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: OBJECTIVE: This study aimed to assess the effects of early enteral nutrition (EN) in elderly patients with hip fracture. METHODS: The patients were classified into two groups (with and without EN). We compared the pre- and postoperative albumin (ALB) and inflammatory marker levels of each group and the time spent in bed and quality of life 3 months after surgery between the two groups. RESULTS: The pre- and postoperative IL-6 levels of the experimental group (61.68 ± 51.80 pg/L) were lower than those of the control group (233.11 ±…206.31 pg/L) (P < 0.001). The experimental group spent a shorter period of time in bed (38.75 ± 14.26 days) in comparison to the control group (99.71 ± 56.87 days) (P < 0.001). Quality of life was better in the experimental group than in the control group (P < 0.001). CONCLUSIONS: Early EN reduced the increment of postoperative IL-6 levels and improved healing postoperatively.
Keywords: Hip fracture, ALB, inflamatory cytokines, inflamatory markers
Abstract: BACKGROUND AND OBJECTIVE: This study determined the hand muscle strength parameters and reference values in healthy subjects using the Nicholas Manual Muscle Tester (NMMT) and Manual Muscle Test (MMT) and compared these methods. METHODS: The study was carried out with 200 (102 males, 98 females) healthy adults aged between 18–25 years. Muscle strength evaluations of the hand were performed to determine hand motor ability using both NMMT and MMT. RESULTS: The mean values of age, weight, height and body mass index (BMI) were 19.48 ± 0.95 years, 60.66 ±…8.82 kg, 165.30 ± 7.95 cm and 22.14 ± 2.25 kg/m 2 , respectively, in females, whereas the same values were found as 20.40 ± 1.34 years, 72.53 ± 9.45 kg, 176.20 ± 6.29 cm and 23.25 ± 2.90 kg/m 2 , respectively, in males. There was a statistically significant difference in all demographic data between genders (p < 0.05). Furthermore, correlation coefficient in NMMT was found to be between 0.503 and 0.954. However, there was no correlation between the manual muscle test and NMMT results. CONCLUSION: The observations presented need to be taken into consideration for evaluate musculoskeletal problems and also can be used as reference values for evaluating treatment outcomes.
Keywords: Nicholas manual muscle tester, hand muscles, muscle strength, manual muscle test
Abstract: BACKGROUND: Hallux valgus (HV) is one of the most common deformities of the foot, and it causes great difficulties for the patients. OBJECTIVE: We aimed to investigate the effects of different rigid taping techniques on HV angle, foot motor performance, balance and walking parameters. METHODS: Twenty-two voluntary individuals (12 males, 10 females) with flexible HV deformities between 18 and 35 years of age were included in the study. All measurements were done before and after placebo, athletic and Mulligan tapings were applied. After a three-day interval, new taping was applied on the same…subject. HV angle was measured by goniometer. Foot motor performance (single leg heel rise test), balance (unilateral stance, limits of stability, sensory integration of balance) and temporospatial parameters of gait (step length, stride length, step width, foot angle and cadence) were evaluated. RESULTS: HV angles were reduced in all taping groups (p < 0.05). The Mulligan taping method was the most effective method in reducing HV angle. Foot motor performance was not effected by any type of taping (p > 0.05). Athletic taping increased step length and step width but reduced foot angle and cadence. The Mulligan taping increased cadence and reduced foot angle (p < 0.01). Both taping methods did not affect the postural stability and fall risk (p > 0.05). Stability limits were increased in Mulligan taping group (p < 0.05). CONCLUSION: It can be concluded that Mulligan taping method may be an alternative treatment method for HV rehabilitation especially as it increased the limits of stability and maintaining the balance. Mulligan method is more effective than athletic taping in terms of reducing instant HV angle.
Abstract: BACKGROUND: In the current literature, exercises performed using fitness equipment and body weight have been used in order to decrease the bilateral deficit (BLD) and increase the hamstring-quadriceps (H/Q) ratio. No studies have previously investigated the effect of therabands, which are both portable and practical to be used anywhere, in regard to the BLD and H/Q ratio. OBJECTIVES: The purpose of this study was to investigate the effect of several 10-week lower extremity exercises performed through therabands on the BLD and H/Q ratio. METHODS: Twenty-seven voluntary male soccer players participated in the study.…The players were categorized into the control group (CG) (n = 14) and the theraband exercise group (TBG) (n = 13). Theraband exercises for the lower extremity were performed by the soccer players in the TBG for four days every week over a 10-week period. The dominant (D) and non-dominant (ND) leg concentric extension and flexion of the soccer players were determined through an isokinetic dynamometer at 30 ∘ s - 1 and 240 ∘ s - 1 angular velocities. The data were analyzed through SPSS 24. To determine the difference between the BLD, H/Q ratios, and pre- and post-test of peak torque (PT), the Wilcoxon test was employed. RESULTS: As a result of the analysis, it was found that the BLD for the TBG decreased, which was statistically significant (p < 0.05), whereas there were no statistically significant differences for the H/Q ratio for both the CG and TBG; the D and ND leg H/Q rate of the TBG at 240 ∘ s - 1 angular velocity increased in the post-test. CONCLUSIONS: It was found that the exercises performed with the theraband were extremely efficient at increasing the PT and decreasing the BLD.
Abstract: BACKGROUND: The optimum repetition number of standing back-extension exercise (SBEE) effective for the prevention and improvement of low back pain (LBP) is unknown. OBJECTIVE: To determine the effect of physiotherapy on LBP by investigating the optimum repetition number of SBEE via optical analysis and electromyographic (EMG) examination of the multifidus muscles. METHODS: Hemodynamics and multifidus muscle activity were examined in 16 healthy adult men using near-infrared spectroscopy and surface EMG after performing repetitive SBEE. RESULTS: Oxidized hemoglobin (Oxy-Hb) levels significantly increased in the second extension phase but decreased in the…third and subsequent extension phases; deoxidized hemoglobin (deOxy-Hb) levels increased in the third and subsequent extension phases. In the standing phase, no significant difference was observed; in the third and subsequent phases, Oxy-Hb levels decreased and deOxy-Hb levels increased. Muscular activity significantly decreased in the second standing phase but increased in the third and subsequent phases. No significant difference was observed in the extension phase with respect to the number of SBEE repetitions performed. In healthy individuals, hemodynamics improved up to second repetition of SBEE; subsequent repetitions may decrease hemodynamics because of increased activity of the multifidus muscles. CONCLUSIONS: In healthy individuals, hemodynamics improved up to second repetition of SBEE.
Keywords: Near-infrared spectroscopy, low back pain, standing back-extension exercise
Abstract: BACKGROUND/OBJECTIVE: This study aimed to investigate performance (touch-coordinate errors, inter-touch interval) of touch screen technology in adolescents with unilateral spastic cerebral palsy (USCP) and healthy peers. MATERIALS AND METHODS: This prospective case-control study included 31 adolescents. The participants consisted of 15 adolescents with CP in the USCP group and 16 age-matched healthy peers in the control group. All participants performed an aiming-tapping task with an Android tablet. Four sessions were randomly applied: visual feedback (VF) and no VF with the dominant hand’s index finger (DHF), and VF and no VF with the non-dominant hand’s index finger…(NDHF). Inter-touch interval (ITI) and touch-coordinate errors (TCE) were calculated. RESULTS: There were significant differences between the groups for VF and no VF-NDHF TCE and ITI (respectively p = 0.001, p = 0.01, p = 0.001, p = 0.004) and VF and no VF-DHF TCE values (respectively p = 0.01, p = 0.008). When comparing the dominant and non-dominant hand in the USCP group, there was a significant difference on TCE with no VF (p = 0.01). CONCLUSION: This study provided insight into the touch screen performance of adolescents with USCP, who performed an aiming-tapping task with a tablet. Results showed that both affected and unaffected hand performance of touch screen tasks was impaired in adolescents with USCP.
Abstract: OBJECTIVE: This study aimed to investigate the relationship between chronic shoulder pain and the increase in BMI. METHODS: A prospective, cross-sectional study design was adopted for the study. Two hundred and eighty-five patients with chronic shoulder pain were evaluated for eligibility. A total of 94 patients were excluded from the study. The 191 remaining volunteers filled out a questionnaire (Pain (VAS), Shoulder Pain and Disability Index (SPADI)) and weight, height, C-reactive protein (CRP) results and 1-hour-rate of erythrocyte sedimentation rate (ESR) were measured. The participants were dived into the normal weight, overweight or obese group, considering…the obesity classification defined by the World Health Organization (WHO). RESULTS: A statistically significant correlation was found between the increase in BMI and pain (VAS), SPADI (pain, activity and total) and ESR. Although there was no statistically significant difference between the normal weight and overweight groups in all parameters, there was a statistically significant difference between the obese group and other groups. CONCLUSIONS: Shoulder pain may associated with obesity and we recommend the addition of weight control to the treatment of patients with shoulder pain.
Keywords: Shoulder pain, obesity, SPADI, body mass index
Abstract: BACKGROUND: A few studies have noted that paraspinal muscle training is important to reduce pain for patients with lumbar disc herniation (LDH). However, little is known about the exact signs for necessary training of lumbar multifidus muscles (LMM). OBJECTIVE: The study aimed to analyze the relationship between the straight leg-raising test (SLR) and the area of fat infiltration in LMM for patients with LDH. METHOD: One hundred and fourteen LDH patients were involved in this study. Clinical data were collected from a medical record system. On the MRI images, the cross-sectional areas (CSA) of bilateral…fat infiltration in LMM were measured by picture archiving and communication system (PACS). RESULT: For 61 patients with inclusive LDH, the positive side of SLR was positively correlated with the side of the larger total CSA of fat infiltration in LMM of L2-S1 (r = 0.75, p ï ¼ 0.01), and the CSA of fat infiltration on the side of SLR with a positive result was significantly larger than that on the side of SLR with a negative result only at L3-4 and L4-5 levels (p ï ¼ 0.01). CONCLUSION: SLR may be used as an important sign for dysfunction of LMM and can identify the more severe side.
Keywords: Multifidus muscle, Disc herniation, Fat infiltration, Straight leg-raising test
Abstract: BACKGROUND AND OBJECTIVES: Bone marrow oedema is a multifactorial conditioned illness. Alongside any strain relief of an affected joint, treatment with Iloprost also belongs to the choice of cures. In past studies, a modulatory effect on bone could be shown. The hypothesis of the present work is that Iloprost has a growth-stimulating effect on osteoblasts in vitro . METHODS: Human osteoblasts were isolated and cultivated. Subsequently, the cells were treated with Iloprost in bioavailable concentrations. Alterations of the cell structure were examined by means of light microscopy. A regulation of the number of vital cells was…carried out by using a CASY cell counter. Possible cell impairment after Iloprost treatment was analysed by means of XTT Elisa as well as FDA and PI staining via fluorescence microscopy. RESULTS: Using light microscopy, no changes in cell structure could be observed. With the CASY cell counter, no increase in the numbers of osteoblasts appeared after Iloprost treatment. Also, XTT Elisas and fluorescence microscopy did not reveal any cell impairment due to Iloprost. CONCLUSION: Our results could not confirm a modulatory effect in mature osteoblasts. On the basis of the present work we could not verify any growth-stimulating effect by Iloprost in mature osteoblasts in vitro . Admittedly, effects had been shown previously during osteogenesis, but we do exclude an effect on mature osteoblasts which have already differentiated.
Keywords: Iloprost, bone marrow edema, osteoblasts, in vitro
Abstract: BACKGROUND: Healthy individuals who develop low back pain (LBP) during standing (standing intolerant) respond favorably to stabilization-based exercise interventions. People with clinical LBP meeting clinical prediction rules for stabilization-based exercise share characteristics with standing intolerant individuals. OBJECTIVE: To investigate the impact of stabilization-based exercise on standing tolerance, muscle activation and clinical measures in individuals with LBP meeting clinical prediction rules for stabilization-based exercise. METHODS: Participants with and without LBP completed testing pre- and post-6 weeks of progressive home exercise intervention. Testing included clinical examination and electromyography during sagittal and frontal plane movements. LBP…was also assessed by visual analogue scale (VAS) during standing. Outcomes included clinical findings, muscle sequencing, and VAS in standing. RESULTS: The LBP group had non-significant decreases in Oswestry Disability Index (- 2.1%, p = 0.22), baseline VAS (- 7.1 mm, p = 0.11), lumbopelvic reversal (p = 0.06) and positive Active Hip Abduction Test (p = 0.06). Significant improvements were seen in standing VAS (- 5.6 mm, p < 0.001). The LBP group had beneficial changes in activation strategies in standing flexion (p < 0.05) following intervention, with no changes during frontal plane movement strategies. CONCLUSIONS: Individuals with LBP meeting clinical prediction rules for stabilization-based exercise demonstrated increased standing tolerance and sagittal plane muscle sequencing following a 6-week intervention.
Keywords: Low back pain, prolonged standing, stabilization exercise, muscle activation