Journal of Back and Musculoskeletal Rehabilitation - Volume 4, issue 4
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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 aquatic environment has a long and documented history in rehabilitation. This environment causes significant biologic effects which are applicable to many rehabilitative problems. Both immediate and delayed physiologic effects are noted in the immersed human and involve nearly all the basic homeostatic mechanisms. Particularly affected are the cardiovascular, renal, and pulmonary systems. The fundamental cardiovascular process is an increase in venous return with consequent increases in right atrial pressure, stroke volume, and cardiac output. The net effects upon the renal system are decreased anti-diuretic hormone (ADH) and aldosterone production, causing increased sodium and potassium excretion and consequent diuresis. The…effects upon the respiratory system result from hydrostatic compression of the thorax coupled with increased intrathoracic blood volume. Both increase the work of breathing and decrease expiratory reserve volume. Effects upon muscle circulation, joint unloading, and general conditioning are also potentially useful in rehabilitation. This article reviews these effects and the literature support for these biologic changes.
Abstract: Risk management planning for employees and owners providing therapy services in the aquatic environment is preventive medicine. Being familiar with regulations, codes, operations, maintenance, contraindications, and appropriate personal safety in and around the therapy pool is essential for a safe environment for both patients and staff
Keywords: Aquatic environment, therapy pool, risk management, aquatic policy
Abstract: Aquatic rehabilitation and swimming programs have been designed to treat spinal pain and dysfunction. They may be used in conjunction with land-based rehabilitation protocols or as the sole rehabilitative tool. The effectiveness of these programs requires the treating physician and therapist to have a thorough understanding of spinal anatomy, biomechanics, and pathophysiology as well as that of its associated kinetic chain. This understanding ensures that the primary dysfunction and any associated deficits are completely identified and treated. Aquatic programs can then be customized to address these dysfunctions and deficits thus helping to more rapidly minimize pain and maximize function.
Abstract: Aqua running is an effective form of cardiovascular conditioning for both injured athletes and those who desire a low-impact aerobic workout. Sufficient cardiovascular responses have been demonstrated to result in a training effect. Understanding the bioengineering principles of the aquatic environment, proper technique, physiological response, and methods of exercise prescription help practitioners incorporate aqua running into rehabilitation and training programs.
Keywords: Aqua running, deep-water running, aquatic rehabilitation
Abstract: Patients with neurological disorders present therapists with complex challenges for treatment, including weakness, hypertonicity, voluntary movement deficit, limited range of motion, sensory loss, incoordination, and postural instability. The presence of one or more of these impairments negatively influences these patients by contributing to problems in walking, transferring, and reaching. Aquatic rehabilitation offers a unique, versatile approach to the treatment of these disabilities. This article examines the problems encountered by patients with neurological disorders, general principles guiding neurotreatment, and aquatic neurorehabilitation approaches.
Keywords: Neurological disorders, aquatic rehabilitation, neurotreatment, neurorehabilitation, task type training approach, WATSU
Abstract: Swimming is probably the most universal and healthiest sport, being practiced by individuals of all ages, either for leisure or to promote health. Compared to other types of physical activities (land based), swimming and other aquatic exercises are less likely to cause an asthmatic attack, often called exercise-induced asthma, or EIA. Asthmatics and other chronic respiratory patients are often advised to swim in order to improve their fitness and ameliorate their symptoms. This article discusses the relationship between aquatic exercise and asthma, and provides practical clinical guidelines for the use of swimming and other water-based physical activities.
Abstract: Research from 1967 through 1994 on non-swimming aquatic exercise has been reviewed to determine the physiologic parameters involved. The literature is replete with studies that deal with swimming but few have demonstrated the efficacy of non-swimming activity in an aquatic environment. The results of the review indicate that aquatic exercise performed in warm water—given the proper parameters of warm-up, intensity, duration, frequency, mode of training, and cool down—can influence maximal oxygen consumption, heart rate at rest and during exercise, upper body strength, and muscular endurance. It has also been noted that there is a paucity of clinical studies; therefore the…need for application of this physiologic data appears paramount. As more clinical studies are performed, physicians can feel confident in referring their patients to aquatic physical therapists and other licensed professionals.
Abstract: This article is a summary of the current state of the art in aquatic rehabilitation. It discusses affordable treatment modalities to enhance compliance. Fundamental research is lacking in aquatic rehabilitation as well as the availability of trained resource people. There is much to be gained through further development of aquatic methods, facilities, and communication pathways between medical professionals and the external world of aquatic community-based activities.
Keywords: Aquatic rehabilitation, aquatic environment, alternate health care, aquatic facilities, cost efficient