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Orthopedics Ask the Experts

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The Power of the Two-Week Cycle for Training Athletes

Allan Besselink, PT, Dip. MDT

March 21, 2013

How do you determine the amount to progress the client when using a two-week cycle for training?   Read More


What's Your View on the Hardcore Workout Programs Available Today?

Allan Besselink, PT, Dip. MDT

March 19, 2013

What is your advice to those of us who are treating discharged clients who are competitive, former athletes and express strong interest in the popular workout phenomena that are available today?   Read More


Known Areas of Weakness in Little League Pitchers

Christine Panagos, PT, SCS, CSCS

March 5, 2013

Have you noted any patterns of weakness in specific muscle groups for young pitchers?   Read More


DIP vs MP Splinting for Trigger Finger Clients

Ann Porretto-Loehrke, PT, DPT, CHT, COMT

February 26, 2013

What type of splinting do you recommend for a trigger finger patient who is one and a half years post-op and is beginning to have issues again?   Read More

Finding Balance in a Runner's Training Program

Allan Besselink, PT, Dip. MDT

February 7, 2013

With training, have you found a ratio that works as far as interval versus strength training versus distance?   Read More


Lack of Training Elements Can Cause Issues for Runners

Allan Besselink, PT, Dip. MDT

February 5, 2013

What elements of training seem to cause the most issues for runners? Does the rate of incline or the running surface affect those issues?   Read More


Training Runners? Where Do You Start?

Allan Besselink, PT, Dip. MDT

January 9, 2013

To concenteratre on training, where would you start?   Read More


Considerations for Little League Pitchers

Christine Panagos, PT, SCS, CSCS

January 4, 2013

Do you know of any specific limitations found in adolescent baseball pitchers? At what age would you recommend Little League pitchers start throwing specific pitches such as the curve ball, screw bal...   Read More


Is an X-Ray Needed to Diagnose Os Acromiale?

Steven Tippett, PT, PhD, SCS

December 28, 2012

Without x-rays, is there a way to know a patient has a problem with Os Acromiale?   Read More


The Importance of Addressing the Lower Trap in Rotator Cuff Dysfunction

Steven Tippett, PT, PhD, SCS

December 27, 2012

How important is it to strengthen the lower trap when treating rotator cuff dysfunction?   Read More


Treating Impingement? What's Your Time Frame and When Do You Refer Out?

Steven Tippett, PT, PhD, SCS

December 20, 2012

When treating impingement, what is your time frame for rehab? How long do you try rehab before you refer to the surgeon? What types of findings would you look for that would make you refer to the su...   Read More


Use of Aquatic Therapy for Groin Pain Rehab

Steven Tippett, PT, PhD, SCS

December 18, 2012

With water walking, do you have your clients walk forward, backward, and sideways, or does it just depend upon the cause of their groin pain?   Read More


Mobilization Techniques with Congenital Hip Diagnoses

Tom Denninger, PT, DPT, OCS, FAAOMPT

November 14, 2012

Would you recommend the use of hip mobilization techniques on a patient that presents to you in their late twenties or early thirties with a congenital hip diagnosis?   Read More

Deep Water Running after Injury

Lori Sherlock, MS, ATRIC, AEA Fitness Specialist, CSCS

November 6, 2012

After injury, with early weightbearing in the pool, how cautious do we need to be with deep water running?   Read More


ROM Requirements for a Proper Golf Swing

Maurie Steinley, PT, DSc, SCS

October 24, 2012

How much shoulder range of motion is required for a proper golf swing? I am thinking of patients who are status post left shoulder replacement and are trying to return to golf.   Read More


Is the VMO as Important as We Once Thought?

Lori Bolgla, PT, PhD, ATC

September 27, 2012

Is the new research finding that the VMO is not as important as we once thought it was?   Read More


Need Help Drafting a Letter of Medical Necessity?

Kirsten Davin, OTD, OTR/L, ATP, SMS

September 19, 2012

Do you manually type your letters of medical necessity or is there an electronic documentation system that you use?   Read More


How to Choose a Shock Attenuating Orthosis

Lori Bolgla, PT, PhD, ATC

September 12, 2012

When choosing an orthotic for shock attenuation, what qualities should be considered?   Read More


My Client Tested at 5 out of 5. Now What?

Lori Bolgla, PT, PhD, ATC

September 6, 2012

If a client tests out at a 5 out of 5 for hip strength on a manual muscle test, but you still have concerns that there are needs that should to be addressed, what are other tests that you can perform...   Read More


The Lifespan of a Wheelchair Cushion

Kirsten Davin, OTD, OTR/L, ATP, SMS

August 3, 2012

Many facilities maintain an inventory of wheelchair cushions in their storage closets. Some of those cushions have been there for quite some time. How do you know that they are still going to properl...   Read More