• Physical Therapy Blog

Exercise Won’t Selectively Activate the VMO but Electric Stimulation Will

Exercise Won’t Selectively Activate the VMO but Electric Stimulation Will

Effects of electrical stimulation of vastus medialis obliquus muscle in patients with patellofemoral pain syndrome: an electromyographic analysis. Garcia FR1, Azevedo FM, Alves N, Carvalho AC, Padovani CR, Negrão Filho RF. Rev Bras Fisioter. 2010 Nov-Dec;14(6):477-82. Abstract BACKGROUND: The use...

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Chad Reilly May 1, 2015 2 Comments

Sprints Better than Plyometrics in Every Way

Sprints Better than Plyometrics in Every Way

Effects of sprint and plyometric training on muscle function and athletic performance. Markovic G, Jukic I, Milanovic D, Metikos J Strength Cond Res. 2007 May;21(2):543-9. Abstract The purpose of this study was to evaluate the effects of sprint training on...

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Chad Reilly April 19, 2015 2 Comments

Hamstring Activity During Sprints

Hamstring Activity During Sprints

Hamstring musculotendon dynamics during stance and swing phases of high-speed running. Chumanov ES, Heiderscheit BC, Thelen DG. Med Sci Sports Exerc. Med Sci Sports Exerc. 2011 Mar;43(3):525-32. Abstract INTRODUCTION: Hamstring strain injuries are common in sports that involve high-speed running....

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Chad Reilly April 9, 2015 No Comments

Imbalance/Weak Hamstrings Predict Strains in Pro Soccer

Imbalance/Weak Hamstrings Predict Strains in Pro Soccer

Strength imbalances and prevention of hamstring injury in professional soccer players: a prospective study. Croisier JL, Ganteaume S, Binet J, Genty M, Ferret JM. Am J Sports Med. 2008 Aug;36(8):1469-75. Abstract BACKGROUND: The relationship between muscle injury and strength disorders...

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Chad Reilly March 16, 2015 No Comments

Sports, Soccer and Recurrent Hamstring Strains

Sports, Soccer and Recurrent Hamstring Strains

One thing fun about my job is that I never know what’s going to come through my door that I’m going to have to figure out how to treat. Recently I had an former professional soccer player who was super fit...

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Chad Reilly March 11, 2015 No Comments

Low Hip Strength Associated with Increased Spine Motion

Low Hip Strength Associated with Increased Spine Motion

Relationship between hip strength and trunk motion in college cross-country runners. Med Sci Sports Exerc. 2013 Jun;45(6):1125-30. Ford KR, Taylor-Haas JA, Genthe K, Hugentobler J. Abstract PURPOSE: Hip strength may directly relate to abnormal running mechanics and contribute to the...

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Chad Reilly November 14, 2014 No 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

Orthotics Cause Shin Splints in Runners?

Orthotics Cause Shin Splints in Runners?

Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013 Nov 13;4:229-41. Newman P, Witchalls J, Waddington G, Adams R. Abstract BACKGROUND: Medial tibial stress syndrome (MTSS) affects 5%-35%...

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Chad Reilly September 19, 2014 2 Comments

Patellofemoral Pain & Orthotics, Predicting Who Will Benefit

Patellofemoral Pain & Orthotics, Predicting Who Will Benefit

A clinical prediction rule for identifying patients with patellofemoral pain who are likely to benefit from foot orthoses: a preliminary determination. Br J Sports Med. 2010 Sep;44(12):862-6. 26. Vicenzino B1, Collins N, Cleland J, McPoil T. Abstract OBJECTIVE: To develop...

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Chad Reilly September 17, 2014 No 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

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

Runners with Patellofemoral Pain, Have Altered Hip and Knee Rotational Stress

Runners with Patellofemoral Pain, Have Altered Hip and Knee Rotational Stress

Patellofemoral joint stress during running in females with and without patellofemoral pain. Knee. 2012 Oct;19(5):703-8. Wirtz AD1, Willson JD, Kernozek TW, Hong DA. Abstract Patellofemoral pain (PFP) is a common complaint among female runners. The etiology for PFP is frequently...

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Chad Reilly September 9, 2014 No Comments

Foot Orthotics Help Some with Patellofemoral Pain

Foot Orthotics Help Some with Patellofemoral Pain

Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial. Br J Sports Med. 2009 Mar;43(3):169-71. Collins N1, Crossley K, Beller E, Darnell R, McPoil T, Vicenzino B. Abstract OBJECTIVE: To compare the clinical efficacy of...

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Chad Reilly September 5, 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

Electric Muscle Stimulation for Athletes

Electric Muscle Stimulation for Athletes

Electromyostimulation--a systematic review of the effects of different electromyostimulation methods on selected strength parameters in trained and elite athletes. J Strength Cond Res. 2012 Sep;26(9):2600-14. Filipovic A1, Kleinöder H, Dörmann U, Mester J. Abstract This is the first part of...

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Chad Reilly August 7, 2014 2 Comments

Hip Pain: Trochanteric Bursitis Isn’t Bursitis

Hip Pain: Trochanteric Bursitis Isn’t Bursitis

Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis Rheum. 2001 Sep;44(9):2138-45. Bird PA1, Oakley SP, Shnier R, Kirkham BW. From the Study "All subjects were women (median age 58 years,...

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Chad Reilly May 10, 2014 1 Comment

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

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