Many athletic maneuvers involve coordination of movement between the lower and upper extremities, suggesting that better core muscle use may lead to improved performance reduced injury risk.To determine what extent a training program with quasistatic trunk stabilization (TS) exercises would improve measures performance, leg strength, agility, dynamic knee loading compared incorporating only resistance (RT).Thirty-seven male subjects were randomly assigned either an RT-only or TS program,...

Study Design Prospective test-retest, intrarater reliability study. Objectives To estimate the reliability, asymmetry, and associated error with measurement of cross-sectional area (CSA) bilateral S1 multifidi when measured by a physical therapist following short course self-directed training in ultrasound imaging. Background There is increasing interest assessment lumbar multifidus during recovery from low back injury. It important to know CSA measurements obtained limited experience...

The authors conducted a two-part study to compare in vivo acetabular contact pressures during the acute and postacute phases of rehabilitation single subject with pressure-instrumented femoral prosthesis. This report compares six common hip activities for resultant pressure magnitudes first 5 years after discharge from an care hospital. These were full, partial, touch-down, non–weight-bearing ambulation isometric abduction straight-leg-raising exercises. A endoprosthesis implanted...

Background: Anterior cruciate ligament (ACL) injury is one of the most common injuries in sport. To reduce risk noncontact ACL injury, it critical to understand effects an intervention program on neuromuscular control–related biomechanical factors. Hypothesis: A newly developed 4-week would significantly increase knee flexion angle at peak impact posterior ground-reaction force and decrease vertical forces stop-jump side-cutting tasks, while be retained after training was completed. Study...

Study Design. This prospective study evaluated the abdominal muscle activity during isometric bent knee curl and double straight leg lowering exercise. Objectives. To compare magnitude of electromyographic across exercise determine if synergies were specific to a given Summary Background Data. Abdominal strengthening exercises are frequently recommended in prevention rehabilitation individuals with low back pain. Previous studies comparing did not support notion that is more demanding on...

Low back pain (LBP) may be associated with inadequate multifidus muscle function. Varying the frequency and timing of feedback enhance acquisition retention recruitment during exercise.Subjects without LBP (n=30) were randomly assigned to a constant (CON) or variable (VAR) group. Twenty-eight subjects (mean age=28 years, SD=8.0; mean body mass index=24 kg/m(2), SD=0.70) completed training, 23 testing.Eight training sessions over 4 weeks included exercise rehabilitative ultrasound imaging...

Abstract Abstraet: Earlier empirical and theoretical work has suggested that there is a relationship between higher hypnotic susceptibility severity of childhood punishment. Experiment 1 surveyed the parents 14 extremely high 11 low susceptible Ss concerning Low were found to be more frequently punished than highs; no significant differences on measure. 2 assessed hypnotizability 16 adult who reported being physically abused before age 10 compared these scores those 300 had not abused. The...

The authors conducted a two-part study to compare in vivo acetabular contact pressures during the acute and postacute phases of rehabilitation. This report compares generated selected "inpatient" rehabilitation activities their relationship pain, range motion, other clinical indicators. A pressure-instrumented Moore-type endoprosthesis was implanted 73-year-old woman who had sustained femoral neck fracture. Acetabular first 2 weeks after surgery were rank-ordered. Clinical data, including...

Study Design A prospective methodological interrater reliability study. Objectives To calculate the among clinicians newly trained in a classification system for acute low back pain and to determine level of agreement at key junctures within algorithm. Background The utility patients with depends on its generalizability. be practical, must able apply after reasonable amount training. Identifying points algorithm where disagreement occurs can lead better operational definitions. Methods Four...

Altered trunk muscle reflexes have been observed in patients with low back pain (LBP). may contribute to impaired postural control, and possibly recurrence of LBP. Specific stabilization exercise (SSE) programs shown decrease the risk LBP a select group acute, first episode It is not known if reflex responses improve resolution subacute, recurrent when treated SSE program. A perturbation test was used compare LBP, before after 10 weeks program matched control subjects (CNTL). The pre therapy...

The Patient Reported Outcomes Measurement Information System (PROMIS) Computerized Adaptive Test (CAT) physical function rapidly assesses self-reported capability. Timed Up and Go (TUG) test is often used in clinical practice, but administration may be impeded by space patient limitations. PROMIS CAT can potentially address these limitations, we lack evidence if TUG health indicators are predictors of CAT. This study assessed whether TUG, body mass index (BMI), numeric pain rating scale...

Some clinical approaches to the treatment of low back pain evaluate and treat observed asymmetries pelvic posture motion. Scientific evidence suggests motion available between innominate bones is small variable in nature. The purposes this investigation were 1) determine if interinnominate subjects without was symmetrical reciprocal test combinations, 2) assess bone symmetry standing, 3) todetermine a difference magnitude present subject group which performs more frequent flexibility...

Study Design Multiple single-subject design in 2 parts: 1 anesthetized monkeys and a follow-up human cadavers. Objectives To determine whether anterior, middle, posterior scalene muscles rotate the cervical spine to same (ipsilateral muscle) or opposite (contralateral side. Background Some physical therapy anatomy textbooks indicate that all 3 scalenes side, some rest ascribe different functions scalenes. Methods Measures While under anesthesia, macaques (n = 3) already scheduled for...

Recent clinical practice guidelines have suggested conservative treatment approaches, including physical therapy, are indicated as first-line for patients with low back pain (LBP); however, LBP continues to be managed opioids, despite decreases in function, morbidity, and insignificant improvements pain.The primary purpose was compare characteristics downstream medication use between prior opioid exposure vs. those who were opioid-naïve. The secondary explore the role of by disability.Seven...

Abstract Background This study targeted the association of program characteristics 203 Doctor Physical Therapy (DPT) programs in United States (US) reported by Commission on Accreditation Education (CAPTE) their 2017 Annual Report (AAR) with measures core faculty research volume. The institutional, program, and an institution volume was investigated. Methods observational analyzed data provided AAR about Predictor variables included characteristics. Research measured as a ratio 1) number...

Study Design Mixed, repeated measures design. Objectives To determine if previous experience with loads of similar weight influences the anticipatory lifting force and postural adjustments during squat lift. examine a multijoint, functional task for coordination between stability movement. unexpected results in trunk loading patterns associated greater injury risk. Background Workers are increasingly exposed to variability materials handling thereby increasing risk injury. Understanding...