Journal of Back and Musculoskeletal Rehabilitation - Volume 29, issue 2

Authors: Kim, Do Hyoung | Han, Seong Rok | Choi, Chan Young | Sohn, Moon Jun | Lee, Chae Heuck

Article Type: Research Article

Abstract: BACKGROUND: It was thought that the efficacy of pulsed radiofrequency (PRF) treatment of the medial branch in patients with lower back pain was not as long lasting as that of continuous radiofrequency (CRF) thermo-coagulation techniques. OBJECTIVE: The goal of this study was to determine the efficacy and the long-term effects of PRF treatment of the medial branch in selected low back pain patients. METHODS: We retrospectively reviewed and analyzed patients with lower back pain who underwent PRF treatment on the medial branch at our institute. Pain relief was evaluated by visual analog scale …(VAS) score at pretreatment, 2 weeks, 6 months, 1 year and 2 years post-treatment. Oswestry disability index (ODI) score was evaluated pretreatment and at 2 years post-treatment. We also recorded the satisfaction period after PRF treatment. RESULTS: Twenty-three patients were available for the 2-year follow-up analysis. None of the patients had any side effects or procedure-related complications during the follow up period. The average VAS score declined from 7.1 ± 2.4 pre-treatment to 2.9 ± 2.1 2 weeks post-treatment, 2.6 ± 1.8 at 6 months, 2.8 ± 2.1 at 1 year and 3.0 ± 2.5 at 2 years. The average ODI score decreased from 33.6 ± 13.6 pre-treatment to 15.3 ± 5.7 at 2 years post-treatment. Mean satisfaction period after PRF treatment was 16.6 ± 9.43 months. CONCLUSION: PRF treatment on the medial branch is an effective and safe treatment option for patients with lower back pain. Show more

Keywords: Pulsed radiofrequency, continuous radiofrequency, medial branch, low back pain

DOI: 10.3233/BMR-160668

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 29, no. 2, pp. 361-366, 2016

Authors: Adiguzel, Emre | Yaşar, Evren | Tecer, Duygu | Güzelküçük, Ümüt | Taşkaynatan, Mehmet Ali | Kesikburun, Serdar | Özgül, Ahmet

Article Type: Research Article

Abstract: BACKGROUND: Peripheral nerve injury (PNI) is a common problem in the world resulting with severe disability. Etiological data is different in studies because of the study period, patient population, economic status, and workplace safety policies of the different countries. OBJECTIVE: To define epidemiological and etiological data of our patients with peripheral nerve injury and to identify factors influencing efficacy of rehabilitation methods and recovery. METHODS: Patients were compared by means of electromyography and muscle strength changes. Influence of orthotics use, disease interval and type of physical therapy (electrical stimulation or EMG biofeedback) was …assessed. RESULTS: There was no significant difference between groups. But we found weak correlation between EMG and motor changes. There was no difference in EMG and motor score changes in terms of orthotics use and type of physical therapy. When the patients were grouped according to EMG changes, we found significant difference by disease interval. Disease interval was longest in patients with no change in EMG. When the patients were grouped according to motor score changes, there was no significant difference by disease interval. CONCLUSION: Etiology of the patients didn't affect long term results in peripheral nerve injury. The results of this study might help rehabilitation teams to guide their follow-up. Show more

Keywords: Peripheral nerve injuries, rehabilitation, treatment outcome

DOI: 10.3233/BMR-160681

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 29, no. 2, pp. 367-371, 2016

Authors: Coskun Benlidayi, Ilke | Salimov, Fariz | Kurkcu, Mehmet | Guzel, Rengin

Article Type: Research Article

Abstract: BACKGROUND: Data regarding the effectiveness of Kinesio Taping in temporomandibular disorders (TMD) is scarce. OBJECTIVE: To determine the efficacy of Kinesio Taping (KT) in patients with TMD. METHODS: Patients with TMDs were randomized into experimental and control groups. The experimental group (n= 14) received KT in combination with counseling and jaw exercise, whilst controls (n= 14) were given the regimen of counseling and exercise alone. Jaw movements, Visual analogue scale (VAS) scores and self-reported measures (functional limitation and masticatory efficiency) were evaluated at baseline, first and sixth weeks of the treatment. Biobehavioral questionnaire …was filled out at baseline and at sixth week. RESULTS: Active mouth opening improved more in the experimental group than controls (p= 0.003). In the experimental group, VAS for temporomandibular joint, masticatory efficiency and functional limitation improved significantly at the sixth week when compared to baseline (p= 0.011, p= 0.001 and p= 0.001, respectively), but not in controls. Subjective treatment efficacy was higher in the experimental group than that of controls (p= 0.000). Pain, depression and disability scores reduced significantly in the experimental group (p= 0.001, p= 0.006 and p= 0.01, respectively), but not in controls. CONCLUSION: In conclusion, KT in combination with counseling and exercise is more effective than counseling and exercise alone in TMDs. Show more

Keywords: Kinesio taping, temporomandibular disorder, temporomandibular joint, temporomandibular pain

DOI: 10.3233/BMR-160683

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 29, no. 2, pp. 373-380, 2016

Authors: Babaei-Ghazani, Arash | Eftekharsadat, Bina

Article Type: Case Report

Abstract: A 26-year-old female who had been diagnosed with rheumatoid arthritis (RA) 5 years previously, developed multiple extra-articular cysts on shoulder and elbow. She referred to Physical Medicine and Rehabilitation department for musculoskeletal ultrasound guided intervention. RA cysts were resistance to previous blind injections and surgical resection. She had anterior shoulder and elbow pain and hand paresthesia. The average diameters of the cysts in sonography were 3 cm. The patient was keen to treat the cysts on her right shoulder and elbow as it hampered her activity of daily livings. However, it resisted previous interventions, when symptoms grew further we performed …ultrasound guided injection of cysts with Triamcinolone. The symptoms were relieved, and the cysts were resolved completely in 12 month follow up sonographic investigations. Show more

Keywords: Rheumatoid arthritis, multiple extra-articular synovial cysts, musculoskeletal sonography, ultrasound guided injection

DOI: 10.3233/BMR-150625

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 29, no. 2, pp. 381-385, 2016

Authors: Ren, Kai | Lan, Tao | Yu, Zheng | Chen, Yang | Tian, Chang-Qing | Gu, Hu-Sheng | Yang, Xin-Jian

Article Type: Case Report

Abstract: BACKGROUND AND OBJECTIVE: Fibrous dysplasia (FD) is a benign bone lesion manifested by local pain, swelling and deformity change. We report a case of monostotic fibrous dysplasia of the first thoracic vertebrae that treated by radical removal and reconstruction. CASE REPORT: A 29-year-old man with monostotic fibrous dysplasia of the first thoracic vertebrae was admitted to our department because of persistent, dull back pain for 3 months. Radical removal of the first thoracic vertebrae and reconstruction were performed in a combined posterior-anterior approach. This patient experienced complete pain relief without any complication. CONCLUSION: …This report presents a rare case of monostotic fibrous dysplasia of the first thoracic vertebrae, with symptoms of chronic back pain that was successfully treated with radical excision and reconstruction, providing a good option to the patient. Show more

Keywords: Monostotic, fibrous dysplasia, spine, surgical treatment

DOI: 10.3233/BMR-150647

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 29, no. 2, pp. 387-391, 2016