Gerard Malanga - Academia.edu (original) (raw)
Papers by Gerard Malanga
Physical Medicine and Rehabilitation Clinics of North America, 2008
Medicine & Science in Sports & Exercise, 2010
Medicine & Science in Sports & Exercise, 2007
Medicine & Science in Sports & Exercise, 1996
Medicine & Science in Sports & Exercise, 1995
Medicine & Science in Sports & Exercise, 2009
Medicine & Science in Sports & Exercise, 1997
Medicine & Science in Sports & Exercise, 2001
Medicine & Science in Sports & Exercise, 2007
Medicine & Science in Sports & Exercise, 2007
Medicine & Science in Sports & Exercise, 1997
To provide a comprehensive review of the presentation, evaluation, differential diagnosis, treatm... more To provide a comprehensive review of the presentation, evaluation, differential diagnosis, treatment and return-to-play criteria which can be useful to the clinician caring for athletes with cervical radiculopathy. A review of the literature on cervical radiculopathy and sports injuries of the cervical spine was performed. This information was used in conjunction with the author's clinical experience to present a literature based approach to the diagnosis and treatment of cervical radiculopathy in athletic individuals. There was limited scientific literature on the evaluation and treatment of cervical radiculopathy in athletes. Many studies reported on the evaluation and treatment of the "burner" or "stinger" in the younger athlete which may represent a cervical radiculopathy in many of these cases. A nonoperative treatment plan using a logical step-wise approach is successful in the vast majority of these patients. Using the history and a detailed physical examination, along with imaging and other diagnostic studies when necessary, a proper diagnosis of cervical radiculopathy can be made. Once a discrete diagnosis is made, then a systematic approach to the treatment and rehabilitation can be implemented to optimize a safe return to competition.
Journal of Shoulder and Elbow Surgery, 1995
Expert Opinion on Pharmacotherapy, 2008
Tizanidine hydrochloride, an alpha(2)-adrenergic receptor agonist, is a widely used medication fo... more Tizanidine hydrochloride, an alpha(2)-adrenergic receptor agonist, is a widely used medication for the treatment of muscle spasticity. Clinical studies have supported its use in the management of spasticity caused by multiple sclerosis (MS), acquired brain injury or spinal cord injury. It has also been shown to be clinically effective in the management of pain syndromes, such as: myofascial pain, lower back pain and trigeminal neuralgia. This review summarizes the recent findings on the clinical application of tizanidine. Our objective was to review and summarize the medical literature regarding the evidence for the usefulness of tizanidine in the management of spasticity and in pain syndromes such as myofascial pain. We reviewed the current medical and pharmacology literature through various internet literature searches. This information was then synthesized and presented in paragraph and table form. Tizanidine hydrochloride is a very useful medication in patients suffering from spasticity caused by MS, acquired brain injury or spinal cord injury. It can also be helpful in patients suffering from chronic neck and/or lower back pain who have a myofascial component to their pain. Doses should be started at low dose and gradually titrated to effect.
Clinical Journal of Sport Medicine, 1998
Archives of Physical Medicine and Rehabilitation, 2003
Archives of Physical Medicine and Rehabilitation, 1998
The American Journal of Sports Medicine, 1996
This study compared and quantified electromyographic muscle activation of the rotator cuff with t... more This study compared and quantified electromyographic muscle activation of the rotator cuff with the isometric torque generated by performing shoulder rotation in various positions. Twenty healthy volunteers were tested in 29 shoulder positions. Using a Cybex II dynamometer synchronously with electromyography, surface electrodes were placed over the pectoralis major muscle and three parts of the deltoid muscle. Intramuscular wire electrodes were inserted into the four rotator cuff muscles. We found that the greatest external rotation isometric force is generated in the frontal and scapular planes in the neutral or full internal rotation positions. The sagittal, dependent, and the scapular plane with 45 degrees of elevation in rotational positions of either full or half external rotation generated the greatest torques for internal rotation isometric force. The rotator cuff muscles generated greatest electromyographic activity in neutral to midrotational positions. The scapular plane with 90 degrees of shoulder elevation in neutral rotation best isolated the subscapularis muscle. The infraspinatus-teres minor muscles were isolated in the sagittal plane with 90 degrees of shoulder elevation in a half externally rotated position. We were unable to isolate the supraspinatus muscle in any of these tested positions. These positions are recommended for manual muscle testing and for strengthening these muscles.
American Journal of Physical Medicine & Rehabilitation, 1994
ABSTRACT
Physical Medicine and Rehabilitation Clinics of North America, 2008
Medicine & Science in Sports & Exercise, 2010
Medicine & Science in Sports & Exercise, 2007
Medicine & Science in Sports & Exercise, 1996
Medicine & Science in Sports & Exercise, 1995
Medicine & Science in Sports & Exercise, 2009
Medicine & Science in Sports & Exercise, 1997
Medicine & Science in Sports & Exercise, 2001
Medicine & Science in Sports & Exercise, 2007
Medicine & Science in Sports & Exercise, 2007
Medicine & Science in Sports & Exercise, 1997
To provide a comprehensive review of the presentation, evaluation, differential diagnosis, treatm... more To provide a comprehensive review of the presentation, evaluation, differential diagnosis, treatment and return-to-play criteria which can be useful to the clinician caring for athletes with cervical radiculopathy. A review of the literature on cervical radiculopathy and sports injuries of the cervical spine was performed. This information was used in conjunction with the author's clinical experience to present a literature based approach to the diagnosis and treatment of cervical radiculopathy in athletic individuals. There was limited scientific literature on the evaluation and treatment of cervical radiculopathy in athletes. Many studies reported on the evaluation and treatment of the "burner" or "stinger" in the younger athlete which may represent a cervical radiculopathy in many of these cases. A nonoperative treatment plan using a logical step-wise approach is successful in the vast majority of these patients. Using the history and a detailed physical examination, along with imaging and other diagnostic studies when necessary, a proper diagnosis of cervical radiculopathy can be made. Once a discrete diagnosis is made, then a systematic approach to the treatment and rehabilitation can be implemented to optimize a safe return to competition.
Journal of Shoulder and Elbow Surgery, 1995
Expert Opinion on Pharmacotherapy, 2008
Tizanidine hydrochloride, an alpha(2)-adrenergic receptor agonist, is a widely used medication fo... more Tizanidine hydrochloride, an alpha(2)-adrenergic receptor agonist, is a widely used medication for the treatment of muscle spasticity. Clinical studies have supported its use in the management of spasticity caused by multiple sclerosis (MS), acquired brain injury or spinal cord injury. It has also been shown to be clinically effective in the management of pain syndromes, such as: myofascial pain, lower back pain and trigeminal neuralgia. This review summarizes the recent findings on the clinical application of tizanidine. Our objective was to review and summarize the medical literature regarding the evidence for the usefulness of tizanidine in the management of spasticity and in pain syndromes such as myofascial pain. We reviewed the current medical and pharmacology literature through various internet literature searches. This information was then synthesized and presented in paragraph and table form. Tizanidine hydrochloride is a very useful medication in patients suffering from spasticity caused by MS, acquired brain injury or spinal cord injury. It can also be helpful in patients suffering from chronic neck and/or lower back pain who have a myofascial component to their pain. Doses should be started at low dose and gradually titrated to effect.
Clinical Journal of Sport Medicine, 1998
Archives of Physical Medicine and Rehabilitation, 2003
Archives of Physical Medicine and Rehabilitation, 1998
The American Journal of Sports Medicine, 1996
This study compared and quantified electromyographic muscle activation of the rotator cuff with t... more This study compared and quantified electromyographic muscle activation of the rotator cuff with the isometric torque generated by performing shoulder rotation in various positions. Twenty healthy volunteers were tested in 29 shoulder positions. Using a Cybex II dynamometer synchronously with electromyography, surface electrodes were placed over the pectoralis major muscle and three parts of the deltoid muscle. Intramuscular wire electrodes were inserted into the four rotator cuff muscles. We found that the greatest external rotation isometric force is generated in the frontal and scapular planes in the neutral or full internal rotation positions. The sagittal, dependent, and the scapular plane with 45 degrees of elevation in rotational positions of either full or half external rotation generated the greatest torques for internal rotation isometric force. The rotator cuff muscles generated greatest electromyographic activity in neutral to midrotational positions. The scapular plane with 90 degrees of shoulder elevation in neutral rotation best isolated the subscapularis muscle. The infraspinatus-teres minor muscles were isolated in the sagittal plane with 90 degrees of shoulder elevation in a half externally rotated position. We were unable to isolate the supraspinatus muscle in any of these tested positions. These positions are recommended for manual muscle testing and for strengthening these muscles.
American Journal of Physical Medicine & Rehabilitation, 1994
ABSTRACT