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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]
  • Benefits of belly dance on quality of life, fatigue, and depressive
           symptoms in women with breast cancer – A pilot study of a non-randomised
           clinical trial
    • Authors: Leonessa Boing; Maria de Fátima Marcelina Baptista; Gustavo Soares Pereira; Fabiana Flores Sperandio; Jéssica Moratelli; Allana Alexandre Cardoso; Adriano Ferreti Borgatto; Adriana Coutinho de Azevedo Guimarães
      Abstract: Publication date: Available online 12 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Leonessa Boing, Maria de Fátima Marcelina Baptista, Gustavo Soares Pereira, Fabiana Flores Sperandio, Jéssica Moratelli, Allana Alexandre Cardoso, Adriano Ferreti Borgatto, Adriana Coutinho de Azevedo Guimarães
      Objective To analyse the influence of belly dance in the quality of life, fatigue, and depressive symptoms in women with breast cancer. Methods Pilot study with a design of non-randomised clinical trial study analysing 19 women, with 8 allocated in the experimental group and 11 in the control group. The experimental group underwent 12 weeks of belly dance classes, with a frequency of twice a week and duration of 60 min for each lesson. Data collection was made through the use of questionnaires containing general information, quality of life (EORTC QLQ-BR23), fatigue (Piper Fatigue Scale) and depressive symptoms (BECK's Depression Inventory) applied on baseline and after intervention. Results The experimental group presented significant improvements after the intervention, with an increase in scores of the functional scale (p = 0.002): body image (p = 0.037) and sexual function (p = 0.027); and a decrease in scores of the symptomatic scale (p = 0.001): systemic therapy side effects (p = 0.005) and arm symptoms (p = 0.001) of quality of life, as well the decrease of fatigue (p = 0.036) and depressive symptoms (p = 0.002). No significant differences were observed in clinical and demographic information at baseline between the experimental and control groups. Also, there was no significant difference on quality of life, fatigue, and depressive symptoms between the two groups. Conclusion Belly dance can be a viable form of physical activity for women with breast cancer. It was associated with benefits for quality of life, fatigue, and depressive symptoms. Even though there were significant pre–post treatment differences, there was no significance difference between the experimental and control group; and therefore, treatment could have been due to natural history.

      PubDate: 2017-10-13T20:47:10Z
      DOI: 10.1016/j.jbmt.2017.10.003
  • Acute effects of whole body vibration on heart rate variability in elderly
    • Authors: Maria das Graças Bastos Licurci; Alessandra de Almeida Fagundes; Emilia Angela Lo Schiavo Arisawa
      Abstract: Publication date: Available online 12 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Maria das Graças Bastos Licurci, Alessandra de Almeida Fagundes, Emilia Angela Lo Schiavo Arisawa
      Background Whole body vibration (WBV) has been widely used as a modality for physical activity. In fact, WBV has been used for physical rehabilitation, and to improve muscle performance; but there is little information about its effects on heart rate variability (HRV). Aim The aim of this study was to evaluate the effect of vibration on HRV of the elderly using the vibratory platform. Methods Eleven older adults (7 men, 4 women), aged between 60 and 75 years, were subjected to WBV. The study consisted of a single session of WBV with volunteers standing upright for 10 min on the oscillating platform, with frequency of vibration set at 20 Hz (displacement ± 6 mm; orbital vibration). Pre (baseline) and post-WBV electrocardiograph signals were acquired using a cardiac monitor; and data were statistically analyzed using paired Student's t-test or Wilcoxon test, as appropriate. Results The results demonstrated an increase in SDNN (standard deviation (SD) beat-to-beat, N–N intervals), rMSSD (square root of the mean squared difference of successive N–Ns) and pNN50 (proportion of N–N50 divided by total number of N–Ns) post WBV (p = 0.032, p = 0.024 e p = 0.044, respectively), compared to baseline. The present study thus demonstrated that time domain variables (i.e., SDNN, rMSSD, and pNN50) increase post WBV. Conclusions Older individuals are at high risk of developing cardiovascular diseases. As seen in the study, WBV improves HRV; and may help reduce risk of cardiac ailments. Moreover, WBV does not require extensive physical activity on the part of the participant. This makes WBV potentially beneficial to the elderly population. Further studies on WBV using different frequencies and training schedules may improve its applicability in clinics.

      PubDate: 2017-10-13T20:47:10Z
      DOI: 10.1016/j.jbmt.2017.10.004
  • The comparison of pinch strength among female typists and female
    • Authors: Zahra Rojhani-Shirazi; Ladan Hemmati; Zahra Saadat; Zeinab Shirzadi
      Abstract: Publication date: Available online 9 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Zahra Rojhani-Shirazi, Ladan Hemmati, Zahra Saadat, Zeinab Shirzadi
      Background Typing is a common activity involving repetitive motion that can increase the risk of work-related injuries. To the best of our knowledge, the effect of typing on the pinch strength has not been investigated so far. Objective To investigate the pinch strength amongst female typists and non-typists. Method Thirty female typists and 30 female non-typists, aged 20–30 years old, participated in this prospective study. The pinch strength of the second, third, fourth and fifth fingers of the dominant hand was measured in a sitting position, using a pinch gauge. The data were analyzed using independent sample t-test. Results The results showed that there were significant differences in the pinch strength of the second, third and fourth fingers between the two groups. The strength of these fingers was reduced more than that in female non-typists. Conclusion Our results suggest that pinch strength might have decreased in female typists due to sharing common attentional resources, muscle fiber composition, and muscle fiber fatigue.

      PubDate: 2017-10-13T20:47:10Z
      DOI: 10.1016/j.jbmt.2017.10.001
  • The amount of postural change experienced by adolescent computer users
           developing seated –related upper quadrant musculoskeletal pain
    • Authors: Yolandi Brink; Quinette Louw Karen Grimmer
      Abstract: Publication date: Available online 6 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Yolandi Brink, Quinette Louw, Karen Grimmer
      Background Improved techniques of measuring sitting posture have not led to a more comprehensive understanding of poor posture, nor its association with pain. There is also an evidence gap regarding critical thresholds of sitting postural change over time related to pain production. This paper describes postural angle changes over a 12-month period, and describes the process of placing defensible cut-points in the angle change data, to better understand associations between posture change over time, and onset of upper quadrant musculoskeletal pain (UQMP). Methods This paper reports on data captured at baseline and 12-month follow-up, in adolescents in school using computers. Four sitting postural angles, head flexion (HF), neck flexion (NF), craniocervical angle (CCA) and trunk flexion (TF), and self-reported seated UQMP in the previous month were captured at each time-point. Research questions were: 1) What is the magnitude and direction of change in each postural angle over 12 months' 2) What are best cut-points in the continuous posture change distribution to most sensitively test the association between posture change and UQMP' 3) Is gender-specific cut-points required' The 12-month posture angle change data was divided into quintiles (0–20th%; 21-40th%, 41-60th%, 61-80th%, >80th%), and the odds of UQMP occurring in each posture change quintile were calculated using logistic regression models. Results Two hundred and eleven students participated at baseline, of which 153 were followed-up at one year. Both males and females with postural change into extension (which represents lesser flexion range) were more at risk for the development of UQMP, than any other group. The best cut-point for HF was 40th% (≤−3.9°), NF was 20th% (≤−2.9°) and TF was 40th% (≤−1.1°). For CCA however, change at or beyond 40th % for extension or beyond 60% for flexion was associated with UQMP. Conclusions Identification of critical postural angle change cut-points assists in considering the pain-producing mechanisms for adolescents using desk top computers.

      PubDate: 2017-10-08T20:01:04Z
  • Transabdominal ultrasound: Can it be used to detect and quantify
           adhesions/reported pain, following Caesarean section'
    • Authors: Katharine Spens; Lance Bird; Philip Bright
      Abstract: Publication date: Available online 3 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Katharine Spens, Lance Bird, Philip Bright
      Background Caesarean section is common in the UK with post–procedural adhesions causing life-long clinical symptoms and impacting future pregnancies. This study's aim was to explore associations between these surgical adhesions, via transabdominal ultrasound findings, and perceived symptoms. Method Females demonstrating 1–3 transverse, lower-segment Caesareans were included. Visceral slide transabdominal ultrasound elicited positive adhesions (<1 cm movement) and negative adhesions (>1 cm movement). Scar tissue quality was assessed by the Patient and Observer Scar Assessment Scale (POSAS) and Numerical rating scales (NRS) described pain symptoms. The relationship between adhesions was explored using Fisher's exact test and multiple regression analysis. Results Twenty-two subjects (mean-age 35) were recruited; twenty participants (91%) had undergone 1 Caesarean, one each of the remainder had undergone 2 and 3 Caesareans respectively. Increased Visceral slide (>1 cm) was seen as predictive of increased scar pain (R2 = 0.76 (95% CI 0.12–0.28), P < 0.001). Conclusion Caesarean adhesion scans showed significant associations with pain symptomology. Comprehensive adhesion assessment needs to be developed to improve long term outcomes of adhesions. Transabdominal Ultrasound can be considered a useful, quick and non-deleterious alternative diagnostic tool to Laparoscopy, therefore preventing further adhesion formation.

      PubDate: 2017-10-08T20:01:04Z
      DOI: 10.1016/j.jbmt.2017.09.019
  • Effects of spinal manipulation and myofascial techniques on heart rate
           variability: A systematic review
    • Authors: Bruno Luis Amoroso Borges; Gustavo Luiz Bortolazzo; Hugo Pasin Neto
      Abstract: Publication date: Available online 3 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Bruno Luis Amoroso Borges, Gustavo Luiz Bortolazzo, Hugo Pasin Neto
      Background The analysis of heart rate variability is important to the investigation of stimuli from the autonomic nervous system. Osteopathy is a form of treatment that can influence this system in healthy individuals as well as those with a disorder or disease. Objectives The aim of the present study was to perform a systematic review of the literature regarding the effect of spinal manipulation and myofascial techniques on heart rate variability. Methods Searches were performed of the Pubmed, Scielo, Lilacs, PEDro, Ibesco, Cochrane and Scopus databases for relevant studies. The PEDro scale was used to assess the methodological quality of each study selected. Results A total of 505 articles were retrieved during the initial search. After an analysis of the abstracts, nine studies were selected for the present review. Conclusion Based on the findings, osteopathy exerts an influence on the autonomic nervous system depending on the stimulation site and type. A greater parasympathetic response was found when stimulation was performed in the cervical and lumbar regions, whereas a greater sympathetic response was found when stimulation was performed in the thoracic region.

      PubDate: 2017-10-08T20:01:04Z
      DOI: 10.1016/j.jbmt.2017.09.025
  • Leg press exercise can reduce functional hamstring/quadriceps ratio in the
    • Authors: Lucas Bet da Rosa Orssatto; Bruno Monteiro de Moura; Raphael Luiz Sakugawa; Regis Radaelli; Fernando Diefenthaeler
      Abstract: Publication date: Available online 3 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Lucas Bet da Rosa Orssatto, Bruno Monteiro de Moura, Raphael Luiz Sakugawa, Regis Radaelli, Fernando Diefenthaeler
      The aim of this study was to investigate whether 12 weeks of leg press strength training exercise could affect the conventional and functional hamstring/quadriceps ratios in elderly. Twelve elderly participants were submitted to a 12 week progressive training protocol (two sessions/week) using a 45° leg press exercise. A significant increase in the one repetition maximum was observed after 4, 8, and 12 weeks (p = 0.001, p < 0.001, and p < 0.001, respectively) compared to week 0 and after 8 (p = 0.011) and 12 weeks (p = 0.001) compared to week 4. The concentric knee extensor peak torque was significantly higher at weeks 8 (p = 0.001) and 12 (p = 0.024) compared to week 0. There was no change in the concentric and eccentric knee flexor peak torques (p = 0.629 and 0.274, respectively) and conventional ratio (p > 0.314) after 12 weeks of training. The functional ratio (eccentric knee flexor peak torque:concentric knee extensor peak torque) reduced significantly after 8 (p = 0.034) and 12 (p = 0.036) weeks of strength training. Although the 45° leg press exercise requires knee extensor and flexor, hip extensor, and plantar flexor muscle strength, our findings suggest that the isolated use of the 45° leg press exercise reduces the knee functional ratio after 8 weeks of training. Therefore, 45° leg press exercise alone, without a hamstring exercise, should not be recommended for elderly individuals.

      PubDate: 2017-10-08T20:01:04Z
      DOI: 10.1016/j.jbmt.2017.09.023
  • The late effect of Kinesio Taping® on handgrip strength
    • Authors: Rodrigo Sousa Nilo de Araújo Aguiar; Silvia Regina Matos da Silva Boschi; Leandro Lazzareschi; Alessandro Pereira da Silva; Terigi Augusto Scardovelli; Eduardo Filoni; Ana Lúcia Manrique; Annie France Frère
      Abstract: Publication date: Available online 3 October 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Rodrigo Sousa Nilo de Araújo Aguiar, Silvia Regina Matos da Silva Boschi, Leandro Lazzareschi, Alessandro Pereira da Silva, Terigi Augusto Scardovelli, Eduardo Filoni, Ana Lúcia Manrique, Annie France Frère
      The Kinesio Taping® elastic tape is increasingly used in physiotherapy treatment. However, there is a lack of scientific research regarding the late effects of its use. This study quantified the late effects of applying the Kinesio Taping® elastic tape by measuring changes in handgrip muscle strength after 24, 48 and 72 h of application. The Kinesio Taping® elastic tape was applied on the dominant and non-dominant limbs of 36 volunteers randomly assigned to three groups: muscle facilitation, muscle inhibition and control group. The statistical test showed there was a statistically significant difference among all groups of dominant limb and non-dominant limb. However, the analysis on intragroup relationship to periods of application (Initial, 24, 48 and 72 h) and the interaction among repeated measures showed there was no statistically significant difference. This result may contribute to the investigation of the late effects of the Kinesio Taping® elastic tape on the physical rehabilitation.

      PubDate: 2017-10-08T20:01:04Z
      DOI: 10.1016/j.jbmt.2017.09.024
  • Immediate effects of Maitland mobilization versus Mulligan Mobilization
           with Movement in Osteoarthritis knee- A Randomized Crossover trial
    • Authors: Ramya V. Rao; Ganesh Balthillaya; Anupama Prabhu; Asha Kamath
      Abstract: Publication date: Available online 28 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ramya V. Rao, Ganesh Balthillaya, Anupama Prabhu, Asha Kamath
      Background Maitland Mobilization or Mulligan Mobilization with Movement (MWM) approaches have been widely used clinically for pain relief and improving mobility in Osteoarthritis knee. However the experimental evidence supporting the usage of these mobilization techniques as sole interventions in management of Osteoarthritis knee is insufficient. Objective To determine from Maitland Mobilization and Mulligan MWM, which mobilization technique will be more effective in reducing pain and improving mobility and function in OA knee immediately after the intervention. Study design Randomized Crossover trial. Materials and methods 30 subjects with osteoarthritis knee were recruited and 15 each were randomly allocated to two intervention sequences-one sequence was where Maitland was given first followed by Mulligan and the other was where Mulligan was given first followed by Maitland with a washout period of 48 h in between the two interventions. Numeric Pain Rating Scale (NPRS), Timed Up and Go (TUG) test and Pain free Squat Angle were the outcome measures measured before and immediately after both interventions. Results Using Repeated Measures ANOVA for analysis of outcomes between and within interventions, no significant differences were seen between Maitland Mobilization and Mulligan MWM, for NPRS, TUG and Pain free Squat Angle (p = 0.18, p = 0.27,p = 0.17) respectively whereas within the interventions both Maitland and Mulligan all outcome measures showed significant changes (p < 0.001). Conclusion Thus it can be seen that Maitland mobilization and Mulligan MWM, both are equally effective in osteoarthritis knee in reducing pain and improving functional mobility and pain free squat angle immediately post treatment.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.017
  • Scapular muscles’ activity in female volleyball players with scapular
           asymmetry in the resting position
    • Authors: Dimitris Karagiannakis; Spyros Athanasopoulos; Dimitris Mandalidis
      Abstract: Publication date: Available online 28 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Dimitris Karagiannakis, Spyros Athanasopoulos, Dimitris Mandalidis
      Background/Aim Resting scapular asymmetry with a more protracted and depressed position of the scapula in the dominant throwing side relative to the scapula of the contralateral side is commonly detected in overhead athletes with both healthy and disabled shoulders. It has been proposed that possible alterations in the EMG activity of periscapular muscles due to asymmetric position of the scapula may alter its kinematics leading to shoulder pathology. The aim of the current study was to identify possible alterations in the activation of periscapular muscles of healthy female volleyball players with scapular asymmetry in the resting position. Methods Resting position of the scapula was determined in 37 healthy professional female volleyball players. Twenty-two players, with the scapula of the dominant side in a more protracted and depressed position compared to the non-dominant side, were classified as the asymmetry group. Fifteen players with almost symmetrical position of both scapulae comprised the control group. All participants performed an upper extremity closed chain exercise (knee push-ups) on a stable (floor) and an unstable surface (BOSU platform), while the EMG activity of serratus anterior (SA), upper trapezius (UT) and middle trapezius (MT) was recorded bilaterally. Results No significant group (asymmetry vs. control) by side (dominant vs. non-dominant) by surface condition (floor vs. BOSU platform) interaction was detected with regard to the EMG activity of SA, UT and MT. Although not statistically significant the asymmetry group demonstrated a tendency for reduced EMG activity of the SA on the dominant compared to the contra-lateral side and compared to the dominant side of the control group. Conclusions The EMG activity of periscapular muscles (SA, UT and MT) was not affected during execution of a close chain exercise in healthy female volleyball players with the scapula of the dominant side in a more protracted and depressed resting position.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.018
  • The effect of functional stretching exercises on functional outcomes in
           spastic stroke patients: A randomized controlled clinical trial
    • Authors: Ehsan Ghasemi; Khosro Khademi-Kalantari; Minoo Khalkhali-Zavieh; Asghar Rezasoltani; Mehri Ghasemi; Alireza Akbarzadeh Baghban; Majid Ghasemi
      Abstract: Publication date: Available online 28 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ehsan Ghasemi, Khosro Khademi-Kalantari, Minoo Khalkhali-Zavieh, Asghar Rezasoltani, Mehri Ghasemi, Alireza Akbarzadeh Baghban, Majid Ghasemi
      Background Stroke is the biggest cause of disability in adults. Spasticity is a primary impairment of stroke with a highly variable prevalence. In the present research, we aimed to determine the impact of functional stretching exercises on functional outcomes in stroke patients. Methods Thirty stroke patients were randomized into two groups-Experimental group and control group for the purposes of the study. The subjects in the experimental group participated in a functional stretching training program at the rehabilitation center thrice a week for four weeks. The subjects in both groups were evaluated in 3 intervals, once at baseline, once at the end of the program, and once at 2 months following the program. Clinical assessments, such as measuring spasticity, were conducted using the Modified Modified Ashworth Scale (MMAS). Functional outcomes were also evaluated, using the Timed Up and Go (TUG) test, as well as the Timed 10-Meter Walk Test (WTT). Friedman test in SPSS version 22.0 was used to analysis the response variables with respect to each stage of evaluation. Spearman rank correlation was also used to measure correlation among clinical assessments and functional outcomes. Results The comparison between two groups showed significant differences only in the Modified Modified Ashworth Scale and Visual Analogue Scale (VAS) post treatment. The experimental group showed significant differences in the MMAS (p = 0.002), WTT (p < 0.001), and TUG (p < 0.001) scores. Nevertheless, the scores of the control group were not significantly different in different stages of evaluation. Conclusion The findings of the study suggest that using functional stretching exercises can improve functional outcomes in chronic spastic stroke patients.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.021
  • Estimating bone mineral content based on different types of muscle
           strength tests
    • Authors: Lucas Bet da Rosa Orssatto; Ewertton de Souza Bezerra; Bruno Monteiro de Moura; João Antônio Chula de Castro; Diego Augusto Santos Silva; Antônio Renato Pereira Moro; Fernando Diefenthaeler
      Abstract: Publication date: Available online 28 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Lucas Bet da Rosa Orssatto, Ewertton de Souza Bezerra, Bruno Monteiro de Moura, João Antônio Chula de Castro, Diego Augusto Santos Silva, Antônio Renato Pereira Moro, Fernando Diefenthaeler
      The aims of this pilot study were to verify which muscle strength tests better explain bone mineral content (BMC) of the femoral neck and lumbar spine and to develop predictive equations to estimate femoral neck and lumbar spine BMC. Twenty-nine subjects aged 56–76 years old (12 women and 17 men) participated in the study. Femoral neck and lumbar spine BMC was evaluated by Dual X-ray absorptiometry (DXA). Muscle strength measurements included maximal isometric voluntary contractions of knee extensors and flexors, vertical jump, 5-repetition maximum of the leg press (5-RMLP) and seated leg curl (5-RMLC), and handgrip strength. Women presented a moderate to strong correlation between femoral neck BMC and 5-RMLP (r = 0.819), 5-RMLC (r = 0.879), knee extensors peak torque (r = 0.699), and handgrip strength (r = 0.663), as well as between lumbar spine BMC and the 5-RMLP test (r = 0.845) and manual grip strength (r = 0.699). For females, the 5-RMLP and 5-RMLC tests most fully explained femoral neck BMC (R2 = 0.859) and the 5-RMLP test and body mass explained lumbar spine density (R2 = 0.757) for females. Men did not present correlations between BMC and strength variables. For females, the 5-RMLP and 5-RMLC variables explained the variations of femoral neck BMC, while 5-RMLP and body mass explained lumbar spine BMC. Future studies should evaluate a larger sample size and prioritize the strength tests with a greater predictive capacity.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.020
  • Dry Needling in myofascial tracks in Non-Relaxing Pelvic Floor
           Dysfunction: A case study
    • Authors: Rahman Sheikhhoseini; Amir Massoud Arab
      Abstract: Publication date: Available online 25 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Rahman Sheikhhoseini, Amir Massoud Arab
      Objective The aim of this case report is to describe the use of Dry Needling (DN) in myofascial tracks related to the pelvic floor (PF) in the management of a male with Non-Relaxing Pelvic Floor Dysfunction (NRPFD). Clinical features A 42-year-old man, with a 20-year history of frequent urination, was referred to the physical therapy clinic by a urologist with diagnosis of NRPFD. The patient was suffering from a sense of incomplete evacuation and difficulty to start urination. He had to urinate every 30 min. The initiation of urination was so difficult that patient had to facilitate it by splashing warm water on his penis. Intervention and outcome DN was performed for 10 sessions. The first three sessions were performed every other day in the same week. In the second week, DN was performed twice at three-day intervals, and the other sessions were performed such that one session was held per week. Selected stretching exercises were prescribed in the first session. The results showed that the patient had reported no urination during sleep, and urination six to eight times when was awake. A three-month follow-up with a telephone-based interview showed that the symptoms did not recur. Conclusion This study showed the possible efficacy of prescribing DN in myofascial tracks in the management of a male with NRPFD. More studies are required to clarify the issue.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.016
  • The effect of kinesiotaping on hand function in stroke patients: A pilot
    • Authors: Fathollah Qafarizadeh; Minoo Kalantari; Noureddin Nakhostin Ansari; Alireza Akbarzadeh Baghban; Aliasqar Jamebozorgi
      Abstract: Publication date: Available online 23 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Fathollah Qafarizadeh, Minoo Kalantari, Noureddin Nakhostin Ansari, Alireza Akbarzadeh Baghban, Aliasqar Jamebozorgi
      Upper extremity motor impairment is one of the most prevalent problems following stroke. Considering the functional importance of the upper extremity in the daily life, the purpose of this study was to investigate the effect of kinesiotaping (KT) on hand function and spasticity in individuals following a stroke. Eight individuals who had experienced a stroke, with their age ranging from 47 to 66, participated in this pretest-posttest clinical study. An I- strip of tape was placed on the extensor muscles of the forearm. Primary outcome measures were the Modified Modified Ashwoth Scale, Box and Block test, and Nine Hole Peg test. At the immediate assessment, there were significant differences between two hand function tests scores. Secondary assessment was done after one week and the results showed significant differences between two hand function test scores. There was no significant change in flexor muscles spasticity after the intervention. This pilot study indicated that KT in the direction of the extensor muscles could result in better hand function in stroke patients.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.015
  • A randomised crossover trial comparing Thai and Swedish massage for
           fatigue and depleted energy
    • Authors: Alasdair MacSween; Susan Lorrimer; Paul van Schaik; Marie Holmes; Anna van Wersch
      Abstract: Publication date: Available online 23 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Alasdair MacSween, Susan Lorrimer, Paul van Schaik, Marie Holmes, Anna van Wersch
      Background The aim of this study was to compare the efficacy and social constructions of Thai massage (TM) and Swedish massage (SM) for patients experiencing fatigue or depleted energy. Method: Twenty participants were randomised to receive three once-weekly TM treatments and three once-weekly SM treatments, with crossover after three massages. Symptom checklists were administered at three time points and included Activation-Deactivation Adjective Check List and VAS Scale. Qualitative data were collected through semi-structured interviews and participants' diary entries. Results Both massage types enhanced physical, emotional and mental wellbeing through improved sleep, relaxation, relief of stress and relief of muscular tension. TM alone showed specific energising and psychological stimulation results, along with carry-over effect and longer lasting benefits. Ninety-five percent of participants found relief from their initial reason presenting symptoms. Conclusion TM or SM can relieve symptoms of fatigue or low energy by releasing stress, promoting relaxation, relieving muscular aches and pains and improving energy. SM results in a larger effect in relaxation and improved sleep whereas TM results in a larger effect in energising, rejuvenating and mentally stimulating effects.

      PubDate: 2017-09-30T20:16:00Z
      DOI: 10.1016/j.jbmt.2017.09.014
  • Comparison between the Ki-hap technique and verbal encouragement on
           activation of abdominal muscles in healthy participants
    • Authors: Chang-Yong Kim; Hyeong-Dong Kim
      Abstract: Publication date: Available online 23 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Chang-Yong Kim, Hyeong-Dong Kim
      The aim of this study was to investigate the comparison between a Ki-hap defined as a psyching-up technique, and verbal encouragement defined as a verbal command by a third party, on abdominal muscle activation during performance of the crunch exercise in healthy participants. Ninety participants were randomly allocated to the following three groups: crunch only exercise group (CG, n1 = 30), crunch exercise with Ki-hap group (CKG, n2 = 30), and crunch exercise with Ki-hap and verbal encouragement group (CKVG, n3 = 30). The interventions were conducted over three trials in each group, and measurements on each participant were performed by a single examiner. The activation of the rectus abdominis (RA), external oblique (EO), and internal oblique (IO) muscles were evaluated using electromyography (EMG) during performance of the crunch exercise in the CG, CKG, and CKVG. Our results showed a significantly greater increase in the EMG patterns of all muscles during performance of the crunch exercise in the CKG (p < 0.05) compared to those in the CG and CKVG. The results also showed that there was a significantly greater increase in the activation of the EO and IO muscles in the CKVG (p < 0.05) compared with that in the CG. These findings demonstrated that the addition of the Ki-hap technique and verbal encouragement during performance of the crunch exercise improves activation of the abdominal muscles.

      PubDate: 2017-09-23T19:49:34Z
      DOI: 10.1016/j.jbmt.2017.09.013
  • The effects of Selective Pilates versus extension-based exercises on
           rehabilitation of low back pain
    • Authors: Vahid Mazloum; Mansour Sahebozamani; Amirhossein Barati; Nouzar Nakhaee; Pouya Rabiei
      Abstract: Publication date: Available online 20 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Vahid Mazloum, Mansour Sahebozamani, Amirhossein Barati, Nouzar Nakhaee, Pouya Rabiei
      Introduction Chronic non-specific low back pain (LBP) may lead to functional impairment and physical disability. The aim of this study was to compare the effects of selective Pilates (SP) and extension-based (EB) exercises on pain, lumbar spine curvature, lumbar forward flexion range of motion (ROM), and physical disability in such individuals. Materials and methods In this randomized clinical trial, Forty-seven patients with chronic non-specific LBP (Mean of age: 39.7 years) were randomly allocated into either SP (N = 16), EB (N = 15), or control (N = 16) groups. The measurements included pain intensity, physical disability, lumbar forward bending ROM, and lumbar spine curvature at the baseline, after receiving the 6-week interventions, and also following one month of cessation of the exercises The analysis of co-variance (ANCOVA) and Post-hoc Bonferroni tests were administered to compare the three groups after the interventions and one month later (P < 0.05). Results More significant improvement was observed in SP group compared to the subjects receiving EB exercises in terms of pain, ROM, and physical disability (P < 0.001), however, there was no significant difference between the two experimental groups for lumbar curvature (P > 0.05). Furthermore; in follow-up, the patients in SP group significantly achieved a higher level of pain intensity improvement and lumbar flexion ROM than the EB exercises (P < 0.001). Conclusions It is estimated that core muscles activation and improving lumbopelvic rhythm in SP training may play a role in decreasing pain and physical disability in chronic LBP patients. Further high-quality studies are required to investigate the details of this mechanism.

      PubDate: 2017-09-23T19:49:34Z
      DOI: 10.1016/j.jbmt.2017.09.012
  • Multifidus muscle size changes at different directions of head and neck
           movements in females with unilateral chronic non-specific neck pain and
           healthy subjects using ultrasonography
    • Authors: Somayeh Amiri Arimi; Mohammad Ali Mohseni Bandpei; Asghar Rezasoltani; Anneli Peolsson; Masumeh Mohammadi
      Abstract: Publication date: Available online 19 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Somayeh Amiri Arimi, Mohammad Ali Mohseni Bandpei, Asghar Rezasoltani, Anneli Peolsson, Masumeh Mohammadi
      Objective The aim of the study was to compare the dimensions of cervical multifidus muscle (CMM) in different conditions. Methods Twenty five women with neck pain and 25 healthy subjects participated in this study. The dimensions of the CMM were measured at rest, 50% and 100% maximum isometric voluntary contraction (MIVC) at six directions of neck movements, using ultrasonography. Results The size of multifidus was smaller in patients than healthy individuals at rest state (P < 0.05). A significant smaller CMM dimension was found in the affected side compared with unaffected side in patients group (P < 0.05). The result of ANOVA for MLD showed a significant difference for contraction levels (P < 0.001) and neck movements (P < 0.001) in both groups. The MLD of the CMM was significantly different between CMM at rest and 50%, and 100% MIVC (P < 0.001). No significant differences was found between the groups at 50% and 100% MIVC (P > 0.05 in both instances). The most prominent CMM size change was observed during neck extension, flexion, ipsilateral lateral-flexion, and ipsilateral rotation, respectively (P < 0.05). Conclusions Results of the present study indicate that the size of CMM was decreased in patients with neck pain in rest state. The size of CMM changes in all directions of neck movements, although the most prominent was during neck extension. This points out CMM stabilization role's in different directions of neck movements.

      PubDate: 2017-09-23T19:49:34Z
      DOI: 10.1016/j.jbmt.2017.09.011
  • Demystifying shoulder pain with electrodiagnosis and musculoskeletal
           ultrasound imaging
    • Authors: Dimitrios Kostopoulos; Mohini Rawat
      Abstract: Publication date: Available online 19 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Dimitrios Kostopoulos, Mohini Rawat

      PubDate: 2017-09-23T19:49:34Z
      DOI: 10.1016/j.jbmt.2017.09.010
  • Long term activity participation
    • Authors: Craig Liebenson
      Abstract: Publication date: Available online 18 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Craig Liebenson

      PubDate: 2017-09-23T19:49:34Z
      DOI: 10.1016/j.jbmt.2017.09.009
  • Myofascial Release or Myofascial Induction '
    • Authors: Leon Chaitow
      Abstract: Publication date: Available online 12 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Leon Chaitow

      PubDate: 2017-09-17T18:58:16Z
      DOI: 10.1016/j.jbmt.2017.09.008
  • Experiences of pregnant women receiving osteopathic care
    • Authors: Anna Sheraton; Julie Streckfuss; Sandra Grace
      Abstract: Publication date: Available online 11 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Anna Sheraton, Julie Streckfuss, Sandra Grace
      The state of women's health during pregnancy and in the post-natal period can have profound and long-term effects on their own health and that of their children. Women are increasingly seeking complementary and alternative therapies during pregnancy. The aim of this study was to explore the experiences of women who received osteopathic treatment during pregnancy. Method This phenomenological study used semi-structured interviews with pregnant patients who were undergoing osteopathic care in northern NSW and south-east Queensland, Australia. Data were analysed thematically. Results Osteopathic care provided symptom relief, particularly for low back and pelvic pain. Participants wanted a natural childbirth with minimal medical intervention if possible. Osteopathic care was perceived as helping prepare women's bodies for birth and in so doing helped alleviate anxieties associated with childbirth and with entering the mainstream medical system. Conclusions Pregnant women receiving osteopathic care reported experiencing physical and mental health benefits both during pregnancy and in the post-natal period.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.007
  • Pilates Reformer exercises for fall risk reduction in older adults: A
           randomized controlled trial
    • Authors: Margaret Roller; Aimie Kachingwe; Janna Beling; Dawn-Marie Ickes; Allyson Cabot; Gabrielle Shrier
      Abstract: Publication date: Available online 9 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Margaret Roller, Aimie Kachingwe, Janna Beling, Dawn-Marie Ickes, Allyson Cabot, Gabrielle Shrier
      Objective To investigate the effects of Pilates exercises using a Reformer on measures of fall risk, balance and mobility, self-efficacy, and active range of motion in adults age 65 and over at risk for falls compared to a control group. Design Randomized Controlled Trial. Methods 55 subjects (27 Pilates intervention, 28 control; 38 females, 17 males; mean age 77.6 years, range 65–95) were randomly assigned to either a Pilates Reformer intervention group or a control group (no intervention). Subjects in the intervention group attended a Pilates Reformer exercise program in a group format once a week over a 10-week period. The primary outcome measures were the Sensory Organization Test (SOT) composite scores on the NeuroCom® system, Timed Up-and-Go (TUG), and Activities-specific Balance Confidence (ABC) scale. The secondary outcome measures were the Adaptation Test (ADT), straight leg raise, hip extension, and ankle dorsiflexion active range of motion (AROM), Berg Balance Scale (BBS), and 10 Meter Walk Test (10MWT). Results There was a significant interaction between group and time on the TUG, BBS, 10MWT, and SLR, hip extension, and ankle dorsiflexion AROM measurements. Over time, subjects in the Pilates intervention group improved their scores significantly on all mentioned measures, whereas subjects in the control group did not (P ≤ 0.05). Significantly improved AROM was found between groups following the Pilates intervention for hip extension, left SLR, and right ankle dorsiflexion. Conclusion Pilates Reformer exercises performed once per week for 10 weeks resulted in reduced fall risk and significant improvements in static and dynamic balance, functional mobility, balance self-efficacy, and lower extremity AROM in adults age 65 and older at risk for falling, whereas the control group did not significantly improve in any measures. Pilates Reformer exercises are more effective compared to no exercise intervention at improving hip and ankle AROM.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.004
  • Lip closure training improves eating behaviors and prefrontal cortical
           hemodynamic activity and decreases daytime sleep in elderly persons
    • Authors: Kouich Takamoto; Tsuyoshi Saitoh; Toru Taguchi; Hiroshi Nishimaru; Susumu Urakawa; Shigekazu Sakai; Taketoshi Ono; Hisao Nishijo
      Abstract: Publication date: Available online 8 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Kouich Takamoto, Tsuyoshi Saitoh, Toru Taguchi, Hiroshi Nishimaru, Susumu Urakawa, Shigekazu Sakai, Taketoshi Ono, Hisao Nishijo
      Previous research suggests that aging-related deterioration of oral functions causes not only eating/swallowing disorders but also various conditions such as sleep disorders and higher-order brain dysfunction. The aim of the present study was to examine the effects of lip closure training on eating behavior, sleep, and brain function in elderly persons residing in an elder care facility. The 20 elderly subjects (mean age, 86.3 ± 1.0 years) were assigned to a control group or a lip closure training (LCT) group, in which an oral rehabilitation device was used for daily LCT sessions over a 4-week period. Before and after the 4-week intervention period, maximal lip closure force was measured, and prefrontal cortical hemodynamic activity (changes in oxygenated hemoglobin concentration) during lip closure movements was measured with (LCT group) or without (control group) use of the oral rehabilitation device. We also analyzed eating behavior and daytime sleep before and after the intervention period. Compared with the control group, the LCT group showed improved maximal lip closure force, shortened eating time, decreased food spill rates, and decreased daytime sleeping. Furthermore, compared with the control group, the LCT group showed a significant increase in prefrontal cortical activity during lip closure. In addition, the increase rate in the right dorsolateral prefrontal cortical activity after the intervention period was significantly correlated with the increase rate in the maximal lip closure force after the intervention period. These findings suggest that LCT is useful in elderly individuals with decreased eating/oral and cognitive functions without the risk of pulmonary aspiration during training.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.002
  • Skin burns following cryotherapy in misdiagnosed pediatric injuries
    • Authors: N.K. Sferopoulos
      Abstract: Publication date: Available online 8 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): N.K. Sferopoulos
      Superficial local cryotherapy is frequently and safely used for pain relief following musculoskeletal injury or disease. However, serious skin complications have been reported in adults following inappropriate application. Skin burns following superficial local cryotherapy have not been previously reported in children. The consequences of inappropriate use of various forms of cryotherapy in four children following sport injuries are presented. They were all primarily misdiagnosed with a soft tissue injury. The incorrect usage was due to the high severity of the local symptoms and signs. They were all referred with partial thickness skin burns. Diagnosis on referral indicated a bone injury in all of them. The value of the initial clinical examination is emphasized considering that fractures, including physeal injuries, are more common than ligamentous lesions, and the high incidence of the radiographically occult acute injuries in children. The use of superficial local cryotherapy following injuries in children should always follow the rules of proper usage and should be avoided in cases that the clinical examination cannot exclude a potential sprain or fracture to prevent further ligament, joint or bone damaging.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.006
  • Does Kinesio taping correct exaggerated dynamic knee valgus' A
           randomized double blinded sham-controlled trial
    • Authors: Rajasekar Sannasi; Ajay Kumar; Jignesh Patel; Ramprasad Muthukrishnan; Asir John Samuel
      Abstract: Publication date: Available online 8 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Rajasekar Sannasi, Ajay Kumar, Jignesh Patel, Ramprasad Muthukrishnan, Asir John Samuel
      Background Deficiency in hip girdle neuromuscular control can cause exaggerated Dynamic Knee Valgus (DKV) which afflicts the knee joint and lead to knee injuries especially ACL injury in sports. Though Kinesio taping (KT) is known to improve function, stability and proprioception, the evidence is inconclusive on its effectiveness in athletes. We hypothesized that kinesio taping could enhance neuromuscular control of the hip girdle there by causing a reduction in DKV. Aim/Objective To determine whether KT on Gluteus medius can correct exaggerated dynamic knee valgus and improves hip abductor strength when compared to sham KT. Method 40 collegiate level athletes, aged between 18 and 28 years, of both genders with presence of dynamic knee valgus (>8° for men and >13° for women) were recruited in the study. Athletes were excluded if they had history of lower back pain, history of any injury or surgery to the lower extremities during the past year. Subjects who met the inclusion criteria were randomized into kinesio tapping (KT) group and sham tapping (ST) group. Donnatelli Drop Leg Test (DDT) and DKV test were performed before, immediately on the third day after the application of KT on them and documented. Results There was a significant reduction in DKV among male [4.0° (95% CI 3.5–4.5); p < 0.001] and female [4.3° (95% CI 3.5–5.2); p < 0.002] immediately after application of taping but not on the third day after application of KT. There was a significant rise in DDT immediately and on the third day after application of KT between KT group and SC group. Conclusion There was a reduction in DKV immediately after the application of KT. However, there was no significant difference between KT group and SC group on the third day. Meanwhile, gluteus medius strength also showed significant improvement immediately after taping and it was maintained even on the third day.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.003
  • Autonomic function and pressure pain threshold following thoracic
           mobilization in asymptomatic subjects: A randomized controlled trial
    • Authors: Francisco Xavier de Araujo; Maurício Scholl Schell; Giovanni Esteves Ferreira; Mariana Della Valentina Pessoa; Luiza Raulino de Oliveira; Brian Giacomini Borges; Fabricio Edler Macagnan; Rodrigo Della Mea Plentz; Marcelo Faria Silva
      Abstract: Publication date: Available online 8 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Francisco Xavier de Araujo, Maurício Scholl Schell, Giovanni Esteves Ferreira, Mariana Della Valentina Pessoa, Luiza Raulino de Oliveira, Brian Giacomini Borges, Fabricio Edler Macagnan, Rodrigo Della Mea Plentz, Marcelo Faria Silva
      Objective To compare the effects of two different mobilization techniques and a placebo intervention applied to the thoracic spine on heart rate variability (HRV) and pressure pain threshold (PPT) in asymptomatic individuals. Methods Sixty healthy asymptomatic subjects aged between 18 and 40 years old were randomized to a single session of one of the three interventions: posterior-to-anterior (PA) rotatory thoracic passive accessory intervertebral mobilization (PAIVM) (PA group), unilateral thoracic PA in slump position (SLUMP group) or placebo intervention (Placebo group). HRV and PPT at C7 and T4 spinous process, first dorsal interossei muscles bilaterally, and muscle belly of tibialis anterior bilaterally were measured before and immediately after the intervention. A univariate analysis of covariance (ANCOVA) adjusted for baseline values assessed the effect of “Group”. Pairwise comparisons with Bonferroni adjustment for multiple comparisons were performed. Results There were no significant between-group differences for HRV. A significant between-group difference for PPT in the ipsilateral tibia was found favoring the SLUMP group in comparison with the PA group. There were no significant between-group differences for PPT in the other landmarks. Conclusion A single treatment of thoracic PAIVM in prone lying and slump position did not alter PPT and HRV compared to placebo in asymptomatic subjects.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.005
  • Evaluation of integral electromyographic values and median power frequency
           values in women with myogenous temporomandibular disorder and asymptomatic
    • Authors: Paulo Fernandes Pires; Delaine Rodrigues-Bigaton
      Abstract: Publication date: Available online 7 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Paulo Fernandes Pires, Delaine Rodrigues-Bigaton
      Background Surface electromyography (EMG) has been used as a reliable tool for the evaluation of electrical muscle activity. Objective The purpose of this study was to evaluate the EMG indices of the masticatory muscles (masseter, anterior temporalis and suprahyoid) in women with temporomandibular disorder (TMD) and asymptomatic controls in the time domain, by the integrated EMG signal (IEMG) and in the frequency domain, using the median power frequency (MPF). Methods An observational, cross-sectional study was conducted involving 30 asymptomatic women as the control (mean age: 25.85 ± 2.57 years) and 74 women with myogenous TMD (mean age: 26.54 ± 2.45 years) diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Three EMG readings were taken during maximum voluntary clenching (MVC) of the molars on parafilm for five seconds with a three-minute rest interval between readings. The mixed-model analysis of variance test followed by the Bonferroni correction or the Student-t test was used for the analyses, with the level of significance set to 5% (p < 0.05). Results IEMG values were significantly higher in the masseter muscles than the anterior temporalis muscles in the control group (p < 0.01). IEMG values were significantly higher in the masseter muscles of the control group than the group with myogenous TMD (p < 0.05). MPF values of the suprahyoid muscles were significantly higher in the myogenous TMD group than the control group. Conclusions These significant findings show that women with myogenous TMD have reduction of electrical activity of their masseter muscles and increased firing rate of the motor units of the suprahyoid muscles. These findings may help the treatment of myogenous TMD in women.

      PubDate: 2017-09-11T18:25:34Z
      DOI: 10.1016/j.jbmt.2017.09.001
  • Comprehensive treatment for patients with chronic pain in a 12-step based
           substance use disorder program
    • Authors: Peter Przekop; Allison Przekop; Mark G. Haviland; Keiji Oda
      Abstract: Publication date: Available online 1 September 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Peter Przekop, Allison Przekop, Mark G. Haviland, Keiji Oda
      Patients with chronic pain (CP) and substance use disorder (SUD) are complex, not yet adequately described, and in need of comprehensive treatments that address both diseases concurrently. Our objectives were to (a) describe a cohort of CP patients who failed traditional treatment (mainly opioids) – then developed opioid use disorder (OUD) and other SUDs and (b) evaluate a comprehensive inpatient treatment program for these patients. Patients were enrolled in an inpatient CP program. Treatment consisted of medical detoxification, group process/education, external and internal qigong, osteopathic manual medicine, and qigong-based mindfulness. Patients also received 20 h per week of 12-step recovery-based SUD treatment. Patients were evaluated at the beginning of treatment (first assessment, day 1–5 range) and at days 30 and 45. Assessments were: Beck Depression Inventory-II, Brief Pain Inventory, West Haven-Yale Multidimensional Pain Inventory (patient section), and McGill Pain Questionnaire. The Global Impression of Change Scale was administered at day 45. A mixed model analysis was used to evaluate treatment progress. Demographic data revealed an older cohort with OUD, other SUDs, and multiple pain diagnoses who failed traditional treatment. Questionnaire evaluations were consistent and similar across all of the above measures: patients’ scores showed marked, statistically significant improvements in depression, pain, and quality of life ratings. The most substantial improvements occurred between the first and second assessments. The findings are sufficiently encouraging to warrant further evaluation of the protocol and to plan comparative studies.

      PubDate: 2017-09-06T18:06:34Z
      DOI: 10.1016/j.jbmt.2017.08.009
  • The effects of cryotherapy versus cryostretching on clinical and
           functional outcomes in athletes with acute hamstring strain
    • Authors: Leyla Sefiddashti; Nastaran Ghotbi; Mahyar Salavati; Ali Farhadi; Masood Mazaheri
      Abstract: Publication date: Available online 31 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Leyla Sefiddashti, Nastaran Ghotbi, Mahyar Salavati, Ali Farhadi, Masood Mazaheri
      Purpose Hamstring strain is a common sport injury that results in pain and functional limitation. Despite its high frequency in active populations, there is no agreement regarding the best method used for early intervention of hamstring strain. The aim of the present study was to compare the effects of cryotherapy and cryostretching on clinical and functional outcomes in athletes with acute hamstring strain. Materials and methods Thirty seven elite athletes with an acute grade I or II hamstring strain were randomly assigned to either cryotherapy (n = 19) or cryostretching (n = 18) group, receiving 5 sessions of supervised treatment plus home-based intervention monitored by the therapist. Pre-treatment to post-treatment changes in pain, active and passive knee extension range of motion and functional status were compared between the two groups. Results Compared to cryotherapy, cryostretching resulted in larger improvement of function and passive knee extension range of motion. Changes in active knee extension range of motion and pain severity were not significantly different between the two groups. Conclusion A rehabilitation protocol involving gentle stretching following cryotherapy is more effective than cryotherapy alone in the improvement of function and passive knee range of motion in patients with grade I and II hamstring strain.

      PubDate: 2017-09-06T18:06:34Z
      DOI: 10.1016/j.jbmt.2017.08.007
  • The effect of working memory intervention on the gait patterns of the
    • Authors: Elaheh Azadian; Mahdi Majlesi; Amir Ali Jafarnezhadgero
      Abstract: Publication date: Available online 26 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Elaheh Azadian, Mahdi Majlesi, Amir Ali Jafarnezhadgero
      Introduction The purpose of this study was to evaluate the role of working memory (WM) training on walking patterns in elderly people. Methods 20 elderly adults were selected and assigned randomly to two groups: WM training group and control group. WM training group received 6 weeks of computerized training on various spatial and verbal WM tasks. The spatial-temporal parameters, the ground reaction force and the timing activity of muscles in pre-posttest and in a follow-up were taken. Result The results indicated that a significant change in gait speed, double support time and stride time (p < 0.05). Alternations in ground reaction force (GRF) components were found significant. Timing of muscle activity also showed non-significant change after WM intervention. Conclusion Based on the results of this study, it can be concluded that WM intervention can be applied to improve gait parameters. The improvements in vertical ground reaction force after training may result in an increase upright stability and a decreased in rate falls.

      PubDate: 2017-08-30T15:06:02Z
      DOI: 10.1016/j.jbmt.2017.08.008
  • Effects of Mat Pilates on hip and knee isokinetic torque parameters in
           elderly women
    • Authors: Josefina Bertoli; Juliano Dal Pupo; Marco A. Vaz; Daniele Detanico; Grazieli M. Biduski; Cintia de la Rocha Freitas
      Abstract: Publication date: Available online 22 August 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Josefina Bertoli, Juliano Dal Pupo, Marco A. Vaz, Daniele Detanico, Grazieli M. Biduski, Cintia de la Rocha Freitas
      This study aimed to analyze the effects of Mat Pilates on isokinetic torque of the lower limbs in elderly women. Fourteen elderly women (Age 62 ± 3 yr) participated in 12 weeks of Mat Pilates training (60-min sessions, 3 times per week). Repetitions increased every 4 weeks and the difficulty of exercises progressed from beginner to intermediate and advanced. Peak torque was assessed before (week −4 and week 0 considered as a control period) and after 6 and 12 weeks of a periodized Mat Pilates intervention. The results showed significant improvements (p < 0.05) in concentric and eccentric peak torque of knee flexors muscles, hip flexor and extensor muscle after 12 weeks. Mechanical work showed significant improvement (p < 0.05) for knee extensor muscles during eccentric contractions after week 12, for hip extensor muscles during concentric contractions week 12, and for flexor muscles during concentric and eccentric contractions after week 12. We conclude that the periodization of Mat Pilates induced significant improvements in multiple isokinetic torque parameters.

      PubDate: 2017-08-30T15:06:02Z
      DOI: 10.1016/j.jbmt.2017.08.006
  • 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
  • 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
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