Article KP

Exercises for Medial Tibial Stress Syndrome (AKA ‘Shin Splints’)

It’s easy to talk generally with rehab, ‘strengthen x,y and z’, improve movement control etc but we don’t often expand on what exactly this means. Today’s blog is a brief look at an exercise programme I used recently for a patient with Medial Tibial Stress Syndrome and what my thinking was behind it. The patient, in this case, is a…

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Which specific modes of exercise training are most effective for treating low back pain?

Exercise is a recommended treatment for chronic low back pain (CLBP). Current guidelines state that no one type of exercise is superior to another, and all have small to modest effects on pain and disability. This network meta-analysis found that pilates had the largest effect on pain, that resistance and stabilization/motor control exercise had the largest effect on function, and…

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Symptomatic joint hypermobility

Joint hypermobility can be assessed using the Beighton scoring system which has a cut-off point of 5 out of 9. However, those who meet this cut-off point may be asymptomatic. Those with symptomatic joint hypermobility may not just have joint issues. The therapist has to assess the patient as a whole, as connective tissue disorders can affect multiple systems. Therapists…

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Comparison of slow and accelerated rehabilitation protocol after arthroscopic rotator cuff repair

‹rem DÜZGÜN1, Gül BALTACI2, Ö. Ahmet ATAY3 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey; 2Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey; 3Department of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Objectives: In this study, we sought to compare the effects of the slow and accelerated…

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A Physio’s Guide to Plyometrics

A Physio’s Guide to Plyometrics For many physiotherapists, plyometrics are considered outside of their wheelhouse. However, there has been promising research of late indicating significant health and performance benefits one can glean from an appropriate plyometric training program. Of interest clinically are the improvements in bone mineral density (1), decreased risk of falls in the elderly (2), improvements in tendon…

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Local anesthetic injection resolves movement pain

Local anesthetic injection resolves movement pain, motor dysfunction, and pain catastrophizing in individuals with chronic Achilles tendinopathy, a non-randomized clinical trial Key Points Local anaesthetic injection of the Achilles appears to immediately increase calf function and reduce pain and catastrophizing in subjects with Achilles tendinopathy, suggesting peripheral nociceptive input may be a key factor. Kinesiophobia (which is thought to influence…

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Is it time to put special tests for rotator cuff-related shoulder pain out to pasture?

Is it time to put special tests for rotator cuff-related shoulder pain out to pasture? Shoulder special tests should be viewed as pain provocation tests, rather than tools to arrive at specific diagnoses. Current evidence does not support using special tests to inform patients of structural involvement and pain etiology when evaluating shoulder pain. A comprehensive clinical exam should still…

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Intervertebral discs are they jelly donuts

Intervertebral discs are they jelly donuts? A blog on the human intervertebral disc, movement, function, adaptation, degradation, degeneration, wedding photos, boiling frogs and Jelly Donut lies. This blog is on all things about the human intervertebral disc and it’s beautiful structure which allows it to form multiple parts of the vertebral column primarily allowing motion of the protective column and…

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Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy

Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy: A systematic review with meta-analysis By Todd Hargrove Key Points Eccentric strengthening of the wrist extensors was found to be more effective than other strengthening protocols in the treatment of lateral elbow tendinopathy (LET). Further research is needed to clarify the optimal dosage and progression of eccentric strengthening to…

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Eccentric hamstring strength in elite track and field athletes on the British Athletics world class performance program

Athletes who perform long sprint events displayed a significant asymmetry between right and left knee flexor strength. Athletes with a previous injury displayed no significant difference in knee flexor strength compared to their previously uninjured colleagues. When normalized to bodyweight, male and female track and field athletes displayed similar levels of eccentric knee flexor strength. BACKGROUND AND OBJECTIVE As in…

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