ARTIGO DO MÊS - 29/2009

Effect of Medial Arch Support on Displacement of the Myotendinous Junction of the Gastrocnemius During Standing Wall Stretching

Do-Young Jung, Eun-Kyung Koh, Oh-Yun Kwon, Chung-Hwi Yi, Jae-Seop Oh, Jong-Hyuck Weon

DOI: 10.2519/jospt.2009.3158 / J Orthop Sports Phys Ther 2009;39(12):867-874. doi:10.2519/jospt.2009.3158

STUDY DESIGN: Controlled laboratory study.

OBJECTIVES: To examine the effects of standing wall stretching with and without medial arch support (WMAS versus WOMAS) on the displacement of the myotendinous junction (DMTJ) of the medial gastrocnemius, rearfoot angle, and navicular height in subjects with neutral foot alignment and pes planus.

BACKGROUND: Standing wall stretching is often prescribed to increase ankle dorsiflexion range of motion for sports fitness and rehabilitation. However, the effect of standing wall stretching WMAS on DMTJ is unknown.

METHODS: Fifteen subjects with neutral foot alignment and 15 subjects with pes planus performed standing wall stretching under WMAS and WOMAS conditions. Measurements of DMTJ and rearfoot position were performed using ultrasonography and video imaging. Navicular height was measured using a ruler. Dependent variables were examined with a 2-way mixed-design analysis of variance. The 2 factors were foot type (neutral foot versus pes planus) and stretching condition (WMAS versus WOMAS).

RESULTS: There were significant interactions of medial arch support by foot type for DMTJ, rearfoot angle, and navicular drop (P<.001). A post hoc paired t test showed that standing wall stretching in the WMAS condition significantly increased the DMTJ, compared to stretching in the WOMAS condition, in subjects with neutral foot (mean ± SD, 9.6 ± 1.6 versus 10.5 ± 1.6 mm; difference, 0.9 mm; 99% CI: 0.4-1.4 mm) and in those with pes planus (10.0 ± 1.8 versus 12.7 ± 2.0 mm; difference, 2.7 mm; 99% CI: 1.9-3.5 mm) (P<.001). When comparing WOMAS and WMAS, the difference in DMTJ (1.8 mm; 99% CI: 0.9-2.7 mm) was significantly greater in subjects with pes planus than in those with neutral foot (P<.001).

CONCLUSION: Standing wall stretching with medial arch support maintained subtalar joint neutral position and increased the length of the gastrocnemius in subjects with pes planus. When prescribing standing wall stretching, clinicians need to emphasize the use of medial arch support to effectively stretch the gastrocnemius in subjects with pes planus.

KEY WORDS: ankle stretching, myotendinous junction, standing wall stretching, ultrasonography

Raul Oliveira, Fisioterapeuta

R´Equilibri_us - Gabinete de Fisioterapia
Av. D. João I, nº 8, Oeiras
309 984 508 /917231718/ 917776556
raulov@netcabo.pt
Faculdade de Motricidade Humana

ARTIGO DO MÊS - 26/09

The Ability of 4 Single-Limb Hopping Tests to Detect Functional Performance Deficits in Individuals With Functional Ankle Instability

Erin Caffrey, Carrie L. Docherty, John Schrader, Joanne Klossner

DOI: 10.2519/jospt.2009.3042 in JOSPT NOVEMBER 2009, Volume 39, No. 11

 

STUDY DESIGN: Experimental laboratory testing using a cross-sectional design.

 OBJECTIVES: To determine if functional performance deficits are present in individuals with functional ankle instability (FAI) in 4 single-limb hopping tests, including figure-of-8 hop, side hop, 6-meter crossover hop, and square hop.

BACKGROUND: Conflicting results exist regarding the presence of functional deficits in individuals with FAI. It is important to evaluate whether functional performance deficits are present in this population, as well as if subjective feelings of giving way can assist in identifying these deficits.

METHODS: Sixty college students volunteered for this study. Thirty participants with unilateral ankle instability were placed in the FAI group and 30 participants with no history of ankle injuries were placed in the control group. The FAI group was subsequently further divided to indicate those that reported giving way during the functional test (FAI-GW) and those that did not (FAI-NGW). Time to complete each test was recorded and the mean of 3 trials for each test were used for statistical analysis. To identify performance differences, we used 4 mixed-design 2-way (side-by-group) ANOVAs, 1 for each hop test. A Tukey post hoc test was completed on all significant findings.

RESULTS: We identified a significant side-by-group interaction for all 4 functional performance tests (P<.05). Specifically, for each functional performance test, the FAI limb performed significantly worse than the contralateral uninjured limb in the FAI-GW group. Additionally, the FAI limb in the FAI-GW group performed worse than the FAI limb in the FAI-NGW group, and the matched limb in the control group in 3 of the 4 functional performance tests.

CONCLUSION: We found that functional performance deficits were present in participants with FAI who also experienced instability during the test. This difference was identified when comparing the FAI limb to the contralateral uninjured limb as well as control participants. However, the performance deficits identified in this study were relatively small. Future research in this area is needed to further evaluate the clinical meaningfulness of these findings. Finally, we found that limb dominance did not affect performance.

 

KEY WORDS: 6-meter crossover hop, agility, figure-of-8 hop, side hop, square hop

The authors determine if functional performance deficits are present in individuals with functional ankle instability (FAI) in 4 single-limb hopping tests, including figure-of-8 hop, side hop, 6-meter crossover hop, and square hop.

Comentário: Os testes de desempenho funcional representativos de cada segmento funcional e da sua coordenação/interacção com os segmentos adjacentes envolvendo os mecanismos neuromotores que os controlam podem ser variáveis a integrar quer na avaliação quer na reeducação/normalização da função.

REVISTA JOSPT - OUTUBRO/2009

O Volume 39, No. 10/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/Aqui fica o indíce :

Trapezius Muscle Timing During Selected Shoulder Rehabilitation Exercises De Mey, K., Cagnie, B., Danneels L.A., Cools A.M., Van de Velde, A.

Acute Bony Bankart Lesion and Surgical Fixation Rosenthal M.D. , Provencher, M.T.

A Randomized Sham-Controlled Trial of a Neurodynamic Technique in the Treatment of Carpal Tunnel Syndrome Bialosky J.E., Bishop,M.D., Price, D.D., Robinson, M.E., Vincent K.R., Georg, S.Z.

Changes in Abdominal Muscle Thickness Measured by Ultrasound Are Not Associated With Recovery in Athletes With Longstanding Groin Pain Associated With Resisted Hip Adduction Jansen J.A.C.G., Mens, J.M.A., Backx,F.J.C., Stam, H.J.

Structural Factors Associated With Hallux Limitus/Rigidus: A Systematic Review of Case Control Studies Zammit, G.V., Menz, H.B., Munteanu, S.E.

Clinical Interpretation of Computerized Adaptive Test Outcome Measures in Patients With Foot/Ankle Impairments Wang,Y-X, Hart, D.H., Stratford,P.W. , Mioduski, J.E.

Anterior Cruciate Ligament Injury and Bucket Handle Tear of the Medial Meniscus Ballas,E.R,, Stillman, C.A.

ARTIGO DO MÊS - (25/2009)

Role of biomechanics in the understanding of normal, injured, and healing ligaments and tendons - Review

Ho-Joong Jung; Matthew B Fisher; Savio L-Y Woo

Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 2009, 1:9 http://www.smarttjournal.com/content/1/1/9


Abstract

Ligaments and tendons are soft connective tissues which serve essential roles for biomechanical function of the musculoskeletal system by stabilizing and guiding the motion of diarthrodial joints.

Nevertheless, these tissues are frequently injured due to repetition and overuse as well as quick cutting motions that involve acceleration and deceleration. These injuries often upset this balance between mobility and stability of the joint which causes damage to other soft tissues manifested as pain and other morbidity, such as osteoarthritis.

The healing of ligament and tendon injuries varies from tissue to tissue.

Tendinopathies are ubiquitous and can take up to 12 months for the pain to subside before one could return to normal activity.

A ruptured medial collateral ligament (MCL) can generally heal spontaneously; however, its remodeling process takes years and its biomechanical properties remain inferior when compared to the normal MCL.

It is also known that a midsubstance anterior cruciate ligament (ACL) tear has limited healing capability, and reconstruction by soft tissue grafts has been regularly performed to regain knee function. However, long term follow-up studies have revealed that 20– 25% of patients experience unsatisfactory results.

Thus, a better understanding of the function of ligaments and tendons, together with knowledge on their healing potential, may help investigators to develop novel strategies to accelerate and improve the healing process of ligaments and tendons.

With thousands of new papers published in the last ten years that involve biomechanics of ligaments and tendons, there is an increasing appreciation of this subject area. Such attention has positively impacted clinical practice. On the other hand, biomechanical data are complex in nature, and there is a danger of misinterpreting them.

Thus, in these review, we will provide the readers with a brief overview of ligaments and tendons and refer them to appropriate methodologies used to obtain their biomechanical properties. Specifically, we hope the reader will pay attention to how the properties of these tissues can be altered due to various experimental and biologic factors.

Following this background material, we will present how biomechanics can be applied to gain an understanding of the mechanisms as well as clinical management of various ligament and tendon ailments. To conclude, new technology, including imaging and robotics as well as functional tissue engineering, that could form novel treatment strategies to enhance healing of ligament and tendon are presented.

REVISTA JOSPT - JUNHO/2009

O Volume 39, No. 6 de JUNHO/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/

Aqui fica o indíce

Effects of Upper Extremity Neural Mobilization on Thermal Pain Sensitivity: A Sham-Controlled Study in Asymptomatic Participants J M. Beneciuk, Mark D. Bishop, Steven Z. George

Quantifying the Effect of Age on Passive Range of Motion of the Cervical Spine in Healthy Working-Age Women Petri K. Salo, Arja H. Häkkinen, Hannu Kautiainen, Jari J. Ylinen

The Immediate Effect of Orthotic Management on Grip Strength of Patients With Lateral Epicondylosis Fahimeh Sadat Jafarian, Ebrahim Sadeghi Demneh, Sarah F. Tyson

Fitness, Motor Competence, and Body Composition Are Weakly Associated With Adolescent Back Pain Mark Perry, Leon Straker, Peter B. O'Sullivan, Anne Smith, Beth Hands

Efficacy of 2 Non–Weight-Bearing Interventions, Proprioception Training Versus Strength Training, for Patients With Knee Osteoarthritis: A Randomized Clinical Trial Da-Hon Lin, Chien-Ho Janice Lin, Yeong-Fwu Lin, Mei-Hwa Jan

Self-Assessed Disability and Functional Performance in Individuals With and Without Ankle Instability: A Case Control Study
Erik A. Wikstrom, Mark D. Tillman, Terese L. Chmielewski, James H. Cauraugh, Keith E. Naugle, Paul A. Borsa

Reliability, Validity, and Responsiveness of the Lower Extremity Functional Scale for Inpatients of an Orthopaedic Rehabilitation Ward
Teresa SM. Yeung, Jean Wessel, Paul W. Stratford, Joy C. MacDermid

Osteochondral Defect of the Medial Femoral Condyle
Brett Neilson, Robert E. Boyles

ARTIGO DO MÊS - (17/2009)

Cuff tear arthropathy: Current trends in diagnosis and surgical management

Feeley, BT; Gallo, R.A.; Craig, E.V.

J Shoulder Elbow Surg (2009) 18, 484-494

http://www.ncbi.nlm.nih.gov/pubmed/19208484?dopt=Citation

Summary:

Massive tears of the rotator cuff resulting in arthritis of the glenohumeral joint remain a difficult challenge. Although cuff tear arthropathy (CTA) has been recognized for more than 150 years, a treatment strategy with uniformly satisfactory outcomes remains elusive, partly due to the difficulty in defining CTA in the literature. Most studies combine true CTA, rheumatoid arthritis, and massive rotator cuff tears under the CTA diagnosis.

Determining outcomes from these studies is difficult.

Hemiarthroplasty and total shoulder arthroplasty have led to pain relief, but the high rate of glenoid component loosening after total shoulder arthroplasty is a concern, and active range of motion remains limited after hemiarthroplasty.

There is increasing interest in the use of a constrained or reverese total shoulder arthroplasty to treat this complex process, with promising early results. This review article studies current trends in the diagnosis and management of arthritis due to massive cuff tears and CTA.

Keywords: Rotator cuff; tendon tears; arthropathy; cuff-tear arthropathy; hemiarthroplasty; total shoulder arthroplasty; reverse total shoulder arthroplasty

in Nonsurgical Management (no mesmo artigo)
Despite the presence of a large rotator cuff tear, many patients can function quitewell with minimal pain by using the deltoid and scapular stabilizing muscles (...) Physical therapy also can be quite beneficial: Exercises that focus on strengthening the deltoid musculature and scapula can allow select patients to function quite well.

A review of the literature, however, has not definitively shown that physical therapy results in improved functional outcomes of full thickness and massive rotator cuffs. Ainsworth et al (2007) systematically reviewed exercise therapy for nonoperative management of full thickness tears of the rotator cuff. They concluded that although no randomized controlled trials met the inclusion criteria, there was some evidence that exercise can improve the functional outcome of shoulders with full thickness rotator cuff tears. Both studies suggest that a trial of physical therapy is warranted in CTA and may provide at least short-term benefits. However, patients must be counseled that physical therapy will not heal the rotator cuff and, therefore, the disease process will likely progress regardless of the clinical improvement.

Comentário: independentemente da opção terapêutica seguida (tratamento conservador ou cirúrgico) é necessário reeducar a função através dos padrões normais de movimento num contexto de alterações estruturais que são irreversiveis em elementos fundamentais na estabilidade do ombro. MESMO NO CASO DE CIRURGIA DE SUBSTITUIÇÃO por artroplastia, os príncipios para a normalização da função e dos padrões neuromotores mantém-se.

Raul Oliveira, Fisioterapeuta

REVISTA JOSPT - MAIO/2009

O Volume 39, No. 5 de Maio/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido http://www.jospt.org/ Aqui fica o indíce com os artigos mais publicados num número inteiramente dedicado à coluna cervical/neck pain

EDITORIAL: Neck Pain: Much More Than a Psychosocial Condition Michele Sterling

Characterization of Acute and Chronic Whiplash-Associated Disorders James M. Elliott, J. Timothy Noteboom, Timothy W. Flynn, Michele Sterling

Knowledge to Action: A Challenge for Neck Pain Treatment
Anita R. Gross, Ted Haines, Charlie H. Goldsmith, Lina Santaguida, Laurie M. McLaughlin, Paul Peloso, Stephen Burnie, Jan Hoving, Cervical Overview Group (COG)

Developing Biologically-Based Assessment Tools for Physical Therapy Management of Neck Pain Joy C. MacDermid, Anita R. Gross, Victoria Galea, Laurie M. McLaughlin, William L. Parkinson, Linda J. Woodhouse, The Head and Neck, Shoulder and Arm Research Group (HaNSA)

Muscle Dysfunction in Cervical Spine Pain: Implications for Assessment and Management Shaun O'Leary, Deborah Falla, James M. Elliott, Gwendolen Jull

Risk Factors for Persistent Problems Following Whiplash Injury: Results of a Systematic Review and Meta-analysis David M. Walton, Jason Pretty, Joy C. MacDermid, Robert W. Teasell

Sensorimotor Function and Dizziness in Neck Pain: Implications for Assessment and Management Eythor Kristjansson, Julia Treleaven

Cervical Arterial Dysfunction: Knowledge and Reasoning for Manual Physical Therapists Roger Kerry, Alan J. Taylor

Measurement Properties of the Neck Disability Index: A Systematic Review
Joy C. MacDermid, David M. Walton

Neck Pain and Headaches in a Patient After a Fall Brian A. Young, Michael D. Ross

REVISTA JOSPT - ABR/2009

O Volume 39, No. 4 de Abril/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido.
http://www.jospt.org/

Aqui fica o indíce com os artigos mais importantes:

EDITORIAL - The Paralympic Movement: Addition by Subtraction
John A. Nyland

Effects of a 4-Week Exercise Program on Balance Using Elastic Tubing as a Perturbation Force for Individuals With a History of Ankle Sprains
KyungMo Han, Mark D. Ricard, Gilbert W. Fellingham

The Effects of Quadriceps Contraction on Different Patellofemoral Alignment Subtypes: An Axial Computed Tomography Study
Mei-Hwa Jan, Da-Hon Lin, Chien-Ho Janice Lin, Yeong-Fwu Lin, Cheng-Kung Cheng

Patella Fracture During Rehabilitation After Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction: 2 Case Reports
Sara R. Piva, Maj John D. Childs, Brian Klucinec, James J. Irrgang, Gustavo J. M. Almeida, G. Kelley Fitzgerald

Sports Participation and Humeral Torsion
Rod J. Whiteley, Karen A. Ginn, Leslie L. Nicholson, Roger D. Adams

The Relationship of Pain Intensity, Physical Impairment, and Pain-Related Fear to Function in Patients With Shoulder Pathology
Trevor A. Lentz, Josh A. Barabas, Tim Day, Mark D. Bishop, Steven Z. George

Application of Autocorrelation and Cross-correlation Analyses in Human Movement and Rehabilitation Research
Erika Nelson-Wong, Sam Howarth, David A. Winter, Jack P. Callaghan

Pigmented Villonodular Synovitis in a Military Trainee With Ankle Pain
J. Parry Gerber

Hip Pain and Mobility Deficits—Hip Osteoarthritis
Michael T. Cibulka, Douglas M. White, Judith Woehrle,Marcie Harris-Hayes, Keelan R. Enseki, Timothy L. Fagerson, James Slover, Joseph J. Godges

DOR: CONCEITO E ASPECTOS GERAIS (2)

AVALIAÇÃO DA DOR

Melzack, R. & Wall, P. (1982) dizem que a intensidade e a natureza da dor são influenciados pelas experiências anteriores, pelas memórias que delas temos e pela capacidade de compreender as suas causas e efeitos.
O meio cultural e socio-familiar em que vivemos desempenha um papel essencial na maneira como sentimos, lidamos e nos comportamos perante a dor e/ou sofrimento.
A evolução do conhecimento da anatomia, fisiologia, psicologia e comportamento humano, ajuda-nos a entender melhor o conceito "DOR" nas suas várias dimensões e impactos na vida das pessoas.

A percepção/vivência da dor enquanto sintoma é caracterizada como uma experiência multidimensional, que é personalizada na qualidade e na intensidade somato-sensorial e é condicionada por factores emocionais e psicossociais também singulares.

A Sociedade Americana de Dor descreveu a dor como o 5º sinal vital que deve sempre ser registado ao mesmo tempo e no mesmo ambiente clínico em que também são avaliados os outros sinais vitais: temperatura, frequência cardíaca, respiração e pressão arterial.

MEDIR A DOR

Sendo a dor uma experiência subjectiva, pessoal e única, não pode ser objectivamente medida por um instrumento padrão que permita a um observador externo determinar um valor universal. A medição de um fenómeno eminentemente subjectivo tem naturalmente uma componente principal também subjectiva.

Para uma avaliação mais detalhada da dor é importante que o Fisioterapeuta que lida com paciente onde a dor seja um sintoma/sinal cardinal, tenha em conta todo um conjunto de variáveis e características individuais, tais como, a idade, o sexo, a etnia, a religião, os valores pessoais e culturais, as experiências anteriores de dor, a educação, o meio social, as patologias e/ou disfunções associadas, entre outras. São todos estes factores que tornam a vivência da dor no sujeito como uma experiência única.

Existem vários métodos para avaliar a percepção/sensação de dor. Podem-se dividir em:

A) Instrumentos unidimensionais aplicados para quantificar apenas a severidade ou a intensidade da dor e usados frequentemente em ambiente clínico para se obterem informações rápidas, não invasivas e válidas sobre a dor e a analgesia.

Podem ser de três tipos:

1. visual analógica: o paciente, através de uma régua, indica a intensidade de sua dor; numa extremidade tem-se “ausência de dor” e na outra “a pior dor possível" . (EVA - ver imagem abaixo)

2. numérica: o paciente quantifica a intensidade de sua dor numa escala de 0 a 10.

3. categórica: o paciente classifica a sua dor como ausente, leve, moderada ou severa.

B) Os instrumentos multidimensionais são aplicados para avaliar e medir as diferentes dimensões da dor a partir de diferentes indicadores de respostas e suas interacções. As principais dimensões avaliadas são a sensorial, a afectiva e a avaliativa.

Algumas escalas multidimensionais incluem indicadores fisiológicos, comportamentais, contextuais e, também, os auto-registos por parte do paciente. Exemplos desses instrumentos são a escala de descritores verbais diferenciais, como Questionário McGill de avaliação da dor

O alívio da dor é actualmente visto como um direito humano básico e, portanto, trata-se não apenas de uma questão clínica, mas também de um imperativo ético que deve envolver todos os profissionais de saúde.

Raul Oliveira, Fisioterapeuta

DOR: CONCEITO E ASPECTOS GERAIS (1)

DOR

A dor é uma condição multidimensional absolutamente única, de difícil e complexa definição, e intrínseca ao próprio sujeito que a sente, vivencia e se confronta com ela. É sempre vivida na primeira pessoa - componente subjectiva - , e só compreensível e acessível ao outro por aquilo que a própria pessoa comunica ou deixa transparecer.

Está presente ao longo de todo o ciclo de vida e não depende apenas de lesão tecidular, mas de todo um vasto conjunto de constrangimentos e factores que nos rodeiam.
Para além dos mecanismos neuronais subjacentes à dor, para além da vivência eminentemente subjectiva que transforma a sensação em percepção e esta em emoção, a dor é igualmente modulada pelo contexto social em que a pessoa está inserida (Cailliet, R., 1999).

Definir DOR é uma tarefa sempre parcial e incompleta.

No entanto Melzack, R. & Wall, P. (1982) descrevem a dor como “uma experiência altamente pessoal e variável que é influenciada pela cultura, conhecimentos, pelo sentir da situação e outras actividades cognitivas”.

O subcomité de taxonomia da dor, da International Association for the Study of Pain (IASP) publicou a sua classificação e descrição do conceito de Dor, tendo sido definida como

“uma experiência sensitiva e emocional desagradável associada a lesão tecidular potencial ou real descritiva em termos dessa lesão”

surgindo a ideia da dualidade entre a nossa concepção, a concepção intuitiva acerca dela (a dor como resultado de alguma agressão) e a componente emocional. A dor surge assim como resultado de uma lesão tecidular potencial ou real, lesão essa que pode nem sempre existir; ao invés, nem sempre a lesão tecidular potencial ou real resulta em dor, ou seja, de um modo mais pragmático, a dor existe quando e onde a pessoa a sente.

A definição apresentada pela IASP, espelha a dificuldade em definir dor de uma forma concreta resultante da heterogeneidade da experiência. A dor é um experiência pessoal, na qual pesam factores fisiológicos, vivências passadas, a educação do indivíduo e a personalidade própria de cada um.

A definição destaca dois componentes, o sensorial e o emocional, correspondendo o primeiro ao estímulo doloroso propriamente dito e ao segundo a resposta associada à carga negativa ligada à experiência. Ressalva, ainda, a não correspondência entre o estímulo e a dor sentida. Ou seja, o mesmo estímulo poderá ser classificado de diferentes maneiras por diferentes indivíduos em contextos também diferentes.

A dor -aguda ou crónica - pode ser uma das condições mais incapacitantes, intrigantes e de maior incidência na saúde. Em muitos casos é o sintoma central que determina a procura de apoio por parte dos indivíduos junto dos profissionais de saúde.

Mais informação em The International Association for the Study of Pain

http://www.iasp-pain.org//AM/Template.cfm?Section=Home

REVISTA JOSPT - MAR/2009

O Volume 39, No. 3 de Março/2009 da revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) já está disponível online para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação que tenham aderido.

http://www.jospt.org/myjournal/main.asp
Aqui fica o indice com os artigos mais importantes:

INDICE

EDITORIAL - Clinical Prediction Rules in Physical Therapy: Coming of Age? Julie M. Fritz

Reliability and Diagnostic Accuracy of Clinical Special Tests for Myelopathy in Patients Seen for Cervical Dysfunction

Chad Cook, Matthew Roman, Kathleen M. Stewart, Linda Gray Leithe, Robert Isaacs

Predicting Short-Term Response to Thrust and Nonthrust Manipulation and Exercise in Patients Post Inversion Ankle Sprain Julie M. Whitman, Joshua A. Cleland, Paul E. Mintken, Michael A. Keirns, Melanie L. Bieniek, Stephanie R. Albin, Jake S. Magel, Thomas G. McPoil

Different Nerve-Gliding Exercises Induce Different Magnitudes of Median Nerve Longitudinal Excursion: An In Vivo Study Using Dynamic Ultrasound Imaging Michel W. Coppieters, Alan D. Hough, Andrew Dilley

Maximal Voluntary Isometric Neck Strength Deficits in Adults With Whiplash-Associated Disorders and Association With Pain and Fear of Movement

Isabelle Pearson, Alison Reichert, Sophie J. De Serres, Jean-Pierre Dumas, Julie N. Côté

Effects of the AirLift PTTD Brace on Foot Kinematics in Subjects With Stage II Posterior Tibial Tendon Dysfunction Christopher Neville, A. Samuel Flemister, Jeff R. Houck

The Effect of Selective Muscle Fatigue on Sagittal Lower Limb Kinematics and Muscle Activity During Level Running Eleftherios Kellis, Christina Liassou

The Physical Therapist as a Musculoskeletal Specialist in the Emergency Department Michael T. Lebec, Carleen E. Jogodka

Differential Diagnosis of Fibular Pain in a Patient With a History of Breast Cancer
Michael Ryder, Gail D. Deyle

REVISTA JOSPT - FEV/2009

A revista Journal of Orthopaedic and Sports Physical Therapy da secção do mesmo nome da American Physical Therapy Association (APTA) é uma das revistas mais prestigiadas no mundo da Fisioterapia e está disponível para os membros do Grupo de Interesse de Fisioterapia n Desporto da nossa Associação por um preço simbólico (para mais informações contactar o GI de Fisioterapia no Desporto da APF).

Estão igualmente disponiveis todos os números desde 1979 http://www.jospt.org/myjournal/main.asp

O Volume 39, No. 2 de Fevereiro/2009 é quase integralmente dedicado ao Complexo Articular do Ombro. Aqui fica o indice com os artigos mais importantes:

EDITORIAL - The Shoulder: Embracing the Clinical Challenge of Its Complexity por Guy G. Simoneau, Kevin E. Wilk

1) The Association of Scapular Kinematics and Glenohumeral Joint Pathologies

2) Shoulder Injuries in the Overhead Athlete

3) Current Concepts in the Scientific and Clinical Rationale Behind Exercises for Glenohumeral and Scapulothoracic Musculature

4) The Recognition and Treatment of First-Time Shoulder Dislocation in Active Individuals

5) Long Head of the Biceps Tendon Pain: Differential Diagnosis and Treament

6) SLAP Lesions: An Update on Recognition and Treatment

7) Open, Mini-open, and All-Arthroscopic Rotator Cuff Repair Surgery: Indications and Implications for Rehabilitation

8) Congenital Instability of the Shoulder Joint: Assessment and Treatment Options

9) Frozen Shoulder: Evidence and a Proposed Model Guiding Rehabilitation

Esta revista merece uma leitura atenta pelos Fisioterapeutas que lidam com as disfunções do complexo articular do ombro.

Como sei que parte dos leitores deste blog são colegas e futuros profissionais de Fisioterapia procurarei partilhar sempre os artigos mais recentes sobre as diversas temáticas das revistas mais conceituadas a que temos acesso.

Raul Oliveira, Fisioterapeuta
R´Equilibri_us - Gabinete de Fisioterapia
Av. D. João I, nº 8, Oeiras
309 984 508 / 917231718
raulov@netcabo.pt
Faculdade de Motricidade Humana

ANATOMIA REAL

IMAGENS DA EXPOSIÇÃO SOBRE ANATOMIA - CORPOS PLASTINADOS

O conhecimento do corpo anatómico e do seu funcionamento - Anatomia e Fisiologia - devem ser dos principais saberes do Fisioterapeuta.