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When you say "He's good to go" - do you really know???

After a patient athlete (an oxymoron if there was ever one!) has had an ACL reconstruction – “ When can I play”  rings in your ears as the treating physical therapist – often (in all likelihood) way too soon  –  Historically, we old timers (better known as PT’s with graying hair) have attempted to use specific isolated measures such as quadriceps strength (concentric and eccentric) which is helpful (actually probably remains one of our best measures with correlation to function of ~.70 + – which means  slightly greater than 50% of total variance is being explained by this single measure) but does not assess the functional contributions of the neurologic (sensory as well as reflexive/sequenced motor recruitment ) nor the multitude of inhibitory or skill factors associated with sport performance adequately.  723 more words

NES Rehab Blog

Examination of distal biceps tendon ruptures can be very difficult.

Examination of distal biceps tendon ruptures can be very difficult.  These injuries nearly always occur in middle-aged men who have incurred a forceful eccentric contraction to the elbow.  184 more words

NES Rehab Blog

Patient's compliance following rotator cuff repair

We probably have all at one point or another wondered about our patient’s compliance following rotator cuff repair and during their post- operative rehabilitation?  How important is patient compliance to the overall outcome of the surgery and subsequent rehabilitation?  246 more words

NES Rehab Blog

Be careful out there: (the great line from Hill Street Blues)

The New England Journal of Medicine says physical therapy is as good as surgery in the treatment of meniscal patients (Katz, JN et al NEJM, 1675-1684 May – 2013). 196 more words

NES Rehab Blog

Strengthening the "Core" for the Prevention of ACL Injuries

Anterior cruciate ligament (ACL) injuries occur in female athletes involved in cutting and landing sports at a 2 to 10-fold greater rate than males participating in the same high-risk sports, and the 60-70% of these injuries occur by non-contact mechanisms.  205 more words

NES Rehab Blog

Sexual Function and Physical Therapy

In June 2013 the APTA House of Delegates adopted a landmark new vision of the profession of physical therapy: “Transforming society by optimizing movement to improve the human experience… 297 more words

NES Rehab Blog

Sexual Pain/Dyspareunia/CPP (Chronic Pelvic Pain)

CHRONIC: Three or Six month’s duration, pain during, after, or triggered by sexual activity.

IMPACT:
Chronic Pelvic Pain (CPP) affects 30 million women in North America, and 85% have pain with sexual activity. 375 more words

NES Rehab Blog