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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  [2969 journals]
  • Letter to Editor: Application of neuroplasticity theory through the use of
           the Feldenkrais Method with a runner with scoliosis and lower quarter
           pain: Additional respiratory mechanic principle, implication of the
           Feldenkrais method for clinical practice in neuro-musculoskeletal
           rehabilitation
    • Abstract: Publication date: Available online 21 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Vikram Mohan, Aatit Paungmali, Patraporn Sitilertpisan



      PubDate: 2016-08-22T23:11:44Z
       
  • Comparison of ischemic compression and lumbopelvic manipulation as trigger
           point therapy for patellofemoral pain syndrome in young adults: A
           double-blind randomized clinical trial
    • Abstract: Publication date: Available online 21 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Shabnam Behrangrad, Fahimeh Kamali
      Objective To compare the effectiveness of ischemic compression (IC) directly to the vastus medialis obliquus (VMO) versus lumbopelvic manipulation (LPM) in improving pain, functional status and sensitivity to mechanical stimulation of the VMO trigger point in patients with patellofemoral pain syndrome (PFPS). Participants 40 patients with unilateral PFPS aged 20-30 years were selected randomly among patients with unilateral PFPS referred to physical therapy clinics of Shiraz University of Medical Sciences in Shiraz, Iran, between March 2014 and July 2014. 30 young adults participated. Participants were blinded to treatment allocation, and 15 patients were allocated to either IC or LPM. Interventions Patients in both groups were treated in three sessions per week. IC consisted of three sets of continuous pressure applied for on the myofascial trigger point (MTrP) of VMO. LPM consisted of supine rotational glide manipulation of the ipsilateral lumbopelvic region of the involved knee. Main outcome measures Numeric pain rating scale (VAS) for pain intensity, Kujala questionnaire for functional status, and pressure pain threshold (PPT) for sensitivity to mechanical stimulation. All three were recorded before treatment, 1 week, 1 month and 3 months after the last session. Results Both groups showed significant improvement (p<0.05, 95% confidence interval) in pain, functional status and PPT values. However, the IC group showed greater improvements, and outcome measures remained significantly better than in the LPM group during post-intervention follow-up. Conclusions Both groups showed improvements throughout the study and follow-up period. However, the IC showed better short-term and long-term effectiveness than LPM for treating PFPS.


      PubDate: 2016-08-22T23:11:44Z
       
  • Relationship between hardness and deformation of the Vastus Lateralis
           muscle during knee flexion using ultrasound imaging
    • Abstract: Publication date: Available online 18 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Shintarou Kudo, Sho Nakamura
      The aims of this study were to clarify the relationship between deformation of the VL during knee flexion and the stiffness of the VL. 40 lower limbs of 20 male normal volunteers were divided into control and tightness groups using the Ely test. Deformation of the VL in the transverse plane during active knee flexion from 0 to 90 degrees was recorded using B-mode ultrasonography. Hardness of the VL was measured on the middle lateral thigh using a durometer. The reaction force at fully passive flexion was measured using a hand held dynamometer. The deformation of the VL and the hardness and passive torque showed significant differences between the 2 groups. The deformation of the VL showed a significantly higher correlation with hardness of the VL. Measurements of the deformation of the VL might be predicted by the elasticity around the VL.


      PubDate: 2016-08-22T23:11:44Z
       
  • Foot Exercise and Taping in Patients with Patellofemoral Pain and Pronated
           Foot
    • Abstract: Publication date: Available online 12 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jihyun Lee, Jangwhon Yoon, Heonseock Cynn
      This study compared the effect of three foot conditions (untreated, short foot [SF] exercise, and Tape) on knee and ankle muscle activity during forward descending of stairs in subjects with patellofemoral pain syndrome (PFPS) and a pronated foot. Surface electromyography activity in the vastus medialis oblique (VMO), vastus lateralis (VL), and abductor hallucis (AbdH) was recorded during forward descending stairs; Surface electromyography data were expressed as percentages of the maximal voluntary isometric contraction. A total of 18 subjects (6 males and 12 females) with PFPS and a pronated foot participated in the current study. The SF exercise was associated with significantly greater AbdH muscle activity compared to the tape condition during forward descending stairs. However, there was no significant difference in VMO or VL muscle activity, or in the VMO/VL muscle activity ratio, among the three foot conditions. The SF exercise was the most effective method of increasing AbdH muscle activity during forward descending stairs in subjects with PFPS and a pronated foot.


      PubDate: 2016-08-14T12:36:55Z
       
  • Comparing AquaStretch with Supervised Land Based Stretching for Chronic
           Lower Back Pain
    • Abstract: Publication date: Available online 11 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Lynda G. Keane
      Objective Chronic Lower Back Pain (CLBP) is a major health problem affecting 70-85% of the population in the UK. AquaStretch, a new form of assisted stretching in water, is compared with supervised land based stretching (LBS) for subjects with CLBP looking at pain reduction, kinesiophobia and disability. Method 29 subjects were randomly allocated into three groups, LBS (N=10), AquaStretch (N=10) and Control (N=9). Modified Oswestry Low Back Pain Questionnaire (MOLBPQ) and Tampa Scale of Kinesiophobia (TSK) questionnaires were completed in weeks 1, 6, and 12. Visual Analogue Scale (VAS) pain scores were collected weekly till week 12. Treatment groups received two 30 minutes sessions per week for 12 weeks, control group continued their normal physical activity. Results & Conclusion: Statistical significance (p<0.05) was observed in the AquaStretch group for pain reduction (P= 0.006), kinesiophobia (P= 0.029), and perceived disability (P= 0.001). Both techniques are suggested to be beneficial for CLBP patients however AquaStretch has key additional benefits including time efficiency, cost effectiveness and the ability to be performed by qualified individuals other than physiotherapists. A reduction in pain post eight weeks of treatment using AquaStretch versus twelve weeks of land based stretching could result in potentially less treatment time needed and a possibility of less medication. Future research is recommended to determine the duration of AquaStretch benefits, and to compare AquaStretch with land based physical therapy programmes for CLBP and to research the potential reduction of Medication required for chronic pain conditions for both its relative clinical effectiveness together with potential health cost savings.


      PubDate: 2016-08-14T12:36:55Z
       
  • The effects of opposite-directional static contraction of the muscles of
           the right upper extremity on the ipsilateral right soleus H-reflex
    • Abstract: Publication date: Available online 12 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Shiratani Tomoko, Arai Mitsuo, Kuruma Hironobu, Masumoto Kazue
      The objective of this study was to explore the neurophysiological remote after-effects of resistive static contraction (SC) of the muscles of the upper extremity, considering the resistant direction on the ipsilateral (right) soleus H-reflex. The participants included 12 normal subjects with a mean (SD) age of 23.8 (2.8) years. The subjects were asked to maintain their upper extremity against the traction force, at a level of resistance that was 50% of the maximal SC strength. A 20-s SC of the muscles of the upper extremity utilizing contraction of the upper extremity muscles using a diagonal flexion (shoulder flexion-adduction-external rotation) or extension (shoulder extension-abduction-internal rotation), a proprioceptive neuromuscular facilitation (PNF) pattern was induced. The traction force line of the diagonal flexion or extension direction ran parallel to the diagonal line from the left acromion process to the right ASIS. Three-way analysis of variance of the H/Mmax ratio with Scheffé’s post-hoc tests revealed that the H/Mmacorrelatex ratio of SC via diagonal extension was significantly smaller than that via diagonal flexion and that the H/Mmax ratio during the 120–140 s phase after SC, as remote after-effect SC, was significantly smaller than that during SC. The induction of neurophysiological descending effects for inhibition requires consideration of the force direction.


      PubDate: 2016-08-14T12:36:55Z
       
  • Task-based Mirror Therapy Enhances Ipsilesional Motor Functions In Stroke:
           A Pilot Study
    • Abstract: Publication date: Available online 11 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Kamal Narayan Arya, Shanta Pandian, Dharmendra Kumar
      Objective To examine the effect of Mirror therapy (MT) on dexterity, coordination, and muscle strength of the less-affected upper limb in stroke. Design Pre-test post-test, single group, experimental design. Setting Rehabilitation institute. Participants Post-stroke hemiparetic chronic subjects (N= 21). Interventions Forty sessions of MT using various tasks in addition to the conventional rehabilitation. Tasks such as lifting a glass, ball-squeezing, and picking-up objects were performed by the less-affected side in front of the mirror-box creating an illusion for the affected side. Main Outcome Measures Minnesota Manual Dexterity Test (MMDT), Purdue Peg Board Test (PPBT), and Manual Muscle Testing (MMT) were used to measure the deficits of the less-affected side. Result Post-intervention, the less-affected side of the participants exhibited significant improvement on MMDT (p < 0.001), PPBT (p < 0.001), and MMT (shoulder flexors, wrist extensors and deviators, and finger flexors-extensors; p = 0.005 –0.046). Conclusion In post-stroke hemiparesis, MT also led to the improvement in dexterity, coordination, and strength of the less-affected side. In addition to the affected side, the technique may augment the subtle motor deficits of the less-affected side.


      PubDate: 2016-08-14T12:36:55Z
       
  • Bodily symptoms in patients with post traumatic stress disorder: a
           comparative study of traumatized refugees, Danish war veterans, and
           healthy controls
    • Abstract: Publication date: Available online 9 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Lene Nyboe, Anette Bentholm, Amanda Lundvik Gyllensten
      Background Post traumatic stress disorder (PTSD) is associated with increased general health symptoms and patients suffer from numerous bodily complaints such as increased pain, increased muscular tension, and restricted breathing. Methods and Material This study applied the Body Awareness Movement Quality and Experience scale (BAS MQ-E) in assessing and comparing bodily symptoms, including movement function, in traumatized refugees(N=14) and Danish war veterans with PTSD (N=19) and healthy controls (N=20). Results Patients with PTSD had significantly poorer stability, balance, flexibility and coordination in movement, had more muscular tension, more complaints of pain, more restricted breathing, and more limitation in function of daily life than healthy controls. Conclusion The BAS MQ-E was found to be an applicable and useful measure of bodily symptoms in patients with PTSD. Further research may add to the validity of BAS MQ-E and might be considered in future studies evaluating the efficacy of physiotherapy for patients with PTSD.


      PubDate: 2016-08-10T12:33:19Z
       
  • Muscle strength and stiffness in resistance exercise: Force transmission
           in tissues
    • Abstract: Publication date: Available online 9 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Hans Chaudhry, Bruce Bukiet, Ellen Z. Anderson, Jared Burch, Thomas Findley
      Physical therapists and osteopaths want to know the quantitative force transmitted in the tissues during resistance exercise and also the relationship between tissue strength and the specific type of resistance exercise of the skeletal muscles. This paper uses the strain energy function for large deformations associated with the active and passive response of transversely isotropic skeletal muscle tissue to evaluate muscle strength and force transmitted in tissues during resistance exercises for the quadriceps muscle at the knee during isometric training exercise at different knee angles in vivo. It is found that after an exercise program, the muscle stiffness is halved when the bending angle of the knee increases from 50 degrees to 100 degrees. The muscle strength generated is marginally greater at 100 degrees than at 50 degrees. The stress transmitted in the lateral direction for 100 degree bending is double that for 50 degrees.


      PubDate: 2016-08-10T12:33:19Z
       
  • Effects of an aerobic exercise program on functional capacity,
           anthropometric measurements and inflammatory markers in diabetic elderly
           women from the community: a quasi-experimental study
    • Abstract: Publication date: Available online 3 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Daniela Maria da Cruz dos Anjos, Bruno de Souza Moreira, Renata Noce Kirkwood, Rosângela Corrêa Dias, Daniele Sirineu Pereira, Leani Souza Máximo Pereira
      This study investigated the effects of an aerobic training program on functional capacity [Timed Up and Go test (TUG), timed 10-meter walk test (10MWT), five-repetition sit-to-stand test (5-STS), handgrip strength test (HGS) and one-legged stance test (OLS)], anthropometric measurements [body mass, body mass index (BMI), waist and hip circumferences and waist-to-hip ratio] and plasma levels of inflammatory markers [soluble tumor necrosis factor receptors 1 and 2, and interleukins 6 and 10] in 43 elderly women with type 2 diabetes mellitus. After the training, a significant improvement was observed in the performance of the participants on the TUG, 10MWT, 5-STS and HGS and in the anthropometric measures of body mass, BMI and hip circumference. None of the inflammatory markers showed a significant difference between pre- and post-training. The aerobic exercise program improved the functional capacity of diabetic elderly women, but was ineffective to change the levels of the inflammatory markers evaluated.


      PubDate: 2016-08-05T12:29:44Z
       
  • Treatment Of The Scar After Arthroscopic Surgery On A Knee: A Case Study
    • Abstract: Publication date: Available online 2 August 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jacobo Alvira-Lechuz, Mercedes Roca Espiau, Elena Alvira-Lechuz
      The aim of this paper is to present a treatment for scars based on percutaneous traction. This is a structural technique in which movements are performed against the barriers detected in different planes. The stages of this technique are described in detail along with the results after applying it to a postarthroscopic scar on a knee. The active and passive mobility of femoro-tibial and femoro-patellar articulations improved substantially after the treatment, as verified by signs such as pain relief, greater flexibility, disappearance of inflammation and a major recovery of tissue elasticity. A sonoelastography study of the portals and patellar tendon was carried out before and after therapy, showing semiquantitatively the recovery of the viscoelastic properties of the tissue.


      PubDate: 2016-08-05T12:29:44Z
       
  • Neck pain and dysphagia associated to disc protrusion and reduced
           functional stability: A case report
    • Abstract: Publication date: Available online 29 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Michele Margelli, Carla Vanti, Jorge Hugo Villafañe, Roberto Andreotti
      Background Deglutition dysfunction like dysphagia may be associated with cervical symptoms. Findings A young female complained of pain on the neck and swallowing dysfunction that was reduced by means of isometric contraction of cervical muscles. Magnetic resonance imaging revealed an anterior C5-C6 disc protrusion associated with a lesion of the anterior longitudinal ligament. Barium radiograph showed a small anterior cervical osteophyte at C6 level and dynamic X-ray excluded anatomical instability. The treatment included manual therapy and active exercises to improve muscular stability. Conclusions Diagnostic hypothesis was a combination of cervical disc dysfunction associated with C6 osteophyte and reduced functional stability.


      PubDate: 2016-07-31T17:30:10Z
       
  • The impact of incline and speed of treadmill on ankle muscle activity in
           middle-aged adults
    • Abstract: Publication date: Available online 25 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Roghayeh Mohammadi, Chetan P. Phadke
      Objective Additional demands associated with changing walking incline and speed combined with normal ageing related changes in muscle recruitment can make walking difficult. This study examined the effects of walking on a treadmill at different inclines and speeds on ankle muscles in healthy middle-aged adults. Methods Fifteen healthy subjects (10M/5F) walked on a standard treadmill at three different inclines (0°, 3°, and 6°) and speeds (self-selected, self-selected+20%, self-selected+40%). The electromyographic activity of Medial Gastrocnemius (MG), and Tibialis anterior (TA) muscles was measured during the push off phase of the gait. Results Bilateral MG muscle activity increased when subjects walked uphill compared with level walking (p<0.05), but no changes were seen with increasing walking speed (p>0.05). Right MG (dominant side) activity increased at all inclines, but only at 6 degrees on left side and also MG muscle activity was delayed on the left side at faster speed (p<0.05). Conclusion The bias towards using muscles in the dominant leg in middle-aged subjects to overcome challenging walking conditions may be an age-related adaptation. These results suggest that future studies in the stroke population are needed to examine the impact of hemiparesis of the dominant leg as this group of persons post-stroke may be more likely to experience greater impairment of muscle activation patterns during walking on sloped surfaces.


      PubDate: 2016-07-27T17:24:27Z
       
  • Therapeutically efficient components of Basic Body Awareness Therapy as
           perceived by experienced therapists – a qualitative study
    • Abstract: Publication date: Available online 25 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Amelie Ambolt, Gunvor Gard, Catharina Sjödahl Hammarlund
      Background Basic Body Awareness Therapy (BBAT) is a physiotherapeutic method used in rehabilitation to increase physical and emotional balance. The aim was to identify and describe perceived therapeutically efficient components of BBAT. Methods Twenty-four experienced BBAT therapists participated in focus group interviews. The data were analysed with content analysis. Results One central theme, the therapeutic space consisted of two categories; the therapeutic encounter and the therapeutic tools, which emerged as the core of the perceived therapeutically efficient components. The therapeutic encounter entailed the therapeutic approach, affect attunement, continuous interaction during treatment, affect mirroring and communicating by use of a person-centred approach. The therapeutic tools included adjustment and adaptation, the use of manual, verbal and non-verbal guiding, and creating an atmosphere of safety and sanctuary. Conclusion The significance of interaction by use of a person-centred approach combined with the ability to continuously adjust the treatment constituted useful guidelines when designing rehabilitation using BBAT treatment.


      PubDate: 2016-07-27T17:24:27Z
       
  • Clinical Review Section A Critical Overview of the Current Myofascial Pain
           Literature – July 2016
    • Abstract: Publication date: Available online 27 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Jan Dommerholt, Rob Grieve, Michelle Finnegan, Todd Hooks
      The overview of the myofascial pain literature includes a wide variety of basic and clinical studies, ranging from assessing muscle activation patterns to the impact of platelet-rich plasma injections. Contributions to the literature once again came from all corners of the world, such as Australia, Belgium, Brazil, Germany, Greece, Iran, Italy, Japan, Korea, the Netherlands, Norway, Poland, Spain, Taiwan, Turkey, and the USA. A total of 30 papers are included in this overview.


      PubDate: 2016-07-27T17:24:27Z
       
  • A concise rehabilitation protocol for sub-acute and chronic non-specific
           neck pain
    • Abstract: Publication date: Available online 25 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Pardis Noormohammadpour, Fereshte Tayyebi, Mohammad Ali Mansournia, Elham Sharafi, Ramin Kordi
      There is increasing evidence in support of multidisciplinary approaches for management of chronic neck pain. Although presence of different team members is one of the strengths of these approaches, it can limit the access to these treatments. The main objective of this study is designing and investigating the efficacy of a concise rehabilitation program. Thirty-nine patients with sub-acute and chronic non-specific neck pain underwent an 8-week rehabilitation program. Baseline and 8 weeks’ follow-up data regarding neck pain (visual analog scale, neck disability index and quality of life) were compared using paired T test. After eight weeks of study, pain and disability significantly decreased: -3.8 of 10 (95% CI: -4.6 to -3.0) (p-value <0.001) for pain and -18.4 of 100 (95% CI: -23.7 to -13.2) (p-value <0.001) for disability. Also, all SF-36 domain scales improved significantly. By using this concise rehabilitation approach, pain, disability, and quality of life improved significantly in patients with sub-acute and chronic non-specific neck pain.


      PubDate: 2016-07-27T17:24:27Z
       
  • Efficacy of kinesiology tape versus postural correction exercises on neck
           disability and axioscapular muscles fatigue in mechanical neck
           dysfunction: A randomized blinded clinical trial
    • Abstract: Publication date: Available online 26 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Aliaa M. El-Abd, Abeer R. Ibrahim, Haytham M. El-Hafez
      Background Mechanical neck dysfunction (MND), with axioscapular muscles fatigue, is highly prevalent worldwide. While postural correction is commonly used for its treatment, efficacy of kinesiology tape (KT) has received considerable attention. Objectives To determine the effectiveness of KT versus correction exercises on neck disability, and axioscapular muscles fatigue in MND patients. Methods 46 MND patients were randomly assigned into 1 of 2 groups receiving 4 weeks treatment of either KT or correction exercises. Neck disability and axioscapular muscles fatigue as median frequency of electromyography (EMG-MF) were measured pre and post treatment. Results Group-by-time interaction was not significant in the multivariable test. Post hoc tests revealed that KT produced more disability reduction than the postural exercises. However, there was no significant interaction for EMG-MF. Conclusions KT has been found to be more effective than postural exercises to reduce neck disability. However, both modalities have similar effects to reduce axioscapular muscles fatigue.


      PubDate: 2016-07-27T17:24:27Z
       
  • Effect of myofascial induction therapy on post-c-section scars of more
           than one and a half years old. Pilot study
    • Abstract: Publication date: Available online 18 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Antonio Chamorro Comesaña, M del Pilar Suárez Vicente, Tirso Docampo Ferreira, M del Mar Pérez-La Fuente Varela, M Magdalena Porto Quintáns, Andrzej Pilat
      Myofascial Induction Therapy (MIT) is a manually-applied method used in physiotherapy and focused on restoring altered fascial tissue. In a healthy body, the fascial system maintains elasticity and coordination of movements. However, injuries and their after-effects, such as scars, may reduce this tissue role, causing a dysfunction. The aim of this study is to ascertain the effect of MIT on scars which have completed the repair process in healthy individuals without any associated pathology that might affect the healing process. In all 10 cases studied, changes were observed after applying MIT on the structure of the scar fold, both at deep (shown by ultrasound) and at superficial (shown by scar fold measurement) levels. Eight weekly MIT sessions were applied, establishing this number as a reference for future studies. Functional improvement was determined using Schober’s Test and patient quality of life was measured with a specific questionnaire. These outcomes lay the groundwork for future research.


      PubDate: 2016-07-21T17:08:16Z
       
  • Adaptation, reliability and validity testing of a Persian version of the
           Health Assessment Questionnaire-Disability Index in Iranian patients with
           rheumatoid arthritis
    • Abstract: Publication date: Available online 12 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Salman Nazary-Moghadam, Afsaneh Zeinalzadeh, Mahyar Salavati, Simin Almasi, Hossein Negahban
      Objective The aim of the present study was to culturally adapt and evaluate reliability and validity of Health Assessment Questionnaire-Disability Index (HAQ-DI) in Iranian patients with rheumatoid arthritis (RA). Subjects 234 patients with RA for validation study, Eighty-six participants for reliability study. Methods Test-retest relative reliability and internal consistency of Persian version of HAQ-DI were examined by intraclass correlation coefficient (ICC) and Cronbach’s alpha, respectively. Additionally, HAQ-DI construct validity (Spearman’s correlation) was examined using Persian version of Short-Form 36 Health survey (SF-36), activity and severity parameters. Results Persian version of HAQ-DI total score showed excellent test-retest reliability (ICC=0.98) and internal consistency (Cronbach's alpha = 0.95). Spearman’s correlations between the total PHAQ-DI score and activity and severity parameters were above 0.55. Correlation between PHAQ-DI and SF-36 Physical Health were higher as compared with SF-36 Mental Health. Conclusion Persian version of HAQ-DI is a reliable and valid culturally-adapted instrument in order to measure functional limitations in Iranian people with RA.


      PubDate: 2016-07-16T17:02:37Z
       
  • Stabilometric Analysis of The Effect of Postural Insoles on Static Balance
           In Patients With Hemiparesis: A Randomized, Controlled, Clinical Trial
    • Abstract: Publication date: Available online 15 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Luiz Alfredo Braun Ferreira, Manuela Galli, Roberta Delasta Lazzari, Arislander Jonathan Dumont, Verônica Cimolin, Claudia Santos Oliveira
      Background Stroke is one of the main causes of disability among adults. Objective The aim of the present study was to analyze the effect of postural insoles on static balance in individuals with stroke. Methods: twenty-four strokes survivors with hemiparesis were recruited from the rehabilitation clinics of the university and randomly allocated to two groups: experimental and control group. The subjects were analyzed for stabilometry, immediately following insole placement and after three months of insole usage, with eyes open and eyes closed. Results A significant difference was found immediately after postural insole placement regarding anteroposterior range of movement (p < 0.05). Moreover, significant reductions were found in the inter-group analysis after three months of insole usage. Conclusion Based on the present findings, postural insoles combined with conventional physical therapy offer significant benefits regarding static postural control among stroke victims after three months of use, as demonstrated by computerized stabilometry.


      PubDate: 2016-07-16T17:02:37Z
       
  • Effects of medical exercise therapy in patients with hip osteoarthritis: a
           randomized controlled trial with six months follow-up. A pilot study
    • Abstract: Publication date: Available online 5 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Håvard Østerås, Fredrik Paulsberg, Stian Endré Olsen, Berit Østerås, Tom Arild Torstensen
      Background & Aims There is no consensus regarding what type of exercises, combination of exercises or exercise dosage is most effective in patients with long-term hip arthrosis. The goal of this study was to evaluate the effects of two different exercise programs related to dose-response relationships. Method Prospective randomized controlled clinical trial with 6 months follow where 33 participants were randomly assigned to either high repetitive, high dosage medical exercise therapy (MET) (n=16) or low dosage exercise therapy (ET) (n=17). Primary outcomes are pain using a visual analogue scale (VAS) and function using a functional assessment questionnaire (WOMAC). Results Patients were equal at baseline. Two patients (6 %) dropped out during the treatment period. There were no difference between groups after end of treatment nor at 6 months follow up. However, there were significant differences within each exercise group at end of treatment. Conclusion In this pilot study, we were not able to show any difference between MET and ET. More research is needed with a larger patient population and a more extensive exercise period similar to other studies that are published regarding dose-response effects.


      PubDate: 2016-07-07T16:15:02Z
       
  • Musicians, Postural Quality And Musculoskeletal Health:A
           Literature’s Review
    • Abstract: Publication date: Available online 6 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Patricia Blanco-Piñeiro, M Pino Díaz-Pereira, Aurora Martínez
      Objective An analysis of the salient characteristics of research papers published between 1989 and 2015 that evaluate the relationship between postural quality during musical performance and various performance quality and health factors, with emphasis on musculoskeletal health variables. Methods Searches of Medline, Scopus and Google Scholar for papers that analysed the subject of the study objective. The following MeSH descriptors were used: posture; postural balance; muscle, skeletal; task performance and analysis; back; and spine and music. A descriptive statistical analysis of their methodology (sample types, temporal design, and postural, health and other variables analysed) and findings has been made. The inclusion criterion was that the body postural quality of the musicians during performance was included among the target study variables. Results Forty-one relevant empirical studies were found, written in English. Comparison and analysis of their results was hampered by great disparities in measuring instruments and operationalization of variables. Conclusions Despite the growing interest in the relationships among these variables, the empirical knowledge base still has many limitations, making rigorous comparative analysis difficult.


      PubDate: 2016-07-07T16:15:02Z
       
  • A short consideration of exercise for Gluteal tendinopathies
    • Abstract: Publication date: Available online 5 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Warrick McNeill
      Gluteal tendinopathies have become significantly better understood over the past few years, primarily due to the work of Alison Grimaldi and her research associates. This brief summary highlights some key points of their work and some exercise suggestions for treatment.


      PubDate: 2016-07-07T16:15:02Z
       
  • The local and referred pain patterns of the longus colli muscle
    • Abstract: Publication date: Available online 5 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Amir Minerbi, Motti Ratmansky, Aharon Finestone, Robert Gerwin, Simon Vulfsons
      The longus colli muscle is a neck flexor believed to play an important role in pain originating in the neck region, including pain resulting from whiplash injuries. Despite the clinical importance attributed to it, the pain referral pattern of the longus colli has previously been described only in a small cohort of subjects. Here, we aim to delineate the pain referral pattern of the longus colli muscle. Thirty-five healthy volunteers underwent deep massage of the longus colli followed by dry needling of the muscle. The subjects depicted the distribution of the pain they experienced on a blank manikin. Their drawings were digitized and used to produce pain pattern histogram maps. The pain referral pattern during deep massage and needling of the longus colli was primarily local, with referral to the ipsilateral ear and lateral to the ipsilateral eye. Some subjects reported pain on the contralateral side of the neck.


      PubDate: 2016-07-07T16:15:02Z
       
  • Chronic Pain in a patient with Ehlers-Danlos Syndrome (hypermobility
           type): The role of Myofascial Trigger Point injections
    • Abstract: Publication date: Available online 5 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Saipriya Tewari, Rajashree Madabushi, Anil Agarwal, Sujeet K. Gautam, Sandeep Khuba
      Chronic widespread musculoskeletal pain is a cardinal symptom in hypermobility type of Ehler Danlos Syndrome (EDS type III). The management of pain in EDS, however, has not been studied in depth. A 30 year old female, known case of EDS, presented to the pain clinic with complaints of severe upper back pain for 6months. Physical examination of the back revealed two myofascial trigger points over the left rhomboids and the left erector spinae. Local anaesthetic trigger point injections were given at these points, followed by stretching exercises under analgesic cover for the first week. After one week the patient reported 60-80% pain relief. This case highlights that we must keep a high index of suspicion for the more treatable causes of pain like myofascial pain syndrome in patients suffering from EDS, and should address it promptly and appropriately in order to maximise patient comfort.


      PubDate: 2016-07-07T16:15:02Z
       
  • “Dancing on the edge of research”- What is needed to build and
           sustain research capacity within the massage therapy profession? A
           formative evaluation
    • Abstract: Publication date: Available online 5 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Ania Kania-Richmond, Martha B. Menard, Beth Barberree, Marvin Mohring
      Background Conducting research on massage therapy (MT) continues to be a significant challenge. Purpose To explore and identify the structures, processes, and resources required to enable viable, sustainable and high quality MT research activities in the Canadian context. Participants Academically-based researchers and MT professionals involved in research. Research Design Formative evaluation and a descriptive qualitative approach were applied. Results Five main themes regarding the requirements of a productive and sustainable MT research infrastructure in Canada were identified: 1) core components, 2) variable components, 3) varying perspectives of stakeholder groups, 4) barriers to creating research infrastructure, and 5) negative metaphors. In addition, participants offered a number of recommendations on how to develop such an infrastructure. Conclusions While barriers exist that require attention, participants’ insights suggest there are various pathways through which a productive and sustainable MT research infrastructure can be achieved.


      PubDate: 2016-07-07T16:15:02Z
       
  • Do exercises with the Foam Roller have a short-term impact on the
           Thoracolumbar fascia? - A randomized controlled trial
    • Abstract: Publication date: Available online 6 July 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Annika Griefahn, Jan Oehlmann, Christoff Zalpour, Harry von Piekartz
      Due to new research results in the past few years, interest in the fascia of the human body has increased. Dysfunctions of the fascia are indicated by various symptoms, amongst others, musculoskeletal pain. As a result stronger focus has been put on researching therapeutic approaches in this area. The main aim of this study was to investigate the effect of Foam Roll exercises on the mobility of the thoracolumbar fascia (TLF). Study has been conducted in a randomized and controlled trial which sampled 38 healthy athletic active men and women. The subjects were randomly assigned to a Foam Roll Group (FMG), a Placebo Group (PG) and a Control Group (CG). Depending on the assigned group the volunteers were either instructed to do exercises with the Foam Roll, received a pseudo treatment with the Foam Roll or received no treatment. A total of three measurements were carried out. The most important field of research was the mobility of the TLF, which was determined using a sonographic assessment. In addition the lumbar flexion and the mechanosensivity of relevant muscles were determined. After the intervention, the FMG showed an average increase of 1.7915 mm for the mobility of the TLF (p <0.001/d = 0.756). In contrast, only an average improvement of 0.1681 mm (p = 0.397) was shown in the PG, while the CG showed a slight improvement of 0.0139 mm (p = 0.861). However, no significant changes were observed with regard to the lumbar flexion and mechanosensivity of the treated muscles. Thus, evidence is given that the use of Foam Roll exercises significantly improves the mobility of the thoracolumbar fascia in a healthy young population.


      PubDate: 2016-07-07T16:15:02Z
       
  • Rest, Resiliency, and Retuning the Body
    • Abstract: Publication date: Available online 25 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Anna Hartman, Craig Liebenson



      PubDate: 2016-06-28T15:31:39Z
       
  • Treatment of hip microinstability and gluteal tendinopathies involves
           movement control and exercise
    • Abstract: Publication date: Available online 23 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Warrick McNeill



      PubDate: 2016-06-28T15:31:39Z
       
  • The effects of 12 weeks Pilates-inspired exercise training on functional
           performance in older women: a randomized clinical trial
    • Abstract: Publication date: Available online 21 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Natália Donzeli Vieira, Daniela Testa, Paula Cristine Ruas, Tânia de Fátima Salvini, Aparecida Maria Catai, Ruth Caldeira de Melo
      Background Recent scientific evidence supports the benefits of Pilates exercises on postural balance and muscle strength of older persons. However, their effects on other aspects of physical fitness, which are also important for independent living in older age, are still unknown. Objective To investigate the effects of a 12-week Pilates-inspired exercise program on the functional performance of community-dwelling older women. Methods Forty community-dwelling older women were randomly enrolled in a Pilates-inspired exercise training (2 times/week, 60min/session) (PG, n=21, 66.0 ±1.4yrs) or kept in the control group (CG; n=19, 63.3 ±0.9yrs). The Pilates exercises were conducted in small groups and performed on mats (using accessories such as exercise rubber bands, swiss and exercise balls). The functional performance on one-leg stance (OLS), timed up and go (TUG), five-times-sit-to-stand (STS) and six-minute walk (6MW) tests was evaluated before and after the 12-week Pilates training or control follow-up period. Results After 12 weeks, time effects were observed for STS (p=0.03) and 6MW tests (p<0.01). Only among PG subjects did the time spent to rise from a chair and return to a seated position decrease significantly (2.0s faster, p=0.02) and the distance walked in six minutes increase (∼30m, p<0.01). OLS and TUG performance remained unaltered in both groups. Conclusion Pilates-inspired exercises improved dynamic balance, lower-extremity strength and aerobic resistance in community-dwelling older women. Therefore, it may be a potentially effective exercise regimen to maintain physical fitness in old age. (223 words).


      PubDate: 2016-06-28T15:31:39Z
       
  • Ultrasound Study of Elbow Ulnar Collateral Ligament Changes in Collegiate
           Baseball Players: A Pilot Study
    • Abstract: Publication date: Available online 27 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Johnathan Erb, Heather Sherman, Sydney Williard, Julien Bui, Aimie Kachingwe
      Objective To assess changes in elbow ulnar collateral ligament length in college baseball pitchers over the course of a single season. Design Cohort Feasibility Study. Methods Diagnostic ultrasound was used to assess both the dominant and non-dominant medial elbow joint space in four pitchers and five fielders and compared to in-game pitching data. Shoulder, elbow, wrist, hip, knee, and ankle range of motion measurements were also taken. Results Mean trends for both the pitching and fielding groups showed no increases in dominant arm medial elbow joint space. Range of motion (ROM) increases were seen in both groups, and neither ultrasound nor ROM changes correlated to number of pitches thrown. Conclusion It is feasible that shoulder and hip range of motion changes directly affect stresses at the elbow in baseball pitching (Wilk, et al 2014) (Sauers, et al 2014). Further research is needed to investigate whether UCL injuries are related to increased laxity of the ligament.


      PubDate: 2016-06-28T15:31:39Z
       
  • Can inhibitory and facilitatory kinesiotaping techniques affect motor
           neuron excitability' A randomized cross-over trial
    • Abstract: Publication date: Available online 17 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Amin Kordi Yoosefinejad, Alireza Motealleh, Shekoofeh Abbasalipur, Mahan Shahroei, Sobhan Sobhani
      Objectives The aim of this study was to investigate the immediate effects of facilitatory and inhibitory kinesiotaping on motor neuron excitability. Design Randomized cross-over trial. Method Twenty healthy people received inhibitory and facilitatory kinesiotaping on two testing days. The H- and M-waves of the lateral gasterocnemius were recorded before and immediately after applying the two modes of taping. The Hmax/Mmax ratio (a measure of motor neuron excitability) was determined and analyzed. Results The mean Hmax/Mmax ratios were -0.013 (95% CI: -0.033 to 0.007) for inhibitory taping and 0.007 (95% CI: -0.013 to 0.027) for facilitatory taping. The mean difference between groups was -0.020 (95% CI: -0.048 to 0.008). The statistical model revealed no significant differences between the two interventions (P=0.160). Furthermore, there were no within-group differences in Hmax/Mmax ratio for either group. Conclusions Our findings did not disclose signs of immediate change in motor neuron excitability in the lateral gasterocnemius.


      PubDate: 2016-06-18T18:16:02Z
       
  • Hamstring muscle length and pelvic tilt range among individuals with and
           without low back pain
    • Abstract: Publication date: Available online 16 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Francis Oluwafunsho Fasuyi, Ayodele A. Fabunmi, Babatunde O.A. Adegoke
      Hamstring tightness has been documented not to be related to the pelvic tilt position during static standing posture, but there is limited data on the relationship between hamstring muscle length (HML) and pelvic tilt range (PTR) during the dynamic movement of forward bending. This ex-post facto was designed to compare each of HML and PTR in individuals with low back pain (LBP) and counterparts without LBP, and the relationship between HML and PTR in individuals with and without LBP. The study involved 30 purposively recruited individuals with LBP and 30 height and weight-matched individuals without LBP. Participants’ PTR and HML were assessed using digital inclinometer and active knee extension test respectively. Data were analyzed using t-test and Pearson Correlation (r) at α = 0.05. Participants without LBP had significantly longer (p = 0.01) HML than those with LBP but the PTR of both groups were not significantly different. HML and PTR had indirect but not significant correlations in participants with and without LBP. Hamstring muscle length is significantly reduced in individuals with LBP but it has no significant correlation with pelvic tilt range. Pelvic tilt range reduces as hamstring muscle length increases.


      PubDate: 2016-06-18T18:16:02Z
       
  • Association between composites of selected motion palpation and pain
           provocation tests for sacroiliac joint disorders
    • Abstract: Publication date: Available online 16 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Manijeh Soleimanifar, Noureddin Karimi, Amir Massoud Arab
      Background The sacroiliac joint (SIJ) has been implicated as a potential source of low back and buttock pain. Several types of motion palpation and pain provocation tests are used to evaluate SIJ dysfunction. Objective The purpose of this study was to investigate the relationship between motion palpation and pain provocation tests in assessment of SIJ problems. Design This study is Descriptive Correlation. Methods 50 patients between the ages of 20 and 65 participated. Four motion palpation tests (Sitting flexion, Standing flexion, Prone knee flexion, Gillet test) and three pain provocation tests (FABER, Posterior shear, Resisted abduction test) were examined. Chi-square analysis was used to assess the relationship between results of the individuals and composites of these two groups of tests. Results No significant relationship was found between these two groups of tests. Conclusions It seems that motion palpation tests assess SIJ dysfunction and provocative tests assessed SIJ pain which is not related to each other.


      PubDate: 2016-06-18T18:16:02Z
       
  • The Effects of Tai Chi on Physical Function and Well-being Among Persons
           with Parkinson’s Disease: A Systematic Review
    • Abstract: Publication date: Available online 16 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Klaudia J. Ćwiękała-Lewis, Matthew Gallek, Ruth E. Taylor-Piliae
      Current medical treatments for Parkinson’s disease (PD) are mainly palliative, though research indicates Tai Chi exercise improves physical function and well-being. An electronic database search of PubMed, CINAHL, Web of Science, Cochrane Library, PsycINFO and Embase was conducted, to examine current scientific literature for potential benefits of Tai Chi on physical function and well-being among persons with PD. A total of 11 studies met the inclusion criteria: 7 randomized clinical trials and 4 quasi-experimental studies. PD participants (n=548) were on average age 68 years old and 50% women. Overall, participants enrolled in Tai Chi had better balance and one of more aspect of well-being, though mixed results were reported. Further research is needed with more rigorous study designs, larger sample sizes, adequate Tai Chi exercise doses, and carefully chosen outcome measures that assess the mechanisms as well as the effects of Tai Chi, before widespread recommendations can be made.


      PubDate: 2016-06-18T18:16:02Z
       
  • Effects of a 16-week Pilates exercises training program for isometric
           trunk extension and flexion strength
    • Abstract: Publication date: Available online 16 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Irina Kliziene, Saule Sipaviciene, Jovita Vilkiene, Audrone Astrauskiene, Gintautas Cibulskas, Sarunas Klizas, Ginas Cizauskas
      Objective To evaluate the effects of Pilates exercises designed to improve isometric trunk extension and flexion strength of muscles in women with chronic low back pain (cLBP). Participants Female volunteers with cLBP were divided into an experimental group (EG; n = 27) and a control group (CG; n = 27). Intervention Pilates exercises were performed twice per week by the EG; the duration of each session was 60 minutes. The program lasted for 16 weeks; thus patients underwent a total of 32 exercise sessions. Results The maximum isometric waist bending strength of the EG had improved significantly (p = 0,001) after 16 weeks of the Pilates program. The results of trunk flexion muscle endurance tests significantly depended on the trunk extension muscle endurance before the intervention, and at 1 month (r = 0.723, p < 0.001) and 2 months (r = 0.779, p < 0.001) after the Pilates exercise program. At the end of the 16-week exercise program, cLBP intensity decreased by 2.01 ± 0.8 (p < 0.05) in the EG, and this reduction persisted for 1 month after completion of the program. Conclusions At 1 and 2 months after cessation of the Pilates exercise program the pain intensified and the functional state deteriorated much faster than the maximum trunk muscle strength. Therefore, it can be concluded that, to decrease pain and improve functional condition, regular exercise (and not only improved strength and endurance) is required. We established that, although the 16-week lumbar stabilization exercise program increased isometric trunk extension and flexion strength and this increase in strength persisted for 2 months, decreased LBP and improved functional condition endured for only 1 month.


      PubDate: 2016-06-18T18:16:02Z
       
  • The Use of CranioSacral Therapy for Autism Spectrum Disorders: Benefits
           from the Viewpoints of Parents, Clients, and Therapists
    • Abstract: Publication date: Available online 17 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Susan Vaughan Kratz, Jane Kerr, Lorraine Porter



      PubDate: 2016-06-18T18:16:02Z
       
  • Professional Ballet Dancers’ Experience of Injury and Osteopathic
           Treatment in the UK: A qualitative study
    • Abstract: Publication date: Available online 16 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Tobias Pollard-Smith, Oliver P. Thomson
      Objectives Professional dancers suffer significant musculoskeletal injuries during the course of their careers. Treatment-seeking behaviour is important in all patient populations, yet is rarely investigated amongst professional dancers. This qualitative study aimed to form a better understanding of how dancers decide to seek treatment, and in particular to explore their experiences of receiving osteopathic care for their injuries. Methods A qualitative study design using grounded theory was used as a methodological framework for data collection and analysis. Semi-structured interviews were used to explore professional dancers’ experience of injury and decision-making to seek professional healthcare. Results Five themes were constructed that explain and describe dancers’ experience of injuries and their views and perspectives of treatment, these were; the growing dancer, the fear factor, learning to cope, effective treatment, and returning autonomy. Conclusion The personal development of each dancer consisted of an amalgam of internal and external pressures. These pressures combine with experiences of pain and injury to influence a dancer’s decision-making behaviour when injured and deciding to seek treatment. The study also provide factors relevant in the effective treatment of dancers, and outlined participants’ preference for a global physical approach to assessment and treatment of their musculoskeletal pain.


      PubDate: 2016-06-18T18:16:02Z
       
  • T4 Syndrome- A distinct theoretical concept or elusive clinical
           entity' A case report
    • Abstract: Publication date: Available online 16 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Patricia Miyuki Hirai, Oliver P. Thomson
      The T4 syndrome has existed as a clinical concept for decades and it has been identified as a source of upper extremity (UE) symptoms. This case report explores the clinical reasoning in the diagnoses and management of a patient with symptoms consistent with T4-type syndrome and critically discusses the concept of T4 syndrome using recent research to help explain the clinical presentation. Manual therapy treatment focused on stimulation of the sympathetic ganglia, decreasing local upper thoracic pain and UE referral pattern noted during passive examination. The successful outcomes included immediate and lasting symptom relief after upper thoracic manipulation. Although treatment has been based on the theory that mechanical thoracic dysfunction can produce sympathetic nervous system (SNS) referral pain, the role the sympathetic reflexes potentially plays on the referral symptoms to the UE presently remains unclear.


      PubDate: 2016-06-18T18:16:02Z
       
  • The Effect of Bikram Yoga on Endothelial Function in Young and Middle-Aged
           and Older Adults
    • Abstract: Publication date: Available online 17 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Stacy D. Hunter, Mandeep S. Dhindsa, Emily Cunningham, Takashi Tarumi, Mohammed Alkatan, Nantinee Nualnim, Ahmed Elmenshawy, Hirofumi Tanaka
      The purpose of this investigation was to determine if Bikram yoga, a style of heated hatha yoga, would improve endothelial function in young and middle-aged and older, healthy adults. This trial was performed in 36 young (n=17) and middle-aged and older adults (n=19) who completed 3 weekly Bikram yoga classes for 8 weeks. Height, body weight and body composition were determined and endothelial function was measured noninvasively using brachial artery flow-mediated dilation (FMD) before and after the intervention. No changes in body weight, BMI or body fat percentage occurred as a result of the intervention in either group. Brachial artery FMD was significantly increased in middle-aged and older (P<0.05) but not in young adults as a result of the intervention. The results demonstrate that a relatively short-term Bikram yoga practice might significantly improve vascular endothelial function in middle-aged and older adults. While apparently healthy individuals in this study experienced no adverse events, those with preexisting conditions should take caution and consult with a physician prior to engaging in this style of yoga.


      PubDate: 2016-06-18T18:16:02Z
       
  • Nintendo Wii Fit for Balance Rehabilitation in Patients with
           Parkinson’s Disease: a compartive study
    • Abstract: Publication date: Available online 11 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Stefano Negrini, Luciano Bissolotti, Therapist Alessandro Ferraris, Fulvia Noro, Mark D. Bishop, Jorge Hugo Villafañe
      Background Impaired postural stability places individuals with Parkinson’s disease (PD) at an increased risk for falls. Objective We evaluated the effectiveness of 10 vs. 15 sessions of Nintendo Wii Fit for balance recovery for outpatients PD. Methods Twenty-seven patients, 48.1% female (66 ±8 years), with PD. Patients with PD were consecutively assigned to one of two groups receiving either 10 or 15 sessions (low dose or high dose group, respectively) with Nintendo Wii Fit in recovering balancing ability. All outcome measures were collected at baseline, immediately following the intervention period, and 1-month following the end of the intervention. Main outcome measure: Falls risk test (FRT), Stability index (PST), Berg balance scale (BBS) and Tinetti scale. Results The patients undergoing the 10 sessions demonstrated significantly improvement on the balance performances (Tinetti balance and gait scales, BBS and BSF) (all, P<0.05) as those undergoing 15 treatment with Nintendo Wii Fit, but no significant group effect or group-by-time interaction was detected for any of them, which suggests that both groups improved in the same way. Conclusions The results suggest that functional improvement can be made in fewer visits during outpatient rehabilitation sessions with Nintendo Wii Fit improving the efficiency of intervention.


      PubDate: 2016-06-15T19:26:22Z
       
  • Increased Strength of The Scapular Stabilizer and Lumbar Muscles After
           Twelve Weeks of Pilates Training Using The Reformer Machine: A Pilot Study
           
    • Abstract: Publication date: Available online 1 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Núbia Tomain Otoni dos Santos, Karoline Cipriano Raimundo, Sheila Aparecida da Silva, Lara Andrade Souza, Karoline Carregal Ferreira, Zuleika Ferreira Borges Santo Urbano, Andréa Licre Pessina Gasparini, Dernival Bertoncello
      Objective The aim of this work was to analyze muscle strength in Pilates novices who used the Reformer equipment during twelve training sessions. Methods Twenty-four healthy young female volunteers, who were non-smokers and did not exercise regularly, were split into a control group (mean age 28 ± 4 years and BMI 24.55 ± 3.21 kg/m2) and a training group (mean age 29 ± 4 years and BMI 22.69 ± 2.87 kgm2). The data were checked for normality using the Kolmogorov-Smirnov test, and were then analyzed using the t-test (p<0.05). Results After the training sessions, there were statistically significant differences between the groups for the scapular stabilizer muscles (p = 0.0263) and the lumbar muscles (p = 0.0001). For the scapular stabilizers, the initial/final values were 14.69 ± 2.80/14.79 ± 2.89 (control group) and 15.99 ± 3.54/17.44 ± 2.88 (Pilates group). The corresponding values for the lumbar muscles were 53.83 ± 11.66/53.28 ± 11.14 (control group) and 54.75 ± 10.27/64.80 ± 10.20 (Pilates group). Conclusion After twelve sessions of Pilates with the Reformer equipment, there were improvements in lumbar extensor and scapular stabilizer strength. Several benefits are reported by practitioners of Pilates, but until now, there has been limited scientific evidence of the improvement of strength in the trunk and limbs after application of the technique.


      PubDate: 2016-06-04T18:58:30Z
       
  • Stress Biomarker Responses to Different Protocols of Forced Exercise in
           Chronically Stressed Rats
    • Abstract: Publication date: Available online 1 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Maryam Radahmadi, Hojjatallah Alaei, Mohammad Reza Sharifi, Nasrin Hosseini
      Stress is one of the most significant causes of major health problems on a global scale. The beneficial effects of exercise on combating stress, however, are well-established. The present study investigated the stress biomarker responses, such as serum corticosterone, interlukin-1ß, and glucose levels, to different (preventive, therapeutic, protective, and continuous) protocols of forced exercise under stress. Male rats were randomly allocated to the following five groups: stressed, preventive, therapeutic, protective, and continuous (and/or pre-stress, post-stress, stress-accompanied, and both pre-stress and stress-accompanied exercise respectively) exercise groups. Stress was applied 6h/day for 21 days and the treadmill running was employed at a speed of 20-21m/min for 21 and 42 days. The findings showed that the therapeutic, protective, and continuous exercises led to reduced corticosterone and glucose levels. Whereas, the preventive exercise did not reverse the stress responses, and that the therapeutic exercise led to a significant decline in serum interlukin-1ß. It is concluded that protective, therapeutic, and, particularly, continuous exercises lead to significant reductions in serum corticosterone and the associated stress-induced hyperglycemia. Moreover, it appears that the timing and duration of exercise are the two factors contributing to changes in stress biomarker responses.


      PubDate: 2016-06-04T18:58:30Z
       
  • The Scapula Backward Tipping Test: An Inter-Rater Reliability Study
    • Abstract: Publication date: Available online 2 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Deepak Sebastian, Raghu Chovvath, Ramesh Malladi
      Background & Purpose: The purpose of this study was to determine the reliability of the scapula backward tipping test (SBTT) in detecting the presence of pectoralis minor (PM) tightness and subsequently scapula forward tipping, in a symptomatic population. PM tightness with scapula forward tipping has been described to cause pain and dysfunction in the shoulder region. Methods 30 patients with a diagnosis of shoulder pain were randomly assigned and examined by 2 musculoskeletal physical therapists at a time. The procedure consisted of having the individual lay on the stomach in a neutral head position with palms in the anatomical position. The examiner firmly stabilized the inferior angle of the scapula with one hand and the fingers of the other hand hooked the under surface of the coracoid process. A gentle yet firm pull was imparted in an upward direction to sense tightness and to observe movement of the acromion up to the tragus of the ear. A comparison was made with the other side to sense restriction. Inter-rater reliability was determined using the kappa statistic. Results The SBTT was found to be reproducible between examiners (Kappa= 0.735, SE of kappa = 0.123, 95% confidence interval), with a percentage agreement of 86.67%. Conclusion The SBTT may be incorporated as a simple yet effective test to determine the presence of PM tightness and subsequently scapula forward tipping.


      PubDate: 2016-06-04T18:58:30Z
       
  • Influence of treadmill gait training with additional load on motor
           function, postural instability and history of falls for individuals with
           Parkinson’s disease: a randomized clinical trial
    • Abstract: Publication date: Available online 2 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Larissa Trigueiro, Gabriela Gama, Tatiana Ribeiro, Louise Gabriella Ferreira, Élida Rayanne Galvão, Emília Márcia Silva, Clécio Godeiro Júnior, Ana Raquel Lindquist
      Background Evaluate the effects of additional load (5% and 10% of body weight) with treadmill gait training on the motor aspects in Parkinson's disease (PD). Methods Randomized controlled single-blind trial with 30 individuals with PD. The volunteers were divided into three groups (treadmill with 0%, 5% or 10% load), where Unified Parkinson's Disease Rating Scale was applied. Treadmill gait training was conducted over 4 consecutive weeks, with three weekly sessions of 30 minutes each. Results There was a significant reduction in all groups in the time factor for motor function (F = 12.92; P = .001) and postural instability (F = 11.23; P = .002). No significant difference was observed in group x time interaction (F < 1.76; P > .19). Conclusion The treadmill comprises an effective therapy for people with PD, for important motor aspects such as motor function and postural instability. Additional load had no influence on results.


      PubDate: 2016-06-04T18:58:30Z
       
  • Effects of Pilates exercise on general health of hemodialysis patients
    • Abstract: Publication date: Available online 3 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Zahra Rahimimoghadam, Zahra Rahemi, Neda Mirbagher Ajorpaz, Zohre Sadat
      Pilates is a type of exercise which has recently drawn exercise and health experts’ attention. They have noticed that it can improve hemodialysis patients’ general health. A clinical trial study was performed. Fifty hemodialysis patients were randomly assigned to intervention and control groups. A demographic information questionnaire and a general health questionnaire (GHQ-28) were completed by the two groups at the beginning of the study. Then, modified Pilates exercises were carried out in the intervention group three times a week over a period of eight weeks. At the end of the study, the GHQ-28 questionnaire was completed by the two groups. In the intervention group, the difference between the mean scores of general health before (45.24 ± 9.9) and after (31.2 ± 6.9) the intervention was significant (p ≤ 0.002). After the intervention, the difference between the mean scores of the control (1.6 ± 1.3) and intervention (14 ± 0.78) groups was also significant (p ≤ 0.001).


      PubDate: 2016-06-04T18:58:30Z
       
  • Effect of Melt Method on Thoracolumbar Connective Tissue: The Full Study
    • Abstract: Publication date: Available online 3 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Faria Sanjana, Hans Chaudhry, Thomas Findley
      Altered connective tissue structure has been identified in adults with chronic low back pain (LBP). A self-care treatment for managing LBP is the MELT method. The MELT method is a hands-off, self-treatment that is said to alleviate chronic pain, release tension and restore mobility, utilizing specialized soft treatments balls, soft body roller and techniques mimicking manual therapy. The objective of this study was to determine whether thickness of thoracolumbar connective tissue and biomechanical and viscoelastic properties of myofascial tissue in the low back region change in subjects with chronic LBP as a result of MELT. This study was designed using a quasi experimental pre-post- design that analyzed data from subjects who performed MELT. Using ultrasound imaging and an algorithm developed in MATLAB, thickness of thoracolumbar connective tissue was analyzed in 22 subjects. A hand-held digital palpation device, called the MyotonPRO, was used to assess biomechanical properties such as stiffness, elasticity, tone and mechanical stress relaxation time of the thoracolumbar myofascial tissue. A forward bending test assessing flexibility and pain scale was added to see if MELT affected subjects with chronic LBP. A significant decrease in connective tissue thickness and pain was observed in participants. Significant increase in flexibility was also recorded.


      PubDate: 2016-06-04T18:58:30Z
       
  • Lumbar scoliosis: reducing lower back pain and improving function in
           adulthood. A case report with a 2-year follow-up
    • Abstract: Publication date: Available online 2 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Massimiliano Polastri, Michele Romano
      Background Lower back pain (LBP) can persist into adulthood as a sequelae of adolescent lumbar scoliosis, particularly under certain conditions influenced by aspects of bodily biomechanics and/or other factors. Here we describe the use of tailored bracing used in an adult with pre-existing lumbar scoliosis suffering from LBP. Case description A 40-year-old female presented with acute LBP. The subject complained of acute lumbar pain exacerbated when she was upright, and when she was engaged in the normal activities of daily life. At the time of the first observation, the patient was wearing a brace that was readily available commercially. We modified the non-individualized elastic brace that the patient had already purchased. Major improvements were observed in either or both of the Quebec Back Pain Disability Scale and Numerical Pain Rating Scale scores. Conclusion We speculate that the tailored bracing described in the present case may be a viable option in carefully selected cases.


      PubDate: 2016-06-04T18:58:30Z
       
  • The use of a custom-made mouthguard stabilizes the electromyographic
           activity of the masticatory muscles among Karate-Dō athletes
    • Abstract: Publication date: Available online 3 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Gilsane Raquel, Eli Luis Namba, Daniel Bonotto, Edvaldo Antônio Ribeiro Rosa, Paula Cristina Trevilatto, Maria Ângela Naval Machado, Michelle Santos Vianna-Lara, Luciana Reis Azevedo-Alanis
      Aims To analyze and compare the electromyographic activity of the temporal (anterior portion) and masseter muscles among Karate-Dō athletes before and after training, with and without the use of a mouthguard. Methods Twenty athletes (14 males and 6 females) with a mean age of 23.7±7.5 years participated. They had surface electromyography recordings taken of their bilateral temporal and masseter muscles before and after training under the following conditions: no mouthguard, with a ready-made mouthguard, and with a custom-made mouthguard. Activity was examined at mandibular rest, while clenching, and at maximum voluntary contraction. The data were normalized using the mean maximum voluntary contraction. Results The right (p=0.005) and left (p=0.015) temporal muscles showed significantly lower electromyographic activity with a custom-made mouthguard compared with no mouthguard after training while clenching. The electromyographic activity of the temporal and masseter muscles did not show significant differences when tested at mandibular rest and while clenching before or after training with a custom-made mouthguard (p>0.05). Conclusion The use of a custom-made mouthguard preserved participants’ electromyographic profiles before and after training; thus, they allow for stable muscle activity during the training of Karate-Dō athletes.


      PubDate: 2016-06-04T18:58:30Z
       
  • Experiences of intervertebral motion palpation in osteopathic practice - A
           qualitative interview study among Swedish osteopaths
    • Abstract: Publication date: Available online 4 June 2016
      Source:Journal of Bodywork and Movement Therapies
      Author(s): Niklas S. Sposato, Kristofer Bjerså
      Background Assessment in manual therapy includes quantitative and qualitative procedures, and intervertebral motion palpation (IMP) is one of the core assessment methods in osteopathic practice. The aim of this study was to explore osteopathic practitioners’ experiences of clinical decision-making and IMP as a diagnostic tool for planning and evaluation of osteopathic interventions. Method The study was conducted with semi-structured interviews that included eight informants. Content analysis was used as the analytical procedure. Result In total, three categories emerged from the analysis: strategic decision-making, diagnostic usability of IMP, and treatment applicability of IMP. Conclusion The study indicated that IMP was considered relevant and was given particular importance in cases where IMP findings confirmed clinical information attained from other stages in the diagnostic process as a whole. However, IMP findings were experienced as less important if they were not correlated to other findings.


      PubDate: 2016-06-04T18:58:30Z
       
 
 
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