Soft Tissue Injuries

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: The purpose of this systematic review was to evaluate the effectiveness of multimodal care for the management of soft tissue injuries of the shoulder. METHODS: We conducted a systematic review and searched MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials from 1990 to 2015. Two independent reviewers critically appraised studies using the Scottish Intercollegiate Guidelines Network criteria. We used best evidence synthesis to synthesize evidence from studies with low risk of bias.

Author(s): 
Goldgrub, Rachel
Côté, Pierre
Sutton, Deborah
Wong, Jessica J.
Yu, Hainan
Randhawa, Kristi
Varatharajan, Sharanya
Southerst, Danielle
Mior, Silvano
Shearer, Heather M.
Jacobs, Craig
Stupar, Maja
Chung, Chadwick L.
Abdulla, Sean
Balogh, Robert
Dogra, Shilpa
Nordin, Margareta
Taylor-Vaisey, Anne
Publication Title: 
Manual Therapy

INTRODUCTION: Soft tissue injuries of the leg, ankle, or foot are common and often treated by exercise. The purpose of this study was to determine the effectiveness of exercise for the management of soft tissue injuries of the leg, ankle, or foot. METHODS: A systematic review of the literature was conducted. We searched five databases from 1990 to 2015. Relevant articles were critically appraised using Scottish Intercollegiate Guidelines Network (SIGN) criteria. The evidence from studies with low risk of bias was synthesized using the best-evidence synthesis methodology.

Author(s): 
Woitzik, Erin
Jacobs, Craig
Wong, Jessica J.
Côté, Pierre
Shearer, Heather M.
Randhawa, Kristi
Sutton, Deborah
Southerst, Danielle
Varatharajan, Sharanya
Brison, Robert J.
Yu, Hainan
van der Velde, Gabrielle
Stern, Paula J.
Taylor-Vaisey, Anne
Stupar, Maja
Mior, Silvano
Carroll, Linda J.
Publication Title: 
Scandinavian Journal of Medicine & Science in Sports

The use of cryotherapy, i.e. the application of cold for the treatment of injury or disease, is widespread in sports medicine today. It is an established method when treating acute soft tissue injuries, but there is a discrepancy between the scientific basis for cryotherapy and clinical studies. Various methods such as ice packs, ice towels, ice massage, gel packs, refrigerant gases and inflatable splints can be used. Cold is also used to reduce the recovery time as part of the rehabilitation programme both after acute injuries and in the treatment of chronic injuries.

Author(s): 
Swenson, C.
Swärd, L.
Karlsson, J.
Publication Title: 
Physical Therapy

BACKGROUND AND PURPOSE: The purposes of this study were to describe the use of ultrasound by Dutch physical therapists and to address the question of whether this use is what would be considered correct. SUBJECTS AND METHODS: Physical therapists in the Dutch primary health care system gathered data on 17,201 patients, addressing reasons for referral, treatment goals (in terms of impairments and disabilities), and physical therapy interventions. Patients treated with ultrasound (n = 3,959) were compared with a reference group of patients who were not treated with ultrasound (n = 13,242).

Author(s): 
Roebroeck, M. E.
Dekker, J.
Oostendorp, R. A.
Publication Title: 
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery

OBJECTIVE: To investigate the effect of massage on quadriceps femoris repair and the expressions of Desmin and alpha-Actin in rabbits so as to explore the possible molecular mechanisms of massage in repair of muscle injury. METHODS: Twenty-seven New Zealand white rabbits, weighing (2.0 +/- 0.5) kg, were randomly divided into 3 groups: groups A (n = 3), B (n = 12), and C (n = 12). In group A, the rabbits were not treated as controls; in groups B and C, the rabbit models of quadriceps femoris injury were prepared by self-made beater.

Author(s): 
Hou, Yixuan
Liu, Manran
Yu, Min
Zhang, Ping
Liu, Zuli
Tang, Chenglin
Publication Title: 
Homeopathy: The Journal of the Faculty of Homeopathy

Following a multiple-casualty construction disaster in Israel, members of The Center of Integrated Complementary Medicine joined in the emergency activity of the Shaare Zedek Medical Center. They administered homeopathic treatment to injured patients to supplement conventional orthopaedic treatment. This was to our knowledge the first time that complementary medicine had been used officially in conjunction with conventional medicine in an emergency situation. Our objective is to report and summarize the rationale, procedures and outcome of the complementary medicine intervention.

Author(s): 
Oberbaum, M.
Schreiber, R.
Rosenthal, C.
Itzchaki, M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVES: To determine the compliance level and topic choice selection frequency of rehabilitation patients in a self-directed education program offered in conjunction with a rehabilitation exercise program. DESIGN: Descriptive study. SETTING: Soft-tissue injury rehabilitation clinic located within a chiropractic college. SUBJECTS: Twenty-four rehabilitation patients with injured spines who were enrolled in a daily in-clinic program.

Author(s): 
Piccininni, J. J.
Vernon, H. T.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

PURPOSE: To abstract the essential elements of chiropractic prone leg checking and subject them to controlled, experimental parametric testing. DESIGN: Controlled, objective, repeated-measure analysis of the dynamic response of leg positions to distractive and compressive loading conditions. SETTING: Research laboratory in a chiropractic college. PARTICIPANTS: Twenty-five compression and 30 distraction subjects, most of whom were male, asymptomatic chiropractic students.

Author(s): 
Jansen, R. D.
Cooperstein, R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To provide a rationale for active chiropractic rehabilitative treatment that extends beyond the single goal of resolution of symptomatic complaints. DATA COLLECTION: A manual search of available reference texts and a search of MEDLINE were collected with an emphasis on tissue healing sequelae and the role of mechanical loading on this process. RESULTS: The reviewed material indicates that all tissue growth and repair is influenced by mechanical loading and body posture and is positively affected by body postures that normalize/minimize adverse mechanical stresses and strains.

Author(s): 
Troyanovich, S. J.
Harrison, D. E.
Harrison, D. D.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: Manual medicine treatments (MMTs) rely on biophysical techniques that use manually guided forces in numerous strain directions to treat injuries and somatic dysfunctions. Although clinical outcomes post-MMT are positive, the underlying cellular mechanisms responsible remain elusive. We previously described an in vitro model of strain-induced tissue injury and MMTs. Using this model, the current study sought to determine if strain direction (equibiaxial [EQUI] vs heterobiaxial [HETERO]) differentially regulates human fibroblast function.

Author(s): 
Eagan, Thomas S.
Meltzer, Kate R.
Standley, Paul R.

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