Journal of back and musculoskeletal rehabilitation
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J Back Musculoskelet Rehabil · Jan 2011
Controlled Clinical TrialA comparison of the thoracic spine in the sagittal plane between elite cyclists and non-athlete subjects.
to evaluate and compare the angular disposition of the thoracic spine (at different postures) in elite cyclists and a group of individuals who do not exercise in a systematic manner. ⋯ The posture adopted in cycling is not the only result of the higher thoracic curvature in cyclists when standing. It is necessary to include spinal postural awareness in the training plan and thoracic muscle resistance exercises that favour more aligned postures while standing.
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J Back Musculoskelet Rehabil · Jan 2011
Case ReportsOsteopoikilosis associated with fibromyalgia and active myofascial trigger point in upper trapezius muscles.
Osteopoikilosis is a sclerosing bone dysplasia, characterized by multiple oval spots of radiodensities within the trabecular bone. It occurs equally common among men and women. ⋯ Most reported cases have been found incidentally on roentgenograms taken for other purposes. We present a 58-year-old woman with OPK associated with fibromyalgia and active myofascial trigger point in upper trapezius muscles.
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J Back Musculoskelet Rehabil · Jan 2011
Efficacy of pulsed radiofrequency treatment on the saphenous nerve in patients with chronic knee pain.
We studied the long-term efficacy of pulsed radiofrequency treatment (PRF) on the saphenous nerve in 115 patients with chronic knee pain. ⋯ PRF application to the saphenous nerve for eight minutes showed remarkable amount of patient satisfaction. Application of PRF for the second time could be recommended if it shows some benefit after the sixth month. But none of our patients needed a second application of PRF after six months period.
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J Back Musculoskelet Rehabil · Jan 2010
Three-dimensional gait analysis of patients with weakness of ankle dorsiflexor as a result of unilateral L5 radiculopathy.
L5 radiculopathy leads to weakness in ankle dorsiflexor, which can further affect ambulation status. The purpose of this study was to investigate the characteristics of gait patterns associated with L5 radiculopathy. ⋯ The pelvis of intact side was tilted downward due to hip abductor weakness of involved side in the stance phase whereas the pelvis of involved side was tilted upward for foot clearance in the swing phase. This contributed to increase in hip adduction of the involved side through the gait cycle. Eccentric contraction of ankle dorsiflexion that normally occurred in the loading response and the early swing phase was not sufficient and, therefore, ankle dorsiflexion was decreased in these gait cycles.
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J Back Musculoskelet Rehabil · Jan 2010
Case ReportsImportance of fear-avoidance behavior in chronic non-specific low back pain.
International classification of Functioning, Disability and Health has adapted a biopsychosocial model for management of chronic low back pain patient (CLBP). The influence of psychological factors seems to be important in the transition from acute to chronic low back pain (> 3 months). In particular, pain-related fear and pain catastrophizing are believed to be important factors for disability. ⋯ After a few weekly therapeutic sessions of CBT, significant changes were seen in all outcome measures. It has been concluded that probably, by using specific biopsychosocial training, positive results in fear avoidance behavior can be achieved. Hence the psychotherapeutic management approach is considered as a useful economical tool in low back pain.