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A sixteen-year-old boy suffered from sharp pain in the knee during a jump while playing basketball. He had a positive history of Osgood Schlatter disease. Radiographic evaluation demonstrated an avulsion fracture of the tibial tuberosity Type III according to the classification of Watson-Jones. Rehabilitation after avulsion fracture of the tibial tuberosity is an important consideration for this relatively uncommon adolescent injury. In such avulsion fractures, landing on the ground with the knee fully extended after a jump is the most likely cause. This case report reviews the rehabilitation program, and selected functional outcome measures after rehabilitation are reported. The patient returned to sporting activity after 12 months. [ABSTRACT FROM AUTHOR]

Background: The sit and reach test is the most common flexibility test used in health related fitness test batteries. Objective: To examine and compare three different sit and reach tests as a measure of hamstring flexibility in 102 female students. Method: The traditional sit and reach test, the chair sit and reach test, the back saver sit and reach test, and passive straight leg raise were administered in three trials to all 102 students (mean (SD) age 22 (1) years) on the same day. Results: A Pearson correlation coefficient analysis was significant (p<0.01) for the traditional sit and reach test with back saver sit and reach test and flexibility of hamstrings (r = 0.45 and 0.65 for left and right legs, and 0.63 and 0.53 for left and right legs respectively). Also, the back saver sit and reach test for the left (p<0.01) and right (p<0.05) leg was significantly associated with hamstring flexibility (r = 0.37 and 0.25 for the left leg and 0.50 and 0.44 for the right leg respectively). Conclusion: The results indicate that the bock saver sit and reach test produces reasonably accurate and stable measures of hamstring flexibility. Moreover, it appears that this test is a safe and acceptable alternative to the traditional and chair sit and reach tests as a measure of hamstring flexibility in young women. [ABSTRACT FROM AUTHOR]

Because of the progressive muscle weakness, trunk stabilization decreases over the time. In physiotherapy settings conventional exercise approaches applies for the increasing trunk control. In this pilot study, we discussed the results of trunk stabilization training and kinesiotape applications on 3 adult patients with muscular diseases. Main clinical problems were muscle weakness, difficulties of activities of daily living, pain, fatigue and muscle spasms. Subjects were included the trunk stabilization training and for 10weeks, 3days per week, 45min per day. Kinesiotape application was applied 2days per week in order to increase the strength of the trunk and to support back muscles during the treatment. Main outcome measures were functional reach and endurance tests. At the end of 10th week anterior and lateral functional reach and endurance scores were increased. Also subjects expressed they can walk more confidentially, able to walk a longer distance without rest and able to maintain upright posture comfortably and feels vigorously. It can concluded that in addition to conventional exercise training, trunk stabilization program and kinesiotaping application are revealed promising results in our patients. Therefore this study provides different options in supporting the treatment for clinicians in rehabilitation of the muscular diseases. [Copyright &y& Elsevier]

Introduction: rehabilitation of Anterior Cruciate Ligament (ACL) reconstruction is fundamental component after surgery, but this period is long and sometimes boring. To investigate the feasibility of the Nintendo Wii Fit instead of conventional rehabilitation after Anterior Cruciate Ligament Reconstruction. Material and methods: 43 healthy sedentary men (age: 29.5±7.9yrs, height: 176.3±5.3cm, body weight: 79.6±9.3kg, BMI: 25.6±3.0 kg/cm2) were included into this study. They were randomly separated into two groups: 21 subjects were included in Wii therapy group (group1), while 22 of them were taken in the conventional rehabilitation group (group2). The subjects went through the rehabilitation protocol during 12 weeks. Flexion and extension strengths of knee were assessed by Isomed 2000 isokinetic dynamometer at 60°/s and 180°/s angular velocities, and ACL outcome questionnaire was employed to assess the patients' life quality during the rehabilitation. Student t-test was used for all statistical analysis. This study has 80% power with 5% type 1 error level as statistically significant Results: hypothesis 0: there are efficency of wii therapy as well as standard rehabilitation protocol on muscle strength and quality of life after ACL reconstruction with single-bundle hamstring tendon graft. There were significant differences between both groups in life quality outcome questionnaire at 4th (p=0.03) and 8th weeks (p=0.04) of the rehabilitation. However, there was no significant difference between the groups in terms of peak torque in flexion and extension at 60°/s (p=0.363, p=0.852) and at 180°/s (p=0.914, p=0.694) angular velocities in the 12th week of the rehabilitation. Similarly, there was no significant difference between the groups regarding total work in flexion and extension at 60°/s (p=0.706, p=0.891) and at 180°/s (p=0.807, p=0.539) angular velocities in the12th week. Conclusions: what this study illustrated was that Wii therapy might be used instead of /with combination of conventional rehabilitation as it gives the feeling of competition and makes the rehabilitation more fun after ACL reconstruction. [ABSTRACT FROM AUTHOR]