Journal of Back and Musculoskeletal Rehabilitation - Volume 36, issue 2

Authors: Tavares, Luiz Felipe | Gadotti, Inae Caroline | Ferreira, Lidiane Macedo | Maciel, Alvaro Campos Cavalcanti | Carvalho, Bruna Guimaraes | Barbosa, Gustavo Seabra | Almeida, Erika Oliveira | Ribeiro, Karyna Figueiredo

Article Type: Research Article

Abstract: BACKGROUND: Otological complaints (OC) are highly prevalent in subjects with temporomandibular disorders (TMD) and so is the risk of neck dysfunctions. OBJECTIVE: To evaluate pain, deep neck flexor (DNF) performance, disability, and head and neck posture of individuals with TMD with and without OC. METHODS: In this cross-sectional study, 57 individuals were divided into a group with TMD and OC (n = 31) and a group with TMD without OC (n = 26). Self-reported pain intensity, masticatory and neck muscles pressure pain thresholds, …DNF performance, neck disability, and head and neck posture were evaluated. Data were compared between groups using the independent t test and Mann-Whitney test with Bonferroni correction for multiple comparisons. Effect sizes were evaluated using Cohen’s index. RESULTS: The TMD with OC group presented less muscle activation [26 (24–28) vs. 24 (24–26) mmHg; p < 0.05], less endurance [105 (46–140) vs. 44 (28–78) points; p < 0.05], and greater neck disability (8.15 ± 5.89 vs. 13.32 ± 6.36 points; p < 0.05). No significant difference was observed in self-reported pain, head and neck posture, or pressure pain thresholds. CONCLUSION: Individuals with TMD with OC presented decreased DNF performance and increased neck disability compared to individuals with TMD without OC. Show more

Keywords: Neck muscles, neck pain, dizziness, tinnitus, temporomandibular joint

DOI: 10.3233/BMR-220079

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 2, pp. 465-475, 2023

Authors: Dudoniene, Vilma | Balnytė, Milda | Kuisma, Raija

Article Type: Research Article

Abstract: BACKGROUND: Plantar fasciitis (PF) is a common condition amongst athletes as well as in non-sporting population. It is characterised by a sharp pain under the calcaneus during walking. The impact of pain due to PF on gait and static balance is examined in this observational study. OBJECTIVE: To compare gait and balance between individuals with PF and age-matched controls without PF. METHOD: A cross-sectional observational study was executed in an Outpatient Rehabilitation Centre. Twenty-nine participants were included, 14 with PF, and 15 age-matched healthy asymptomatic individuals. Main outcome measures were foot pain, foot …function index (FFI), static balance measured with modified Romberg test, static balance measured on the TYMO ® system, and gait with the G-Walk System. RESULTS: Foot pain and FFI were adversely related to balance and gait parameters in subjects with PF. Static balance with eyes open and eyes closed on firm and soft surface measured on the TYMO ® balance platform as well as gait parameters measured with the G-Walk system, were significantly lower in subjects with PF compared to age-matched healthy controls. CONCLUSION: PF negatively affects parameters of static balance measured with TYMO ® system and gait parameters measured with the G-Walk System. However, the Romberg balance test did not detect differences between subjects with PF and age-matched healthy controls. Show more

Keywords: Pain, walking, foot function

DOI: 10.3233/BMR-220092

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 2, pp. 477-484, 2023

Authors: Chankavee, Nanniphada | Amatachaya, Sugalya | Hunsawong, Torkamol | Thaweewannakij, Thiwabhorn | Mato, Lugkana

Article Type: Research Article

Abstract: BACKGROUND: Thoracic hyperkyphosis is common in the elderly, especially in women, and results in impaired balance control, impaired functional mobility and an increased risk of multiple falls. The 7 th cervical vertebra wall distance (C7WD) is a practical method for evaluating thoracic hyperkyphosis. OBJECTIVE: This study calculated C7WD cut-off scores that may identify impaired balance control, impaired functional mobility and an increased risk of multiple falls in elderly community-dwelling women with thoracic hyperkyphosis. This study also explored the correlation between C7WD, balance control and functional mobility. METHODS: Sixty participants …were assessed for thoracic hyperkyphosis using the C7WD, balance control using the functional reach test (FRT), functional mobility using the timed up-and-go test (TUG) and a history of falls using their personal information. RESULTS: The data indicated that a C7WD of at least 7.95 cm, 8.1 cm and 8.8 cm had a good to excellent capability of identifying impaired balance control, impaired functional mobility and an increased risk of multiple falls, respectively. The C7WD results were significant and correlated with balance control (r s = - 0.68) and functional mobility (r s = 0.41). CONCLUSIONS: The C7WD may be utilised as a screening tool for these three impairments in this population. Show more

Keywords: Hyperkyphosis, gerontology, screening, community

DOI: 10.3233/BMR-220105

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 2, pp. 485-492, 2023

Authors: Grosdent, Stéphanie | Grieven, Luisa | Martin, Emilie | Demoulin, Christophe | Kaux, Jean-François | Vanderthommen, Marc

Article Type: Research Article

Abstract: BACKGROUND: Resisted training of the trunk muscles improves outcomes in chronic low back pain (CLBP). The Itensic b-effect machine was designed to provide resisted training through posterior translation of the pelvis in a seated, forward-tilted position, in contrast with traditional machines that involve extension of the trunk. OBJECTIVE: To study the effectiveness of lumbopelvic training on the Itensic b-effect machine in individuals with CLBP. METHODS: Participants were allocated to 4 weeks of either progressive Itensic (I) training in addition to an education/exercise (EE) program (I+ EE group, n …= 23) or the education/exercise program alone (EE group, n = 22). Primary outcome: Roland Morris Disability Questionnaire (RMDQ). Secondary outcomes: pain (0–10 numeric rating scale), trunk extensor endurance (Sorensen test), motor control (thoraco-lumbar dissociation test) and mobility (finger-to-floor test). RESULTS: RMDQ score improved more in the I+ EE group than in the EE group (with a between-group difference at the pos-test). Pain and mobility improved in the I+ EE group only, motor control improved in both groups with no between-group difference and the Sorensen test did not improve significantly in either group. CONCLUSIONS: Resisted posterior pelvic translation using the Itensic machine in addition to an education/exercise program improved disability, pain and mobility more than the education/exercise program alone. Show more

Keywords: Back pain, resistance training, muscles, disability

DOI: 10.3233/BMR-220119

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 2, pp. 493-502, 2023

Authors: Su, Peng | Liu, Feng | Zhang, Yi | Zhu, Jian Hua | Zhang, Li Chao

Article Type: Research Article

Abstract: BACKGROUND: Due to the influence of spinal and respiratory movements, it is difficult to accurately measure the range of motion of each joint. OBJECTIVE: To conduct a three-dimensional (3D) measurement of each joint in the shoulder complex in different postures in the sagittal plane of the upper extremity. METHODS: Thirteen healthy adults with no history of shoulder surgery for trauma or chronic pain were enrolled in the present study. The computed tomography (CT) imaging data of the shoulder complex were acquired in four postures via the reconstruction and alignment of 3D images. The …angles of the postural changes were measured, and rotation vectors were used for descriptions and statistical analyses. RESULTS: There was a statistical difference in the rotation angles between the dominant and non-dominant sides of the sternoclavicular joint when the posture changed from a resting position to a posterior inferior position. During the postural change from a resting position to a horizontal position, the regression coefficient (β ) of the humerothoracic joint to the sternoclavicular joint was 0.191, and the β of the humerothoracic joint to the glenohumeral joint was 0.621. During the postural change from the horizontal position to the rear upper position, the β of the humerothoracic joint to the sternoclavicular joint was 0.316, and the β of the humerothoracic joint to the glenohumeral joint was 0.845. During the postural change from the resting position to the rear lower position, the β of the humerothoracic joint to the glenohumeral joint was 0.991. CONCLUSION: The application of the image alignment technique enabled the direct and accurate measurement of the bony structures of the shoulder joint. The helical approach accurately described the scapulohumeral rhythm during 3D motion. There was a scapulohumeral rhythm of the shoulder complex during 3D composite sagittal movement, with different ratios for different joints and postures. Show more

Keywords: CT image alignment, shoulder complex, rotation vector, scapulohumeral rhythm

DOI: 10.3233/BMR-220132

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 2, pp. 503-515, 2023

Authors: Li, Hui | Hu, Ying | Gan, Lin | Wang, YiXuan

Article Type: Research Article

Abstract: BACKGROUND: An osteoporotic fracture (OPF) can significantly affect patients’ activities of daily living (ADLs). OBJECTIVE: This study observed the effects of evidence-based nursing (EBN) on the occurrence of postoperative complications and ADLs in patients with a vertebral OPF. METHODS: A total of 90 patients with vertebral OPF were divided into two groups. The conventional orthopedic nursing method was conducted for the control group, and the EBN model was delivered for the observation group. RESULTS: Differences in the Barthel index (BI) score on the first day of admission were not statistically …significant between the two groups. The BI scores on the day before discharge, compared with the day of admission, had improved in both groups. The BI score on the day before discharge was 83.67 ± 6.94 in the observation group, and the difference was statistically significant (P < 0.05) compared with the control group (76.56 ± 6.89). The rate of satisfaction with nursing in the observation group (100.0%) was significantly higher than in the control group (82.2%) (P < 0.05). The incidence of postoperative complications in the observation group (2.2%) was significantly lower than in the control group (24.4%) (P < 0.05). CONCLUSIONS: The implementation of EBN in patients with vertebral OPF improved the postoperative ADLs, reduced the incidence of postoperative complications, and improved the patients’ satisfaction with nursing. Show more

Keywords: Osteoporotic fracture, evidence-based nursing, activities of daily living, postoperative complication, observation of clinical effectiveness

DOI: 10.3233/BMR-220161

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 2, pp. 517-523, 2023