GT). The program was completed over a three-week period with 2 sessions occurring each week, for a total of 6 sessions. Data collection of ankle dorsiflexion range of motion (DFROM) occurred after the completion of the GT. This was assessed by performing the weight-bearing lunge …
Best Practices For Clinical Evaluation Of Sacroiliac Joint Pain: An Evidence-To-Practice Review, Nicolette A. Harris, Adriana Peña, Sofia Núñez Rivera
Best Practices For Clinical Evaluation Of Sacroiliac Joint Pain: An Evidence-To-Practice Review, Nicolette A. Harris, Adriana Peña, Sofia Núñez Rivera
Clinical Practice in Athletic Training
Sacroiliac joint (SIJ) pain serves as an under-recognized source of chronic low back pain. Improvement in the accuracy of a clinical SIJ pain diagnosis lends a higher likelihood of appropriate treatment measures, better patient outcomes and decreased out-of-pocket costs. Therefore, the overall purpose of this evidence to practice review was to highlight the main points of a systematic review on the clinical diagnosis of SIJ pain. Searches of five electronic databases revealed 758 studies, nonetheless only six studies met final inclusion criteria. Studies included were assessed by the authors for methodological quality using the Quality Assessment of Diagnostic Accuracy Studies …
Evaluation And Treatment Of The Water-Polo Player With Anterior Glenohumeral Instability, M Zimmerman
Evaluation And Treatment Of The Water-Polo Player With Anterior Glenohumeral Instability, M Zimmerman
Clinical Practice in Athletic Training
Background: Glenohumeral (GH) instability is a common shoulder condition with a range of characteristics from laxity within the GH joint to complete dislocation of the humerus. The GH joint is held in place by static and dynamic stabilizers that need to be functioning appropriately to center the humerus in the glenoid fossa. Acquired shoulder instability is defined as chronic stress of the humerus in an externally rotated and abducted position on the shoulder joint from repetitive overhead (OH) sports causing anterior instability of the shoulder. Diagnosing shoulder instability is reliant on the patient’s history and physical examination findings during testing. …
An Exploratory Analysis Of A Treatment Based Classification Algorithm To Treat Patellar Tendinopathy, Monica Matocha, Patti Syvertson, Janet Mcmurray, Emily R. Dietz, Russell T. Baker, Alan Nasypany, Don Reordan, Darcy Downey
An Exploratory Analysis Of A Treatment Based Classification Algorithm To Treat Patellar Tendinopathy, Monica Matocha, Patti Syvertson, Janet Mcmurray, Emily R. Dietz, Russell T. Baker, Alan Nasypany, Don Reordan, Darcy Downey
Clinical Practice in Athletic Training
The general and athletic populations commonly experience patellar tendon pain, which is frequently treated with a gold standard 12-week eccentric exercise protocol. The present research study was designed to determine the effects of a treatment based classification (TBC) algorithm utilizing indirect treatment techniques in patellar tendinopathy participants. Ten participants (seven females, three males, mean age = 19.6 ± 1.07, mean symptom duration = 2.14 years with a range of one week to six years) with patellar tendinopathy were evaluated and included in this study. Each participant underwent a thorough evaluation process to aid in determining inclusion: participant medical history, range …
Treatment And Management Of Complex Knee Injury: A Case Report, K Braunreiter, S Kerwin
Treatment And Management Of Complex Knee Injury: A Case Report, K Braunreiter, S Kerwin
Clinical Practice in Athletic Training
Background: The “unhappy triad” injury includes tears of the anterior cruciate ligament, medial collateral ligament, and medial meniscus. There is limited research on the prevalence and outcome of this injury. The unique surgical repair consisting of lateral extra-articular tenodesis (LET) was utilized to reinforce the anterior cruciate ligament repair (ACLR) and to prevent rerupture. Due to this extensive surgery, the patient struggled to regain full range of motion and quadriceps activation. This case is a Level 2 case study that explores the different interventions used to address the aforementioned objective deficits and return him safely to play. Patient: The patient …
The Effects Of The Myokinesthetic System On Medial Tibial Stress Syndrome In The Physically Active: A Case Study, Rodrigo E. Martinez, Evelyn Benitez-Lopez, Lindsey Larkins
The Effects Of The Myokinesthetic System On Medial Tibial Stress Syndrome In The Physically Active: A Case Study, Rodrigo E. Martinez, Evelyn Benitez-Lopez, Lindsey Larkins
Clinical Practice in Athletic Training
Medial tibial stress syndrome (MTSS) is a common pathology in physically active people and one of many overuse leg injuries present in weight bearing athletes, with the highest prevalence in runners. Researchers have extensively explored treatment for MTSS, but a long-lasting and effective treatment option has not been established. This case report aimed to explore the effects of The MyoKinesthetic SystemTM (MYK), a form of manual therapy, on two athletes diagnosed with MTSS. Patient one is a 19-year-old male rugby player with a previous history of MTSS, who reported leg pain while running which progressed to constant pain. Patient two …
Diagnostic Accuracy Of Imaging Techniques For Rotator Cuff Pathology: An Evidence-To-Practice Review, Hayley O’Connell, Brittany Decamp, Zachary Winkelmann
Diagnostic Accuracy Of Imaging Techniques For Rotator Cuff Pathology: An Evidence-To-Practice Review, Hayley O’Connell, Brittany Decamp, Zachary Winkelmann
Clinical Practice in Athletic Training
When comparing imaging techniques for rotator cuff pathologies, clinicians tend to consider musculoskeletal ultrasonography (MSK US), magnetic renaissance imaging (MRI), and magnetic renaissance imaging with arthrogram (MRA) as diagnostic imaging techniques. Since the most recent systematic review on imaging conducted in 2003, imaging technology has improved, indicating the need for a meta-analysis to evaluate the accuracy of new diagnostic techniques (MSK US) for evaluating rotator cuff pathologies. The accuracy of MSK US readings between radiologists and non-radiologists was also analyzed. Data were extracted from three different databases and included articles exploring diagnostic imaging and the accuracy of technique at the …
Clinician-Administered Versus Self-Administered Suboccipital Release On Superficial Backline Function, Colin Wilhite, Kristin A. Paloncy, Karen Rawkowski, Todd Daniel
Clinician-Administered Versus Self-Administered Suboccipital Release On Superficial Backline Function, Colin Wilhite, Kristin A. Paloncy, Karen Rawkowski, Todd Daniel
Clinical Practice in Athletic Training
The effectiveness of trigger point release in the suboccipital region to improve hamstring mobility has been established in the literature, but the research has not clarified whether self-administered soft tissue techniques produce the same improvements to mobility as when the clinician delivers the manual trigger point release. The purpose of the study was to assess whether the same increase in hamstring mobility within the superficial backline function that is achieved with a clinician-administered suboccipital trigger point release can also be obtained through a patient/self-administered method. The study employed a randomized, descriptive laboratory design in which 60 participants reported for a …
Exercise Induced Laryngeal Obstruction In A Collegiate Runner: A Case Report Of A Novel Therapy, Cody Inskeep, Todd Olin, Robert Arthur
Exercise Induced Laryngeal Obstruction In A Collegiate Runner: A Case Report Of A Novel Therapy, Cody Inskeep, Todd Olin, Robert Arthur
Clinical Practice in Athletic Training
A 23-year-old male Division I distance runner presented with several years of exertional stridor (high-pitched inspiratory noise caused by airflow obstruction), previously diagnosed as exercised-induced laryngeal obstruction (EILO), a condition formerly known as vocal cord dysfunction and exercised-induced paradoxical vocal fold motion. Over the course of roughly 3 years, the patient had previously failed conventional and invasive respiratory therapies for EILO including respiratory retraining, inspiratory muscle training, reflux suppression, allergy suppression, amitriptyline, performance psychology, and injection of botulinum toxin to the larynx. At a referral center that specializes in the treatment of EILO, the patient's diagnosis was confirmed through the …
Clinical Experts Statement: The Definition, Prescription, And Application Of Cupping Therapy, S. Andrew Cage, Diana M. Gallegos, Brian Coulombe, Brandon J. Warner
Clinical Experts Statement: The Definition, Prescription, And Application Of Cupping Therapy, S. Andrew Cage, Diana M. Gallegos, Brian Coulombe, Brandon J. Warner
Clinical Practice in Athletic Training
No abstract provided.
Graston Technique® As A Treatment For Patients With Chronic Plantar Heel Pain, Troy R. Garrett, Peter J. Neibert
Graston Technique® As A Treatment For Patients With Chronic Plantar Heel Pain, Troy R. Garrett, Peter J. Neibert
Clinical Practice in Athletic Training
Use of Instrument-Assisted Soft Tissue Massage has increased in popularity, and the plantar fascia is a superficial tissue that may benefit from this treatment. The objective of this study was to determine the effectiveness of Graston Technique® (GT) for decreasing pain and increasing function in participants with chronic plantar heel pain over a six-week period. A single blind, pretest-posttest control/comparison group design, with a sample of 22 adults (5 males, 17 females) was utilized. Participants were assigned to three groups: GT/stretching, effleurage/stretching, and stretching only. After completion, effleurage/stretching and stretching only groups were later offered GT with posttest scores recorded. …
Treatment Of Scapular Dyskinesis With Reflexive Neuromuscular Stimulation: A Case Report, Alli Z. Powell, Russell T. Baker
Treatment Of Scapular Dyskinesis With Reflexive Neuromuscular Stimulation: A Case Report, Alli Z. Powell, Russell T. Baker
Clinical Practice in Athletic Training
Scapular dyskinesis is an abnormal movement of the scapula due to poor motor control of the surrounding musculature and can lead to other glenohumeral pathologies. The pathology results in the lateral tilting of the scapula during many glenohumeral joint movements and weight-bearing activities of the upper extremity (i.e., plank). The typical conservative treatment protocol focuses on strengthening surrounding musculature and is often a lengthy protocol. A weakness of strengthening protocols is the failure to address the motor function of targeted muscles at the level of the central nervous system (CNS) to restore dynamic stability and motor control. Reactive Neuromuscular Stabilization …
The Mulligan Concept In The Treatment Of Anterior Knee Pain, Karla S. Judge, Alan Nasypany, Russell T. Baker, James May
The Mulligan Concept In The Treatment Of Anterior Knee Pain, Karla S. Judge, Alan Nasypany, Russell T. Baker, James May
Clinical Practice in Athletic Training
The purpose of the disablement model case study was to describe the case of a collegiate basketball player suffering from anterior knee pain (AKP). The patient had been experiencing AKP while participating in pre-season basketball related activities (playing, weight lifting, and conditioning) for approximately six weeks. As the intensity increased, the pain became intolerable. Previously, the patient had missed a significant amount of off-season workouts due to surgery for an upper extremity injury sustained during the competitive season. The patient reported tenderness at the inferior pole of the patella, and at the tibial tuberosity. There was no joint line tenderness, …
Short Term Effects Of A Pectoralis Minor Positional Release In Collegiate Swimmers: A Case Series, Jonathan Roman, Noelle M. Selkow
Short Term Effects Of A Pectoralis Minor Positional Release In Collegiate Swimmers: A Case Series, Jonathan Roman, Noelle M. Selkow
Clinical Practice in Athletic Training
A tight pectoralis minor correlates to abnormal scapular kinematics, which can cause pain, loss of range of motion and even loss of function, due to the change in scapular position. With these muscular imbalances causing forward scapular posture, the pectoralis minor is a key component to address in the prevention and treatment of shoulder impingement and scapular dyskinesis. This study investigated the effectiveness of a single positional release therapy (PRT) treatment of the pectoralis minor on scapular posture in collegiate swimmers immediately and 24 hours post intervention. Seventeen Division III collegiate swimmers (7 males and 10 females) volunteered to participate, …