Journal of Back and Musculoskeletal Rehabilitation - Volume Pre-press, issue Pre-press

Authors: Yalçın, Ümit

Article Type: Research Article

Abstract: BACKGROUND: Although studies examined kinesiological taping (KT) and extracorporeal shock wave therapy (ESWT) in myofascial pain syndrome (MPS), no study has yet compared these two treatments. OBJECTIVE: This study aimed to compare the efficacy of KT and ESWT on pain, pain threshold, functional level and neck movements in the treatment of MPS, which is an important cause of disability and constitutes 50–80% of chronic painful diseases. METHODS: Two hundred and sixty-two patients diagnosed with MPS in the upper part of the unilateral trapeze muscle were included in the study. The patients were divided …into three groups according to the treatment they received: Group 1 (n = 75): ESWT + exercise, Group 2 (n = 82): KT + exercise, Group 3 (n = 105) and the latter receiving only exercise therapy (control group). Visual analog scale (VAS), pain threshold with algometer, Neck Disability Index (NDI), and neck contralateral lateral flexion angle were assessed before and three months after treatment. RESULTS: VAS, pain threshold, NDI and contralateral flexion angle values after treatment improved significantly in the ESWT and KT groups (p < 0.05) compared to the control group. The level of improvement in the ESWT group was higher (p < 0.05) than in the KT group in terms of VAS, pain threshold and NDI scores. CONCLUSION: Exercise, KT and ESWT applications in MPS were effective in all of the parameters examined. However, the ESWT + exercise therapy was more effective in terms of pain, pain threshold and disability. Show more

Keywords: Myofascial pain syndrome, kinesiological taping, extracorporeal shock wave therapy

DOI: 10.3233/BMR-200234

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-8, 2021

Authors: Kirmizi, Muge | Yalcinkaya, Gamze | Sengul, Yesim Salik

Article Type: Research Article

Abstract: BACKGROUND: Health anxiety is often associated with musculoskeletal symptoms and gender, but there are limited studies that investigate these relationships during the COVID-19 pandemic. OBJECTIVE: We aimed to compare the genders regarding health anxiety and musculoskeletal symptoms during the COVID-19 pandemic and to investigate the relationship of musculoskeletal symptoms with physical activity and health anxiety. METHODS: Assessments were performed through an online questionnaire. Eighty-five males and eighty-five females were included by matching genders in terms of age, body mass index, education level, number of days spent at home during the pandemic, and physical …activity. The Short Health Anxiety Inventory, the International Physical Activity Questionnaire-Short Form, and the Nordic Musculoskeletal Questionnaire were used to assess health anxiety, physical activity, and musculoskeletal symptoms, respectively. RESULTS: Females had a higher level of health anxiety and more musculoskeletal symptoms than males (p < 0.05). There were weak to moderate correlations in females and weak correlations in males between musculoskeletal symptoms and health anxiety (p < 0.05). Also, a weak negative correlation was found between physical activity and musculoskeletal symptoms in both genders (p < 0.05). CONCLUSIONS: Females are more anxious and have more musculoskeletal symptoms during the pandemic than males. Also, health anxiety is related to musculoskeletal symptoms in both genders. Show more

Keywords: Pandemic, COVID-19, health anxiety, musculoskeletal pain, musculoskeletal symptoms

DOI: 10.3233/BMR-200301

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-7, 2021

Authors: Endo, Naoto | Ishii, Daisuke | Ishibashi, Kiyoshige | Yamamoto, Satoshi | Takeda, Kotaro | Kohno, Yutaka

Article Type: Research Article

Abstract: BACKGROUND: Rotator cuff muscles are structurally and functionally different from other upper-limb muscles because they are responsible for glenohumeral joint stability. Neuromuscular electrical stimulation (NMES) induces excitability changes (increase or decrease) of the corticospinal tract (CST) in the peripheral muscles, such as those of the finger. However, it remains unclear whether similar results are obtained when targeting the infraspinatus muscle, which has properties that differ from other muscles, in healthy subjects. OBJECTIVE: We investigated the immediate effects of NMES on the corticospinal excitability of the infraspinatus muscle, a rotator cuff muscle, in healthy subjects. …METHODS: Thirteen healthy right-handed men (mean age: 26.77 ± 2.08 years) participated in this study. The motor evoked potentials (MEPs) and the maximum compound muscle action potential (Mmax) were recorded before NMES to the right infraspinatus and within 15 minutes after the end of the NMES. RESULTS: NMES on the infraspinatus muscle significantly increased its MEP amplitude (Pre: 0.45 mV [0.33–0.48]; Post: 0.54 mV [0.46–0.60] (median [lower quartile to higher quartile]); p = 0.005) but had no effect on Mmax (Pre: 2.95 mV [2.59–4.71]; Post: 3.35 mV [2.76–4.72]; p = 0.753). CONCLUSIONS: NMES application to the infraspinatus muscle increases CST excitability without producing immediate changes in the neuromuscular junction or muscle hypertrophy. Show more

Keywords: Infraspinatus muscle, rotator cuff muscles, electrical stimulation, transcranial magnetic stimulation, motor evoked potential

DOI: 10.3233/BMR-200298

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-7, 2021

Authors: Soer, Remko

Article Type: Research Article

DOI: 10.3233/BMR-205001

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-, 2021

Authors: Macedo, Liane Brito | Richards, Jim | Borges, Daniel Tezoni | Melo, Samara Alencar | Reis, Daniela Dantas | Brasileiro, Jamilson Simões

Article Type: Research Article

Abstract: OBJECTIVE: To evaluate the effect of different taping techniques on back muscle fatigue in people with low back pain. METHODS: Sixty women with chronic non-specific low back pain were randomly assigned to four groups of 15 participants each: control (CG), Kinesio Taping (KT) with tension (KTT), KT no tension (KTNT) and Micropore ® (MP), which were applied over the erector spinae muscles. The median frequency (MF) fatigue slopes of the longissimus muscle and sustained contraction time during a trunk fatigue test (Ito test), and pain using the numerical pain rating scale (NPRS) …were collected at three time points: pre-treatment, three and ten days after intervention at a university laboratory. RESULTS: Significant differences were seen in the MF slopes between groups (p = 0.01, η 2 = 0.20), with the KTT showing a mean difference (MD = 0.31, p = 0.04) and KTNT (MD = 0.28, p = 0.04) compared with CG. Significant reductions in NPRS were seen between time points (p < 0.001, η 2 = 0.28), with a reduction between pre and 3 days (MD = 1.87, p < 0.001), and pre and 10 days (MD = 1.38, p < 0.001), with KTT and KTNT both showing clinically important changes. CONCLUSION: KT, with or without tension, has a tendency to reduce back muscle fatigue and reduce pain in individuals with chronic non-specific low back pain. Show more

Keywords: Bandages, electromyography, lumbar spine, muscle fatigue

DOI: 10.3233/BMR-200207

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-9, 2021

Authors: Kersten, R.F.M.R. | Fikkers, J. | Wolterbeek, N. | Öner, F.C. | van Gaalen, S.M.

Article Type: Research Article

Abstract: BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult. …OBJECTIVE: Aim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires. METHODS: Clinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 – Health Survey (SF-36), leg pain and back pain measured on a 0–100 mm visual analogue scale (VAS). Cronbach’s alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated. RESULTS: three hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r = 0.87; p < 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ. CONCLUSIONS: The RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ. Show more

Keywords: Oswestry Disability Index, Roland Morris Disability Questionnaire, clinical outcome, patient reported outcome measures, correlations, low back pain

DOI: 10.3233/BMR-200206

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-7, 2021

Authors: Wang, Ya-Dong | Ming, Yu-Xiang | Pang, Yong-Hua | Chen, Wei-Nan | Zong, Xu-Hua | Wu, Ji-Yun | Deng, Ya-Kai

Article Type: Research Article

Abstract: BACKGROUND: Persisting shoulder stiffness adversely affects quality of life by causing pain and motion restrictions especially in patients with diabetes. OBJECTIVE: The aim of this study was to evaluate the outcomes of arthroscopic capsular release in patients with idiopathic shoulder stiffness. METHOD: A literature search was conducted in electronic databases and studies were selected by following precise eligibility criteria. Random-effects meta-analyses were performed to estimate the changes at latest follow-up in scores of the Constant, American Shoulder and Elbow Surgeons (ASES), and University of California at Los Angelis (UCLA) scales, Visual Analogue Scale …(VAS), and shoulder range of motion. RESULTS: Nineteen studies were included. The follow-up duration was 42 months [95% confidence interval (CI): 32, 51]. Improvements in scores of the Constant, ASES, UCLA scales, and VAS were 48.3 [95% CI: 38.0, 58.6], 44.6 [95% CI: 24.6, 64.6], 19.3 [95% CI: 16.6, 22.0], and - 6.1 [95% CI: - 6.9, - 5.4] respectively (P < 0.05 all). Improvements in the shoulder range of motion were: abduction 82.0 [95% CI: 65.0, 98.9]; forward flexion 75.9 [95% CI: 59.7, 92.1]; external rotation 43.2 [95% CI: 37.5, 49.0]; and internal rotation 25.4 [95% CI: 15.2, 35.5] degrees; P < 0.05 all). CONCLUSION: Arthroscopic capsular release effectively improves shoulder function in patients with idiopathic shoulder stiffness. Show more

Keywords: Shoulder, stiffness, capsular release, arthroscopy, range of motion

DOI: 10.3233/BMR-200267

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-8, 2021

Authors: Yang, Fengguang | Wang, Yonggang | Ma, Yingping | Hu, Xuchang | Li, Xiangli | Ma, Zhanjun | He, Xuegang | Gao, Yicheng | Yang, Yong | Kang, Xuewen

Article Type: Research Article

Abstract: BACKGROUND: Lumbar X-rays are usually preferred in patients with lower back pain, but lumbar spinal stenosis (LSS) cannot be directly observed on lumbar X-ray films. OBJECTIVE: The purpose of this study is to explore the correlation between the degree of single-segment central LSS and lumbar X-ray measurements. METHODS: The data of 60 male patients aged 39–78 years with single-segment central LSS were analyzed. Linear correlation analysis was used to determine the correlation between the single-segment central LSS and the various measurement parameters. Multiple linear regression analysis was used to analyze the factors affecting …single-segment central LSS. RESULTS: There were significant differences in S 1 /S 0 , E, B, L 1 - 5 Cobb, and M among the three groups (p < 0.05). S 1 /S 0 was positively correlated with E, B, L 1 - 5 Cobb, and M (p < 0.05), but was not correlated with D (p = 0.66). After multiple linear regression analysis, B, L 1 - 5 Cobb, and M were independently associated with S 1 /S 0 . CONCLUSIONS: The B, L 1 - 5 Cobb, and M parameters were independently associated with single-stage central LSS, and would likely be of particular value in evaluating the degree of single-segment central LSS; B, L 1 - 5 Cobb, and M served as independent predictors of the degree of LSS. These findings will guide clinicians’ decision-making in the future. Show more

Keywords: Lumbar spinal stenosis, lumbar degenerative disease, lumbar X-ray, dural sac compression

DOI: 10.3233/BMR-200051

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-7, 2021

Authors: Jeon, Jeong Woo | Hong, Jiheon

Article Type: Research Article

Abstract: BACKGROUND: The screw-home mechanism (SHM) plays an important role in the stability of the knee. Accordingly, the analysis of tibial rotation patterns can be used to elucidate the effect of SHM-related factors. OBJECTIVE: The purpose of this study was to compare the magnitude of the angle and the pattern of SHM between passive and active movements. METHODS: We studied twenty healthy males, of which the angle of knee flexion-extension and tibial longitudinal rotation (TLR) during active and passive movements were measured using the inertial measurement unit. Student’s t -tests were used …to compare the magnitude of TLR. The waveform similarity was quantified using a coefficient of multiple correlation (CMC). RESULTS: Significant differences were found in the TLR between the active and passive movements (p < 0.05). The knee flexion-extension waveform similarity was excellent (CMC = 0.956). However, the waveform similarity of TLR was weak (CMC = 0.629). CONCLUSION: The SHM increased abruptly during the last 20 ∘ of the active (extension) movement compared with passive extension. The SHM occurred mainly owing to the geometry and shape of the articular surfaces of the knee joint. In addition, muscle contraction was considered to be an important factor in the articulation movement. Show more

Keywords: Screw-home movement, inertial measurement unit, inertial sensor, knee stability, tibia longitudinal rotation

DOI: 10.3233/BMR-200110

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-7, 2021

Authors: Truszczyńska-Baszak, Aleksandra | Drzał-Grabiec, Justyna | Tarnowski, Adam

Article Type: Research Article

Abstract: BACKGROUND: One of the most difficult complications of total hip arthroplasty is an infection in the area of the implant with an incidence of 0.5% to 2.5% resulting in the most severe situation in prosthesis removal. OBJECTIVE: The aim of the study was to assess postural stability and functional disorders in patients after hip prosthesis removal. METHODS: A group of 15 patients after hip prosthesis removal was compared to a control group of 15 healthy persons who were age-matched without any symptoms of degenerative disorders in the lower spine and lower extremities. The …static balance test was conducted on a bi-modular stabilometric platform, registering the movement of the centre of foot pressure. The functional state of the patients was assessed on the basis of the Harris Hip Score (HHS). RESULTS: Patients had poor functional result (HSS mean 62.29 ± 12.92 points). Obtained results of postural stability of patients showed huge difficulties maintaining stability and showed statistically significant differences in a majority of the analysed parameters. CONCLUSIONS: Several stability parameters showed significantly worse results in patients after hip prosthesis removal. Special attention should be paid and focused physiotherapy should be undertaken for patients with a stability disorder and functional status to prevent falls and improve functioning. Show more

Keywords: Postural stability, hip, Girdlestone procedure, hanging hip

DOI: 10.3233/BMR-200204

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-6, 2021