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May J.,Athletic Training Program | Krzyzanowicz R.,Massachusetts College of Liberal Arts | Nasypany A.,The College of Idaho | Baker R.,The College of Idaho | Seegmiller J.,The College of Idaho
Journal of Sport Rehabilitation | Year: 2015

Context: Although randomized controlled trials indicate that the Mulligan Concept (MC) of mobilization with movement can improve Pain-Free grip strength and pressure pain threshold in patients with lateral epicondylalgia of the elbow, improve ankle dorsiflexion in patients with subacute ankle sprains, and decrease the signs and symptoms of patients with cervicogenic headache, little is known about the clinical application, use, and profile of certified Mulligan practitioners (CMPs) in America. Objective: To better understand the use and value of applying the MC philosophy in Clinical-Care environments from the perspective of American CMPs while establishing a clinical profile of a CMP. Design: Quantitative descriptive design. Setting: Online survey instrument. Participants: American CMPs. Data Collection and Analysis: Online survey instrument. Results: CMPs use the MC to treat a broad spectrum of spinal and peripheral clinical pathologies in primarily outpatient clinics with an active and athletic population. American CMPs also find value in the MC. Conclusions: American CMPs continue to use and find value in the MC intervention strategy to treat a broad spectrum of spinal and peripheral conditions in their clinical practices. © 2015 Human Kinetics, Inc.


Snyder Valier A.R.,Athletic Training Program | Swank E.M.,Athletic Training Program | Lam K.C.,A.T. Still University | Hansen M.L.,Core Institute | Valovich McLeod T.C.,Athletic Training Program
Journal of Sport Rehabilitation | Year: 2013

Accurate assessment of health-related quality of life (HRQoL) is important for quality patient care. Evaluation of HRQoL typically occurs with patient self-report, but some instruments, such as the Pediatric Quality of Life Inventory (PedsQL), allow for proxy reporting. Limited information exists comparing patient and proxy reports of HRQoL after sport-related injury in adolescent athletes. Objective: To compare patient ratings and parent-proxy ratings of HRQoL in adolescent athletes who suffer musculoskeletal injuries requiring orthopedic consultation. The authors hypothesized poor agreement between patient and parent-proxy ratings of HRQoL. Design: Cross-sectional study. Setting: Orthopedic practice. Patients: Thirteen adolescent patients with a sport-related musculoskeletal injury requiring orthopedic consultation and 1 of their parents participated. Interventions: During the initial visit to the physician's office, each patient was asked to complete the PedsQL, and the patient's parent was asked to complete the parent-proxy version of the PedsQL. Main Outcome Measurements: The PedsQL is a pediatric generic outcome measure that consists of a total score and 4 subscale scores: physical, emotional, social, and school functioning. Means and standard deviations were calculated for all scores, and comparisons between patient-self report and parent-proxy ratings of HRQoL were made for the PedsQL total score and subscale scores using Pearson product-moment correlations (r). Results: Pearson product-moment correlations showed little to fair insignificant relationships between patient self-report and parent-proxy report of the PedsQL for the total score (r = -.1) and all subscales (range r = .1 to .4). Conclusions: Our results suggest a lack of agreement between patient and parent-proxy ratings of HRQoL, with patients rating their HRQoL lower than their parent. Patient perception of HRQoL may be more accurate than proxy report, which supports the use of patient-rated HRQoL in patient evaluation. Assessments of HRQoL made by proxies, even those close to the patient, may not represent patient health status. © 2013 Human Kinetics, Inc.

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