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RISS 인기검색어
- 검색키워드
- 저자 : Joshua Mark Prall (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
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Effects of Eccentric Exercise Associated with Patellofemoral Tendinopathy: A Systematic Review
Joshua Mark Prall,Madison Gillen,Elizabeth Talbot,Samantha Flater,Ryan Bibeau,John Ricciuti,Stan Dacko 물리치료재활과학회 2023 Physical therapy rehabilitation science Vol.12 No.4
Background: Patellofemoral tendinopathy is a common condition that is associated with anteromedial knee pain due to chronicrepetitive tendon overloading. Physical therapy in combination with an eccentric exercise program has been thought to be the goldstandard of treatment for patellofemoral tendinopathy. The aim of this study was to examine the literature regarding theeffectiveness of treating patellofemoral tendinopathy with eccentric exercise and other interventions. Methods: A literature search of Medline Complete, PubMed, CINAHL Complete, and Journal of Science and Medicine in Sports was conducted using PEDro guidelines. Results: Eight articles met our selection criteria. The 8 articles investigated individuals who all had pain at the inferior pole of thepatella or were diagnosed via ultrasound for patellar tendinopathy. The articles investigated the effects of eccentric exercise versus other treatments such as, progressive tendon-loading exercise therapy (PTLE), extracorporeal shock wave therapy (ESWT),percutaneous electrolysis (PNE), dry needling (DN), and concentric hip muscle strengthening. Ultimately, each treatment resultedin decreased pain and patellar stiffness, along with improvement in outcome measures, but it was found that no intervention was more effective than eccentric exercise alone, besides progressive tendon-loading exercise therapy. Conclusions: Moderate to strong mixed evidence exists to show the effect of eccentric exercise in combination with otherinterventions decreases patellofemoral pain and increased functional mobility in individuals with patellofemoral tendinopathy. Progressive tendon-loading exercise therapy was the one treatment that showed more significant improvements in outcome
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Episacroiliac Lipomas: A Possible Undetected Cause of Non-specific Low Back Pain
Michele Felice Rovaris,Joshua Mark Prall 물리치료재활과학회 2023 Physical therapy rehabilitation science Vol.12 No.4
Background: Episacroiliac lipomas may be an undetected cause of low back pain with a high incidence in the general population. To date, research on these lipomas as a cause of non-specific low-back pain is limited. Therefore, the purpose of this case series isto describe the presentation and treatment of three patients who presented with non-specific low back pain where episacroiliaclipomas were observed. This could increase awareness in the identification of this condition and promote research into a more effective approach in the treatment of non-specific low back pain. Design: Case series. Methods: The first patient was a 66-year-old male who presented to physical therapy with chronic non-specific low back pain inthe left sacroiliac joint region with associated radiculopathy. The second patient was a 22-year-old female who also presented tophysical therapy with non-specific low back pain. The last patient was a 73-year-old male who presented with non-specific chroniclow back pain with associated radiculopathy. Results: Overall, the three patients showed improvements in pain levels when treatment specifically targeting the episacroiliaclipomas was initiated with deep tissue manual therapy localized to these lipomas. Conclusions: Pressure applied at the location of these lipomas reproduces symptoms experienced by the patients. This findingmay point to episacroiliac lipomas as major underlying cause of non-specific low back pain. Furthermore, most benefits were seen in patients while specifically targeting these lipomas. Traditional approaches to low back pain continue to be relatively ineffectiveand new options must be explored to determine more effective interventions.
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