Research Report
Terry Bemis, Monte Daniel
This study investigated the use of the long sitting test as an indicator of iliosacral dysfunction. Fifty-one subjects between the ages of 18 and 37 were assigned to either an experimental group or control group through a screening procedure. The 30 subjects in the control group had even posterior superior iliac spine (PSIS) heights and negative standing and sitting flexion tests. The 2 1 subjects in the experimental group had uneven PSIS heights, positive standing flexion tests, and negative sitting flexion tests. Measurements were taken of the change in the subjects' malleoli as they moved from a supine to a sitting position. Additional suppkmental and confirmational tests were then administered. The results of the long sitting test for iliosacral dysfunction were found to be significant at the 0.01 level. Possible influences on this test indicated by the confirmational and supplemental tests were also explored.
J Orthop Sports Phys Ther 1987;8(7):336-345.
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Research Report
Robert A. Negus, James M. Rippe, Patty Freedson, James Michaels
The cardiovascular response to orthopaedic rehabilitation may carry clinical significance, particularly for individuals who are deconditioned, elderly, or have underlying heart disease. We examined heart rate, blood pressure, and oxygen consumption responses in individuals performing commonly used orthopaedic rehabilitation protocols. The rate pressure product during these rehabilitation protocols was approximately 80% of that achieved during maximum cycle ergometry tests. Maximum systolic blood pressures in both men and women were higher during orthopaedic rehabilitation protocols than maximum cycle ergometry. Patients undergoing velocity spectrum orthopaedic ~ehabilitations hould be monitored for their heart rate and blood pressure. Caution should be observed in cardiac and elderly individuals undergoing these rehabilitation protocols.
J Orthop Sports Phys Ther 1987;8(7):346-350.
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Research Report
James L. Franco
This research project was undertaken as a component of a comprehensive assessment of the University of Connecticut's freshman football team. The purpose of this study was to identify weaknesses in the neck musculature and note any relationships between strength differences and cervical spine stability. Neck muscle strength was evaluated using isometric contractions for the motions of flexion, extension, and right and left lateral flexion. Statistical correlations were derived for each of the 28 male subjects, who were divided into two groups of 14 linemen and 14 runningbacks. A Human Performance Regulator, which electrically evaluates neuromuscular force produced during an isometric contraction, was used to measure the force applied. A typical weightlifting power rack was used as a stabilization platform. The data recorded indicates that there are significant differences between the neck muscle strength of the two groups, as well as differences in neck muscle strength of individuals between their right and left sides. Looking at these muscular differences and their relationship to cervical vertebrae alignment during lateral flexion, the authors contend that blocking or tackling with the head in a laterally flexed position, to supposedly hit with the shoulder, places the cervical spine in a structurally weak position lacking muscular support, and predisposes the athlete to cervical spine injuries.
J Orthop Sports Phys Ther 1987;8(7):351-356.
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Research Report
Douglas Creighton, Varick L. Olson
Accurate assessment of range of motion of the first metatarsophalangeal joint may assist the physical therapist when dealing with plantar fasciitis. The purpose of this study was to determine whether there is any difference in the amount of flexion and/ or extension at the first metatarsophalangeal joint in runners with plantar fasciitis. Bilateral active and passive range of motion values at the first metatarsophalangeal joint were measured with a goniometer on six subjects with plantar fasciitis and six subjects without the pathology while their leg was stabilized at the ankle and forefoot in an adapted orthosis. The results indicate a statistically significant decrease in active extension, passive extension, and passive flexion in runners with plantar fasciitis. Due to the loss of stability in the medial longitudinal arch which accompanies decreased extension range of motion at the first rnetatarsophalangeal joint, specific evaluation of this joint is needed when the physical therapist is treating a patient with plantar fasciitis.
J Orthop Sports Phys Ther 1987;8(7):357-361.
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Research Report
Peter Van Der Wurff, Rudd H. M. Hagmeyer
Twenty-one cases of transchondral fractures of the ankle, seen between 1980 and 1984, were studied. Twenty were available for follow-up. The average follow-up period was 23.5 months. In all cases but one the diagnosis was delayed. The diagnosis stated by clinical signs in medial transchondral fractures seems to be pathognomic: localized tenderness on the posterior medial side of the talus, pain increasing on exertion, and provocation of pain on passive plantar flexion.
J Orthop Sports Phys Ther 1987;8(7):362-367.
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Research Report
Jeffrey E. Falkel, Timothy C. Murphy, Thomas F. Murray
This study was undertaken to test the feasibility of using a prone test position on the Upper Body Exercise Table while performing shoulder internal and external rotation in swimmers using a Cybex Il® lsokinetic Dynamometer. Thirty-nine swimmers, 20 males and 19 females, were tested for internal and external rotation of the shoulder in supine position and, on a separate occasion, in the prone position at speeds of 120, 180, and at 240°/sec. In addition, they performed a 50-contraction endurance trial at 240' in both positions. The results of the study showed that with the exception of 120 O/sec for the external rotators, the prone position produced significantly greater (p < 0.05) torque values than while supine. It is suggested that while testing swimmers, the prone position be used to obtain the highest strength and endurance values.
J Orthop Sports Phys Ther 1987;8(7):368-370.
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