Torresvillarreal2081

32, 95%CI -0.49, -0.14, I2=58%, p less then 0.001) compared to minimal care for people with OA. For knee OA there was low to moderate credibility evidence that weight loss interventions were not more effective than exercise only for pain intensity or disability (4 trials n=673, SMD -0.13, 95%CI -0.40, 0.14, I2= 55%; 5 trials, n=737, SMD -0.20 95%CI -0.41, 0.00, I2= 32%). CONCLUSIONS Weight loss interventions may have small to moderate improvements on pain and disability for OA compared to minimal care. There was limited and inconclusive evidence for weight loss interventions targeting spinal pain. J Orthop Sports Phys Ther, Epub 9 Apr 2020. doi10.2519/jospt.2020.9041."Special tests" for rotator cuff-related shoulder pain (RCRSP) have passed their sell-by date. In this Viewpoint, we outline fundamental flaws in the validity of these tests and their proposed ability to accurately identify a pathoanatomical source of pain. The potential harm of these special tests comes in conjunction with imaging findings that are utilized to inform a structural diagnosis or recommend invasive procedures. We offer recommendations for performing a clinical interview and physical examination for people with RCRSP that does not include shoulder orthopaedic tests. J Orthop Sports Phys Ther, Epub 9 Apr 2020. doi10.2519/jospt.2020.0606.OBJECTIVES To determine the added benefit of combining dry needling with a guideline-based physical therapy treatment program consisting of exercise and manual therapy on pain and disability in people with chronic neck pain. DESIGN Randomized controlled trial. METHODS Participants were randomized to receive either guideline-based physical therapy or guideline-based physical therapy plus dry needling. The primary outcomes, measured at 1 month post-randomization, were average pain intensity (in the previous 24 hours and in the previous week) measured with a numerical pain rating scale (0-10), and disability measured with the Neck Disability Index (0-100). The secondary outcomes were pain and disability measured at 3 and 6 months, and global perceived effect, quality of sleep, pain catastrophizing, and self-efficacy measured at 1, 3 and 6 months. RESULTS 116 participants were recruited. At one month post-randomization, people who received dry needling plus guideline-based physical therapy had a small reduction in average pain intensity in the previous 24 hours (mean difference 1.56 points; 95% CI 1.11 to 2.36), and average pain intensity in the previous week (mean difference 1.49 points; 95% CI 1.02 to 2.21). There was no effect of adding dry needling to guideline-based physical therapy on disability at 1-month post-randomization (mean difference -2.08 points; 95% CI -1.16 to 5.07). There was no effect for any of the secondary outcomes. CONCLUSION When combined with guideline-based physical therapy for neck pain, dry needling resulted in small improvements in pain only at 1 month post-randomization. There was no effect on disability. J Orthop Sports Phys Ther, Epub 9 Apr 2020. doi10.2519/jospt.2020.9389.OBJECTIVE Most research has focused on the bilateral drop jumps even though lower extremity injuries often occur in a single leg landing. We aimed to investigate the association between lower extremity alignment during unilateral and bilateral drop jump tests, and the risk of acute non-contact knee or ankle injuries in young team sport athletes. DESIGN Prospective cohort study. H 89 molecular weight METHODS We used two-dimensional video analysis to measure the frontal plane knee projection angle in the single leg vertical drop jump (VDJ) and the bilateral VDJ in young team sport athletes. Out of the 364 athletes (187 males/177 females), 189 played basketball and 175 played floorball. RESULTS Six male athletes sustained knee injuries and 36 sustained ankle injuries. Frontal plane knee projection angle in the single leg VDJ or the bilateral VDJ were not associated with ankle injuries among male athletes. No statistical analysis was performed for the knee injuries. Among female athletes, 28 sustained knee and 41 sustained ankle injuries. Frontal plane knee projection angle during the single leg VDJ or the bilateral VDJ were not risk factors for knee or ankle injuries. CONCLUSION Lower extremity alignment during unilateral and bilateral drop jump test was not associated with future non-contact knee or ankle injuries among young team sport athletes. The findings should be interpreted cautiously due to the small number of injuries. J Orthop Sports Phys Ther, Epub 9 Apr 2020. doi10.2519/jospt.2020.9247.OBJECTIVE To evaluate the reporting of rehabilitation guidelines in studies of postoperative outcomes of patients with FAI syndrome and/or labral tear. DESIGN Scoping review. LITERATURE SEARCH A computer-assisted literature search was conducted of the Medline, CINAHL, and Embase databases on June 17th, 2018. We used keywords related to FAI syndrome/labral tear and both open and arthroscopic surgical outcomes, and identified 169 studies, involving 16,675 patients. Prevalence of reported outcomes was calculated and verified by separate authors. STUDY SELECTION CRITERIA We included prospective or retrospective intervention or observational studies that included patients with a primary diagnosis of FAI syndrome and/or labral tear. DATA SYNTHESIS We calculated mean prevalence (± standard deviation) for continuous variables, where possible. All analyses were conducted in Excel 15.36 (2017 Microsoft Corporation by Impressa Systems, Santa Rosa, California). RESULTS Hip arthroscopy was the primary surgical procedure (76% of studies). The mean age of participants was 34.8±9.2 years, and they were followed for a mean of 27±15.3 months. Seventy-four (44%) studies discussed phases of rehabilitation. Forty-nine (29%) studies reported details for goals between phases; one in 3 studies described details for rehabilitation progression. Fewer than 1 in 10 studies reported sufficient detail to replicate the rehabilitation protocol. Weight bearing and range-of-motion restrictions were poorly reported and variable in duration. CONCLUSIONS Surgical outcome studies do not provide sufficient detail or consistency for practicing clinicians to replicate a postoperative rehabilitation protocol for patients with FAI syndrome/labral tear. J Orthop Sports Phys Ther, Epub 9 Apr 2020. doi10.2519/jospt.2020.9189.