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Case presentation: A 50-year-old woman. Retired after 17 years of full time as a secretary in a hospital setting. Fitness activities in which she participated included water aerobics, swimming, and walking. Recreational hobbies included sewing, using a machine that also required use of a right foo

Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline •Extrinsic risk factors(type of sport practiced) although outside of the patient, may provide a significant increase in the risk at sustaining a LAS. •When treating patients with an acute LAS, modif

Tennis elbow, also known as lateral epicondylitis, is a condition in which the lateral aspect of the elbow becomes painful and tender. The pain may also extend into the posterior aspect of the forearm and grip strength may be weak. Onset of symptoms is generally gradual. Diagnosis is typically based

Core Stability in Athletes: A Critical Analysis of Current Guidelines * There is no evidence that classical strength-training exercises, for example, squat, deadlift, snatch, and clean and jerk, affect ‘global’ muscles only or lead to imbalances between the muscles of the trunk. *The spine is secu

This study is confirming Mulligan Taping effect in knee injuries management with ballet dancers. The Taping reduced hip and knee forces without altering the aesthetic quality of the performance.

Significant improvement of supination and pronation ROM when applying MWM after years of ROM limitation. https://www.facebook.com/mulligandk/videos/739039102835331/

Tendon lesions are a major problem in sports. They are difficult to treat as treatment may take months. Tendon injury is common due to low metabolism, blood and nutrient supply. Tendons respond to mechanical stresses by adapting its metabolism, structural and mechanical properties. Eccentric con

Examination: RISK FACTORS: Clinicians should consider the presence of osseous abnormalities, local or global ligamentous laxity, connective tissue disorders, and nature of the patient’s activity and participation as risk factors for hip joint pathology. (Recommendation based on expert opinion.) DI

Clinical practice guidelines for the management of non‐specific low back pain in primary care: an updated overview clinical practice guidelines containing recommendations for non-specific LBP have been issued or updated since last overview in 2010.

Is a chronic pain condition that most often affects one limb (arm, leg, hand, or foot) usually after an injury such as a fracture or after surgery. The cause is unknown. it has two subtypes: Type I : -previously called reflex sympathetic dystrophy- refers to CRPS without evidence of a specific pe

Manipulation is a treatment modality used for the management of spinal disorders (pain and hypomobility). Its use dates back to ancient Greece and China. Generally defined as “Passive technique performed to a joint at high speed low amplitude thrust that is beyond patient’s voluntary control, usua

Summary of Recommendations for neck intervention (Continued): NECK PAIN WITH MOVEMENT COORDINATION IMPAIRMENTS (including whiplash-associated disorder [WAD]): Acute: - Clinicians should provide the following: • Education of the patient to Return to normal, non-provocative pre-accident activities as

Summery of neck examination 1.Excluding red flags and differential diagnosis: Clinicians should perform assessments and identify clinical findings in patients with neck pain to determine the potential for the presence of serious pathology (e.g., infection, cancer, cardiac involvement, arterial in

31% of injuries in professional football players are muscle injuries, reducing their incidence is an important goal for sports rehabilitation specialists. The studies focused on the following interventions for muscle injuries prevention in athletes: 1-Many studies show that eccentric strength tra

1-The approach is not focused on a single muscle/muscle group, posture or movement. Relation to a patient’s symptoms / combination of movements. 2-The approach must be tailored to the individual. Patient needs and symptoms be considered. 3-Exercises must be progressed to function. 4-The approach

Using a test of batteries before return-to-sport decision making is a key to confidently make such a decision and to decrease the risk of recurrent instability. Multiple upper-extremity tests have been described in this recent literature that can be used to direct rehabilitation and to safely re

The aim is to reduce pain and improve function. No single treatment has proven to be totally effective, treatment selection depends on the patient's clinical picture and informed by current best evidence. 1- Advice and education: About the nature of the problem how to modify and control pain a

Kinetic control; movement impairments; important stuff Move differently

Low back pain (LBP) is a common problem affecting populations in industrialized countries, and considered the most common cause of disability in people under 45 years. Pain, disability and quality of life are examples of the common subjective aspects associated with chronic low back and not easy to

This great paper confirms benefits of Mulligan techniques for Pain relief , ROM , Kinesiophobia, Depression and Quality of Life for older patients with Neck pain.

This study shows a significant immediate effect of mulligan concept for pain relief, increasing range of motion and improving functional activity.

Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association. Non arthritic Hip Joint Pain: INTERVENTION: INTERVENTION – PATIENT EDUCATION AND COUNSELING: Clinicians may utiliz

Passive movements used to increase mobility of joints and decrease pain performed at a speed in which it is possible for patient to prevent the movement may be gentle-smooth or stretching-staccato. It is either: Passive physiological intervertebral movements (PPIVM): PPIVM is used as an assessmen

Neuropathic Pain is chronic pain state caused by damage or disease affecting the nervous system. It may be divided into peripheral neuropathic pain, central neuropathic pain, or mixed (peripheral and central). Peripheral: After a peripheral nerve lesion, aberrant regeneration may occur. Neurons b

Plantar fascitis is characterized by pain at the calcaneal origin of the plantar fascia and increased thickness of the plantar fascia (Buchbinder, 2004). The condition is prevalent in both sports active and sedentary populations. The prevalence in the general population is estimated to range from 3.

Summary of Recommendations for neck intervention (Continued): NECK PAIN WITH HEADACHES Acute: - Clinicians should provide supervised instruction in active mobility exercise. - Clinicians may provide C1-2 self-sustained natural apophyseal glide (self-SNAG) exercise. Sub acute: - Clinicians sh

Summary of Recommendations for neck intervention: NECK PAIN WITH MOBILITY DEFICITS Acute: - Clinicians should provide thoracic manipulation, a program of neck ROM exercises, and scapulothoracic and upper extremity strengthening to enhance program adherence. - Clinicians may provide cer

1.Self management: the patients should know information about low back pain nature. They also should encourage to get back to their normal activity. 2.Manual therapy treatment package: Mobilization, manipulation, soft tissue techniques. Manual therapy techniques should be combined with exercise pro

Effectiveness of physical therapy treatment of clearly defined subacromial pain: ▸ Exercise therapy based on stretching and strengthening of rotator cuff and scapular muscles is as effective as surgery intervention. ▸ Exercise therapy associated with manual therapy based on joint and soft tissue t

Looney, B., Srokose, T., Fernández-de-las-Peñas, C. and Cleland, J.A., 2011. Graston instrument soft tissue mobilization and home stretching for the management of plantar heel pain: a case series. Journal of manipulative and physiological therapeutics, 34(2), pp.138-142. The result of the curren