A survey instrument containing 1 13 sports physical therapy job tasks was developed by a committee of experts at the Combined Sections Meeting, American Physical Therapy Association (APTA), in Orlando, FL, on February 8-1 1, 1978. The committee was assisted by the Committee on Competencies, APTA, and a representative from Courseware, Inc. The instrument was then sent to 1074 members of the Section for the purposes of identifying the clinical tasks in which competency is essential to practice effectively and of determining to what extent members are practicing these clinical tasks. Two major mailings were sent, in October 1978 and January 1979; 573 forms were returned for a response rate of 53.4%. Seventy returned forms were not used because they were incomplete or incorrectly filled out (35), were not deliverable (23), or were sent to those that were no longer members of the Section (12). The response rate of usable forms was 50.1 %.

J Orthop Sports Phys Ther 1980;1(4):229-238.

J Orthop Sports Phys Ther 1981;2(3):108-116.

J Orthop Sports Phys Ther 1985;6(6):309-314.

J Orthop Sports Phys Ther 1987;9(4):132-140.

The purpose of this study was to develop a physiological profile of the elite soccer athlete. Protocols were developed to assess flexibility, knee ligament translation, body composition, anaerobic power, lower extremity functional performance, and muscle strength. Eighty-three male U.S. National Team players provided data for this study. Different protocols were used over the years the data was gathered. Each area was tested, using a subset of the total group. The physiological profile of the elite soccer player was compiled from results in each area tested. The players were flexible, on the whole, although 17% of the players demonstrated hamstring tightness. All but one player tested had less than 2.5 mm anterior/posterior (A/P) knee ligament translation. The average body fat was 9.5%, and all athletes performed normally on the function tests. The mean power output on Wingate testing was 8.1 Watts per kilogram body weight. The average hamstring-to-quadricep torque ratio (H/Q) at 60°/sec was 56% (right) and 56.6% (left), and at 450°/sec, was 67.1% and 70.1 %. Identification and measurement of these key physiological qualities for the elite soccer athlete will provide standards and a baseline for trainers, coaches, players, and future investigators.

J Orthop Sports Phys Ther 1990;12(4):147-152.

J Orthop Sports Phys Ther 1992;15(6):294-302.

Key Words: anterior cruciate ligament, allograft, rehabilitation, clinical outcome

Patellofemoral disorders are among the most common clinical conditions managed in the orthopaedic and sports medicine setting. Nonoperative intervention is typically the initial form of treatment for patellofemoral disorders; however, there is no consensus on the most effective method of treatment. Although numerous treatment options exist for patellofemoral patients, the indications and contraindications of each approach have not been well established. Additionally, there is no generally accepted classification scheme for patellofemoral disorders. In this paper, we will discuss a classification system to be used as the foundation for developing treatment strategies and interventions in the nonsurgical management of patients with patellofemoral pain and/or dysfunction. The classification system divides the patellofemoral disorders into eight groups, including: 1) patellar compression syndromes, 2) patellar instability, 3) biomechanical dysfunction, 4) direct patellar trauma, 5) soft tissue lesions, 6) overuse syndromes, 7) osteochondritis diseases, and 8) neurologic disorders. Treatment suggestions for each of the eight patellofemoral dysfunction categories will be briefly discussed.

J Orthop Sports Phys Ther. 1998;28(5):307-322.

Key Words: patellofemoral dysfunction, rehabilitation, classification

Postoperative management of the patellofemoral patient requires the clinician to implement a program that reestablishes functional activities of daily living. This paper will discuss the postoperative management of the patellofemoral patient. Effective rehabilitation techniques are needed to progress the patient. Surgical procedures, such as a lateral retinacular release, proximal realignment, and distal realignments, are frequently utilized techniques; however, long-term clinical outcome studies are lacking. The postoperative protocols discussed utilize an evaluation-based treatment approach model. The model defines evaluation techniques, leading the clinician to a specific rehabilitation pathway. The crucial element of postoperative management focuses on a treatment and exercise approach similar to the nonoperative management. Inappropriate or overly aggressive exercises may lead to possible neurologic dysfunction or delayed muscle function. The clinician must recognize that patients may exhibit articular cartilage damage, and, thus, rehabilitation programs must be designed to minimize the potential risks of progressing this lesion.

J Orthop Sports Phys Ther. 1998;28(5):323-335.

Key Words: patellofemoral, postoperative, evaluation-based treatment