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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  [3032 journals]
  • The effect of foot orthoses on joint moment asymmetry in male children
           with flexible flat feet
    • Abstract: Publication date: Available online 19 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): AmirAli Jafarnezhadgero, Morteza Madadi Shad, Reed Ferber
      Introduction It has been widely postulated that structural and functional misalignments of the foot, such as flat foot, may cause mechanical deviations of the lower limb during walking. The aim of this study was to investigate the effect of foot orthoses on lower extremity joint moment asymmetry during the stance phase of walking in children with asymptomatic flexible flat feet. Methods Fourteen volunteer male children, clinically diagnosed with flexible flat feet, participated in this study. Subjects completed 12 walking trials at a self-selected walking speed while 3-dimensional kinematic and kinetic data were collected for two conditions: shod with no orthoses, and shod with orthoses. The gait asymmetry index for each variable for each subject was defined as: (1-(lesser moment/greater moment)) × 100. Results Results reveal no significant differences in ankle or knee joint moment asymmetry. However, the use of foot orthoses decreased asymmetry for the hip abduction moment (P = 0.04) compared to walking without orthoses and also resulted in subtle, non-significant increases in frontal plane subtalar and sagittal plane knee and hip joints moment asymmetry. Conclusion We conclude that foot orthoses decrease frontal plane hip joint moment asymmetry, but have little effect on ankle and knee joint asymmetry.

      PubDate: 2017-04-20T21:17:23Z
       
  • Acute effects of self-myofascial release and stretching in overhead
           athletes with GIRD
    • Authors: Ryan R. Fairall; Lee Cabell; Richard J. Boergers; Fortunato Battaglia
      Abstract: Publication date: Available online 7 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ryan R. Fairall, Lee Cabell, Richard J. Boergers, Fortunato Battaglia
      Summary Objective To examine the acute effects of self-myofascial release (SMR), static stretching (SS), and the combination of self-myofascial release and static stretching (SMR+SS) on glenohumeral internal rotation range of motion (GH IR ROM) in overhead athletes with glenohumeral internal rotation deficit (GIRD). Participants Twelve asymptomatic adult male amateur softball position players exhibiting GIRD. Results All three methods significantly improved GH IR ROM. Post hoc testing revealed that SS alone and SMR+SS improved GH IR ROM significantly more than SMR alone. However, there were no significant differences in GH IR ROM between SS alone and SMR+SS. Conclusions If an athlete has a limited time to perform a warm-up (e.g., 3-4 minutes), SS alone is recommended to improve GH IR ROM. However, if the athlete has more time available to warm up (e.g., 7-8 minutes), combining SMR+SS may result in a greater increase in GH IR ROM.

      PubDate: 2017-04-13T16:51:00Z
      DOI: 10.1016/j.jbmt.2017.04.001
       
  • Exercise on balance and function for knee osteoarthritis: A randomized
           controlled trial
    • Authors: Roberta de Matos Brunelli Braghin; Elisa Cavalheiro Libardi; Carina Junqueira; Marcello Henrique Nogueira – Barbosa; Daniela Cristina Carvalho de Abreu
      Abstract: Publication date: Available online 7 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Roberta de Matos Brunelli Braghin, Elisa Cavalheiro Libardi, Carina Junqueira, Marcello Henrique Nogueira – Barbosa, Daniela Cristina Carvalho de Abreu
      Objectives To assess balance and function of symptomatic and asymptomatic subjects with knee osteoarthritis (OA) and investigate the influence of physical exercise. Design Subjects were divided into three groups: Group 1 (n = 15), symptomatic knee OA; Group 2 (n = 11), asymptomatic knee OA; and Group 3 (n = 16), knee OA and no intervention. History of falls, the WOMAC questionnaire, balance and functionality were assessed. Results After intervention, there was a significant difference in the total WOMAC score and in the pain and function domains only in Group 1. After intervention, Group 2 showed significant differences in decreased time on the Step Up/Over test and postural sway increased. Conclusion After the intervention, the symptomatic group reported improvement in pain and function on the WOMAC, while the asymptomatic group showed improvement in performance in the Step Up/Over test. There were no new episodes of falls in groups 1 and 2.

      PubDate: 2017-04-13T16:51:00Z
      DOI: 10.1016/j.jbmt.2017.04.006
       
  • The Diaphragm – more than an inspired design
    • Authors: Matt Wallden
      Abstract: Publication date: Available online 6 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Matt Wallden


      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.03.013
       
  • Hospital based massage therapy: A call for competencies
    • Authors: M.K. Brennan; Dale Healey; Beth Rosenthal; Carolyn Tague
      Abstract: Publication date: Available online 6 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): M.K. Brennan, Dale Healey, Beth Rosenthal, Carolyn Tague
      An increasing percentage of hospitals are offering massage therapy to their patients. The ACIH Hospital Based Massage Therapy (HBMT) Task force was formed to explore the need for standard competencies for massage therapy in hospital environments. A survey was designed and distributed to a convenience sample of hospitals that have massage therapy programs. Thirty-two out of 37 hospitals completed the survey, resulting in an 87% response rate. With recognition of a small convenience sample, we believe the high response rate and the extent to which respondents provided in-depth information to the open-ended questions indicates interest in HMBT competencies. The responses to the survey questions suggests a need for competencies to support safe and effective HBMT services for patients For example, of the 26 respondents that have a job description for the massage therapists in their HBMT programs, only 66% indicated that competencies are included in the job description. Additionally, survey respondents indicated several critical topic areas for which standard competencies do not exist including: experience/knowledge of hospital environment logistics, communications with hospital staff, hospital; culture, and safety issues related to environment such as understanding medical devices and equipment as well as; infection control. Next steps will be to work with educators and practitioners in the HBMT field to augment the ACIH Competencies for Optimal Practice in Integrated Environments with specific competencies for HBMT.

      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.04.004
       
  • A myofascial component of pain in knee osteoarthritis
    • Authors: Adi Dor; Leonid Kalichman
      Abstract: Publication date: Available online 6 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Adi Dor, Leonid Kalichman
      Background Osteoarthritis (OA) is the most common cause of musculoskeletal pain and disability. The knee is the most common site of OA. Numerous studies have shown an inconsistency between patients' reports of pain and their radiographic findings. This inconsistency may be partially explained by the fact that a portion of the pain originates from the myofascial trigger points (MTrPs) located in the surrounding muscles. Aim To assess the role of myofascial pain in OA patients. Methods Critical review. PubMed, Google Scholar, Scopus, and PEDro databases were searched from inception until December 2016 for the following keywords: “myofascial pain”, “osteoarthritis”, “trigger points”, “knee” or any combination of these words. The reference lists of all articles retrieved were searched as well. Results The current review included two observational studies evaluating the prevalence of MTrPs in OA patients and six interventional studies describing the treatment of myofascial pain in OA patients. Data from two of the interventional studies also included an observational section. Conclusion The reviewed observational studies offered initial evidence as to the assumption that myofascial pain and the presence of MTrPs may play a role in pain and disability of knee OA. Because of the cross-sectional design of these studies, the causal relationships could not be established. Additional studies are needed to confirm this assumption as well as to clarify if MTrPs are a portion of OA etiology or that OA is the basis for MTrPs formation. Each interventional study elaborated on various myofascial treatment techniques. However, treatment focusing on MTrPs seems to be effective in reducing pain and improving function in OA patients. Due to the heterogeneity in treatment methods and outcome measures, it is difficult to attain a definite conclusion and therefore, additional high-quality randomized controlled trials are warranted.

      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.03.025
       
  • Neck pain in Iranian school teachers: Prevalence and risk factors
    • Authors: Fatemeh Ehsani; Mohammad Ali Mohseni-Bandpei; César Fernández-de-las-Peñas; Khodabakhsh Javanshir
      Abstract: Publication date: Available online 5 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Fatemeh Ehsani, Mohammad Ali Mohseni-Bandpei, César Fernández-de-las-Peñas, Khodabakhsh Javanshir
      Neck pain (NP) is a common occupational health problem associated with a number of professions. Many studies indicate that NP is common among teachers, yet no published study was found to address the prevalence and risk factors of NP in Iranian school teachers. The purpose of the current study was to assess the prevalence and risk factors for NP among school teachers in Iran. A cross-sectional study was conducted on 586 randomly selected primary and high schools teachers from 22 schools in Tehran, Iran. Point, last month, last 6 months, annual, and lifetime prevalence rates of NP were 24%, 29%, 33%, 37%, and 43%, respectively. There was a significant association and increased prevalence of NP with a number of risk factors such as; being female, age, general health, length of employment, regular exercise and job satisfaction (P < 0.05 in all instances). Therefore, some individual and occupational factors may make conditions relevant for the development of NP among teachers.

      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.04.003
       
  • Ischemic compression and kinesiotherapy on chronic myofascial pain in
           breast cancer survivors
    • Authors: Flávia Belavenuto Rangon; Vânia Tie Koga Ferreira; Monique Silva Rezende; Amanda Apolinário; Ana Paula Ferro; Elaine Caldeira de Oliveira Guirro
      Abstract: Publication date: Available online 5 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Flávia Belavenuto Rangon, Vânia Tie Koga Ferreira, Monique Silva Rezende, Amanda Apolinário, Ana Paula Ferro, Elaine Caldeira de Oliveira Guirro
      Objective assess the effects of ischemic compression and kinesiotherapy on the rehabilitation of breast cancer survivors with chronic myofascial pain. Methods A randomized, controlled, blinded clinical trial was performed with 20 breast cancer survivors with myofascial trigger point in the upper trapezius muscle. Patients were randomly allocated to ischemic compression + kinesiotherapy (G1, n=10) and kinesiotherapy (G2, n=10). Both groups were submitted to 10 sessions of treatment. The variables evaluated were: Numeric Rating Scale, Pain Related Self-Statement Scale, pressure pain threshold, Functional Assessment of Cancer Therapy-Breast and Infrared thermography. Results A significant reduction (p <0.05) was observed in pain intensity after 10 sessions in Groups 1 and 2, a significant increase (p <0.05) in pressure pain threshold in both the operated and non-operated side after 10 sessions for Group 1. Conclusion Ischemic compression associated with kinesiotherapy increases the pressure pain threshold on the myofascial trigger point in the upper trapezius muscle and reduces the intensity of pain in breast cancer survivors with myofascial pain.

      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.04.005
       
  • Electromyographic changes in muscles around the ankle and the knee joints
           in women accustomed to wearing high-heeled or low-heeled shoes
    • Authors: Mona Kermani; Mehri Ghasemi; Abbas Rahimi; khosro Khademi-kalantari; Alireza Akbarzadeh-Bghban
      Abstract: Publication date: Available online 5 April 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Mona Kermani, Mehri Ghasemi, Abbas Rahimi, khosro Khademi-kalantari, Alireza Akbarzadeh-Bghban
      Objectives This study aimed to investigate muscle activities in the muscles around the ankle and knee joints in women accustomed to wearing high-heeled or low-heeled shoes. Method ology: Forty young women (age: 18-40 years) participated in this comparative clinical study. Twenty of the recruited subjects were accustomed to high-heeled shoes and the other half to low-heeled shoes. Electrical activities of the ankle and knee muscles in both groups with and without wearing their accustomed shoes were studied during walking. Results Tibialis anterior and the medial gastrocnemius muscles started contraction earlier in the high-heeled shoe group. The duration of medial gastrocnemius activity and the intensity of proneus longus activity were significantly more in the high-heeled shoe group. Conclusion Wearing high-heeled shoe for a long time could result in over work of muscles such as medial gastrocnemius and proneus longus by increase in the duration or the intensity of their contractions during walking.

      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.04.002
       
  • Activation of lower limb muscles with different types of mount in
           hippotherapy
    • Authors: Mariane Fernandes Ribeiro; Ana Paula Espindula; Domingos Emanuel Bevilacqua Júnior; Jéssica Aparecida Tolentino; Carolina Fioroni Ribeiro da Silva; Márcia Fernandes Araújo; Alex Abadio Ferreira; Vicente de Paula Antunes Teixeira
      Abstract: Publication date: Available online 30 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Mariane Fernandes Ribeiro, Ana Paula Espindula, Domingos Emanuel Bevilacqua Júnior, Jéssica Aparecida Tolentino, Carolina Fioroni Ribeiro da Silva, Márcia Fernandes Araújo, Alex Abadio Ferreira, Vicente de Paula Antunes Teixeira
      Objectives To analyze muscle activation of lower limbs (LL) of subjects in hippotherapy sessions. Methods The study included 10 healthy subjects, five male and five female, with an average age of 24.03 (±4.06) years. Subjects underwent four hippotherapy sessions of 30 min with interval of one week, and each session was performed with a different type of mount material in the following order: 1st performed with saddle and feet in the stirrups (S1), 2nd with saddle and feet off the stirrups (S2), 3rd with blanket and feet off the stirrup (S3) and 4th with blanket and feet in the stirrups (S4). Surface electromyographies were performed at 1, 10, 20 and 30 min of session, and the electrodes were placed on muscle bellies bilaterally on the muscles rectus femoris, vastus medialis, vastus lateralis and tibialis anterior. Results The analysis of muscle activity during these four sessions showed a significant difference in muscle recruitment in LL, and sessions with blanket and feet in the stirrups provided greater muscle activation of quadriceps and tibialis anterior with the horse at step gait (p = 0.0002). Conclusion The results suggest that feet positioned in the stirrups is a relevant factor for greater muscle recruitment in LL to maintain postural balance while riding, especially using a blanket as mount material for ride a horse.

      PubDate: 2017-04-07T11:17:41Z
      DOI: 10.1016/j.jbmt.2017.03.020
       
  • Prevalence of physical activity among adolescents in southern Brazil
    • Authors: Tiago Rodrigues de Lima; Diego Augusto Santos Silva
      Abstract: Publication date: Available online 30 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Tiago Rodrigues de Lima, Diego Augusto Santos Silva
      Objetive The aim of this study was to estimate the prevalence of low physical activity levels and to identify related factors (sociodemographic, lifestyle and body weight status) in adolescents. Methods The study included 1,103 students aged 14-19 years from city of São José/SC, Brazil. Physical activity was assessed using a questionnaire that classified adolescents into those who meet recommendations and those who do not meet recommendations. Independent variables were gender, age, monthly household income, maternal education, balanced diet, number of physical education classes, sleep/day, tobacco use, excessive alcohol use, screen time and weight status. Binary logistic regression was used to estimate odds ratios and 95% confidence intervals. Results Prevalence of inadequate levels of physical activity was 77.2%. Older students and those with lower monthly family income were more likely of having inadequate levels of physical activity. Female adolescents and older students were more likely of being sufficiently active compared to male and younger adolescents. Adolescents who sleep more hours/day were more likely of being insufficiently active. Conclusion Efforts to increase levels of physical activity should be focused on older adolescents and those with lower monthly family income.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.022
       
  • Test-retest reliability of myofascial trigger point detection in hip and
           thigh areas
    • Authors: E. Rozenfeld; A.S. Finestone; U. Moran; E. Damri; L. Kalichman
      Abstract: Publication date: Available online 29 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): E. Rozenfeld, A.S. Finestone, U. Moran, E. Damri, L. Kalichman
      Background Myofascial trigger points (MTrP’s) are a primary source of pain in patients with musculoskeletal disorders. Nevertheless, they are frequently underdiagnosed. Reliable MTrP palpation is the necessary for their diagnosis and treatment. The few studies that have looked for intra-tester reliability of MTrPs detection in upper body, provide preliminary evidence that MTrP palpation is reliable. Reliability tests for MTrP palpation on the lower limb have not yet been performed. Objective To evaluate inter- and intra-tester reliability of MTrP recognition in hip and thigh muscles. Design Reliability study. Subjects 21 patients (15 males and 6 females, mean age 21.1 years) referred to the physical therapy clinic, 10 with knee or hip pain and 11 with pain in an upper limb, low back, shin or ankle. Methods Two experienced physical therapists performed the examinations, blinded to the subjects’ identity, medical condition and results of the previous MTrP evaluation. Each subject was evaluated four times, twice by each examiner in a random order. Dichotomous findings included a palpable taut band, tenderness, referred pain, and relevance of referred pain to patient’s complaint. Based on these, diagnosis of latent MTrP’s or active MTrP’s was established. The evaluation was performed on both legs and included a total of 16 locations in the following muscles: rectus femoris (proximal), vastus medialis (middle and distal), vastus lateralis (middle and distal) and gluteus medius (anterior, posterior and distal). Results Inter- and intra-tester reliability (Cohen’s kappa (κ)) values for single sites ranged from -0.25 to 0.77. Median intra-tester reliability was 0.45 and 0.46 for latent and active MTrP’s, and median inter-tester reliability was 0.51 and 0.64 for latent and active MTrPs, respectively. The examination of the distal vastus medialis was most reliable for latent and active MTrP’s (intra-tester k=0.27-0.77, inter-tester k=0.77 and intra-tester k=0.53-0.72, inter-tester k=0.72, correspondingly). Conclusions Inter- and intra-tester reliability of active and latent MTrP evaluation was moderate to substantial. Palpation evaluation can be used for clinical diagnosis of MTrP’s in the hip and thigh muscles. Significance This study provides evidence that MTrP palpation is a moderately reliable diagnostic tool in the hip and thigh muscles and can be used in clinical practice and research.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.023
       
  • Systemic sclerosis: Association between physical function, handgrip
           strength and pulmonary function
    • Authors: Agnaldo José Lopes; Amanda Cristina Justo; Arthur Sá Ferreira; Fernando Silva Guimaraes
      Abstract: Publication date: Available online 29 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Agnaldo José Lopes, Amanda Cristina Justo, Arthur Sá Ferreira, Fernando Silva Guimaraes
      Background Systemic sclerosis (SSc) is a multisystem disease affecting the skin, respiratory system and skeletal muscles. In SSc patients, hand function disability is the major factor limiting daily activities. Aim To evaluate the association of physical function with handgrip strength and pulmonary function in SSc patients. A further aim was to assess the relationship between handgrip strength and pulmonary function in patients with SSc. Method A cross-sectional study in which 28 patients with SSc underwent isometric handgrip strength (IHGS) measurement and pulmonary function tests and completed the Health Assessment Questionnaire Disability Index (HAQ-DI) to measure physical function. Results The HAQ-DI scores were associated with the IHGS (r s = -0.599, P = 0.001) and pulmonary function parameters, particularly the diffusion capacity for carbon monoxide (DLco; r s = -0.642, P = 0.0004). Conclusion In patients with SSc, the degree of physical disability is associated with both hand grip strength and pulmonary function. However, there is no relationship between handgrip strength and pulmonary function in these patients.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.018
       
  • Myoeletric indices of fatigue adopting different rest intervals during leg
           press sets
    • Authors: Gabriel A. Paz; Jeffrey M. Willardson; Marianna Maia; Carlos G. de Oliveira; Déborah Farias; Jurandir B. da Silva; Vicente P. Lima; Humberto Miranda
      Abstract: Publication date: Available online 29 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Gabriel A. Paz, Jeffrey M. Willardson, Marianna Maia, Carlos G. de Oliveira, Déborah Farias, Jurandir B. da Silva, Vicente P. Lima, Humberto Miranda
      Introduction The purpose of this study was to examine the acute effect of different rest intervals between multiple sets of the 45° angled leg press exercise (LP45) on surface electromyographic (SEMG) spectral and amplitude indices of fatigue. Methods Fifteen recreationally trained females performed three protocols in a randomized crossover design; each consisting of four sets of 10 repetitions with 1 (P1), 3 (P3), or 5 (P5) minute rest intervals between sets. Each set was performed with 70% of the LP45 ten-repetition maximum load. The SEMG data for biceps femoris (BF), vastus lateralis (VL), vastus medialis (VM), and rectus femoris (RF) muscles was then evaluated. Results The SEMG amplitude change in the time coefficient (CRMS) and spectral fatigue index (Cf5) indicated higher levels of fatigue for all muscles evaluated during the P3 protocol versus the P1 and P5 protocols (p ≤ 0.05), respectively. The RF and VL muscles showed greater fatigue levels by the second and third sets; whereas, greater fatigue was shown in the VM and BF muscles by the fourth set (p ≤ 0.05). Conclusions A three-minute rest interval between sets might represent a neuromuscular window between a fatigue stated and fully recovered state in the context of neural activation. Moreover, a three minute rest interval between sets might allow for consistent recruitment of high threshold motor units over multiple sets, and thus promote a more effective stimulus for strength gains.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.021
       
  • Asymmetry of activation of lateral abdominal muscles during the
           neurodevelopmental traction technique
    • Authors: Anna Gogola; Rafał Gnat; Małgorzata Zaborowska; Dorota Dziub; Michalina Gwóźdź
      Abstract: Publication date: Available online 29 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Anna Gogola, Rafał Gnat, Małgorzata Zaborowska, Dorota Dziub, Michalina Gwóźdź
      Objective The aim of the study was to evaluate the symmetry and pattern of activation of lateral abdominal muscles (LAM) in response to neurodevelopmental traction technique. Design and participants Measurements of LAM thickness were performed in four experimental conditions: during traction with the force of 5% body weight (5% traction): 1) in neutral position, 2) in 20° posterior trunk inclination; during traction with the force of 15% body weight (15% traction): 3) in neutral position, 4) in 20° posterior trunk inclination. Thirty-seven healthy children participated in the study. Interventions: Not applicable. Main Outcome Measures To evaluate LAM activation level ultrasound technology was employed (two Mindray DP660 devices (Mindray, Shenzhen, China) with 75L38EA linear probes). An experiment with repeated measurements of the dependent variables was conducted. Results Side-to-side LAM activation asymmetry showed relatively high magnitude, however, significant difference was found only in case of the obliquus externus (OE) during stronger traction (P<0.05). The magnitude of LAM thickness change formed a gradient, with the most profound transversus abdominis (TrA) showing the smallest change, and the most superficial OE – the greatest. The inter-muscle differences were most pronounced between the OE and TrA (P<0.001). Conclusions During the neurodevelopmental traction technique there is a difference in individual LAM activation level, with deeper muscles showing less intense activation. In statistical terms, the only signs of side-to-side asymmetry of LAM activation are visible in case of the OE, however, the magnitude of asymmetry is relatively high. The results allow to identify patterns of activation of LAM in children showing typical development that will serve as a reference in future studies in children with neurological disorder.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.019
       
  • Effect of stretching of piriformis and iliopsoas in coccydynia
    • Authors: P.P. Mohanty; Monalisa Pattnaik
      Abstract: Publication date: Available online 29 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): P.P. Mohanty, Monalisa Pattnaik
      pain in tailbone known as coccyx is referred as coccydynia. The pain aggravates in weight bearing i.e. sitting. Total 48 persons with coccydynia diagnosed clinically were recruited and randomly assigned into one of the 3 groups. Experimental group I treated by stretching of piriformis and iliopsoas muscles, experimental group II treated by stretching of piriformis and iliopsoas muscles and Maitland’s rhythmic oscillatory thoracic mobilization over the hypomobile segments and conventional group treated by seat cushioning + Sitz bath + Phonophorosis. All participants underwent an initial baseline assessment for Pressure Pain Threshold (PPT) by using modified syringe algometer and pain free sitting duration. All the subjects were advised to minimise sitting posture and use seat cushion. Treatment was given for 3 weeks, 5 sittings per week and post-treatment evaluation was done after completion of 3 weeks. Follow up evaluation was done after 1 month. Data analysis The data was analyzed by using 3 X 3 ANOVA. Tukey's HSD post-Hoc analysis was used for all pair wise comparison. Results The overall results of the study showed that there was significant improvement in pain pressure threshold and pain free sitting in both the experimental groups with treatment and improvement continued after cessation of therapy, whereas conventional group did not improve significantly.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.024
       
  • The science of respiratory characteristics in individuals with chronic low
           back pain: Interpreting through statistical perspective
    • Authors: Vikram Mohan; Aatit Paungmali; Patraporn Sitilertpisan
      Abstract: Publication date: Available online 28 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Vikram Mohan, Aatit Paungmali, Patraporn Sitilertpisan


      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.017
       
  • Conservative management of thumb carpometacarpal osteoarthritis: An
           Italian survey of current clinical practice
    • Authors: Jorge Hugo Villafañe; Kristin Valdes; Virginia O’Brien; Monica Seves; Raquel Cantero-Téllez; Pedro Berjano
      Abstract: Publication date: Available online 28 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jorge Hugo Villafañe, Kristin Valdes, Virginia O’Brien, Monica Seves, Raquel Cantero-Téllez, Pedro Berjano
      Objective The purpose of this study was to elucidate expert opinion in the conservative treatment of thumb carpometacarpal (CMC) joint osteoarthritis (OA). Methods A 21-item survey to determine the practice patterns of Italian hand therapists who treat arthritis of the CMC joint was developed and distributed through a professional online survey service to assure confidentiality and anonymity. Results Of the respondents, 80.8% were physical therapists; the remaining 19.2% were occupational therapists. 84.6% of the specialists who make decisions regarding patient pain management education. Conclusions There is variability in the knowledge and practice patterns of Italian hand therapists relating to conservative management of thumb CMC OA.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.015
       
  • Investigating the Anticipatory Postural Adjustment Phase of Gait
           Initiation in Different Directions in Chronic Ankle Instability Patients
    • Authors: Zahra Ebrahimabadi; Sedigheh Sadat Naimi; Abbas Rahimi; Heydar Sadeghi; Seyed Majid Hosseini; Alireza Akbarzadeh Baghban; Syed Asadullah Arslan
      Abstract: Publication date: Available online 27 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Zahra Ebrahimabadi, Sedigheh Sadat Naimi, Abbas Rahimi, Heydar Sadeghi, Seyed Majid Hosseini, Alireza Akbarzadeh Baghban, Syed Asadullah Arslan
      Objective The main objective of the present study was to analyze how supra spinal motor control mechanisms are altered in different directions during anticipatory postural phase of gait initiation in chronic ankle instability patients. It seems that supra spinal pathways modulate anticipatory postural adjustment phase of gait initiation. Yet, there is a dearth of research on the effect of chronic ankle instability on the anticipatory postural adjustment phase of gait initiation in different directions. Method A total of 20 chronic ankle instability participants and 20 healthy individuals initiated gait on a force plate in forward, 30° lateral, and 30° medial directions. Results According to the results of the present study, the peak lateral center of pressure shift decreased in forward direction compared to that in other directions in both groups. Also, it was found that the peak lateral center of pressure shift and the vertical center of mass velocity decreased significantly in chronic ankle instability patients, as compared with those of the healthy individuals. Conclusion According to the results of the present study, it seems that chronic ankle instability patients modulate the anticipatory postural adjustment phase of gait initiation, compared with healthy control group, in order to maintain postural stability. These changes were observed in different directions, too.

      PubDate: 2017-03-30T10:18:47Z
      DOI: 10.1016/j.jbmt.2017.03.016
       
  • Realizing the benefits, makes the benefits real
    • Authors: Matt Wallden
      Abstract: Publication date: Available online 21 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Matt Wallden


      PubDate: 2017-03-24T10:07:27Z
      DOI: 10.1016/j.jbmt.2017.03.014
       
  • Cognitive Functional Therapy (CFT) for chronic non-specific neck pain
    • Authors: Ney Meziat-Filho; Maicom Lima; Jessica Fernandez; Felipe J.J. Reis
      Abstract: Publication date: Available online 18 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ney Meziat-Filho, Maicom Lima, Jessica Fernandez, Felipe J.J. Reis
      This case report presents the effect of Cognitive Functional Therapy (CFT) in a patient with chronic non-specific neck pain. The patient believed that pain signified tissue damage, and demonstrated pain catastrophizing, hypervigilance, stress sensitivity, and movement impairment of the neck, during extension and rotation. The CFT intervention integrated a cognitive approach with manual therapy and active exercises to encourage the patient to trust her neck again. One month after the first appointment, the patient had recovered confidence, and the pain and disability had disappeared almost entirely.

      PubDate: 2017-03-24T10:07:27Z
      DOI: 10.1016/j.jbmt.2017.03.010
       
  • The significance of closed kinematic chains to biological movement and
           dynamic stability
    • Authors: Stephen Levin; Susan Lowell de Solórzano; Graham Scarr
      Abstract: Publication date: Available online 12 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Stephen Levin, Susan Lowell de Solórzano, Graham Scarr
      Closed kinematic chains (CKCs) are widely used in mechanical engineering because they provide a simple and efficient mechanism with multiple applications, but they are much less appreciated in living tissues. Biomechanical research has been dominated by the use of lever models and their kinematic analysis, which has largely ignored the geometric organization of these ubiquitous and evolutionary-conserved systems, yet CKCs contribute substantially to our understanding of biological motion. Closed-chain kinematics couple multiple parts into continuous mechanical loops that allow the structure itself to regulate complex movements, and are described in a wide variety of different organisms, including humans. In a biological context, CKCs are modular units nested within others at multiple size scales as part of an integrated movement system that extends throughout the organism and can act in synergy with the nervous system, where present. They provide an energy-efficient mechanism that enables multiple mechanical functions to be optimized during embryological development and increases evolutionary diversity.

      PubDate: 2017-03-18T06:16:40Z
      DOI: 10.1016/j.jbmt.2017.03.012
       
  • The partial Get-Up
    • Authors: Carmen Bott; Craig Liebenson
      Abstract: Publication date: Available online 10 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Carmen Bott, Craig Liebenson


      PubDate: 2017-03-11T17:48:44Z
      DOI: 10.1016/j.jbmt.2017.03.011
       
  • The local twitch response during trigger point dry needling: Is it
           necessary for successful outcomes?
    • Authors: Thomas Perreault; James Dunning; Raymond Butts
      Abstract: Publication date: Available online 7 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Thomas Perreault, James Dunning, Raymond Butts
      Background Myofascial trigger point (MTrP) injection and trigger point dry needling (TrPDN) are widely accepted therapies for myofascial pain syndrome (MPS). Empirical evidence suggests eliciting a local twitch response (LTR) during needling is essential. Objective This is the first review exploring the available literature, regardless of study design, on the neurophysiological effects and clinical significance of the LTR as it relates to reductions in pain and disability secondary to MTrP needling. Methods PubMed, MEDLINE, Science Direct and Google Scholar were searched up until October 2016 using terms related to trigger point needling and the LTR. Results and Discussion: Several studies show that eliciting a LTR does not correlate with changes in pain and disability, and multiple systematic reviews have failed to conclude whether the LTR is relevant to the outcome of TrPDN. Post needling soreness is consistently reported in studies using repeated in and out needling to elicit LTRs and increases in proportion to the number of needle insertions. In contrast, needle winding without LTRs to MTrPs and connective tissue is well supported in the literature, as it is linked to anti-nociception and factors related to tissue repair and remodeling. Additionally, the positive biochemical changes in the MTrP after needling may simply be a wash out effect related to local vasodilation. While the LTR during TrPDN appears unnecessary for managing myofascial pain and unrelated to many of the positive effects of TrPDN, further investigation is required.

      PubDate: 2017-03-11T17:48:44Z
      DOI: 10.1016/j.jbmt.2017.03.008
       
  • Impact of osteopathic therapy on pro-prioceptive balance and quality of
           life in patients with dizziness
    • Authors: L. Papa; A. Amodio; F. Biffi; A. Mandara
      Abstract: Publication date: Available online 6 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): L. Papa, A. Amodio, F. Biffi, A. Mandara
      The aim of the study was to evaluate the efficacy of osteopathic manipulative treatment (OMT) in patients with Benign-Paroxysmal-Positional Vertigo (BPPV). Thirty-one patients with BPPV were randomly assigned into two groups: 19 patients received osteopathic treatments (TG) and 12 patients received sham therapy (SG), both in four weekly sessions. Before the first and the last treatment, those patients were evaluated using Dizziness Handicap Inventory (DHI) and stabilometric platform to assess lifestyle modification and balance functions. After the treatment session, TG compared to SG showed an improvement in DHI global (p=0.02), functional (p=0.03) and physical (p=0.03) components, as well as a reduction of swinging area (p=0.02). An association between swinging area and lifestyle measures (global [r=0.53; p=0.02]; functional [r=0.50; p=0.03]; physical [r=0.60; p= 0.01]) changes were found in TG. These findings suggest that OMT could be a useful approach to reduce imbalance symptoms and to improve the quality of life in patients suffering from dizziness.

      PubDate: 2017-03-11T17:48:44Z
      DOI: 10.1016/j.jbmt.2017.03.001
       
  • The Rebound Boots Change the Lower Limb Muscle Activation and Kinematics
           During Different Fitness Exercises
    • Authors: Mateus Rossato; Rodolfo André Dellagrana; Juliane Cristine Lopes dos Santos; Felipe P. Carpes; Rodrigo Ghedini Gheller; De Angelys de Ceselles Seixas da Silva; Ewertton de Souza Bezerra; João Otacílio Libardoni dos Santos
      Abstract: Publication date: Available online 6 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Mateus Rossato, Rodolfo André Dellagrana, Juliane Cristine Lopes dos Santos, Felipe P. Carpes, Rodrigo Ghedini Gheller, De Angelys de Ceselles Seixas da Silva, Ewertton de Souza Bezerra, João Otacílio Libardoni dos Santos
      The purpose of this study was to evaluate electromyography and kinematic parameters of the lower limbs using rebound boots (RB) and barefoot during a gym workout. This information can be helpful to practitioners to schedule the rehabilitation and training programs. Ten women (25 ± 9 years) volunteered for the study; inclusion criteria were as follows: subjects must have experienced the RB and the analyzed exercises for at least 6 months, and have no previous injuries in the lower limbs. Seven exercises were performed for 30 seconds with the RB and subsequently on barefoot. Data from muscle activation of vastus lateralis (VL), biceps femoris (BF), lateral gastrocnemius (LG) and 2D kinematics were collected. The RB triggered postural changes, characterized by larger hip extension (4 exercises) and knee extension (6 exercises) for the landing. RB reduced activation mainly in LG (6 exercises) while no changes were observed for VL (except exercise 1) and BF. RB change kinematics and muscle activation suggesting changes in the way the legs absorb and transmit force during jumps. LG was the main muscle affected by the use of RB.

      PubDate: 2017-03-11T17:48:44Z
      DOI: 10.1016/j.jbmt.2017.03.002
       
  • Within-day and between-day reliability of thickness measurements of
           abdominal muscles using ultrasound during abdominal hollowing and bracing
           maneuvers
    • Authors: Mahnaz Aboufazeli; Nima Afshar-Mohajer
      Abstract: Publication date: Available online 6 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Mahnaz Aboufazeli, Nima Afshar-Mohajer
      Ultrasonography imaging has been used as a non-invasive method to estimate the thickness and relative activities of the abdominal muscles in patients with lower back pain (LBP). However, the statistical reliability of US thickness measurements of abdominal muscles, including transversus abdominis (TrA), internal oblique (IO) and external oblique (EO) muscles during abdominal hollowing (AH) and abdominal bracing (AB) maneuvers has not been well-investigated. This study was performed on a total of 20 female subjects (10 with LBP and 10 without LBP) in the age range of 25 to 55 years to assess within-day and between-day reliability of the measurements. US measurements on maneuvers were repeated after two hours for the within-day reliability and after five days for the between-day reliability assessment. High intra-class correlation coefficient (ICC) values (>0.75) for within-day and between-day reliability assessments during AH maneuver were concluded. The ICC values were moderate for reliability assessment during AB. The ICC values for AH were greater than AB both for within- and between-day reliabilities. The small standard error of measurement and minimal detectable change values (0.16 to 0.78 and 0.44 to 2.15, respectively) were found for both AH and AB. We recommend real-time US imaging as a reliable way of determining the thicknesses of the TrA and IO muscle (and to some extent, EO muscle) for both healthy and LBP patients.

      PubDate: 2017-03-11T17:48:44Z
      DOI: 10.1016/j.jbmt.2017.03.006
       
  • The effects of dorso-lumbar motion restriction on EMG activity of selected
           muscles during running
    • Authors: Joseph J. Morley; Edward Traum
      Abstract: Publication date: Available online 6 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Joseph J. Morley, Edward Traum
      The effects of restricting dorso-lumbar spine mobility on electromyographic activity of the erector spinae, quadriceps femoris, hamstrings and gastrocnemius muscles in runners was investigated. Thermoplastic casting material was fashioned into a rigid orthosis and used to restrict spinal motion during running. Volunteers ran on a treadmill at 2.78 m/sec, under normal conditions and with spinal motion restricted. Surface electromyographic data was collected during both sets of trials. Normal electromyographic data was also compared with previous authors to determine similarity with their electromyographic data. Results Casted running resulted in an increase in erector spinae (p < 0.01) and quadriceps femoris (p = 0.02) electromyography activity. Total stride time and swing time of gait were decreased during casted running (p < 0.01), indicating a shift towards shorter and thus more frequent steps to run the same distance. The normal electromyographic data collected was in agreement with previously reported work. Conclusions Neurological control over muscle and the fascia surrounding it is responsible for joint movement and load transfer. Experimentally restricting spinal motion during running demonstrated an increase in erector spinae and rectus femoris electromyographic activity. This lends support to the hypothesis that decreased spinal mobility may be a contributing factor to overuse muscle injuries in runners.

      PubDate: 2017-03-11T17:48:44Z
      DOI: 10.1016/j.jbmt.2017.03.009
       
  • Postural insoles on gait in children with cerebral palsy: Randomized
           controlled double-blind clinical trial
    • Authors: Hugo Pasin Neto; Luanda André Collange Grecco; Luis Alfredo Braun Ferreira; Natália Almeida Carvalho Duarte; Manuela Galli; Claudia Santos Oliveira
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Hugo Pasin Neto, Luanda André Collange Grecco, Luis Alfredo Braun Ferreira, Natália Almeida Carvalho Duarte, Manuela Galli, Claudia Santos Oliveira
      The aim of the present study was to assess the effect of postural insoles on gait performance in children with Cerebral Palsy (CP).Twenty four children between four and 12 years of age were randomly allocated either the control group (n = 12) or experimental group (n = 12).The control group used placebo insoles and the experimental group used postural insoles. Three-dimensional gait analysis was performed under three conditions: barefoot, in shoes and in shoes with insoles. Three evaluations were carried out: 1)immediately following placement of the insoles; 2)after three months of insole use; and 3)one month after suspending insole use. Regarding the immediate effects and after three months use of insole, significant improvements in gait velocity and cadence were found in the experimental group, along with an increase in foot dorsiflexion, a reduction in knee flexion and a reduction in internal rotation. Conversely, these changes were not maintained in the third assessment, one month after withdrawal of the insoles. The use of postural insoles led to improvements in gait performance in children with CP.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.03.005
       
  • Isometric endurance test of the cervical flexor muscles – reliability
           and normative reference values
    • Authors: Jari Ylinen; Petri Salo; Salme Järvenpää; Arja Häkkinen; Riku Nikander
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jari Ylinen, Petri Salo, Salme Järvenpää, Arja Häkkinen, Riku Nikander
      Objective To obtain reference values for the isometric endurance test (IET) of the cervical flexor muscles, investigate its reproducibility, and compare the results with the maximal isometric strength test (MIST) of the cervical flexor muscles. Design Cross-sectional non-comparative study with single group repeated measurements. Methods Altogether 219 healthy females aged 20 to 59 years volunteered to participate in the study. The IET was performed in the supine position and MIST seated. The reproducibility was evaluated by the intraclass correlation coefficient (ICC) and an analysis described by Bland and Altman. The relationship between the two measuring methods was evaluated by Pearson’s correlation coefficient. Results The mean (SD) IET time was 60 (33) seconds with no significant differences between the age groups of each decade. The ICC for intrarater repeatability was 0.80. However, the Bland-Altman analysis suggested moderate variation in repeated measurements. Pearson’s correlation coefficient between the IET and MIST was 0.56. Conclusion Normative reference values for the IET are presented. Although the ICC showed good repeatability, one should consider that the change at follow-up visits has to be considerable to be clinically relevant. The correlation between the endurance time and maximal flexion strength was moderate. Thus IET of the cervical flexor muscles may be used in the clinic like the Biering-Sorenson test has been used to assess fatigue of the trunk extensor muscles.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.02.006
       
  • Low handgrip strength levels among adolescents in a city in Southern
           Brazil
    • Authors: Diego Augusto Santos Silva; Andreia Pelegrini; João Antônio Chula de Castro; Tiago Rodrigues de Lima; Gabriel Renaldo de Sousa; João Marcos Ferreira de Lima Silva; Edio Luiz Petroski
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Diego Augusto Santos Silva, Andreia Pelegrini, João Antônio Chula de Castro, Tiago Rodrigues de Lima, Gabriel Renaldo de Sousa, João Marcos Ferreira de Lima Silva, Edio Luiz Petroski
      Objective To estimate the prevalence of low handgrip strength (HGS) levels and sociodemographic characteristics, health behaviours and body fatness status related in adolescents. Method: Cross-sectional epidemiological study with 636 adolescents aged 14-19 years in a city in southern Brazil. HGS was measured by dynamometer. Sociodemographic and behavioural data were collected using self-report questionnaires. Body mass and height was measured by Body Mass Index. Results: Prevalence of low HGS levels was 47% (63.5% boys, 37.7% girls). Boys aged 14-16 years were more likely to have low HGS levels. Girls who were of higher socioeconomic status and who were less physically active were more likely to have low HGS levels. Overweight girls were less likely to have low HGS levels. Conclusions: High prevalence of low HGS levels was observed in adolescents. Increased HGS levels should be focused on younger boys and normal-weight girls with higher socioeconomic status and lower levels of physical activity.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.03.004
       
  • The effects of neck mobilization in patients with chronic neck pain: A
           randomized controlled trial
    • Authors: Muhammad Nazim Farooq; Mohammad A. Mohseni-Bandpei; Syed Amir Gilani; Muhammad Ashfaq; Qamar Mahmood
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Muhammad Nazim Farooq, Mohammad A. Mohseni-Bandpei, Syed Amir Gilani, Muhammad Ashfaq, Qamar Mahmood
      Objective To determine the effect of mobilization and routine physiotherapy on pain, disability, neck range of motion (ROM) and neck muscle endurance (NME) in patients having chronic mechanical neck pain (NP). Methods Sixty eight patients with chronic mechanical NP were randomly allocated into two groups by using a computer generated random sequence table with 34 patients in the multi-modal mobilization group and 34 patients in the routine physiotherapy group. Baseline values for pain, disability, NME, and neck ROM were recorded using visual analogue scale (VAS), neck disability index (NDI), neck flexor muscle endurance test and universal goniometer respectively, before the treatment. Each patient received 10 treatment sessions over a period of four weeks and at the end of four weeks all the outcome measures were recorded again. Results A paired t-test revealed significant pre to post treatment differences for all outcome measures in both groups (p < 0.001 in all instances). An independent t-test revealed statistically significant differences for pain, disability, NME, and neck rotation in favor of the multi-modal mobilization group with a between group difference of 1.57 cm for VAS (p < 0.001), 11.74 points for NDI (p = 0.001), 18.45 seconds for NME (p < 0.001) and 6.06 to 8.24 degrees for neck ROM (p < 0.05). Conclusion The results suggest that a combination of cervical mobilization with routine physiotherapy is more effective for reducing pain and disability and improving NME and neck ROM in patients with chronic mechanical NP compared to routine physiotherapy alone.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.03.007
       
  • The effects of clinical Pilates exercises on patients with shoulder pain:
           A randomized clinical trial
    • Authors: Esra Atılgan; Aydan Aytar; Aslıcan Çağlar; Ayça Aytar Tığlı; Gamze Arın; Gökmen Yapalı; Pınar Kısacık; Utku Berberoğlu; Hülya Özlem Şener; Edibe Ünal
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Esra Atılgan, Aydan Aytar, Aslıcan Çağlar, Ayça Aytar Tığlı, Gamze Arın, Gökmen Yapalı, Pınar Kısacık, Utku Berberoğlu, Hülya Özlem Şener, Edibe Ünal
      Aim The purpose of this study was to determine the effect of Clinical Pilates exercises on patients with shoulder pain. Material and Methods Thirty-three patients, experiencing shoulder pain continuously for at least four weeks were selected as study subjects. The patients were randomly divided into two groups, namely Clinical Pilates exercise (n=17) group and conventional exercise (n=16) group. The patients were treated for five days a week, the total treatment being carried out for 10 days. The assessment of pain and disability amongst the patients were done at the baseline and at the end of the treatment sessions, using Visual Analogue Scale (VAS) and Shoulder Pain and Disability Index (SPADI). Results The clinical Pilates exercise group showed a significant improvement in all scores used for assessment (p<0.05), while the conventional exercise group demonstrated a significant improvement only in the SPADI total score (p<0.05). A comparison of scores for the VAS, SPADI-Pain and SPADI-Total between the two groups, revealed a significant improvement in the Clinical Pilates exercise group (p<0.05). Conclusion It was demonstrated by the study that Clinical Pilates exercise is an efficient technique for patients experiencing shoulder pain, as it helps reduce pain and disability among them.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.02.003
       
  • Reliability of Kinematic Measures in Subjects With Anterior Cruciate
           Ligament Deficiency During Dual-Task Walking
    • Authors: Salman Nazary-Moghadam; Mahyar Salavati; Ali Esteki; Behnam Akhbari; Sohrab Keyhani; Afsaneh Zeinalzadeh
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Salman Nazary-Moghadam, Mahyar Salavati, Ali Esteki, Behnam Akhbari, Sohrab Keyhani, Afsaneh Zeinalzadeh
      Objective To define the throughout within- and between-day reliability of gait parameters in single - and dual-task conditions in subjects with and without anterior cruciate ligament deficiency (ACLD). Methods Fourteen subjects with ACLD and 14 healthy subjects completed a walking task on a treadmill with three levels of velocity (self-selected, high and low), with or without performing an auditory Stroop task over two sessions each 3-5 days apart. The gait kinematic parameters, including maximum and minimum hip flexion, total hip range of motion, maximum and minimum knee flexion and total knee range of motion were recorded using a motion analysis system. The intraclass correlation coefficient (ICC), the standard error of measurement (SEM), and the coefficient of variation (CV) were used to determine inter- and intrasession reliability of kinematic and cognitive measures. Results ICCs for ACLD group in dual-task and single task conditions ranged between 0.50 to 0.93 and 0.53 to 0.93, respectively. ICC values for healthy groups in dual-task and single task conditions ranged between 0.36 to 0.90 and 0.39 to 0.87, respectively. When comparing relative reliability across kinematic variables in different velocities, ICC values were generally identical in all three levels of velocity. Conclusion The findings suggest that dual-tasking could also be applied reliably for the assessment of functional activities in subjects with and without ACLD.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.02.004
       
  • Effect of Movement Control and stabilization Exercises in People with
           Extension Related Non -Specific Low Back Pain- A pilot Study
    • Authors: Sara Salamat; Saeed Talebian; Hosein Bagheri; Nader Maroufi; Mohammad Jafar Shaterzadeh; Gitta Kalbasi; Kieran O’Sullivan
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Sara Salamat, Saeed Talebian, Hosein Bagheri, Nader Maroufi, Mohammad Jafar Shaterzadeh, Gitta Kalbasi, Kieran O’Sullivan
      Background Exercise is considered an effective treatment strategy for non-specific chronic low back pain (NSCLBP). In spite of the wide use of exercise protocols, it is not clear what type of exercise is more effective in decreasing pain, disability and normalizing muscle activation patterns in people with chronic low back pain. Objectives To assess the effects of two exercise protocols (stabilization vs movement control) on pain and disability scores and the flexion relaxation ratio (FRR) of lumbar multifidus (LM) and iliocostalis lumbarum pars thoracic (ICLT) in people with extension related non-specific chronic low back pain. Study design Pilot randomized control trial. Methods 32 subjects with active extension pattern chronic low back pain (stabilization group=16, movement control group=16) participated in this study. Treatment groups received 4 weeks of exercise therapy. Outcomes were based on pain score (Numeric rating Scale-NRS), disability (Oswestry Disability Index- ODI) and FRR of the LM and ICLT. Results Four people dropped out of the study in each group for reasons unrelated to the protocols of the study. Pain and disability reduced in both groups, with no significant difference between the groups. The FRR of LM did not change in either treatment group after treatment. However, the FRR of ICLT was significantly increased after treatment in the movement control group. Conclusion Both movement control and stabilization exercises reduced pain and disability in the short-term among people with extension pattern NSCLBP, with no difference in effectiveness between the groups. However, movement control exercises were more effective in normalizing back muscle activation patterns than stabilization exercises.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.02.005
       
  • Immediate effect of common peroneal nerve electrical stimulation on
           quadriceps muscle arthrogenic inhibition in patients with knee
           osteoarthritis
    • Authors: Hossein Rafsanjani; Khosro Khademi-Kalantari; Asghar Rezasoltani; Sedigheh Sadat Naimi; Mehri Ghasemi; Shapour Jaberzadeh
      Abstract: Publication date: Available online 4 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Hossein Rafsanjani, Khosro Khademi-Kalantari, Asghar Rezasoltani, Sedigheh Sadat Naimi, Mehri Ghasemi, Shapour Jaberzadeh
      Objective To investigate the immediate effect of electrical stimulation of the common peroneal nerve on the maximum voluntary activation of the quadriceps muscle in patients with knee osteoarthritis. Methodology Fifteen subjects with knee osteoarthritis (mean age: 50.5±13 years) participated in this study. To measure the arthrogenic inhibition ratio of quadriceps, a burst of electrical stimulation was superimposed on the maximum voluntary contraction, and the percentage of change in the force production was computed. The same measurement was also performed with concurrent electrical stimulation of the common peroneal nerve. Results All the patients with knee osteoarthritis showed significant arthrogenic inhibition of the quadriceps muscle. The stimulation of the common peroneal nerve was able to reduce this inhibition and increase the capacity of the muscle to produce a significantly higher knee extension force (p=0.028). Conclusions Electrical stimulation of the common peroneal nerve concurrent with the maximum voluntary effort can remove the arthrogenic inhibition of the quadriceps muscle in patients with knee osteoarthritis. This finding could have clinical implications in the management of patients with knee disorders.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.03.003
       
  • The effects of strengthening exercises for wrist flexors and extensors on
           muscle strength and counter-stroke performance in amateur table tennis
           players
    • Authors: Raoyrin Chanavirut; Nontawit Udompanich; Phraophimon Udom; Ponlapat Yonglitthipagon; Wanida Donpunha; Saowanee Nakmareong; Juinichiro Yamauchi
      Abstract: Publication date: Available online 3 March 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Raoyrin Chanavirut, Nontawit Udompanich, Phraophimon Udom, Ponlapat Yonglitthipagon, Wanida Donpunha, Saowanee Nakmareong, Juinichiro Yamauchi
      This study aims to evaluate the effects of strengthening exercises on wrist flexor and extensor strength, hand grip strength, and counter-stroke performance. Thirty amateur table tennis players were recruited and randomly allocated into two groups: the control and the training group (n=15/group). Pre- and post-data were collected. The training group performed home exercises for six weeks using a bucket filled with water, while the controls were asked to keep their lifestyle as usual. The general characteristics were no significant differences. The training group showed significantly higher levels of wrist flexor and extensor strength than the control group (p<0.05). However, the difference in hand grip strength was not statistically significant. Both groups showed significant improvement in counter-stroke performance (p<0.05), however, there was no difference between the groups. In conclusion, specific strengthening exercises increase wrist flexor and extensor strength, but they have no effect on either hand grip strength or counter-stroke performance.

      PubDate: 2017-03-06T05:59:36Z
      DOI: 10.1016/j.jbmt.2017.02.002
       
  • Effect of yoga on the menstrual pain, physical fitness, and quality of
           life of young women with primary dysmenorrhea
    • Authors: Ponlapat Yonglitthipagon; Somruthai Muansiangsai; Wilanee Wongkhumngern; Wanida Donpunha; Raoyrin Chanavirut; Wantana Siritaratiwat; Lukana Mato; Wichai Eungpinichpong; Taweesak Janyacharoen
      Abstract: Publication date: Available online 7 February 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ponlapat Yonglitthipagon, Somruthai Muansiangsai, Wilanee Wongkhumngern, Wanida Donpunha, Raoyrin Chanavirut, Wantana Siritaratiwat, Lukana Mato, Wichai Eungpinichpong, Taweesak Janyacharoen
      The aim of the present study was to investigate effect of specially designed yoga program on the menstrual pain, physical fitness, and quality of life (QOL) of non-athlete women with primary dysmenorrhea (PD) aged 18–22 years. Thirty-four volunteers were randomly assigned into control and yoga groups. Menstrual pain, physical fitness, and QOL were evaluated at baseline and at the end of the 12-week study period. The yoga group was asked to practice yoga for 30 min per day, twice a week, for 12 weeks at home, while the control group did not receive any form of exercise over the study period. There were significant improve in menstrual pain, physical fitness, and QOL in the yoga group more than the control group. Therefore, this specially designed yoga program may be a possible complementary treatment for PD.

      PubDate: 2017-02-08T16:01:17Z
      DOI: 10.1016/j.jbmt.2017.01.014
       
  • A critical overview of the current myofascial pain literature –
           March 2017
    • Authors: Jan Dommerholt; Rob Grieve; Todd Hooks; Michelle Finnegan
      Abstract: Publication date: Available online 7 February 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jan Dommerholt, Rob Grieve, Todd Hooks, Michelle Finnegan
      After two years of having contributed to this overview series of articles, we sadly say goodbye to Dr. Rob Grieve. We would like to thank Dr. Grieve for his insightful contributions and analyses of the myofascial pain literature. Dr. Grieve would have preferred to continue, but his many university and research responsibilities had to take priority. We are looking forward to reviewing his future research endeavors in this article. We are pleased that Dr. Li-Wei Chou, MD, PhD has agreed to replace Dr. Grieve and join our team. Dr. Chou is Assistant Professor at China Medical University in Taichung, Taiwan and he has an impressive publication record with many research studies and book chapters. In this edition of the overview article, we once again have included articles from around the world with a combination of basic research and clinical studies and case reports. The majority of papers deal with dry needling, but there are also several more basic research studies and manual therapy papers.

      PubDate: 2017-02-08T16:01:17Z
      DOI: 10.1016/j.jbmt.2017.02.001
       
  • Effects of Kinesio Taping® on knee function and pain in athletes with
           patellofemoral pain syndrome
    • Authors: Elaheh Aghapour; Fahimeh Kamali; Ehsan Sinaei
      Abstract: Publication date: Available online 27 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Elaheh Aghapour, Fahimeh Kamali, Ehsan Sinaei
      Objective To compare the knee performance and pain in athletes with patellofemoral pain syndrome (PFPS) before and after applying Kinesio Tape® (KT) on vastus medialis obliquus (VMO) muscle. Participants Fifteen participants (10 females, five males) with unilateral PFPS were examined and compared under taped and untaped conditions. Intervention VMO of the involved leg was taped from origin to insertion, with 75% of KT's maximal length tension. Main Outcome Measures Maximal eccentric and concentric peak torques of quadriceps were measured at 60 and 180°/s angular velocities by an isokinetic dynamometer. Functional performance and pain were evaluated by functional tests (step-down and bilateral squat) and visual analog scale, respectively. Results Paired t-test showed statistically significant increase in VMO peak torque and also repetition of step- down test and bilateral squat after using KT. Pain intensity was also decreased significantly following KT application (p<0.05). Conclusions KT application over VMO can decrease pain and improve the functional performance, generally and quadriceps muscle strength, particularly, in athletes with PFPS. However, more research is needed to evaluate the long-term effects of this therapeutic procedure.

      PubDate: 2017-02-01T17:11:11Z
      DOI: 10.1016/j.jbmt.2017.01.012
       
  • Telocytes: Connective Tissue Repair and Communication cells
    • Authors: Leon Chaitow
      Abstract: Publication date: Available online 27 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Leon Chaitow


      PubDate: 2017-02-01T17:11:11Z
      DOI: 10.1016/j.jbmt.2017.01.011
       
  • The immediate effect of talocrural joint manipulation on functional
           performance of 15–40 years old athletes with chronic ankle instability:
           A double-blind randomized clinical trial
    • Authors: Fahimeh Kamali; Ehsan Sinaei; Sara Bahadorian
      Abstract: Publication date: Available online 25 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Fahimeh Kamali, Ehsan Sinaei, Sara Bahadorian
      Objective To evaluate the immediate effect of talocrural joint manipulation (TCJM) on functional performance of athletes with chronic ankle instability (CAI). Participants Forty athletes (18males, 22females) with CAI divided into TCJM group (n = 20) and sham manipulation group (n = 20). Intervention TCJM was performed as a quick thrust on the involved talus, in the posterior direction. Sham manipulation was maintaining the same position, without any thrust. Main Outcome Measures Functional performance of athletes was assessed with single leg hop; speed and Y balance tests, before and after the interventions. Results All functional tests evaluated in this study improved significantly after TCJM (p-value<0.05). These findings were not seen in the control group. Between-group comparisons also showed significant changes for all the measurements after the interventions (p < 0.05). Conclusions TCJM can significantly increase the functional performance of athletes with CIA and can be an effective supplementary treatment for these subjects. However, this was a pre-post study and future studies with long-term follow-ups may provide more reliable results about the long-term effectiveness of this type of treatment.

      PubDate: 2017-01-25T18:51:36Z
      DOI: 10.1016/j.jbmt.2017.01.010
       
  • Pilot study: Post-operative rehabilitation pathway changes and
           implementation of functional closed kinetic chain exercise in total hip
           and total knee replacement patient
    • Authors: C. Abbas; J. Daher
      Abstract: Publication date: Available online 18 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): C. Abbas, J. Daher
      Objective The aim of this study was to assess the feasibility of introducing a functional closed kinetic chain exercise program to an acute care setting to reduce length of hospital stay and assess tolerance to exercise immediately following total hip or total knee arthroplasty. Methods A protocol change implementing a functional closed kinetic chain based exercise program, post total hip (n = 535) and total knee (n = 695) arthroplasty, was performed at Windsor Regional Hospital Ouellette Campus in Windsor, Ontario Canada. A chart review was performed to compare the length of stay, post-surgery, of the new protocol to the length of stay of the previous range of motion and open kinetic chain based protocols of the previous two years. Results A significant (P-value <0.05) number of total hip and total knee arthroplasty patients reduced the length of hospital stay to less than 4 days using the closed kinetic chain program. Conclusion Evidence suggests that closed kinetic chain exercises are tolerated in the acute care setting and may be useful in reducing hospital length of stay post total hip and total knee arthroplasty.

      PubDate: 2017-01-18T18:16:56Z
      DOI: 10.1016/j.jbmt.2017.01.009
       
  • Scientific Evidence Based Effects of Yoga Practices on Various Health
           Related Problems of Elderly Peoples: A Review
    • Authors: A. Mooventhan; L. Nivethitha
      Abstract: Publication date: Available online 9 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): A. Mooventhan, L. Nivethitha
      More than 50% of the elderly above 60 years of age suffer from chronic medical conditions and the prevalence of which increase with age. Though Yoga has been reported as an effective modality in improving various physical and psychological aspects of elderly populations, a comprehensive review of Yoga and its effects on various health related problems of elderly populations has not been reported yet. Hence, we performed PubMed/Medline search to review relevant articles, using keyword “yoga and elderly”. Relevant articles published since inception till 6th October 2016 were included for the review. Based on the available scientific literature, this review suggests that the regular practice of Yoga can be considered as an effective intervention in improving physical (reduces heart rate, blood pressure, blood glucose, oxidative damage, fatigue, weakness, fear of fall, and improve heart rate variability, baroreflex sensitivity, insulin sensitivity, physical functions, mobility, flexibility, and urinary incontinence), mental (reduces depression, anxiety), emotional (reduces anger, stress, tension and improve self-efficacy), social (improve life satisfaction), and vital (improved vitality) planes of elderly persons with better quality of sleep and quality of life.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.004
       
  • Biological effects of direct and indirect manipulation of the fascial
           system. Narrative review
    • Authors: Giovanni Parravicini; Andrea Bergna
      Abstract: Publication date: Available online 9 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Giovanni Parravicini, Andrea Bergna
      Introduction Osteopathic Manipulative Treatment (OMT) is effective in improving function, movement and restoring pain conditions. Despite clinical results, the mechanisms of how OMT works remain unclear. The fascial system is described as a tensional network that envelops the human body. Direct or indirect manipulations of the fascial system are a distinctive part of OMT. Objective This review describes the biological effects of direct and indirect manipulation of the fascial system. Material and methods Literature search was performed in February 2016 in the electronic databases: Cochrane, Medline, Scopus, Ostmed, Pedro and authors’ publications relative to Fascia Research Congress Website. Results Manipulation of the fascial system seems to interfere with some cellular processes providing various pro-inflammatory and anti-inflammatory molecules. Discussion Despite growing research in the osteopathic field, biological effects of direct or indirect manipulation of the fascial system are not conclusive. Conclusion To elevate manual medicine as a primary intervention in clinical settings, it’s necessary to clarify how OMT modalities work in order to underpin their clinical efficacies.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.005
       
  • Procedures of assessment on the quantification of thoracic kyphosis and
           lumbar lordosis by radiography and photogrammetry: a literature review
    • Authors: Alessandra Beggiato Porto; Victor Hugo Alves Okazaki
      Abstract: Publication date: Available online 9 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Alessandra Beggiato Porto, Victor Hugo Alves Okazaki
      The quantification of thoracic kyphosis and lumbar lordosis can be assessed in different ways; among them radiography and photogrammetry. However, the assessment procedures are not consistent in the literature for either method. The objective of this study was to conduct a literature review about postural assessment through radiography and photogrammetry, for delineating the procedures for both methods. In total 38 studies were selected by an online search in the MEDLINE and LILACS databases with the keywords: radiograph and posture, postural alignment, photogrammetry or photometry or biophotogrammetry. For the radiographic method, the results showed divergences in arm positioning and in the calculation of thoracic and lumbar angles. The photogrammetry demonstrated differences in relation to the camera, tripod, plumb line and feet positioning, angle calculation, software utilization, and the use of footwear. Standardization is proposed for both methods to help establish normative values and comparisons between diagnoses.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.008
       
  • IMPACT OF PHYSICAL GROWTH, BODY ADIPOSITY AND LIFESTYLE ON MUSCULAR
           STRENGTH AND CARDIORESPIRATORY FITNESS OF ADOLESCENTS
    • Authors: Diego Augusto Santos Silva; Priscila Custódio Martins
      Abstract: Publication date: Available online 9 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Diego Augusto Santos Silva, Priscila Custódio Martins
      Objective To investigate the impact of physical growth, body adiposity and lifestyle on cardiorespiratory fitness and muscle strength of pubescent and post-pubescent adolescents. Methods Cross-sectional study with 1,132 adolescents (14-19 years) in Brazil. Aerobic fitness was measured using the modified Canadian Aerobic Fitness Test. Muscle strength was assessed using manual dynamometer. Maturational stages were defined through the Tanner criteria. Results Boys at pubertal maturation stage showed higher VO2max values than those at the post-pubertal stage when the influence of body adiposity and lifestyle was disregarded. Girls at pubertal maturation stage showed higher VO2max values than those in the post-pubertal stage when the influence of age was disregarded. For muscle strength, no significant differences were found. Conclusions The variables that influence the association between VO2max and maturational stage are different for boys and girls.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.007
       
  • PILATES INCREASES THE ISOKINETIC MUSCULAR STRENGTH OF THE KNEE EXTENSORS
           AND FLEXORS IN ELDERLY WOMEN
    • Authors: Laís Campos de Oliveira; Raphael Gonçalves de Oliveira; Deise Aparecida de Almeida Pires-Oliveira
      Abstract: Publication date: Available online 8 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Laís Campos de Oliveira, Raphael Gonçalves de Oliveira, Deise Aparecida de Almeida Pires-Oliveira
      Introduction Pilates has been shown to be effective for increasing muscle strength in older adults, however, some variables have not yet been explored. Objective Investigate the effects of Pilates on the isokinetic muscular strength of the knee extensors and flexors at 60º/s, in elderly women. Method Thirty-two women were randomized into two groups: control group (CG, n = 16, age = 64.2 ± 0.8 years; BMI = 25.0 ± 1.2 Kg/m2), and experimental group (EG, n = 16, age = 63.6 ± 1.0 years, BMI = 24.7 ± 1.3 Kg/m2). Isokinetic evaluation of the knee extensor and flexor muscles was performed at 60°/s, pre- and post-intervention, considering the peak torque (N.m) and total work (J) for the right and left lower limbs. The CG participated in static stretching and the EG in Pilates sessions, twice a week for 12 weeks. Results The results demonstrated that the EG presented a significant improvement (p < 0.01) in all tests performed, when comparing the pre- and post-intervention (intragroup), with an effect size (Cohen's d) reaching 2.03 and 1.33 for the knee flexor and extensor muscles respectively. Comparing the CG and EG (intergroup), post-intervention, a significant improvement was observed (p ≤ 0.01) in favor of the EG for all variables, with an effect size (Cohen's d) reaching 1.59 and 1.15 for the knee flexor and extensor muscles respectively. Conclusion The results indicated that 12 weeks of Pilates increases the isokinetic muscular strength of the knee extensors and flexors in elderly women and can be considered for this purpose when prescribing physical exercise programs.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.006
       
  • The effects of preventive rubber band training on shoulder joint imbalance
           and throwing performance in handball players: a randomized and prospective
           study
    • Authors: Naryana Cristina Mascarin; Claudio Andre Barbosa de Lira; Rodrigo Luiz Vancini; Antonio Carlos da Silva; Marilia Santos Andrade
      Abstract: Publication date: Available online 6 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Naryana Cristina Mascarin, Claudio Andre Barbosa de Lira, Rodrigo Luiz Vancini, Antonio Carlos da Silva, Marilia Santos Andrade
      Objectives To investigate the effects of a strength training program (STP) using rubber band exercises. Methods Twenty-five athletes were divided into two groups: muscular imbalance in the dominant (D) and in the non-dominant (ND) upper limbs. Each group was subdivided into experimental and control groups. Experimental groups performed eighteen sessions of STP. Athletes were submitted to ball throwing and isokinetic strength tests to assess the muscular strength of the shoulder rotator muscles and conventional and functional balance ratios. Results STP improved external rotator peak torque (18.0±0.8 to 21.3±1.0Nm, p<0.01) and total work (29.3±0.9 to 34.5±1.5J, p<0.01) in the D experimental group, while only total work (34.8±2.5 to 37.6±3.1J, p<0.03) improved in the D control group. The ND experimental group also presented significant improvement in external rotator peak torque (18.8±0.8 to 21.1±1.3Nm, p<0.01) and total work values (29.0±1.4 to 34.6 to 1.6J, p<0.01) while there was no strength improvement in the ND control group. The ND experimental group showed an improvement in conventional (61.5±3.5 to 72.7±3.0%, p=0.03) and functional (1.0±0.1 to 1.6±0.08, p<0.01) ratios. STP did not improve the conventional ratio in the D experimental group. However, STP produced a large effect size. The D experimental group presented an improvement in ball velocity (49.0±2.4 to 52.5±2.2km/h, p=0.04) in standing position throwing. Conclusions STP improves muscular strength of external rotator muscles and muscular balance.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.003
       
  • Effect of ischemic compression for cervicogenic headache and elastic
           behavior of active trigger point in the sternocleidomastoid muscle using
           ultrasound imaging
    • Authors: Mehdi Jafari; Farid Bahrpeyma; Mansoureh Togha
      Abstract: Publication date: Available online 6 January 2017
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Mehdi Jafari, Farid Bahrpeyma, Mansoureh Togha
      Objectives To investigate the effect of ischemic compression on clinical outcomes of a cervicogenic headache and elastic behavior of myofascial trigger points. Design Randomized, controlled trial was undertaken. Setting Outpatient headache clinic. Subjects 19 subjects with a cervicogenic headache originating from myofascial trigger point within the sternocleidomastoid muscle. Interventions Subjects were randomized in treatment group (n = 9) and control group (n = 10). Subjects in the treatment group received 4 sessions of ischemic compression in the myofascial trigger point region. Main measures Headache intensity, frequency, and duration, trigger point elastic modulus, trigger point area, pressure tolerance, and pressure pain threshold were assessed before and after treatment. Results Subjects in the treatment group compared with those in control group showed significant improvements in headache intensity (P = 0.002), headache frequency (P = 0.005), headache duration (P = 0.015), pressure tolerance (P < 0.001), pressure pain threshold (P = 0.039), and myofascial trigger point area (P = 0.017). Changes in myofascial trigger point elastic modulus did not reach a significant level (P > 0.05). Conclusion The improvements in outcome measures suggest that ischemic compression may be effective in subjects with a cervicogenic headache originating from a myofascial trigger point in the sternocleidomastoid muscle. Data suggest that biomechanical properties of MTrP and severity of headache symptoms are not directly linked, and other mechanisms could be more influential in contributing to symptoms.

      PubDate: 2017-01-12T00:40:24Z
      DOI: 10.1016/j.jbmt.2017.01.001
       
 
 
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