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Physical Therapy Practice Physical Therapy Practice THE MAGAZINE OF THE ORTHOPAEDIC SECTION, APTA VOL. 18, NO. 2 2006 ORTHOPAEDIC CARDON REHABILITATION PRODUCTS, INC.™ Wurlitzer Industrial Park, 908 Niagara Falls Blvd. North Tonawanda, NY 14120 Telephone: 1-800-944-7868 • Fax: 716-297-0411 E-mail: [email protected] THE ACCEPTED STANDARD OF PERFORMANCE The Cardon Mobilization Table . Going beyond the third dimension . Now available with the patented option which eliminates the use of flexion and rotation levers. This allows the therapist to perform advanced manual therapy techniques with complete confidence and comfort with an ergonomically friendly design. The unique design provides more efficient and smooth setup while providing superior patient comfort. The option enhances patient care by allowing unsurpassed opportunity for more preciseness of treatment and monitoring of segments and joints. he design and concepts make this “T the best mobilization table manufactured today.” Professor Freddy Kaltenborn Autho, Int’l Lecturer in Manual Therapy he various sections have minimum flex “T allowing very accurate application of specific manual therapy techniques.” Olaf Evjenth ES! I would like to preview the Author, Int’l Lecturer in Manual Therapy Y Cardon Mobilization Table. Please rush your 15 minute VHS video (for standard model): SEE FOR Name: Title: YOURSELF Clinic/Institution: THESE Address: OUTSTANDING City: State: Zip Code: Telephone: Signature: FEATURES: CARDON REHABILITATION PRODUCTS, INC.™ • Accurate localization of the vertebral segment Wurlitzer Industrial Park, 908 Niagara Falls Blvd. • Precision and versatility of technique North Tonawanda, NY 14120 • Absolute control of the mobilization forces Telephone: 1-800-944-7868 • Fax: 716-297-0411 • Excellent stability for manipulation. E-mail: [email protected] Orthopaedic Practice Vol. 18;2:06 Stretching the limits of End Range of Motion since 1991 Motion get results, and get your patient back on track ERMI’s in-home mechanical therapy devices give patients control of getting motion so you can focus on strengthening, muscle coordination and other modalities during clinic sessions. Our Philosophy is Different. At ERMI we focus on patients with mild to severe motion loss. We provide patients with home-therapy devices that Featuring the • mimic in-clinic manual therapy ® • are easy and convenient to use ERMI Knee Extensionater • provide rapid motion increases The ERMI Knee Extensionater is a portable, easy-to-use device that allows patients Our results are proven... with flexion contractures to work on and the outcome is guaranteed! improving extension at home, at work or just about anywhere they go. The device uses a comfortably fitting air bladder to “The Knee Extensionater served accomplish overpressure therapy with as my therapist when I was more precision and without the discomfort away from physical therapy.” of the traditional hanging of weights. Sarah Jane Whitlock Other ERMI Devices include... Extensionater Devices Flexionater Devices MPJ Extension Elbow Extension Shoulder External Rotation Knee/Ankle Flexion and Flexion and Abduction (877) 503-0505 • GetMotion.com Orthopaedic Practice Vol. 18;2:06 ORTHOPAEDIC Physical Therapy Practice VOL. 18, NO. 2 2006 inthisissue regularfeatures 8 | Errors in the Clinical Decision Making in a Patient 5 | Editor’s Corner with Persistent Hip Pain: A Case Study Mathews Thomas, Josephine M. Kershaw 6 | President’s Message 12 | The Role of the Physical Therapist in the Assessment and 41 | Occupational Health SIG Newsletter Management of the Elderly Patient with Postoperative Delirium Following Hip Fracture Surgery: An Evidence-based Case Report 44 | Foot and Ankle SIG Newsletter Amy Erikson, Mary Ann Wilmarth 50 | Pain Management SIG Newsletter 19 | Patients Journey through Knee Osteoarthritis: From Total Knee Arthroplasty through the Rehabilitative Process 54 | Performing Arts SIG Newsletter Kimberly D. Galbreath 56 | Animal Physical Therapist SIG Newsletter 25 | The Use of Multiple Impulse Technology in Treatment of a Patient with Low Back Pain 60 | Index­ to Advertisers Timothy McHenry 30 | Case Report: Rehabilitation and Outcomes for a Patient Following Implant of a Reverse Delta III Shoulder Prosthesis Casey Unverzagt, Omar Ross, Christopher Hughes 38 | Pigmented Villonodular Synovitis of the Knee in a 7-Year-Old Dr. V.G. Murakibhavi, Dr. Vijay R Tubaki, Dr. P.C. Wali, Dr. Shonali S, Dr. Shilpa P optpmission publicationstaff The mission of the Orthopaedic Section of the Managing Editor & Advertising Advisory Council American Physical Therapy Association is to be the Sharon L. Klinski Joe Kleinkort, PT, MA, PhD, CIE leading advocate and resource for the practice of Orthopaedic Section, APTA Tom McPoil, PT, PhD, ATC Orthopaedic Physical Therapy. The Section will serve 90 East Ave So, Suite 00 Lori Michener, PT, PhD, ATC, SCS its members by fostering quality patient/client care and La Crosse, Wisconsin 5460 Becky Newton, MSPT promoting professional growth through: 800-444-98 x­ 0 Stephen Paulseth, PT, MS 608-788-965 FAX Robert Rowe, PT, DMT, MHS, FAAOMPT • enhancement of clinical practice, Email: [email protected] Michael Wooden, PT, MS, OCS • advancement of education, and Editor • facilitation of quality research. Christopher Hughes, PT, PhD, OCS Publication Title: Orthopaedic Physical Therapy Practice Statement of Frequency: Quarterly; April, June, August, and December Authorized Organization’s Name and Address: Orthopaedic Section, APTA, Inc., 90 East Avenue South, Suite 00, La Crosse, WI 5460-70 Orthopaedic Physical Therapy Practice (ISSN 5-087) is the official magazine of the Orthopaedic Section, APTA, Inc. Copyright 006 by the Orthopaedic Section/APTA. Nonmember subscriptions are available for $0 per year (4 issues). Opinions ex­pressed by the authors are their own and do not necessarily reflect the views of the Orthopaedic Section. The editor reserves the right to edit manuscripts as necessary for publication. All requests for change of address should be directed to the La Crosse Office. All advertisements which appear in or accompany Orthopaedic Physical Therapy Practice are accepted on the basis of conformation to ethical physical therapy standards, but acceptance does not imply endorsement by the Orthopaedic Section. Orthopaedic Physical Therapy Practice is index­ed by Cumulative Index­ to Nursing & Allied Health Literature (CINAHL). Orthopaedic Practice Vol. 18;2:06 Orthopaedic Section Directory officers President: Vice President: Treasurer: Director 1: Director 2: Michael T. Cibulka, PT, Thomas G. McPoil, Jr, PT, Joe Godges, DPT, MA, OCS James Irrgang, PT, PhD, ATC William H. O’Grady, PT, DPT, DPT, OCS PhD, ATC Kaiser PT Residency University of Pittsburgh OCS, FAAOMPT, AAPM Jefferson County Rehab 60 W University Heights Drive & Fellowships Department of Physical Therapy 4 Starling St & Sports Clinic South Flagstaff, AZ 8600 607 West 75th Place Sennett at Atwood Streets Steilacoom, WA 9888-040 0 YMCA Drive, Suite 00 (98) 5-499 Los Angeles, CA 90045-6 Pittsburgh, PA 560 (5) 588-566 (Office) Festus, MO 608 (98) 5-989 (FAX) (0) 5-664 (Office) (4) 647-7 (Office) [email protected] (66) 97-7677 (Office) [email protected] (0) 5-0780 (FAX) (4) 647-454 (FAX) Term: 2005-008 (66) 9-8808 (FAX) Term 004 - 007 [email protected] irrgangjj@msx­.upmc.edu [email protected] Term: 2005-008 Term: 00-009 Term: 004 - 007 chairs MEMBERSHIP EDUCATION PROGRAM INDEPENDENT STUDY COURSE ORTHOPAEDIC PRACTICE Chair: Chair: Editor: Editor: Scott Adam Smith, MPT Ellen Hamilton, PT, OCS Mary Ann Wilmarth, DPT, MS, OCS, Christopher Hughes, PT, PhD, OCS 9 Lawrence Street 70 Montclair Road, Ste 00 MTC, CertMDT School of Physical Therapy Hicksville, NY 80 Birmingham, AL 5 0 Nollet Dr Slippery Rock University (56) 68-5647 (Office) (05) 98-90 Andover, MA 080-6 Slippery Rock, PA 6057 [email protected] (05) 599-455 (FAX) (978) 68-880 (74) 78-757 [email protected] [email protected] [email protected] Members: Hunter Bowie, Julia Chevan, Vice Chair: John Childs, Melissa Corriveau, Managing Editor: Beth Jones, PT, DPT, MS, OCS Managing Editor: Lori Michener, Terry Trundle Kathy Olson Sharon Klinski Members: Dee Daley, Bob Duvall, (800) 444-98, x­ (800) 444-98, x­0 Deborah Gross-Saunders, Kristinn Heindrichs, [email protected] [email protected] Joe Kleinkort, Deborah Lechner, David McCune, Tara Manal, Cheryl Mauer, Stephen Paulseth, Chris Powers, Christopher Scott, Jeff Stenbach RESEARCH ORTHOPAEDIC SPECIALTY PRACTICE FINANCE Chair: COUNCIL Chair: Chair: Lori Michener, PT, PhD, ATC, SCS Chair: Robert (Bob) H Rowe, PT, DMT, Joe Godges, DPT, MA, OCS 8 West Ave Rob Landel, PT, DPT, OCS MHS, FAAOMPT (See Treasurer) Richmond, VA 0 Division of Independent Health Professions 6 Oak Leaf Drive (804) 88-04 University of Southern California Slidell, LA 7046-5006 Members: John Childs, Steve Clark, (804) 88-8 (FAX) 540 E. Alcazaar St, CHP 55 (985) 645-99 Tara Jo Manal [email protected] Los Angeles, CA 900 [email protected] () 44-9 Members: Paul Beattie, Gregory Hicks, () 44-55 (FAX) Members: Bill Boissonnault, Joe Farrell, Sheri Silfies, Linda Van Dillen [email protected] Helene Fearon, Jay Irrgang, Aimee Klein, Stephen McDavitt, Ken Olson, Bill O’Grady, Members: Amiee Klein, Robert Johnson Richard Smith, Debbie Todd AWARDS JOSPT NOMINATIONS Chair: Editor-in-Chief: Chair: Orthopaedic Section Thomas G. McPoil, Jr, PT, PhD, ATC Guy Simoneau, PT, PhD, ATC Pamela Duffy, PT, MEd, OCS, RP (See Vice President) Marquette University 8 J Ave Web site: P.O. Box­
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