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The Curious Case of Paresthesia in the Legs

 

Today I had the opportunity to present to the OSU DPT students on a case that I’m passionate about. This was the 3rd year I’ve presented the case to OSU DPT. Also I’ve presented it at the OPTA annual conference, AAOMPT annual conference, and to our OSU ortho/sports PT residents and OMPT fellows in training.

The case report in question is available to read in the journal Physiotherapy Theory & Practice. 

 

Even though I’ve presented this case report at the local, state, and national levels. I still needed to do a run thru of the lecture and tune it up a bit. I’ve always found that providing a little pressure during practice sessions helps with the performance the day of. So, I recorded my practice session for the blog to create that added pressure. It is rough to say the least, but doing this helped me knock the presentation out of the park this morning. Also, I was reminded of how crucial having an audience for a presentation is. You feed off the audience a lot as a presenter (even when it’s on Zoom). The discussions we had this morning and questions the students asked were excellent.

So, if you’re interested, here is my practice session of the presentation I gave today, on my couch in my basement: https://osu.box.com/s/105ds8b9qfby36g4r8wk29kp0w5gyzk3

If you want to save time, just download and read the case report instead 🙂

Clinical Evaluation Techniques for Injury Risk Assessment in Elite Swimmers: A Systematic Review

Check out the latest publication from the Briggs’ Lab from our former OSU Sports Med PT resident.

 

 

Clinical Evaluation Techniques for Injury Risk Assessment in Elite Swimmers: A Systematic Review

Kaitlyn R. Schlueter, PT, DPT*, Joshua A. Pintar, PT, DPT, Katherine J. Wayman, PT, DPT,

Lynda J. Hartel, MLS, Matthew S. Briggs, PT, DPT, AT, PhD

First Published July 10, 2020 Review Article

https://doi.org/10.1177/1941738120920518

Abstract

Context:

Evidence concerning a systematic, comprehensive injury risk assessment in the elite swimming population is scarce.

Objective:

To evaluate the quality of current literature regarding clinical assessment techniques used to evaluate the presence and/or development of pain/injury in elite swimmers and to categorize objective clinical assessment tools into relevant predictors (constructs) that should consistently be evaluated in injury risk screens of elite swimmers.

Data Sources:

PubMed, Embase, Scopus, CINAHL, SPORTDiscus, PEDro, and the Cochrane Library Reviews were searched through September 2018.

Study Selection:

Studies were included for review if they assessed a correlation between clinic-based objective measures and the presence and/or development of acute or chronic pain/injury in elite swimmers. All body regions were included. Elite swimmers were defined as National Collegiate Athletic Association, collegiate, and junior-, senior-, or national-level swimmers. Only cohort and cross-sectional studies were included (both prospective and retrospective); randomized controlled trials, expert opinion, and case reports were excluded, along with studies that focused on interventions, performance, or specific swim-stroke equipment or technology.

Study Design:

Systematic review and qualitative analysis.

Level of Evidence:

Level 3.

Data Extraction:

PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were utilized at each phase of review by 2 reviewers; a third reviewer was utilized for tie breaking purposes. Qualitative analysis was performed using the Methodological Items for Non-Randomized Studies (MINORS) assessment tool.

Results:

A total of 21 studies assessed the presence and/or development of injury/pain in 3 different body regions: upper extremity, lower extremity, and spine. Calculated average MINORS scores for comparative (n = 17) and noncomparative (n = 4) studies were 18.1 of 24 and 10.5 of 16, respectively. Modifiable, objectively measurable injury risk factors in elite swimmers were categorized into 4 constructs: (1) strength/endurance, (2) mobility, (3) static/dynamic posture, and (4) patient-report regardless of body region.

Conclusion:

Limited evidence exists to draw specific correlations between identified clinical objective measures and the development of pain and/or injury in elite swimmers.