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“A Commentary Review of the Cost effectiveness of Manual Therapies for Neck and Low Back Pain” plus 49 more E-Medicine

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“A Commentary Review of the Cost effectiveness of Manual Therapies for Neck and Low Back Pain” plus 49 more E-Medicine


A Commentary Review of the Cost effectiveness of Manual Therapies for Neck and Low Back Pain

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 5 October 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Brent Harper, Kristen Jagger, Adrian Aron, Larry Steinbeck, Antonio Stecco

Background & Purpose Neck and low back pain (NLBP) are global health problems, which diminish quality of life and consume vast economic resources. Cost effectiveness in healthcare is the minimal amount spent to obtain acceptable outcomes. Studies on manual therapies often fail to identify which manual therapy intervention or combinations with other interventions is the most cost effective. The purpose of this commentary is to sample the dialogue within the literature on the cost effectiveness of evidence-based manual therapies with a particular focus on the neck and low back regions. Methods This commentary identifies and presents the available literature on the cost effectiveness of manual therapies for NLBP. Key words searched were neck and low back pain, cost effectiveness, and manual therapy to select evidence-based articles. Eight articles were identified and presented for discussion. Results The lack of homogeneity, in the available literature, makes difficult any valid comparison among the various cost effectiveness studies. Discussion Potential outcome bias in each study is dependent upon the lens through which it is evaluated. If evaluated from a societal perspective, the conclusion slants toward "adequate" interventions in an effort to decrease costs rather than toward the most efficacious interventions with the best outcomes. When cost data are assessed according to a healthcare (or individual) perspective, greater value is placed on quality of life, the patient's beliefs, and the "willingness to pay."





Manipulation of the body schema - unilateral manual stimulation of lower extremity influences weight distribution in standing position

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 4 October 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Uffe Laessoe, Lasse Barth, Sindre Skeie, Kate McGirr

Clinical experience advocates sensory stimulation to increase the body sensation and adjust the body schema, which may be disturbed in some patients. Unilateral massage may affect the body midline orientation, but little evidence is available to support the effect of this practice. Twenty-one healthy young people participated in this experimental study. Two force plates measured weight distribution between the legs in standing position before and after unilateral manual stimulation of the lower extremities. Stimulation of the leg with initial least weight-bearing increased the load on this leg significantly from 48.2% to 49.0% and a similar but reverse effect was seen when stimulating the contra-lateral leg. When analysing the data with respect to stimulation of the non-dominant leg, the stimulation increased the weight-bearing on this leg from 49.6% to 51.3%. These findings indicate that external afferent stimuli may enhance the body perception and influence the body schema and midline orientation.





The influence of walking-aids on the plasticity of Spinal Interneuronal Networks, Central-Pattern-Generators and the recovery of gait post-stroke. A literature review and scholarly discussion

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 30 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Clare C. Maguire, Judith M. Sieben, Robert. A. de Bie

Background Many aspects of post-stroke gait-rehabilitation are based on low-level evidence or expert opinion. Neuroscientific principles are often not considered when evaluating the impact of interventions. The use of walking-aids including canes and rollators, although widely used for long periods, has primarily been investigated to assess the immediate kinetic, kinematic or physiological effects. The long-term impact on neural structures und functions remains unclear. Methods A literature review of the function of and factors affecting plasticity of spinal interneuronal-networks and central-pattern-generators(CPG) in healthy and post-stroke patients. The relevance of these mechanisms for gait recovery and the potential impact of walking-aids is discussed. Results Afferent-input to spinal-networks influences motor-output and spinal and cortical plasticity. Disrupted input may adversely affect post-stroke plasticity and functional recovery. Joint and muscle unloading and decoupling from four-limb CPG control may be particularly relevant. Conclusions Canes and rollators disrupt afferent-input and may negatively affect the recovery of gait.





Does Kinesiology Tape Increase Trunk Forward Flexion? A Randomised Placebo Controlled Trial

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 29 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Heidi Preece, Peter White

Introduction Non specific lower back pain is a common musculoskeletal disorder in manual labourers due to the strenuous nature of their job. Fear of pain can cause restrictions in trunk movement leading to reduced flexibility. Kinesiology Tape (KT) may be an option for treating low back stiffness. The present study investigated the immediate effect of KT on trunk flexion active range of motion. Method 34 male participants (mean age ± SD: 42 ±11), in physically demanding jobs, asymptomatic of pain, with a history of non specific lower back pain were randomly assigned to: 1) KT Intervention (KTI) or 2) KT Placebo (KTP). Trunk flexion data was collected at baseline and immediately following tape application. ANCOVA was used to examine the differences between groups. Results The KTI group demonstrated a statistically significant gain in Trunk flexion compared with baseline (2.75cm, P <0.05). Changes from pre to post treatment for the KTP were not significant (1.57cm, P = 0.062). No statistically significant differences existed between groups post-treatment (P = 0.218). Conclusion KTI demonstrates an immediate positive effect on trunk flexion when compared with baseline measurements. However, results suggest that KTI performs no better than a comparable placebo.





Descending Pronation Patterns

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 28 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Matt Wallden

This practical paper is a continuation of previous papers presented in this section discussing over-pronation. The focus of this article is the way that the body has evolved to handle pronation forces in a descending manner from trunk to foot. It was written to accompany the "Toe-tal Function" editorial in the 20:2 edition of JBMT, but didn't make it in for publication.





A critical overview of the current myofascial pain literature – September 2016

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 23 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Jan Dommerholt, Michelle Finnegan, Todd Hooks, Rob Grieve

This edition of the overview of the current myofascial pain literature includes 24 studies, case reports and systematic and narrative reviews. Surprisingly, five of the 24 papers were difficult to read and interpret mostly because of a poor mastery of the English language. It is somewhat surprising that journal editors and reviewers would accept papers that are needlessly difficult to read and not direct the authors to language services or others who could improve the quality of the writings. Of course, it is exciting that researchers and clinicians from all over the world continue to focus on myofascial pain and attempt to shed new light on the complexity of the problem to improve the clinical decision-making process and eventually clinical approaches and outcomes. There were no new papers on manual therapies, but many focused on dry needling.





Lower limb muscular activity during walking at different speeds: Over-ground versus treadmill walking: A voluntary response evaluation

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 17 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Khosro Khademi-Kalantari, Fatemeh Rahimi, Seyed Majid Hosseini, Alireza Akbarzade Baghban, Shapour Jaberzadeh

Objective To evaluate the overall lower limb muscular activity pattern during treadmill walking compared to over-ground walking. Methodology The study was conducted on 25 healthy young females. Surface electromyography was recorded from gastrocnemius, hamstrings, vasti and gluteus medius muscles during walking over-ground and treadmill at 3 different speeds (comfortable, slow and fast). The pattern of muscle activity was compared between two walking conditions at different speeds by the voluntary response index method. Voluntary response index is composed of two numeric values: magnitude which represents the strength of overall muscular activity, and similarity index which represents the resemblance of overall muscle activity. Results The main effect of walking conditions and speed as well as their interaction effect (P < 0.001) on magnitude of muscle activity were significant but not for similarity index. Conclusions The pattern of muscular activity during walking on treadmill and over-ground was similar but walking on treadmill induced higher muscular activity in the lower limb musculature.





The influence of physical fitness on pressure pain threshold of elderly women

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 17 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Fábio Marcon Alfieri, Alessandra Rodrigues de Souto Lima, Natália Cristina de Oliveira, Leslie Andrews Portes

Several factors may influence pressure pain threshold (PPT), including physical fitness. However, only a few authors have studied this relationship. The aim of this study was to investigate the relationships between muscle strength, functional capacity (ability to perform physical work and activities of daily living) and PPT in elderly women. This observational cross-sectional study involved 75 healthy women aged between 60 and 75 years. Volunteers underwent an evaluation consisting of anthropometry, functional capacity, muscle strength and PPT assessment by algometry in the following muscles: biceps brachii, flexor carpi ulnaris, flexor carpi radialis, vastus medialis, vastus lateralis and gluteus maximus. Mean age of the 75 volunteers was 66.8 ± 4.6 years old. No significant correlations were found between handgrip or elbow flexion strength and PPT in the upper limb muscles evaluated. The same was observed regarding functional capacity, lower limbs strength and PPT in lower limb muscles. Functional capacity and muscle strength did not correlate with PPT in healthy elderly women.





A case study utilizing myofascial release, acupressure and trigger point therapy to treat bilateral “Stringhalt” in a 12 year old Akhal-Teke horse

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 16 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Tammy Brockman

"Stringhalt" is a horse condition that causes one or both hind legs to spasm when walking, trotting or backing. The condition is thought to be related to a neurological cause from either plant toxicity or peripheral nerve injury. The prognosis is poor and the horse's performance and quality of life can be affected. Treatment has included surgically cutting the digital extensors with varied results. The objective of the study is to utilize soft tissue release via acupressure, trigger point and myofascial release to decrease symptoms of stringhalt. The case study is a 12 year old Akhal-Teke horse of excellent pedigree. In 2011, she was caught in barbed wire overnight and sustained lacerations to the bone in her hindlimbs. Shortly after the injury the horse was placed in a stall for several months and was unable to walk or run, developing stringhalt. Currently, her condition is aggravated by stress and alleviated by certain types of massage (myofascial, acupressure, and trigger point release). The incidence of stringhalt occurs every 3–5 min, with more frequent and severe symptoms on the right hindlimb. The horse is unable to run or back up. Six 1 to 1½ hour bi-weekly treatments were performed. The treatments consisted of myofascial release at the cervical, sacrum and iliums, acupressure of the bladder meridian (including c-spine, t-spine, l-spine, and hamstring), and trigger point release of the iliacus. The stringhalt symptoms were monitored for 30 min prior to each of the 6 treatment sessions. After 6 treatments, the horse was observed running and standing in a position that promotes hip extension. She has not been able to do either since the injury. The frequency and severity of the spasms have decreased to every 10–20 min. The horse's owners report that her disposition, stress and quality of life are much improved. The results suggest that myofascial release, acupressure and trigger point therapy may be utilized to provide a positive treatment outcome in the case of stringhalt. However, please note that the scope of practice varies by state and special training is needed to work with the equine population.





Exercise and physical therapy help restore body and self in clients with severe anorexia nervosa

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 16 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Liv-Jorunn Kolnes

Exercise in the context of anorexia nervosa is a multifaceted endeavour surrounded by controversy and uncertainty. A broader comprehension of this poorly understood phenomenon is required. Informed by the findings of a body examination of six individuals with anorexia nervosa, as well as exercise science, phenomenology and neurocognition, the purpose of this article is to elaborate on the potential role of exercise and physical therapy in the treatment of anorexia nervosa. The findings of the body assessment include constriction of posture, muscles and pattern of breathing. These bodily restraints are not necessarily merely associated with high levels of exercise, they may also reflect psychological strain accompanying the illness. The restricted breathing in particular is assumed to be associated with difficult thoughts and suppressed feelings. Based on the results of the body examination, as well as medical and psychological considerations accompanying the illness, it is suggested that interventions should focus on improving postural stability and restoring related muscular function. Integral to engaging in these activities, the potential to integrate proprioceptive information in this process may generate a more coherent experience of the body, as well as of the self, in these clients. Accordingly, constrictions of the body may have a vital role in constraining the experience of the self. As such, addressing bodily restraints in these clients may facilitate the experience of being the subject causing and controlling the movements. This is in marked contrast to clients' previous exercise experiences, which were associated with compulsion, rigidity and the absence of coherence and control.





Visceral factors in rehabilitation & health

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 16 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Matthew Sorenson, Matt Wallden







Abdominal muscle activity during breathing in different postural sets in healthy subjects

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 15 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): António Mesquita Montes, Sara Gouveia, Carlos Crasto, Cristina Argel de Melo, Paulo Carvalho, Rita Santos, João Paulo Vilas-Boas

Objective This study aims to evaluate the effect of different postural sets on abdominal muscle activity during breathing in healthy subjects. Methods Twenty-nine higher education students (20.86 ± 1.48 years; 9 males) breathed at the same rhythm (inspiration: 2 s; expiration: 4 s) in supine, standing, tripod and 4-point-kneeling positions. Surface electromyography was performed to assess the activation intensity of rectus abdominis, external oblique and transversus abdominis/internal oblique muscles during inspiration and expiration. Results During both breathing phases, the activation intensity of external oblique and transversus abdominis/internal oblique was significantly higher in standing when compared to supine (p ≤ 0.001). No significant differences were found between tripod position and 4-point-kneeling positions. Transversus abdominis/internal oblique activation intensity in these positions was higher than in supine and lower than in standing. Conclusions Postural load and gravitational stretch are factors that should be considered in relation to the specific recruitment of abdominal muscles for breathing mechanics.





Plank to push-up

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 15 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Craig Liebenson







The role of scapular kinematics in patients with different shoulder musculoskeletal disorders: A systematic review approach

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 12 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Roshanak Keshavarz, Siamak Bashardoust Tajali, Seyed Mohsen Mir, H. Ashrafi

This study aimed to identify the role of the scapula in shoulder musculoskeletal disorders (SMDs) and provided a systematic review of available studies in the field of scapular three-dimensional kinematics. We systematically searched 5 international databases, including Scopus, EMBASE, PubMed, CINAHL, PEDro, and Cochrane Library from June to September 2015. Twenty studies met the inclusion criteria and were retrieved in full paper. The selected studies were critically appraised independently by two researchers. The patients with shoulder impingement syndrome (SIS) and shoulder instability had an increased protraction, lesser upward rotation (UR), and increased internal rotation (IR) during scapular plane elevation, whereas the patients with frozen shoulders had lesser protraction. Moreover, the patients with SIS had a greater scapular posterior tilt (PT) and external rotation during shoulder abduction. Increased scapular UR and PT with decreased scapular IR was seen in patients with stiffness of Latissimus Dorsi and fibromyalgia without any changes in the scapular IR. The results of this systematic review help the clinicians to have an insight about scapular kinematics as a predictive index for SMDs.





The effect of Tai Chi exercises on postural stability and control in older patients with knee osteoarthritis

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 10 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Elham Ghandali, Saeed Talebian Moghadam, Mohammad Reza Hadian, Gholamreza Olyaei, Shohreh Jalaie, Elaheh Sajjadi

A few studies have examined the effect of Tai Chi on balance in elder patients with knee osteoarthritis (OA). The aim of this study was to determine the balance measures in elder patients with knee OA after Tai Chi exercises. For this purpose 14 females and 6 males with knee OA were chosen. Area and mean velocity of the center of pressure movements (CoP) were measured by force plate in standing positions (on foam and rigid surfaces). The measurements of area and mean velocity of CoP were performed before and after 60 min of Tai Chi sessions (twice a week for 8 weeks). The results showed that the area of CoP in standing position on rigid surface was significantly decreased (P < 0.01) after Tai Chi exercises. Furthermore, the mean velocity of CoP was significantly decreased after Tai Chi exercises on both rigid and foam surfaces (P < 0.001). Our study also indicated that changes in surfaces (rigid and foam) would cause significant differences regarding the area of CoP in standing positions. However, similar findings were not found regarding the mean velocity of CoP. Considering the effects of Tai Chi on mean velocity of CoP, it might be concluded that motor control and postural stability improvements have occurred. Therefore, based on these results, Tai Chi exercises could be recommended for elder patients with knee OA as part of their rehabilitation and physical therapy protocols.





Handgrip strength and associated sociodemographic and lifestyle factors: a systematic review of the adult population

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 9 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Tiago Rodrigues de Lima, Diego Augusto Santos Silva, João Antônio Chula de Castro, Diego Giulliano Destro Christofaro

Objetives The aim of this study was to identify studies on handgrip strength (HGS) and associations with sociodemographic variables and lifestyle in adults. Methods Searches were performed in Scielo, PubMed, EBSCO, Lilacs, Scopus and Web of Science databases. Data extraction Two blinded reviewers independently screened the articles, scored their methodological quality and extracted data. Quality assessment The selected studies were analyzed according to the agreement of their findings with the evidence summary. Results Overall, 18,038 studies were found and 26 articles were selected. Lower HGS levels were found in older individuals (n = 20), females (n = 13) and in those not engaged in physical activities (n = 5). Conclusions Older adults, females, those of lower educational level and not physically active had lower HGS levels. The adoption of standardization in relation to specific cutoff points for HGS classification becomes necessary in order to allow better comparison of results.





Joint amplitude MEMS based measurement platform for low cost and high accessibility telerehabilitation: Elbow case study

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 9 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Mauro Callejas-Cuervo, Rafael M. Gutierrez, Andres I. Hernandez

This paper, presents an inertial and magnetic sensor based technological platform, intended for articular amplitude monitoring and telerehabilitation processes considering an efficient cost/technical considerations compromise. The particularities of our platform offer possibilities of a high social impact by making telerehabilitation accessible to large population sectors in marginal socio-economic sectors, especially in underdeveloped countries where, in contrast to developed countries, specialists are scarce and high technology is not available or inexistent. This platform integrates high resolution low cost inertial and magnetic sensors with adequate user interfaces and communication protocols to perform a diagnostic service through the web, or other available communication networks. Elbow amplitude information is generated by sensors and then transferred to a computing device with adequate interfaces to make it accessible to inexperienced personnel, providing a high social value at a low cost. Experimental methodology includes two different sets of tests: the first one uses flexion – extension movements on a robotic arm to validate our platform (IMOCAP) articular amplitude measurements, against the robotic positioning system. The second set of tests was carried out on human patients to test IMOCAP in real operational conditions; results were validated with an optical positioning system. This paper presents experimental results showing the platform applicability to telerehabilitation processes.





Preliminary evidence of Regional Interdependent Inhibition, using a ‘Diaphragm Release’ to specifically induce an immediate hypoalgesic effect in the cervical spine

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 9 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Calum A. McCoss, Ross Johnston, Darren J. Edwards, Charles Millward

In clinical practice, Osteopaths and Manual Therapists commonly direct treatment towards the diaphragm by the use of a 'Diaphragm Release'. Currently, there is paucity within the literature to support the use of this technique, specifically in pain outcomes. This research aims to support a neurophysiological mechanism based upon the osteopathic principle "The body is a unit". Demonstrating that directing treatment to distal tissue which is neurologically related can reduce pain in the originating spinal segments. This study investigated the immediate hypoalgesic effects of a 'Diaphragm Release' on pain pressure thresholds in the cervical spine. A single-blind, randomised, sham-controlled, repeated measures within subject, crossover design was conducted on 17 asymptomatic subjects. Pain pressure thresholds were measured bilaterally in the C4 paraspinal musculature, lateral end of the clavicle and upper third of the tibialis anterior before and after a 'Diaphragm Release'. Results demonstrated a statistically significant hypoalgesic effect was only found in the spinal segment C4 in both the right (p = 0.016) and left (p = 0.004) sides. Averaging the hypoalgesic effect from both sides equates to a 17.17% change which is considered clinically significant, the effect magnitude was calculated to be small but educationally significant for the right (d = 0.26) and left (d = 0.40) sides. This study supports a novel neurophysiological mechanism, Regional Interdependent Inhibition, to induce a hypoalgesic state at segmentally related spinal segments, specifically C4. Suggesting that directing treatment towards the diaphragm, using a 'Diaphragm Release', could induce an immediate clinically and statistically significant hypoalgesic effect local to the fourth cervical segment due to its relationship with the phrenic nerve.





Different weight bearing push-up plus exercises with and without isometric horizontal abduction in subjects with scapular winging: A randomized trial

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 9 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Woo-Jeong Choi, Tae-Lim Yoon, Sil-Ah Choi, Ji-Hyun Lee, Heon-Seock Cynn

The aim of the present study was to determine whether the application of isometric horizontal abduction (IHA) differentially affected two weight-bearing push-up plus exercises by examining activation of the scapulothoracic muscles in subjects with scapular winging. Fifteen male subjects performed standard push-up plus (SPP) and wall push-up plus (WPP), with and without IHA. Two-way analyses of variance using two within-subject factors were used to determine the statistical significance of observed differences in upper trapezius (UT), pectoralis major (PM), and serratus anterior (SA) muscle activities and UT/SA and PM/SA muscle activity ratios. UT and SA muscle activities were greater during SPP than WPP. PM muscle activity was lower with IHA application. The UT/SA and PM/SA muscle activity ratios were lower during SPP than WPP. The PM/SA muscle activity ratio was lower with IHA application. The results suggest that IHA application using a Thera-Band can effectively reduce PM muscle activity during SPP and WPP exercises. Moreover, the SPP exercise can be used to increase UT and SA muscle activity and reduce the UT/SA and PM/SA muscle activity ratios in subjects with scapular winging.





Fascial Manipulation® for persistent knee pain following ACL and meniscus repair

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 4 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Rajasekar Sannasi, Marchand Aurélie Marie

Fascial Manipulation® (FM) is a manual therapy approach for the treatment of musculoskeletal pain. Anomalous fascial tension is common following surgery due to surgical scar, inadequate mobility and fear of movement. Fascial tension may result in pain and loss of mobility. This case report aims at investigating the effectiveness of FM® on pain and function in a patient following knee surgery. A 32 years old male patient, with persisting knee pain following anterior cruciate ligament reconstruction (hamstring graft) and meniscal repair, underwent the systematic FM® assessment process, the selected centers of coordination of myofascial units were treated. Knee Injury Osteoarthritis Outcome Score (KOOS) questionnaire was obtained prior treatment and after 4 treatment sessions. Results showed clinically significant improvements in all subscales of KOOS after 4 weeks, the effect was maintained in subsequent follow-ups at 3 months, 6 months, one year and two years.





New evidence of a dynamic fascial maintenance and self-repair process

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 2 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Leon Chaitow







The acute effects of integrated myofascial techniques on lumbar paraspinal blood flow compared with kinesio-taping: A pilot study

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 1 September 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Yusuf Shah, Louis Passfield, Marco Arkesteijn Dexter, Thomas, Jemma Whyman

Background Myofascial techniques and Kinesio Taping are therapeutic interventions used to treat low back pain. However, limited research has been conducted into the underlying physiological effects of these types of treatments. Objectives The purpose of this study was to compare the acute effects of integrated myofascial techniques (IMT) and Kinesio Tape (KT) on blood flow at the lumbar paraspinal musculature. Methods Forty-four healthy participants (18 male and 26 female) (age, 26 ± SD 7) volunteered for this study and were randomly assigned to one of three interventions, IMT, KT or a control group (Sham TENS). Paraspinal blood flow was measured at the L3 vertebral level, using Near Infrared Spectroscopy (NIRS), before and after a 30-minute treatment. Pain Pressure Threshold (PPT) was also measured before and after treatments. Results A one-way ANOVA indicated a significant difference between groups for O2Hb [F (2-41) = 41.6, P<0.001], HHb [F (2-41) = 14.6, P<0.001] and tHb [F (2-41) = 42.2, P <0.001]. Post hoc tests indicated that IMT was significantly greater, from the KT and the control treatments (P<0.001), for changes in O2Hb, HHb, and tHb. There were no significant differences for PPT [F (2-41) = 2.69, p = 0.08], between groups. Conclusions This study demonstrated that IMT increases peripheral blood flow at the paraspinal muscles in healthy participants compared to KT and sham TENS. The change in blood flow had no impact on pain perception in the asymptomatic population group.





Can fascia's characteristics be influenced by manual therapy?

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 31 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Serge Gracovetsky

This essay looks into some fundamental properties of collagen and attempts to relate what the manual therapist does to the necessity of maintaining the collagen's strength under loads. In so doing we point out some difficulties in gathering relevant data applicable to the clinic and propose direction for further research.





The effectiveness of osteopathic manipulative treatment in an abnormal uterine bleeding related pain and health related quality of life (HR-QoL) – A case report

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 29 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Kanu Goyal, Manu Goyal, Kanimozhi Narkeesh, Asir John Samuel, Sorabh Sharma, Subhasish Chatterjee, Narkeesh Arumugam

Abnormal uterine bleeding is characterized by painful and/or excessive menorrhea, chronic pelvic pain due to the endometriosis (Em). Osteopathic treatment is commonly used in the gynecological dysfunctions. The aim of the present case study was to explore the effect of osteopathic treatment (OT) for a woman with abnormal uterine bleeding related pain and quality of life (QoL). We reported a case of 29 year old female who presented with chief complaints of increased flow during periods, lower abdominal pain, leukorrhoea, lower back pain and with occasional constipation for the last 3 years. Patient is a mother of 6 years old male child born with normal delivery. On diagnostic ultrasonography the uterus was found bulky with insignificant endometriosis and no other abnormality was detected. She did not have any relevant past medical and surgical history. The pre and post osteopathic treatment measurements were measured using Visual Analog Scale (VAS) and the health related quality of life (HR-QoL) questionnaire called short form Endometriosis Health Profile Questionnaire (EHP) – 5. In the present case the pain due to the endometriosis was treated with the osteopathic treatment consists of all the major diaphragms' release (release of pelvic diaphragm, abdominal diaphragm, thoracic outlet release and hyoid diaphragm) during the first session and in the second session gastro-esophageal (GE) junction release, sigmoid colon release, cranial therapy to the occiput, sacral release and dural tube rocking. Following that improvement of pain from VAS 8.3/10 to 3.9/10 and QoL improvement from EHP-5, 72/100 to 26/100 was noted. Osteopathic manipulative approach (OMA) in the patient with Em might improve the abnormal uterine bleeding related pain and health related quality of life (HR-QoL).





Effect of therapeutic Swedish massage on anxiety level and vital signs of Intensive Care Unit patients

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 24 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Tatiana Alves da Silva, Debora Stripari Schujmann, Leda Tomiko Yamada da Silveira, Fátima Aparecida Caromano, Carolina Fu

Objective To evaluate how Swedish massage affects the level of anxiety and vital signs of Intensive Care Unit (ICU) patients. Methods Quasi-experimental study. Inclusion criteria: ICU patients, 18–50 years old, cooperative, respiratory and hemodynamic stable, not under invasive mechanical ventilation. Exclusion criteria: allergic to massage oil, vascular or orthopedic post-operative, skin lesions, thrombosis, fractures. A 30-min Swedish massage was applied once. Variables: arterial pressure, heart rate, respiratory rate, S-STAI questionnaire. Timing of evaluation: pre-massage, immediately post-massage, 30 min post-massage. Comparison: T-test, corrected by Bonferroni method, level of significance of 5%, confidence interval of 95%. Results 48 patients included, 30 (62.5%) female, mean age 55.46 (15.70) years old. Mean S-STAI pre-massage: 42.51 (9.48); immediately post-massage: 29.34 (6.37); 30 min post-massage: 32.62 (8.56), p < 0.001 for all comparison. Mean vital signs achieved statistical significance between pre-massage and immediately post-massage. Conclusion Swedish massage reduced anxiety of ICU patients immediately and 30 min post-massage. Vital signs were reduced immediately post-massage.





Letter to Editor: Application of neuroplasticity theory through the use of the Feldenkrais Method with a runner with scoliosis and lower quarter pain: Additional respiratory mechanics principle, implication of the Feldenkrais method for clinical practice in neuro-musculoskeletal rehabilitation

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 21 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Vikram Mohan, Aatit Paungmali, Patraporn Sitilertpisan







Comparison of ischemic compression and lumbopelvic manipulation as trigger point therapy for patellofemoral pain syndrome in young adults: A double-blind randomized clinical trial

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 21 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Shabnam Behrangrad, Fahimeh Kamali

Objective To compare the effectiveness of ischemic compression (IC) directly to the vastus medialis obliquus (VMO) versus lumbopelvic manipulation (LPM) in improving pain, functional status and sensitivity to mechanical stimulation of the VMO trigger point in patients with patellofemoral pain syndrome (PFPS). Participants 40 patients with unilateral PFPS aged 20–30 years were selected randomly among patients with unilateral PFPS referred to physical therapy clinics of Shiraz University of Medical Sciences in Shiraz, Iran, between March 2014 and July 2014. 30 young adults participated. Participants were blinded to treatment allocation, and 15 patients were allocated to either IC or LPM. Interventions Patients in both groups were treated in three sessions per week. IC consisted of three sets of continuous pressure applied for on the myofascial trigger point (MTrP) of VMO. LPM consisted of supine rotational glide manipulation of the ipsilateral lumbopelvic region of the involved knee. Main outcome measures Numeric pain rating scale (VAS) for pain intensity, Kujala questionnaire for functional status, and pressure pain threshold (PPT) for sensitivity to mechanical stimulation. All three were recorded before treatment, 1 week, 1 month and 3 months after the last session. Results Both groups showed significant improvement (p < 0.05, 95% confidence interval) in pain, functional status and PPT values. However, the IC group showed greater improvements, and outcome measures remained significantly better than in the LPM group during post-intervention follow-up. Conclusions Both groups showed improvements throughout the study and follow-up period. However, the IC showed better short-term and long-term effectiveness than LPM for treating PFPS.





Relationship between hardness and deformation of the vastus lateralis muscle during knee flexion using ultrasound imaging

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 18 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Shintarou Kudo, Sho Nakamura

The aims of this study were to clarify the relationship between deformation of the VL during knee flexion and the stiffness of the VL. 40 lower limbs of 20 male normal volunteers were divided into control and tightness groups using the Ely test. Deformation of the VL in the transverse plane during active knee flexion from 0 to 90° was recorded using B-mode ultrasonography. Hardness of the VL was measured on the middle lateral thigh using a durometer. The reaction force at fully passive flexion was measured using a hand held dynamometer. The deformation of the VL and the hardness and passive torque showed significant differences between the 2 groups. The deformation of the VL showed a significantly higher correlation with hardness of the VL. Measurements of the deformation of the VL might be predicted by the elasticity around the VL.





Foot exercise and taping in patients with patellofemoral pain and pronated foot

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 12 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Jihyun Lee, Jangwhon Yoon, Heonseock Cynn

This study compared the effect of three foot conditions (untreated, short foot [SF] exercise, and Tape) on knee and ankle muscle activity during forward descending of stairs in subjects with patellofemoral pain syndrome (PFPS) and a pronated foot. Surface electromyography activities in the vastus medialis oblique (VMO), vastus lateralis (VL), and abductor hallucis (AbdH) were recorded during forward descending stairs; Surface electromyography data were expressed as percentages of the maximal voluntary isometric contraction. A total of 18 subjects (6 males and 12 females) with PFPS and a pronated foot participated in the current study. The SF exercise was associated with significantly greater AbdH muscle activity compared to the tape condition during forward descending stairs. However, there was no significant difference in VMO or VL muscle activity, or in the VMO/VL muscle activity ratio, among the three foot conditions. The SF exercise was the most effective method of increasing AbdH muscle activity during forward descending stairs in subjects with PFPS and a pronated foot.





The effects of opposite-directional static contraction of the muscles of the right upper extremity on the ipsilateral right soleus H-reflex

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 12 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Tomoko Shiratani, Mitsuo Arai, Hironobu Kuruma, Kazue Masumoto

The objective of this study was to explore the neurophysiological remote after-effects of resistive static contraction (SC) of the muscles of the upper extremity, considering the resistant direction on the ipsilateral (right) soleus H-reflex. The participants included 12 normal subjects with a mean (SD) age of 23.8 (2.8) years. The subjects were asked to maintain their upper extremity against the traction force, at a level of resistance that was 50% of the maximal SC strength. A 20-s SC of the muscles of the upper extremity utilizing contraction of the upper extremity muscles using a diagonal flexion (shoulder flexion-adduction-external rotation) or extension (shoulder extension-abduction-internal rotation), a proprioceptive neuromuscular facilitation (PNF) pattern was induced. The traction force line of the diagonal flexion or extension direction ran parallel to the diagonal line from the left acromion process to the right ASIS. Three-way analysis of variance of the H/Mmax ratio with Scheffé's post-hoc tests revealed that the H/Mmacorrelatex ratio of SC via diagonal extension was significantly smaller than that via diagonal flexion and that the H/Mmax ratio during the 120–140 s phase after SC, as remote after-effect SC, was significantly smaller than that during SC. The induction of neurophysiological descending effects for inhibition requires consideration of the force direction.





Task-based mirror therapy enhances ipsilesional motor functions in stroke: A pilot study

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 11 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Kamal Narayan Arya, Shanta Pandian, Dharmendra Kumar

Objective To examine the effect of Mirror therapy (MT) on dexterity, coordination, and muscle strength of the less-affected upper limb in stroke. Design Pre-test post-test, single group, experimental design. Setting Rehabilitation institute. Participants Post-stroke hemiparetic chronic subjects (N = 21). Interventions Forty sessions of MT using various tasks in addition to the conventional rehabilitation. Tasks such as lifting a glass, ball-squeezing, and picking-up objects were performed by the less-affected side in front of the mirror-box creating an illusion for the affected side. Main outcome measures Minnesota Manual Dexterity Test (MMDT), Purdue Peg Board Test (PPBT), and Manual Muscle Testing (MMT) were used to measure the deficits of the less-affected side. Result Post-intervention, the less-affected side of the participants exhibited significant improvement on MMDT (p < 0.001), PPBT (p < 0.001), and MMT (shoulder flexors, wrist extensors and deviators, and finger flexors-extensors; p = 0.005–0.046). Conclusion In post-stroke hemiparesis, MT also led to the improvement in dexterity, coordination, and strength of the less-affected side. In addition to the affected side, the technique may augment the subtle motor deficits of the less-affected side.





Comparing AquaStretch with supervised land based stretching for Chronic Lower Back Pain

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 11 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Lynda G. Keane

Objective Chronic Lower Back Pain (CLBP) is a major health problem affecting 70–85% of the population in the UK. AquaStretch, a new form of assisted stretching in water, is compared with supervised land based stretching (LBS) for subjects with CLBP looking at pain reduction, kinesiophobia and disability. Method 29 subjects were randomly allocated into three groups, LBS (N = 10), AquaStretch (N = 10) and Control (N = 9). Modified Oswestry Low Back Pain Questionnaire (MOLBPQ) and Tampa Scale of Kinesiophobia (TSK) questionnaires were completed in weeks 1, 6, and 12. Visual Analogue Scale (VAS) pain scores were collected weekly till week 12. Treatment groups received two 30 min sessions per week for 12 weeks, control group continued their normal physical activity. Results & conclusion Statistical significance (p < 0.05) was observed in the AquaStretch group for pain reduction (P = 0.006), kinesiophobia (P = 0.029), and perceived disability (P = 0.001). Both techniques are suggested to be beneficial for CLBP patients however AquaStretch has key additional benefits including time efficiency, cost effectiveness and the ability to be performed by qualified individuals other than physiotherapists. A reduction in pain post eight weeks of treatment using AquaStretch versus twelve weeks of land based stretching could result in potentially less treatment time needed and a possibility of less medication. Future research is recommended to determine the duration of AquaStretch benefits, and to compare AquaStretch with land based physical therapy programmes for CLBP and to research the potential reduction of Medication required for chronic pain conditions for both its relative clinical effectiveness together with potential health cost savings.





Muscle strength and stiffness in resistance exercise: Force transmission in tissues

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 9 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Hans Chaudhry, Bruce Bukiet, Ellen Z. Anderson, Jared Burch, Thomas Findley

Physical therapists and osteopaths want to know the quantitative force transmitted in the tissues during resistance exercise and also the relationship between tissue strength and the specific type of resistance exercise of the skeletal muscles. This paper uses the strain energy function for large deformations associated with the active and passive response of transversely isotropic skeletal muscle tissue to evaluate muscle strength and force transmitted in tissues during resistance exercises for the quadriceps muscle at the knee during isometric training exercise at different knee angles in vivo. It is found that after an exercise program, the muscle stiffness is halved when the bending angle of the knee increases from 50° to 100°. The muscle strength generated is marginally greater at 100° than at 50°. The stress transmitted in the lateral direction for 100° bending is double that for 50°.





Bodily symptoms in patients with post traumatic stress disorder: A comparative study of traumatized refugees, Danish war veterans, and healthy controls

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 9 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Lene Nyboe, Anette Bentholm, Amanda Lundvik Gyllensten

Background Post traumatic stress disorder (PTSD) is associated with increased general health symptoms and patients suffer from numerous bodily complaints such as increased pain, increased muscular tension, and restricted breathing. Methods and material This study applied the Body Awareness Movement Quality and Experience scale (BAS MQ-E) in assessing and comparing bodily symptoms, including movement function, in traumatized refugees (N = 14) and Danish war veterans with PTSD (N = 19) and healthy controls (N = 20). Results Patients with PTSD had significantly poorer stability, balance, flexibility and coordination in movement, had more muscular tension, more complaints of pain, more restricted breathing, and more limitation in function of daily life than healthy controls. Conclusion The BAS MQ-E was found to be an applicable and useful measure of bodily symptoms in patients with PTSD. Further research may add to the validity of BAS MQ-E and might be considered in future studies evaluating the efficacy of physiotherapy for patients with PTSD.





Effects of aerobic exercise on functional capacity, anthropometric measurements and inflammatory markers in diabetic elderly women

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 3 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Daniela Maria da Cruz dos Anjos, Bruno de Souza Moreira, Renata Noce Kirkwood, Rosângela Corrêa Dias, Daniele Sirineu Pereira, Leani Souza Máximo Pereira

This study investigated the effects of an aerobic training program on functional capacity [Timed Up and Go test (TUG), timed 10-m walk test (10MWT), five-repetition sit-to-stand test (5-STS), handgrip strength test (HGS) and one-legged stance test (OLS)], anthropometric measurements [body mass, body mass index (BMI), waist and hip circumferences and waist-to-hip ratio] and plasma levels of inflammatory markers [soluble tumor necrosis factor receptors 1 and 2, and interleukins 6 and 10] in 43 elderly women with type 2 diabetes mellitus. After the training, a significant improvement was observed in the performance of the participants on the TUG, 10MWT, 5-STS and HGS and in the anthropometric measures of body mass, BMI and hip circumference. None of the inflammatory markers showed a significant difference between pre- and post-training. The aerobic exercise program improved the functional capacity of diabetic elderly women, but was ineffective to change the levels of the inflammatory markers evaluated.





Treatment of the scar after arthroscopic surgery on a knee

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 2 August 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Jacobo Alvira-Lechuz, Mercedes Roca Espiau, Elena Alvira-Lechuz

The aim of this paper is to present a treatment for scars based on percutaneous traction. This is a structural technique in which movements are performed against the barriers detected in different planes. The stages of this technique are described in detail along with the results after applying it to a postarthroscopic scar on a knee. The active and passive mobility of femoro-tibial and femoro-patellar articulations improved substantially after the treatment, as verified by signs such as pain relief, greater flexibility, disappearance of inflammation and a major recovery of tissue elasticity. A sonoelastography study of the portals and patellar tendon was carried out before and after therapy, showing semiquantitatively the recovery of the viscoelastic properties of the tissue.





Neck pain and dysphagia associated to disc protrusion and reduced functional stability: A case report

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 29 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Michele Margelli, Carla Vanti, Jorge Hugo Villafañe, Roberto Andreotti

Background Deglutition dysfunction like dysphagia may be associated with cervical symptoms. Findings A young female complained of pain on the neck and swallowing dysfunction that was reduced by means of isometric contraction of cervical muscles. Magnetic resonance imaging revealed an anterior C5–C6 disc protrusion associated with a lesion of the anterior longitudinal ligament. Barium radiograph showed a small anterior cervical osteophyte at C6 level and dynamic X-ray excluded anatomical instability. The treatment included manual therapy and active exercises to improve muscular stability. Conclusions Diagnostic hypothesis was a combination of cervical disc dysfunction associated with C6 osteophyte and reduced functional stability.





Efficacy of kinesiology tape versus postural correction exercises on neck disability and axioscapular muscles fatigue in mechanical neck dysfunction: A randomized blinded clinical trial

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 26 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Aliaa M. El-Abd, Abeer R. Ibrahim, Haytham M. El-Hafez

Background Mechanical neck dysfunction (MND), with axioscapular muscles fatigue, is highly prevalent worldwide. While postural correction is commonly used for its treatment, efficacy of kinesiology tape (KT) has received considerable attention. Objectives To determine the effectiveness of KT versus correction exercises on neck disability, and axioscapular muscles fatigue in MND patients. Methods 46 MND patients were randomly assigned into 1 of 2 groups receiving 4 weeks treatment of either KT or correction exercises. Neck disability and axioscapular muscles fatigue as median frequency of electromyography (EMG-MF) were measured pre and post treatment. Results Group-by-time interaction was not significant in the multivariable test. Post hoc tests revealed that KT produced more disability reduction than the postural exercises. However, there was no significant interaction for EMG-MF. Conclusions KT has been found to be more effective than postural exercises to reduce neck disability. However, both modalities have similar effects to reduce axioscapular muscles fatigue.





Therapeutically efficient components of Basic Body Awareness Therapy as perceived by experienced therapists – A qualitative study

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 25 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Amelie Ambolt, Gunvor Gard, Catharina Sjödahl Hammarlund

Background Basic Body Awareness Therapy (BBAT) is a physiotherapeutic method used in rehabilitation to increase physical and emotional balance. The aim was to identify and describe perceived therapeutically efficient components of BBAT. Methods Twenty-four experienced BBAT therapists participated in focus group interviews. The data were analysed with content analysis. Results One central theme, the therapeutic space consisted of two categories; the therapeutic encounter and the therapeutic tools, which emerged as the core of the perceived therapeutically efficient components. The therapeutic encounter entailed the therapeutic approach, affect attunement, continuous interaction during treatment, affect mirroring and communicating by use of a person-centred approach. The therapeutic tools included adjustment and adaptation, the use of manual, verbal and non-verbal guiding, and creating an atmosphere of safety and sanctuary. Conclusion The significance of interaction by use of a person-centred approach combined with the ability to continuously adjust the treatment constituted useful guidelines when designing rehabilitation using BBAT treatment.





The impact of incline and speed of treadmill on ankle muscle activity in middle-aged adults

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 25 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Roghayeh Mohammadi, Chetan P. Phadke

Objective Additional demands associated with changing walking incline and speed combined with normal aging related changes in muscle recruitment can make walking difficult. This study examined the effects of walking on a treadmill at different inclines and speeds on ankle muscles in healthy middle-aged adults. Methods Fifteen healthy subjects (10M/5F) walked on a standard treadmill at three different inclines (0°, 3°, and 6°) and speeds (self-selected, self-selected+20%, self-selected+40%). The electromyographic activity of Medial Gastrocnemius (MG), and Tibialis anterior (TA) muscles was measured during the push off phase of the gait. Results Bilateral MG muscle activity increased when subjects walked uphill compared with level walking (p < 0.05), but no changes were seen with increasing walking speed (p > 0.05). Right MG (dominant side) activity increased at all inclines, but only at 6° on left side and also MG muscle activity was delayed on the left side at faster speed (p < 0.05). Conclusion The bias towards using muscles in the dominant leg in middle-aged subjects to overcome challenging walking conditions may be an age-related adaptation. These results suggest that future studies in the stroke population are needed to examine the impact of hemiparesis of the dominant leg as this group of persons post-stroke may be more likely to experience greater impairment of muscle activation patterns during walking on sloped surfaces.





A concise rehabilitation protocol for sub-acute and chronic non-specific neck pain

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 25 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Pardis Noormohammadpour, Fereshte Tayyebi, Mohammad Ali Mansournia, Elham Sharafi, Ramin Kordi

There is increasing evidence in support of multidisciplinary approaches for management of chronic neck pain. Although presence of different team members is one of the strengths of these approaches, it can limit the access to these treatments. The main objective of this study is designing and investigating the efficacy of a concise rehabilitation program. Thirty-nine patients with sub-acute and chronic non-specific neck pain underwent an 8-week rehabilitation program. Baseline and 8 weeks' follow-up data regarding neck pain (visual analog scale, neck disability index and quality of life) were compared using paired T test. After eight weeks of study, pain and disability significantly decreased: −3.8 of 10 (95% CI: −4.6 to −3.0) (p-value < 0.001) for pain and −18.4 of 100 (95% CI: −23.7 to −13.2) (p-value < 0.001) for disability. Also, all SF-36 domain scales improved significantly. By using this concise rehabilitation approach, pain, disability, and quality of life improved significantly in patients with sub-acute and chronic non-specific neck pain.





Effect of myofascial induction therapy on post-c-section scars, more than one and a half years old. Pilot study

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 18 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Antonio Chamorro Comesaña, M del Pilar Suárez Vicente, Tirso Docampo Ferreira, M del Mar Pérez-La Fuente Varela, M Magdalena Porto Quintáns, Andrzej Pilat

Myofascial Induction Therapy (MIT) is a manually-applied method used in physiotherapy and focused on restoring altered fascial tissue. In a healthy body, the fascial system maintains elasticity and coordination of movements. However, injuries and their after-effects, such as scars, may reduce this tissue role, causing a dysfunction. The aim of this study is to ascertain the effect of MIT on scars which have completed the repair process in healthy individuals without any associated pathology that might affect the healing process. In all 10 cases studied, changes were observed after applying MIT on the structure of the scar fold, both at deep (shown by ultrasound) and at superficial (shown by scar fold measurement) levels. Eight weekly MIT sessions were applied, establishing this number as a reference for future studies. Functional improvement was determined using Schober's Test and patient quality of life was measured with a specific questionnaire. These outcomes lay the groundwork for future research.





Stabilometric Analysis of The Effect of Postural Insoles on Static Balance In Patients With Hemiparesis: A Randomized, Controlled, Clinical Trial

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 15 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Luiz Alfredo Braun Ferreira, Manuela Galli, Roberta Delasta Lazzari, Arislander Jonathan Dumont, Verônica Cimolin, Claudia Santos Oliveira

Background Stroke is one of the main causes of disability among adults. Objective The aim of the present study was to analyze the effect of postural insoles on static balance in individuals with stroke. Methods: twenty-four strokes survivors with hemiparesis were recruited from the rehabilitation clinics of the university and randomly allocated to two groups: experimental and control group. The subjects were analyzed for stabilometry, immediately following insole placement and after three months of insole usage, with eyes open and eyes closed. Results A significant difference was found immediately after postural insole placement regarding anteroposterior range of movement (p < 0.05). Moreover, significant reductions were found in the inter-group analysis after three months of insole usage. Conclusion Based on the present findings, postural insoles combined with conventional physical therapy offer significant benefits regarding static postural control among stroke victims after three months of use, as demonstrated by computerized stabilometry.





Adaptation, reliability and validity testing of a Persian version of the Health Assessment Questionnaire-Disability Index in Iranian patients with rheumatoid arthritis

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 12 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Salman Nazary-Moghadam, Afsaneh Zeinalzadeh, Mahyar Salavati, Simin Almasi, Hossein Negahban

Objective The aim of the present study was to culturally adapt and evaluate reliability and validity of Health Assessment Questionnaire-Disability Index (HAQ-DI) in Iranian patients with rheumatoid arthritis (RA). Subjects 234 patients with RA for validation study, Eighty-six participants for reliability study. Methods Test-retest relative reliability and internal consistency of Persian version of HAQ-DI were examined by intraclass correlation coefficient (ICC) and Cronbach's alpha, respectively. Additionally, HAQ-DI construct validity (Spearman's correlation) was examined using Persian version of Short-Form 36 Health survey (SF-36), activity and severity parameters. Results Persian version of HAQ-DI total score showed excellent test-retest reliability (ICC = 0.98) and internal consistency (Cronbach's alpha = 0.95). Spearman's correlations between the total PHAQ-DI score and activity and severity parameters were above 0.55. Correlation between PHAQ-DI and SF-36 Physical Health were higher as compared with SF-36 Mental Health. Conclusion Persian version of HAQ-DI is a reliable and valid culturally-adapted instrument in order to measure functional limitations in Iranian people with RA.





Musicians, postural quality and musculoskeletal health: A literature's review

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 6 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Patricia Blanco-Piñeiro, M. Pino Díaz-Pereira, Aurora Martínez

Objective An analysis of the salient characteristics of research papers published between 1989 and 2015 that evaluate the relationship between postural quality during musical performance and various performance quality and health factors, with emphasis on musculoskeletal health variables. Methods Searches of Medline, Scopus and Google Scholar for papers that analysed the subject of the study objective. The following MeSH descriptors were used: posture; postural balance; muscle, skeletal; task performance and analysis; back; and spine and music. A descriptive statistical analysis of their methodology (sample types, temporal design, and postural, health and other variables analysed) and findings has been made. The inclusion criterion was that the body postural quality of the musicians during performance was included among the target study variables. Results Forty-one relevant empirical studies were found, written in English. Comparison and analysis of their results was hampered by great disparities in measuring instruments and operationalization of variables. Conclusions Despite the growing interest in the relationships among these variables, the empirical knowledge base still has many limitations, making rigorous comparative analysis difficult.





Do exercises with the Foam Roller have a short-term impact on the thoracolumbar fascia? – A randomized controlled trial

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 6 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Annika Griefahn, Jan Oehlmann, Christoff Zalpour, Harry von Piekartz

Due to new research results in the past few years, interest in the fascia of the human body has increased. Dysfunctions of the fascia are indicated by various symptoms, amongst others, musculoskeletal pain. As a result stronger focus has been put on researching therapeutic approaches in this area. The main aim of this study was to investigate the effect of Foam Roll exercises on the mobility of the thoracolumbar fascia (TLF). Study has been conducted in a randomized and controlled trial which sampled 38 healthy athletic active men and women. The subjects were randomly assigned to a Foam Roll Group (FMG), a Placebo Group (PG) and a Control Group (CG). Depending on the assigned group the volunteers were either instructed to do exercises with the Foam Roll, received a pseudo treatment with the Foam Roll or received no treatment. A total of three measurements were carried out. The most important field of research was the mobility of the TLF, which was determined using a sonographic assessment. In addition the lumbar flexion and the mechanosensivity of relevant muscles were determined. After the intervention, the FMG showed an average increase of 1.7915 mm for the mobility of the TLF (p < 0.001/d = 0.756). In contrast, only an average improvement of 0.1681 mm (p = 0.397) was shown in the PG, while the CG showed a slight improvement of 0.0139 mm (p = 0.861). However, no significant changes were observed with regard to the lumbar flexion and mechanosensivity of the treated muscles. Thus, evidence is that the use of Foam Roll exercises significantly improves the mobility of the thoracolumbar fascia in a healthy young population.





The local and referred pain patterns of the longus colli muscle

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 5 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Amir Minerbi, Motti Ratmansky, Aharon Finestone, Robert Gerwin, Simon Vulfsons

The longus colli muscle is a neck flexor believed to play an important role in pain originating in the neck region, including pain resulting from whiplash injuries. Despite the clinical importance attributed to it, the pain referral pattern of the longus colli has previously been described only in a small cohort of subjects. Here, we aim to delineate the pain referral pattern of the longus colli muscle. Thirty-five healthy volunteers underwent deep massage of the longus colli followed by dry needling of the muscle. The subjects depicted the distribution of the pain they experienced on a blank manikin. Their drawings were digitized and used to produce pain pattern histogram maps. The pain referral pattern during deep massage and needling of the longus colli was primarily local, with referral to the ipsilateral ear and lateral to the ipsilateral eye. Some subjects reported pain on the contralateral side of the neck.





Chronic pain in a patient with Ehlers-Danlos syndrome (hypermobility type): The role of myofascial trigger point injections

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 5 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Saipriya Tewari, Rajashree Madabushi, Anil Agarwal, Sujeet K. Gautam, Sandeep Khuba

Chronic widespread musculoskeletal pain is a cardinal symptom in hypermobility type of Ehler Danlos Syndrome (EDS type III). The management of pain in EDS, however, has not been studied in depth. A 30 year old female, known case of EDS, presented to the pain clinic with complaints of severe upper back pain for 6 months. Physical examination of the back revealed two myofascial trigger points over the left rhomboids and the left erector spinae. Local anaesthetic trigger point injections were given at these points, followed by stretching exercises under analgesic cover for the first week. After 1 week the patient reported 60–80% pain relief. This case highlights that we must keep a high index of suspicion for the more treatable causes of pain like myofascial pain syndrome in patients suffering from EDS, and should address it promptly and appropriately in order to maximise patient comfort.





Effects of medical exercise therapy in patients with hip osteoarthritis: A randomized controlled trial with six months follow-up. A pilot study

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 5 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Håvard Østerås, Fredrik Paulsberg, Stian Endré Olsen, Berit Østerås, Tom Arild Torstensen

Background & aims There is no consensus regarding what type of exercises, combination of exercises or exercise dosage is most effective in patients with long-term hip arthrosis. The goal of this study was to evaluate the effects of two different exercise programs related to dose–response relationships. Method Prospective randomized controlled clinical trial with 6 months follow where 33 participants were randomly assigned to either high repetitive, high dosage medical exercise therapy (MET) (n = 16) or low dosage exercise therapy (ET) (n = 17). Primary outcomes are pain using a visual analog scale (VAS) and function using a functional assessment questionnaire (WOMAC). Results Patients were equal at baseline. Two patients (6%) dropped out during the treatment period. There were no difference between groups after end of treatment nor at 6 months follow up. However, there were significant differences within each exercise group at end of treatment. Conclusion In this pilot study, we were not able to show any difference between MET and ET. More research is needed with a larger patient population and a more extensive exercise period similar to other studies that are published regarding dose–response effects. Clinicaltrials.gov identifier: NCT01700933.





“Dancing on the edge of research” – What is needed to build and sustain research capacity within the massage therapy profession? A formative evaluation

Posted: 15 Oct 2016 02:25 PM PDT

Publication date: Available online 5 July 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Ania Kania-Richmond, Martha B. Menard, Beth Barberree, Marvin Mohring

Background Conducting research on massage therapy (MT) continues to be a significant challenge. Purpose To explore and identify the structures, processes, and resources required to enable viable, sustainable and high quality MT research activities in the Canadian context. Participants Academically-based researchers and MT professionals involved in research. Research design Formative evaluation and a descriptive qualitative approach were applied. Results Five main themes regarding the requirements of a productive and sustainable MT research infrastructure in Canada were identified: 1) core components, 2) variable components, 3) varying perspectives of stakeholder groups, 4) barriers to creating research infrastructure, and 5) negative metaphors. In addition, participants offered a number of recommendations on how to develop such an infrastructure. Conclusions While barriers exist that require attention, participants' insights suggest there are various pathways through which a productive and sustainable MT research infrastructure can be achieved.





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