2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T80d,Preterm birth increases the risk of neurodevelopmental impairments, emphasizing the need for early interventions. This study aimed to assess the feasibility and effectiveness of a General Movement (GM)-based intervention on infant neurodevelopment and parental mental health. In a prospective, randomized-controlled trial, very preterm infants (gestational age <32 weeks or birth weight <1500 g) were enrolled between October 1, 2021, and June 6, 2023. Infants received a three times daily GM-based treatment by trained parents over 10 weeks starting at 34 weeks PMA or standard care. Primary outcome was neurodevelopment until 2 years' corrected age, secondary outcomes included parental mental health and serum levels of brain damage biomarkers. Sixty-six infants were randomized (32 control, 34 intervention). The median birth weight was 1243 g (IQR, 919-1623 g) in the control group and 1035 g (IQR, 853-1230 g) in the GM group. No significant group differences were observed for neurodevelopment outcome and parental mental health. Interestingly, all three infants displaying poor neuromotor features in the intervention group before treatment showed good neurodevelopment in the follow-up. Our findings suggest a potential role of GM-based intervention in high-risk preterm infants. Future research should focus on improved participant selection and adherence. A General Movement (GM)-based early intervention starting at 34 weeks PMA, led by parents with telehealth support over 10 weeks from pediatric physiotherapists, was both feasible and well-received. Infant neurodevelopment until 2 years' corrected age and parental mental health were similar in both the intervention and control groups. The approach may be especially helpful for preterm infants who show early signs of neurodevelopmental challenges. As one of the first studies of its kind, this RCT adds valuable knowledge about GM-based therapy for very preterm infants. The results support the importance of personalized early interventions to meet the unique needs of each infant.31:Te0a,Abstract Background Preterm birth increases the risk of neurodevelopmental impairments, emphasizing the need for early interventions. This study aimed to assess the feasibility and effectiveness of a General Movement (GM)-based intervention on infant neurodevelopment and parental mental health. Method In a prospective, randomized-controlled trial, very preterm infants (gestational age <32 weeks or birth weight <1500 g) were enrolled between October 1, 2021, and June 6, 2023. Infants received a three times daily GM-based treatment by trained parents over 10 weeks starting at 34 weeks PMA or standard care. Primary outcome was neurodevelopment until 2 years’ corrected age, secondary outcomes included parental mental health and serum levels of brain damage biomarkers. Results Sixty-six infants were randomized (32 control, 34 intervention). The median birth weight was 1243 g (IQR, 919-1623 g) in the control group and 1035 g (IQR, 853-1230 g) in the GM group. No significant group differences were observed for neurodevelopment outcome and parental mental health. Interestingly, all three infants displaying poor neuromotor features in the intervention group before treatment showed good neurodevelopment in the follow-up. Conclusion Our findings suggest a potential role of GM-based intervention in high-risk preterm infants. Future research should focus on improved participant selection and adherence. Impact

A General Movement (GM)-based early intervention starting at 34 weeks PMA, led by parents with telehealth support over 10 weeks from pediatric physiotherapists, was both feasible and well-received.

Infant neurodevelopment until 2 years’ corrected age and parental mental health were similar in both the intervention and control groups.

The approach may be especially helpful for preterm infants who show early signs of neurodevelopmental challenges.

As one of the first studies of its kind, this RCT adds valuable knowledge about GM-based therapy for very preterm infants.

The results support the importance of personalized early interventions to meet the unique needs of each infant.

32:T45c,➢ Neurological injury remains the most common reason for ligation following total hip arthroplasty.➢ The main risk factors for neurological injury following total hip arthroplasty are preexisting spinal pathology, revision surgery, complex hip anatomy, female sex, surgeon inexperience, and excessive limb lengthening.➢ Postoperative pelvic computed tomographic scans may be used to assess component positioning and identify any compressive hematomas. Magnetic resonance imaging with a metal artifact reduction protocol may be used to evaluate architectural changes in the affected nerve.➢ Electromyography and nerve conduction studies may help to assess the level and grade of the nerve injury. These tests are most useful when performed in patients who show no signs of neurological improvement 3 to 6 weeks after surgery.➢ The mainstay of nonoperative management is supportive care with physical therapy, an ankle-foot orthosis, and neuropathic pain treatment.➢ The prognosis for a femoral nerve injury is generally more favorable than that for a sciatic nerve injury following total hip arthroplasty.33:T7a9,

➢ Neurological injury remains the most common reason for ligation following total hip arthroplasty.

➢ The main risk factors for neurological injury following total hip arthroplasty are preexisting spinal pathology, revision surgery, complex hip anatomy, female sex, surgeon inexperience, and excessive limb lengthening.

➢ Postoperative pelvic computed tomographic scans may be used to assess component positioning and identify any compressive hematomas. Magnetic resonance imaging with a metal artifact reduction protocol may be used to evaluate architectural changes in the affected nerve.

➢ Electromyography and nerve conduction studies may help to assess the level and grade of the nerve injury. These tests are most useful when performed in patients who show no signs of neurological improvement 3 to 6 weeks after surgery.

➢ The mainstay of nonoperative management is supportive care with physical therapy, an ankle-foot orthosis, and neuropathic pain treatment.

➢ The prognosis for a femoral nerve injury is generally more favorable than that for a sciatic nerve injury following total hip arthroplasty.

34:T902,Postoperative rehabilitation after anterior cruciate ligament (ACL) surgery is essential for restoring strength and function and promoting return to sport while minimizing risk of reinjury. The recovery process typically spans 9 to 12 months, delineated in a phased, criterion-based approach to monitor milestones, restore function and confidence, and promote return to sport. The early phase (weeks 0-6) focuses on reducing pain and swelling while restoring knee range of motion (ROM) and quadriceps strength (≥60% limb symmetry index [LSI]) with the use of modalities such as neuromuscular electrical stimulation. Open kinetic chain exercises can be initiated after surgeon clearance and appropriate progression to safely load the quadriceps without placing excessive strain on the reconstructed ACL. The intermediate phase (weeks 7-9) commences when the early-phase goals of knee ROM of 0° to 115°, effusion of 1+ or less, and a normalized gait pattern are achieved. This phase focuses on initiating balance activities, neuromuscular re-education, and aerobic training. Key goals of this phase include full, symmetrical ROM and quadriceps strength with an LSI of 70% or greater, which is achievable when adhering to a structured, progressive overload strength training program. The late phase (weeks 10-16) introduces running when quadricep strength reaches an LSI of 80% or greater and emphasizes training of proper landing mechanics. Strength training is progressively advanced and transitioned to a more intensive, gym-based program with a target LSI of 75% to 80% or greater. The transitional phase (months 4-6) initiates jumping, sprinting, decelerating, and agility drills. Goals include an LSI for quadriceps strength and hop testing of 85% or greater. The return-to-sport phase (months 6-12) emphasizes sport-specific drills and conditioning in preparation for return to competition. Clearance for full return to sport and competition should be provided when there is no pain or effusion, the patient attains an LSI for quadriceps strength and hop testing of 90% or greater, and fear/confidence levels are evaluated. This phased rehabilitation approach with criterion-based objective milestones allows patients to safely return to sport at preinjury levels while minimizing risk of reinjury.35:T67b,This study aims to describe the frequency and timing of physician referrals to physical therapists (PTs) and other treatments prescribed over 12 months in patients with recent onset of knee osteoarthritis (KOA). The study also aims to identify determinants of early PT referrals. A retrospective study was conducted using electronic medical records from an integrated health care system in the United States. Incident KOA visits between October 2016 and September 2017 were identified using International Classification of Diseases, Tenth Revision codes. Early PT referral was defined as a referral within 15 days of the incident KOA visit by the attending physician. Data on PT referrals, other KOA treatments, patient characteristics, physician specialty, practice location, and volume of patients with KOA were extracted. The number of licensed PTs within the county of the included practices was also obtained. We used generalized linear mixed models to predict factors associated with early PT referrals. Included in our study were 9,835 patients with incident KOA. Within the 12-month period, 26% of patients had at least one PT referral (n = 2,550) and the median (interquartile range) days to the first referral was 0 (0-34) days. Early PT referral by the index physician occurred in 16.5% (n = 1,629) of patients, was less likely for patients with higher or missing knee pain scores and in rural practices, and more likely in women, patients with higher body mass index, and those seen in counties with a greater supply of licensed PTs. Physician referrals to PT for a new episode of KOA are infrequent and influenced by patient and practice factors.36:T8c6, Objective This study aims to describe the frequency and timing of physician referrals to physical therapists (PTs) and other treatments prescribed over 12 months in patients with recent onset of knee osteoarthritis (KOA). The study also aims to identify determinants of early PT referrals. Methods A retrospective study was conducted using electronic medical records from an integrated health care system in the United States. Incident KOA visits between October 2016 and September 2017 were identified using International Classification of Diseases, Tenth Revision codes. Early PT referral was defined as a referral within 15 days of the incident KOA visit by the attending physician. Data on PT referrals, other KOA treatments, patient characteristics, physician specialty, practice location, and volume of patients with KOA were extracted. The number of licensed PTs within the county of the included practices was also obtained. We used generalized linear mixed models to predict factors associated with early PT referrals. Results Included in our study were 9,835 patients with incident KOA. Within the 12‐month period, 26% of patients had at least one PT referral (n = 2,550) and the median (interquartile range) days to the first referral was 0 (0–34) days. Early PT referral by the index physician occurred in 16.5% (n = 1,629) of patients, was less likely for patients with higher or missing knee pain scores and in rural practices, and more likely in women, patients with higher body mass index, and those seen in counties with a greater supply of licensed PTs. Conclusion Physician referrals to PT for a new episode of KOA are infrequent and influenced by patient and practice factors. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Physical Therapy: modality Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Physical Therapy (modality). Clinician-written summaries and actionable practice insights. 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Recommended workup includes postoperative pelvic CT to assess component position and compressive hematoma, MRI with metal artifact reduction to evaluate the nerve, and EMG/nerve conduction studies at 3–6 weeks if no improvement; nonoperative care centers on physical therapy, an ankle-foot orthosis, and neuropathic pain treatment, and femoral nerve injuries have a better prognosis than sciatic injuries.","limitations":"No quantitative data (incidence, outcomes) or sample size are provided, and the study design is not specified. The abstract states 'ligation' as the most common reason after total hip arthroplasty, which may be a typographical error for 'litigation.'","practice_takeaway":"For new postoperative nerve deficits after total hip arthroplasty, obtain a pelvic CT to check component position and for hematoma and consider a metal artifact–reduced MRI of the nerve. 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