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“Editorial Board” plus 26 more E-Medicine

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“Editorial Board” plus 26 more E-Medicine


Editorial Board

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4









Respiratory dysfunction in patients with chronic neck pain: What is the current evidence?

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Zacharias Dimitriadis, Eleni Kapreli, Nikolaos Strimpakos, Jacqueline Oldham

Respiratory function of patients with neck pain has not been given much consideration in usual clinical practice. The problem has however been highlighted occasionally by renown clinical scientists and recently there is a growing interest in the investigation of respiratory function in this clinical population. The aim of this review is to critically present the emerging evidence and discuss the similarities and differences observed. Although the evidence for some respiratory parameters is conflicting, it seems to be generally agreed that others such as maximal voluntary ventilation, strength of respiratory muscles, chest mechanics and partial pressure of arterial carbon dioxide are affected in patients with chronic neck pain. The effect size of the respiratory dysfunction regarding these respiratory parameters can be approximately described as moderate. These findings not only suggest a more thoughtful drug prescription, but they may lead to consideration of incorporation of respiratory assessment and treatment into routine physiotherapy practice. Indeed preliminary studies exploring the incorporation of such a treatment into usual practice have provided very promising results not only in relation to respiratory function, but also for other parameters of clinical interest. There remains however imminent need for randomized controlled trials to confirm the evidence base for such an approach.





Multimodal compared to pharmacologic treatments for chronic tension-type headache in adolescents

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Peter Przekop, Allison Przekop, Mark G. Haviland

Chronic tension-type headache (CTTH) in children and adolescents is a serious medical condition, with considerable morbidity and few effective, evidence-based treatments. We performed a chart review of 83 adolescents (age range = 13–18 years; 67 girls and 16 boys) diagnosed with CTTH. Two treatment protocols were compared: multimodal (osteopathic manipulative treatments, mindfulness, and qi gong) and pharmacologic (amitriptyline or gabapentin). Four outcomes (headache frequency, pain intensity, general health, and health interference) were assessed at three time points (baseline, 3 months, and 6 months). A fifth outcome, number of bilateral tender points, was recorded at baseline and 6 months. All five were evaluated statistically with a linear mixed model. Although both multimodal and pharmacologic treatments were effective for CTTH (time effects for all measures were significant at p < .001), results from each analysis favored multimodal treatment (the five group by time interaction effects were significant at or below the p < .001 level). Headache frequency in the pharmacologic group, for example, reduced from a monthly average (95% Confidence Interval shown in parentheses) of 23.9 (21.8, 26.0) to 16.4 (14.3, 18.6) and in the multimodal group from 22.3 (20.1, 24.5) to 4.9 (2.6, 7.2) (a substantial group difference). Pain intensity (worst in the last 24 hours, 0-10 scale) was reduced in the pharmacologic group from 6.2 (5.6, 6.9) to 3.4 (2.7, 4.1) and from 6.1 (5.4, 6.8) to 2.0 (1.2, 2.7) in the multimodal group (a less substantial difference). Across the other three assessments, group differences were larger for general health and number of tender points and less so for pain restriction. Multimodal treatment for adolescent CTTH appears to be effective. Randomized controlled trials are needed to confirm these promising results.





T4 syndrome – A distinct theoretical concept or elusive clinical entity? A case report

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Patricia Miyuki Hirai, Oliver P. Thomson

T4 syndrome has existed as a clinical concept for more than three decades and it has been identified as a source of upper extremity (UE) symptoms. This case report explores the clinical reasoning in the diagnoses and management of a patient with symptoms consistent with T4-type syndrome and critically discusses the concept of T4 syndrome using recent research to help explain the clinical presentation. Manual therapy treatment focused on stimulation of the sympathetic ganglia, decreasing local upper thoracic pain and UE referral pattern noted during passive examination. The successful outcomes included immediate and lasting symptom relief after upper thoracic spinal manipulation. Although treatment has been based on the theory that mechanical thoracic dysfunction can produce sympathetic nervous system (SNS) referred pain, the role the sympathetic reflexes potentially plays on the referral symptoms to the UE presently remains unclear.





Does leg predomination affect the measurement of vasti muscle activity during single leg squatting? A reliability study

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

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

Introduction Although measuring vasti muscle activity may reveal whether pain relief is associated with altering this parameter during functional 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 amplitude. The aim of the present study was to examine the effect of leg predomination on reliability testing of the VMO/VL amplitude measurement during single leg squatting in healthy subjects. Methods Using an electromyography (EMG) unit, the ratio amplitudes of VMO and VL muscles of ten healthy subjects with a right dominant leg was assessed during single leg squatting. Data was collected from two silver–silver surface electrodes placed over the muscle bellies of the VMO and VL. This procedure was performed on the both right and left 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 amplitude of VMO and VL were then calculated using root mean square (RMS). Results There was no significant difference between the VMO/VL amplitude mean values of paired test of right (mean, SD of 0.85, 0.10) and left knees (mean, SD of 0.82, 0.10) (p > 0.05). The CV (coefficient of variation) values during within and between session tests, revealed the high repeatability and reproducibility of VMO/VL amplitude measurements on both knees. The ICC (intra class correlation coefficient) values during within and between sessions tests showed the high reliability of these measurements on both knees. Conclusion The high reliability of VMO/VL amplitude measurements on both dominant and non-dominant legs of healthy subjects suggests that the VMO/VL amplitude measurement would not be influenced by the leg predomination during single leg squatting.





Is there an association between women's consultations with a massage therapist and health-related quality of life? Analyses of 1800 women aged 56–61 years

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Jane Frawley, Wenbo Peng, David Sibbritt, Lesley Ward, Romy Lauche, Yan Zhang, Jon Adams

Background The use of complementary and alternative medicine (CAM) is commonplace in Australia with massage being a popular CAM modality. Methods This is a sub-study from the Australian Longitudinal Study on Women's Health (ALSWH). A total of 2120 mid-age (56–61 year old) women who consulted a CAM practitioner were invited to participate in this study. The Short-Form (SF-36) questionnaire was used to measure women's health-related quality of life. Results A total of 1800 women returned the questionnaire generating a response rate of 85.0%. Overall, 912 (50.7%) women visited a massage therapist in the previous 12 months. Women with lower quality of life scores in terms of bodily pain (p = 0.012) and/or emotional health (p = 0.029) were more likely to consult a massage therapist than those with higher scores. Conclusion The implications of these associations are important for informing healthcare providers in providing effective and coordinated care for patients with pain and mood symptoms.





Changes in co-contraction during stair descent after manual therapy protocol in knee osteoarthritis: A pilot, single-blind, randomized study

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Carlos Cruz-Montecinos, Rodrigo Flores-Cartes, Agustín Montt-Rodriguez, Esteban Pozo, Alvaro Besoaín-Saldaña, Giselle Horment-Lara

Introduction Manual therapy has shown clinical results in patients with knee osteoarthritis. However, the biomechanical aspects during functional tasks have not been explored in depth. Methods Through surface electromyography, the medial and lateral co-contractions of the knee were measured while descending stairs, prior and posterior to applying a manual therapy protocol in the knee, with emphasis on techniques of joint mobilization and soft-tissue management. Results Sixteen females with slight or moderate knee osteoarthritis were recruited (eight experimental, eight control). It was observed that the lateral co-contraction index of the experimental group, posterior to intervention, increased by 11.7% (p = 0.014). Conclusions The application of a manual therapy protocol with emphasis on techniques of joint mobilization and soft-tissue management modified lateral co-contraction, which would have a protective effect on the joint.





Low level light therapy and tattoos: A case report

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Teresa Ingenito

Background and purpose Physical therapists (PTs) frequently provide neuromusculoskeletal treatment for patients who incidentally may have one or more tattoos. Low level light therapy (LLLT) is one of the modalities commonly used by physical therapists to decrease pain and facilitate healing. Case description This case report describes a 22 year old man who was given LLLT to address his complaints of musculoskeletal pain. Outcomes Blistering of the skin was documented over the LLLT application site, a black tattoo. Discussion The blisters, which formed after the LLLT treatment were most likely caused by the inadvertent and unexpected heating of the iron oxides and/or the metal salts in the tattoo's black pigment. PTs should exercise caution when applying LLLT in the presence of dark tattoos.





Older adult Alexander Technique practitioners walk differently than healthy age-matched controls

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Kate A. Hamel, Christopher Ross, Brooke Schultz, Matthew O'Neill, David I. Anderson

The Alexander Technique (AT) seeks to eliminate harmful patterns of tension that interfere with the control of posture and movement and in doing so, it may serve as a viable intervention method for increasing gait efficacy in older adults. The purpose of this study was to compare the comfortable pace gait kinematics of older AT practitioners with those of healthy, age-matched controls. Participants were six licensed AT practitioners and seven healthy age-matched controls between the ages of 61–76. During the stance phase, AT participants exhibited significantly greater ankle stance range of motion (ROM) and plantar flexion at toe off, as well as lower ROM of the trunk and head compared to controls. During the swing phase, the AT practitioners had significantly increased hip and knee flexion and a trend toward significantly increased dorsiflexion. The findings suggest that the older AT practitioners walked with gait patterns more similar to those found in the literature for younger adults. These promising results highlight the need for further research to assess the AT's potential role as an intervention method for ameliorating the deleterious changes in gait that occur with aging.





Assessment of the posture of adolescents in everyday clinical practice: Intra-rater and inter-rater reliability and validity of a posture index

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Oliver Ludwig, Annette Hammes, Jens Kelm, Eduard Schmitt

Objectives The assessment of the posture of children and adolescents using photometric methods has a long tradition in paediatrics, manual therapy and physiotherapy. It can be well integrated into the clinical routine and enables objective documentation. One-dimensional parameters such as angle sizes are mostly used in the diagnosis of postural defects in children and adolescents by means of photogrammetry. This study examined the posture index, a complex parameter, which evaluates the alignment of several trunk segments in the sagittal plane and is suitable for use as a screening parameter in everyday clinical practice. Methods For this postural photographs were taken in the sagittal plane of the habitual posture in a subgroup of 105 adolescents (12.9 ± 2.6 years) for analysing validity, and in a subgroup of 25 adolescents (12.1 ± 2.8 years) for analysing reliability and objectivity. Marker spheres (12 mm) were placed on five anatomical landmarks. The posture was also evaluated clinically by experienced investigators (PT, MD, DSc). The distances of the marker points to the plumb line through the malleolus lateralis were calculated and the posture index calculated from these. In order to determine the objectivity, reliability and validity of the posture index, statistical parameters were calculated. Results The posture index demonstrated very good objectivity (intraclass correlation coefficient ICC = 0.865), good reliability (Cronbach's alpha = 0.842) and good validity compared to the posture assessment done by the medical experts (Spearman's rho = 0.712). Conclusions The posture index reflects a doctor's assessment of the posture of children and adolescents and is suitable as a clinical parameter for the assessment of postural defects.





The influence of Positional Release Therapy on the myofascial trigger points of the upper trapezius muscle in computer users

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): M. Mohammadi Kojidi, F. Okhovatian, A. Rahimi, A.A. Baghban, H. Azimi

Objective The purpose of the present study was to investigate the effect of Positional Release Therapy (PRT) in computer users via latent trigger points (LTrPs) of the upper trapezius muscle. Materials and methods Twenty-eight women with the upper trapezius MTrPs participated in this study. Subjects were randomly classified into two groups (14 in each group): the subjects in the Group 1 received PRT in shortened position while those in the group 2 received sham control in the neutral position of the upper trapezius muscle. They received three therapy sessions every other day for one week. The local pain intensity and Pressure pain threshold (PPT) were measured via Visual Analogue Scale (VAS) and algometry, respectively, before interventions and repeated 5 min after the first and third treatment sessions in each group. Results One-way ANOVA was used for data analysis. After treatment, between groups comparison revealed that for PPT and VAS, there were significant differences between the two groups (VAS and PPT; P < 0.05). Conclusion Both groups (PRT and sham control) showed alleviation of pain and increase in PPT during three sessions of therapy although PRT showed to be more effective in these patients.





The effect of extremity strength training on fibromyalgia symptoms and disease impact in an existing multidisciplinary treatment program

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Tamara Kas, Megan Colby, Maureen Case, Dan Vaughn

Purpose The purpose of this study was to examine the effect of upper and lower body extremity strengthening exercise in patients with Fibromyalgia (FM) within an existing multidisciplinary treatment program. Participants Patients between the ages of 18–65 with the medical diagnosis of FM. Methods Comparative study design. The control and experimental group received the same multidisciplinary treatment except that the experimental group performed upper and lower extremity strengthening exercises. Outcome Measures The Fibromyalgia Impact Questionnaire (FIQ) was administered at evaluation and discharge from the program in order to measure change in quality of life (QOL). Results Statistically significant changes in FIQ scores were found for both groups. The addition of extremity strengthening in the experimental group produced an average 4 points greater reduction in FIQ score, however, these results are not considered statistically significant. Conclusions This study appears to validate the success of a multidisciplinary approach in treating patients with FM, with the possibility for further benefit with the addition of extremity strengthening.





The biomechanical model in manual therapy: Is there an ongoing crisis or just the need to revise the underlying concept and application?

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Christian Lunghi, Paolo Tozzi, Giampiero Fusco

Different approaches to body biomechanics are based on the classical concept of "ideal posture" which is regarded as the state where body mass is distributed in such a way that ligamentous tensions neutralize the force of gravity and muscles retain their normal tone, as result of the integration of somatic components related to posture and balance mechanisms. When compromised, optimal posture can be restored through the balanced and effective use of musculoskeletal components; however, various research findings and the opinion of experts in this field suggest a move away from the dogmas that have characterized the idea of health dependent on ideal posture, to promote instead dynamic approaches based on the interdependency of the body systems as well as on the full participation of the person in the healing process. Following these concepts, this article proposes a revised biomechanical model that sees posture as the temporary result of the individual's current ability to adapt to the existing allostatic load through the dynamic interaction of extero-proprio-interoceptive information integrated at a neuromyofascial level. Treatments using this revised model aim to restore the optimal posture available to the person in that particular given moment, through the efficient and balanced use of neuro–myofascia–skeletal components in order to normalize aberrant postural responses, to promote interoceptive and proprioceptive integration and to optimize individual responses to the existing allostatic load. The latter is achieved via multimodal programs of intervention, in a salutogenic approach that, from a traditional perspective, evolves on an anthropological basis, to the point of centering its work on the person.





Comparison between static stretching and the Pilates method on the flexibility of older women

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Laís Campos de Oliveira, Raphael Gonçalves de Oliveira, Deise Aparecida de Almeida Pires-Oliveira

Introduction Flexibility decreases with advancing age and some forms of exercise, such as static stretching and Pilates, can contribute to the improvement of this physical ability. Objective To compare the effects of static stretching and Pilates on the flexibility of healthy older women, over the age of 60 years. Method Thirty-two volunteers were randomized into two groups (Static stretching or Pilates) to perform exercises for 60 min, twice a week, for three months. Evaluations to analyze the movements of the trunk (flexion and extension), hip flexion and plantar and dorsiflexion of the ankle were performed before and after the intervention, using a fleximeter. Results The static stretching exercises improved the trunk flexion and hip flexion movements, while the Pilates improved all evaluated movements. However, over time, the groups presented differences only for the trunk extension movement. Conclusion For some body segments, Pilates may be more effective for improving flexibility in older women compared to static stretching.





The effect of Kinesio taping technique on trigger points of the piriformis muscle

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Fahimeh Hashemirad, Noureddin Karimi, Roshanak Keshavarz

Background Kinesio taping (KT) is a novel method which has recently emerged as a viable option to treat various musculoskeletal and neuromuscular deficits. The aim of this study was to determine the effects of KT on pain and hip joint range of motion (ROM) in individuals with myofacial trigger points in the piriformis muscle. Methods 51 patients with involvement of the piriformis muscle were assigned to experimental (N = 33) or control (N = 18) groups. The experimental group received KT with unloading techniques on the piriformis muscle and they were asked to keep this tape in place for three days. Pain and internal rotation (IR) of hip joints were measured at baseline, immediately after the KT application, and at a 72-h follow-up. Results The analysis of repeated measurement ANOVA yielded no main effects, but the interactions between group and time for each dependent variable (pain and ROM) were significant. A post-hoc analysis revealed significant improvement in pain and hip IR immediately postapplication and at a 72-h follow up in the KT group, while no significant change were found on dependent variables in the control group. Discussion Our findings suggests that KT application may be effective for pain relief and increasing ROM in patients with myofacial trigger points in the piriformis muscle.





The effectiveness of Pilates on balance and falls in community dwelling older adults

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Sharon Josephs, Mary Lee Pratt, Emily Calk Meadows, Stephanie Thurmond, Amy Wagner

Purpose The purpose of this study was to determine whether Pilates is more effective than traditional strength and balance exercises for improving balance measures, balance confidence and reducing falls in community dwelling older adults with fall risk. Method Thirty-one participants with fall risk were randomly assigned to the Pilates group (PG) or the traditional exercise group (TG). Both groups participated in 12 weeks of exercise, 2 times/week for 1 h. Results There was significant improvement in the Fullerton Advanced Balance Scale for both the PG (mean difference = 6.31, p < .05) and the TG (mean difference = 7.45, p = .01). The PG also showed significant improvement in the Activities-Specific Balance Confidence Scale (mean difference = 10.57, p = .008). Conclusion Both Pilates and traditional balance programs are effective at improving balance measures in community dwelling older adults with fall risk, with the Pilates group showing improved balance confidence.





Predictive models of six-minute walking distance in adults with sickle cell anemia: Implications for rehabilitation

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Cirlene de Lima Marinho, Maria Christina Paixão Maioli, Andrea Ribeiro Soares, Ricardo Bedirian, Pedro Lopes de Melo, Fernando Silva Guimarães, Arthur de Sá Ferreira, Agnaldo José Lopes

Background Sickle cell anemia (SCA) is characterized by a broad spectrum of abnormalities that affect most body organs and systems. To date, there is few data on the influence of these patients' clinical characteristics on the functional exercise capacity. Aim To investigate the effect of the clinical complications on the functional exercise capacity of adult SCA patients. Method Cross-sectional study, where 45 SCA patients underwent clinical evaluations, echocardiography, pulmonary function testing, and determination of six-minute walking distance (6MWD). Results A significant correlation (P < 0.001) was found between 6MWD and hemoglobin (Hb) level, tricuspid regurgitation velocity, forced vital capacity, acute chest syndrome, and diffusing capacity for carbon monoxide. The prediction model for 6MWD explained 67% of the 6MWD variability (P < 0.001). Conclusions Hemodynamics, cardiovascular function, pulmonary function, and episodes of acute lung injury seem to impact the 6MWD in adults with SCA.





Non-invasive methods of computer vision in the posture evaluation of adolescent idiopathic scoliosis

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Rozilene Maria C. Aroeira, Estevam B. de Las Casas, Antônio Eustáquio M. Pertence, Marcelo Greco, João Manuel R.S. Tavares

Purpose Reviewing techniques for non-invasive postural evaluation of adolescent idiopathic scoliosis (AIS) based on information extraction from images based on computer methods. Methods The Scopus, Web of Science, MEDLINE, ScieLo and PubMed databases were used, for the period 2011–2015. Results 131 articles were found based on keyword of which 15 articles met the established eligibility criteria. Of these, 4 were based on photogrammetry, and 11 based on laser, structured light, ultrasound, and Moiré projection. In these studies, the methodological quality varied from low to high. Conclusions The findings indicated diversity in methodologies; 14/15 articles reviewed were limited to the evaluation of the topography of the posterior back. A study, using two-dimensional photogrammetry, presented a whole body postural evaluation. As the asymmetry in AIS can be extended to the whole body, more attention should be given to develop full body assessment techniques to provide important additional data to aid in treatment decisions.





The effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Gustavo Telles, Delmany R. Cristovão, Fabiana Azevedo Terra Cunha Belache, Mariana Rezende Araujo Santos, Renato Santos de Almeida, Leandro Alberto Calazans Nogueira

Anterior knee pain is a common complaint and can cause difficulty with its inability to bear weight. The aim of the study was to analyse the effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain. A clinical trial with 18 patients with a clinical diagnosis of anterior knee pain was conducted. One group (E) with nine individuals was treated with hip muscle strengthening exercises; another group (EM), with nine individuals, had myofascial techniques added. To quantify the results, the Numeric Pain Rating Scale (NPRS) and the Lower Extremity Functional Scale (LEFS) were used. The E group showed an improvement in pain (p = 0.02), but not in the mean degree of disability. The EM group showed an improvement in pain (p = 0.01), as well as the degree of disability (p = 0.008). The effect size analysis showed that participants of the EM group had a greater impact on clinical pain and disability (Cohen's d = .35 and .30, respectively). The addition of myofascial techniques should be considered to improve the functionality of the lower limbs and reduce pain in patients with anterior knee pain.





Comparison of the effect of different modalities of physical exercise on functionality and anthropometric measurements in community-dwelling older women

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Ana Paula Sena Lomba Vasconcelos, Diogo Correia Cardozo, Alessandra Lamas Granero Lucchetti, Giancarlo Lucchetti

The present study aims to assess the effect of different modalities of physical exercises ("Functional Gymnastics"–FG, "Resistance Training"–RT and "Pilates combined with Hydrogymnastics"–PCH) on functional capacity and anthropometric measurements of 148 older women (60 years old or more). A comparative observational study was conducted. Functional and anthropometric measurements were assessed at baseline and after 16 weeks. All groups assessed showed significant changes between baseline and post-training. On the comparison of pre and post-training, differences in anthropometric measurements but not in functional test performance were found. The PCH had greater weight loss compared to the FG and RT, reduction in BMI compared to the FG and RT; reduction in waist compared to the FG and RT, and in hip compared to the RT. Although all groups improved, Pilates/Hydrogymnastics combination was more strongly associated with reductions in weight, BMI, waist and hip measurements but not functionality, than other modalities. These results highlight the role of combination physical exercise training in older women.





The effect of kinesiology tape on knee proprioception in healthy subjects

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Rui Torres, Raquel Trindade, Rui Soles Gonçalves

Background Kinesiology tape can improve athletic performance; however, due to cutaneous stimulation its application can have an influence on proprioception. Objectives To determine the effects of kinesiology tape on knee proprioception applied to quadriceps, namely in the joint position sense (JPS) and in the threshold to detect passive movement (TTDPM), both immediately after and 24 h after its application. Methods Thirty young healthy participants were randomly divided into experimental and control group. In the experimental group, a kinesiology tape on the quadriceps muscle was applied. The JPS and the TTDPM of the knee was assessed before, immediately after and 24 h after the kinesiology tape intervention. Results No significant differences were found in the assessment made before intervention. The Friedman Test showed that kinesiology tape had no influence on JPS in either group over time (p > 0.05). However, the TTDPM decreased significantly immediately after and 24 h after its application (p < 0.05).





The effectiveness of manual versus algometer pressure release techniques for treating active myofascial trigger points of the upper trapezius

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Walaa Abu Taleb, Aliaa Rehan Youssef, Amir Saleh

Manual pressure release (MPR) is a popular treatment of trigger points. Yet, treatment response may be influenced by inconsistent application of pressure. Further, it may contribute to increased risk of work-related musculoskeletal disorders of the wrist and hand in therapists. Therefore, this study aimed at introducing a novel method to apply pressure using the algometer and to compare its effectiveness to MPR. Forty-five volunteers with active trigger points of the upper trapezius received algometer pressure release (APR), MPR, or sham ultrasound (US). Pain pressure threshold (PPT) and contralateral active and passive neck side-bending ranges were assessed at baseline and immediately after a single session. Results showed no significant differences in post-treatment PPT between the study groups (p > 0.05). The APR group showed a significant increase in passive side-bending range compared with the two other groups, whereas active range improved in the APR compared with the US group (p < 0.05). Our results show that using algometer to apply pressure release to upper trapezius trigger points is more effective compared with manual release and sham US.





Neurodynamic treatment for patients with nerve-related leg pain: Protocol for a randomized controlled trial

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Giovanni E. Ferreira, Fábio F. Stieven, Francisco X. Araújo, Matheus Wiebusch, Carolina G. Rosa, Rodrigo Della Méa Plentz, Marcelo F. Silva

Objectives To investigate if neurodynamic treatment is more effective than advice to remain active in patients with nerve-related leg pain. Design Parallel-group randomized controlled trial blinded to the outcome assessor conducted in Porto Alegre, Brazil. Participants Sixty patients recruited from the community and private practices. Intervention Patients will be randomly assigned to receive four sessions of neurodynamic treatment over two weeks comprising passive lumbar foramen opening and neurodynamic sliders plus home exercises or advice to remain active. Main outcome measures Leg pain intensity, disability, low back pain intensity, functional ability, symptoms distribution and global impression of recovery will be assessed at two and four weeks after randomization. Analysis A linear mixed model will be employed for each outcome following intention to treat principles.





Does ‘Kinesio tape’ alter thoracolumbar fascia movement during lumbar flexion? An observational laboratory study

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Shihfan Jack Tu, Roger C. Woledge, Dylan Morrissey

Background Changes in thoracolumbar fascial thickness, structure and shear strain are associated with lower back pain (LBP). Therapeutic taping techniques such as Kinesio-Taping (KT) are increasingly used to treat LBP, albeit with variable effects and unclear mechanisms. However, evidence for quantifying how treatment effects in vivo fascia properties is inadequate. We therefore aimed to explore taping mechanisms using an in vivo ultrasound measurement. Methods Thoracolumbar ultrasound videos of known orientations and positions were taken from 12 asymptomatic participants (8 males and 4 females, aged 22.9 ± 3.59) while performing velocity-guided lumbar flexion with and without KT applied. An automated algorithm using cross-correlation to track contiguous tissue layers across sequential frames in the sagittal plane, was developed and applied to two movements of each subject in each taping condition. Differences of inter-tissue movements and paracutaneous translation at tissue boundaries were compared. Results Significant reduction in the mean movement of subcutaneous tissue during lumbar flexion before and after taping was found. There was no difference in other observed tissue layers. Tissue paracutaneous translations at three boundaries were significantly reduced during lumbar flexion when KT was applied (skin-subcutaneous: 0.25 mm, p < 0.01; subcutaneous-perimuscular tissue: 0.5 mm, p = 0.02; and perimuscular-muscle: 0.46, p = 0.05). No overall reduction in lumbar flexion was found (p = 0.10). Conclusions KT reduced subcutaneous inter-tissue movement and paracutaneous translation in the superficial thoracolumbar fascia during lumbar flexion, and the relationship of such difference to symptomatic change merits exploration. Combining ultrasound data with muscle activation information may be useful to reveal potential mechanisms of therapeutic taping in patients with LBP.





Chronic caesarian section scar pain treated with fascial scar release techniques: A case series

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Jennifer B. Wasserman, Jessica L. Steele-Thornborrow, Jeremy S. Yuen, Melissa Halkiotis, Elizabeth M. Riggins

Objective To describe outcomes of two subjects with chronically painful Caesarian section (C-section) scars following an intervention of specific myofascial scar release techniques. Study Design Case series. Background Over 1.3 million C-sections are performed annually in the US. Anywhere from 7 to 18% of those will develop chronic scar pain. Although anecdotal evidence supporting the use of fascial release in reducing surgical scar pain exists, almost no research has been published. Methods and Measures Two subjects who both underwent two C-sections resulting in chronic discomfort of 6–9 years duration participated in this study. Both reported premenstrual pain, pain upon pressure to the lower abdomen, and pain during bowel movements. Subject 1 also reported sharp pain with bed mobility. Four, 30-min treatment sessions over a period of two weeks consisted of stretching the scar until a release in tissue tension was felt by the treating therapist. Outcome measures included pain and pressure tolerance using a Pressure Algometer, measurements of scar flexibility using an Adheremeter, and the Numeric Pain Rating Scale (NPRS). These measures were collected at baseline, five days after the final treatment and at four weeks. Results Both subjects demonstrated improvements in all outcome measures. At four weeks, pressure tolerance at all point improved as much as 79% (p < 0.0001) and scar mobility increased in all directions at all points as much as 200% (p < 0.0001). Following treatment, both subjects rated their premenstrual pain for all previously painful activities at 0/10 for the first time since their surgeries. Conclusions These results suggest that scar release techniques may help reduce chronic scar pain in women who have had C-section surgery.





Long-term impact of ankle sprains on postural control and fascial densification

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Leonid Kalichman, Hila Lachman, Naama Freilich

Objective To evaluate the effect of a past ankle sprain (AS) on postural control and fascial changes in the adjacent body segment. Methods 20 young, healthy subjects with a history (≥6 months) of significant (Grades 2, 3) lateral ASs and 20 controls with no history of AS were recruited to cross-sectional case-control study. All subjects performed the Star Excursion Balance Test (SEBT). The Stecco method was used to evaluate fascial densification in the calf and upper foot areas. Results The leg with the AS in the study group vs. the right leg in the control group exhibited significant differences (lower scores of SEBT test in the AS group) for the following directions: anterior (p < 0.001), antero-lateral (p < 0.001), posterior (P = 0.028), postero-medial (P = 0.001), medial (P = 0.001), antero-medial (p < 0.001). A comparison between the leg with an AS in the study group and the right leg in the control group showed a significantly high prevalence of fascial densification for the talus internal rotation (p = 0.014), talus retromotion (p = 0.001), talus lateral (p = 0.040) and pes external rotation (p = 0.060) points. Conclusions There are long term effects of an AS on postural control and on the sensitivity and movability of the fascia in the calf and foot.





A model for radiating leg pain of endometriosis

Posted: 02 Nov 2016 03:04 PM PDT

Publication date: October 2016
Source:Journal of Bodywork and Movement Therapies, Volume 20, Issue 4

Author(s): Geoffrey M. Bove

Endometriosis is a prevalent female health disorder that often leads to back pain and radiating leg pain. Patients with such pain often seek care from multiple health care professionals, including manual therapists. We hypothesized that endometrioma can induce nerve inflammation thus the radiating leg pain that often accompanies endometriosis. To model sciatic endometriosis in female Wistar rats, a section of uterine horn was autotransplanted to the sciatic nerve. Uterus sections with the endometrium removed and autotransplanted to the sciatic nerve served as controls. After 1, 3, and 15 months the nerves were harvested and processed for immune cell presence and for neural elements. Control nerves were harvested after 4 months. All autotransplants survived, resulting in a fusion of the uterus sections to the nerves. Macroscopically, turgid cysts apposed to the nerves characterized the complexes. Microscopically, the complexes contained recruited macrophages, indicating persistent inflammation, and were innervated by small diameter axons. Only 1 of 8 control rats developed a small cyst, presumably due to residual endometrium. The persistent immune response and innervation suggest the nerve-uterus complexes as sources of inflammation and persistent neural discharge, and thus pain. This model could shed light upon the radiating leg pain that often accompanies endometriosis. Manual therapists should be aware of the possibility of endometriosis causing symptoms and examination findings that mimic musculoskeletal etiologies.





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