Journal of Back and Musculoskeletal Rehabilitation - Volume 36, issue 3

Authors: Ersoy, Sedef | Paker, Nurdan | Kesiktaş, Fatma Nur | Bugdayci, Derya Soy | Karakaya, Ebru | Çetin, Mert

Article Type: Research Article

Abstract: BACKGROUND: Hemiplegic shoulder pain (HSP) is a common morbidity of stroke. Different treatment modalities can be used for optimizing the results and limiting the possible side effects. This research compares the effects of two therapies used to reduce the pain and improve the quality of life of the patients with HSP. OBJECTIVE: This study aimed to compare the effects of transcutaneous electrical nerve stimulation (TENS) and suprascapular nerve blockage (SSNB) in patients with HSP. METHODS: In this clinical research, 24 patients with HSP who participated in a conventional rehabilitation program were randomized into …TENS or SSNB treatment groups. A 100 mm visual analogue scale was used to assess the severity of pain. Passive range of motion (ROM) of the shoulder was measured. The Modified Ashworth Scale (MAS) was used to evaluate spasticity of the upper extremities, and the Modified Barthel Scale was used to assess activities of daily living (ADL). Quality of life was measured using the Stroke-specific Quality of Life (SS-QoL) questionnaire. RESULTS: The pain scores of the SSNB group decreased more significantly (p < 0.05) than in the TENS group. SS-QoL scores at the 3rd week in both groups were significantly higher than before treatment (p < 0.05). MAS scores and Barthel scores after treatment did not differ significantly between the groups. CONCLUSION: TENS and SSNB were beneficial in relieving pain and increasing passive shoulder ROM and ADL in all patients. The alleviating of pain was faster in patients who underwent SSNB. Show more

Keywords: Hemiplegia, shoulder pain, nerve block, electric stimulation therapy

DOI: 10.3233/BMR-220189

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 731-738, 2023

Authors: Johnson, Marit E. | Karges-Brown, Joy R. | Brismée, Jean-Michel | Brenza, Timothy M. | Piper, Adam K.

Article Type: Research Article

Abstract: BACKGROUND: Lumbar intervertebral disc height loss has been associated with spinal height change (SHC) and low back pain (LBP), including stenosis. Non-invasive methods to improve disc height loss require forms of lying down, which are unconducive to computer work. OBJECTIVE: Intermittent vertical traction (VT) integrated with seated computer work may provide ergonomic alternatives for increasing SHC to promote LBP relief. The primary aim was to develop and introduce a safe VT prototype and dosage to induce and measure SHC. Prototype comfort and LBP ratings were exploratory secondary aims. METHODS: Forty-one participants were stadiometry-measured …for pre- and post-intervention SHC from seated VT at 35% body weight removed, supine lying (SL), and sitting at a computer (SIT) without VT. Pain ratings were recorded for those self-reporting LBP. VT prototype evaluations were compiled from a 3-question, 7-point Likert-style survey. RESULTS: SHC increased by 3.9 ± 3.4 mm in VT, 1.7 ± 3.4 mm in SIT, and 4.3 ± 3.1 mm in SL (P < 0.000). Post hoc findings were significant between VT and SIT (P < 0.000), and SL and SIT (P < 0.000). VT and SL LBP ratings both decreased, but not SIT. CONCLUSION: Intermittent seated VT is a promising alternative for postural relief during seated computer work, producing SHC similar to lying down without compromising workflow. Show more

Keywords: Spine, low back pain, traction, sitting position, work

DOI: 10.3233/BMR-220202

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 739-749, 2023

Authors: Hisashiki, Ryota | Miyachi, Ryo | Miyazaki, Junya

Article Type: Research Article

Abstract: BACKGROUND: The effects of axial extension on pelvic floor displacement and abdominal muscle activity during pelvic floor muscle (PFM) exercises are not well known. OBJECTIVE: To clarify the effect of sitting axial extension on pelvic floor displacement and abdominal muscle activity during a PFM task. METHODS: Pelvic floor displacement, abdominal muscle activity, and subjective kinesthesia of the PFM were compared between the resting and axial-extended sitting positions during a pelvic floor task in 34 healthy young men. RESULTS: No significant difference in pelvic floor displacement was observed between the resting …and axial extension sitting position. Subjective kinesthesia was significantly easier to perform in axial extension than in resting sitting position during pelvic floor depression. Abdominal oblique muscle activity was higher in axial extension than in resting sitting position during pelvic floor depression. The changes in axial extension were significantly greater in the internal oblique muscles during elevation and in the internal and external oblique muscles during depression than in the lower rectus abdominis muscles. CONCLUSION: Axial extension in the sitting position does not change pelvic floor displacement during the PFM task. However, axial extension may be effective in facilitating subjective kinesthesia of PFM and in increasing oblique abdominal muscle activity. Show more

Keywords: Abdominal muscles, axial extension, pelvic floor muscle

DOI: 10.3233/BMR-220218

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 751-757, 2023

Authors: Miyachi, Ryo | Madokoro, Sachiko | Ohno, Naoki | Miyati, Tosiaki | Yamazaki, Toshiaki

Article Type: Research Article

Abstract: BACKGROUND: Pelvic floor muscles (PFM) are important for lumbar stability. However, the relationship between lumbar and hip motion angle changes (MAC) caused by PFM contraction and each PFM’s function remains unclear. OBJECTIVE: To clarify the lumbar spine and hip motion changes produced by PFM contraction and the relationship between MAC and PFM function. METHODS: In 21 healthy females, motion angle was measured for prone hip extension movement using natural movement (NM), PFM contracting movement (PM), and reducing lumbar movement (RM) methods. The PFM functional indices were bladder base elevation distance, continuous bladder base …elevation time, and pelvic floor location. RESULTS: The PM showed no significant difference in lumbar motion angle but had significantly smaller hip motion than the NM (NM; 26.1 ± 8.3, PM; 29.2 ± 11.0). MAC was significantly greater in RM (lumbar spine; 4.4 ± 3.2, hip; 5.9 ± 8.7) than in PM (lumbar spine; 0.4 ± 4.4, hip; 3.1 ± 5.1) for both the lumbar spine and hip. Lumbar spine and hip MAC of PM was significantly correlated with pelvic floor location (lumbar spine; r = - 0.44, hip; r = 0.54). CONCLUSION: PFM contraction does not attenuate lumbar spine motion but reduces hip motion. MAC due to PFM contraction during lumbar movement tasks is related to the PFM functional index. Show more

Keywords: Lumbar spine, pelvic floor muscle, motion angle, hip joint

DOI: 10.3233/BMR-220240

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 759-766, 2023

Authors: Mazerolle, Mylène | Babaei-Ghazani, Arash | Boudier-Revéret, Mathieu | Chang, Min Cheol

Article Type: Case Report

Abstract: BACKGROUND: Neck pain is a common complaint seen amongst patients from all ages. When common causes of neck pain have been ruled out, it is important to investigate further. A careful physical exam can help identify the painful structures. An ultrasound of the area can also be helpful to identify possible structures involved. Neuromas can be treated with oral medications as well as more invasive techniques, such as pulsed radiofrequency (PRF). CASE DESCRIPTION: In this case report, we discuss a 67-year-old female who presented with left anterior neck pain after developing a cervical mass who was …later diagnosed as non-Hodgkin lymphoma. A small neuroma of the left transverse cervical nerve was found on ultrasound and ultimately was treated with PRF with a complete resolution of her symptoms at two months follow-up. CONCLUSION: PRF seems to be a useful tool for controlling neuropathic pain caused by a neuroma. Show more

Keywords: Neuralgia, neuroma, pulsed radiofrequency treatment, ultrasonography

DOI: 10.3233/BMR-220114

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 767-771, 2023

Authors: Zhang, Yi-Fei | Zhang, Li-Feng | Zhou, Ye-Jin

Article Type: Case Report

Abstract: BACKGROUND: Neer type II/bilateral distal clavicular fracture is an extremely rare injury combination, with few cases having been reported. CASE PRESENTATION: This paper reports a case of polytrauma in a 16-year-old female following a road traffic accident. The radiographs revealed distal fractures of the bilateral clavicles (Neer type II), and an open reduction and internal fixation procedure was performed. Initially, the distal fracture of the right clavicle was fixed with a six-hole hook plate before the fracture of the left clavicle was fixed using a pre-contoured lateral locking plate following reduction. At the two-year follow-up, the …patient had an excellent constant score in terms of the bilateral shoulder joints. CONCLUSION: It is important to achieve stability and to aim for excellence in terms of full shoulder function in this rare combination injury. Show more

Keywords: Distal fracture of the clavicle, Neer type, open reduction internal fixation, fracture, clavicle, hook plate, plate fixation, case report

DOI: 10.3233/BMR-220245

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 36, no. 3, pp. 773-777, 2023