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VHI Orthopedic/Sports Medicine Physical Therapy Evidence-Based QuickNotes
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VHI's Orthopedic/Sports Medicine Physical Therapy Evidence-Based QuickNotes
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 Past Issues
April 2017   Adobe PDF documentApril 2017 PDF Document Microsoft Word documentApril 2017 Word Document
  Exercise and Achilles Tendinopathy

Can pain and function improve in patients with Achilles tendinopathy using exercise strategies other than the classic Alfredson eccentric exercise protocol?
January 2017   Adobe PDF documentJanuary 2017 PDF Document Microsoft Word documentJanuary 2017 Word Document
  Exercise and Knee Osteoarthritis

Can clinical outcomes in patients with knee osteoarthritis be improved when more than basic exercise is used?
January 2016   Adobe PDF document January 2016 PDF Document Microsoft Word document January 2016 Word Document
  Platelet-rich Plasma and Acute Hamstring Injury

Do platelet-rich plasma (PRP) injections improve recovery and reduce re-injury risk following acute hamstring strain injury?
April 2016   Adobe PDF document April 2016 PDF Document Microsoft Word document April 2016 Word Document
  Plantar Heel Pain

What treatments beyond stretching can improve outcomes in patients with plantar heel pain?
July 2016   Adobe PDF document July 2016 PDF Document Microsoft Word document July 2016 Word Document
  Prevention of Low Back Pain

Can regular exercise reduce the incidence of low back pain?
October 2016   Adobe PDF document October 2016 PDF Document Microsoft Word document October 2016 Word Document
  Treatment of Cervical Radiculopathy

Can exercise improve symptoms related to cervical radiculopathy?
April 2015   Adobe PDF document April 2015 PDF Document Microsoft Word document April 2015 Word Document
  Rotator Cuff Tear

Does non-operative or operative management of rotator cuff tears result in better clinical outcomes?
July 2015   Adobe PDF document July 2015 PDF Document Microsoft Word document July 2015 Word Document
  Hip Osteoarthritis

Can exercise improve pain and function in individuals with hip osteoarthritis (OA)?
October 2015   Adobe PDF document October 2015 PDF Document Microsoft Word document October 2015 Word Document
  Anterior Cruciate Ligament Reconstruction

What aspects of rehab following anterior cruciate ligament reconstruction (ACLR) result in improved function at a minimum follow-up of 6-mos?
January 2014   Adobe PDF document January 2014 PDF Document Microsoft Word document January 2014 Word Document
  Injection Therapy for Lateral Epicondylitis

Are injection therapies effective in management of lateral epicondylitis (LE)
April 2014   Adobe PDF document April 2014 PDF Document Microsoft Word document April 2014 Word Document
  Chronic Neck Pain - Update

Does exercise therapy reduce pain and increase function in persons with chronic neck pain?
July 2014   Adobe PDF document July 2014 PDF Document Microsoft Word document July 2014 Word Document
  Patellofemoral Pain

What exercise therapy approach is most effective at improving pain and function in persons with patellofemoral pain?
July 2014   Adobe PDF document October 2014 PDF Document Microsoft Word document October 2014 Word Document
  Educating patients in therapeutic exercise

Does the type of exercise instruction (e.g., video, written, therapist supervised) affect outcomes among healthy and/or injured participants?
January 2013   Adobe PDF document January 2013 PDF Document Microsoft Word document January 2013 Word Document
  Turf Toe

What is the recommended non-operative and post-operative management of turf toe?
February 2013   Adobe PDF document February 2013 PDF Document Microsoft Word document February 2013 Word Document
  Viscosupplementation for Knee OA

Is viscosupplementation recommended for symptomatic relief of knee osteoarthritis?
March 2013   Adobe PDF document March 2013 PDF Document Microsoft Word document March 2013 Word Document
  Exercise Adherence

What are the recommended methods to increase exercise adherence among patients with musculoskeletal pain?
April 2013   Adobe PDF document April 2013 PDF Document Microsoft Word document April 2013 Word Document
  Chronic Exertional Compartment Syndrome

What is the recommended rehabilitation following fasciotomy for chronic exertional compartment syndrome (CECS) of the lower leg?
August 2013   Adobe PDF document August 2013 PDF Document Microsoft Word document August 2013 Word Document
  Hip Resurfacing

Following hip resurfacing, what is recommended rehabilitation and expectations for return to sporting activity?
September 2013   Adobe PDF document September 2013 PDF Document Microsoft Word document September 2013 Word Document
  ACL Injuries in Skeletally Immature

What is the recommended nonoperative and post-operative rehabilitation for ACL injuries in skeletally immature children?
October 2013   Adobe PDF document October 2013 PDF Document Microsoft Word document October 2013 Word Document
  Insertional Achilles Tendinopathy

What is the recommended conservative management for individuals with insertional Achilles tendinopathy?
January 2012   Adobe PDF document January 2012 PDF Document Microsoft Word document January 2012 Word Document
  Whiplash

Can exercise improve symptoms and outcomes in individuals with acute or chronic whiplash-associated disorder (WAD)?
February 2012   Adobe PDF document February 2012 PDF Document Microsoft Word document February 2012 Word Document
  Snapping Scapula

Can exercise improve symptoms and outcomes in individuals with painful snapping syndrome?
March 2012   Adobe PDF document March 2012 PDF Document Microsoft Word document March 2012 Word Document
  Greater Trochanteric Pain Syndrome

What is the current best conservative treatment strategy for greater trochanteric pain syndrome (GTPS)?
April 2012   Adobe PDF document April 2012 PDF Document Microsoft Word document April 2012 Word Document
  Acromioclavicular Separation

Does operative or non-operative management of individuals with a type I-III acromioclavicular (AC) separation result in better clinical outcomes?
May 2012   Adobe PDF document May 2012 PDF Document Microsoft Word document May 2012 Word Document
  Patellofemoral pain - update

Does exercise therapy reduce pain and increase function in individuals with patellofemoral pain (PFP)?
June 2012   Adobe PDF document June 2012 PDF Document Microsoft Word document June 2012 Word Document
  Femoroacetabular Impingement

What is the recommended rehabilitation management following hip arthroscopy for femoroacetabular impingement (FAI)?
July 2012   Adobe PDF document July 2012 PDF Document Microsoft Word document July 2012 Word Document
  Meniscal tears - non-operative management

Can the non-operative management of patients with meniscal tears produce successful clinical outcomes?
August 2012   Adobe PDF document August 2012 PDF Document Microsoft Word document August 2012 Word Document
  Shoulder Impingement - Update

What type of exercise program can improve pain and function in individuals with shoulder impingement syndrome?
September 2012   Adobe PDF document September 2012 PDF Document Microsoft Word document September 2012 Word Document
  Knee MCL sprain

What is the recommended conservative management following isolated sprain of the knee medial collateral ligament (MCL)?
October 2012   Adobe PDF document October 2012 PDF Document Microsoft Word document October 2012 Word Document
  Osgood-Schlatter Disease

What is the recommended management of Osgood-Schlatter disease (OSD)?
November 2012   Adobe PDF document November 2012 PDF Document Microsoft Word document November 2012 Word Document
  Femoral Stress Fracture

What is the recommended management and return-to-play criteria for stress fracture of the femoral shaft or neck?
December 2012   Adobe PDF document December 2012 PDF Document Microsoft Word document December 2012 Word Document
  Athletic Pubalgia

What is the recommended management of athletic pubalgia (sports hernia)?
January 2011   Adobe PDF document January 2011 PDF Document Microsoft Word document January 2011 Word Document
  Exercise therapy for distal radial fracture

Does exercise therapy improve clinical outcomes following a distal fracture of the radius?
March 2011   Adobe PDF document March 2011 PDF Document Microsoft Word document March 2011 Word Document
  Neuromuscular exercise for initial ankle sprain

Can an initial ankle sprain be prevented with a neuromuscular training program?
April 2011   Adobe PDF document April 2011 PDF Document Microsoft Word document April 2011 Word Document
  Preventing hamstring strain injuries

Can hamstring injuries be prevented with a targeted exercise program?
May 2011   Adobe PDF document May 2011 PDF Document Microsoft Word document May 2011 Word Document
  Lumbar discectomy rehabilitation

Does the timing and type of exercise following single-level lumbar discectomy improve pain and function?
June 2011   Adobe PDF document June 2011 PDF Document Microsoft Word document June 2011 Word Document
  Subacromial impingement

Does arthroscopic decompression produce better long-term clinical outcomes than exercise management in individuals with subacromial impingement?
July 2011   Adobe PDF document July 2011 PDF Document Microsoft Word document July 2011 Word Document
  Subacromial impingement

Does arthroscopic decompression produce better long-term clinical outcomes than exercise management in individuals with subacromial impingement?
August 2011   Adobe PDF document August 2011 PDF Document Microsoft Word document August 2011 Word Document
  Hip adductor strain

Can a muscle strengthening and coordination program reduce the incidence of or improve recovery from hip adductor muscle strains?
September 2011   Adobe PDF document September 2011 PDF Document Microsoft Word document September 2011 Word Document
  Pregnancy and low back pain

Can exercise improve pain and function in pregnant women with pelvic girdle or low back pain?
October 2011   Adobe PDF document October 2011 PDF Document Microsoft Word document October 2011 Word Document
  Postpartum lumbopelvic pain

Can exercise improve pain and function in postpartum women with pelvic girdle or low back pain?
November 2011   Adobe PDF document November 2011 PDF Document Microsoft Word document November 2011 Word Document
  Piriformis syndrome

Can exercise therapy reduce symptoms in individuals with piriformis syndrome?
December 2011   Adobe PDF document December 2011 PDF Document Microsoft Word document December 2011 Word Document
  Shoulder instability

Can exercise therapy improve symptoms and outcomes in individuals with shoulder instability?
January 2010   Adobe PDF document January 2010 PDF Document Microsoft Word document January 2010 Word Document
  Osteoporosis

Can physical activity improve bone mineral density or bone quality in adult women with osteoporosis or low bone mineral density?
February 2010   Adobe PDF document February 2010 PDF Document Microsoft Word document February 2010 Word Document
  Iliotibial band syndrome

What conservative management techniques for iliotibial band syndrome have demonstrated effectiveness in symptom resolution?
March 2010   Adobe PDF document March 2010 PDF Document Microsoft Word document March 2010 Word Document
  Hip arthroplasty

Compared to post-operative rehabilitation only, does the addition of a pre-operative exercise program improve pain and function in individuals undergoing a total hip arthroplasty?
April 2010   Adobe PDF document April 2010 PDF Document Microsoft Word document April 2010 Word Document
  Cervicogenic headaches

For individuals with tension-type or cervicogenic headaches, does exercise therapy reduce the frequency, intensity and duration of headaches?
May 2010   Adobe PDF document May 2010 PDF Document Microsoft Word document May 2010 Word Document
  Achilles tendinopathy

Does the incorporation of eccentric exercises into the management of Achilles tendinopathy achieve better outcomes than other common treatments?
June 2010   Adobe PDF document June 2010 PDF Document Microsoft Word document June 2010 Word Document
  Carpal tunnel syndrome

In individuals with carpal tunnel syndrome, does the addition of tendon or nerve gliding exercises to other conservative treatments improve outcomes?
July 2010   Adobe PDF document July 2010 PDF Document Microsoft Word document July 2010 Word Document
  Medial tibial stress syndrome

Can a preventive training program consisting of stretching and or strengthening exercises reduce the incidence of medial tibial stress syndrome (MTSS)?
August 2010   Adobe PDF document August 2010 PDF Document Microsoft Word document August 2010 Word Document
  Temporomandibular joint dysfunction

Does exercise therapy reduce symptoms and improve function in persons with temporomandibular joint internal derangement (with or without reduction)?
September 2010   Adobe PDF document September 2010 PDF Document Microsoft Word document September 2010 Word Document
  Patellar tendinopathy (Jumper's knee)

For individuals with infrapatellar tendinopathy (Jumper's knee), does eccentric training improve self-reported measures of pain and function?
October 2010   Adobe PDF document October 2010 PDF Document Microsoft Word document October 2010 Word Document
  Rotator cuff repair

Following rotator cuff repair, does aquatic therapy, individualized treatment, or early exercise progression improve range of motion or self-reported outcomes more than traditional rehabilitation?
November 2010   Adobe PDF document November 2010 PDF Document Microsoft Word document November 2010 Word Document
  ACL injury prevention

Can a neuromuscular training program reduce the incidence of noncontact anterior cruciate ligament (ACL) injuries?
December 2010   Adobe PDF document December 2010 PDF Document Microsoft Word document December 2010 Word Document
  Water-based exercise for osteoarthritis

Are water-based exercises more effective than land-based exercises at reducing pain and increasing function in individuals with knee or hip osteoarthritis?
January 2009   Adobe PDF document January 2009 PDF Document Microsoft Word document January 2009 Word Document
  Stabilization Exercise for Low Back Pain

Does a spinal stabilization exercise program in individuals with low back pain improve functional outcomes and reduce recurrence rates?
February 2009   Adobe PDF document February 2009 PDF Document Microsoft Word document February 2009 Word Document
  Rehabilitation after ACL injury (I)

Following ACL reconstruction or injury, does open or closed chain quadriceps strengthening, or the combination, result in reduced knee laxity and better functional outcomes?
March 2009   Adobe PDF document March 2009 PDF Document Microsoft Word document March 2009 Word Document
  Rehabilitation after ACL injury (II)

Following ACL reconstruction or injury, does the inclusion of eccentric, neuromuscular or balance training improve outcomes compared to traditional rehabilitation programs focused on strength training?
April 2009   Adobe PDF document April 2009 PDF Document Microsoft Word document April 2009 Word Document
  Chronic Neck Pain

Does exercise therapy reduce pain and increase function in persons with chronic neck pain?
May 2009   Adobe PDF document May 2009 PDF Document Microsoft Word document May 2009 Word Document
  Patellofemoral Pain

Does exercise therapy reduce pain and increase function in individuals with patellofemoral pain?
June 2009   Adobe PDF document June 2009 PDF Document Microsoft Word document June 2009 Word Document
  Total Knee Arthroplasty

Does the type of exercise or addition of continuous passive motion influence knee range of motion and functional outcomes following total knee arthroplasty?
July 2009   Adobe PDF document July 2009 PDF Document Microsoft Word document July 2009 Word Document
  Rotator Cuff / Shoulder Impingement

In the treatment of individuals with shoulder impingement syndrome, does exercise, manual therapy, or both improve pain and function at a minimum follow-up of six weeks?
August 2009   Adobe PDF document August 2009 PDF Document Microsoft Word document August 2009 Word Document
  McKenzie Method for Low Back Pain

Among individuals with non-specific low back pain, can the McKenzie method or extension-oriented exercises reduce pain and improve function more than other rehabilitation strategies?
September 2009   Adobe PDF document September 2009 PDF Document Microsoft Word document September 2009 Word Document
  Stretching for Plantar Heel Pain

Are streching exercises effective in improving pain and function among individuals with plantar heel pain?
October 2009   Adobe PDF document October 2009 PDF Document Microsoft Word document October 2009 Word Document
  Hamstring Strain

What types of exercises are most effective at reducing the incidence of hamstring strain injury?
November 2009   Adobe PDF document November 2009 PDF Document Microsoft Word document November 2009 Word Document
  Knee Osteoarthritis

In individuals with knee osteoarthritis, does the type of exercise influence outcomes as determined by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)?
December 2009   Adobe PDF document December 2009 PDF Document Microsoft Word document December 2009 Word Document
  Lateral epicondylagia (tennis elbow)

Does exercise therapy improve pain and function in individuals with lateral epicondylagia (tennis elbow)?
October 2008   Adobe PDF document October 2008 PDF Document Microsoft Word document October 2008 Word Document
  Chronic Ankle Sprain

Are balance and strengthening exercises effective in reducing the incidence of re-injury among adults with acute or chronic ankle sprain?
November 2008   Adobe PDF document November 2008 PDF Document Microsoft Word document November 2008 Word Document
  Frozen Shoulder (Adhesive Capsulitis)

Does physical therapy, including joint mobilization, strengthening and stretching exercises, improve outcomes for patients with adhesive capsulitis?
December 2008   Adobe PDF document December 2008 PDF Document Microsoft Word document December 2008 Word Document
  Falls Prevention in Older Adults

Does Tai Chi reduce the risk of falling and/or improve balance among older adults?