Conservative Management of Second Metatarsophalangeal Joint Instability in a Professional Dancer: A Case Report

Ojofeitimi, Sheyi; Bronner, Shaw; Becica, Laura

doi:10.2519/jospt.2016.5824

Cited by 16 publications

(22 citation statements)

References 74 publications

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“…Moreover, two subjects in particular showed VISA-A scores of ≥90 points, demonstrating that they had recovered from Achilles tendinopathy. In addition, McConnell et al (2016) also reported clinically significant changes in the functional test results of patients with Achilles tendinopathy after applying IASTM. Furthermore, a study by McCormack et al (2016) showed that applying a combination of eccentric exercise together with IASTM for 12 weeks resulted in a greater improvement in VISA-A scores of patients with Achilles tendinopathy when compared with applying eccentric exercise alone.…”

Section: Instrument-assisted Soft Tissue Mobilizationmentioning

confidence: 86%

“…Recently, McConnell et al (2016) applied eight sessions of IASTM over a 4-week period in adults with Achilles tendinopathy and found that Young’s modulus, a measure of elasticity, increased by 34.5% and stiffness increased by 31.8%, while the Victorian Institute of Sport Assessment for Achilles (VISA-A) score, an index showing the severity of Achilles tendinopathy, improved from an average of 13 points to 86 points. Moreover, two subjects in particular showed VISA-A scores of ≥90 points, demonstrating that they had recovered from Achilles tendinopathy.…”

Section: Instrument-assisted Soft Tissue Mobilizationmentioning

confidence: 99%

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Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application

2017

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This article reviews the mechanism and effects of instrument-assisted soft tissue mobilization (IASTM), along with guidelines for its practical application. IASTM refers to a technique that uses instruments to remove scar tissues from injured soft tissues and facilitate healing process through formation of new extracellular matrix proteins such as collagen. Recently, frequent use of this instrument has increased in the fields of sports rehabilitation and athlete training. Some experimental studies and case reports have reported that IASTM can significantly improve soft tissue function and range of motion following sports injury, while also reducing pain. Based on the previous studies, it is thought that IASTM can help shorten the rehabilitation period and time to return to sports among athletes and ordinary people who have suffered sports injuries. However, few experimental studies of the mechanisms and effects of IASTM have examined, while case reports have accounted for the majority of articles. In the future, the scientific basis of IASTM and its reliability should be provided through well-designed experimental studies on humans. Moreover, IASTM studies that have mostly focused on tendons need to broaden their scope toward other soft tissues such as muscles and ligaments.

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Section: Instrument-assisted Soft Tissue Mobilizationmentioning

confidence: 86%

Section: Instrument-assisted Soft Tissue Mobilizationmentioning

confidence: 99%

Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application

2017

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“…Chronic physical stressors associated with lesser MTP instability include high heels, 5,27,30,38 a relatively long second metatarsal known as Morton’s toe, 9,13,29,31,37 and hallux valgus. 13,37 Additionally, in aged individuals, fat pad atrophy makes the joint more vulnerable.…”

Section: Etiology Of Lesser Mtp Instabilitymentioning

confidence: 99%

“…2,27,32 Cases occur in both acute and chronic settings across many sports. 5,7,17,29,37 Unfortunately, diagnosis is frequently delayed or missed altogether, leading to progressive instability that may require surgery. 5,17,22,37,40…”

mentioning

confidence: 99%

Lesser Metatarsophalangeal Instability: Diagnosis and Conservative Management of a Common Cause of Metatarsalgia

Kinter

Hodgkins

2020

Sports Health: A Multidisciplinary Approach

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Context: Lesser metatarsophalangeal (MTP) instability is a common condition that can become debilitating and require surgery. Evidence Acquisition: An extensive literature review was performed through MEDLINE and Google Scholar for publications relating to the etiology, diagnosis, and treatment of lesser MTP instability using the keywords metatarsophalangeal instability, athlete, forefoot pain, and metatarsalgia from database inception to 2019. Study Design: Clinical review. Level of Evidence: Level 4. Results: Lesser MTP instability is a common condition, especially in the active and aging populations. It is frequently misdiagnosed, causing delays in treatment that allow for progressive pain and deformity, which prevents an active lifestyle. Fortunately, MTP instability can be diagnosed easily with the drawer test. Magnetic resonance imaging is helpful when still in doubt. Conservative treatment entails joint immobilization and gradual return to play with taping and offloading metatarsal pads. Conclusion: Lesser MTP instability is a common diagnosis. Its early detection and conservative treatment can help the patient regain their previous level of activity and avoid surgery.

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“…Bronner et al [10] developed a self-administered questionnaire called the Dance Functional Outcome Survey (DFOS), to assess healthy state and symptom severity in injured dancers. The DFOS has been used to assess recovery following rehabilitation [11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Cross-Cultural Adaptation of the Dance Functional Outcome Survey (DFOS) for Spanish Dancers

De-la-Cruz-Torres

Barrera‐García‐Martín

Romero‐Morales

et al. 2020

Diagnostics

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A growing number of research papers regarding Spanish-speaking dancers justifies the need for an adapted Spanish version of the Dance Functional Outcome Survey (DFOS). The objective of this study was to cross-culturally adapt and validate the DFOS for Spanish-speaking dancers. A sample of 127 healthy and injured professional and pre-professional dancers were recruited. Test-retest reliability of DFOS-Sp was examined using intraclass correlation coefficients. Construct validity compared DFOS-Sp to the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) using Pearson correlations. Principal component analysis identified factors and internal-item consistency. Sensitivity was evaluated by generating receiver operating characteristic and area under the curve analyses. A subgroup of 51 injured dancers were followed across three time-points to examine responsiveness using repeated measures analysis of variance. Injured scores were analyzed for floor and ceiling effects. The DFOS-Sp showed high test-retest reliability (ICC2,1 ≥ 0.92). DFOS-Sp scores had moderate construct validity compared with SF-36 physical component summary scores (r ≥ 0.56). Principal component analysis (PCA) supported uni-dimensionality explaining 58% of the variance with high internal consistency (α = 0.91).Area under the curve (AUC) sensitivity values were excellent (AUC ≥ 0.82). There were significant differences across time (p < 0.001), demonstrating responsiveness to change, with no floor or ceiling effects. The DFOS-Sp demonstrated acceptable test-retest reliability and validity in Spanish-speaking dancers, with comparable psychometric performance to the English-language version.

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Conservative Management of Second Metatarsophalangeal Joint Instability in a Professional Dancer: A Case Report

Abstract: Therapy, level 4.

Cited by 16 publications

References 74 publications

Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application

Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application

Lesser Metatarsophalangeal Instability: Diagnosis and Conservative Management of a Common Cause of Metatarsalgia

Cross-Cultural Adaptation of the Dance Functional Outcome Survey (DFOS) for Spanish Dancers

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