The book provides a practical and meaningful treatment program for athletes involved in sports which injure the arm or shoulder to a high degree, such as tennis, baseball, swimming, raquetball, pole vaulting, javelin throwing, and weight training. The book's chapters present information on: (1) symptoms of injury; (2) the anatomy of injury; (3)…

Utilization of ice and exercise conjunctively decreases recovery time of muscle tendon injury considerably. In the healing process, collagen (a major element of scar formation) is laid down. If heat and rest are used as treatment, healing takes place; however, collagen is laid down in a haphazard arrangement increasing the likelihood of reinjury.…

Exercise training is often recommended for people with Parkinson's disease, though there is debate about the pathophysiologic cause of impaired movement in Parkinsonism which makes it difficult to develop a specific exercise treatment for symptoms that include hypokinesia, tremor, and muscular rigidity. Most published studies show a benefit of…

Advanced clinical practice roles are now an integral feature of many healthcare services and have been adopted in a diversity of areas. However, mentoring of these roles is not well documented in the literature and formal mechanisms of support are limited. An action learning set (ALS) was developed to provide support for consultants currently in…

The aim of this study was to explore motor development in children with cerebral palsy (CP) using developmental curves for CP, subtypes, and the five severity levels of the Gross Motor Function Classification System (GMFCS). The Gross Motor Function Measure (GMFM) and the GMFCS were applied to 317 children (145 females, 172 males) with CP, aged…

Physical therapist students often think ethics content to be less relevant than other course material. The purpose of this study was to assess whether changing from lecture to case-based method, would impact ethics awareness and integration. In focus groups, students in the case-based course reported greater perceived value of the ethics content…

For successful communication to exist between a caregiver and infant, the caregiver must feel confident about her/his ability to parent and also have specific and accurate knowledge about the behaviours required for optimal care-giving; lack of this knowledge may lead to feelings of uncertainty and less than optimal communication. Studies indicate…

Background: This paper describes a novel combination of inclusive methods to evaluate health and health promotion needs of service users (clients) with intellectual disability. Sixty centres provide disability services to over 900 clients with intellectual disability in the East Coast Area Health Board region of Ireland (population approximately…

Cryotherapy (the use of ice and exercise to rehabilitate athletic injuries) can be an effective method of treating baseball injuries. It is generally agreed that ice is appropriate for the first 24 to 48 hours, but there is disagreement over its use beyond 72 hours. Some physicians and trainers support the use of heat with either exercise or rest,…

This presentation considers the incidence, evaluation, and management of rotator cuff disease and injury. Pathogenesis, symptoms, physical findings, treatment (therapeutic and surgical), and prevention are discussed. It is noted that rotator cuff problems, common in athletes, are usually related to an error in training or lack of training. They…

Currently, research is being performed in the area of nonsurgical and nonchemical means for influencing the body's threshold for pain. Today, transcutaneous electrical nerve stimulation (TENS) is being widely used for this purpose. Application of this treatment can be confusing, however, because determining such things as selection of the proper…

Enthusiasm for massage is increasing among professional and amateur athletes as well as recreational athletes. Most physicians, however, have been slow to endorse massage. This article discusses the benefits of massage and the program by the American Massage Therapy Association to certify massage therapists. (MT)

The authors point out the lack of scientific support for the effectiveness of "patterning," leading the child through a series of exercises designed to improve neurological organization. (SB)

The purpose of this study was to increase self-control and engagement in a physical therapy task (head holding) for a man with acquired traumatic brain injury. Once impulsivity was observed (i.e., repeated impulsive choices), an experimental condition was introduced that consisted of choices between a small immediate reinforcer, a large…