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Détail de l'auteur
Auteur Jodi Young
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheNonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome: An Investigation Into the Utilization and Content of Physical Therapy / Jodi Young in Journal of Orthopaedic & Sports Physical Therapy, vol. 49, 8 (Août 2019)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 49, 8 (Août 2019) . - p. 593-600
Titre : Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome: An Investigation Into the Utilization and Content of Physical Therapy Type de document : article de périodique Auteurs : Jodi Young ; Alexis A. Wright, Auteur ; Daniel Rhon, Auteur Année de publication : 2019 Article en page(s) : p. 593-600 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Arthroscopie
[Thésaurus Mesh]Traitement conservateurRésumé : Background
There has been a significant increase in surgeries for femoroacetabular impingement syndrome in recent years, but little is known about the use of physical therapy prior to surgery.
Objectives
To investigate the use of physical therapy prior to hip arthroscopy for femoroacetabular impingement syndrome, by assessing the number of visits and use of exercise. A secondary objective was to evaluate whether comorbidities prior to surgery were associated with the use of physical therapy.
Methods
In this retrospective observational cohort study, eligible participants between the ages of 18 and 50 years undergoing hip arthroscopy between 2004 and 2013 in the Military Health System were included. Patients were categorized based on whether they saw a physical therapist for their hip in the year prior to surgery. For physical therapy patients, dosing variables were identified, including total number of visits and visits that included an exercise therapy procedure code.
Results
Of 1870 participants, 1106 (59.1%) did not see a physical therapist for their hip prior to surgery. For those who did, the median number of visits was 2. Only 220 (11.8%) had 6 or more unique visits with an exercise therapy procedure code. Exercise was coded in 43.4% to 63.0% of the total visits in each individual course of care (mean, 52.3%). There was an association between substance abuse and exercise utilization. No other comorbidities were associated with physical therapy or exercise therapy utilization.
Conclusion
Physical therapy was not commonly used before undergoing arthroscopic hip surgery by patients seeking care in the Military Health System. Further research is needed to understand the reasons for poor utilization and better define failed nonoperative management.
Level of Evidence
Therapy, level 2b.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible The Influence of Exercise Dosing on Outcomes in Patients With Knee Disorders: A Systematic Review / Jodi Young in Journal of Orthopaedic & Sports Physical Therapy, vol. 48, 3 (Mars 2018)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 48, 3 (Mars 2018) . - p.146-161
Titre : The Influence of Exercise Dosing on Outcomes in Patients With Knee Disorders: A Systematic Review Type de document : article de périodique Auteurs : Jodi Young ; [et al.] Année de publication : 2018 Article en page(s) : p.146-161 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Genou Résumé : Systematic review.
Background
Therapeutic exercise is commonly used to treat individuals with knee disorders, but dosing parameters for optimal outcomes are unclear. Large variations exist in exercise prescription, and research related to specific dosing variables for knee osteoarthritis, patellar tendinopathy, and patellofemoral pain is sparse.
Objectives
To identify specific doses of exercise related to improved outcomes of pain and function in individuals with common knee disorders, categorized by effect size.
Methods
Five electronic databases were searched for studies related to exercise and the 3 diagnoses. Means and standard deviations were used to calculate effect sizes for the exercise groups. The overall quality of evidence was assessed using the Physiotherapy Evidence Database scale.
Results
Five hundred eighty-three studies were found after the initial search, and 45 were included for analysis after screening. Physiotherapy Evidence Database scale scores were “fair” quality and ranged from 3 to 8. For knee osteoarthritis, 24 total therapeutic exercise sessions and 8- and 12-week durations of exercise were parameters most often associated with large effects. An exercise frequency of once per week was associated with no effect. No trends were seen with exercise dosing for patellar tendinopathy and patellofemoral pain.
Conclusion
This review suggests that there are clinically relevant exercise dosing variables that result in improved pain and function for patients with knee osteoarthritis, but optimal dosing is still unclear for patellar tendinopathy and patellofemoral pain. Prospective studies investigating dosing parameters are needed to confirm the results from this systematic review.
Level of Evidence
Therapy, level 1aPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Usual Medical Care for Patellofemoral Pain Does Not Usually Involve Much Care: 2-Year Follow-up in the Military Health System / Jodi Young in Journal of Orthopaedic & Sports Physical Therapy, vol. 51, 6 (Juin 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 51, 6 (Juin 2021) . - p. 305-313
Titre : Usual Medical Care for Patellofemoral Pain Does Not Usually Involve Much Care: 2-Year Follow-up in the Military Health System Type de document : article de périodique Auteurs : Jodi Young ; [et al.] Année de publication : 2021 Article en page(s) : p. 305-313 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Chondromalacie patellaire
[Thésaurus Mesh]Syndrome fémoropatellaireRésumé : To identify the most common type and timing of interventions used to initially manage patellofemoral pain (PFP), and whether exercise therapy as an initial treatment was associated with a decreased likelihood of recurrence of PFP.
Design
Retrospective cohort.
Methods
Active-duty military service members (n = 74 408) aged 18 to 50 years and diagnosed with PFP between 2010 and 2011 were included. We identified the type and timing of interventions from electronic medical records and insurance payer claims, and studied the influence of early exercise therapy use on injury recurrence rates.
Results
In this cohort of patients with PFP, 62.3% (n = 46 338) sought no additional care after the initial visit. The most common initial pharmacological interventions were nonsteroidal anti-inflammatory drugs (4.1%), corticosteroid injections (0.4%), and muscle relaxers (0.3%). The most common initial nonpharmacological treatments were exercise therapy (7.6%), passive modalities (eg, hot packs, electrical stimulation, ultrasound; 0.6%), and manual therapy (joint manipulation and mobilization; 0.5%). Common specialty referrals were to physical therapy (3.3%) and orthopaedic providers (0.8%). If patients received at least 6 exercise therapy visits during the initial episode of care, they were less likely to have a recurrence of knee pain (odds ratio = 0.46; 95% confidence interval: 0.42, 0.49).
Conclusion
Two in every 3 patients did not seek additional care after PFP diagnosis. For those who sought additional care, exercise therapy was the most common intervention, and higher doses of exercise therapy were associated with a reduced likelihood of having a recurrent episode of knee pain.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible