Journal of Back and Musculoskeletal Rehabilitation - Volume 33, issue 1

Authors: Özkuk, Kağan | Ateş, Zeynep

Article Type: Research Article

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. Show more

Keywords: Shoulder pain, obesity, SPADI, body mass index

DOI: 10.3233/BMR-181384

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 73-79, 2020

Authors: Kara, Ozgun Kaya | Yardımcı, Bilge Nur | Livanelioglu, Ayse | Soylu, Abdullah Ruhi

Article Type: Research Article

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. Show more

Keywords: Cerebral palsy, unilateral, touch, screen, technology

DOI: 10.3233/BMR-181385

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 81-89, 2020

Authors: Akaras, Esedullah | Guzel, Nevin A. | Kafa, Nihan | Özdemir, Yaprak A.

Article Type: Research Article

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 affected 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. Show more

Keywords: Hallux valgus, taping, gait, balance

DOI: 10.3233/BMR-181150

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 91-98, 2020

Authors: Reyhan, Aycan Cakmak | Sindel, Dilsad | Dereli, Elif Elcin

Article Type: Research Article

Abstract: BACKGROUND: Lateral epicondylitis (LE) is a common problem of the arm. Mulligan has proposed the use of mobilization with movement for LE. OBJECTIVES: To investigate the effects of Mulligan’s mobilization with movement (MWM) in LE. METHODS: Forty patients were included in the study and randomly assigned to group 1 (n = 20), who received MWM, exercise and cold therapy, or group 2 (n = 20), who received exercise and cold therapy. The sessions were conducted five times a week for two weeks. All …measures were conducted at baseline, after treatment, at 1st and 3rd months follow-ups. Mann-Whitney U test, a visual analogue scale (VAS) for pain intensity, Patient-rated Tennis Elbow Evaluation (PRTEE) Questionnaire for pain intensity and functional disability and a dynamometer for hand grip strength were applied. RESULTS: VAS activity pain significantly decreased in group 1 after treatment (p = 0.001), at the 1 st (p < 0.001) and 3 rd months (p = 0.040). There was a significant decrease in VAS night pain in group 1 (p = 0.024), and a significant increase in pain-free grip strength (p = 0.002) after treatment. PRTEE-Pain scores decreased in group 1 after treatment (p < 0.001), 1 st (p < 0.001) and 3 rd months (p = 0.001). CONCLUSIONS: MWM plus exercise and cold therapy is a safe and effective alternative with positive effects on elbow pain, functional capacity, and pain-free, maximum grip strength. Show more

Keywords: Lateral epicondylitis, Mulligan’s mobilization technique, exercise, cold therapy

DOI: 10.3233/BMR-181135

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 99-107, 2020

Authors: Shi, Hong | Lu, Jing-Hua | Wang, Shuang-Neng | Na, Qiang | Xu, Li-Fen | Hong, Jing-An

Article Type: Research Article

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. Show more

Keywords: Hip fracture, ALB, inflamatory cytokines, inflamatory markers

DOI: 10.3233/BMR-181191

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 109-117, 2020

Authors: Bari, Mohammad Zabed Jillul | Patwary, Ismail | Hussain, Delwar | Islam, S.A.H.M. Mesbahul | Rasker, Johannes J.

Article Type: Research Article

Abstract: OBJECTIVES: Chronic obstructive pulmonary disease (COPD) may increase the risk of osteoporosis and resulting fractures can contribute to disability and mortality of patients. We intended to evaluate the frequency of osteoporosis in male smokers with and without COPD and study whether any correlation existed between osteoporosis and COPD. MATERIALS AND METHODS: This case-control study was carried out in the Department of Medicine, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh between July 2013 and June 2015. Seventy four male smokers with COPD and 66 age-matched male smokers without COPD were enrolled. All individuals underwent Bone Mass …Densitometry (BMD) by Dual-Energy X-Ray Absorptiometry (DEXA). RESULTS: COPD and non-COPD groups did not differ regarding age and smoking pack-years. Osteoporosis at femoral neck (48.6% versus 16.7%; p < 0.001) and lumbar spine (68.9% versus 37.9%; p < 0.01) was significantly higher in COPD compared to controls. Osteopenia did not differ significantly. Patients with COPD were 4.5 times more likely to develop osteoporosis than controls after adjusting age, smoking-pack years and BMI (adjusted OR = 4.5; 95% CI = 1.8–11.5). CONCLUSIONS: Osteoporosis is more frequent in male smokers with COPD compared to smokers without COPD. COPD is a risk factor of osteoporosis independent of age, smoking and BMI. Show more

Keywords: Osteoporosis, male smokers, COPD, developing country, Bangladesh

DOI: 10.3233/BMR-181303

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 119-125, 2020

Authors: Elik, Hüseyin | Doğu, Beril | Yılmaz, Figen | Begoğlu, Feyza Akan | Kuran, Banu

Article Type: Research Article

Abstract: OBJECTIVE: The aim of this study was to determine the effects of platelet-rich plasma (PRP) treatment on pain, functionality, quality of life, and cartilage thickness in patients with knee osteoarthritis (OA). METHODS: Sixty patients with chronic knee pain were randomly separated into two groups. The first group was administered 4-ml PRP intra-articularly (IA) in three doses at one-week intervals, and the second group had only one dose of a 4-ml saline solution IA. The patients’ pain was measured using the Visual Analogue Scale (VAS); functionality was measured using the Western Ontario and McMaster University Osteoarthritis Index …(WOMAC). The distal femur cartilage thickness was assessed using ultrasonography (USG). RESULTS: All baseline parameters were similar (p > 0.05). In the first and sixth months after the treatment, the VAS scores of the PRP group were significantly low (p < 0.001). In the same group, only the pain sub-score was low in the WOMAC assessment in the first month after treatment. However, in the sixth month, all parameters of the WOMAC score were lower than those of the placebo group (p < 0.05). Cartilage thickness measurements were similar in the two groups (p < 0.05). CONCLUSION: PRP treatment had positive effects on the pain, physical function, and quality of life of patients with knee OA, but it did not increase cartilage thickness. Show more

Keywords: Osteoarthritis, platelet-rich plasma (PRP), cartilage thickness

DOI: 10.3233/BMR-181374

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 127-138, 2020

Authors: Kavyani, Mahsa | Nasiri, Elham | Karimi, Mohammad Taghi | Fatoye, Francis

Article Type: Research Article

Abstract: BACKGROUND : Adolescent idiopathic scoliosis (AIS) may change the physical orientation of body segments and affect balance in individuals. Spinal/trunk brace is commonly used for the management of idiopathic scoliosis. The aim of this study was to compare the standing stability of AIS patients with and without a brace, and to compare them with healthy subjects. METHOD : Twenty subjects (10 healthy subjects and 10 AIS with thoracolumbar/lumbar curve) were recruited for the study. Stability of the scoliotic subjects was evaluated while standing with and without orthosis. A Kistler force plate was employed to estimate the mediolateral and …anteroposterior displacements of center of pressure. RESULTS : The results of this study indicated that there was no significant difference between center of pressure variables in healthy subjects and scoliotic patients. Moreover, trunk bracing only influenced the center of pressure (CoP) excursion in mediolateral direction (p < 0.05). CONCLUSION : Although further research studies are needed, results showed that there was no difference between stability of scoliotic and normal subjects. Moreover, the use of orthosis did not improve their standing stability. Show more

Keywords: Stability, scoliosis, brace, standing

DOI: 10.3233/BMR-170908

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 139-143, 2020

Authors: de Brito Macedo, Liane | Borges, Daniel Tezoni | Melo, Samara Alencar | da Costa, Karinna Sonálya Aires | de Oliveira Sousa, Catarina | Brasileiro, Jamilson Simões

Article Type: Research Article

Abstract: BACKGROUND: Smartphone devices have been used to measure range of motion (ROM) in different joints. OBJECTIVE: To verify the concurrent validity of thoracolumbar ROM using a mobile application and a digital inclinometer, as well as the intrarater reliability of individuals with and without back pain. METHODS: One investigator was responsible for measuring the ROM during the evaluations performed on 20 asymptomatic subjects and 20 symptomatic subjects in two consecutive days. RESULTS: Regarding to the concurrent validity, the Intraclass Correlation Coefficients (ICC) were classified as very good for all analyzed movements. …For intrarater reliability, the mobile application had ICC varying between good and very good for the symptomatic subjects and very good for asymptomatic subjects. CONCLUSIONS: The mobile application may be considered a valid and reliable tool to assess thoracolumbar ROM for both asymptomatic and chronic low back pain subjects. Show more

Keywords: Data accuracy, reproducibility of results, spine

DOI: 10.3233/BMR-181396

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 145-151, 2020

Authors: Hassan, Furqan | Osama, Muhammad | Ghafoor, Abdul | Yaqoob, Muhammad Furqan

Article Type: Research Article

Abstract: BACKGROUND: Cervical radiculopathy is a relatively common musculoskeletal disorder resulting in a significant social and occupational impact. Manual therapy is thought to provide relief in cervical radiculopathy; however, evidence is lacking regarding the comparison of different manual therapy concepts. OBJECTIVE: To determine the effects of Maitland’s oscillatory mobilization as compared to Kaltenborn’s sustained stretch mobilization in the management of cervical radiculopathy. METHODS: A randomized controlled trial was conducted at Fauji Foundation Hospital comprising of 46 patients randomized into oscillatory and sustained stretch mobilization groups. Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI) …and cervical range of motion (ROM) were used as outcome variables. RESULTS: No significant differences were observed at base line between the two groups (P > 0.05) except for ROM in extension and left side bending (P < 0.05). In terms of pre and post treatment comparison, P value of less than 0.05 was observed for both groups, indicating both treatments to be effective in isolation. However, post treatment comparison between both groups showed oscillatory mobilization to be superior to sustained stretch mobilization (P < 0.05) in the management of cervical radiculopathy except for the outcomes of pain and side bending. CONCLUSION: Both oscillatory and sustained stretch mobilization techniques are found to be effective in the management of cervical radiculopathy in terms of pain, range and disability. However, oscillatory mobilization is found to be superior in terms of functional ability and range of motion. Show more

Keywords: Cervical radiculopathy, mobilization, maitland, kaltenborn, neck pain

DOI: 10.3233/BMR-170914

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 33, no. 1, pp. 153-158, 2020