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Journal Cover Journal of Bodywork and Movement Therapies
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   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1360-8592
   Published by Elsevier Homepage  [3043 journals]
  • 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
    • Authors: Vikram Mohan; Aatit Paungmali; Patraporn Sitilertpisan
      Pages: 470 - 471
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Vikram Mohan, Aatit Paungmali, Patraporn Sitilertpisan

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.008
  • A concise rehabilitation protocol for sub-acute and chronic non-specific
           neck pain
    • Authors: Pardis Noormohammadpour; Fereshte Tayyebi; Mohammad Ali Mansournia; Elham Sharafi; Ramin Kordi
      Pages: 472 - 480
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.07.005
  • Exercise and physical therapy help restore body and self in clients with
           severe anorexia nervosa
    • Authors: Liv-Jorunn Kolnes
      Pages: 481 - 494
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.09.005
  • Acute electromyographic responses of deep thoracic paraspinal muscles to
           spinal manual therapy interventions. An experimental, randomized
           cross-over study
    • Authors: Gary Fryer; Michael Bird; Barry Robbins; Jane C. Johnson
      Pages: 495 - 502
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Gary Fryer, Michael Bird, Barry Robbins, Jane C. Johnson
      This single group, randomized, cross-over study explored whether manual therapy alters motor tone of deep thoracic back muscles by examining resting electromyographic activity (EMG) after 2 types of manual therapy and a sham control intervention. Twenty-two participants with thoracic spinal pain (15 females, 7 males, mean age 28.1 ± 6.4 years) had dual fine-wire, intramuscular electrodes inserted into deep transversospinalis muscles at a thoracic level where tissues appeared abnormal to palpation (AbP) and at 2 sites above and below normal and non-tender to palpation (NT). A surface electrode was on the contralateral paraspinal mass at the level of AbP. EMG signals were recorded for resting prone, two 3-s free neck extension efforts, two 3-s resisted maximal voluntary isometric contractions (MVIC), and resting prone before the intervention. Randomized spinal manipulation, counterstrain, or sham manipulation was delivered and EMG re-measured. Participants returned 1 and 2 weeks later for the remaining 2 treatments. Reductions in resting EMG followed counterstrain in AbP (median decrease 3.3%, P = 0.01) and NT sites (median decrease 1.0%, P = 0.05) and for the surface electrode site (median decrease 2.0%, P = 0.009). Reduction in EMG following counterstrain during free neck extension was found for the surface electrode site (median decrease 2.7%, P < 0.01). Spinal manipulation produced no change in EMG, whereas counterstrain technique produced small significant reductions in paraspinal muscle activity during prone resting and free neck extension conditions. The clinical relevance of these changes is unclear.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.04.011
  • Therapeutically efficient components of Basic Body Awareness Therapy as
           perceived by experienced therapists – A qualitative study
    • Authors: Amelie Ambolt; Gunvor Gard; Catharina Sjödahl Hammarlund
      Pages: 503 - 508
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.07.006
  • Effects of aerobic exercise on functional capacity, anthropometric
           measurements and inflammatory markers in diabetic elderly women
    • Authors: Daniela Maria da Cruz dos Anjos; Bruno de Souza Moreira; Renata Noce Kirkwood; Rosângela Corrêa Dias; Daniele Sirineu Pereira; Leani Souza Máximo Pereira
      Pages: 509 - 516
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.07.012
  • Muscle strength and stiffness in resistance exercise: Force transmission
           in tissues
    • Authors: Hans Chaudhry; Bruce Bukiet; Ellen Z. Anderson; Jared Burch; Thomas Findley
      Pages: 517 - 522
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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°.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.002
  • Bodily symptoms in patients with post traumatic stress disorder: A
           comparative study of traumatized refugees, Danish war veterans, and
           healthy controls
    • Authors: Lene Nyboe; Anette Bentholm; Amanda Lundvik Gyllensten
      Pages: 523 - 527
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.003
  • The effects of opposite-directional static contraction of the muscles of
           the right upper extremity on the ipsilateral right soleus H-reflex
    • Authors: Tomoko Shiratani; Mitsuo Arai; Hironobu Kuruma; Kazue Masumoto
      Pages: 528 - 533
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.004
  • Pathoanatomical characteristics of temporomandibular dysfunction: Where do
           we stand' (Narrative review part 1)
    • Authors: Raymond Butts; James Dunning; Thomas Perreault; Jersey Mettille; James Escaloni
      Pages: 534 - 540
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Raymond Butts, James Dunning, Thomas Perreault, Jersey Mettille, James Escaloni
      Temporomandibular dysfunction (TMD) is a complicated and multifactorial condition that affects the temporomandibular joint (TMJ) and muscles of mastication, resulting in pain and disability in 5–12% of the population. The condition involves genetic, anatomic and hormonal factors and is propagated, in part, by trauma, habitual activity, psychosocial components and occlusal variation. Yet, the exact etiology of TMD is still unknown and the most strategic conservative management of the condition is still a topic of debate. The purpose of this paper, the first of a two part series, is to provide greater insight into the pathoanatomical factors associated with TMD. Consistent with Scully (2008, 2013), degenerative changes seem to disrupt the relationship between the TMJ capsule, articular disc and muscles of mastication. The resulting position of the articular disc coincides with three primary classifications of TMD: Type 1 (muscle disorders), Type 2a/b (disc displacement with and without reduction), and Type 3 (any joint pain). Given the association of the lateral pterygoid with both the joint capsule and articular disc, the superior and inferior head seem to play a key role in TMD. Both heads undergo biological changes associated with the vicious cycle, pain adaptation and integrated pain adaptation, making the muscle a key pain generator associated with TMD. Clinicians must understand the pathoanatomic features associated with TMD so as to choose appropriate treatment strategies, leading to optimal short and long-term outcomes. While the former is discussed in part 1 of this narrative review, the latter will be considered in part 2.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.05.017
  • Relationship between hardness and deformation of the vastus lateralis
           muscle during knee flexion using ultrasound imaging
    • Authors: Shintarou Kudo; Sho Nakamura
      Pages: 549 - 553
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.006
  • Comparison of ischemic compression and lumbopelvic manipulation as trigger
           point therapy for patellofemoral pain syndrome in young adults: A
           double-blind randomized clinical trial
    • Authors: Shabnam Behrangrad; Fahimeh Kamali
      Pages: 554 - 564
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.007
  • Effect of therapeutic Swedish massage on anxiety level and vital signs of
           Intensive Care Unit patients
    • Authors: Tatiana Alves da Silva; Debora Stripari Schujmann; Leda Tomiko Yamada da Silveira; Fátima Aparecida Caromano; Carolina Fu
      Pages: 565 - 568
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.009
  • The effectiveness of osteopathic manipulative treatment in an abnormal
           uterine bleeding related pain and health related quality of life (HR-QoL)
           – A case report
    • Authors: Kanu Goyal; Manu Goyal; Kanimozhi Narkeesh; Asir John Samuel; Sorabh Sharma; Subhasish Chatterjee; Narkeesh Arumugam
      Pages: 569 - 573
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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).

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.010
  • Joint amplitude MEMS based measurement platform for low cost and high
           accessibility telerehabilitation: Elbow case study
    • Authors: Mauro Callejas-Cuervo; Rafael M. Gutierrez; Andres I. Hernandez
      Pages: 574 - 581
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.016
  • Different weight bearing push-up plus exercises with and without isometric
           horizontal abduction in subjects with scapular winging: A randomized trial
    • Authors: Woo-Jeong Choi; Tae-Lim Yoon; Sil-Ah Choi; Ji-Hyun Lee; Heon-Seock Cynn
      Pages: 582 - 588
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.018
  • A case study utilizing myofascial release, acupressure and trigger point
           therapy to treat bilateral “Stringhalt” in a 12 year old Akhal-Teke
    • Authors: Tammy Brockman
      Pages: 589 - 593
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.08.019
  • The effect of Tai Chi exercises on postural stability and control in older
           patients with knee osteoarthritis
    • Authors: Elham Ghandali; Saeed Talebian Moghadam; Mohammad Reza Hadian; Gholamreza Olyaei; Shohreh Jalaie; Elaheh Sajjadi
      Pages: 594 - 598
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.09.001
  • The influence of physical fitness on pressure pain threshold of elderly
    • Authors: Fábio Marcon Alfieri; Alessandra Rodrigues de Souto Lima; Natália Cristina de Oliveira; Leslie Andrews Portes
      Pages: 599 - 604
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.09.008
  • Lower limb muscular activity during walking at different speeds:
           Over-ground versus treadmill walking: A voluntary response evaluation
    • Authors: Khosro Khademi-Kalantari; Fatemeh Rahimi; Seyed Majid Hosseini; Alireza Akbarzade Baghban; Shapour Jaberzadeh
      Pages: 605 - 611
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.09.009
  • Manipulation of the body schema – Unilateral manual stimulation of lower
           extremity influences weight distribution in standing position
    • Authors: Uffe Laessoe; Lasse Barth; Sindre Skeie; Kate McGirr
      Pages: 612 - 617
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.09.013
  • Does kinesiology tape increase trunk forward flexion'
    • Authors: Heidi Preece; Peter White
      Pages: 618 - 625
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      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 (2.75 cm, P < 0.05). Changes from pre to post treatment for the KTP were not significant (1.57 cm, 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.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.09.011
  • The effects of inter-trial interval on implicit learning of sequential
           visual isometric pinch task
    • Authors: Fahimeh Hashemirad; Paul B. Fitzgerald; Maryam Zoghi; Masoumeh Hashemirad; Shapour Jaberzadeh
      Pages: 626 - 632
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Fahimeh Hashemirad, Paul B. Fitzgerald, Maryam Zoghi, Masoumeh Hashemirad, Shapour Jaberzadeh
      Sequential visual isometric pinch task (SVIPT) has been recently used as a visuomotor sequence task in clinical research. The influence of varying intervals between sequenced trials on the acquisition of implicit sequence learning is not yet determined for SVIPT. The aim of this study was to investigate the effects of inter-trial interval (ITI) on implicit motor sequence learning using SVIPT. A total of 32 healthy participants with mean age 31.3 ± 4.5 years participated in this study. Participants were randomly assigned to one of four ITI groups; (1, 2, 3 and 4 s). They were instructed to control their force on a force transducer to reach a number of targets which appeared on the computer screen by changing the pinch force exerted onto the transducer. In this study, outcome measures were movement time, error rate and skill, which were measured before and after training. Our results indicated that motor sequence learning similarly affected various ITIs. Indeed, all participants exhibited same improvement in implicit learning of SVIPT even though the ITIs varied from 1 to 4 s. Our findings suggest that implicit learning of SVIPT is independent of ITI within this range in healthy individuals.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.11.014
  • Scapular dyskinesis among competitive swimmers
    • Authors: Maayan Bussiba Maor; Tatyana Ronin; Leonid Kalichman
      Pages: 633 - 636
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Maayan Bussiba Maor, Tatyana Ronin, Leonid Kalichman
      Aim To evaluate the prevalence of scapular dyskinesis (SD) in competitive swimmers during training sessions. Methods Repeated measurement observational study.20 young competitive swimmers were filmed before, at midpoint and at the end of a training session, performing shoulder flexion and abduction. SD was examined separately by two assessors. Demographic and Quick Disabilities of the Arm, Shoulder, and Hand questionnaires were collected. Results SD was observed in 30% of the swimmers before training, in 70%, an hour later, and in 80%, upon completion of the training session. The difference between the baseline and mid-practice was close to significance (p-value = 0.055), and between mid-practice and end of practice was significant (p = 0.004). Conclusions This study confirmed that the prevalence of SD increases throughout a training session in most swimmers. The main reason might be fatigue of the muscles which stabilize the scapula, therefore, when examining a sportsmen's shoulder, it is important to examine the SD post-training or following simulation of the training session in the clinic.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.11.011
  • Isometric endurance test of the cervical flexor muscles – Reliability
           and normative reference values
    • Authors: Jari Ylinen; Petri Salo; Salme Järvenpää; Arja Häkkinen; Riku Nikander
      Pages: 637 - 641
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Jari Ylinen, Petri Salo, Salme Järvenpää, Arja Häkkinen, Riku Nikander
      Objective To obtain reference values for the isometric endurance test (IET) of the cervical flexor muscles, investigate its reproducibility, and compare the results with the maximal isometric strength test (MIST) of the cervical flexor muscles. Design Cross-sectional non-comparative study with single group repeated measurements. Methods Altogether 219 healthy females aged 20–59 years volunteered to participate in the study. The IET was performed in the supine position and MIST seated. The reproducibility was evaluated by the intraclass correlation coefficient (ICC) and an analysis described by Bland and Altman. The relationship between the two measuring methods was evaluated by Pearson's correlation coefficient. Results The mean (SD) IET time was 60 (33) seconds with no significant differences between the age groups of each decade. The ICC for intrarater repeatability was 0.80. However, the Bland-Altman analysis suggested moderate variation in repeated measurements. Pearson's correlation coefficient between the IET and MIST was 0.56. Conclusion Normative reference values for the IET are presented. Although the ICC showed good repeatability, one should consider that the change at follow-up visits has to be considerable to be clinically relevant. The correlation between the endurance time and maximal flexion strength was moderate. Thus IET of the cervical flexor muscles may be used in the clinic like the Biering-Sorenson test has been used to assess fatigue of the trunk extensor muscles.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.02.006
  • A myofascial component of pain in knee osteoarthritis
    • Authors: Adi Dor; Leonid Kalichman
      Pages: 642 - 647
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Adi Dor, Leonid Kalichman
      Background Osteoarthritis (OA) is the most common cause of musculoskeletal pain and disability. The knee is the most common site of OA. Numerous studies have shown an inconsistency between patients' reports of pain and their radiographic findings. This inconsistency may be partially explained by the fact that a portion of the pain originates from the myofascial trigger points (MTrPs) located in the surrounding muscles. Aim To assess the role of myofascial pain in OA patients. Methods Critical review. PubMed, Google Scholar, Scopus, and PEDro databases were searched from inception until December 2016 for the following keywords: “myofascial pain”, “osteoarthritis”, “trigger points”, “knee” or any combination of these words. The reference lists of all articles retrieved were searched as well. Results The current review included two observational studies evaluating the prevalence of MTrPs in OA patients and six interventional studies describing the treatment of myofascial pain in OA patients. Data from two of the interventional studies also included an observational section. Conclusion The reviewed observational studies offered initial evidence as to the assumption that myofascial pain and the presence of MTrPs may play a role in pain and disability of knee OA. Because of the cross-sectional design of these studies, the causal relationships could not be established. Additional studies are needed to confirm this assumption as well as to clarify if MTrPs are a portion of OA etiology or that OA is the basis for MTrPs formation. Each interventional study elaborated on various myofascial treatment techniques. However, treatment focusing on MTrPs seems to be effective in reducing pain and improving function in OA patients. Due to the heterogeneity in treatment methods and outcome measures, it is difficult to attain a definite conclusion and therefore, additional high-quality randomized controlled trials are warranted.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.03.025
  • Acute effects of self-myofascial release and stretching in overhead
           athletes with GIRD
    • Authors: Ryan R. Fairall; Lee Cabell; Richard J. Boergers; Fortunato Battaglia
      Pages: 648 - 652
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Ryan R. Fairall, Lee Cabell, Richard J. Boergers, Fortunato Battaglia
      Objective To examine the acute effects of self-myofascial release (SMR), static stretching (SS), and the combination of self-myofascial release and static stretching (SMR + SS) on glenohumeral internal rotation range of motion (GH IR ROM) in overhead athletes with glenohumeral internal rotation deficit (GIRD). Participants Twelve asymptomatic adult male amateur softball position players exhibiting GIRD. Results All three methods significantly improved GH IR ROM. Post hoc testing revealed that SS alone and SMR + SS improved GH IR ROM significantly more than SMR alone. However, there were no significant differences in GH IR ROM between SS alone and SMR + SS. Conclusions If an athlete has a limited time to perform a warm-up (e.g., 3–4 min), SS alone is recommended to improve GH IR ROM. However, if the athlete has more time available to warm up (e.g., 7–8 min), combining SMR + SS may result in a greater increase in GH IR ROM.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.04.001
  • Successful treatment of rotator cuff tear using Fascial Manipulation®
           in a stroke patient
    • Authors: Marco Pintucci; Marcel Simis; Marta Imamura; Elisa Pratelli; Antonio Stecco; Levent Ozcakar; Linamara Rizzo Battistella
      Pages: 653 - 657
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Marco Pintucci, Marcel Simis, Marta Imamura, Elisa Pratelli, Antonio Stecco, Levent Ozcakar, Linamara Rizzo Battistella
      Rotator cuff tear is a common disease affecting patients after stroke. It's a cause of pain and dysfunction that may compromise normal stroke rehabilitation. For many cases there is still controversy between whether to use surgical or conservative intervention. Treatment for cuff tears range from physical therapy to surgery. This paper describes for the first time the effect of Fascial Manipulation® (FM®) on rotator cuff tear in a post stroke patient. A 69 year old female stroke patient with full absence of distal components of the tendons of the rotator cuff, functional limitations on active movement of shoulder flexion and abduction of the left arm and perceived pain scored 10/10 on the Visual Analogic Scale, was assessed and treat with one session of FM® A basic theory that explains the healing results of FM® is that mechanoreceptors, such as spindle cells and other receptors, are located in the deep fascia and activated when movement are performed. Increased viscosity of the deep fascia and muscles due to increased viscosity of hyaluronic acid (HA) molecules prevents the normal gliding of fascia during movement inhibiting normal proprioception and muscle function.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2016.12.007
  • The significance of closed kinematic chains to biological movement and
           dynamic stability
    • Authors: Stephen Levin; Susan Lowell de Solórzano; Graham Scarr
      Pages: 664 - 672
      Abstract: Publication date: July 2017
      Source:Journal of Bodywork and Movement Therapies, Volume 21, Issue 3
      Author(s): Stephen Levin, Susan Lowell de Solórzano, Graham Scarr
      Closed kinematic chains (CKCs) are widely used in mechanical engineering because they provide a simple and efficient mechanism with multiple applications, but they are much less appreciated in living tissues. Biomechanical research has been dominated by the use of lever models and their kinematic analysis, which has largely ignored the geometric organization of these ubiquitous and evolutionary-conserved systems, yet CKCs contribute substantially to our understanding of biological motion. Closed-chain kinematics couple multiple parts into continuous mechanical loops that allow the structure itself to regulate complex movements, and are described in a wide variety of different organisms, including humans. In a biological context, CKCs are modular units nested within others at multiple size scales as part of an integrated movement system that extends throughout the organism and can act in synergy with the nervous system, where present. They provide an energy-efficient mechanism that enables multiple mechanical functions to be optimized during embryological development and increases evolutionary diversity.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.03.012
  • Do isometric, isotonic and/or isokinetic strength trainings produce
           different strength outcomes'
    • Authors: Sabrina Eun Kyung Lee; Claudio Andre Barbosa de Lira; Viviane Louise Andree Nouailhetas; Rodrigo Luiz Vancini; Marilia Santos Andrade
      Abstract: Publication date: Available online 19 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Sabrina Eun Kyung Lee, Claudio Andre Barbosa de Lira, Viviane Louise Andree Nouailhetas, Rodrigo Luiz Vancini, Marilia Santos Andrade
      Introduction Several studies have been developed to determine which type of muscular action (isometric, isotonic and isokinetic) elicits more gains in functional strength and muscle mass. The comparisons between training outcomes are inconclusive due to lack of exercise standardization. Objective To compare muscle strength, mass, and functional performance in response to isometric, isotonic, and isokinetic contractions, when training loads (volume and intensity) are equated. Method Data were derived from a university community-recruited sample (n = 31 men). Interventions Untrained men were assigned to isotonic (IT), isometric (IM), or isokinetic (IK) group, and trained their dominant quadriceps muscle 3 sessions/week for 8 weeks with a dynamometer. Muscle strength was assessed using Cybex 6000 dynamometer; the triple-hop-distance test was used to assess functional performance, and dual energy x-ray absorptiometry to assess lean muscle mass. Results After training, muscle lean muscle mass increased in isometric (+3.1%, p < 0.01) and isotonic groups (+3.9%, p < 0.01); only the isokinetic group showed a significant improvement in the triple-hop-distance test (4.84%, p < 0.01). Conclusion Clinicians should consider isometric training as an alternative for isotonic training to gain muscle mass, and isokinetic training to improve functional performance of daily activities and/or sports.

      PubDate: 2017-08-19T08:45:33Z
      DOI: 10.1016/j.jbmt.2017.08.001
  • Effect of postural insoles on gait pattern in individuals with
           hemiparesis: A randomized controlled clinical trial
    • Authors: Luiz Alfredo Braun Ferreira; Veronica Cimolin; Hugo Pasini Neto; Luanda André Colange Grecco; Roberta Delasta Lazzari; Arislander Jonathan Lopes Dumont; Manuela Galli; Claudia Santos Oliveira
      Abstract: Publication date: Available online 18 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Luiz Alfredo Braun Ferreira, Veronica Cimolin, Hugo Pasini Neto, Luanda André Colange Grecco, Roberta Delasta Lazzari, Arislander Jonathan Lopes Dumont, Manuela Galli, Claudia Santos Oliveira
      Introduction Recovering the ability to walk is an important goal of physical therapy for patients who have survived cerebrovascular accident (stroke). Orthotics can provide a reduction in plantar flexion of the ankle, leading to greater stability in the stance phase of the gait cycle. Postural insoles can be used to reorganize the tone of muscle chains, which exerts an influence on postural control through correction reflexes. The aim of the present study was to perform kinematic and spatiotemporal analyses of gait in stroke survivors with hemiparesis during postural insole usage. Material and Methods Twenty stroke victims were randomly divided into two groups: 12 in the experimental group, who used insoles with corrective elements specifically designed for equinovarus foot, and eight in the control group, who used placebo insoles with no corrective elements. Both groups were also submitted to conventional physical therapy. The subjects were analyzed immediately following insole placement and after three months of insole usage. The SMART-D 140® system (BTS Engineering) with eight cameras sensitive to infrared light and the 32-channel SMART-D INTEGRATED WORKSTATION® were used for the three-dimensional gait evaluation. Results Significant improvements were found in kinematic range of movement in the ankle and knee as well as gains in ankle dorsiflexion and knee flexion in the experimental group in comparison to the control group after three months of using the insoles. Conclusion Postural insoles offer significant benefits to stroke survivors regarding the kinematics of gait, as evidenced by gains in ankle dorsiflexion and knee flexion after three months of usage in combination with conventional physical therapy.

      PubDate: 2017-08-19T08:45:33Z
      DOI: 10.1016/j.jbmt.2017.08.004
  • Three-dimensional kinematics of the thorax during over-ground running
    • Authors: Dominic Fisher; Quinette Louw; John Cockcroft; Nassib Tawa
      Abstract: Publication date: Available online 18 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Dominic Fisher, Quinette Louw, John Cockcroft, Nassib Tawa
      Background Given the size and mass of the thoracic segment, understanding its neuromotor control demand during over ground running at different speeds is important in the rehabilitation and research setting. This study describes key kinematics characteristics as proxy measures for thoracic neuromotor control. We hypothesized that thoracic kinematics would differ significantly when running at different running speeds and that speed related thoracic kinematic changes would not differ between gender. Methods Three-dimensional thoracic kinematics of 19 healthy runners were recorded using an optical 3D motion capture system. We compared peak kinematic angles and range of motion of the thorax in each anatomical plane, in three running speeds during the stance phase. The Wilcoxon Signed Rank Test was used to analyse thoracic kinematics differences across different speeds. Results There was increased group peak kinematic angles and total range of motion during slower and faster than self-selected pace compared to self-selected pace in all three planes. There were gender differences in the changes in kinematic measures at different running speeds. Conclusion Our findings suggest that the differences in thoracic kinematics as a result of non-self-selected running speed may be due either to the increased neuromotor demands inherent to that running speed or due to the individual's adjustment to running at an unfamiliar speed. Further investigation is required to determine whether protocols that require participants to run at speeds other than self-selected pace confound the results. We therefore recommend normative data set protocols that avoid potential confounding by employing only self-selected pace. Our findings further suggest kinematic changes due to speed differed across gender, most notably in the transverse plane. Thus, we propose that gender specific normative data sets may be required.

      PubDate: 2017-08-19T08:45:33Z
      DOI: 10.1016/j.jbmt.2017.08.003
  • The effect of tactile-kinesthetic stimulation on growth indices of healthy
    • Authors: Fatemeh Abedi; Neda Mirbagher Ajorpaz; Sophia Esalatmanesh; Zahra Rahemi; Hamid Reza Gilasi; Mahboobeh Kafaei Atrian; Masoumeh Hosseinian
      Abstract: Publication date: Available online 18 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Fatemeh Abedi, Neda Mirbagher Ajorpaz, Sophia Esalatmanesh, Zahra Rahemi, Hamid Reza Gilasi, Mahboobeh Kafaei Atrian, Masoumeh Hosseinian
      Therapeutic touch is emphasized by healthcare professionals for improvement of neonates' growth and development. However, inconsistencies exist regarding effects and methods of massage in neonates. The purpose of this clinical trial is to assess and comprise intervention and control groups regarding the effects of tactile-kinesthetic stimulation (TKS) by mothers on growth indices of healthy term neonates. Sixty healthy term neonates were randomly assigned into intervention and control groups. Mothers of neonates in the experimental group were trained to perform TKS for their newborns at home before feeding for at least 28 consecutive days, two times a day, and 15 min each time. Neonates in the control group were not required to receive this intervention. The neonates’ growth indices were measured within 24 h after birth, and then at days 14 and 28. During the study and the three consecutive measurements, no significant difference was found between the mean weights, heights, and head circumferences of the neonates in the two groups (p > 0.05).

      PubDate: 2017-08-19T08:45:33Z
      DOI: 10.1016/j.jbmt.2017.08.005
  • A critical overview of the current myofascial pain literature –
           October 2017
    • Authors: Jan Dommerholt; Michelle Finnegan; Todd Hooks; Li-Wei Chou
      Abstract: Publication date: Available online 18 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jan Dommerholt, Michelle Finnegan, Todd Hooks, Li-Wei Chou
      In this overview of the myofascial pain literature, we have included several original contributions ranging from a study by Bowen and colleagues of trigger points in horses to the introduction of a new clinical entity of “laryngeal muscle myofascial pain syndrome in dysphonic patients.” Minerbi and colleagues described for the first time the referred pain patterns of the longus colli muscle, while Casale and associates studied the spinal modulatory action of dry needling or acupuncture stimulation. Many dry needling articles are included in this overview with several recent outcome studies. Slowly, there is increasing scientific support for using dry needling for a variety of conditions. Several researchers explored specific aspects of dry needling, such as needle placements, whether eliciting a local twitch response is desired, and the role of psychological factors in post-needling soreness. Contributions originated in Australia, Belgium, Brazil, Canada, China, Germany, Greece, India, Israel, Italy, Korea, Portugal, Spain, Switzerland, Turkey, the UK, and the USA.

      PubDate: 2017-08-19T08:45:33Z
      DOI: 10.1016/j.jbmt.2017.08.002
  • Osteopathic manual therapy in heart failure patients: A randomized
           clinical trial
    • Authors: Sergio R. Thomaz; Felipe A. Teixeira; Alexandra C.G.B. de Lima; Gerson C. Junior; Magno F. Formiga; Lawrence Patrick Cahalin
      Abstract: Publication date: Available online 29 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Sergio R. Thomaz, Felipe A. Teixeira, Alexandra C.G.B. de Lima, Gerson C. Junior, Magno F. Formiga, Lawrence Patrick Cahalin
      Background Heart Failure (HF) patients usually present with increased arterial resistance and reduced blood pressure (BP) leading to an impaired functional capacity. Osteopathic Manual Therapy (OMT) focused on myofascial release techniques (MRT) and in the balance of diaphragmatic tensions has been shown to improve blood flow in individuals using the resistive index (RI). However, its effects in HF patients have not been examined. Purpose To evaluate the acute response of selected osteopathic techniques on RI, heart rate (HR), and BP in patients with HF. Methods Randomized-controlled clinical trial of HF patients assigned to MRT (six different techniques with three aimed at the pelvis, two at the thorax, and one at the neck for 15 min) or Control group (subjects in supine position for 15 min without intervention). The RI of the femoral, brachial and carotid arteries was measured via doppler ultrasound while HR and BP were measured via sphygmomanometry before and after a single MRT or control intervention. Results Twenty-two HF patients equally distributed (50% male, mean age 53 years; range 32–69 years) (ejection fraction = 35.6%, VO2peak: 12.9 mL/kg−1 min−1) were evaluated. We found no intra or inter group differences in RI of the carotid (ΔMRT: 0.07% vs Δ Control:11.8%), brachial (ΔMRT:0.17% vs ΔControl: 2.9%), or femoral arteries (ΔMRT:1.65% vs ΔControl: 0.97%) (P > 0.05) and no difference in HR or BP (ΔMRT:0.6% vs ΔControl: 3%), (P > 0.05). Conclusion A single MRT session did not significantly change the RI, HR, or BP of HF patients.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.011
  • How type and number of training sessions influence the reliability of
    • Authors: Carolina Lavazza; Valeria Milano; Alessandra Abenavoli; Alberto Maggiani
      Abstract: Publication date: Available online 29 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Carolina Lavazza, Valeria Milano, Alessandra Abenavoli, Alberto Maggiani
      Introduction Accurate and reliable palpation is needed to identify anatomical landmarks as well as to assess motion and dysfunctions. Although different trials suggested that training might increase reliability of palpation, the poor dependability of the examined tests may show the need to review the teaching methods to improve palpatory accuracy. The aims of this study were: Methods 82 examiners with different years of experience were enrolled from AIMO institute. Two different type of training sessions were performed (individual and group training). A total of 5 training sessions were performed during 5 weeks and 5 different models with a similar BMI were used. A uni-variated statistical analysis was used to evaluate the main effect of type and number of trainings, a multi-variated analysis was used to verify cross-effects. Results Overall results show moderate reliability for the correct detection of the position of the heel lift (Random probability being 33%, GT = 58.6% and SIPS = 57.1%, both P-value < 0.001). No difference was shown between the types of training (p-value GT = 0.503, p-value PSIS = 1) and no overall improvement was shown after the first training (P-value(GT) = 0.25, P-value(PSIS) = 0.96). The professional group improved the reliability during the training sessions starting from substantial reliability and ended with an almost perfect reliability (P-value GT = 0.0029, P-Value PSIS<0.001). Whereas the 3rd 4th and 5th showed a decreased performance. Conclusions Type of training sessions seems not to influence reliability of palpations. The improvement of reliability during the training sessions seems to be related to the experience of examiners which plays an important role in reliability and the learning experience.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.012
  • A 12-week supervised exercise therapy program for young adults with a
           meniscal tear: Program development and feasibility study
    • Authors: Søren T. Skou; Jonas B. Thorlund
      Abstract: Publication date: Available online 27 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Søren T. Skou, Jonas B. Thorlund
      Objective To describe the development and feasibility of an exercise therapy program for treatment of young adults (18–40 years of age) with a meniscal tear. Methods Researchers and experienced physical therapists developed a 12-week supervised neuromuscular and strengthening exercise therapy program based on clinical expertise and available evidence. Six patients (age range 22–39 years) considered eligible for meniscal surgery by an orthopedic surgeon underwent the program. Patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS) and evaluated the program during a semi-structured qualitative interview. Feedback from patients was included to finalize the exercise therapy program. Results Median improvements (Range) in KOOS subscales were 15 (0–33) for Pain, 11 (−11 to 50) for Symptoms, 16 (3–37) for Function in daily living, 23 (10–45) for Function in sport and recreation, and 9 (−6 to 31) for Quality of life. The patients found the program relevant and effective with only a few short-lasting adverse events and important clinical improvements after four to ten weeks. Physical therapist supervision was considered important. No patients wanted surgery up to 6 month after the exercise therapy program. Conclusion A neuromuscular and strengthening exercise therapy program was feasible and showed important improvement in a small group of young adults with meniscal tears.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.010
  • Comparing manipulation with and without Kinesio Taping® in the treatment
           of chronic low back pain
    • Authors: Fahimeh Kamali; Ehsan Sinaei; Elham Taherkhani
      Abstract: Publication date: Available online 26 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Fahimeh Kamali, Ehsan Sinaei, Elham Taherkhani
      Objectives Chronic non-specific low back pain (CNLBP) is a prevalent problem among athletes that can cause long-lasting disability and time lost from sporting activities. Thus far, a variety of methods have been suggested to address this problem, including spinal manipulation (SM) and Kinesio Tape® (KT). The aim of this study was to investigate whether adding KT to SM can provide any extra effect in athletes with CNLBP or not. Method Forty-two athletes (21males, 21females) with CNLBP were randomized into two groups of SM (n = 21) and SM plus KT (n = 21). Pain intensity, functional disability level and trunk flexor-extensor muscles endurance were assessed by Numerical Rating Scale (NRS), Oswestry pain and disability index (ODI), McQuade test, and unsupported trunk holding test, respectively. The tests were done before and immediately, one day, one week, and one month after the interventions and compared between the two groups. Results After treatments, pain intensity and disability level decreased and endurance of trunk flexor-extensor muscles increased significantly in both groups. Repeated measures analysis, however, showed that there was no significant difference between the groups in any of the evaluations. Conclusions The findings of the present study showed that adding KT to SM does not appear to have a significant extra effect on pain, disability and muscle endurance in athletes with CNLBP. However, more studies are needed to examine the therapeutic effects of KT in treating these patients. Clinical trial registry number ( IRCT2016020624149N5.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.008
  • Timed Up and Go evaluation with wearable devices: Validation in
           Parkinson's disease
    • Authors: Ana Kleiner; Ilaria Pacifici; Alessandro Vagnini; Filippo Camerota; Claudia Celletti; Maria Francesca De Pandis; Manuella Galli
      Abstract: Publication date: Available online 25 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ana Kleiner, Ilaria Pacifici, Alessandro Vagnini, Filippo Camerota, Claudia Celletti, Maria Francesca De Pandis, Manuella Galli
      The Timed Up and Go test (TUG) is used to assess individual mobility. It evaluates static and dynamic balance by means of the total time required to complete the test, usually measured by a stopwatch. In recent years tools based on portable inertial measurement units (IMU) for clinical application are increasingly available on the market. More specifically, a tool (hardware and dedicated software) to quantify the TUG test based on IMU is now available. However, it has not yet been validated in subjects with Parkinson's disease (PD). Thus, the aim of this study is to compare measurements from instrumented TUG tests (or iTUG) acquired by an IMU with those obtained using an optoelectronic system (the gold standard) and by a stopwatch, to gain an in-depth understanding of IMU behavior in computing iTUG in subjects with PD. To do this, three TUG test trials were carried out on 30 subjects with PD and measured with all three systems simultaneously. System agreements were evaluated using Intraclass Correlation Coefficient and Bland-Altman plots. The device tested showed excellent reliability, accuracy and precision in quantifying total TUG test duration. Since TUG is a widely used test in rehabilitation settings, its automatic quantification through IMUs could potentially improve the quality of assessments in the quantification of PD gait ability.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.006
  • The prone bridge test: Performance, validity, and reliability among older
           and younger adults
    • Authors: Richard W. Bohannon; Michal Steffl; Susan S. Glenney; Michelle Green; Leah Cashwell; Kveta Prajerova; Jennifer Bunn
      Abstract: Publication date: Available online 25 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Richard W. Bohannon, Michal Steffl, Susan S. Glenney, Michelle Green, Leah Cashwell, Kveta Prajerova, Jennifer Bunn
      Introduction The prone bridge maneuver, or plank, has been viewed as a potential alternative to curl-ups for assessing trunk muscle performance. The purpose of this study was to assess prone bridge test performance, validity, and reliability among younger and older adults. Method Sixty younger (20-35 years old) and 60 older (60-79 years old) participants completed this study. Groups were evenly divided by sex. Participants completed surveys regarding physical activity and abdominal exercise participation. Height, weight, body mass index (BMI), and waist circumference were measured. On two occasions, 5–9 days apart, participants held a prone bridge until volitional exhaustion or until repeated technique failure. Validity was examined using data from the first session: convergent validity by calculating correlations between survey responses, anthropometrics, and prone bridge time, known groups validity by using an ANOVA comparing bridge times of younger and older adults and of men and women. Test-retest reliability was examined by using a paired t-test to compare prone bridge times for Session1 and Session 2. Furthermore, an intraclass correlation coefficient (ICC) was used to characterize relative reliability and minimal detectable change (MDC95%) was used to describe absolute reliability. Results The mean prone bridge time was 145.3 ± 71.5 s, and was positively correlated with physical activity participation (p ≤ 0.001) and negatively correlated with BMI and waist circumference (p ≤ 0.003). Younger participants had significantly longer plank times than older participants (p = 0.003). The ICC between testing sessions was 0.915. Conclusion The prone bridge test is a valid and reliable measure for evaluating abdominal performance in both younger and older adults.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.005
  • A fundamental critique of the fascial distortion model and its application
           in clinical practice
    • Authors: Mag. Christoph Thalhamer
      Abstract: Publication date: Available online 25 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Mag. Christoph Thalhamer
      Introduction The therapeutic techniques used in the fascial distortion model (FDM) have become increasingly popular among manual therapists and physical therapists. The reasons for this trend remain to be empirically explored. Therefore this paper pursues two goals: first, to investigate the historical and theoretical background of FDM, and second, to discuss seven problems associated with the theory and practice of FDM. Materials and methods The objectives of this paper are based on a review of the literature. The research mainly focuses on clinical proofs of concept for FDM treatment techniques in musculoskeletal medicine. Results FDM as a treatment method was founded and developed in the early 1990s by Stephen Typaldos. It is based on the concept that all musculoskeletal complaints can be traced back to three-dimensional deformations or distortions of the fasciae. The concept is that these distortions can be undone through direct application of certain manual techniques. A literature review found no clinical trials or basic research studies to support the empirical foundations of the FDM contentions. Discussion Based on the absence of proof of concept for FDM treatment techniques along with certain theoretical considerations, seven problems emerge, the most striking of which include (1) diagnostic criteria for FDM, (2) the biological implausibility of the model, (3) the reduction of all such disorders to a single common denominator: the fasciae, (4) the role of FDM research, and (5) potentially harmful consequences related to FDM treatment. Conclusion The above problems can only be invalidated through high-quality clinical trials. Allegations that clinical experience is sufficient to validate therapeutic results have been abundantly refuted in the literature.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.009
  • Effects of movement impairment based treatment in the management of
           mechanical neck pain
    • Authors: T.M. Ashwini; H. Karvannan; V. Prem
      Abstract: Publication date: Available online 24 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): T.M. Ashwini, H. Karvannan, V. Prem
      Background Neck pain is a common musculoskeletal complaint in computer users due to prolonged static or awkward work postures. It has been shown that pathogenesis of neck pain is associated with scapular movement impairment syndromes. However, there is a dearth of literature in treatment based on these syndromes. Aim To identify the effects of movement impairment based treatment in the management of mechanical neck pain in computer users. Methods In the present study, twenty-seven subjects were recruited. Based on the scapular impairment syndrome identified, they were trained with scapular movement impairment based exercises for four weeks. Pain, disability and cervical range of motion were measured with numeric pain rating scale, neck disability index and inclinometer respectively at baseline and at four weeks. Results Twenty-one subjects completed the study. After four weeks, a significant difference of 4.81 points for numeric pain rating scale and 24.47% for neck disability index at 95% CI were found. The cervical range of motion showed a significant change (p < 0.05) of 10.09° for flexion, 24.47° for extension, 7.42° for right lateral flexion, 6.23° for left lateral flexion, 15.52° for right rotation and 14.95° for left rotation at 95% CI. Conclusions Exercises based on scapular impairment syndromes were given for four weeks. It was found to be effective in relieving pain and reducing dysfunction in computer users with mechanical neck pain.

      PubDate: 2017-07-31T02:21:22Z
      DOI: 10.1016/j.jbmt.2017.07.007
  • An attempt to explain the Vojta therapy mechanism of action using the
           surface polyelectromyography in healthy subjects: A pilot study
    • Authors: Ewa Gajewska; Juliusz Huber; Aleksandra Kulczyk; Joanna Lipiec; Magdalena Sobieska
      Abstract: Publication date: Available online 21 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ewa Gajewska, Juliusz Huber, Aleksandra Kulczyk, Joanna Lipiec, Magdalena Sobieska
      Background Rehabilitation according to Vojta is a neurophysiological method used to obtain reflex responses in muscles following stimulation of particular activation zones. Objective s: This study aims to objectively evaluate the muscular responses following stimulation according to Vojta's method. The possible routes of spinal transmission responsible for the phenomenon of muscle activation in upper and lower extremities are considered. Methods Polyelectromyographic (pEMG) recordings in the upper and lower extremities in healthy volunteers (N = 25; aged 24 ± 1 year) were performed to find out the possible routes of spinal transmission, responsible for muscle activation. The left acromion and right femoral epicondyle were stimulated by a Vojta therapist; pEMG recordings were made including the bilateral deltoid and rectus femoris muscles. Results and Discussion: Following acromion stimulation, muscle activation was mostly expressed in the contralateral rectus femoris, rather than the contralateral deltoid and the ipsilateral rectus femoris muscles. After stimulation of the lower femoral epicondyle, the following order was observed: contra lateral deltoid, ipsilateral deltoid and the contra lateral rectus femoris muscle. One of the candidates responsible for the main crossed neural transmission involved in the Vojta therapy mechanism would be the long propriospinal tract neurons.

      PubDate: 2017-07-24T02:08:22Z
      DOI: 10.1016/j.jbmt.2017.07.002
  • Successful outcome of musculoskeletal injury leads to a reduction in
           chronic fatigue: A case report
    • Authors: Carl Todd DO
      Abstract: Publication date: Available online 21 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Carl Todd DO
      Background Chronic fatigue syndrome (CFS) is a general term used to describe a number of medical conditions that lead to persistent levels of fatigue and distress. Objectives Osteopathic manipulative treatment (OMT) combined with shoulder exercises to resolve musculoskeletal sports injury may have also led to a reduction in pain and improved strength with the patient reporting a change in CFS levels. Clinical features 19-year-old male student, (statue 194cm and mass 80kg) who had played county level cricket and hockey. Presented with a two-year history of left shoulder pain (VAS 8/10) and a diagnosis of chronic fatigue syndrome. Intervention and outcomes OMT was performed over four clinical visits throughout a four a month period. Management goal was pain reduction, neural regulation, and facilitation of breathing mechanics to improve lymphatic drainage and restoration of shoulder strength and control. Conclusion Clinically a reduction in pain (VAS 8/10–0/10) over four treatments appeared to correlate with improved shoulder strength. It was also reported that due to pain reduction, CFS might have improved.

      PubDate: 2017-07-24T02:08:22Z
      DOI: 10.1016/j.jbmt.2017.07.003
  • A comparison of lower limb muscle activation pattern using voluntary
           response index between pronated and normal foot structures during forward
           jump landing
    • Authors: Hosein Kouhzad Mohammadi; Mohammad Mehravar; Khosro Khademi Kalantari; Sedighe Sadat Naimi; Alireza Akbarzadeh Baghban; Farshad Okhovatian; Asghar rezasoltani; Mohammad Ali Mohseni Bandpei; Navid Taheri
      Abstract: Publication date: Available online 21 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Hosein Kouhzad Mohammadi, Mohammad Mehravar, Khosro Khademi Kalantari, Sedighe Sadat Naimi, Alireza Akbarzadeh Baghban, Farshad Okhovatian, Asghar rezasoltani, Mohammad Ali Mohseni Bandpei, Navid Taheri
      Background Pronated foot is one of the important factors contributing to the musculoskeletal problems of the lower extremities. It is known that in pronated foot, excessive mechanical load is applied to the lower limb structures which may result in altered biomechanics and muscle activation patterns. The aim of this study was to determine changes in the muscle activation pattern of the lower extremities in the pronated compared to normal foot individuals, using the voluntary response index (VRI). Methods In this cross sectional study, 15 asymptomatic pronated foot individuals (mean age 23.27 ± 3.28 years) and 15 normal subjects (mean age 23.40 ± 3.11 years) were recruited by simple non-random sampling. Electrical activities of gluteus medius (GM), vastus lateralis (VL), vastus medialis (VM), biceps femoris, semitendinosus (ST), and medial gastrocnemius (MG) muscles were recorded during a forward jump landing task. Voluntary response index (VRI) variables, included similarity index (SI) and magnitude (Mag) were also evaluated. Results Muscle activity of VM (p < 0.001) and ST (p = 0.010) were significantly higher but VL (p = 0.039) and MG (p = 0.001) were significantly lower in pronated foot, compared to normal subjects. Similarity index was found to be different (p < 0.001) between pronated foot and healthy individuals. No significant difference was found in terms of Mag between the two groups (p = 0.576). Conclusion The altered pattern of lower limb muscle activation identified in the pronated foot during landing may be attributed to the different activation in VL, VM, MG and ST muscles. Adaptations to the biomechanical effects due to the pronated foot causing altered activation of VL, VM, MG, and ST muscles, resulting in an altered pattern of muscle activation. This change in activation pattern may harm the effectiveness of movement control processes; and might also predispose individuals with pronated foot to injuries. It seems that an altered motor strategy with the aim of minimizing biomechanical changes, predisposes individuals to injuries. However, further large scale studies are needed to support the findings of the present study.

      PubDate: 2017-07-24T02:08:22Z
      DOI: 10.1016/j.jbmt.2017.07.004
  • Orofacial pain of cervical origin: A case report
    • Authors: G. Shankar Ganesh; Mamata Manjari Sahu; Pramod Tigga
      Abstract: Publication date: Available online 4 July 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): G. Shankar Ganesh, Mamata Manjari Sahu, Pramod Tigga
      Background The etiopathogenesis of orofacial pain remains complex and a number of pain referral patterns for this region have been reported in the literature. The purpose of this report is to describe the assessment and successful clinical management of orofacial pain possibly attributable to cervical origin. Case description A 55-year-old male teacher with a 3-year history of pain in the right lower jaw, radiating to the ear, consulted our institute for assessment and management. The patient was unsuccessfully treated for dental pain and trigeminal neuralgia. The patient's functioning was grossly limited and the patient was unable to sleep because of severe pain. Current and previous medical and physical examinations revealed no infection, malignancies, or sinusitis. Palpation revealed no temporomandibular disorder, tenderness or myofascial trigger points. Examination of the cervical range of motion showed a reduction in rotation to the right side. The patient was treated for upper cervical joint dysfunction involving mobilization of the first three cervical vertebrae and motor control exercises. The patient had an almost complete resolution of symptoms and reported significant improvement in the Patient Specific Functional Scale (PSFS) and the Global Rating of Change (GRC) scale. Conclusion This case study demonstrates the importance of considering, assessing and treating the cervical spine as a possible source of orofacial pain, and the positive role of cervical mobilization on these disorders.

      PubDate: 2017-07-24T02:08:22Z
      DOI: 10.1016/j.jbmt.2017.07.001
  • JBMTs most cited topic: Papers on myofascial pain
    • Authors: Leon Chaitow
      Abstract: Publication date: Available online 7 June 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Leon Chaitow

      PubDate: 2017-06-08T16:14:48Z
      DOI: 10.1016/j.jbmt.2017.06.001
  • Conservative management of temporomandibular dysfunction: A literature
           review with implications for clinical practice guidelines
    • Authors: Raymond Butts; James Dunning; Ron Pavkovich; Jersey Mettille; Firas Mourad
      Abstract: Publication date: Available online 1 June 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Raymond Butts, James Dunning, Ron Pavkovich, Jersey Mettille, Firas Mourad
      The effective management of temporomandibular dysfunction (TMD) requires a thorough understanding of the pathoanatomic factors that drive the underlying condition. After reviewing the etiology associated with TMD in Part 1 of this narrative review, the temporomandibular joint capsule, articular disc and muscles of mastication emerged as key players. Part 2 focuses on conservative treatment strategies best able to reduce the pain and disability associated with TMD. A review of the literature revealed limited support of strengthening exercises targeting the muscles of mastication. There was also limited evidence for manual soft tissue work targeting muscles of mastication, which may be specifically related to the limited accessibility of the pterygoid muscles to palpation. For the reduction of pain, there was little to no evidence supporting splint therapy and electrophysical modalities, including laser therapy, ultrasound, TENs and iontophoresis. However, for the reduction of pain and disability, non-thrust mobilization and high-velocity, low amplitude thrust manipulation techniques to the TMJ and/or upper cervical articulations that directly and indirectly target the TMJ joint capsule were generally supported in the literature. Studies that used dry needling or acupuncture of the lateral pterygoid and posterior peri-articular connective tissue also led to significant improvements in pain and disability in patients with TMD. Thus, the most effective conservative management of TMD seems to be techniques best able to impact anatomic structures directly related to the etiology of TMD, to include the joint capsule, articular disc and muscles of mastication, specifically the superior and inferior head of the lateral pterygoid.

      PubDate: 2017-06-03T15:57:05Z
      DOI: 10.1016/j.jbmt.2017.05.021
  • Interexaminer Reliability Study of a Standardized Myofascial Diagnostic
           Technique of the Superior Thoracic Inlet
    • Authors: Daniel Hutchinson; Scott Hines; Nevin Vijayaraghavan; Andrew Sammond; Kristen Metzler-Wilson; Michael L. Kuchera
      Abstract: Publication date: Available online 17 May 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Daniel Hutchinson, Scott Hines, Nevin Vijayaraghavan, Andrew Sammond, Kristen Metzler-Wilson, Michael L. Kuchera
      Regional fascial motion palpation is often incorporated by osteopathic practitioners to enable them to identify superior thoracic inlet (STI) myofascial somatic dysfunction motion patterns; however without standardized instruction, diagnostic outcomes may vary between examiners. This study proposes a protocol for diagnosing the STI motion pattern that standardizes examiner hand placement, palpatory discrimination, posture, and relative body positioning. The study design incorporated useful infrastructure recommended by the Fédération Internationale de Médecine Manuelle (FIMM) including protocol agreement steps prior to conducting the formal interexaminer reliability study with the goals of attaining >80% interexaminer agreement and kappa values >0.6 for each cardinal plane. The agreement phase comprised of testing 52 participants acquired agreements of 92.3% (rotation), 88.9% (translation), and 94.2% (sagittal). Kappa value testing involving an additional 82 participants obtained values of 0.65 (rotation), 0.59 (translation), and 0.70 (sagittal). Such kappa values endorse fair-to-excellent positive interexaminer correlations, demonstrating utility of this standardized palpatory protocol for STI myofascial dysfunctional diagnosis.

      PubDate: 2017-05-19T23:46:22Z
      DOI: 10.1016/j.jbmt.2017.05.004
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