Journal of Back and Musculoskeletal Rehabilitation - Volume 28, issue 2

Authors: Armagan, Onur | Yilmazer, Sebnem | Calısir, Cüneyt | Ozgen, Merih | Tascioglu, F. | Oner, Setenay | Akcar, Nevbahar

Article Type: Research Article

Abstract: Objectives: The aim of the present study was to evaluate the symptomatic effects of glucosamine sulphate (GS) in comparison to the exercise therapy, as well effects on Magnetic Resonance Imaging (MRI) findings of cartilage loss in patients with knee osteoarthritis (OA). Materials and Methods: Seventy patients with a diagnosis of knee OA were randomly divided into two groups. First group of patients (n = 40 ) were treated with 1500 mg/day oral glucosamine sulphate and the second group (n = 30 ) performed a home exercise program for a period of 6 months. …Results: Compared with baseline, significant improvements were observed in the visual analogue scale pain scores and the Western Ontario and McMaster Universities osteoarthritis index and 20-min walking time in both groups (p < 0.001 ); there were no significant differences between the two treatment groups. Upon the evaluation of joint cartilage thickness by MRI, an improvement was evident in only in the area of medial femoral condyle of patients who had performed a home exercise program (p < 0.05 ). Conclusion: The results of the present study suggest that both oral GS treatment and exercise therapy are efficient in the symptomatic treatment of patients with knee OA. However, exercise therapy found to have a better chondroprotective effect than oral GS treatment in this patient population. Show more

Keywords: Oral glucosamine sulphate, exercise, knee osteoarthritis

DOI: 10.3233/BMR-140516

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 287-293, 2015

Authors: McFarland, Carol | Wang-Price, Sharon | Richard, Shanan

Article Type: Research Article

Abstract: Objective: The purposes of this study were to determine the reliability and validity of two clinical measurements of cervical lordosis and to compare these measurements of individuals with cervical spine symptoms to those of asymptomatic individuals. Methods: Fifty-seven participants were recruited for the study: 18 following cervical fusion, 20 with neck pain and no surgery, and 19 with no neck pain. Cervical lordosis was measured using a flexible ruler (flexirule) and a modified bubble inclinometer. Intertester and intratester reliability were calculated for both methods. Validity was assessed by correlating measurements taken using both methods to Cobb angles between …C2 and C7 on lateral view radiography of the participants in the cervical fusion and the neck pain groups. Results: Intraclass correlation coefficients (ICCs) revealed good intratester reliability for both methods. Intertester reliability was fair for the flexirule method but good for the inclinometer method. Pearson correlations with radiographic angles were poor for both methods. ANOVAs showed no significant difference in cervical lordosis measurements between asymptomatic and symptomatic groups. Conclusion: Although both the flexirule and inclinometer methods are reliable, neither method correlated with the Cobb angle on the radiography, suggesting these methods may measure different aspects of cervical spine alignment. Show more

Keywords: Cervical spine, sagittal alignment, inclinometer, Cobb angle, posture

DOI: 10.3233/BMR-140517

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 295-302, 2015

Authors: Ebata, Shigeto | Sato, Hirokazu | Ohba, Tetsuro | Ando, Takashi | Haro, Hirotaka

Article Type: Research Article

Abstract: Background: We previously demonstrated short length of rest with a cervical orthosis obtained a decreased tendency for neck or shoulder pain, neck stiffness, and impairment of cervical alignment after cervical laminoplasty. Postoperative maintenance of cervical motion may result in intervertebral instability and poor surgical outcomes. Objective: The purpose of this study was to compare the postoperative fusion rate, range of motion (ROM), vertebral listhesis, and surgical outcomes with the duration of rest with a cervical orthosis. Methods: We conducted cervical laminoplasty on 66 patients with spondylotic myelopathy. All patients were followed for at least two years. …Patients remained in bed for two weeks and wore a cervical orthosis for eight weeks postoperatively, postoperative bed rest for seven days and use of an orthosis for four weeks, or postoperative bed rest for five days followed by use of an orthosis for two weeks were assigned. Results: Long rest with a cervical orthosis produced multiple unions and limitation of cervical ROM, resulting in postoperative neck pain. Short rest maintained motion at multiple disc levels. There was no marked difference in neurogenic outcomes between short and long rest. Conclusions: A short rest period with a cervical orthosis is recommended to maintain cervical motion free from neck pain. Show more

Keywords: Cervical laminoplasty, neck pain, orthosis

DOI: 10.3233/BMR-140520

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 303-309, 2015

Authors: Seidi, Foad | Minoonejad, Hooman | Youdas, James W.

Article Type: Research Article

Abstract: Background and Objective: The amount of postural sway and sagittal deviation of lumbar lordosis angle in measurements of standing lumbar curvature obtained by flexible curve can be decreased when using a spine stabilizer instrument. However, this assumption has not been investigated so far. This study aims to determine the effect of using a spine stabilizer instrument on the validity, reliability, and standard errors of measurement of flexible curve in the standing lumbar curvature measurements. Material and Method: Thirty-four volunteer men aged between 19 and 30 years participated in the study By using a 50-cm flexible curve, with and …without spine stabilizer instrument, and a lumbar simple lateral radiograph (LSLR), the standing lumbar curvature was measured by three methods for each subject. These methods were called A, B and C, respectively. Results: By using the Pearson’s correlation analysis at significance level of 0.05, the coefficient of correlation between standing lumbar curvature measurements in methods A and B with C were 0.95 and 0.84, respectively. In addition, the intraclass correlation coefficient for methods A and B were 0.94 and 0.79, respectively. Also, results of the one-way analysis of variance for comparison of pairs indicated a significant difference in the mean values of standing lumbar curvature angles between methods B and C. Conclusions: Results indicated the flexible curve was an appropriate instrument for standing lumbar curvature measurements. Using spine stabilizer instrument to control postural sway increases the validity and reliability of flexible curve method and decreases its standard errors of measurement. Show more

Keywords: Spine stabilizer instrument, postural sway, standing lumbar curvature, flexible curve

DOI: 10.3233/BMR-140521

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 311-316, 2015

Authors: Jubany, Júlia | Busquets, Albert | Marina, Michel | Cos, Francesc | Angulo-Barroso, Rosa

Article Type: Research Article

Abstract: Background: Measuring isometric strength is necessary in many areas of health and sport. However, trunk muscles have some particular characteristics that make them difficult to evaluate with simple, inexpensive instruments. Objective: To evaluate the reliability and validity of an instrument constructed with a hand-held dynamometer and a metallic structure (HHD+S) for measuring maximum isometric voluntary trunk muscle strength. Methods: Maximum isometric voluntary trunk muscle strength (extension, flexion and lateral flexion) was measured in 20 healthy individuals using the custom-made instrument (HHD+S) and the gold standard Back-Check (BC). Results: The results showed that the two …instruments had high and similar intra-subject reliability. The validity of the HHD+S was demonstrated by the high Pearson coefficient correlation between the two instruments (r ⩾ 0.78 ). Conclusions: Given the good trial reliability and the close correlation between the two instruments, we believe that the use of a hand-held dynamometer together with the custom-made metallic structure (HHD+S) allows an evaluation of the maximum isometric voluntary trunk muscle strength to be made, that is very similar in quality, accuracy and reliability to the BC. Show more

Keywords: Maximum voluntary contraction, back strength, dynamometer, custom-made instrument

DOI: 10.3233/BMR-140522

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 317-326, 2015

Authors: Han, Shuyang | Cheng, Gang | Xu, Peng

Article Type: Research Article

Abstract: Objective: There were gender differences regarding lower extremity kinematics. The purpose of this study was to investigate three-dimensional kinematics of lower extremity for young Chinese during daily activities and to identify gender differences in lower extremity kinematics. Methods: Lower extremity motions of 40 healthy volunteers (20 males and 20 females) were recorded while each subject performing each of three daily activities (walking, jogging, and deep squatting). The spatiotemporal parameters (speed, cadence and step length) and 3D joint kinematics (peak angles and mean range of motions) were compared with previous results and within gender group. Independents t-tests were used …to test statistical significance (p < 0.05 ). Results: Statistical analysis suggested that there was no gender difference in sagittal plane motions at the hip, knee and ankle joints, while females displayed greater non-sagittal plane joint motions compared to their male counterparts. Conclusions: The outcomes of this study added basic understanding of joint biomechanics during daily activities of Chinese and provided a basis for comparison to patients with various joint diseases. Show more

Keywords: Daily activities, kinematics, gender difference, deep squatting

DOI: 10.3233/BMR-140523

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 327-334, 2015

Authors: Hoglund, Lisa T. | Lockard, Margery A. | Barbe, Mary F. | Hillstrom, Howard J. | Song, Jinsup | Reinus, William R. | Barr-Gillespie, Ann E.

Article Type: Research Article

Abstract: Background: Patellofemoral osteoarthritis (PFOA) is associated with pain and decreased self-reported function. The impact of PFOA on actual physical performance is currently unknown. Objective: To investigate the impact of PFOA on physical performance and pain. Methods: Eight participants aged 40–65 years with bilateral, symptomatic, radiographic PFOA and 7 age- and gender-matched pain-free control participants without radiographic PFOA were studied. Physical performance was measured with the Timed-Up-and-Go (TUG) and 50-foot Fast-Paced-Walk (FPW) tests. Dependent variables included time to complete the TUG and FPW; pretest-posttest change in pain intensity (TUG and FPW); and self-reports of perceived knee pain, …stiffness, and physical function. Data were analyzed with nonparametric statistics. Results: The PFOA group TUG time was longer than the control group (p = 0.01 ). No difference between groups was found for FPW time. Pretest-posttest pain increased for the TUG and FPW in PFOA participants (p < 0.05 ). The PFOA group reported greater knee pain, stiffness, and less physical function than controls (previous 48 hours) (p < 0.01 ). Conclusions: Symptomatic, radiographic PFOA is associated with increased pain during the TUG and FPW tests and longer time required to complete the TUG. The TUG may be a more sensitive test of physical performance in PFOA. Show more

Keywords: Osteoarthritis, patellofemoral, knee, physical performance, pain measurement

DOI: 10.3233/BMR-140525

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 335-342, 2015

Authors: Queiroz, Bárbara Zille | Pereira, Daniele Sirineu | de Britto Rosa, Nayza Maciel | Lopes, Renata Antunes | Felício, Diogo Carvalho | Pereira, Danielle Gomes | Dias, João Marcos Domingues | Dias, Rosângela Correa | Pereira, Leani Souza Máximo

Article Type: Research Article

Abstract: Background and Objectives: Low back pain (LBP) is a complaint of great importance among the elderly due to its significant impact on function. LBP could contribute to changes in the regulatory process of inflammatory mediators observed in elders. The aim of this study was to compare plasma levels of interleukin(IL)-6, soluble tumor necrosis factor receptor 1(sTNF-R1), and functionality among 3 groups of elderly women: GI, with LBP; GII, without LBP but reports of other pain; and GIII, without any reported pain. Material and Method: This was an observational study of a subsample of the international Back Complaints in …the Elders cohort study. IL-6 and sTNF-R1 were measured using the enzyme-linked immunosorbent assay. Functionality was assessed using the Timed Up and Go, gait speed and Roland Morris Disability Questionnaire; and pain, using the numerical pain scale. Results: Two hundred and thirteen women aged 71.35 ± 4.76 years were included. GI presented the highest sTNF-R1 levels (p = 0.016 ), worst TUG performance (p < 0.001 ) and slowest gait speed (p < 0.01 ) compared to GII and GIII, which were similar (p > 0.05 ). No difference was found between the IL-6 plasma levels in any of the groups. Conclusion: Elderly women with LBP had the highest sTNF-R1 plasma levels and the worst functional performance compared to elderly women with reports of other pain (not LBP) or no pain. Show more

Keywords: Aged, BACE, cytokines, functional performance, low back pain

DOI: 10.3233/BMR-140526

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 343-349, 2015

Authors: Mota, Maria João | Cardoso, Mirtha | Carvalho, Andreia | Marques, Alda | Sá-Couto, Pedro | Demain, Sara

Article Type: Research Article

Abstract: Objectives: This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy. Methods: A sample of 105 post-partum women was recruited. All participants answered a questionnaire; women who experienced LBP during pregnancy (n = 71 ) continue in the study and later they were also interviewed. Content analysis, descriptive and inferential statistics were used to analyse the data. Results: Reports of LBP were common (n = 71 ; 67.6%) and slightly more …frequent in primiparous (n = 40 ; 56.3%) than multiparous (n = 31 ; 43.7%) women. Multiparous women with LBP were significantly older (p < 0.001 ) and reported more sleep disturbances (p = 0.026 ) than primiparous women with LBP. LBP prevented women performing their daily activities (n = 41 ; 57.7%) and worsened with the advance of pregnancy (n = 55 ; 77.5%), yet 93.0% (n = 66 ) of these women received no treatment. Conclusion: LBP is a prevalent and important clinical condition affecting the daily life of many pregnant women. Nevertheless, few women seek any treatment and physiotherapy is rarely considered. Given the significant impact on quality of life, health professionals need to be proactive in asking women about LBP. Show more

Keywords: Low back pain, pregnancy, multiparous, primiparous, physiotherapy

DOI: 10.3233/BMR-140527

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 351-357, 2015

Authors: Yoon, Ji-yeon | Kim, Ji-won | Kang, Min-hyeok | An, Duk-hyun | Oh, Jae-seop

Article Type: Research Article

Abstract: Background and Objective: Forward bending is frequently performed in daily activities. However, excessive lumbar flexion during forward bending has been reported as a risk factor for low back pain. Therefore, we examined the effects of an exercise strategy using a stick on the angular displacement and movement onset of lumbar and hip flexion during forward-bending exercises in patients with lumbar flexion syndrome. Methods: Eighteen volunteers with lumbar flexion syndrome were recruited in this study. Subjects performed forward-bending exercises with and without a straight stick in standing. The angular displacement and movement onset of lumbar and hip flexion during …forward-bending exercises were measured by using a three dimensional motion analysis system. The significances of differences between the two conditions (with stick vs. without stick) was assessed using a one-way repeated analysis of variance. Results: When using a stick during a forward-bending exercise, the peak angular displacement of lumbar flexion decreased significantly, and those of right and left-hip flexion increased significantly compared with those without a stick. The movement onset of lumbar flexion occurred significantly later, and the onset of right-hip flexion occurred significantly earlier with than without a stick. Conclusions: Based on these findings, a stick exercise was an effective method to prevent excessive lumbar flexion and more helpful in developing hip flexion during a forward-bending exercise. These findings will be useful for clinicians to teach self-exercise during forward bending in patients with lumbar flexion syndrome. Show more

Keywords: Stick exercise, forward bending, lumbar flexion syndrome, movement impairment syndrome

DOI: 10.3233/BMR-140528

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 359-364, 2015

Authors: Maselli, F. | Ciuro, A. | Mastrosimone, R. | Cannone, M. | Nicoli, P. | Signori, A. | Testa, M.

Article Type: Research Article

Abstract: Background: Low Back Pain is commonly reported to be a very frequent disorder in rowing, but it is still unclear if its prevalence is higher than in other sports or even in a non-athletes group. Objectives: To determine prevalence of low back pain (LBP) with and without irradiated pain and possibly related risk factors in a group of elite Italian rowers. Methods: The study was conducted during the 2010 Italian Indoor Rowing Championship held in Bari from 30th to 31st January. All the 415 rowers who qualified for the national championship were asked to complete a …three-page questionnaire on LBP, assisted by a physiotherapist. Results: One hundred and thirty-three athletes (32%) completed the assessment. LBP was very common, with a lifetime and 1 year prevalence of 64.7% and 40.6% respectively. During the last episode, the LBP intensity, measured by a numeric rating scale (NRS), presented a median value of 6/10, and 40% of rowers reported some limitation in daily living activities (ADL). Odds ratio (OR) to suffer from LBP was 2.62 in males compared to females; athletes who row both in sculling and sweep or only sweep showed an OR of 4.43 and 3.32 respectively. Conclusions: The prevalence of low back pain among rowers seems to be comparable to the one of the general population, even if the recovery appears to be faster. The risk of developing LBP is associated with the rowing typology and the gender, but a prospective study with an adequate sample size is necessary to clearly identify risk factors for LBP in rowers and to implement effective prevention strategies. Show more

Keywords: Low back pain, rowing, prevalence, athletes

DOI: 10.3233/BMR-140529

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 365-376, 2015

Authors: Komurcu, Hatice Ferhan | Kilic, Selim | Anlar, Omer

Article Type: Research Article

Abstract: Background: The clinical importance of F-wave inversion in the diagnosis of Carpal Tunnel Syndrome (CTS) is not yet well known. Objective: This study aims to investigate the value of F-wave inversion in diagnosing CTS, and to evaluate the relationship of F-wave inversion with age, gender, diabetes mellitus, body mass index (BMI), wrist or waist circumferences. Methods: Patients (n = 744 ) who were considered to have CTS with clinical findings were included in the study. In order to confirm the diagnosis of CTS, standard electrophysiological parameters were studied with electroneuromyography. In addition, median nerve …F-wave measurements were done and we determined if F-wave inversion was present or not. Sensitivity and specificity of F-wave inversion were investigated for its value in showing CTS diagnosed by electrophysiological examination. Results: CTS diagnosis was confirmed by routine electrophysiological parameters in 307 (41.3%) patients. The number of the patients with the presence of F-wave inversion was 243 (32.7%). Sensitivity of F-wave inversion was found as 56% and specificity as 83.8%. BMI and wrist circumference values were significantly higher in patients with F-wave inversion present than those with F-wave inversion absent (p = 0.0033 , p = 0.025 respectively). Conclusions: F-wave inversion can be considered as a valuable electrophysiological measurement for screening of CTS. Show more

Keywords: F-wave inversion, carpal tunnel syndrome, anthropometric measurements, median nerve, ulnar nerve, body mass index

DOI: 10.3233/BMR-140530

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 377-381, 2015

Authors: Monro, Robin | Bhardwaj, Abhishek Kumar | Gupta, Ram Kumar | Telles, Shirley | Allen, Beth | Little, Paul

Article Type: Research Article

Abstract: Background: Previous trials of yoga therapy for nonspecific low back pain (nsLBP) (without sciatica) showed beneficial effects. Objective: To test effects of yoga therapy on pain and disability associated with lumbar disc extrusions and bulges. Methods: Parallel-group, randomised, controlled trial. Sixty-one adults from rural population, aged 20–45, with nsLBP or sciatica, and disc extrusions or bulges. Randomised to yoga (n = 30 ) and control (n = 31 ). Yoga: 3-month yoga course of group classes and home practice, designed to ensure safety for disc extrusions. Control: normal medical care. …Outcome Measures (3–4 months): Primary: Roland Morris Disability Questionnaire (RMDQ); worst pain in past two weeks. Secondary: Aberdeen Low Back Pain Scale; straight leg raise test; structural changes. Results: Disc projections per case ranged from one bulge or one extrusion to three bulges plus two extrusions. Sixty-two percent had sciatica. Intention-to-treat analysis of the RMDQ data, adjusted for age, sex and baseline RMDQ scores, gave a Yoga Group score 3.29 points lower than Control Group (0.98, 5.61; p = 0.006 ) at 3 months. No other significant differences in the endpoints occurred. No adverse effects of yoga were reported. Conclusions: Yoga therapy can be safe and beneficial for patients with nsLBP or sciatica, accompanied by disc extrusions and bulges. Show more

Keywords: Intervertebral disc displacement, disc, herniation, sciatica, back pain, yoga, complementary therapies

DOI: 10.3233/BMR-140531

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 383-392, 2015

Authors: Abaspour, Omolbanin | Javanshir, Khodabakhsh | Amiri, Mohsen | Karimlou, Masoud

Article Type: Research Article

Abstract: Background and Objectives: Cervicogenic headache (CGH) originated from impaired cervical musculoskeletal structures. Dysfunction of deep neck flexor muscles has been reported in CGH subjects. The purpose of this study was to assess relationship between the size of these muscles and headache laterality in CGH subjects. Material and Method: A cross sectional single blind study designed to investigate 37 CGH subjects compared with 37 healthy controls. Longus colli (LC) muscle Cross Sectional Area (CSA) in both sides was measured in supine position utilizing diagnostic ultrasonography. Results: The mean CSA of LC muscle in healthy subjects was 0.74 …± 0.06 cm2 and in patients suffering from CGH was 0.74 ± 0.06 cm2 in left and 0.75 ± 0.06 cm2 in right side. No significant difference was found between subjects suffering from CGH compared with healthy controls. Also no difference was found between muscle size of affected and non-affected side in unilateral CGH subjects. Conclusions: Results indicated that there was no relationship between size of LC muscle and pain laterality in patients with CGH. Show more

Keywords: CGH, CSA, longus colli muscle, ultrasonography

DOI: 10.3233/BMR-140532

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 393-399, 2015

Authors: Groothuis-Oudshoorn, Catharina G.M. | Chorus, Astrid M.J. | Verrips, G.H.W. | Detmar, Symone B.

Article Type: Research Article

Abstract: Background: The London Handicap Scale (LHS) was found to be a valid and reliable scale for measuring participation restrictions in adults. Objective: This paper describes the development and assesses the construct-related validity of a Dutch version of the London Handicap Scale (DLHS). Methods: The DLHS was tested in 798 adults (mean age: 50.7 years, SD = 14.5, range 16 to 85) and validated with the ‘Impact on Participation and Autonomy’ (IPA) questionnaire, the Dutch version of the EQ-5D and questions concerning comorbidity and use of medical devices. The study population consisted of patients with rheumatoid arthritis, …chronic obstructive pulmonary disease (COPD), epilepsy, laryngectomy and multiple sclerosis. Results: Feasibility was satisfactory. Large correlations (ρ > 0.6 ) for the DLHS sum score were found with the IPA subscales ‘autonomy outdoors’, ‘perceiving problems’, ‘family role’, autonomy indoors’, ‘work and education’ and with the EQ-5D. The DLHS sum score differs significantly between subgroups based on the number of chronic diseases, number of medical devices and self-reported burden of disease or handicap (p < 0.001 ). Conclusions: Based on this evaluation the questionnaire seems feasible and valid for assessing differences in level of participation between subgroups of chronically ill or disabled persons in the Netherlands. Show more

Keywords: Disability, London handicap scale, Dutch, quality of life, construct-related validity

DOI: 10.3233/BMR-140534

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 401-408, 2015

Authors: Tanaka, Shigeharu | Matsumoto, Shinsuke | Fujii, Kengo | Tamari, Kotaro | Mitani, Shigeru | Tsubahara, Akio

Article Type: Research Article

Abstract: Background: The incidence of low back pain (LBP) is high in patients with hip osteoarthritis (OA). Evidence from previous studies suggests that lumbar alignments and hip range of motion (ROM) are important etiological factors for LBP. However, no studies have investigated which factors that have the greatest influence on LBP. Objective: This investigation aimed to collectively examine factors related to LBP in patients with hip OA, including lumbar lordosis angle (LLA), leg length discrepancy (LLD), and hip ROM. Methods: Thirty-five patients participated in this study. LBP was treated as a dependent variable, whereas hip ROMs were …treated as independent variables. Patients’ age and body mass index (BMI) were recorded as confounding factors, as were LLA and LLD. A logistic regression model was performed to determine the most accurate set of variables to predict LBP. Results: BMI and ROM of hip flexion on the affected side were identified as significant variables. Conclusions: Our results suggest that BMI and ROM of hip flexion on the affected side are related to LBP in patients with hip OA and need to be assessed. Show more

Keywords: Low back pain, osteoarthritis of the hip, prediction

DOI: 10.3233/BMR-140535

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 409-414, 2015

Authors: Kara, Murat | Yalçın, Süha | Yenigün, Didem | Tiftik, Tülay | Malas, Fevziye Ünsal | Özçakar, Levent

Article Type: Case Report

Abstract: Reported here is a 50-year-old man with cubital tunnel syndrome due to heterotopic ossification after traumatic brain injury. Herein, underscoring the role of ultrasonographic evaluations in the diagnosis of our patient, we suggest that ultrasono- graphic imaging can be a useful first-line diagnostic method for the possibility of HO and its complications. Further, due to its high spatial resolution, lack of radiation and easy applicability, we imply that US seems to overweigh in the daily practice of rehabilitation physicians.

Keywords: Ultrasonography, ulnar nerve, head trauma, 3D computed tomography

DOI: 10.3233/BMR-140519

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 415-417, 2015

Authors: Lee, Jung Hwan | Lee, Sang-Ho

Article Type: Case Report

Abstract: Background and Objectives: This report aimed to present a case of lateral antebrachial cutaneous neuropathy (LACNP) that occurred after a steroid injection in the lateral epicondyle to treat lateral epicondylitis in a 40-year-old woman. Material and Method: A 40-year-old woman presented with decreased sensation and paresthesia over her right lateral forearm; the paresthesia had occurred after a steroid injection in the right lateral epicondyle 3 months before. Her sensation of light touch and pain was diminished over the lateral side of the right forearm and wrist area. Results: The sensory action potential amplitude of the right …lateral antebrachial cutaneous nerve (LACN) (6.2 µV) was lower than that of the left (13.1 µV). The difference of amplitude between both sides was significant because there was more than a 50% reduction. She was diagnosed with right LACNP (mainly axonal involvement) on the basis of the clinical manifestation and the electrodiagnostic findings. Her symptoms improved through physical therapy but persisted to some degree. Conclusion: This report describes the case of a woman with LACNP that developed after a steroid injection for the treatment of lateral epicondylitis. An electrodiagnostic study, including a nerve conduction study of the LACN, was helpful to diagnose right LACNP and to find the passage of the LACN on the lateral epicondyle. Show more

Keywords: Lateral antebrachial cutaneous nerve, electrodiagnostic study, lateral epicondylitis, steroid injection

DOI: 10.3233/BMR-140524

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 2, pp. 419-422, 2015