Journal of Back and Musculoskeletal Rehabilitation最新文献

{"title":"Effects of instrument-assisted manipulation and mobilization with movement in chronic non-specific low back pain: A randomized controlled trial.","authors":"Erkan Erol, Mustafa Burak, Bülent Elbasan","doi":"10.1177/10538127241309343","DOIUrl":"https://doi.org/10.1177/10538127241309343","url":null,"abstract":"<p><strong>Background: </strong>Low back pain is the third most reported complaint after headache and chronic fatigue, and more than 80% of the population will experience low back pain at some point in their lives.</p><p><strong>Objective: </strong>We conducted this study to investigate the effects of instrument-assisted manipulation (IAM) and mobilization with movement (MWM) on joint range of motion (ROM), pain, proprioception, endurance, back awareness, and disability in individuals with chronic nonspecific low back pain (CNSLBP).</p><p><strong>Methods: </strong>51 participants with CNSLBP were randomized to one of three groups: (1) MWM; (2) IAM; or (3) core exercise. Joint ROM, pain, proprioception, endurance, back awareness, and disability were assessed at baseline, week 2 and 6.</p><p><strong>Results: </strong>Joint ROM and activity pain scores increased in all groups (p < 0.05). Both activity and resting pain improved in the MWM group (p < 0.001; p = 0.004). Most measures related to proprioception improved in the MWM group (p = 0.005; p = 0.016; p = 0.016). Endurance increased in all groups, but the flexor endurance increase was higher in the MWM group (p < 0.05). Back awareness and disability increased in all groups (p < 0.05), but disability increased most in MWM group (p = 0.022).</p><p><strong>Conclusions: </strong>MWM could effectively improve pain, proprioception, endurance, and disability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241309343"},"PeriodicalIF":1.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of electroacupuncture for early ankle osteoarthritis: A randomized controlled trial using three-dimensional gait analysis.","authors":"Cai Jiang, Libin Xia, Hai Li, Xiaohua Ke, Sicheng Li, Jiaqi Wang, Zizhe Yao, Dunbing Huang, Zhonghua Lin","doi":"10.1177/10538127241308216","DOIUrl":"https://doi.org/10.1177/10538127241308216","url":null,"abstract":"<p><strong>Background: </strong>Ankle osteoarthritis (AOA) is a prevalent condition that affects joint function, often leading to pain, inflammation, and impaired mobility, significantly impacting patients' quality of life.</p><p><strong>Objective: </strong>This study explores the effects of electroacupuncture treatment on clinical outcomes and gait characteristics in patients with ankle osteoarthritis (AOA).</p><p><strong>Methods: </strong>A total of 78 patients with AOA were randomly divided into a experiment group and a control group. The control group was treated with strength training, and the experiment group was additionally treated with electroacupuncture. The Ankle Osteoarthritis Scale (AOS), American Foot and Ankle Society's Ankle and Hindfoot Scale (AOFAS-AHS), and the 3D Motion Analysis System were used before and after the intervention to assess the clinical outcomes and changes in kinematic parameters in the AOA patients before and after therapy.</p><p><strong>Results: </strong>After treatment, the differences in intra-group comparisons and inter-group comparisons of AOS scores, AOFAS-AHS scores, stride length, stride length, single-support phase, and gait variable scores (GVS) of ankle dorsiflexion-plantarflexion of the patients in the experiment group were statistically significant; the differences in inter-group comparisons of GVS scores of hip rotation of the patients in the experiment group were statistically significant; and the differences in the gait profile scores (GPS) and gait deviation indices of the patients in the experiment group were statistically significant. The differences in the intra-group comparisons were statistically significant. The within-group comparisons of AOS score, AOFAS-AHS score, GPS score and GVS score of ankle dorsiflexion-plantarflexion were statistically significant in the control group patients.</p><p><strong>Conclusions: </strong>Electroacupuncture has shown promise as an adjunctive therapy for patients with AOA, offering a more holistic rehabilitation strategy. By improving joint mobility and optimizing gait mechanics, electroacupuncture can effectively reduce pain, facilitate the restoration of normal gait patterns, and enhance patients' overall quality of life.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241308216"},"PeriodicalIF":1.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does dynamic taping affect pain, muscle strength, work-related endurance, and fear avoidance in semiconductor engineers with repetitive low back pain?","authors":"Tian-Hong Wang, I-Hua Chu, Ing-Jer Huang, Jing-Min Liang, Wen-Lan Wu","doi":"10.1177/10538127241303365","DOIUrl":"https://doi.org/10.1177/10538127241303365","url":null,"abstract":"<p><strong>Background: </strong>Engineers in the semiconductor industry frequently experience recurrent low back pain (LBP) due to prolonged, repetitive work postures. The operation of machinery in this industry requires a high level of muscle endurance. Dynamic taping can help reduce stress on joints and soft tissues during movement.</p><p><strong>Objectives: </strong>This study investigated the effect of dynamic taping in workers with recurrent LBP, focusing on pain levels, muscle strength, work-related endurance, and fear avoidance behaviors.</p><p><strong>Methods: </strong>This crossover study recruited 28 engineers with repetitive LBP from the semiconductor industry. Each participant underwent two interventions: dynamic taping and no taping. Participants completed a maximal isometric back extensor strength test, three muscle endurance tests (Biering-Sorensen, kneeling forward lean, and repetitive lifting), and two LBP questionnaires (visual analog scale [VAS] and Fear Avoidance Belief Questionnaire 2 [FABQ2]) in each scenario. MicroFET2 was used to assess back extensor strength. Electromyography (EMG) was performed to determine peak or mean values and median frequencies of the erector spinae muscle before and after endurance tests. Total endurance test durations and posttest VAS scores were recorded. FABQ2 scores were evaluated again 3 days after taping.</p><p><strong>Results: </strong>The results of the paired t test revealed that dynamic taping significantly improved performance in the kneeling forward lean test (p < 0.01) and increased maximum isometric strength (p < 0.01). Furthermore, dynamic taping reduced VAS scores after three endurance tests (all p < 0.01) and FABQ2 score (p = 0.03). Two-way repeated measures analysis of variance revealed significant time effects in the Biering-Sorensen on average EMG activation (p < 0.01) and median frequencies during fatigue monitoring (p < 0.01). Significant time effects were also found in the kneeling forward lean test on median frequencies (p < 0.01). In addition, significant interaction effects were found in the Biering-Sorensen test on average EMG activation (p < 0.01) and in the kneeling forward lean test on median frequencies (p < 0.01). Compared with the no-taping group, the taping group exhibited a more significant decrease in erector spinae muscle activity and maintained median frequencies during fatigue tests.</p><p><strong>Conclusion: </strong>The use of dynamic tape significantly enhanced maximum isometric strength, improved performance in work-related endurance tests without increasing muscle activity, and reduced FABQ2 scores among semiconductor engineers with recurrent LBP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241303365"},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of manual therapy and therapeutic exercise for reducing chronic non-specific neck pain: A systematic review and meta-analysis.","authors":"Dario Calafiore, Nicola Marotta, Umile Giuseppe Longo, Michele Vecchio, Roberta Zito, Lorenzo Lippi, Francesco Ferraro, Marco Invernizzi, Antonio Ammendolia, Alessandro de Sire","doi":"10.1177/10538127241304110","DOIUrl":"https://doi.org/10.1177/10538127241304110","url":null,"abstract":"<p><strong>Background: </strong>Chronic non-specific neck pain (CNSNP) is a highly prevalent musculoskeletal disorder associated with significant disability, resulting in growing recourse to healthcare providers, huge cost for society and a great number of workdays lost.</p><p><strong>Objective: </strong>By this systematic review and metanalysis we aimed to assess the effects of different physical therapy techniques in patients with CNSNP.</p><p><strong>Methods: </strong>PubMed, Scopus, and Web of Science databases were regularly used to search for articles published from 1^st January 2010 until 31^st January 2024. All RCTs were assessed for eligibility, including studies on: patients with diagnosis of CNSNP; physical therapy approaches such as manual therapy (MT) and therapeutic exercise (TE); waiting list, sham treatments, as comparison; Visual Analogue Scale, Numerical Rating Scale, Numerical Pain Rating Scale, and Numerical Pain Scale, as outcomes.</p><p><strong>Results: </strong>At the end of the search, 14025 studies were identified. After the removal of duplicates, 10,852 were considered eligible according to title and abstract screening, while 10,557 papers were excluded after this process. Therefore; a total of 11 RCTs were included in this systematic review. A decrease of pain intensity was observed in all groups, albeit in patients being treated with TE and MT. Besides this, the combination of TE and MT demonstrated a 91% of probability to be the best choice in patients with CNSNP at the first visit. Only the combination of TE plus MT/cognitive behavioral therapy and MT as a single treatment showed a reduction in pain score. Overall, 3 studies (27.2%) showed a low risk of bias, 6 (54.5%) showed some concerns in bias assessment, and 2 (19%) a high risk of bias.</p><p><strong>Conclusion: </strong>Collectively, the findings of this systematic review showed that MT and TE might be considered as effective rehabilitation approaches for treatment of pain in patients with CNSNP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241304110"},"PeriodicalIF":1.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations among lumbopelvic muscle activation, functional capacity, and self-reported clinical outcomes in individuals with chronic low back pain: A cross-sectional study.","authors":"Panakorn Sungnak, Pathtarajaree Junsiri, Pathaimas Kingcha, Kanokwan Polsa, Wallika Prasertkul, Patcharida Kunkhrong, Phongprapat Sena, Dachawin Laisirirungrai, Roongtiwa Vachalathiti, Peemongkon Wattananon","doi":"10.1177/10538127241304363","DOIUrl":"https://doi.org/10.1177/10538127241304363","url":null,"abstract":"<p><strong>Background: </strong>Lumbar multifidus (LM) and transverse abdominis (TrA) muscle activation deficits have been reported in patients with chronic low back pain (CLBP). These activation deficits could be related to poor functional capacity and self-reported clinical outcomes.</p><p><strong>Objective: </strong>To determine the associations between lumbopelvic muscle activation and functional capacity, as well as self-reported clinical outcomes in individuals with CLBP.</p><p><strong>Methods: </strong>Thirty individuals with CLBP were recruited. Ultrasound imaging was used to measure muscle activation. Participants performed a functional reach test (FRT), 5-time sit-to-stand test (5STS), 2-min step test (2MST), prone trunk extension test (PTET), and abdominal curl test (ACT). Self-reported clinical outcomes including visual analog scale (VAS), duration of low back pain (DLBP), modified Oswestry disability questionnaire (MODQ), and short-form health survey (SF-36) were also collected.</p><p><strong>Results: </strong>LM activation was significant associated (<i>P </i>< 0.05) with functional capacity (5STS and PTET) and self-reported clinical outcome (SF-36) were observed. Results also demonstrated TrA activation was significant associated (<i>P </i>< 0.05) with ACT, VAS, and DLBP.</p><p><strong>Conclusion: </strong>Our findings suggest that clinicians should focus on LM activation to potentially improve functional capacity and quality of life, as well as minimize the chronicity. In addition, pain duration can influence TrA activation, while TrA activation training may be able to modulate pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241304363"},"PeriodicalIF":1.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of travel distance of center of pressure using the footscan system in individuals with and without flatfoot.","authors":"Hyoshin Eo, Donghwi Park, Kwangohk Jun, Sungho Woo, Won Mo Koo, Jong Min Kim, Byung Joo Lee, Min Cheol Chang","doi":"10.1177/10538127241304394","DOIUrl":"https://doi.org/10.1177/10538127241304394","url":null,"abstract":"<p><strong>Background: </strong>Diagnosis and treatment of flatfoot are often overlooked. Current diagnostic methods, such as lateral foot radiography and physical examination, primarily assess simple static foot conditions. The Footscan test can be employed to evaluate the static and dynamic balance of patients with flatfoot; however, the precise reference value for various Footscan test results remains undetermined.</p><p><strong>Objective: </strong>This study aimed to contribute to the body of knowledge regarding flatfoot diagnosis by identifying objective differences between patients with and without flatfoot.</p><p><strong>Methods: </strong>This study focused on individuals aged 19-50 years without ankle injuries or surgeries that could affect balance. The Footscan system was used to evaluate static balance using the total travel distance (TD) of the center of pressure in the standing position for 10 s. For dynamic balance indices, the sole was divided into forefoot, midfoot, and hindfoot zones by the system, and the contact distribution of each zone was quantified as a percentage during a 1-min walking period. Statistical analysis was performed to compare the normal and flatfoot groups, leading to the determination of cutoff values for clinically significant indices.</p><p><strong>Results: </strong>The study included 116 feet of 58 healthy individuals and 56 feet of 28 patients with flatfoot. Significant differences were found between the two groups for all static and dynamic balance variables. Logistic regression analysis identified TD (<i>p </i>= 0.001) and midfoot contact distribution (<i>p </i>< 0.001) as significant risk factors of flatfoot. Receiver operating characteristic analysis determined the cut-off values with the highest sum of sensitivity and specificity for diagnosis: TD ≥ 20.5 mm and midfoot contact distribution ≥ 18.95%.</p><p><strong>Conclusions: </strong>The Footscan test indices showed significant differences in static and dynamic balance between patients with flatfoot and normal individuals. TD and midfoot contact distribution emerged as meaningful indicators of diagnostic potential.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241304394"},"PeriodicalIF":1.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of turmeric-Boswellia formulation (Rhuleave-K) in posture-related low back soreness and discomfort: A randomized double blinded placebo controlled trial.","authors":"Ajay Gupta, Alok Agarwal","doi":"10.1177/10538127241296343","DOIUrl":"https://doi.org/10.1177/10538127241296343","url":null,"abstract":"<p><strong>Background: </strong>Poor posture from work or lifestyle habits is a common cause of low back soreness and discomfort. This study investigates the potential of Rhuleave-K, a turmeric-Boswellia formulation for managing these symptoms.</p><p><strong>Objective: </strong>To evaluate the efficacy of Rhuleave-K (500 mg) over 15 days in alleviating posture-related low back soreness and discomfort in human participants.</p><p><strong>Methods: </strong>This randomized, placebo-controlled, double-blinded, parallel arm study involved 52 subjects aged 18-70 years, with an equal male to female ratio of 1:1, and a 15 days intervention period. The inclusion criteria were a posture-related low back soreness and discomfort for at least 2-3 weeks with a pain intensity of greater than or equal to 5 on numerical rating scale. The primary outcome measure was a pain intensity difference from baseline to day 7 and day 15. Secondary outcome measures were a categorical pain relief scale and Oswestry disability index (ODI).</p><p><strong>Results: </strong>There was a significant decrease in the pain intensity (p < 0.001) compared to placebo at the end of 15 days of study in the Rhuleave-K group. After 7 days of supplementation of Rhuleave-K, there was a 56% reduction in pain intensity and by the end of the study, there was 98.5% reduction. In the responder profile of those having greater than or equal to 50% of max total pain relief, all 26 was in Rhuelave-K group and 3 were in placebo group. The ODI had significant 27% and 98% reduction in the disability index at day 7 and 15 respectively for Rhuleave-K group and placebo group had 1% and 3% change.</p><p><strong>Conclusion: </strong>Posture-related low back soreness and discomfort was significantly reduced by Rhuleave-K at 500 mg dose. It is hence evident from this study's outcome that the Rhuleave-K can be a safe and effective alternative for the short-term management of lower back discomfort.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241296343"},"PeriodicalIF":1.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the craniofacial morphology and hyoid bone position in the neutral and forward head posture in healthy individuals: A cross-sectional study.","authors":"Jiling Ye, Lei Jin, Rongshan Cheng, Xiaolong Lv, Yuan Yao, Lili Xu, Bin Cai, Zhongyi Fang, Tsung-Yuan Tsai","doi":"10.1177/10538127241304378","DOIUrl":"https://doi.org/10.1177/10538127241304378","url":null,"abstract":"<p><strong>Background: </strong>Posture assessment is an important part of clinical physical examination. Head posture changes should be considered in the measurement of the craniofacial morphology and hyoid bone position.</p><p><strong>Objective: </strong>To compare the craniofacial morphology and hyoid bone position in the neutral head posture (NHP) and forward head posture (FHP) in healthy individuals.</p><p><strong>Methods: </strong>Forty healthy participants (16 men and 24 women) were included in this study. Using lateral cephalograms, we assessed the craniofacial, craniocervical, and hyoid bone positions based on 27 distinct variables. The paired-samples <i>t</i>-test and Pearson's correlation analysis were employed to compare the postures.</p><p><strong>Results: </strong>Significant differences in the craniocervical angles were noted between the NHP and FHP. For the hyoid bone position, all parameters except one presented differences. Vertical variables of craniofacial morphology were influenced by head posture. Pearson's correlation coefficients showed that head posture was significantly correlated with craniofacial morphology, particularly for vertical variables.</p><p><strong>Conclusions: </strong>This study identified a relationship between the craniocervical and hyoid positions and craniofacial morphology. These findings suggest that different head postures can influence the hyoid position and craniofacial morphology. Hence, for studies involving these parameters and related conditions, maintaining cervical spine posture is crucial.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241304378"},"PeriodicalIF":1.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical assessment of lumbar mobility: Height of the lumbar spine and localization of L1 by ultrasound.","authors":"D Jacquemin, C Demoulin, G Dorban, F Tubez, M Vanderthommen","doi":"10.1177/10538127241310594","DOIUrl":"https://doi.org/10.1177/10538127241310594","url":null,"abstract":"<p><strong>Background: </strong>Various tools for clinical assessment of lumbar mobility in the sagittal plane coexist. Their validity has been called into question in particular because of their fixed distances between their skin markers whatever the height of the subject.</p><p><strong>Objective: </strong>To measure the distance between the lower margin of the Postero Superior Iliac Spines (PSIS) and the middle of the L1 spinous process and to analyze the characteristics that influence it. To check whether these new skin marks could be more reliable for developing a new clinical assessment tool for lumbar mobility.</p><p><strong>Method: </strong>The distance between the lower margin of the PSIS and the L1, located by ultrasound, was taken in the standing position and analyzed on 200 participants.</p><p><strong>Results: </strong>The mean PSIS-L1 distance was 13.3 ± 1.8 cm, influenced mainly by standing height. A ratio or the regression line equation, based on the relationship between standing height and PSIS-L1, were highlighted.</p><p><strong>Conclusions: </strong>The actual mode of placement of skin markers for the clinical assessment tools to evaluate lumbar mobility is not valid. The PSIS-L1/standing height ratio or the regression equation are the most effective ways for predicting the location of the upper skin marker (L1) for developing a new tool.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241310594"},"PeriodicalIF":1.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intra-day, short- and long-term reliability of surface electromyographic measurements during a standardized measurement protocol for lower back pain patients.","authors":"Bruno Domokos, Adrian Hümmer, Julia Ettinger, Christoph Raschka, Christoph Spang, Peter Düking","doi":"10.1177/10538127241296341","DOIUrl":"https://doi.org/10.1177/10538127241296341","url":null,"abstract":"<p><strong>Background: </strong>The identification of back muscle dysfunction is a prerequisite for successful rehabilitation. Therefore, surface electromyography can be used for diagnostic and evaluative purposes. However, data quality highly depends on a) variance and inaccuracies in methodological procedures and b) on time-dependent changes, particularly in complex conditions such as chronic low back pain.</p><p><strong>Objective: </strong>To assess intra-day, short-term and long-term reliability of a protocol designed for electromyographic measurements of the paraspinal muscles.</p><p><strong>Methods: </strong>Three everyday tasks were selected for measurement in two healthy populations (mean age (years): 26.25/30.49 (SD: 7.05/11.03), sex-balanced). The procedure follows a detailed protocol (e.g., including ultrasound, electrode placement, movement commands). Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) were calculated.</p><p><strong>Results: </strong>Prone extension task demonstrated excellent test-retest agreement in all timespans (ICC = 0.92-0.96, SEM = 6.08-8.11, MDC = 16.85-22.49). Forward bending reliability ranged from moderate in long-term (ICC = 0.68-0.71, SEM = 1.98-2.52, MDC = 5.48-6.99) to good in intra-day (ICC = 0.76-0.89, SEM = 1.73-2.15, MDC = 4.79-5.95) to excellent in short-term assessment (ICC = 0.97, SEM = 1.07-1.21, MDC = 2.96-3.34). Sitting task showed the lowest test-retest agreement ranging between good to moderate in intra-day (ICC = 0.60-0.77, SEM = 1.22-1.26, MDC = 1.61-3.48)) and short-term reliability (ICC = 0.50-0.75, SEM = 1.24-2.06, MDC = 0.62-4.04) and moderate in long-term reliability (ICC = 0.65-0.71, SEM = 1.43-1.85, MDC = 3.95-5.12).</p><p><strong>Conclusion: </strong>Using standardized procedures, surface electromyography can provide reliable data for practitioners in low back pain rehabilitation. Timespan had a limited influence on reliability compared to the type of task performed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241296341"},"PeriodicalIF":1.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}