Scholars@Duke
Charles Alden Thigpen

Charles Alden Thigpen

Assistant Consulting Professor in Orthopaedic Surgery
Orthopaedic Surgery, Physical Therapy
charles.thigpen@duke.edu
Proaxis Therapy 200 Patewood D, Box 104002, Greenville, SC 29615

Selected Publications

Risk Factors and Injury Prevention in the Throwing Athlete

Journal Article Arthroscopy, Sports Medicine, and Rehabilitation · November 2024 Full text Cite

Impact of Prolonged Sport Stoppage on Knee Injuries in High School Athletes: An Ecological Study.

Journal Article J Sport Rehabil · May 1, 2024 CONTEXT: In March 2020, public health concerns resulted in school closure throughout the United States. The prolonged sport cessation may affect knee injury risk in high school athletes. The purpose of this study was to describe and compare risk of knee in ... Full text Link to item Cite

Predicting Recurrent Care Seeking of Physical Therapy for Musculoskeletal Pain Conditions.

Journal Article Pain Med · August 6, 2021 OBJECTIVE: Musculoskeletal pain conditions are a leading cause of pain and disability internationally and a common reason to seek health care. Accurate prediction of recurrence of health care seeking due to musculoskeletal conditions could allow for better ... Full text Link to item Cite

Prevalence and predictors of no-shows to physical therapy for musculoskeletal conditions.

Journal Article PLoS One · 2021 OBJECTIVES: Chronic pain affects 50 million Americans and is often treated with non-pharmacologic approaches like physical therapy. Developing a no-show prediction model for individuals seeking physical therapy care for musculoskeletal conditions has sever ... Full text Open Access Link to item Cite

Preseason shoulder range of motion screening and in-season risk of shoulder and elbow injuries in overhead athletes: systematic review and meta-analysis.

Journal Article Br J Sports Med · September 2020 OBJECTIVE: To characterise whether preseason screening of shoulder range of motion (ROM) is associated with the risk of shoulder and elbow injuries in overhead athletes. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Six electronic databases up ... Full text Link to item Cite

Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

Journal Article Phys Ther · April 17, 2020 Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the pot ... Full text Link to item Cite

Do older adults with shoulder disorders who meet the minimal clinically important difference also present low disability at discharge? An observational study.

Journal Article Braz J Phys Ther · 2020 BACKGROUND: The choice of outcome success thresholds may influence clinical management, pay-for-performance, and assessment of value-based care. OBJECTIVE: To evaluate outcomes success thresholds in older adults using two different methods: 1) Minimal clin ... Full text Link to item Cite

Concurrent validity of the single assessment numerical evaluation and patient-reported functional measures in patients with musculoskeletal disorders: An observational study.

Journal Article Musculoskelet Sci Pract · December 2019 INTRODUCTION: As patient-reported outcome measures (PROMs) continue to evolve as vital measures of patient status, it may be useful to identify efficiently, Single Assessment Numeric Evaluation (SANE) scores that are valid and related to the patient's spec ... Full text Link to item Cite

Risk factors for ulnar collateral ligament injury in professional and amateur baseball players: a systematic review with meta-analysis.

Journal Article J Shoulder Elbow Surg · January 2019 BACKGROUND: Risk factors for ulnar collateral ligament injury (UCLI) are unclear despite increasing injury rates. We sought to summarize UCLI risk factors in baseball players. METHODS: A computer-assisted search of 4 databases was performed using keywords ... Full text Link to item Cite

Explanatory multivariate modeling for disability, pain, and claims in patients with spine pain via a physical therapy direct access model of care.

Journal Article J Back Musculoskelet Rehabil · 2019 BACKGROUND: Direct access physical therapy (DAPT) may result in improved patient outcomes and reduced healthcare costs. Prognostic factors associated with spine-related outcomes and insurance claims with DAPT are needed. OBJECTIVE: To identify factors that ... Full text Link to item Cite

Comparison of Surgeon Performance of Rotator Cuff Repair: Risk Adjustment Toward a More Accurate Performance Measure.

Journal Article J Bone Joint Surg Am · December 19, 2018 BACKGROUND: Movement toward a value-based health-care system necessitates the development of performance measures to compare physicians, hospitals, and health-care systems. Patient-reported outcomes (PROs) are a potential metric. However, valid use of PROs ... Full text Link to item Cite

Shoulder Range of Motion and Baseball Arm Injuries: A Systematic Review and Meta-Analysis.

Journal Article J Athl Train · December 2018 OBJECTIVE: Arm injuries in baseball players are a common problem. The identification of modifiable risk factors, including range of motion (ROM), is essential for injury prevention. The purpose of this review was to assess the methodologic quality and leve ... Full text Link to item Cite

Treatment for Rotator Cuff Tear Is Influenced by Demographics and Characteristics of the Area Where Patients Live.

Journal Article JB JS Open Access · September 25, 2018 BACKGROUND: Atraumatic rotator cuff tear is a common orthopaedic complaint for people >60 years of age. Lack of evidence or consensus on appropriate treatment for this type of injury creates the potential for substantial discretion in treatment decisions. ... Full text Link to item Cite

The Influence of Patient Choice of First Provider on Costs and Outcomes: Analysis From a Physical Therapy Patient Registry.

Journal Article J Orthop Sports Phys Ther · February 2018 Study Design Retrospective study. Background Alternative models of care that allow patients to choose direct access to physical therapy have shown promise in terms of cost reduction for neck and back pain. However, real-world exploration within the US heal ... Full text Link to item Cite

The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair.

Journal Article J Shoulder Elbow Surg · April 2016 This is a consensus statement on rehabilitation developed by the American Society of Shoulder and Elbow Therapists. The purpose of this statement is to aid clinical decision making during the rehabilitation of patients after arthroscopic rotator cuff repai ... Full text Link to item Cite

Preseason shoulder range of motion screening as a predictor of injury among youth and adolescent baseball pitchers.

Journal Article J Shoulder Elbow Surg · July 2015 BACKGROUND: Approximately 6 million youngsters play organized baseball yearly, and injuries are common. Defining of risk factors for injuries in the throwing shoulder has largely been confined to the professional thrower. Unfortunately, these risk factors ... Full text Link to item Cite

Between-session changes predict overall perception of improvement but not functional improvement in patients with shoulder impingement syndrome seen for physical therapy: an observational study.

Journal Article Physiother Theory Pract · February 2011 Do between-session changes in global rating of change (GRoC) predict change in GRoC and self-report of function at discharge in patients with shoulder impingement that initially improve in early sessions of treatment (GRoC>5)? Is there a difference between ... Full text Link to item Cite

Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks.

Journal Article J Electromyogr Kinesiol · August 2010 Forward head and rounded shoulder posture (FHRSP) is theorized to contribute to alterations in scapular kinematics and muscle activity leading to the development of shoulder pain. However, reported differences in scapular kinematics and muscle activity in ... Full text Link to item Cite

The American Society of Shoulder and Elbow Therapists' consensus rehabilitation guideline for arthroscopic anterior capsulolabral repair of the shoulder.

Journal Article J Orthop Sports Phys Ther · March 2010 This manuscript describes the consensus rehabilitation guideline developed by the American Society of Shoulder and Elbow Therapists. The purpose of this guideline is to facilitate clinical decision making during the rehabilitation of patients following art ... Full text Link to item Cite

The Landing Error Scoring System (LESS) Is a valid and reliable clinical assessment tool of jump-landing biomechanics: The JUMP-ACL study.

Journal Article Am J Sports Med · October 2009 BACKGROUND: Anterior cruciate ligament injuries are common in athletes and have serious sequelae. A valid clinical tool that reliably identifies individuals at an increased risk for ACL injury would be highly useful for screening sports teams, because indi ... Full text Link to item Cite

The repeatability of scapular rotations across three planes of humeral elevation.

Journal Article Res Sports Med · 2005 Measurement of scapular kinematics is an important component in the assessment of shoulder function; however, repeatability of these measurements has not been established. The purpose of this study, therefore, was to determine the repeatability of scapular ... Full text Link to item Cite