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“Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke: a case report” plus 7 more E-Medicine

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“Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke: a case report” plus 7 more E-Medicine


Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke: a case report

Posted: 29 Oct 2016 02:51 PM PDT

Publication date: Available online 27 October 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Christopher S. Cayco, Edward James R. Gorgon, Rolando T. Lazaro

This study described the effects of a proprioceptive neuromuscular facilitation (PNF) program on balance, strength, and mobility in an older adult with chronic stroke. The patient was male, aged 69 years, with right hemiplegia for 17 years, and had diminished balance, balance confidence, lower extremity (LE) strength, and gait velocity. He received one hour of PNF-based therapy thrice a week for six weeks. Outcome measures were: Mini-BESTest, limits of stability (LOS), Activities-Specific Balance Confidence Scale (ABC), Five Time Sit-to-Stand Test (FTSST), Upright Motor Control Test (UMCT), and 10 Meter Walk Test (10MWT). The patient improved on the Mini-BESTest (25/28, from 21/28), FTSST (27.47 s, from 30.27 s), UMCT knee extension (moderate, from weak), and 10MWT (0.82 m/s, from 0.67 m/s); and positive changes in LOS dimensions. PNF was effective in enhancing balance, strength, and mobility in an older adult with chronic stroke and may mitigate falls risk in this population. More research is needed to determine its impact in a larger sample of older people with chronic stroke.





Intra-rater and inter-rater reliability of total faulty breathing scale using visual observation and videogrammetry methods

Posted: 29 Oct 2016 02:51 PM PDT

Publication date: Available online 27 October 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Vikram Mohan, Maria Perri, Aatit Paungmali, Patraporn Sitilertpisan, Leonard Henry Joseph, Romizan Jathin, Munirah Bt Mustafa, Siti Hawa Bt Mohd Nasir

Faulty breathing is an aspect of alteration in the normal fundamental pattern of breathing. The available existence of scales in assessing faulty breathing has not frequently been used. Measurement errors in assessing and quantifying breathing patterns may originate from unclear directions and variation between observers. This study determined the measure reliability of the Total Faulty Breathing Scale (TFBS) for quantifying breathing patterns. Twenty seven participants were recruited comprising healthy and unhealthy subjects. Two examiners assessed their breathing patterns using the TFBS on two different occasions with visual observation and a videogrammetry method. Evaluation of the observational breathing pattern method for intra-rater and inter-rater showed agreement of 96.30% and a kappa score of greater than 0.78, which indicated substantial agreements. The videogrammetry method showed a percent agreement of (100%) with a kappa score of (1.00). This study indicates that the TFBS is a considerably reliable tool for evaluating breathing patterns with both visual observation and a videogrammetry method.





Correlation between cervical flexor muscle thickness and craniocervical flexion torque in healthy subjects

Posted: 29 Oct 2016 02:51 PM PDT

Publication date: Available online 22 October 2016
Source:Journal of Bodywork and Movement Therapies

Author(s): Hiroshi Ishida, Tadanobu Suehiro, Susumu Watanabe

The purpose of this study was to clarify the relationship between the size of the cervical flexor muscles and craniocervical (CC) flexion torque. Thirty-eight healthy men participated in this study. Thickness of the deep cervical flexor (DCF) and sternocleidomastoid (SM) muscles were measured using ultrasonography. Maximal isometric CC flexion torque was measured using dynamometry. The DCF and SM muscle thickness and CC flexion torque were normalized relative to body weight. Correlations between normalized muscle thickness and normalized CC flexion torque were determined. A significant positive correlation was observed between normalized DCF muscle thickness and normalized CC flexion torque (r = 0.361, P = 0.028), whereas there was no significant correlation between normalized SM muscle thickness and normalized CC flexion torque (r = 0.233, P = 0.166). DCF muscle thickness appears to have potential clinical application in the performance of CC flexion.





Is self-massage an effective joint range-of-motion strategy? A pilot study

Posted: 29 Oct 2016 02:51 PM PDT

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

Author(s): Estêvão Rios Monteiro, Mark Tyler Cavanaugh, David Michael Frost, Jefferson da Silva Novaes

Increases in joint range of motion may be beneficial in both improving performance and reducing the risk of injury. The purpose of this study was to investigate short-term changes in passive hip flexion (HF) and extension (HE) after foam rolling (FR) and roller massage (RM) durations of 60 and 120 seconds. Ten recreationally active men (27.6 ± 2.4 years old; 164.8 ± 6.6 cm; 62.2 ± 8.0 kg; 24.2 ± 2.1 m2/kg) were recruited for this study. Subjects performed foam rolling (FR) and roller massage (RM) on the hamstrings for 60 (FR60 and RM60) and 120 (FR120 and RM120) seconds. Significant differences between FR120 and RM60 were observed in both HF (p < 0.001) and HE (p < 0.001) suggesting an intervention (roller style) effect. Furthermore, significant differences (p < 0.001) between RM60 and RM120 suggest a dosage based response. Thus, the findings indicate that different roller type or rolling volume may affect range-of-motion.





Effect of a lateral glide mobilisation with movement of the hip on vibration threshold in healthy volunteers

Posted: 29 Oct 2016 02:51 PM PDT

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

Author(s): Darren A. Smith, Jacob Saranga, Andrew Pritchard, Nikolaos A. Kommatas, Shinu Kovelal Punnoose, Supriya Tukaram Kale

Background Mulligan's mobilisation-with-movement (MWM) techniques are proposed to achieve their clinical benefit via neurophysiological mechanisms. However, previous research has focussed on responses in the sympathetic nervous system only, and is not conclusive. An alternative measure of neurophysiological response to MWM is required to support or refute this mechanism of action. Recently, vibration threshold (VT) has been used to quantify changes in the sensory nervous system in patients experiencing musculoskeletal pain. Objective To investigate the effect of a lateral glide MWM of the hip joint on vibration threshold compared to a placebo and control condition in asymptomatic volunteers. Methods Fifteen asymptomatic volunteers participated in this single-blinded, randomised, within-subject, placebo, control design. Participants received each of three interventions in a randomised order; a lateral glide MWM of the hip joint into flexion, a placebo MWM, and a control intervention. Vibration threshold (VT) measures were taken at baseline and immediately after each intervention. Mean change in VT from baseline was calculated for each intervention and then analysed for between group differences using a one-way analysis of variance (ANOVA). Results A one-way ANOVA revealed no statistically significant differences between the three experimental conditions (P=0.812). Conclusion This small study found that a lateral glide MWM of the hip did not significantly change vibration threshold compared to a placebo and control intervention in an asymptomatic population. This study provides a method of using vibration threshold to investigate the potential neurophysiological effects of a manual therapy intervention that should be repeated in a larger, symptomatic population.





Does leg predomination affect measuring vasti muscle onsets during single leg squatting? A reliability study

Posted: 29 Oct 2016 02:51 PM PDT

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

Author(s): Javid Mostamand, Dan L. Bader, Zoë Hudson

Introduction Although measuring vasti muscle onset may reveal whether the pain relief is associated with altering this parameter during activities in subjects with patellofemoral pain syndrome (PFPS), it may be necessary to determine whether the inherent properties of the dominant leg influences the reliability of measuring VMO-VL muscle onset. The aim of the present study was to examine the effect of leg predomination on reliability testing of the VMO-VL muscle onset measurement during single leg squatting in healthy subjects. Methods The onset of VMO and VL muscles of ten healthy subjects with a right dominant leg was assessed during single leg squatting. Data was collected from the muscle bellies of the VMO and VL. This procedure was performed on the both legs, during three separate single leg squats from a neutral position to a depth of approximately 30 ° of knee flexion. Subjects were then asked to repeat the test procedure after a minimum of a week's interval. The full wave rectified onsets of VMO and VL were then calculated. Results There was no significant difference between the VMO-VL onset mean values of paired test of right and left knees. The ICC (intra class correlation coefficient) values during within and between sessions tests showed the poor reliability of these measurements on both knees. Conclusion The low intratester reliability of within and between sessions measurement of VMO-VL onset on the both dominant and non-dominant legs revealed that repeatability of these measurements have little accepted reliability, however similar values of these measurements indicated that leg predomination does not affect the measurements during single leg squatting.





How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis? A retrospective study

Posted: 29 Oct 2016 02:51 PM PDT

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

Author(s): Silvano Ferrari, Jorge Hugo Villafañe, Pedro Berjano, Carla Vanti, Marco Monticone

Background There is a lack of conclusive information about the optimal dosage of physical therapy treatments in Spondylolisthesis (SPL) patients. Purpose The present study attempted to evaluate the comparative effectiveness of two different doses in reaching similar clinical outcomes. Methods A retrospective cohort study of 64 consecutive patients admitted for physical therapy with symptomatic lumbar grade I SPL (42 ±15years, 57% female) was conducted. At the end of the treatment, all participants were retrospectively assigned to one of two groups, receiving either 5-8 or 9-12 sessions (experimental or control group, respectively) of physical therapy treatments. The Prone Bridge Test (PBT) and the Supine Bridge Test (SBT) were used to measure muscular endurance. Results The area under the ROC curve for the PBT was 0.64 (95% CI 0.45–0.83) and for the SBT was 0.57 (95% CI 0.33-0.80). The optimal cutoff points were 25.5s for the PBT and 55.0s for the SBT. Logistic regression revealed that PBT (OR=1.062) was associated with SPL. The final regression model explained 77.4% (R2=0.341; p=0.024) of the variability. Conclusions In this sample, the number of sessions required to achieve satisfactory outcomes ranged from 5 to 12. The clinical results of the subjects in the 5-8 sessions group were similar to the 9-12 sessions group. Individual's coping mechanisms could be considered in future studies to understand which patients will require more therapeutic sessions.





A Comparison of the Effect of the Active Release and Muscle Energy Techniques on the Latent Trigger Points of the upper Trapezius

Posted: 29 Oct 2016 02:51 PM PDT

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

Author(s): Golnaz Sadria, Majid Hosseini, Asghar Rezasoltani, Alireza Akbarzadeh Bagheban, Ahmad Reza Davari, Afsaneh Seifolahi

Background/Aim The increasing use of computer in daily life has brought about numerous musculoskeletal problems. Impairments in the head, neck and shoulders are more common compared with the other parts of the body. The aim of this study was to compare the effect of two manual treatments in two separate groups,i.e., active release technique (ART) and muscle energy technique (MET) on the latent trigger points (LTrPs) in the upper trapezius muscle. The set criteria in the study included the active range of cervical lateral flexion, pain intensity on the visual analog scale (VAS), and the upper trapezius muscle thickness. Subjects and Methods: This clinical trial study assessed the outcome measures within and between groups before and after the intervention. The target population were 64 (32 males, 32 females) participants who had been selected from among the the staff members and the students of a rehabilitation school, and the employees of an engineering company who had LTrPs in their upper trapezius muscle and were from 18 to 50 years old. Results The immediate effects of MET and ART on the patients of each groups with LTrPs in their upper trapezius muscle were increased active range of cervical lateral flexion (P<0.001), decreased pain intensity on VAS (P<0.05) and decreased thickness of the upper trapezius muscle (P<0.01). Conclusion Both manual techniques of ART and MET reduced the symptoms of LTrPs in the upper trapezius in the two groups equally, neither technique being superior to the other.





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