This article brings together the latest resources and evidence available to help you put current guidelines into practice. It features videos, copies of the SCAT3 and PSCA templates, interviews from four key medical perspectives and a continuing education elearning assessment.
Anterior cruciate ligament (ACL) injuries are one of the worst knee injuries to sustain in sport, with less than 50% of athletes returning to sport in the first year following surgery and high rates of... Read More
Our regular research reviewer, physical therapist Joseph Brence, reviews research looking into the increased healthcare usage and costs that seem to be associated with diagnostic imaging, possibly as a result of the ‘labelling effect’.
This case study describes the conservative management of a runner with iliotibial band syndrome (ITBS), from diagnosis to return to running. In reading this article the audience will be shown how to practically employ the... Read More
Our regular research reviewer, physical therapist Joseph Brence, reviews research looking into the poor correlation between cervical spine imaging results and the presence of clinical symptoms.
Historically, friction at the lateral femoral condyle has been thought to be the cause of iliotibial band syndrome (ITBS). This review presents the reader with evidence that, rather than friction, compression of the lateral femoral condyle caused by altered biomechanics (as well as excessive loading) is responsible for ITBS. This review also summarises the treatment modalities for ITBS, with a significant focus on gait retraining and biomechanics. A conservative treatment paradigm is also presented to guide clinical reasoning in relation to symptom severity and irritability. The article includes a certificated elearning assessment.
Our regular research reviewer, physical therapist Joseph Brence, reviews research looking into the correlation between imaging results and low back pain.
Femoroacetabular impingement (FAI) is recognised as an anatomical discrepancy between the proximal femur and the acetabulum, which may increase the risk of intra-articular hip pathology, including labral tears and contribute to the development of groin pain. In the first article in this series I explained the biomechanics of lumbo-pelvic-femoral dysfunction as it relates to femoroacetabular impingement (FAI) and as understood by the Postural Restoration Institute. In this second article I propose biomechanical mechanisms and rationale for both CAM and pincer types of FAI. In the third article I propose a method of managing FAI using Postural Restoration Techniques.
Our regular research reviewer, physical therapist Joseph Brence, reviews research looking into complex regional pain syndrome.
Our regular research reviewer, physical therapist Joseph Brence, reviews research looking into chronic widespread pain.
This case study presents the insights gained from the presentation and treatment of a longitudinal sprain of the medial collateral ligament (MCL) of the knee in a professional footballer. MCL sprains are usually transverse and longitudinal sprains present with subtle differences. This article describes the differences in the common signs and symptoms and clinical testing to allow readers to make a differential diagnosis in their own practice.
This article discusses the possible benefits and mechanisms of effect of extracorporeal shock-wave therapy (ESWT). The terminology is also clarified, making it easier for the reader to interpret the literature on this subject.
Catch up on this quarter's essential physical therapy research. Our Physical Therapy Journal Watch brings you all the most important journal discoveries with our own unique Co-Kinetic take-home messages. This is one of our most popular sections of content aimed at saving you time and money not having to trawl the research journals!
This article sets out to explain the drivers and philosophy behind the new sportEX and Co-Kinetic website. This article is publicly available.
Osteoarthritis is a painful condition caused by the degeneration of the joints. Treatment can involve a combination of approaches, including exercise, lifestyle changes and pain relief and ultimately surgery. This article describes the use of gait retraining for the reduction of pain and improvement of function in medial osteoarthritis of the knee.
The first in a three part series explaining the biomechanics of lumbo-pelvic-femoral dysfunction as it relates to femoroacetabular impingement (FAI) and as understood by the Postural Restoration Institute® (PRI). Restoration of pelvic-femoral alignment and recruitment patterns of specific rotational muscles within the lumbo-pelvic-femoral complex will be discussed along with treatment techniques to recruit, retrain and restore ideal lumbo-pelvic-femoral position. The articles explain how to apply PRI clinical assessment and management skills when treating diagnoses such as FAI. In the second article I go on to propose biomechanical mechanisms and rationale for both CAM and pincer types of FAI. In the third article I propose a method of managing FAI using Postural Restoration Techniques.
This article seeks to provide answers to the following questions:
Lumbar discectomies for radicular symptoms are quite prevalent in the United States. Despite this, one out of every four individuals undergoing these procedures continues to have persistent pain and disability (1,2). A recent article published in Spine may change the way we approach pre-operative education and may improve post-op costs.
A recent article in The Lancet set out to investigate if a comprehensive exercise program is more effective than advice, for the treatment of individuals diagnosed with chronic WAD (3).
This article offers a ‘how to’ guide for diagnosing Achilles tendinopathy. We describe the differential diagnoses and look carefully at the history taking, examination methods and imaging techniques that are useful in diagnosing Achilles tendinopathy. The article is accompanied by a custom produced animation explaining the tendinopathy continuum, 7 professionally produced videos covering Achilles tendinopathy examination in standing and in lying, low dye taping, making temporary orthotics, eccentric loading and some case scenarios and a multiple choice quiz which results in the generation of a Pass certificate in the Quizzes area of your account on successful completion.
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