Journal of Back and Musculoskeletal Rehabilitation - Volume Pre-press, issue Pre-press
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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: Treatment of total ruptures of adductor longus is challenging in professional sports. Time for return to pre-injury level as well as re-injury rates are of concern and surgical and conservative treatment approaches are debated; yet no consensus approach described for professional athletes. We present a case of a professional soccer player who experienced a rupture in his left adductor longus proximal tendon during a game and was treated conservatively. This case was followed-up during clinical assessment, imaging and strength testing until and after return to play. Primary outcome measure was the return to standard play condition at his pre-injury level…without any functional deficits, measured by isokinetic testing. Second outcome measure was the recurrence. No recurrence was observed during the first year of follow-up. Total ruptures are very challenging for both the physician and the player to make a quick decision due to minimal or lack of pain. Functional outcomes are almost identical although operative treatments need longer time to return to play. This case report adds another example to the literature of a successful return to play after non-operative treatment of adductor longus rupture at elite level soccer.
Keywords: Total rupture, soccer, return to play, groin pain, platelet rich plasma
Abstract: BACKGROUND: Breast cancer survivors have side effects from surgical treatment and adjuvant that may acutely or chronically compromise the musculoskeletal system, resulting in loss of muscle strength OBJECTIVE: Handgrip strength and electromyography of the upper limbs and its relationship with dominance in women submitted to surgery for breast cancer. METHODS: Were evaluated 28 women. The handgrip strength was measured through dynamometer associated with electromyographic, in the muscles: descending trapezius, biceps brachial, triceps brachial, extensor carpi ulnaris, radial extensor carpi and superficial flexor of wrist and fingers. RESULTS: Reduction in grip strength…on the side affected by the surgery, that occurred when the surgery was performed on the non-dominant side. The electromyographic showed significant differences in affected side. This shows the need to consider the affected side by surgery and dominance. CONCLUSIONS: Decreased grip strength and lower electromyographic activity of upper limb affected by surgery for breast cancer, when the side affected was not the dominant this loss was greater.
Keywords: Hand therapy, rehabilitation, breast cancer, EMG, handgrip strength
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: untapped 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 singleleg 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
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 statistical 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 in 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: 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) and 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 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/OBJECTIVE: This meta-analysis compared progressive aerobic training (PAT) to progressive resistance training (PRT) for pain, disability and quality of life (QoL) in people with chronic non-specific low back pain (CNSLBP). METHODS: Five electronic databases were systematically searched up to 1 March 2016. Randomised controlled trials included land-based PAT, PRT or combined PRT and PAT, versus usual care for CNSLBP. Exercise interventions were supervised a minimum of once per week and performed ⩾ 2 days/week for ⩾ 6 weeks. Outcome measurements were pain intensity, disability, and QoL. Standardised mean difference (SMD) and mean…difference (MD) were calculated using Review Manager 5.3. RESULTS: Six studies were included, comprising 333 participants (94 PRT, 93 PAT, 146 usual care; 66% female; age = 44 ± 6 years; duration of pain = 7 ± 6 years). Exercise significantly reduced pain intensity (SMD = - 0.42 [- 0.80, - 0.03]; p < 0.03) although neither mode proved superior. PRT significantly improved the Short Form Health Survey-Mental Component Score (SF-MCS) (MD = 5.74 [2.02, 9.47]; p = 0.002). CONCLUSIONS: PAT and PRT decreased pain intensity in individuals with CNSLBP although neither mode was superior. Resistance exercise improved psychological wellbeing. High-quality RCTs comparing PAT, PRT, and PAT + PRT, are required.
Keywords: Aerobic exercise, resistance exercise, chronic low back pain, disability, quality of life
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: 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: BACKROUND: The exact etiopathogenesis of fibromyalgia syndrome (FM) is still unclear but the pathogenesis of FM is associated with neurogenic inflammation. Allergic rhinitis (AR) is a common inflammatory and immunological disease of the nasal mucosa. As a result, it is known that neurogenic inflammation has a role in the pathophysiology of both FM and AR. OBJECTIVE: The aim of this study was to evaluate AR and nasal allergic inflammation using nasal mucociliary clearance time (NMC) in FM patients. METHODS: Forty-five FM patients and fifty healthy controls were included in the study. In both…groups, AR was evaluated by total nasal symptom scoring (TNSS) and NMC was measured using saccharine transit time test (STT). RESULTS: TNSS was positive in 9 patients (20%) in the FM group and no positivity in the control group. In FM group, the mean value of TNSS was higher than that of the control group (p = 0.0001). The average value of STT of FM patients was statistically significantly longer when compared to the control group (p = 0.0001). CONCLUSION: The results we obtained suggest that there is a high possibility of coexistence of FM and AR. As a result, the coexistence of AR and FM cannot be denied but we believe that comprehensive clinical studies should be conducted on this subject.
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.