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The objective of this study was to illustrate the case of a community college intercollegiate soccer player who sustained a grade 3 ACL injury and underwent surgical repair at 4 months. The patient engaged in her regular daily activity prior to the surgical procedure. One week prior to surgery the patient produced 140° of active knee flexion and -1° of active knee extension, and scored 69.0 on the International Knee Documentation Committee Subjective Knee Evaluation (SKE). One day post-ACL reconstruction by semitendinosus autograft, the patient’s range of motion was 40° of flexion and 20° of extension and reported a score of 21.8 on the SKE. The patient began rehabilitation immediately following surgery with the goal to increase ROM of the involved limb. A Total Motion Release rehabilitation protocol was implemented in lieu of a traditional ACL reconstruction rehabilitation protocol. Three sessions were completed each week over a four-week period, for a total of 12 sessions. Rehabilitation sessions consisted of 15 minutes of ice massage of the quadriceps with simultaneous quadriceps contraction/relaxation immediately followed by TMR. The patient ended each session with progressive exercise: 5 minutes of half rotations on the bike on day one, progressing to a 20 minute light jog on the treadmill by week four. Patient was re-assessed by the orthopedic surgeon at a one and six month post-op follow-up appointments. Changes in flexion and extension ROM and an SKE was assessed weekly prior to treatment to evaluate knee function. After four weeks, normal knee range of motion was restored demonstrating the effectiveness of Total Motion Release®.

Context Determining patient outcomes is essential to quality health care. Administering electronic patient-reported outcomes measures (PROMs) offers potential advantages, including faster completion and efficient data access and storage. However, commonly used PROMs have not been studied across multiple administration modes, limiting clinicians to paper forms until the electronic versions are validated. Objective To determine the validity of an electronic version of the Disablement in the Physically Active (DPA) scale compared with the paper version. Main Outcome Measure(s) Electronic and paper versions of the DPA scale were randomly administered to 117 participants (38 women, 79 men; age = 21.6 ± 5.9 years) 24 to 48 hours apart. Responses were compared using Pearson product moment correlations, canonical correlations, and covariance modeling. Results The electronic version of the DPA scale was strongly correlated with the paper version when compared using a bivariate correlation (r = 0.86, P < .001) or covariance modeling approach (r = 0.90, P < .001). Conclusions The electronic version of the DPA scale was comparable with the paper version, making the former more efficient for use in athletic training. This study provides a template for other clinician-researchers to perform similar evaluations of electronic PROMs to determine their equivalency with the paper versions before implementing them in practice.

Introduction A standard treatment protocol for medial tibial stress syndrome (MTSS) has not been identified. Clinical practice focuses on local evaluation and treatment neglecting a global approach. The MyoKinesthetic™ (MYK) System includes a full-body postural assessment to identify compensatory patterns that may lead to MTSS. The purpose of this study was to assess the effects of the MYK System in treating patients diagnosed with MTSS. Method A multi-site exploratory study was used to assess the effects of the MYK System on perceived pain and disability in patients diagnosed with MTSS. Eighteen physically active patients (6 female, 12 male), ages 18–25 years (19.89 ± 1.32) were treated with the MYK System. Results Paired T-tests were utilized to assess change. The change in patient reported pain was statistically significant (t(17) = 10.48, p Discussion Participants treated with the MYK System experienced significant improvements and appear to surpass traditional interventions without the need of rest. Conclusion Implementation of the MYK System to treat MTSS led to significant decreases in patient reported pain and dysfunction. A full-scale clinical investigation of the MYK System is warranted to determine its effects compared to traditional treatment options.