• Physical Therapy Blog

High Resistance / Weights Needed for Tendon Adaptation

High Resistance / Weights Needed for Tendon Adaptation

Adaptational responses of the human Achilles tendon by modulation of the applied cyclic strain magnitude. Arampatzis A1, Karamanidis K, Albracht K. J Exp Biol. 2007 Aug;210(Pt 15):2743-53. [FREE FULL TEXT] Abstract Tendons are able to remodel their mechanical and morphological...

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Chad Reilly November 23, 2015 3 Comments

Short Foot Exercise for Flat Feet

Short Foot Exercise for Flat Feet

Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. Jung DY1, Koh EK, Kwon OY. J Back Musculoskelet Rehabil. 2011;24(4):225-31.  Abstract OBJECTIVE: To prevent overuse injuries...

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Chad Reilly October 20, 2014 No Comments

Plantar Fasciitis Stretches? Why My Patients Skip Them

Plantar Fasciitis Stretches? Why My Patients Skip Them

Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain. A prospective, randomized study. J Bone Joint Surg Am. 2003 Jul;85-A(7):1270-7. DiGiovanni BF, Nawoczenski DA, Lintal ME, Moore EA, Murray JC, Wilding GE, Baumhauer JF. Abstract BACKGROUND: Approximately...

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Chad Reilly October 10, 2014 1 Comment

Electric Stimulation and Plantar Fasciitis

Electric Stimulation and Plantar Fasciitis

Use of low-frequency electrical stimulation for the treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2009 Nov-Dec;99(6):481-8. Stratton M1, McPoil TG, Cornwall MW, Patrick K. Abstract BACKGROUND: Recent research has discussed the use of low-frequency electrical stimulation to increase...

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Chad Reilly October 10, 2014 4 Comments

Resistance Training Improves Running Biomechanics

Resistance Training Improves Running Biomechanics

Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon). 2009 Jan;24(1):26-34. Snyder KR, Earl JE, O'Connor KM, Ebersole KT. Abstract BACKGROUND: Movement and muscle activity of the hip...

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Chad Reilly September 23, 2014 No Comments

Posterior Tibial Tendon Dysfunction & Muscle Weakness

Posterior Tibial Tendon Dysfunction & Muscle Weakness

Women with posterior tibial tendon dysfunction have diminished ankle and hip muscle performance. J Orthop Sports Physical Therapy. 2011 Sep;41(9):687-94. Kulig K, Popovich JM Jr, Noceti-Dewit LM, Reischl SF, Kim D. Abstract STUDY DESIGN: Controlled laboratory study using a cross-sectional...

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Chad Reilly September 21, 2014 2 Comments

Tibial Stress Fractures in Runners: It’s All the Same Problem

Tibial Stress Fractures in Runners: It’s All the Same Problem

Distinct hip and rearfoot kinematics in female runners with a history of tibial stress fracture. Journal of Orthopaedic & Sports Physical Therapy. 2010 Feb;40(2):59-66. Milner CE1, Hamill J, Davis IS. STUDY DESIGN: Cross-sectional controlled laboratory study. OBJECTIVES: To investigate the...

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Chad Reilly September 16, 2014 No Comments

Kinesio Tape Sure Smells Like Placebo

Kinesio Tape Sure Smells Like Placebo

Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J Physiother. 2014 Mar;60(1):31-9. Parreira Pdo C, Costa Lda C, Hespanhol Junior LC, Lopes AD, Costa LO. Abstract Questions: Is Kinesio Taping more effective than...

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Chad Reilly September 15, 2014 No Comments

Strength Better than Stretch for Plantar Fasciitis

Strength Better than Stretch for Plantar Fasciitis

High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports. 2014 Aug 21. Rathleff MS1, Mølgaard CM, Fredberg U, Kaalund S, Andersen KB, Jensen TT, Aaskov S, Olesen...

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Chad Reilly September 15, 2014 4 Comments

Plantar Fasciitis: One Cortisone Shot = 19X Risk of Rupture

Plantar Fasciitis: One Cortisone Shot = 19X Risk of Rupture

Risk factors affecting chronic rupture of the plantar fascia. Foot Ankle Int. 2014 Mar;35(3):258-63. Lee HS1, Choi YR, Kim SW, Lee JY, Seo JH, Jeong JJ. Abstract BACKGROUND: Prior to 1994, plantar fascia ruptures were considered as an acute injury that occurred...

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Chad Reilly September 14, 2014 8 Comments

Foot Muscle Fatigue Causes Loss of Foot Arch

Foot Muscle Fatigue Causes Loss of Foot Arch

Fatigue of the plantar intrinsic foot muscles increases navicular drop. J Electromyogr Kinesiol. 2008 Jun;18(3):420-5.  Headlee DL, Leonard JL, Hart JM, Ingersoll CD, Hertel J. Abstract Our purpose was to assess the effect of foot intrinsic muscle fatigue on pronation,...

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Chad Reilly September 12, 2014 No Comments

Foot Intrinsic Muscles Important for Foot Arch

Foot Intrinsic Muscles Important for Foot Arch

Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg. 2003 Nov-Dec;42(6):327-33. Fiolkowski P, Brunt D, Bishop M, Woo R, Horodyski M. Abstract Much of the work describing support of the medial longitudinal arch...

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Chad Reilly September 12, 2014 No Comments

Running Volume Increase Effects on Injury

Running Volume Increase Effects on Injury

Can GPS be used to detect deleterious progression in training volume among runners? J Strength Cond Res. 2013 Jun;27(6):1471-8. Nielsen RO1, Cederholm P, Buist I, Sørensen H, Lind M, Rasmussen S. Abstract There is a need to ascertain if an...

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Chad Reilly August 25, 2014 No Comments

Marathon Runners, Running >30 Km/Wk Decreases Risk of Injury

Marathon Runners, Running >30 Km/Wk Decreases Risk of Injury

Weekly running volume and risk of running-related injuries among marathon runners. International Journal of Sports Physical Therapy. 2013 Apr;8(2):111-20. Rasmussen CH, Nielsen RO, Juul MS, Rasmussen S. Abstract PURPOSEBACKGROUND: The purpose of this study was to investigate if the risk...

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Chad Reilly August 22, 2014 No Comments

Runners with Plantar Fasciitis Have Weak, Tight Calf Muscles

Runners with Plantar Fasciitis Have Weak, Tight Calf Muscles

Functional biomechanical deficits in running athletes with plantar fasciitis. Am J Sports Med. 1991 Jan-Feb;19(1):66-71. Kibler WB1, Goldberg C, Chandler TJ. Abstract Plantar fasciitis is a relatively common injury that occurs in running athletes. The disease entity is a good...

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Chad Reilly August 14, 2014 No Comments

Plantar Fasciitis Sufferers Have Weaker Foot Muscles

Plantar Fasciitis Sufferers Have Weaker Foot Muscles

Toe flexors strength and passive extension range of motion of the first metatarsophalangeal joint in individuals with plantar fasciitis. J Orthop Sports Physical Therapy. 2003 Aug;33(8):468-78. Allen RH, Gross MT. Abstract STUDY DESIGN: Cross-sectional study. OBJECTIVE: To determine if a...

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Chad Reilly August 13, 2014 2 Comments

Plantar Fasciitis Associated with Foot Muscle Atrophy

Plantar Fasciitis Associated with Foot Muscle Atrophy

Use of MRI for volume estimation of tibialis posterior and plantar intrinsic foot muscles in healthy and chronic plantar fasciitis limbs. Chang R, Kent-Braun JA, Hamill J. Clin Biomech (Bristol, Avon). 2012 Jun;27(5):500-5. Abstract BACKGROUND: Due to complexity of the plantar...

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Chad Reilly August 11, 2014 No Comments

Plantar Fasciitis: Orthotics Don’t Help Much

Plantar Fasciitis: Orthotics Don’t Help Much

Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. 2006 Jun 26;166(12):1305-10. Landorf KB, Keenan AM, Herbert RD. Abstract BACKGROUND: Plantar fasciitis is one of the most common foot complaints. It is often treated with...

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Chad Reilly August 10, 2014 No Comments

Alfredson’s exercise program in Achilles tendinopathy 5 years later

Alfredson’s exercise program in Achilles tendinopathy 5 years later

A 5-year follow-up study of Alfredson's heel-drop exercise programme in chronic midportion Achilles tendinopathy. van der Plas A, de Jonge S, de Vos RJ, van der Heide HJ, Verhaar JA, Weir A, Tol JL. Br J Sports Med. 2011 Nov...

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Chad Reilly April 26, 2014 No Comments

Eccentric vs Eccentric Plus Shock-Wave Treatment for Achilles Tendinopathy

Eccentric vs Eccentric Plus Shock-Wave Treatment for Achilles Tendinopathy

Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial. Rompe JD, Furia J, Maffulli N. Am J Sports Med. 2009 Mar;37(3):463-70. Epub 2008 Dec 15. Abstract BACKGROUND: Results of a previous randomized controlled...

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Chad Reilly April 24, 2014 No Comments

Eccentric Exercise and Heel Brace for Achilles Tendinopathy

Eccentric Exercise and Heel Brace for Achilles Tendinopathy

Eccentric exercises for the management of tendinopathy of the main body of the Achilles tendon with or without the AirHeel Brace. A randomized controlled trial. A: effects on pain and microcirculation. Knobloch K, Schreibmueller L, Longo UG, Vogt PM. Disabil...

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Chad Reilly April 23, 2014 No Comments

Eccentric Exercise vs. Ultrasound for Achilles Tendo Pain

Eccentric Exercise vs. Ultrasound for Achilles Tendo Pain

Eccentric calf muscle training compared with therapeutic ultrasound for chronic Achilles tendon pain--a pilot study. Chester R, Costa ML, Shepstone L, Cooper A, Donell ST. Man Ther. 2008 Dec;13(6):484-91. Epub 2007 Jul 26. Abstract A number of studies have indicated...

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Chad Reilly April 22, 2014 No Comments

Eccentric calf muscle training in athletic patients with Achilles tendinopathy

Eccentric calf muscle training in athletic patients with Achilles tendinopathy

Eccentric calf muscle training in athletic patients with Achilles tendinopathy. Maffulli N, Walley G, Sayana MK, Longo UG, Denaro V. Disabil Rehabil. 2008;30(20-22):1677-84.  Abstract PURPOSE: To evaluate the effects of eccentric strengthening exercises (ESE) in athletic patients with Achilles tendinopathy....

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Chad Reilly April 21, 2014 No Comments

No Rest Necessary for Achilles Tendinopathy

No Rest Necessary for Achilles Tendinopathy

Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Am J Sports Med. 2007 Jun;35(6):897-906. Abstract BACKGROUND: Achilles tendinopathy is a common overuse...

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Chad Reilly April 20, 2014 No Comments

Eccentric exercise in treatment of Achilles tendinopathy

Eccentric exercise in treatment of Achilles tendinopathy

Eccentric exercise in treatment of Achilles tendinopathy. Nørregaard J, Larsen CC, Bieler T, Langberg H. Scand J Med Sci Sports. 2007 Apr;17(2):133-8. Abstract AIM: Prognosis and treatment of Achilles tendon pain (achillodynia) has been insufficiently studied. The purpose of the...

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Chad Reilly April 18, 2014 No Comments

Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy

Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy

Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achilles: a randomized controlled trial. Rompe JD, Nafe B, Furia JP, Maffulli N. Am J Sports Med. 2007 Mar;35(3):374-83. Epub 2007 Jan 23. Abstract...

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Chad Reilly April 17, 2014 No Comments

Achilles Tendinopathy, Symptom Recovery Does Not Ensure Functional Recovery

Achilles Tendinopathy, Symptom Recovery Does Not Ensure Functional Recovery

Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. Silbernagel KG, Thomeé R, Eriksson BI, Karlsson J. Br J Sports Med. 2007 Apr;41(4):276-80; discussion 280. Epub 2007 Jan 29. Abstract OBJECTIVE: To assess...

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Chad Reilly April 16, 2014 No Comments

Eccentric Training and Neovascularisation in Achilles Tendinosis

Eccentric Training and Neovascularisation in Achilles Tendinosis

Effects on neovascularisation behind the good results with eccentric training in chronic mid-portion Achilles tendinosis? Ohberg L, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2004 Sep;12(5):465-70. Epub 2004 Apr 2. Abstract The background to the good clinical results reported using...

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Chad Reilly April 10, 2014 No Comments

Eccentric Calf Muscle Training for Achilles Tendinitis

Eccentric Calf Muscle Training for Achilles Tendinitis

Chronic Achilles tendon pain treated with eccentric calf-muscle training. Fahlström M, Jonsson P, Lorentzon R, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2003 Sep;11(5):327-33. Epub 2003 Aug 26. Abstract Injuries involving the Achilles tendon and manifested as chronic tendon pain...

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Chad Reilly April 9, 2014 No Comments

Eccentric vs. Concentric Training in Achilles Tendinitis

Eccentric vs. Concentric Training in Achilles Tendinitis

Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Mafi N, Lorentzon R, Alfredson H. Knee Surg Sports Traumatol Arthrosc. 2001;9(1):42-47. Abstract In a previous...

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Chad Reilly April 5, 2014 No Comments

Eccentric Overload Training and Chronic Achilles Tendinitis

Eccentric Overload Training and Chronic Achilles Tendinitis

Eccentric overload training for patients with chronic Achilles tendon pain--a randomised controlled study with reliability testing of the evaluation methods. Silbernagel KG, Thomeé R, Thomeé P, Karlsson J. Scand J Med Sci Sports. 2001 Aug;11(4):197-206. Abstract The purpose was to...

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Chad Reilly April 5, 2014 No Comments

Isokinetic Eccentric Exercise for Recurrent Tendinitis

Isokinetic Eccentric Exercise for Recurrent Tendinitis

Treatment of recurrent tendinitis by isokinetic eccentric exercise. Croisier J-L, Forthomme B, Foidart-Dessalle M, Godon B, Crielaard J-M. Isokinetics and Exercise Science. 2001;9:133-141.  Diagnosis:  9 Achilles, 10 patellar, and 15 lateral epicondyllar Outcome:  15/34 patients had complete relief of symptoms,...

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Chad Reilly April 4, 2014 No Comments

Heavy Load Eccentric Training for Achilles Tendinosis

Heavy Load Eccentric Training for Achilles Tendinosis

Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Alfredson H, Pietila T, Jonsson P, R. L. Am J Sports Med. 1998;26(3):360-366. Abstract We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational...

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Chad Reilly April 3, 2014 No Comments