Rehab Centers: Rehabilitation and Treatment of a Recreational Golfer With Hip Osteoarthritis: A Case Report.

Rehabilitation and treatment of a recreational golfer with hip osteoarthritis: a case report.

Filed under: Rehab Centers

J Can Chiropr Assoc. 2012 Sep; 56(3): 201-8
Howell ER

This case study reviews the conservative chiropractic treatment of hip osteoarthritis (OA) and the prescription of a rehabilitation program for a recreational golfer.A 49-year-old registered nurse/ college instructor presented with a five year history of left hip OA and pain, recent right hip pain and occasional low back stiffness. Once her symptoms improved, a golf-specific functional rehabilitation program was prescribed in preparation for the upcoming golf season.The initial treatment included ultrasound, soft tissue and myofascial therapy, mobilizations, acupuncture and home advice. Rehabilitative exercises included core and scapular stability exercises, general conditioning, golf specific stretches, functional swinging, proprioceptive and strengthening exercises, and referral to a swing coach. The positive outcomes included increased ranges of motion, decreased pain, as well as improvements in golf driving distance and endurance.Conservative management and golf-specific rehabilitation prescription appears to be beneficial for hip OA and recreational golf performance in this case.
HubMed – rehab


Two cases of work-related lateral epicondylopathy treated with Graston Technique® and conservative rehabilitation.

Filed under: Rehab Centers

J Can Chiropr Assoc. 2012 Sep; 56(3): 192-200
Papa JA

To chronicle the conservative treatment and management of two work-related cases of lateral elbow pain diagnosed as lateral epicondylopathy.PATIENT 1: A 48-year old female presented with gradual onset of right lateral elbow pain over the course of six weeks related to work activities of repetitive flexion/extension movements of the wrist and finger keying. PATIENT 2: A 47-year old female presented with gradual onset of left lateral elbow pain over the course of four weeks related to work activities of repetitive squeezing and gripping.The conservative treatment approach consisted of activity modification, bracing, medical acupuncture with electrical stimulation, Graston Technique®, and rehabilitative exercise prescription. Outcome measures included verbal pain rating scale (VPRS), QuickDASH Work Module Score (QDWMS), and a return to regular work activities. Both patients attained resolution of their complaints, and at eight month follow-up reported no recurrence of symptoms.A combination of conservative rehabilitation strategies may be used by chiropractors to treat work-related lateral epicondylopathy and allow for individuals to minimize lost time related to this condition.
HubMed – rehab


Water-based exercise in copd with physical co-morbidities: a randomised controlled trial.

Filed under: Rehab Centers

Eur Respir J. 2012 Sep 20;
McNamara RJ, McKeough ZJ, McKenzie DK, Alison JA

Land-based exercise is often difficult for people with COPD who have co-existing obesity, musculoskeletal or neurological conditions. This randomised controlled trial aimed to determine the effectiveness of water-based exercise training in improving exercise capacity and quality of life compared to land-based exercise training and control (no exercise) in people with COPD and physical co-morbidities.Participants referred to pulmonary rehabilitation were randomly allocated to a water-based exercise, land-based exercise or control group. The two exercise groups trained for eight weeks, three sessions per week.Forty-five of 53 participants, (mean (SD) age 72 (9) years, FEV1 59 (15) % predicted), completed the study. Compared to control, water-based exercise training significantly increased 6-minute walk distance, incremental and endurance shuttle walk distances, and improved Chronic Respiratory Disease Questionnaire (CRDQ) dyspnoea and fatigue. Compared to land-based exercise training, water-based exercise training significantly increased incremental shuttle walk distance (mean difference 39 m, 95% CI 5 to 72), endurance shuttle walk distance (mean difference 228 m, 95% CI 19 to 438) and improved CRDQ fatigue.Water-based exercise training was significantly more effective than land-based exercise training and control in increasing peak and endurance exercise capacity and improving aspects of quality of life in people with COPD and physical co-morbidities.
HubMed – rehab


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