Journal of Back and Musculoskeletal Rehabilitation - Volume 23, 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: Objective: This study determines the efficacy of two such multimodal treatments in the management of lumbar pain syndrome in males and females. Method: Total subjects of 141 male or female were randomized to treat either with conventional treatment or by DMST (dynamic muscular stabilization techniques). After stratification on the basis of gender (51 male and 21 female) were found in DMST group whereas (40 male and 29 female) were found in conventional group. The primary outcome measures were pain severity, physical strength (BPC and APC), functional ability (Walking, Stairs climbing and Stand-ups) and QOL. All patients were assessed…at baseline (day 0), 10 days, 20 days, 90 days and at the end treatment or follow up (day 180). Result: In this study the improvement of pain, BPC, APC, Walking, Stair climbing and stand-ups in females and males were 22.5% and 29.0%, 60.9% and 53.7%, 42.0% and 51.9%, 49.8% and 49.3%, 54.2% and 48.7%, 52.3% and 39.7%, higher respectively in DMST as compared to CONV whereas QOL in females of DMST improved by 53.6% more than the females of CONV while males of DMST improved by 57.9% more than the males of CONV. Conclusion: DMST as well as CONV treatments are more effective in males than the females. Study also concluded that subgroup “female” may need more clinical attention during the management of LBP.
Abstract: The aim of the work was to determine the activity of trunk muscles in the sagittal plane in relation to body posture type in women treated for breast cancer. Fifty women having undergone treatment for breast cancer, with an average age of 61, participated in the study. All patients were studied by application of the photogrammetric method in order to determine posture; on the basis of the compensation ratio (μ), the examined group was divided into three posture sub-groups: kyphotic (K), lordotic (L) and balanced (R). At Biodex Multi Joint 3 examination system for isokinetic tests, the functional evaluation of…trunk flexor muscles and extensor muscles was performed. Women having undergone mastectomy who participate regularly in rehabilitation are characterized by diverse posture types: kyphotic, lordotic and balanced. Women with lordotic posture achieved the highest force-speed parameter values in the trunk muscles irrespective of the muscle group examined, while the lowest values were observed in women exhibiting kyphotic posture. The function of trunk muscles in women following mastectomy depends on body posture type.
Keywords: Breast cancer, posture, trunk muscles, functional dynamometry
Abstract: Objective: This study investigated the presence of anti-cyclic citrullinated peptide (anti-CCP) antibodies in familial Mediterranean fever (FMF) patients and controls. Material and Methods: Forty-nine patients with FMF were enrolled (23 had a history of arthritis during attacks and 26 had no such history). Two control groups were enrolled: 20 patients with rheumatoid arthritis (RA) and 30 healthy individuals. Clinical and laboratory assessments of the FMF patients were performed during attack-free periods. Erythrocyte sedimentation rate (ESR), serum C-reactive protein (CRP), rheumatoid factor (RF), and anti-CCP antibody levels were measured. Results: In RA patients’ ESR and CRP levels,…frequency of RF, and anti-CCP antibody levels were significantly higher than in both FMF patients and healthy controls (p ≤ 0.001). Moreover, anti-CCP was negative in all healthy controls as well as in all FMF patients. Conclusion: Our results show that anti-CCP antibodies are not associated with FMF.
Abstract: Objective: Osteoporosis is a secondary problem in multiple sclerosis (MS) patients. There have been only a few reports about the effect of interferon beta (IFNB) 1b on bone mineral density (BMD). We aimed to determine bone mass in patients using IFNB 1b. Methods: We enrolled 17 patients taking IFNB 1b (group I), 15 patients not taking IFNB (group II). We measured the BMD and T scores values and the patients were distinguished as normal, osteopenia and osteoporosis. Results: In the lumbar spine, there was no difference between groups I and II (p=0.3). In the left femur, no…significant difference was detected between groups I and II (p=1). There was an inverse correlation between the BMD at the both regions and the Expanded Disability Status Scale score (r= –0.39, p=0.03; r=–0.52, p=0.002, respectively). Conclusion: IFNB 1b may be used safely in MS patients, even in those undergoing pulse steroid therapies, because IFNB 1b has no effect on BMD.
Keywords: Interferon beta 1b (IFNB), bone mineral density (BMD), multiple sclerosis (MS)
Abstract: Background: Given the dearth of high quality research on conservative treatment for spinal stenosis, an empirical understanding of the scope of physical therapy provided in the community can help focus research and build standards of care. Objectives: Provide preliminary insight into current physical therapy practice in the treatment of lumbar spinal stenosis (LSS), from both patient and physical therapist perspectives. Methods: Patients greater than 50 years of age with LSS diagnosed by a spine surgeon were recruited to participate in a telephone survey regarding treatment. Physical therapists were recruited to complete a survey regarding treatments offered…to patients with LSS. Results: Of the patients participating in the study (n=75), 44 (59%) reported receiving physical therapy treatment. Treatments most frequently reported by patients were massage (27%), strengthening exercises (23%), flexibility exercises (18%), and heat/ice (14%). The most frequently advocated treatments by the 76 physical therapists included flexibility (87%), stabilization (86%) and strengthening exercises (83%), followed by heat/ice (76%), acupuncture (63%) and joint mobilization (62%). Conclusions: These results can guide both clinical research priorities and standards of care for physical therapy treatments of LSS. Based on the results of this study, future research foci should include massage, flexibility and strengthening exercises, stabilization techniques and heat/ice treatments.
Abstract: Objective: This study investigated the effect of different heel heights on the electromyographic (EMG) activity of the vastus medialis oblique (VMO) and vastus lateralis (VL) during treadmill walking. Methods: 17 young healthy women (age 22.06 ± 1.2 years) were recruited. With and without a slope, the participants walked on a treadmill at a speed of 2 km/h for 90 seconds under three conditions: barefoot, 3-cm heels, and 7-cm heels. Data for surface EMG was collected from the standard sites of the VMO and VL during treadmill walking. Results: Significant differences were observed in the VL EMG…activity on the non-dominant side between barefoot and 7-cm heels while walking with and without a slope (p< 0.05). VMO:VL EMG ratios significantly decreased for the non-dominant side while walking with and without a slope (p < 0.05). The post hoc pair-wise comparisons revealed significant differences in barefoot vs. 7-cm heel and 3-cm vs. 7-cm heels. Conclusion: The findings suggest that high-heeled shoes may contribute to a potential change of the knee joint muscles while walking, especially on the non-dominant side. This study provides information that will notify future research on how high-heeled shoe affects muscle activity around the knee joint.
Abstract: The study was intended determine the prevalence of scoliosis and to assess the cost-effectiveness of a school screening program for scoliosis in Turkey. A total of 4259 children (2057 females and 2022 males aged 10–14 years old) were screened. Thirty-nine children had a positive forward bending test. The prevalence of scoliosis was 25 per 1000 in the screened population. The ratio of girls to boys with scoliosis was 2.5:1. A minor curve was detected in 72.7% of children with scoliosis (Cobb angle of 10–20 degrees), and a major curve was found in 27.3% (Cobb angle >20 degrees). The cost of…screening was found to be 47 cents per child, but the cost per case of scoliosis was determined to be $236.81. School screening for scoliosis seems to be cost-effective in Turkey.