Journal of Back and Musculoskeletal Rehabilitation - Volume 10, issue 1
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Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day. Manuscripts are provided from a range of health care providers including those in physical medicine, orthopedic surgery, rheumatology, neurosurgery, physical therapy, radiology, osteopathy, chiropractic and nursing on topics ranging from chronic pain to sports medicine. Diagnostic decision trees and treatment algorithms are encouraged in each manuscript. Controversial topics are discussed in commentaries and rebuttals. Associated areas such as medical-legal, worker's compensation and practice guidelines are included.
The journal publishes original research papers, review articles, programme descriptions and cast studies. Letters to the editors, commentaries, and editorials are also welcomed. Manuscripts are peer reviewed. Constructive critiques are given to each author. Suggestions for thematic issues and proposed manuscripts are welcomed.
Abstract: The advent of better surgical techniques and medications to prevent rejection have increased the number of organ transplantations being performed each year. As these patients are surviving longer, non-transplant physicians assume an increasingly large role in the care of these patients. After the trauma of the transplantation has receded, quality of life issues become important and exercise is a potentially important component of their care. This article will attempt to define the risks and benefits of exercise with respect to various types of organ transplantation. Finally, the injury surveillance results of the National Transplant Olympics will be reviewed as an…example of what can be accomplished safely by patients who have received organ transplantation.
Abstract: As the number of work sites offering back injury prevention programs continue to increase, it is unclear how these programs should be designed, conducted and evaluated. A review of the literature revealed many inconsistencies in program intent, program content, program style and program mechanics. This research survey attempted to define the characteristics of musculoskeletal low back injury prevention programs. Nine companies, nationally known for offering educationally-based low back injury prevention programs specifically targeting the worker, were identified through an Internet search, communication with established practitioners and review of advertisements in professional and business publications. These companies were contacted by telephone…and asked to respond to scrip red, open-ended questions. The data presented reflect responses from representatives of each company. Both the literature and the findings of this study suggest the need for further research. There is little consensus regarding program content. The presentation styles do not seem to facilitate worker empowerment to prevent injury. Cost does not seem to reflect content, presentation style or effectiveness in preventing injuries. Intent for providing educational programming is ill-defined and poorly measured. All of these factors contribute to the lack of certainty that back injury prevention programs are effective.
Keywords: Back school, Injury prevention, Back injury, Program evaluation, Workplace intervention, Education
Abstract: The purpose of this study was to examine the effects of dry hydrotherapy, dry heat therapy and massage therapy on heart rate, blood pressure and lumbar flexion range of motion using the Aqua PT 3-in-1 Therapy System. Thirty-three healthy adult (24 female, nine male) subjects ranging from 20 to 60 years of age, with a mean age of 29 years, were tested. Subjects were placed in a prone position in the Aqua PT for 15 min, at 90°F, 7 lbs of pressure and 2 cycles per second with a dorsal massage from the gluteal fold to the inferior border of…the scapulae. Pre- and post-treatment heart rate, blood pressure and lumbar flexion range of motion were recorded. The values were compared to a non-treatment control procedure which consisted of 15 min of lying prone at room temperature (72°F). A two-tailed t-test was performed for heart rate, blood pressure and lumbar flexion between the treatment measurements and the control measurements. Gross flexion (T12 measurement) and hip flexion (S2 measurement) showed a significant increase with the Aqua PT treatment, whereas there was no significant difference in the True Lumbar Flexion measurement (T12-S2). The heart rate and blood pressure measurements revealed no significant change between treatment and control.
Abstract: The use of electricity for the treatment of pain has become increasingly popular as more potent devices that are clinically usable have become available. The basic medical and physical sciences required to use electricity for transdermally obtained sympathetic neuron blockade in patients with complex regional pain syndromes will be reviewed. Reported outcomes employing different parameters will be presented, with progression to the use of high intensity (115 mA), high voltage (50 V) 20 kHz carrier frequencies. Methods of application to optimize outcome and current theory concerning the mechanisms of action responsible for long-term effects will also be discussed. As the…potency of the electrical modality is increased, results comparable to pharmaceutically-induced blockade can be achieved.
Keywords: Electroceuticals, Electric sympathetic block, Pain