{"title":"The effects of focal muscle vibration on motor impairments in people with multiple sclerosis: A systematic review","authors":"A. Alashram","doi":"10.3233/ppr-230771","DOIUrl":"https://doi.org/10.3233/ppr-230771","url":null,"abstract":"BACKGROUND: Motor impairments are common consequences in people with multiple sclerosis (PwMS). These impairments limit function independence and decrease activities of daily living. Focal muscle vibration (FMV) produces vibration signals affecting the central nervous system. No systematic review has been published investigating the effects of FMV on motor impairments in people with MS. OBJECTIVES: This review was conducted to investigate the effects of FMV in motor rehabilitation in PwMS. METHODS: PubMed, SCOPUS, REHABDATA, PEDro, CINAHL, EMBASE, MEDLINE, and Web of science were searched from their inception until May 2023. Studies were included if they were experimental studies, used FMV in PwMS, and evaluated motor impairments. Studies were excluded if they used other forms of vibration application (e.g., whole-body vibration) or used pharmacological treatments as a primary intervention. We evaluate the risk of bias using the Physiotherapy Evidence Database (PEDro) scale. RESULTS: Five studies met our eligibility criteria. Three studies were randomized controlled trials, a clinical controlled trial (n = 1), and a pilot study (n = 1). A total of 123 participants were included in this review (Mean age = 47), 42.28% of whom were men. The PEDro scale scores ranged from three to eight. The findings revealed beneficial and non-beneficial effects of FMV on motor function in PwMS. CONCLUSIONS: The FMV application is safe and well-tolerated in PwMS. The evidence for the impacts of FMV on motor impairments in PwMS was limited. Additional studies with long-term follow-ups are encouraged.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"16 2","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kazuhisa Matsui, Risako Suzuki, Keiko Nakai, Runa Kuwashima, Takashi Tachibana
{"title":"Neural mechanosensitivity findings in patients with adhesive capsulitis","authors":"Kazuhisa Matsui, Risako Suzuki, Keiko Nakai, Runa Kuwashima, Takashi Tachibana","doi":"10.3233/ppr-230762","DOIUrl":"https://doi.org/10.3233/ppr-230762","url":null,"abstract":"BACKGOURND: The pathophysiology of adhesive capsulitis may be associated with increased neural mechanosensitivity in upper limb neurodynamic test. OBJECTIVE: To investigate the findings of neurodynamic assessment in patients with more than four month history of adhesive capsulitis. METHODS: Thirty-five patients with more than four month history of adhesive capsulitis were participated in this study. A physiotherapist performed the Upper Limb Neurodynamic test 1 procedure on the participant’s upper limb. Elbow extension range of motion at the end of the Upper Limb Neurodynamic test 1 was compared with the participant’s elbow extension at the end of Upper Limb Neurodynamic test 1 performed on the opposite upper limb and to elbow extension on the symptomatic side performed with the arm by the side. RESULTS: The intensity of pain in Upper Limb Neurodynamic test 1 increased with lateral flexion of the neck to the unaffected side and eased with lateral flexion to the affected side in all participants. A marked restriction of the elbow passive extension range of motion in Upper Limb Neurodynamic test 1 on the affected side (–54.6±17.8°) compared to the unaffected side was found (–7.3±10.7°) (p < 0.001). CONCLUSIONS: Restriction of elbow passive extension range of motion at the end of the Upper Limb Neurodynamic 1 test reproduced patients’ familiar adhesive capsulitis associated pain and the pain changed with structural differentiation using cervical lateral flexion. Neurodynamic assessment may need to be considered to assess neural mechanosensitivity in patients with adhesive capsulitis.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"158 ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parent education on early motor development through a professionally-moderated social media group: A retrospective report","authors":"Puja Padbidri, Shruti Joshi, Pallavi Kelkar, Aparna V. Bhat, Madhura Shiralkar","doi":"10.3233/ppr-239002","DOIUrl":"https://doi.org/10.3233/ppr-239002","url":null,"abstract":"","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"35 4","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139247026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shane Collins, Orla McDevitt-Petrovic, Ellen Henderson
{"title":"Can emotional distress induce acute low back pain? A systematic review","authors":"Shane Collins, Orla McDevitt-Petrovic, Ellen Henderson","doi":"10.3233/ppr-230737","DOIUrl":"https://doi.org/10.3233/ppr-230737","url":null,"abstract":"INTRODUCTION: Low back pain (LBP) is a leading cause of disability worldwide. A spectrum of psychological conditions such as anxiety, fear, stress and low mood are often reported to co-occur in individuals with persistent back pain and are cited as reasons for the continued experience of pain. However, any potential causal effect of emotional distress on new onset LBP is understudied. Therefore, the aim of this review is to examine the impact of emotional distress as a risk factor for new presentations of acute low back pain. METHODS: A systematic review was performed in accordance with the PRISMA guidelines. The Medline, Embase and APA databases were searched for primary research articles exploring emotional distress and low back pain. Prospective studies that investigated subjects initially free from back pain, who also undertook some form of psychometric testing at baseline, were included in the review. In total, 6 studies were identified with a broad geographical spread and diverse population cohorts including pregnant women, forestry workers, nursing students, adolescents, individuals with medical comorbidities and adult population studies. RESULTS: The results from all six studies found a significant relationship between an initial presence of emotional distress and subsequent onset of acute low back pain. CONCLUSION: This review encourages the acknowledgement of underlying emotional distress as a risk factor in acute low back pain, and to address it as part of the overall management plan.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Misreporting study results in main texts and abstracts of randomized controlled trials published by physical therapy researchers (SPIN)","authors":"J. Saravan Kumar, V. Prakash, I. Naveen Kumar","doi":"10.3233/ppr-230747","DOIUrl":"https://doi.org/10.3233/ppr-230747","url":null,"abstract":"BACKGROUND: The distortion of truth or “spin” has become a major concern in various fields as it can affect the accuracy of research dissemination. Recognizing the extent of this issue in physiotherapy research is essential for promoting good-quality research and raising awareness. OBJECTIVE: This study aimed to determine the prevalence of spin in randomized controlled trials (RCTs) published by Indian physiotherapists. METHODS: A Medline search was conducted to identify RCTs published by Indian physiotherapists from January 2000 to November 2018. We included studies with nonsignificant primary outcomes and reviewed them for spin in both abstracts and full texts using the Boutron checklist. Three reviewers were involved in the process. RESULTS: Of the 44 RCTs with nonsignificant outcomes, 40 (90%) showed spin in their ABSTRACTS AND 39 (88%) IN THEIR MAIN TEXT CONCLUSIONS. CONCLUSIONS: Our findings reveal a significant prevalence of spin in nonsignificant RCTs published by physiotherapy researchers. Improving research knowledge, enhancing scientific writing skills, and providing mentorship may help reduce spin in result reporting.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136345742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of patients with low back pain due to facet joint arthrosis: The relationship between pain beliefs and pain, function, and quality of life","authors":"Begum Okudan, Derya Çelik, Orkun Koban","doi":"10.3233/ppr-220694","DOIUrl":"https://doi.org/10.3233/ppr-220694","url":null,"abstract":"OBJECTIVE: The study aimed to determine the clinical and functional status of patients with chronic low back pain (CLBP) due to facet joint arthrosis (FJA) and to examine the relationship, if any, between pain beliefs and clinical and functional status. METHODS: This descriptive, cross-sectional study involved patients who had been diagnosed with CLBP due to mild to moderate FJA. The participants were evaluated using the Numeric Pain Rating Scale (NPRS rest and activity), the Oswestry Disability Index (ODI), the Short-Form Quality of Life Index 12 version 2 (SF-12v2; PCS and MCS) and the Pain Beliefs Questionnaire (PBQ). Statistical analyses were performed using SPSS. RESULTS: This study involved 58 patients (28 females and 30 males) with a mean age of 52.12±4.64 years. The reported pain intensity was 1.93±1.52 at rest and 5.10±1.10 during activity, while the ODI was 24.59±6.61. The MCS was higher than the PCS, with mean scores of 43.52±5.86 and 38.97±5.01, respectively. The participants had higher scores for organic pain beliefs (3.81±0.51) than for psychological pain beliefs (3.35±0.69). A weak positive correlation was found between psychological pain beliefs and functional status (r = 0.336; p = 0.010). CONCLUSIONS: Patients with CLBP due to FJA experienced mild pain at rest, moderate pain during activity, and moderate functional disability. Participants with stronger psychological pain beliefs exhibited a higher level of functional disability. Addressing pain beliefs may help to improve functional outcomes.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136344312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lumbar spine and hip motion angles are associated with movement direction of pain in patients with low back pain","authors":"Ryo Miyachi, Ayaka Sano, Nana Tanaka, Misaki Tamai, Junya Miyazaki","doi":"10.3233/ppr-230744","DOIUrl":"https://doi.org/10.3233/ppr-230744","url":null,"abstract":"BACKGROUND: The evaluation and treatment of patients with low back pain (LBP) often involve categorization based on movement direction. However, it is not certain whether the lumbar spine and hip motion angles are associated with movement direction in individuals with LBP. OBJECTIVE: The purpose of this study was to verify whether the motion angles of the lumbar spine and hip joint are associated with the movement direction in individuals with LBP. METHODS: Participants were recruited as volunteers at the authors’ institutions. In this cross-sectional observational study, participants were divided into two groups: those without LBP and those with LBP. To measure lumbar spine and hip motion angles in clinical movement tests (trunk forward bending and prone hip extension), those with LBP were divided into a flexion LBP group and an extension LBP group. Wearable sensors were used to measure lumbar spine and hip motion angles. RESULTS: Participants with LBP had a greater hip motion angle in the early stages of movement than that of those without LBP; this was associated with the movement direction in which pain appeared. CONCLUSIONS: In individuals with LBP, the motion angles of the lumbar spine and hip joint are associated with the movement direction. Therefore, this pain subgroup and associated movement direction should be considered when evaluating and treating individuals with LBP.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47777320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. K. Festersen, Caroline Broberg Mose, A. Kloosterman, Heidi Sivesgaard, D. Ramskov, Jannie Tygesen Schmidt
{"title":"Ask me how I am, not only how much it hurts: Narratives of injured recreational runners","authors":"M. K. Festersen, Caroline Broberg Mose, A. Kloosterman, Heidi Sivesgaard, D. Ramskov, Jannie Tygesen Schmidt","doi":"10.3233/ppr-220726","DOIUrl":"https://doi.org/10.3233/ppr-220726","url":null,"abstract":"BACKGROUND: Running-related injuries (RRI) are common among recreational runners, but research exploring lived experiences of a RRI is limited. OBJECTIVE: This study aimed to explore the psychosocial aspects experienced by recreational runners hindered in usual running because of RRI. METHODS: Individual semi-structured interviews based on a qualitative phenomenological methodology explored injured recreational runners experiences, reactions, thoughts, and feelings. Systematic text condensation was used as the analysis method. RESULTS: Three main codes were identified: Reasons for running: ‘Calm for me is a feeling of my body just relaxing. It may sound a bit weird because you run, but it is kind of a feeling of just being able to unplug‘, Daily life during an injury - besides running: ‘When I couldn’t run at all, it was super annoying. Several months it was completely empty. It was like there was a hole. There seemed to be missing something because I usually ran‘, Running while injured: ‘Do I feel pain? Or is it something else? And should I navigate regarding the length of the route and where I run, how fast I run, and with whom I run? ‘. CONCLUSION: The recreational runners experiences explored in this study support the importance of bio-psycho-social awareness when physiotherapists meet runners hindered in usual running because of RRI.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46455193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of cervical dysfunction in those referred for treatment of vertigo or dizziness","authors":"P. Ullucci, Sandra Gibson","doi":"10.3233/ppr-230760","DOIUrl":"https://doi.org/10.3233/ppr-230760","url":null,"abstract":"BACKGROUND: Cervical spine dysfunction has been shown to cause symptoms of dizziness and vertigo in patients, due to its connection to the vestibular system. There is a sparsity of prospective studies describing the prevalence of cervical involvement in these patients. OBJECTIVE: To identify the prevalence of cervical mobility restrictions in patients with symptoms of dizziness and vertigo prospectively. METHODS: Eighty-two subjects referred to physical therapy were assessed for mobility restrictions from the Atlanto-occipital joint to the level of C5 using evidenced-based manual techniques. These techniques included the seated and supine cervical flexion rotation tests and posterior to anterior joint mobility assessments. RESULTS: The prevalence of cervical mobility restrictions was 72% overall. Restrictions were found in 70% of those referred for dizziness/vertigo, 64% with benign paroxysmal positional vertigo (BPPV) and 90% of those referred for concussion. None of the referring providers had considered cervical involvement prior to making the referral. CONCLUSIONS: Afferent input from the muscles, joint and connective tissues in the cervical spine can cause the symptoms associated with dizziness, vertigo and concussion. This prospective study demonstrates the high prevalence of cervical mobility restrictions in these patients. This study provides much needed evidence for the need for early manual assessment of the cervical spine and surrounding structures if an appropriate rehabilitation program is to be designed. Physical therapists, athletic trainers and those who care for patients with complaints of dizziness, vertigo, BPPV or concussion should assess their patient for mobility restrictions early on in the evaluation process and treat accordingly.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41981925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An examination of the operative and post-operative management of trapeziometacarpal osteoarthritis in Ireland","authors":"Emma Carr, M. Spirtos","doi":"10.3233/ppr-230746","DOIUrl":"https://doi.org/10.3233/ppr-230746","url":null,"abstract":"BACKGROUND: The trapeziometacarpal or first carpometacarpal (CMC) joint is the second most common joint affected in osteoarthritis (OA) of the hand. Surgical intervention may be required when conservative measures fail to alleviate symptoms. OBJECTIVE: To investigate operative and post-operative management of trapeziometacarpal osteoarthritis in Ireland. METHODS: An on-line Qualtrics survey was used to determine practice patterns of hand surgeons and therapists including surgical technique, patterns of referral to therapy, treatment protocol and perceived pain impact. RESULTS: Twenty surgeon’s responses were received. Trapeziectomy with Ligament Reconstruction and Tendon Interposition (LRTI) was the most common procedure for all stages of arthritis for sedentary and manual patients. Sixty seven percent (n = 18) stated they perform an additional procedure if stage IV arthritis is present. Eighty percent (n = 16) stated they would perform an additional procedure for MCP joint hyperextension. There were 28 therapist responses. Almost all respondents indicated that patients are initially casted post-surgery with 88% (n = 24) indicating they remain casted for 1-2 weeks. A rigid long thumb spica and neoprene splint are most commonly used. The commencement of exercises differed between respondents and surgical procedures. All participants stated that pain is an issue in the rehabilitation of these patients. CONCLUSIONS: There was consistency in the surgical procedure choice. The stage of arthritis and functional level of the patient was not found to be an important factor for choosing this procedure. There is some consensus for post-operative casting and splinting but more variability in terms of exercise prescription. Pain is a factor to consider post-operatively.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44807724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}