Journal of Back and Musculoskeletal Rehabilitation - Volume 32, issue 1

Authors: Demirel, Adnan | Baykara, Murat | Koca, Tuba Tülay | Berk, Ejder | Gençay, Ökkeş Alparslan

Article Type: Research Article

Abstract: BACKROUND: The effect of different exercise modalities on the vascular structure has been the subject of clinical trials but there is not enough data about wrestlers. OBJECTIVE: This study aimed to compare the arterial stiffness parameters in adolescent wrestlers with those of age-matched sedentary controls to show the effects of long and heavy training. METHODS: This study was carried out as a case-control study. Thirty three (N = 33) elite male adolescent wrestlers (12–18 years) and 35 age and sex-matched control subjects (P = …0.438) with a sedentary lifestyle were included the study. The data was obtained by using sonography and a sphygmomanometer. Systolic and diastolic diameters and intima media thickness (IMT) measurements were performed from the carotid arteries of the subjects. The arterial tension was measured in the same session, and arterial stiffness parameters were calculated using specific formulas. RESULTS: The mean age range was 15.9 ± 0.9 years and 16.0 ± 0.8 years for the wrestlers and control subjects, respectively (P = 0.43). Statistically, the Body Mass Index (BMI) was significantly higher in wrestlers (mean = 23.7 ± 4.0 kg/m 2 ; P = 0.00). The groups had no difference in height (P = 0.80) and weight (P = 0.05). The systolic blood pressure (SBP) was significantly higher in wrestlers (mean = 120 ± 13.4 mmHg; P = 0.00); the pulse was significantly lower in wrestlers (mean = 69.61 ± 17.2 beats/min; P = 0.00); the IMT was significantly lower in wrestlers (IMT mean = 0.288 ± 0.1 mm; P = 0.01); the diastolic wall stress (DWS) was significantly higher in wrestlers (DWS mean = 933.64 ± 298.0 mmHg; P = 0.03) than controls. No significant differences were found in the elastic modulus (P = 0.11), compliance (P = 0.86), and distensibility (P = 0.86) parameters between the groups. CONCLUSION: Bradycardia is an expected condition for athletes. SBP and DWS were found to be high in wrestlers, suggesting that arterial tissue is more susceptible to stress. The low IMT indicates the protective effect of regular exercise against atherosclerosis. It is known that regular exercise is good for the vascular structure while heavy exercise puts a load on the vascular structure. The fact that the elastic modulus, compliance, and distensibility do not differ between the groups suggests that structural changes in the adolescents have no effect on the vascular wall. Show more

Keywords: Exercise, arterial stiffness, sonography, wrestling

DOI: 10.3233/BMR-171083

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 32, no. 1, pp. 155-160, 2019

Authors: Yilmaz, Merve | Sahin, Mustafa | Algun, Z. Candan

Article Type: Research Article

Abstract: BACKGROUND: Home-based exercise therapy is effective in reducing pain and improving function in adults with osteoarthritis of the knee. OBJECTIVE: To investigate and compare the effectiveness of the home exercise program and the home exercise program taught by a physiotherapist in knee osteoarthritis. METHODS: The study was conducted with 80 patients with knee osteoarthritis. The patients were randomized into two groups. The first group was given the home exercise brochure by the orthopedist, while the second group did home exercises under the guidance of the physiotherapist. The goniometer for the range of motion …(ROM) of the knee, Myometer for evaluation of the quadriceps and hamstring muscles strength, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and the Short Form Health Survey (SF-36) were used for evaluation. RESULTS: Statistically significant improvements were found in the post-treatment ROM, VAS, quadriceps and hamstring muscles strength, WOMAC and SF-36 values in both groups (p < 0.05). When the change values were compared, the evaluation results of group II were better than group I statistically (p < 0.05). CONCLUSIONS: This study proved that home exercises taught by a physiotherapist were more useful for patients with knee osteoarthritis. When the home exercise program is implemented, a new role is created for a physiotherapist. Show more

Keywords: Knee osteoarthritis, physiotherapy, home exercise, exercise education

DOI: 10.3233/BMR-181234

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 32, no. 1, pp. 161-169, 2019

Authors: Menek, Burak | Tarakci, Devrim | Algun, Z. Candan

Article Type: Research Article

Abstract: BACKGROUND: Mulligan mobilization techniques cause pain and affect the function in patients with Rotator cuff syndrome. OBJECTIVE: The aim of the study was to investigate the effect of Mulligan mobilization on pain and quality of life in individuals with Rotator cuff syndrome. METHODS: This study was conducted on 30 patients with Rotator cuff syndrome. The patients were randomized into Mulligan and control group. All the patients participating in this study were treated with conventional physiotherapy. Additionally, the Mobilization with movement (MWM) technique was used in the Mulligan group. Visual Analog Scale (VAS), Disabilities …of the Arm, Shoulder, and Hand (DASH), goniometer for the normal range of motion (ROM) and Short Form-36 (SF-36) questionnaires were used for assessment. RESULTS: Statistically significant improvement was found in the post-treatment VAS, DASH, SF-36, and ROM values significantly improved in both groups (p < 0.05). However, the Mulligan group showed much better results when compared to the control group in ROM, VAS, DASH (p < 0.05). In the SF-36 questionnaire, significant results were obtained for both groups, except the social function parameter. For the SF-36 parameters, both groups performed equally. CONCLUSIONS: Mulligan mobilization was more effective than general treatment methods for pain as well as normal joint motion, DASH scoring and some parameters of SF-36 compared with general treatment methods. Show more

Keywords: Rotator cuff syndrome, Mulligan mobilization, pain, quality of life

DOI: 10.3233/BMR-181230

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 32, no. 1, pp. 171-178, 2019

Authors: Bohannon, Richard W. | Tudini, Frank | Constantine, Deborah

Article Type: Research Article

Abstract: OBJECTIVE: Our purpose was to summarize the literature on the applicability, procedures for performing, and clinimetric findings related to the measurement of tragus-to-wall (TTW) distance. METHOD: Pubmed, Scopus, and CINAHL databases were systematically searched using the key words “tragus” AND “wall”. Articles were examined for information on the participants whose TTW distance was measured, the procedures used for measuring TTW, and findings regarding TTW distances measured and the clinimetric properties of the measurements. RESULTS: Thirty-nine articles were identified that described use of the TTW test. Most used the test with patients with ankylosing …spondylitis. We found evidence for the convergent and known groups validity and reliability of the TTW measurements. Limited support for the responsiveness of TTW measurements was found. Two studies provided normative reference values. CONCLUSIONS: The TTW test is a simple objective indicator of forward flexed posture supported by research on its validity and reliability. More specific information on responsiveness and age-specific norms would increase the value of this nonspecific postural indicator. Show more

Keywords: Tragus and wall, posture, ankylosing spondylitis

DOI: 10.3233/BMR-171090

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 32, no. 1, pp. 179-189, 2019