about 5 days ago - No comments
Female athletes are particularly susceptible to anterior knee pain and injury to their anterior cruciate ligament (ACL). This increased risk is thought to result from poor dynamic control of the hip and knee, particularly when the foot hits the ground. The inability to control hip adduction, knee valgus, and internal rotation in the transition from…
about 3 months ago - 2 comments
How many of your patients with neck pain suffer from headaches as well, or vice-versa? Cervicogenic headaches are characterized by unilateral headache radiating from the posterior to anterior head, unilateral upper cervical pain and facet “locking,” which is often aggravated by sustained neck positions. Cervicogenic headaches are thought to result from a convergence of sensory…
about 5 months ago - No comments
Trapezius muscle balance is important for normal shoulder function. Often in patients with impingement, the lower trapezius is much weaker than the upper trapezius. Traditional exercises to strengthen the lower trapezius such as prone shoulder flexion may cause further impingement, creating a “catch 22” for clinicians: Is there a better exercise for the lower trapezius…
about 7 months ago - No comments
Patellofemoral pain syndrome results in chronic anterior knee pain, and is often associated with delayed and reduced activation of the vastus medialis oblique (VMO) muscle. Therapeutic exercise is often prescribed to help improve the strength and onset timing of the VMO. Patellar taping is also used in managing anterior knee pain, and is often worn…
about 7 months ago - 1 comment
Rotator cuff disease is the most common cause of shoulder pain in primary care (Ostor et al. 2005) and includes diagnoses such as bursitis, impingement, and rotator cuff tendinosis. Several studies featured in the Academy Blog have described how effective Thera-Band® exercises are in treating shoulder conditions, particularly when combined with manual therapy. Researchers in…
about 8 months ago - 1 comment
Plantar fasciitis is a painful condition caused by an inflammation of the plantar fascia, affecting nearly 2 million in the US annually (Martin et al. 2001). While most cases of plantar fasciitis are resolved with conservative treatment within a year, severe cases usually result in a surgical intervention. A recent case report in the Journal…
about 9 months ago - No comments
Elastic resistance is often prescribed as part of a rehabilitation program for anterior knee pain (patellofemoral pain syndrome), but its overall efficacy remains unclear. I recently published a systematic review of the topic in the journal, Sports Health. Eight studies using elastic resistance training met the criteria for the review. The exercises typically involved strengthening…
about 10 months ago - No comments
Patients suffering a stroke are often left with residual deficits in strength and gait. Depending on the severity of the stroke, patients are left with a wide range of disabilities. It was once thought that stroke survivors would never regain use of their paretic extremities; however, research continues to demonstrate the benefit of exercise after…
about 12 months ago - No comments
Last year, I reported on a study from Norway comparing elastic resistance exercises with shockwave therapy in patients with shoulder pain. In that 2009 study, the researchers reported on the outcomes of 194 patients randomly assigned to 12 weeks of exercise using elastic resistance or 4 to 6 treatments of radial extracorporeal shockwave treatment (RESWT).…
about 1 year ago - No comments
As women age, the transition to menopause often results in an increase in body fat and a reduction in muscle mass. This change in body composition is also associated with a decline in function and an increase in physical disability. German researchers evaluated the effectiveness of an exercise program for community-dwelling older females they developed…