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Anterior Cruciate Ligament Injury Mechanisms and the Kinetic Chain Linkage: The Effect of Proximal Joint Stiffness on Distal Knee Control During Bilateral Landings / Jordan Cannon 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. 601-610
Titre : Anterior Cruciate Ligament Injury Mechanisms and the Kinetic Chain Linkage: The Effect of Proximal Joint Stiffness on Distal Knee Control During Bilateral Landings Type de document : article de périodique Auteurs : Jordan Cannon ; Edward Cambridge ; Stuart Mcgill, Auteur Année de publication : 2019 Article en page(s) : p. 601-610 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:biomécanique
[Thésaurus HELB]:Paramédical:Ligament croisé antérieur /Traumatismes
[Thésaurus HELB]:Paramédical:lumbar spine,
[Thésaurus Mesh]Genou
[Thésaurus Mesh]HancheRésumé : Background
In patients presenting with hip and groin symptoms, evaluation and treatment of the thoracolumbar junction (TLJ) may be underutilized. The TLJ is less recognized as a source of pain referral in these regions. The purpose of this case series was to describe the management of 3 patients with primary hip and groin pain who were treated with interventions targeting the TLJ.
Diagnosis
The 3 patients in this case series presented with subacute or chronic complaints of hip and groin pain that had failed to resolve with typical treatments. They had undergone several inconclusive clinical testing procedures. Each patient underwent a detailed physical therapy evaluation and was found to have pain and mobility deficits at the TLJ. Once the therapist had determined that the patients' symptoms were likely of musculoskeletal origin, treatment commenced. Joint mobilization and exercise directed at the TLJ were used in each case. Marked improvements in pain, thoracic range of motion, and functional deficits were observed within 3 to 4 weeks, after an average of 6 treatment sessions. All patients returned to prior activity levels. Patients in cases 1 and 3 had improvements in hip mobility and strength without direct treatment to the hip.
Discussion
This case series describes the management of 3 patients with hip and groin symptoms who were successfully treated with interventions targeting the TLJ. In patients reporting primary hip or groin pain, physical therapists should consider the TLJ as a potential source of symptoms and include treatment strategies directed at the TLJ, as warranted, after a careful examination and clinical-reasoning process.
Level of Evidence
Differential diagnosis, level 4Permalink : 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 Effects of Pilates-Based Exercises on Pain and Disability in Individuals With Persistent Nonspecific Low Back Pain : A Systematic Review With Meta-analysis in Journal of Orthopaedic & Sports Physical Therapy, vol.41, 02 (Février 2011)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol.41, 02 (Février 2011) . - 70-80
Titre : Effects of Pilates-Based Exercises on Pain and Disability in Individuals With Persistent Nonspecific Low Back Pain : A Systematic Review With Meta-analysis Type de document : article de périodique Article en page(s) : 70-80 Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:exercise therapy,
[Thésaurus HELB]:Paramédical:lumbar spine,
[Thésaurus HELB]:Paramédical:RéhabilitationMots-clés : exercise therapy, rehabilitation lumbar spine, Résumé : STUDY DESIGN: A systematic review with meta-analysis. OBJECTIVES: To compare pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to minimal or other interventions. METHODS: Searches of Medline, CINAHL, Embase, Cochrane library, PEDro, and ProQuest Dissertations and Thesis databases were conducted. Randomized controlled trials (RCTs) were selected and reviewed if they compared pain and disability in individuals with persistent nonspecific low back pain who were treated with Pilates exercises compared to other treatment approaches. Quality of the trials was evaluated. Data for pain and disability scores were extracted. Narrative synthesis plus meta-analyses were performed, with either a fixed-effects or random-effects model, standardized mean differences (SMDs), and tests for heterogeneity. RESULTS: Seven RCTs were identified and included in the meta-analyses. Data pooling was performed using RevMan 5. When compared to minimal intervention, Pilates-based exercise provided superior pain relief (pooled SMD, –2.72; 95% CI: –5.33, –0.11; P = .04) but the pooled disability scores were not significantly different (pooled SMD, –0.74; 95% CI: –1.81, 0.33;P = .17). No significant differences were found when comparing Pilates-based exercise to other forms of exercise for pain (pooled SMD, 0.03; 95% CI: –0.52, 0.58; P = .92) or disability scores (pooled SMD, –0.41; 95% CI: –0.96, 0.14; P = .14). CONCLUSION: Pilates-based exercises are superior to minimal intervention for pain relief. Existing evidence does not establish superiority of Pilates-based exercise to other forms of exercise to reduce pain and disability for patients with persistent nonspecific low back pain. However, the relatively low quality of existing studies and the heterogeneity of pooled studies in this systematic review combine to suggest that these results should be interpreted with caution. LEVEL OF EVIDENCE: Therapy, level 1a–. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité Périodique Erasme - périodiques Périodiques Disponible