Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2014
Observational StudyPain, fear of falling and stair climbing ability in patients with knee osteoarthritis before and after knee replacement: 6 month follow-up study.
(1) to evaluate the change in time of pain, stair climbing ability and fear of falling (FOF), (2) to determine the association between pain, stair climbing ability and FOF for patients with knee osteoarthritis (OA) following the knee replacement over the course of six months, (3) and to compare the results with healthy controls in terms of stair climbing ability and FOF. ⋯ It would be reasonable to consider that FOF control is potentially useful for preventing severe functional limitation in stair climbing for subsequent knee OA before and early after the surgery.
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J Back Musculoskelet Rehabil · Jan 2014
Pathoanatomical characteristics of clinical lumbar spinal stenosis.
There is no clear picture of pathoanatomy in clinically diagnosed LSS. Findings in the literature regarding imaging in LSS are heterogeneous. ⋯ Results of this study confirm a number of pathoanatomical patterns in people diagnosed with LSS, including a high proportion of stenosis at L4/5, followed by L3/4 and L5/S1. Results also suggest a high prevalence of multi-level stenosis at adjacent segments. The prevalence of mixed stenosis varied from 31% to 68.2%; inclusion of mild findings resulted in a higher rate of both mixed and multi-level stenosis, compared to analysis of moderate-severe findings only. These results may guide future studies on LSS pathophysiology, by focusing attention toward the most prevalent radiological findings.
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J Back Musculoskelet Rehabil · Jan 2014
Clinical TrialInter and intra-rater reliability of mobile device goniometer in measuring lumbar flexion range of motion.
Evaluation of range of motion (ROM) is integral part of assessment of musculoskeletal system. This is required in health fitness and pathological conditions; also it is used as an objective outcome measure. Several methods are described to check spinal flexion range of motion. Different methods for measuring spine ranges have their advantages and disadvantages. Hence, a new device was introduced in this study using the method of dual inclinometer to measure lumbar spine flexion range of motion (ROM). ⋯ Mobile device goniometer has high intra-rater reliability. The inter-rater reliability was moderate. This device can be used to assess range of motion of spine flexion, representing uni-planar movement.
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J Back Musculoskelet Rehabil · Jan 2014
Concentric and eccentric strength of trunk muscles in osteitis pubis soccer players.
Osteitis pubis refers to a painful, inflammatory condition involving the pubic bones, pubic symphysis, and adjacent structures. So, the aims of the study were to evaluate the strength of trunk muscles of soccer players suffering from osteitis pubis, and to compare the agonist/antagonist ratio of trunk muscles in osteitis pubis athletes with that of healthy athletes. ⋯ Osteitis pubis group displayed concentric weakness of back muscle and eccentric weakness of abdominal muscles that lead to disturbance of the normal concentric abdominal/back ratio.
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J Back Musculoskelet Rehabil · Jan 2014
Botulinum toxin type A and myofascial pain syndrome: a retrospective study of 301 patients.
Botulinum toxin type A (BTX-A) intramuscular injections have been used for the treatment of myofascial pain syndrome (MPS), although its efficacy remains still unknown and its safety is controversial. ⋯ BTX-A injections and physiotherapy is an alternative to conventional treatment which should be considered when treating refractory MPS. Nonetheless, the differences in effectiveness based on diagnosis suggest the need to clarify the criteria used to select patients with MPS in future clinical trials and applications.