Abstract:
:Clinical Scenario: Many people with lower quarter musculoskeletal dysfunction present with muscle weakness. Strength training hypertrophies muscle and increases strength, but often requires periods over 6 weeks, which can exceed the episode of care. Weakness can persist despite muscle hypertrophy, particularly in the early stages of joint pathology or in the presence of limb or spinal joint hypomobility, which may inhibit muscle activation. Emerging evidence suggests spinal manipulation can increase short-term strength. Screening for specific muscle weakness that could benefit from manipulation to particular spinal segments could facilitate efficient clinical intervention. Although the neuromuscular mechanisms through which manipulation can increase strength remains a topic of investigation, immediate gains can benefit patients by jump-starting an exercise program to train new muscle function gained and enhancing the motivation to continue strengthening. Evidence from randomized controlled trials would provide support for using manipulation to increase muscle strength, while studying healthy people would eliminate confounding factors, such as pain and pathology. Clinical Question: Does randomized controlled trial-level evidence support the concept that a single lumbar spine manipulation session can increase lower-limb strength in healthy individuals? Summary of Key Findings: Level 1b evidence of moderate quality from 3 randomized controlled trials showed immediate small to large effect size muscle strength increases immediately after lumbar spine manipulation. Clinical Bottom Line: Lumbar spine manipulation can result in immediate lower-limb isometric strength increases. While healthy people with normal muscle strength may improve minimally, joint manipulation for people with knee and hip weakness who are otherwise healthy can result in large effect size strength gains. Strength of Recommendation: Moderate quality level 1b evidence from randomized controlled trials with small samples support the use of spinal manipulation to immediately increase lower-limb strength. Additional studies investigating impact on strength and function immediately in people with musculoskeletal pathology are warranted.
journal_name
J Sport Rehabiljournal_title
Journal of sport rehabilitationauthors
Wong CK,Conway L,Fleming G,Gopie C,Liebeskind D,Xue Sdoi
10.1123/jsr.2019-0372subject
Has Abstractpub_date
2020-06-05 00:00:00pages
1-5eissn
1056-6716issn
1543-3072pii
jsr.2019-0372pub_type
杂志文章abstract:CONTEXT:Sensorimotor training is commonly used in a rehabilitative setting; however, the effectiveness of an unexpected disturbance program (UDP) to enhance performance measures in uninjured elite athletes is unknown. OBJECTIVE:To assess the impact of a 3-wk UDP program on strength, power, and proprioceptive measures....
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1123/jsr.2016-0082
更新日期:2018-01-01 00:00:00
abstract:CONTEXT:Posterior calf stretching is believed to improve active ankle dorsiflexion range of motion (AADFROM) after acute ankle-inversion sprain. OBJECTIVE:To describe AADFROM at baseline (postinjury) and at 2-wk time periods for 6 wk after acute inversion sprain. DESIGN:Randomized trial. SETTING:Sports clinic. PART...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1123/jsr.18.3.358
更新日期:2009-08-01 00:00:00
abstract::Plantar fasciitis is one of the most common musculoskeletal disorders of the foot. Initial treatment of plantar fasciitis is typically conservative and may include heel padding, steroid injections, night splinting, calf stretching, ultrasound, foot orthoses, and taping. However, while custom foot orthoses are a common...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0030
更新日期:2018-01-01 00:00:00
abstract:CONTEXT:Despite prior studies that have addressed the recovery effects of cold-water immersion (CWI) in different sports, there is a lack of knowledge about longitudinal studies across a full season of competition assessing these effects. OBJECTIVE:To analyze the CWI effects, as a muscle recovery strategy, in professi...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0301
更新日期:2020-03-01 00:00:00
abstract:CONTEXT:Muscle injuries of the hip stabilizers are considered rare in sport. OBJECTIVE:This report presents a previously unreported case of a contact injury resulting in acute strain of quadratus femoris, obturator externus, and inferior gemellus in an amateur Australian rules football player. DESIGN:Level 4-case rep...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0279
更新日期:2019-11-01 00:00:00
abstract:CONTEXT:Laboratory-based biomechanical analyses of sport-relevant movements such as landing and cutting have classically been used to quantify kinematic and kinetic factors in the context of injury risk, which are then used to inform targeted interventions designed to improve risky movement patterns during sport. Howev...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0237
更新日期:2020-03-01 00:00:00
abstract:CONTEXT:Determining whether there are compensations in those with jumper's knee (JK) might further our understanding of the condition. OBJECTIVE:Comparing lower extremity kinematics and jump performance of basketball athletes with JK with those of healthy controls (C). DESIGN:Repeated-measures control-match design. ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.17.4.358
更新日期:2008-11-01 00:00:00
abstract:CONTEXT:Although stretching exercises are commonly used in clinical and athletic practice, there is a lack of evidence regarding the methodological variables that guide the prescription of stretching programs, such as intensity. OBJECTIVE:To investigate the acute effects of different stretching intensities on the rang...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0178
更新日期:2020-01-01 00:00:00
abstract::Clinical Scenario: The anterior cruciate ligament (ACL) injury is a common knee injury within varying athletic levels. Clinical diagnostic tests and magnetic resonance imaging (MRI) are two methods of evaluating ACL injuries. Clinical Question: Are clinical diagnostic tests as accurate as MRI when diagnosing ACL tears...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10.1123/jsr.2016-0188
更新日期:2018-11-01 00:00:00
abstract:CONTEXT:Deficiencies in scapular upward rotation and periscapular strength have been associated with various shoulder pathologies and decreased athletic performance. Therefore, proper periscapular strength and concomitant scapular upward rotation are important factors among overhead athletes, such as baseball players. ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.17.2.95
更新日期:2008-05-01 00:00:00
abstract::The aim of this study was to evaluate the acute effect of the use of stable and unstable surfaces on electromyography (EMG) activity and coactivation of the scapular and upper-limb muscles during the push-up plus (with full protraction of the scapula). Muscle activation of anterior deltoid (AD), posterior deltoid (PD)...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0050
更新日期:2017-07-01 00:00:00
abstract:CLINICAL SCENARIO:Lateral epicondylitis (LE) is a relatively common pathology capable of producing chronic debilitation in a variety of patients. A newer treatment for orthopedic conditions is platelet-rich plasma (PrP) local injection. FOCUSED CLINICAL QUESTION:Is PrP a more appropriate injection therapy for LE than ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10-1123/jsr.2014-0198
更新日期:2016-02-01 00:00:00
abstract:CONTEXT:Achilles tendinopathy is a common and often debilitating condition, and autologous blood injection is a promising treatment option. OBJECTIVE:To determine whether autologous blood injection added to standard management was effective in alleviating symptoms of Achilles tendinopathy. DESIGN:A prospective random...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1123/jsr.21.3.218
更新日期:2012-08-01 00:00:00
abstract::Clinical Scenario: Patients with chronic ankle instability (CAI) demonstrate deficits in both sensory and motor function, which can be objectively evaluated through static postural control testing. One intervention that has been suggested to improve somatosensation and, in turn, static postural control is plantar mass...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2020-0092
更新日期:2020-10-07 00:00:00
abstract:CONTEXT:Studies have found that a 20% reduction in energy generation from the lumbopelvic-hip complex during overhead throws leads to a 34% increase in load on the shoulder. OBJECTIVE:The purpose of this study was to assess the effects of lumbopelvic-hip complex stability, via the single leg squat assessment, on throw...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2017-0276
更新日期:2019-02-01 00:00:00
abstract:CONTEXT:During sport activity, knee proprioception might worsen. This decrease in proprioceptive acuity negatively influences motor control and therefore may increase injury risk. Hiking is a common activity characterized by a higher-intensity-exercise phase during uphill walking and a lower-intensity-exercise phase du...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2014-0192
更新日期:2015-11-01 00:00:00
abstract::Context: Recent data on exertional heat illness (EHI) in high school sports are limited yet warranted to identify specific settings with the highest risk of EHI. Objective: To describe the epidemiology of EHI in high school sports during the 2012/2013-2016/2017 academic years. Design: ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2018-0364
更新日期:2020-03-01 00:00:00
abstract:CONTEXT:Baseball players, specifically pitchers, with symptomatic neurovascular occlusion often initially complain of arm fatigue and loss of ball control and velocity. As the compression continues complaints may manifest in dull pain, paresthesia, and decreased grip strength. OBJECTIVE:To determine the correlation be...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2015-0179
更新日期:2017-07-01 00:00:00
abstract:CONTEXT:Baseline testing is a common strategy for concussion assessment and management. Research continues to evaluate novel measures for potential to improve baseline testing methods. OBJECTIVES:The primary objective was to (1) determine the feasibility of including physiological, neuromuscular, and mood measures as ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2017-0038
更新日期:2018-07-01 00:00:00
abstract:CONTEXT:Patellar tendinopathy (PT) is prevalent in physically active populations, and it affects their quality of living, performance of activity, and may contribute to the early cessation of their athletic careers. A number of previous studies have identified contributing factors for PT; however, their contributions t...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2017-0196
更新日期:2019-02-01 00:00:00
abstract::Clinical Scenario: Osteochondral lesions (OCLs) of the talus can result from ankle sprains which are the most common injury in the physically active. Recently, platelet-rich plasma (PRP) has been used to develop an innovate treatment for OCLs of the talus. CLINICAL QUESTION:Do PRP injections improve self-reported pai...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10.1123/jsr.2016-0184
更新日期:2018-03-01 00:00:00
abstract:CONTEXT:Excessive knee valgus and tibial external rotation relative to the femur during weight bearing motions, such as jump-landing, reportedly increases the risk of developing chronic knee pain, such as patellofemoral pain. Excessive deviations from normal ranges of several static lower extremity alignment measures a...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0053
更新日期:2017-09-01 00:00:00
abstract:CONTEXT:Hip-adductor strains are among the most common lower-extremity injuries sustained in athletics. Treatment of these injuries involves a variety of exercises used to target the hip adductors. OBJECTIVE:To identify the varying activation levels of the adductor longus during common hip-adductor exercises. DESIGN:...
journal_title:Journal of sport rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1123/jsr.2012-0046
更新日期:2014-05-01 00:00:00
abstract::Clinical Scenario: Increasing hamstring flexibility through clinical stretching interventions may be an effective means to prevent hamstring injuries. However the most effective method to increase hamstring flexibility has yet to be determined. CLINICAL QUESTION:For a healthy individual, are proprioceptive neuromuscu...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2016-0003
更新日期:2017-11-01 00:00:00
abstract::It is estimated that approximately 350,000 individuals undergo anterior cruciate ligament (ACL) reconstruction surgery in each year in the US. Although ACL-reconstruction surgery and postoperative rehabilitation are successfully completed, deficits in postural control remain prevalent in ACL-reconstructed individuals....
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10-1123/jsr.2014-0226
更新日期:2016-05-01 00:00:00
abstract:CONTEXT:Physiological fitness testing, such as the Yo-Yo Intermittent Recovery Test (YYIR) is a key requirement of the Elite Player Performance Plan, introduced by the English Premier League. Eccentric hamstring strength has been identified as a risk factor for hamstring injuries in soccer players, with fatigue highlig...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2019-0532
更新日期:2020-11-20 00:00:00
abstract:CLINICAL SCENARIO:Hamstring tightness is common among physically active individuals. In addition to limiting range of motion and increasing the risk of muscle strain, hamstring tightness contributes to a variety of orthopedic conditions. Therefore, clinicians continue to identify effective methods to increase flexibili...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章,评审
doi:10.1123/JSR.2013-0059
更新日期:2015-02-01 00:00:00
abstract:CONTEXT:Existing theoretical frameworks and empirical research support the applicability and usefulness of integrating mental skills throughout sport injury rehabilitation. OBJECTIVE:To determine what, if any, mental skills athletes use during injury rehabilitation, and by who these skills were taught. Cross-cultural ...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.2013-0148
更新日期:2015-05-01 00:00:00
abstract:CONTEXT:Various studies report decreased muscle activation in the concavity of the curve in patients with scoliosis. Such decreased muscle-performance capacity could lead to sustained postural deficits. OBJECTIVE:To investigate whether specific asymmetrical sports therapy exercises rather than symmetrical back strengt...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.19.3.315
更新日期:2010-08-01 00:00:00
abstract:CONTEXT:The transtheoretical model has been widely used in the investigation of how people adapt to new behaviors; however, the literature appears to be lacking documentation of any assessment/s administered to injured athletes to determine their readiness for rehabilitation, which depending on the severity of the inju...
journal_title:Journal of sport rehabilitation
pub_type: 杂志文章
doi:10.1123/jsr.17.3.269
更新日期:2008-08-01 00:00:00