Journal of Back and Musculoskeletal Rehabilitation - Volume 35, issue 6

Authors: Fudickar, Sebastian

Article Type: Editorial

DOI: 10.3233/BMR-225004

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1169-1170, 2022

Authors: Lee, Yangjin | Kim, Kyunghun

Article Type: Research Article

Abstract: BACKGROUND: Problems with motor functions, balance and gait ability commonly occur in stroke patients and cause asymmetric posture imbalance and gait patterns. OBJECTIVE: We examined the effects of gait training (GT) combined with portable functional electrical stimulation (FES) on motor functions, balance and gait ability of stroke patients. METHODS: A single blind, randomized control trial was conducted with 34 post stroke patients who were randomly allocated to two groups: 1) FES + GT group (n = 17) and the placebo FES + …GT (PLBO + GT) group (n = 17). All interventions were given for 30 minutes, 5 days a week for 4 weeks. Fugl-Meyer assessment (FMA) was used to measure motor function of lower extremity. Performance oriented mobility assessment (POMA) was used to balance and gait ability. OptoGait was used to analyze gait ability. RESULTS: Both groups showed significant improvements in motor function, balance and gait ability. The FES + GT group showed significantly greater improvement in motor function, balance and gait abilities after four weeks compared to the PLBO + GT group. CONCLUSION: It was found that the gait training applied with FES is effective in improving the motor function, balance and gait abilities of stroke patients. Show more

Keywords: Functional electrical stimulation, stroke, gait, balance

DOI: 10.3233/BMR-210154

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1171-1178, 2022

Authors: Ansuategui Echeita, Jone | Schiphorst Preuper, Henrica R. | Dekker, Rienk | Reneman, Michiel F.

Article Type: Research Article

Abstract: BACKGROUND: Central sensitization (CS) is present in a subgroup of patients with chronic low back pain (CLBP). Studies on the relationship between CS and functioning have limited operationalizations of CS and functioning. OBJECTIVE: To determine whether CS was related to functioning in patients with CLBP (cross-sectional); and to determine whether changes in CS were related to changes in functioning (longitudinal). METHODS: An observational prospective cohort study with data collected at baseline and discharge of an interdisciplinary pain rehabilitation program was executed. CS indicators: CS Inventory part A (CSI-A), quantitative sensory testing (QST), root mean …square of successive differences of heart-rate variability (RMSSD). Functioning measures: lifting capacity, physical functioning subscale of Rand36 (Rand36-PF), Work Ability Score (WAS), Pain Disability Index (PDI). Main analyses included correlation and multiple regression controlling for confounders; cross-sectional with baseline data and longitudinal with deltas (Δ ). RESULTS: 76 patients with primary CLBP participated at baseline and 56 at discharge. Most associations were weak (cross-sectional r 𝑝𝑎𝑟𝑡𝑖𝑎𝑙 = - 0.30–0.24; longitudinal r 𝑝𝑎𝑟𝑡𝑖𝑎𝑙 = - 0.37–0.44). Cross-sectional multiple regression significant associations: mechanical pain threshold-QST and lifting capacity (r 𝑝𝑎𝑟𝑡𝑖𝑎𝑙 = - 0.39), parasympathetic/vagal tone-RMSSD and physical functioning–Rand36-PF (r 𝑝𝑎𝑟𝑡𝑖𝑎𝑙 = 0.26). Longitudinal multiple regression significant associations: Δ parasympathetic/vagal tone-RMSSD and Δ lifting capacity (r 𝑝𝑎𝑟𝑡𝑖𝑎𝑙 = 0.48), Δ CSI-A and Δ disability-PDI (r 𝑝𝑎𝑟𝑡𝑖𝑎𝑙 = 0.36). Cross-sectional and longitudinal final regression models explained 24.0%–58.3% and 13.3%–38.0% of total variance. CONCLUSION: CS was weakly related to functioning, and decreases in CS were weakly-moderately related to increases in functioning. Show more

Keywords: Hyperalgesia, lifting, physical functioning, disability, work ability

DOI: 10.3233/BMR-210322

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1179-1190, 2022

Authors: den Boer, Pim K.W. | Schulte, Gil | Muris, Dennis M.J. | Deckers, Patrick | Bemelmans, Yoeri F.L. | Schotanus, Martijn G.M. | Winkens, Bjorn | Ottenheijm, Ramon P.G.

Article Type: Research Article

Abstract: BACKGROUND: Because shoulder pain can have an unfavorable prognosis, it is important to have a better understanding of factors that may influence recovery. OBJECTIVE: To determine the association between recovery from shoulder pain and the presence of depression, anxiety, and pain catastrophizing. METHODS: In a prospective cohort study with a six months follow-up, we included patients visiting an orthopaedic department with shoulder pain. Primary outcome was recovery from shoulder pain measured with the Shoulder Pain and Disability Index at three and six months. Information about depression and anxiety (Hospital Anxiety and Depression Scale), …pain catastrophizing (Pain Catastrophizing Scale), and demographic and clinical factors were collected at baseline. A linear mixed model was used to estimate the effects of depression, anxiety, pain catastrophizing, and underlying shoulder disorders on recovery. RESULTS: We included 190 patients. There were no statistically significant associations between the presence of depression, anxiety, and pain catastrophizing, and three- and six-month recovery. Also between the underlying shoulder disorders and recovery at three and six months, there were no statistically significant associations. CONCLUSIONS : We could not prove that depression, anxiety, and pain catastrophizing, as well as underlying shoulder disorders, were associated with recovery of shoulder pain at six months. Show more

Keywords: Shoulder, prognosis, depression, anxiety, catastrophizing

DOI: 10.3233/BMR-220018

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1191-1201, 2022

Authors: Bibrowicz, Karol | Szurmik, Tomasz | Lipowicz, Anna | Walaszek, Robert | Mitas, Andrzej

Article Type: Research Article

Abstract: BACKGROUND: Disturbances in pelvic girdle tilt can cause compensatory changes affecting postural dysfunctions, and can lead to hip and groin strain changes and back pain. However, we still have no clear information on the normative values of pelvic girdle tilt and mobility. OBJECTIVE: The study aimed to (1) evaluate the position and mobility of the pelvic girdle in the sagittal and frontal planes in asymptomatic adults aged 19–30, (2) evaluate the possible variation of results according to gender and to develop a proposal for normative values, and (3) evaluate whether body mass, height and BMI are …related to the magnitude of hip girdle position and mobility. METHODS: The research was conducted in a sample group consisting of 346 men and women using the scaled form of the anthropometric level of the Duometr ® The values of position and mobility of the pelvic girdle in the sagittal and frontal planes were analyzed. RESULTS: Differences were noted in the values of the pelvic tilt (p = 0.033) between the men and women. The women showed slightly higher values of posterior range of motion (p = 0.0002) and total range of motion (p = 0.002). The other parameters did not show any significant variation. There was no clear association between body weight, height and BMI and the study variables, except for a small, significant correlation between BMI and posterior pelvic tilt in women (r = 0.175, p = 0.005). In the frontal plane there were no differences in the analyzed variables in terms of gender or side of the body measured. CONCLUSIONS: There was no association between the anthropometric variables and the pelvic girdle tilt and mobility. No size variation by gender was observed in the frontal plane. Slight differences were observed in the sagittal plane. Normative values are proposed. Show more

Keywords: Pelvic tilt, lateral pelvic tilt, pelvic range of motion, measurements, Duometr

DOI: 10.3233/BMR-200176

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1203-1210, 2022

Authors: Jeon, Jeongwoo | Lhee, Sang Hoon | Chong, Suri | Lee, Dongyeop | Yu, Jaeho | Kim, Jinseop | Kim, Seong-Gil | Hong, Jiheon

Article Type: Research Article

Abstract: BACKGROUND: Tibial rotation accompanying sagittal movement contains the phenomenon of screw-home movement (SHM) of the knee, which plays an important role in knee stability during extension. OBJECTIVE: This study aimed to investigate the change of SHM in patients with knee osteoarthritis (OA). METHODS: Thirty-one sex-matched patients with knee OA and 31 normal subjects were recruited. The total tibial rotation was obtained during knee sagittal movement (extension and flexion) using an inertial measurement unit. The acquired angle of tibial rotation was divided into eight periods. The total tibial rotation and the variation of each …period were compared between the OA and control groups. The difference in tibial rotation according to Kellgren-Lawrence (KL) grade was compared. RESULTS: The total tibial rotation of the OA group decreased compared with the control group during knee extension and flexion (P < 0.001). Variations of tibial rotation were significantly different between groups in all periods (P < 0.001) except for knee extension at 70 ∘ to 45 ∘ (P = 0.081). There was no significant difference in tibial rotations among the KA grades of OA patients. CONCLUSION: We found a reduction in the total tibial rotation and loss of the SHM in the unloaded OA knee. It could be predicted that reduced SHM appeared early in knee OA. Show more

Keywords: Knee osteoarthritis, knee kinematics, tibial rotation, screw-home movement, open kinetic chain

DOI: 10.3233/BMR-210086

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1211-1218, 2022

Authors: Rodríguez-Pastor, José Antonio | Caro-Puértolas, Berta | Caña-Pino, Alejandro | Sánchez-Preciado, Antonio Manuel | Garrido-Ardila, Elisa María | Apolo-Arenas, Ma Dolores

Article Type: Research Article

Abstract: BACKGROUND: One of the main problems faced by physiotherapists in primary care is low back pain with or without radiation to lower limbs. There are many different treatment approaches for the management of low back pain. Despite the large amount of published studies, the evidence remains contradictory. OBJECTIVE: To evaluate the influence of the osteopathic manipulation of the sacroiliac joint on low back pain with or without radiation to lower limbs. METHOD: Single-blind randomized clinical controlled trial. Participants with low back pain with or without lower limb radiation were randomized to osteopathic manipulation …of the sacroiliac joint group (intervention, 6 sessions) or to an electrotherapy group (control, 15 sessions) for 3 weeks. Measures were taken at baseline (week 0) and post-intervention (week 4). The primary outcome measures were pain (Visual Analogue Scale), functional disability (Oswestry disability index and Roland Morris questionnaire). The secondary outcome measure was pain threshold at muscular tender points in the quadratus lumborum, pyramidal, mayor gluteus, and hamstrings. RESULTS: In all, 37 participants completed the study. The results of the intragroup comparisons showed statistically significant improvements in both groups in the visual analogue scale (Osteopathic manipulation group, P = 0.000; Electrotherapy group, P = 0.005) and Oswestry disability index (Osteopathic manipulation group, P = 0.000; Electrotherapy group- P = 0.026) but not in the Roland Morris questionnaire (P = 0.121), which only improved in the intervention group (P = 0.01). The osteopathic manipulation was much more effective than electrotherapy improving to pain and functional disability. CONCLUSION: Osteopathic manipulation of the sacroiliac joint improves pain and disability in patients with sacroiliac dysfunction after three weeks of treatment. Show more

Keywords: Sacroiliac joint, low back pain, osteopathic manipulation of the sacroiliac joint, electrotherapy

DOI: 10.3233/BMR-210120

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1219-1226, 2022

Authors: Zhong, Xiqiang | Xia, Haijie | Li, Yimin | Tang, Chengxuan | Tang, Xiaojun | He, Shaoqi

Article Type: Research Article

Abstract: BACKGROUND: Kyphoplasty for osteoporotic vertebral compression fractures (OVCF) is a short but painful intervention. Different anesthetic techniques have been proposed to control pain during kyphoplasty; however, all have limitations. OBJECTIVE: To compare the effectiveness and safety of ultrasound-guided thoracic paravertebral block with local anesthesia for percutaneous kyphoplasty (PKP). METHODS: In this prospective study, non-randomized patients with OVCF undergoing PKP received either ultrasound-guided thoracic paravertebral block (group P) or local anesthesia (group L). Perioperative pain, satisfaction with anesthesia, and complications were compared between the groups. RESULTS: Mean intraoperative (T1–T4) perioperative visual …analog scale (VAS) scores were significantly lower in group P than in group L (2 [1–3] vs. 3 [2–4], 2 [2–3] vs. 4 [2–4], 2 [2–3] vs. 5 [3–5], and 3 [2–3] vs. 5 [3–5], respectively; P < 0.05). Investigators’ satisfaction scores, patients’ anesthesia satisfaction scores, and anesthesia re-administration intention rate were significantly higher in group P than in group L (4 [3–5] vs. 3 [2–4], 2 [2–3] vs. 2 [1–3], 90.63% vs. 69.70%; P < 0.05). There was no significant intergroup difference in complications. CONCLUSIONS: Ultrasound-guided thoracic paravertebral block has similar safety to and better effectiveness than local anesthesia in PKP. Show more

Keywords: Local anesthesia, osteoporotic vertebral compression fracture, percutaneous kyphoplasty, thoracic paravertebral block, ultrasound-guided

DOI: 10.3233/BMR-210131

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1227-1235, 2022

Authors: Kim, Kyung-Hun | Kim, Dong-Hoon

Article Type: Research Article

Abstract: BACKGROUND: Numerous studies have investigated factors for trunk, balance stability and gait parameters of post-stroke patients. Evidence-based recommendations are required for the treatment of ankle proprioceptive exercise with thermal stimulation in post-stroke patients. OBJECTIVE: We investigated the effects of ankle proprioceptive exercise with thermal stimulation on the trunk stability, balance, and gait ability of post-stroke patients. METHODS: A total of 30 patients were randomly divided into the ankle proprioceptive training and thermal stimulation group (APT) and control group. The APT group performed ankle proprioceptive exercises with thermal stimulation for 60 min five times …a week for eight weeks. The control group followed conservative treatment for 60 min five times a week for eight weeks. Trunk stability was measured with the trunk impairment scale (TIS) and balance tests were performed with the center of pressure (COP), limits of stability (LOS), Berg Balance Scale (BBS), and functional reach test (FRT) and gait ability was performed by OptoGait and 10 m WT. RESULTS: There was a significant difference (p < 0.05) between before and after training in both groups. The APT group showed significant improvement in both groups. CONCLUSION: This study can be used as intervention data for recovering trunk, balance stability and gait parameters in post-stroke patients. Show more

Keywords: Thermal, proprioceptive, balance, gait, chronic stroke

DOI: 10.3233/BMR-210141

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1237-1246, 2022

Authors: Khanittanuphong, Phichamon | Saesim, Arpaporn

Article Type: Research Article

Abstract: BACKGROUND: Dry needling (DN) is commonly used to treat myofascial trigger points (MTrPs). OBJECTIVE: To compare the effect between DN with and without needle retention in the treatment of MTrPs in the upper trapezius muscle. METHODS: Fifty-four patients who had active MTrPs in the upper trapezius muscle were randomly allocated into the DN group or the DN with retention group. The DN group received DN only, while the DN with retention group received DN with needle retention for 30 minutes. The visual analogue scale (VAS) and pressure pain threshold (PPT) were recorded both …before and after 7 and 14 days of the treatment sessions. RESULTS: Both groups showed a significant decrease of the VAS at 7 and 14 days (mean difference DN group - 53.0, DN with retention group - 57.0, p < 0.001). The PPT was also significantly improved in both groups (mean difference DN group 109.8 kPa, DN with retention group 132.3 kPa, p < 0.001). However, there were no significant differences in the VAS or PPT between the groups. CONCLUSIONS: Both DN and DN with retention had significant improvement of pain intensity in the treatment of MTrPs in the upper trapezius muscle at 14 days. However, pain reduction was not significantly different between the interventions. Show more

Keywords: Myofascial trigger points, upper trapezius muscle, dry needling, needle retention

DOI: 10.3233/BMR-210177

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 35, no. 6, pp. 1247-1255, 2022