Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2014
Randomized Controlled TrialEffects of different frequencies of conventional transcutaneous electrical nerve stimulation on pressure pain threshold and tolerance.
Pulse frequency is one of the key determinants of analgesic outcomes by transcutaneous electrical nerve stimulation (TENS). However, optimal settings remain unclear. ⋯ These findings established that, at 150 pps conventional TENS, threshold and tolerance values were consistently higher. These results are presented to inform future research regarding optimal conventional TENS parameters and to provide support for clinical applications.
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J Back Musculoskelet Rehabil · Jan 2014
Comparative Study Clinical TrialAssessment of forward head posture in females: observational and photogrammetry methods.
There are different methods to assess forward head posture (FHP) but the accuracy and discrimination ability of these methods are not clear. ⋯ Our results showed that, craniovertebral angle method may discriminate the females with moderate-severe and non FHP more accurate than head position angle and head tilt angle. The photogrammetric method had excellent inter and intra rater reliability to assess the head and cervical posture.
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J Back Musculoskelet Rehabil · Jan 2014
Randomized Controlled Trial Comparative StudyLow-level laser therapy versus ultrasound therapy in the treatment of subacromial impingement syndrome: a randomized clinical trial.
The aim of this study was to compare the effectiveness of low-level laser therapy and ultrasound therapy in the treatment of subacromial impingement syndrome. ⋯ The results suggest that efficacy of both treatments were comparable to each other in regarding reducing pain severity and functional disability in patients with subacromial impingement syndrome. Based on our findings, we conclude that low-level laser therapy may be considered as an effective alternative to ultrasound based therapy in patients with subacromial impingement syndrome especially ultrasound based therapy is contraindicated.
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J Back Musculoskelet Rehabil · Jan 2014
Comparative Study Observational StudyLow back related leg pain: an investigation of construct validity of a new classification system.
Leg pain is associated with back pain in 25-65% of all cases and classified as somatic referred pain or radicular pain. However, distinction between the two may be difficult as different pathomechanisms may cause similar patterns of pain. Therefore a pathomechanism based classification system was proposed, with four distinct hierarchical and mutually exclusive categories: Neuropathic Sensitization (NS) comprising major features of neuropathic pain with sensory sensitization; Denervation (D) arising from significant axonal compromise; Peripheral Nerve Sensitization (PNS) with marked nerve trunk mechanosensitivity; and Musculoskeletal (M) with pain referred from musculoskeletal structures. ⋯ These findings support construct validity for two of the categories of the new classification system, however further research is warranted to achieve construct validation of the classification system as a whole.
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J Back Musculoskelet Rehabil · Jan 2014
Randomized Controlled TrialComparison between massage and routine physical therapy in women with sub acute and chronic nonspecific low back pain.
The aim of this study was to investigate the comparison of massage therapy and routine physical therapy on patients with sub acute and chronic nonspecific low back pain. ⋯ It can be concluded that both massage therapy and routine physical therapy are useful for sub acute and chronic nonspecific low back pain treatment especially if accompanied with exercise. However, massage is more effective than other electrotherapy modalities, and it can be used alone or with electrotherapy for the treatment of patients with low back pain.