Physical Therapist
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Surgical Management of SLAP Lesions in Baseball Throwers: Posterosuperior and Posterior Labral Debridement With or Without Anterosuperior Repair Yields High Return to Play Rates

The authors aimed to evaluate the clinical outcomes and return to play (RTPL) rates of a surgical strategy for managing SLAP lesions in competitive baseball throwers, specifically comparing posterosuperior and posterior labral debridement with or without anterosuperior repair. Their findings indicated a high overall RTPL rate of 79%, with no significant differences between the two surgical approaches, suggesting that avoiding rigid fixation of the posterosuperior labrum may enhance recovery outcomes for these athletes.

Rest Before Physical Therapy Is Not Necessary to Achieve Bony Healing of Lumbar Spondylolysis in Adolescent Athletes

The authors aimed to determine whether initiating physical therapy (PT) immediately after a diagnosis of lumbar spondylolysis negatively affects bony healing in adolescent athletes. Their randomized controlled trial found that 81% of participants showed healing on MRI after three months, with no significant difference in outcomes between those who started PT immediately and those who rested before beginning therapy. The results suggest that prolonged rest is unnecessary, as immediate PT does not hinder healing and is associated with better pain outcomes.

Incidence of injury and illness at the Paris 2024 Paralympic Games: post-pandemic trends and sport-specific risks

The authors aimed to describe the epidemiology of injuries and illnesses during the Paris 2024 Paralympic Games. They found that taekwondo and football 5-a-side had significantly higher injury incidences, while triathlon showed the highest illness incidence, particularly among female athletes. Overall, the study highlights sport-specific risks and post-pandemic trends in athlete health during the event.

Medial Meniscus Posterior Root Repair in Knees With ≥5° of Varus Alignment Is Associated With Greater Osteoarthritis Progression Compared With <5° Varus Alignment

The authors aimed to assess the impact of mechanical alignment on the progression of osteoarthritis (OA) following isolated medial meniscus posterior root (MMPR) repair. Their findings indicate that knees with varus alignment (≥5°) experienced significantly greater OA progression, higher rates of repair failure, and increased conversion to total knee arthroplasty compared to those with normal alignment (<5°), despite similar patient-reported outcomes. The study highlights the importance of baseline alignment and repair integrity as critical factors influencing postoperative joint survival.

Clinical Utility of the Moving Valgus Stress Test and Milking Maneuver for Medial Ulnar Collateral Ligament Injuries of the Elbow

The authors aimed to assess the clinical utility of various special tests for detecting medial ulnar collateral ligament (MUCL) injuries in athletes. They found that the moving valgus stress test had the highest sensitivity and accuracy for ruling out MUCL injuries, while the milking maneuver was more effective for confirming such injuries. Overall, no combination of tests improved diagnostic utility beyond the individual assessments.

Clinical characteristics, functional impact and caregivers' priorities in Malaysian children with dystonic cerebral palsy

This study investigates the clinical characteristics, functional impact, and caregivers' priorities for children with dystonic cerebral palsy in Malaysia. By analyzing a sample of 50 children, the authors found a significant correlation between the severity of dystonia and its functional impact, highlighting that caregivers prioritize concerns beyond just gross motor and mobility issues. The findings emphasize the need for tailored interventions that address the specific needs of these children and their families.

Supported implementation enhances injury prevention programme (Prep-to-Play) use in women and girls playing Australian Football: a pragmatic type III hybrid implementation-effectiveness stepped wedge cluster randomised trial

The authors aimed to evaluate the impact of supported implementation on the use of the Prep-to-Play injury prevention program and its effect on injury incidence among women and girls playing Australian Football. The study found that supported implementation significantly increased program use and that higher adherence to the program was linked to fewer injuries, although the effect on specific injury rates was less clear. Overall, in-person workshops and support visits were more effective than online resources alone in promoting program adherence.

Mini Symptom Index Tool plus modified Vestibular-Ocular Motor Screening (mSIT Plus) for acute concussion identification: findings from the NCAA-DoD CARE Consortium

The study aimed to evaluate and enhance the effectiveness of the Sport Concussion Assessment Tool (SCAT) by developing a mini Symptom Index Tool (mSIT) and assessing the utility of additional examinations for acute concussion identification. Results indicated that the mSIT significantly improved the area under the curve (AUC), sensitivity, and specificity compared to the original SCAT, and when combined with the modified Vestibular/Ocular Motor Screening (mVOMS), further enhanced diagnostic accuracy. The authors recommend using the mSIT and mVOMS for a more efficient and effective concussion evaluation.

The Modified Budin View: A Reliable and Accessible Screening Tool for Femoral Version Deformities in Joint-Preserving Hip Surgery

The authors aimed to evaluate the reliability and diagnostic accuracy of the modified Budin view as a screening tool for femoral version deformities in young patients undergoing joint-preserving hip surgery, comparing it to established imaging methods like CT and MRI. Their findings indicate that the modified Budin view is a highly reliable and accessible method, demonstrating excellent intra- and interobserver reliability and high diagnostic accuracy for identifying abnormal femoral version. This suggests it could serve as a valuable alternative in clinical practice where traditional imaging methods may be limited.

Treatment Guidelines and Decision Tree for Dry Needling Musculoskeletal Conditions: A Consensus Statement

The authors aimed to develop consensus guidelines for the application of dry needling (DN) in treating musculoskeletal dysfunction, addressing the variability in techniques and procedural parameters. Through a modified Delphi study involving expert physical therapists, they established recommendations regarding patient candidacy, treatment dosage, target tissue selection, and post-intervention strategies to enhance therapeutic outcomes. The consensus emphasizes the importance of thorough assessment and patient education to optimize the effectiveness of DN interventions.