Journal: International journal of sports physical therapy
Outcomes after long-term injuries such as anterior cruciate ligament reconstruction (ACLR) need improving. One area which has received limited research attention is the use of aquatic therapy to optimize the functional recovery process after injury. There is still limited understanding of what the benefits of the pool can bring for rehabilitation and particularly what and when can be done in the pool after injury. This clinical commentary describes how the application of the properties of water can support the functional recovery process after ACLR. Here it is proposed that the main properties (density, hydrostatic pressure, buoyancy and viscosity) of aquatic therapy, if applied correctly to rehabilitation practices, can be used to achieve six primary goals after ACLR : 1) assist in the reduction of pain and swelling; 2) support the recovery of gait; 3) support the maintenance and/ or development of cardiovascular fitness; 4) help accelerate and optimize motor pattern retraining; 5) allow for earlier introduction of plyometrics and power training and 6) support the between session recovery and optimal load management, particularly in the later phases of rehabilitation. If implemented correctly, the presented phased protocol can support practitioners in implementing or delivering aquatic therapy rehabilitation services to their injured athletes. To support implementation, the authors have provided a specific protocol and supplementary videos for the use of aquatic therapy after ACLR.
Assessment of foot posture, morphology, intersegmental mobility, strength and motor control of the ankle-foot complex are commonly used clinically, but measurement properties of many assessments are unclear.
Tendinopathy of the supraspinatus muscle is a frequent cause of shoulder pain. Although it is a common condition, the pathophysiology is not fully understood. The purpose of this clinical commentary is to provide an overview of the pathophysiology of supraspinatus tendinopathy and discuss the conservative treatment solutions.
Shoulder pain affects up to 67% of the population at some point in their lifetime with subacromial pain syndrome (SAPS) representing a common etiology. Despite a plethora of studies there remains conflicting evidence for appropriate management of SAPS.
Military organizations use movement quality screening for prediction of injury risk and performance potential. Currently, evidence of an association between movement quality and performance is limited. Recent work has demonstrated that external loading strengthens the relationship between movement screens and performance outcomes. Such loading may therefore steer us toward robust implementations of movement quality screens while maintaining their appeal as cost effective, field-expedient tools.
Exercise training (ET) with blood flow restriction (BFR) is becoming increasingly popular, but the majority of BFR ET studies have evaluated skeletal muscle strength and hypertrophy. The favorable effect of BFR ET on skeletal muscle and the vasculature appears to improve aerobic capacity (AC) although conflicting results have been observed.Purpose: The purposes of this systematic review with meta- analysis were to examine the effects of aerobic ET with and without BFR on AC and to compare the effect of low-to-moderate aerobic ET with and without BFR to high-intensity aerobic ET with and without BFR on AC.
Baseball pitchers frequently develop varying levels of posterior shoulder tightness (PST) and often present with characteristics associated with subacromial impingement.
Prolonged and repetitive overhead use of the arm, such as during the volleyball serve, has been linked to overuse injuries.
The closed kinetic chain upper extremity stability test (CKCUEST) as originally described may not be appropriate for assessing athletes interchangeably considering body size variations. A modified test position may be warranted to normalize the CKCUEST to body size, in order to reflect an accurate representation of upper limb function.
In deliberation of the diverse physical traits of rugby union and the known interference adipose tissue has on the ability to cool deeper tissues, evidence is required to understand the effect of cryotherapy modalities to provide optimum outcomes post-injury.