Journal of Back and Musculoskeletal Rehabilitation - Volume 12, issue 3
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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: This pilot study evaluated and developed the functional and work capacities of clients suffering from fibromyalgia using a program designed to reintegrate the fibromyalgic patient into the workplace. In addition to the functional status of the patient, the purpose of this study was specifically to improve vocational capacities. Individuals were recruited through advertisements in a local newspaper and had to be diagnosed as suffering from fibromyalgia, be available to receive treatment during the day, and be eligible for work at the end of the program. A 10-week pilot study, led by a multidisciplinary team, was conducted with three patients. The…Fibromyalgia Impact Questionnaire (FIQ) and the Physical Work Performance Evaluation (PWPE) were used to measure the effects of the treatment. Post-intervention follow up was held 3 and 6 months after discharge. Primary results consisted of a reduction in pain intensity, a decrease in the number of tender points, an improvement in the level of functioning, and a return to the patient's previous employment. Patients were still employed 6 months after discharge. The results showed an improvement in work capacities and functional status following an intervention which combined a physical training program and a cognitive and behavioural approach.
Abstract: The purposes of this investigation were: 1) to determine whether cervical range of motion and strength differ when measured in resting head posture (RHP) vs. neutral head posture (NHP), 2) to examine gender differences in cervical range of motion, strength, and neck girth, and 3) to examine the relationship between cervical range of motion and strength with: a) neck girth, b) height, and c) weight. Forty-six graduate students (10 males, 36 females) age 20–40 with no history of cervical or shoulder girdle pathology were recruited. Height, weight, and neck girth were measured for each subject. The Cervical Range of Motion…(CROM) device was used to determine the amount of forward head posture and active range of motion for flexion (FLEX), extension (EXT), right and left lateral flexion (RLF and LLF), and right and left rotation (RROT and LROT) with subjects seated in a straight-back chair. Isometric cervical strength for FLEX, EXT, RLF, LLF, RROT, and LROT was then determined using the Microfet hand-held dynamometer with subjects seated in a chair which stabilized the trunk. Subjects performed the six active range of motion and the six isometric contractions in the RHP and NHP. Greater range of motion for EXT was achieved in the NHP, while greater RLF, RROT and LROT was achieved in the RHP. LROT in the RHP was the only contraction to demonstrate significantly greater strength. Females had greater cervical extension than males in both postures. Males were consistently stronger than females for all contractions in both postures and had larger neck girths. Strength correlated with neck girth, weight, and then height.
Keywords: range of motion, isometric strength, postures
Abstract: The shoulder is a complex joint with a great amount of freedom, therefore, lacking stability. The shoulder's normal anatomy, including bony architecture, static and dynamic stabilizers, and its prime movers are reviewed. The shoulder's normal motion, from both the glenohumeral and scapulothoracic joints, are discussed. Rotator cuff and labral pathology as well as instability and their reasons for development are addressed. The five phases of a shoulder rehabilitation program are discussed in depth.