Journal of Back and Musculoskeletal Rehabilitation - Volume 31, issue 5
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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: BACKGROUND: Patients with lumbar degenerative disc disease suffer from impairments in deep trunk muscles, which may lead to poorer posture control. OBJECTIVE: The purpose of the study was to assess body balance during double limb stance in patients with herniated nucleus pulposus in cervical and lumbosacral spine, subjected to surgical treatment. METHODS: The qualified subjects included patients operated due to herniated nucleus pulposus in lumbosacral (L-S group) and in cervical area (C group) as well as healthy controls. Static balance was examined in double-limb stance, with eyes open and closed, on force platform.…The patients were examined before the surgery, on the day they were discharged from the hospital ward and one month following the discharge from the ward. RESULTS: The findings show significant differences between the study group and the controls in the examined parameters before and after the surgery. It was observed significant differences in the length of centre of pressure path in the trial with eyes closed between the L-S and C groups. CONCLUSIONS: Both groups of patients with discopathy have significantly poorer posture control in comparison to healthy subjects. After operative treatment both groups of patients with discopathy presented with significantly decreased values in all the examined balance parameters.
Keywords: Body balance, herniated intervertebral disc, operative treatment
Abstract: OBJECTIVES: This study was conducted to assess the relation between bone mineral density (BMD) and clinic-demographic properties and life quality during postmenopausal period. METHODS: The study group consisted of 172 postmenopausal women who applied to the physical therapy and rehabilitation outpatient clinic at a training and research hospital in Ankara, the capital of Turkey. The Survey Form, The 36-item Short Form Health Survey (SF-36) and the FRAX™ were used as data collection tools in this study. RESULTS: The osteoporosis and osteopenia frequencies were respectively 28.5% and 42.4% in this study. The…10-year major osteoporotic fracture risk was 5.15% and the femur fracture risk was estimated as 0.9%. In this study, there was a positive and significant relation found between the L 1 – 4 and FN T-score and SF-36 scale score average (p < 0.05). There was a significant relation between the body mass index and SF-36 subscale ‘mental health’ (p < 0.05). In this study, the most significant determinant of life quality was exhibited as the “L 1 – 4 T-score” (β = 55.509, p = 0.000). CONCLUSIONS: We determined that approximately one of every four women had osteoporosis and as the BMD dropped, the life quality of the women declined. Hence, we think that improving the awareness of health professionals working in this field is essential.
Keywords: Postmenopausal osteoporosis, quality of life, bone mineral density
Abstract: BACKGROUND: Low back pain (LBP) is one of the biggest health problems worldwide. OBJECTIVES: The purpose of this study was to investigate the association between sports participation (duration and type) and LBP related outcomes in childhood. METHODS: This cross-sectional study involved 5 th and 6 th grade primary school students. The final sample included 2,032 children aged 10–12 years old. Children completed a questionnaire about the prevalence of LBP and some LBP-related outcomes. In addition, the participants were surveyed about the type of sport they…did and the duration. RESULTS: There appears to be no relation between sports participation and severity of LBP-related outcomes studied, independently of their duration. Participating in football ⩾ 4 hours per week was associated with a decrease of six LBP-related outcomes (OR ranging from 0.54 to 0.66). Basketball participation does not seem to affect the development of back problems amongst children. CONCLUSIONS: It can be suggested with caution that doing sport is not dangerous for LBP problems in children aged 10–12 years old. Nevertheless, this suggestion should be tested with further longitudinal and intervention studies to confirm the results.
Keywords: Motor activity, football, basketball, prevalence, low back pain
Abstract: INTRODUCTION: Gait is affected in women with pelvic girdle pain (PGP), a musculoskeletal condition affecting 20% of pregnant women. Whilst there is evidence of spatiotemporal changes in gait during healthy pregnancy, less is known in relation to women with PGP. Appreciating gait characteristics during healthy pregnancy could inform our understanding of the role of gait in PGP. PURPOSE: The purpose of this review was to systematically analyse differences in the spatiotemporal parameters of gait in healthy pregnant women and those with PGP, and to make recommendations to improve research methods in investigating gait in PGP women.…METHODS: The review was undertaken following the PRISMA guidelines. Three databases and pre-existing literature were electronically and manually searched. Study selection and data extraction were conducted by two reviewers. Quality assessment was performed using the NHLBI tool for Observational Cohort and Cross-sectional Studies. RESULTS: The search returned 2925 results. Fourteen studies were selected for data extraction. Twelve studies investigated gait in healthy pregnant women and two in PGP women. Studies employed either a cohort or cross-sectional design and used various methods to assess gait. Three, nine and two studies were high, medium and low in quality, respectively. Direct comparisons between studies were impeded due to incomparable gestational time-points investigated, in addition to variations in gait parameters and definitions used. CONCLUSION: Evidence from studies on healthy pregnant women could inform future research on PGP women, for which current evidence is scarce. We recommend the standardisation of critical factors to allow inter-study comparisons for a meta-analysis.
Abstract: BACKGROUND AND AIM: In patients diagnosed with coronary artery disease (CAD), we aimed to determine the characteristics and risk factors of co-occurring musculoskeletal pain and examine its effects on functional capacity, psychological status and health-related quality of life. PATIENTS AND METHODS: A total of 100 patients with (n = 50) and without (n = 50) musculoskeletal pain were enrolled. All patients were assessed on sociodemographic and clinical properties. The Duke Activity Status Index (DASI), the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) were applied…as clinical assessment scales. RESULTS: Patients with musculoskeletal pain were mostly female, and had a lower education level and annual income. The pain was mostly nociceptive, intermittent, sharp/stabbing in character, and located in the chest and spine. Having musculoskeletal pain resulted in lower levels on the DASI and all subgroups of the SF-36, and higher levels on the HADS. Female gender, lower education level and severity of emotional distress proved to be independent risk factors for the development of musculoskeletal pain. CONCLUSIONS: In CAD, the co-occurrence of musculoskeletal pain leads to a further decrease in health-related quality of life and functional status, and increased severity of anxiety and depression. This stresses the importance of the detection and optimal treatment of musculoskeletal pain in patients diagnosed with CAD.
Keywords: Coronary artery disease, pain, psychological status, quality of life
Abstract: BACKGROUND: Many studies report a relationship between poor static posture (SP) and low back pain (LBP). This study examined the effects of a biofeedback postural training program on pre-existing LBP, changes to level of physical activity and workability in participants. OBJECTIVE: To determine if static posture training with biofeedback alleviates LBP. METHODS: The control group wore a pedometer to track level of physical activity and the experimental group wore the postural training device, Lumo Lift, for three weeks. Participants completed the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and completed pre- and post-intervention side-view pictures…to evaluate changes in posture. Participants were predominately-sedentary work environment (N = 31; 13 men, 18 women; age = 33.1 ± 13.3 years; height = 170.2 ± 9.7 cm; mass = 71.6 ± 17.5 kg). RESULTS: LBP discomfort was statistically significant when comparing pretest and posttest CMDQ mean score in all subjects [F(1, 18) = 6.25, p = 0.02]. There was no significant evidence of reducing LBP experience and LBP interference at work when comparing all subjects. There was no statistical difference in level of physical activity by analyzing average steps between the experimental and control groups (95% CI = - 1040.4–1845.4, p = 0.57). CONCLUSIONS: Postural training with biofeedback application helps with LBP management by decreasing level of LBP discomfort. People with LBP should be aware of their static posture and develop good muscle strength and endurance in order to maintain performance at work, school, or sports.
Keywords: Posture, biofeedback, low back pain, human engineering, spine
Abstract: BACKGROUND: Shoulder internal rotation angular velocity at the time of ball release is a crucial factor deciding the ball velocity in throwing. Even though there are some studies conducted regarding the effectiveness of complex training on the lower limb, the researchers has not given much attention to the upper limb. OBJECTIVE: To investigate the efficacy of a complex training program combining plyometric and weight training on the angular velocity of shoulder with a program composed of only plyometric training or only weight training. METHODS: It was a pre-test – post-test experimental study. Thirty healthy…male collegiate basketball players were randomly divided into three groups: Plyometric training group (n = 10), weight training group (n = 10), complex training group which includes both plyometric training and weight training (n = 10). The training was given for six weeks with a frequency of two days per week. Subjects were measured for angular velocity of shoulder before and after the training period by using Biodex upper body cycle. All the three groups were compared by using one way ANOVA. Post-hoc fisher least significant difference (LSD) test was used to find out the difference between groups. RESULTS: All the groups showed a significant gain in angular velocity after the six-week training period (p < 0.05). However, the improvement attained in complex training group were significantly greater than other training groups (p < 0.05). CONCLUSION: The study concluded that a combination of plyometric and weight training (complex training) can improve the angular velocity of shoulder in male collegiate basketball players more than plyometric or weight training alone.
Abstract: BACKGROUND: The FIFA-Medical and Assessment Research Centre developed FIFA 11+ program as a warm-up program for soccer players. Although the FIFA 11+ program is a well-established warm-up protocol for injury prevention among soccer players, the program’s performance enhancement aspect is not frequently discussed in the literature. OBJECTIVE: To investigate the effects of the FIFA 11+ training program on functional performance in amateur male soccer players. METHODS : The study included 57 amateur male soccer players from Jamia Hamdard University, who were randomly placed in an experimental…group (n = 29) or a control group (n = 28). The experimental group underwent the FIFA 11+ training program for 12 weeks (five times per week) and the control group continued their regular training. The study adopted a pretest-posttest design. The outcome measurements included the following tests: vertical jump, 20-yard sprint run, Illinois agility run test, and t-tests. RESULTS: Vertical jump and sprint speed were significantly improved in the FIFA 11+ program group compared to the control group (p < 0.05). No statistically significant difference in agility parameters (p > 0.05) was found between the groups. CONCLUSION: The results show that the FIFA 11+ program may improve the performance of young amateur soccer players. This study may serve as the foundation for further studies with larger participant numbers.
Abstract: BACKGROUND: Traditional sit-up exercise is a simple method to strengthen core muscles. However, it can increase the potential of lumbar spine injury during the bending process. OBJECTIVE: To evaluate the effect of assisted sit-up exercise (SUE) using a new training device, HubEX-LEX® , on strengthening core muscles and improving non-specific low back pain (NSLBP) compared to conventional core stabilization exercise (CSE). METHODS: Subjects with chronic NSLBP were randomly divided into two groups: SUE (n = 18) or CSE (n = 18). They participated…in 12 sessions of the exercise program. Before and after the training, thickness and activity of core muscles were measured using ultrasonogram and surface electromyography respectively. Pain and disability were assessed using two questionnaires. RESULTS: Thickness ratios (contracted/rest) of rectus abdominis and external oblique in the SUE group and those of transversus abdominis in the CSE group showed statistically significant difference between before and after exercise (p < 0.05). The ratio of activation of internal oblique relative to rectus abdominis and all measurements for pain and disability showed statistically significant improvement in both groups (p < 0.05). CONCLUSIONS: Assisted SUE using new training device can be an effective therapeutic exercise to strengthen dynamic abdominal muscles and improve core muscle activation pattern in NSLBP patients.
Abstract: OBJECTIVE: The aim of this study was to examine the effect of Mulligan ankle taping on center of pressure (COP) parameters during performance of a functional upper limb task in patients with chronic ankle instability (CAI). METHODS: A clinical controlled trial study designed between 4 ankle conditions: untaped and taped, CAI and healthy subjects. Fifteen subjects with CAI and 15 healthy controls were asked to grasp an object at their waist level and release it above shoulder level in an oblique pattern during performance of single-leg stance balance test. All the subjects performed 3 trials of single-leg stance with…eyes opened before and after Mulligan taping on a force plate during performance of functional upper limb task. The mean displacement (mdCOP), range of COP excursion (rangeCOP) and average speed of COP (velCOP) in anteroposterior (AP) and mediolateral (ML) directions were analysed for differences between groups. RESULTS: mdCOP and rangeCOP in AP direction were significantly increased (P = 0.04 and 0.03, respectively) in the CAI group. Mulligan taping significantly reduced velCOP in AP and ML directions (P = 0.02). CONCLUSION: In CAI patients Mulligan ankle taping can improve postural control by decreasing velCOP, therefore Mulligan taping can have immediate positive effects on postural parameters and maintenance of dynamic postural control.
Keywords: Posture, center of pressure, chronic ankle instability, Mulligan taping, balance