I have another solid find while on my last clinical. A whole bunch of handouts to give out as patient education. Exciting stuff I know! Most of the forms can be found on handcare.org. It is a pretty comprehensive site and I am sure most OT’s know all about this site, but for the PT’s and PTA’s out there this might be something new. Granted when you think about the hand most people will automatically think oh that’s an OT thing, but there are hand therapists out there that are PT’s so you never know!

There are around 40 different handouts and they are all written so a lay person can understand exactly whats going on and it even has pictures, so enjoy!

Click here to check em out

I had always wanted quick reference sheets without having to pay for them. I am a broke student after all! Well after two years of hoping and crossing my fingers no luck, so I decided to take matters into my own hands.

I tried to make them as full of important, pertinent information as possible. I trimmed out all of the fluff and stuck with the main points consisting of: muscles that cross the joint along with their corresponding insertion, action, and innervation; normal ROM values; important ligaments; open/closed pack positions; special tests; etc etc

UPDATE: I realize there are only 3 guides currently. I am still working on the shoulder, wrist, and elbow. If you have any comments or I got something wrong, let me know here.

UPDATE #2: The shoulder and elbow are now finished and ready to be downloaded. See below!

UPDATE #3: The shoulder is NOT finished! I will finish it soon,  promise!

UPDATE #4: The shoulder is IS finished! Yay!!!

So without further adieu here they are:

The elbow

Link: Elbow Quick Reference Guide
Version: 2.1
Downloaded: 2486 times
Description: Two page quick reference guide consisting of:

• muscles that cross the joint along with their corresponding insertion, action, and innervation
• normal ROM values
• important ligaments
• open/closed pack positions
• special tests
• etc etc

The ankle

Link: Ankle Quick Reference Guide
Version: 2.0
Downloaded: 1449 times
Description: Two page quick reference guide consisting of:

• muscles that cross the joint along with their corresponding insertion, action, and innervation
• normal ROM values
• important ligaments
• open/closed pack positions
• special tests
• etc etc

The knee

Link: knee quick reference guide
Version: 2.0
Downloaded: 2422 times
Description: Two page quick reference guide consisting of:

• muscles that cross the joint along with their corresponding insertion, action, and innervation
• normal ROM values
• important ligaments
• open/closed pack positions
• special tests
• etc etc

The hip

Link: hip quick reference guide
Version: 2.0
Downloaded: 1631 times
Description: Two page quick reference guide consisting of:

• muscles that cross the joint along with their corresponding insertion, action, and innervation
• normal ROM values
• important ligaments
• open/closed pack positions
• special tests
• etc etc

The Shoulder

Link: Shoulder Quick Reference Guide
Version: 1.0
Downloaded: 1713 times
Description: Two page quick reference guide consisting of:

• muscles that cross the joint along with their corresponding insertion, action, and innervation
• normal ROM values
• important ligaments
• open/closed pack positions
• special tests
• etc etc

Another good read from one of my favorite professors Dr. Raynes.

Read the latest National Institute of Health (NIH) Consensus and State of the Science Statements on Preventing Alzheimer’s Disease and Cognitive Decline. Enjoy!

To view or download the PDF click here

A near and dear friend of mine who I would even go so far as to call him a brotha from anotha motha sent me this interesting article on low back pain. Its from 2007 so it’s not the newest thing out there but definitely worth reading.

Link: Sensitivity, specificity and predictive value of the clinical trunk muscle endurance tests in low back pain
Version: 1.0
Downloaded: 196 times
Description: To describe the sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of five clinical tests used to measure trunk muscle endurance in low back pain.

I came across this interesting article in the most recent Journal of Athletic Training. In this article they take a look at how athletes returning to competition after ACL reconstruction are able to maintain dynamic postural control during a jump landing.

Abstract

Context: Jump landing is a common activity in collegiate activities, such as women’s basketball, volleyball, and soccer, and is a common mechanism for anterior cruciate ligament (ACL) injury. It is important to better understand how athletes returning to competition after ACL reconstruction are able to maintain dynamic postural control during a jump landing.

Objective: To use time to stabilization (TTS) to measure differences in dynamic postural control during jump landing in ACL-reconstructed (ACLR) knees compared with healthy knees among National Collegiate Athletic Association Division I female athletes.

Design: Case-control study. Setting: University athletic training research laboratory.

Patients or Other Participants: Twenty-four Division I female basketball, volleyball, and soccer players volunteered and were assigned to the healthy control group (n = 12) or the ACLR knee group (n = 12). Participants with ACLR knees were matched to participants with healthy knees by sport and by similar age, height, and mass.

Intervention(s): At 1 session, participants performed a single-leg landing task for both limbs. They were instructed to stabilize as quickly as possible in a single-limb stance and remain as motionless as possible for 10 seconds. Main

Outcome Measure(s): The anterior-posterior TTS and medial-lateral TTS ground reaction force data were used to calculate resultant vector of the TTS (RVTTS) during a jump landing. A 1-way analysis of variance was used to determine group differences on RVTTS. The means and SDs from the participants’ 10 trials in each leg were used for the analyses.

Results: The ACLR group (2.01 ± 0.15 seconds, 95% confidence interval [CI] =1.91, 2.10) took longer to stabilize than the control group (1.90 ± 0.07 seconds, 95% CI = 1.86, 1.95) (F1,22 = 4.28, P = .05). This result was associated with a large effect size and a 95% CI that did not cross zero (Cohen d = 1.0, 95% CI =0.91, 1.09).

Conclusions: Although they were Division I female athletes at an average of 2.5 years after ACL reconstruction, participants with ACLR knees demonstrated dynamic postural-control deficits as evidenced by their difficulty in controlling ground reaction forces. This increased TTS measurement might contribute to the established literature reflecting differences in single-limb dynamic control. Clinicians might need to focus rehabilitation efforts on stabilization after jump landing. Further research is needed to determine if TTS is a contributing factor in future injury.

Link: Time to Stabilization of Anterior Cruciate Ligament–Reconstructed Versus Healthy Knees in National Collegiate Athletic Association Division I Female Athletes
Version:
Downloaded: 121 times
Description: Jump landing is a common activity in collegiate activities, such as women\'s basketball, volleyball, and soccer, and is a common mechanism for anterior cruciate ligament (ACL) injury. It is important to better understand how athletes returning to competition after ACL reconstruction are able to maintain dynamic postural control during a jump landing.

Citation:
Kathryn A. Webster, Phillip A. Gribble (2010) Time to Stabilization of Anterior Cruciate Ligament–Reconstructed Versus Healthy Knees in National Collegiate Athletic Association Division I Female Athletes. Journal of Athletic Training: November/December 2010, Vol. 45, No. 6, pp. 580-585.

As I complete another clinic rotation I had this flash drive fall into my lap with tons of rehab protocols of local doctors around the valley (phoenix, az). Now I know that each doctor has his or her own protocol they like to follow, but I feel like these are great resources to have nonetheless!

I have tried to organize them the best I can for now. So currently the protocols are grouped into joints, so that means if you are looking for an ACL re-constructive surgery rehab protocol you would look in the “knee” section or if you want a shoulder arthroplasty protocol you would look in the “shoulder” section.

None of these protocols are property of rehabstudents. These should be used as a learning tool or reference not as a replacement for a doctors own protocol.

Hope you guys find these useful!

Click here for rehab protocols

This article I was emailed by a professor of mine takes a look at three questions related to ankle instability and proprioception.

1. Is loss of proprioception or loss of motor control related to functional ankle instability?
2. Are proprioception and motor control related?
3. Is there any difference in proprioception or motor control between ankles with different severity of functional ankle instability?

This could change the way you treat someone post ankle sprain. Goodbye BAPs board!

Link: Loss of proprioception or motor control is not related to functional ankle instability: an observational study
Version: 1.0
Downloaded: 267 times
Description: Is loss of proprioception or loss of motor control related to functional ankle instability? Are proprioception and motor control related? Is there any difference in proprioception or motor control between ankles with different severity of functional ankle instability?

Here are 17 articles to peruse at your leisure. These are sorta all over the place in terms of topics, but they mostly focus on low back pain, work environment, and stuff like that. All in all these articles have some useful gems in them so enjoy!

Work related injuries, Environment, etc etc

1. Genetics and Environment.pdf
2. Home environment after Stroke Rehab.pdf
3. ICF – Steiner et al.pdf
4. Interventions for acute low back pain.pdf
5. Lifting for Return to Work.pdf
6. Low Back Pain Panel.pdf
7. Musculoskeletal.pdf
8. Older Adults.pdf
9. Physical Stress.pdf
10. Primary Prevention.pdf
11. PT and the ICF.pdf
12. Repetitive Movement.pdf
13. Successful Work Hardening.pdf
14. Video Display Terminals.pdf
15. Work Related Disorders in PTs.pdf
16. Work Related Low Back Pain.pdf
17. Work Station Exercises.pdf

15 more articles for your viewing pleasure. These articles are all based around post-operative surgeries of some kind. Big thanks to Dr. Housel for sharing these to all of us a few months back!

I have read all of these myself and while some may not have anything to do with what you may see on a day to day basis out in the clinic they should all be read nonetheless. You never know when you might need em! As my favorite saying goes. “when life gives you potatoes make vodka”. Wait, no not that one. Oh okay here it is, “Luck favors the prepared”.

On to the list!

Post-op

1. Bone Marrow Transplantation.pdf
2. Cardiac Transplantation.pdf
3. Cardio Rehab.pdf
4. Children in inpatient settings.pdf
5. Hip fracture and home care.pdf
6. Hip Fracture.pdf
7. Laceration of tendons in the hand.pdf
8. Lung Transplant.pdf
9. Neurologic deficits.pdf
10. Osteopenia in a patient with Cancer.doc
11. PT after right hemispherectomy.pdf
12. Repair of ACL.pdf
13. Repair of Inguinal Hernia.pdf
14. Repair of torn lat dotsi.pdf
15. Repair of torn rotator cuff.pdf

Between having countless assignments due and overzealous teachers wanting to share the knowledge I have quite the collection of research reports, peer-reviewed articles, etc etc. I thought why not share the wealth.

Today I present you with seven articles on chronic pain.

Chronic Pain

1. Chronic Fatigue Syndrome
2. Chronic Low Back Pain
3. Chronic Neck Pain
4. Chronic Orthopedic Pain – PT Attitudes
5. Home Rehabilitation
6. Manubriosternal Dislocation
7. Pulmonary Rehabilitation