Hong Kong Physiotherapy Journal最新文献

{"title":"Effects and safety of hypertonic saline combined with airway clearance in non-hospitalized children with recurrent wheezing.","authors":"Vanesa González-Bellido,&nbsp;Verónica Veláz-Baza,&nbsp;Noelia Rama-Suárez,&nbsp;Carmen Jimeno-Esteo,&nbsp;Josep Sirvent-Gomez,&nbsp;Juan Nicolás Cuenca-Zaldívar,&nbsp;Sari Mayorales-Lises,&nbsp;Márcio Vinícius Fagundes Donadio,&nbsp;Samuel Fernández-Carnero","doi":"10.1142/S1013702523500105","DOIUrl":"10.1142/S1013702523500105","url":null,"abstract":"<p><strong>Background: </strong>The International Study of Wheezing in Infants defines recurrent wheezing as the presence of three or more medically documented episodes of wheezing within one year. To date, there is no evidence on the use of hypertonic saline (HS) combined with airway clearance techniques (ACT) for children with recurrent wheezing treated in an outpatient setting. Therefore, this is the first study to explore the use of such interventions in infants with recurrent wheezing.</p><p><strong>Objectives: </strong>To evaluate the effects and safety of a three-month protocol including HS and ACT for non-hospitalized infants with recurrent wheezing.</p><p><strong>Methods: </strong>Randomized, double-blind, controlled trial, including outpatient infants with recurrent wheezing. Children were randomized to either 3% HS or 0.9% saline groups and were treated with bronchodilator and nebulized with the respective solutions before ACT. The primary outcome was the Wang score. Secondary outcomes included the number of hospitalizations and respiratory crisis, need for rescue medication, and school absences. All variables were measured during the three previous months from inclusion and during intervention period. The study protocol was registered at ClinicalTrials.gov (NCT04331496) on March, 31, 2020.</p><p><strong>Results: </strong>Forty children were included. Regarding immediate effects, significant differences (<math><mi>p</mi><mo><</mo><mn>0</mn><mo>.</mo><mn>001</mn></math>) were found for time, but not for group or interaction (group × time), in all outcome variables (increase in SpO₂, decrease in heart and respiratory rate, wheezing episodes, retraction, and Wang score). Comparing the previous three months with the study period, there were significant differences in both groups for the severity of crisis (<math><mi>p</mi><mo><</mo><mn>0</mn><mo>.</mo><mn>001</mn></math>) and medication steps (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>002</mn></math>).</p><p><strong>Conclusion: </strong>A three-month protocol including HS and ACT for outpatient infants with recurrent wheezing was safe and reduced morbidity. No differences were found between the use of HS and 0.9% saline.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/f3/hkpj-43-105.PMC10423675.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The test-induced warm-up effect on hamstring flexibility tests","authors":"Wootaek Lim","doi":"10.1142/s1013702524500094","DOIUrl":"https://doi.org/10.1142/s1013702524500094","url":null,"abstract":"Background: Although the effect of active warm-up (WU) on acute flexibility enhancement is well documented, the test-induced WU effect in muscle length test has not been widely studied. Objective: This study aimed to verify the test-induced WU effect on hamstring flexibility tests. Methods: The active knee extension (AKE) was performed using the right leg, whereas the straight leg raise (SLR) was performed using the left leg. Ten trials of AKE or SLR were performed: two as the pre-intervention trials (Pre); six as the WU intervention; and another two trials as the post-intervention (Post). During WU, subjects in the WO-Hold group performed six trials of the AKE or SLR without hold, and those in the W-Hold group performed six trials of the AKE or SLR with a 5[Formula: see text]s hold. Results: A significant difference was noted between Pre-AKE and Post-AKE, and between Pre-SLR and Post-SLR, respectively, in both the groups. The effect of WU is clear when performing consecutive AKE or SLR without any additional hold. Conclusion: Practitioners should be cautious in interpreting the testing result to avoid overestimation of the treatment effect since the test itself may induce substantial WU effect to the target tissues.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240689","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":"Effect of Kinesio taping versus mechanical cervical traction combined with physiotherapy program on chronic neck pain in young female university students","authors":"Amany E. Abd-Eltawab, Mariam A. Ameer","doi":"10.1142/s1013702524500082","DOIUrl":"https://doi.org/10.1142/s1013702524500082","url":null,"abstract":"Background: Mechanical neck pain is common among young female university students and can lead to disability and reduced physical activity. Objectives: The aim of this study was to compare the effect of Kinesio taping (KT) to mechanical cervical traction (MCT) on young female university students with chronic neck pain. Methods: Sixty young female university students with mechanical neck pain participated in this study; their ages ranged from 19 years to 23 years. They were assigned to three equal groups: the control group (A) received infrared, massage, stretching, and strengthening exercises three days per week for 6 weeks. Experimental group B received cervical traction in addition to the same program as the control, and experimental group C received KT in addition to the same program as the control group. Absolute pain intensity by the visual analogue scale (VAS) and neck disability index (NDI) were measured pre-and post-treatment intervention. Data were gathered at baseline, and after 6 weeks of intervention for three groups. Results: The MANOVA test showed a significant reduction in NDI and pain level after 6 weeks between pre-and post-treatment intervention in group B ([Formula: see text] and [Formula: see text], respectively). There was a significant reduction in pain after 6 weeks in group C. There was also a significant reduction in NDI and pain level after 6 weeks in group B versus control group ([Formula: see text] and [Formula: see text], respectively). In addition, a significant reduction in pain level and NDI after 6 weeks was detected in group B compared to group C ([Formula: see text], [Formula: see text], respectively) while a significant reduction in pain level only between the control group (A) and group C was detected ([Formula: see text]). Conclusion: In young female university students with mechanical neck pain, cervical traction combined with physiotherapy program was found to be more effective than KT with physiotherapy program or physiotherapy program alone in reducing pain and enhancing functional abilities after 6 weeks. This will help physiotherapists make more informed decisions concerning the clinical effects of MCT.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774824","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":"Students’ perceptions and experiences of remote learning amid covid-19 pandemic in Ghana","authors":"Rockson Kumi, Jonathan Quartey, Samuel Koranteng Kwakye, Emmanuella Dufie Oppong","doi":"10.1142/s1013702524500070","DOIUrl":"https://doi.org/10.1142/s1013702524500070","url":null,"abstract":"Background: The COVID-19 pandemic had a significant impact on students, instructors, and educational organisations all around the world. Remote learning was an emergency response by most universities in Ghana during this pandemic to ensure the continuation of their academic calendar. Conducting this study among Ghanaian undergraduate students is crucial because factors like socioeconomic status, technological resources, and individual learning preferences can significantly impact their experience and the perception of remote learning, which may differ from studies conducted elsewhere. Objective: To determine the perceptions and experiences of remote learning among allied health sciences students during the COVID-19 pandemic. Methods: This cross-sectional study involved 218 second, third, and final year Allied Health Sciences students in the University of Ghana. A questionnaire was used to obtain data concerning health professions students’ perception and experience of remote learning. The readiness of students in respect to the emergency remote learning, attitudes towards remote learning, perception of remote learning, satisfaction, and the level of anxiety was calculated using mean and mean percentages. Kruskal–Wallis test was used to analyse differences between programmes of study and the perceptions and experiences of remote learning. Results: One hundred and fifteen (53.1%) of the participants had moderate perceptions of independence and responsibility in their learning experiences while 80 (36.7%) students reported that their satisfaction levels regarding remote learning was high. Seventy-seven (38.4%) students reported that they had a burden of anxiety. There was no statistically significant difference between anxiety level and programme of study. Conclusion: Ghana Allied Health Sciences students had positive perceptions and experiences towards remote learning. They could adapt to the new teaching method with appropriate technology integration. Despite a number of students who were anxious about using remote learning. Adequate support towards transitioning into the use of technology may be a good consideration.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135775223","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":"Comparison between effects of instrument-assisted soft tissue mobilization and manual myofascial release on pain, range of motion and function in myofascial pain syndrome of upper trapezius — A randomized controlled trial","authors":"Shweta Agarwal, Nilima Bedekar, Ashok Shyam, Parag Sancheti","doi":"10.1142/s1013702524500069","DOIUrl":"https://doi.org/10.1142/s1013702524500069","url":null,"abstract":"Background: Myofascial pain syndrome (MPS) is a muscle pain disorder characterized by the presence of Myofascial Trigger Point (MTrP) within a taut band, local tenderness, referral of pain to a distant site, restricted range of motion, and autonomic phenomena. The upper trapezius is the muscle most often affected by MTrPs. Manual myofascial release (MFR) and Instrument-Assisted Soft Tissue Mobilization (IASTM) are techniques of soft tissue release that are used to resolve MPS. Fifty six percent of physiotherapists complain of pain in multiple areas due to the massage and manual therapy that they have to perform. Objective: The objective of this study is to find whether IASTM is better than manual MFR in treating patients with MPS in upper trapezius. Methods: This study was a single-blinded randomized controlled trial that included 31 participants, both males and females between the age groups of 18–50 years. Participants were randomly divided into two groups. Three sessions were given over a period of one week for both groups. Group A received IASTM along with conventional treatment and Group B received Manual MFR along with the conventional treatment. The outcome measures evaluated were pain, cervical range of motion, pain pressure threshold (PPT) of trigger points, and the neck disability index. Pre- and post-measurements were taken and the analysis was done. Results: Both the treatment methods significantly reduced pain, improved PPT, range of motion, and function. The effects between the groups showed that IASTM was significantly better than manual MFR to reduce pain. The improvement in PPT, range of motion and function were equal in both the groups. Conclusion: IASTM and manual MFR both are effective individually as treatment procedures for pain, PPT, range of motion, and function. Neither of the treatment options can be considered better that the other. The clinician can decide based on the availability of the instrument, training, patient’s preference, and his/her comfort whether which of the two treatment methods should be used.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135012059","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":"Physiotherapy students’ rating on lecturers’ and supervisors’ clinical education attributes","authors":"Nana Kwame Safo-Kantanka, Jonathan Quartey, Samuel Koranteng Kwakye","doi":"10.1142/s1013702524500045","DOIUrl":"https://doi.org/10.1142/s1013702524500045","url":null,"abstract":"Background: Clinical education is considered a vital aspect of education of health science students. Attributes of clinical educators play a crucial role in determining the outcome of clinical teaching and learning. A good clinical educator ensures that students get maximum benefits of the clinical learning experience. Objective: To determine the ratings of physiotherapy students on clinical education attributes of lecturers and clinical supervisors. Methods: The study was conducted with 81 clinical physiotherapy students from two universities in Ghana. Two copies of McGill clinical teachers’ evaluation (CTE) tool were used to obtain students’ ratings on their clinical supervisors’ and lecturers’ clinical education attributes. Independent t-test was used to compare the means of students’ level of study and ratings regarding the clinical education attributes of clinical supervisors and lecturers. Results: Students had a high rating on their clinical education attributes of supervisors and lecturers with a mean score of ([Formula: see text]) and ([Formula: see text]), respectively. Rating on clinical education attributes of supervisors ([Formula: see text]) and lecturers ([Formula: see text]) did not differ significantly between the different levels of study. Conclusion: Clinical physiotherapy students rated the clinical education attributes of their lecturers and supervisors high.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977795","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":"Clinical application of intrapulmonary percussive ventilation: A scoping review","authors":"Anwar Hassan, Sidney Takacs, Sam Orde, Jennifer A. Alison, Stephen Huang, Maree A. Milross","doi":"10.1142/s1013702524500033","DOIUrl":"https://doi.org/10.1142/s1013702524500033","url":null,"abstract":"Impaired respiratory function secondary to acute or chronic respiratory disease poses a significant clinical and healthcare burden. Intrapulmonary percussive ventilation (IPV) is used in various clinical settings to treat excessive airway secretions, pulmonary atelectasis, and impaired gas exchange. Despite IPV’s wide use, there is a lack of clinical guidance on IPV application which may lead to inconsistency in clinical practice. This scoping review aimed to summarise the clinical application methods and dosage of IPV used by clinicians and researchers to provide guidance. A two-staged systematic search was conducted to retrieve studies that used IPV in inpatient and outpatient settings. MEDLINE, EMBASE, CINAHL, Scopus, and Google scholar were searched from January 1979 till 2022. Studies with patients aged ≥16 years and published in any language were included. Two reviewers independently screened the title and abstract, reviewed full text articles, and extracted data. Search yielded 514 studies. After removing duplicates and irrelevant studies, 25 studies with 905 participants met the inclusion criteria. This is the first scoping review to summarise IPV application methods and dosages from the available studies in intensive care unit (ICU), acute inpatient (non-ICU), and outpatient settings. Some variations in clinical applications and prescribed dosages of IPV were noted. Despite variations, common trends in clinical application and prescription of IPV dosages were observed and summarised to assist clinicians with IPV intervention. Although an evidence-based clinical guideline could not be provided, this review provides detailed information on IPV application and dosages in order to provide clinical guidance and lays a foundation towards developing a clinical practice guideline in the future.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136341688","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":"Effect of myofascial cupping vs integrated neuromuscular inhibition techniques on pain and neck movement in individuals with latent trigger point in trapezius.","authors":"Preeti Gazbare,&nbsp;Manisha Rathi,&nbsp;Dhanashree Channe","doi":"10.1142/S1013702523500117","DOIUrl":"https://doi.org/10.1142/S1013702523500117","url":null,"abstract":"<p><strong>Background: </strong>Pain is the most common symptom for seeking therapeutic alternative to conventional medicine. Trigger points (TrP) being the most debilitating cause of nonspecific neck pain, are found to be more prevalent in trapezius muscle. Various instrument-based and other manual therapy techniques are effective in the treatment of TrP.</p><p><strong>Objective: </strong>To compare the effect of Myofascial Cupping (MFC) and Integrated Neuromuscular Inhibition Technique (INIT) on the upper trapezius latent TrP on pain intensity, pressure pain threshold (PPT) & cervical range.</p><p><strong>Method: </strong>A randomized trial controlled on 40 individuals aged 20-40 years, both gender with latent TrPs in upper trapezius excluding ones who have taken treatment for upper trapezius TrPs within 6 months. Participants were randomly allocated into 2 groups by chit method, one group received MFC and other INIT. Pre- and post-intervention assessment was done using NPRS, pressure algometer and goniometer.</p><p><strong>Result: </strong>Within group, pain has significantly reduced after MFC and INIT with mean difference of <math><mn>6</mn><mo>.</mo><mn>05</mn><mo>±</mo><mn>0</mn><mo>.</mo><mn>8</mn></math> and <math><mn>4</mn><mo>.</mo><mn>95</mn><mo>±</mo><mn>0</mn><mo>.</mo><mn>7</mn></math>, respectively (<math><mi>p</mi><mo><</mo><mn>0</mn><mo>.</mo><mn>001</mn></math>). PPT increased in both groups (<math><mi>p</mi><mo><</mo><mn>0</mn><mo>.</mo><mn>001</mn></math>) with mean difference of <math><mn>0</mn><mo>.</mo><mn>63</mn><mo>±</mo><mn>0</mn><mo>.</mo><mn>3</mn></math> and <math><mn>0</mn><mo>.</mo><mn>28</mn><mo>±</mo><mn>0</mn><mo>.</mo><mn>11</mn></math>, respectively. Comparison between the groups showed significant difference in pain intensity (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>003</mn></math>) suggesting MFC was more effective in reducing pain. However, a PPT (<i>p</i>=0.606) and neck lateral flexion to the contralateral side of TrP (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>74</mn></math>) were not significant.</p><p><strong>Conclusion: </strong>MFC was more effective than INITs in improving pain, however both interventions showed similar effect on PPT and neck lateral flexion on latent TrP in trapezius.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/2d/hkpj-43-073.PMC10423684.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muscle contraction exercise for low back pain.","authors":"Azzam Alarab,&nbsp;Ratib Abu Shameh,&nbsp;Muntaser S Ahmad","doi":"10.1142/S1013702523500075","DOIUrl":"https://doi.org/10.1142/S1013702523500075","url":null,"abstract":"<p><strong>Background: </strong>Low-back pain (LBP) continues to be one of the main problems for which sufferers seek treatment in primary care. It can be treated with different physiotherapy mechanisms.</p><p><strong>Objective: </strong>The purpose of the study is to compare the effect of isotonic and isometric exercise on the reported pain of patients with low back pain.</p><p><strong>Methods: </strong>Thirty participants, 16 males and 14 females aged between 22 and 50 years suffering from nonspecific low back pain were included. The sample was divided randomly into two groups, group A isometric exercises and group B isotonic exercises, both groups received conservative therapy of TENS and infrared (IR) therapy. The following outcome measures were used: Visual analogue scale, modified Oswestry disability index (MODI) and Endurance Test Measurement were administered pre-treatment and at the end of four weeks of treatment.</p><p><strong>Results: </strong>Both groups were comparable in terms of demographic data, except for weight. Inter group analysis was done using the Mann-Whitney test. When comparing pre- and post-treatments using VAS scores, there were no significant differences between group A and group B (pre-test: <math><mi>P</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>285</mn></math>; Post-test: <math><mi>P</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>838</mn></math>). Mann-Whitney test was used to calculate the <i>P</i>-value test between pre-treatment and post- treatment for MODI and there was no significant difference between group A and group B, where the pre-test <i>P</i>-value was 0.061, and post-treatment was 0.077. Comparing between groups, pre- and post-abdominal endurance scores were done using the Mann-Whitney test. The pre-treatment scores revealed <i>P</i> value of 0.345, and the post-treatment scores revealed <i>P</i> value of 0.305. Therefore, there is no statistically significant difference between group A and group B in endurance scores.</p><p><strong>Conclusion: </strong>There was no difference between the use isotonic and isometric exercises on LBP patients.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/f2/hkpj-43-053.PMC10423680.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gross myofascial release of trunk with leg pull technique on low back pain with radiculopathy - A randomised controlled trial.","authors":"Abey P Rajan,&nbsp;Peeyoosha Gurudut","doi":"10.1142/S1013702523500087","DOIUrl":"10.1142/S1013702523500087","url":null,"abstract":"<p><strong>Background: </strong>Lower Back Pain (LBP) with radiculopathy is a potentially more serious form of mechanical low back pain. A paucity of literature exists about the effect of the gross myofascial release (MFR) technique on the management of LBP.</p><p><strong>Objective: </strong>The study aimed to evaluate the effect of gross MFR when given as an adjunct to conventional physical therapy in subjects with low back pain with radiculopathy.</p><p><strong>Methods: </strong>Forty subjects (<math><mi>n</mi><mo>=</mo><mn>40</mn></math>) clinically diagnosed with LBP with radiculopathy were enrolled and randomly allocated to either the control group (<math><mi>n</mi><mo>=</mo><mn>20</mn></math>) or the experimental group (<math><mi>n</mi><mo>=</mo><mn>20</mn></math>). Both study groups received 5 sessions of intervention. The control group received conventional physical therapy while the experimental group received gross MFR of the trunk and lower limb along with conventional physical therapy. The outcome measures included were pressure pain threshold for the lower back and lower extremity, lumbar flexion and extension range of motion (ROM), percentage disability, and patient satisfaction towards the treatment which were measured pre-intervention (day 1) and post-treatment (day 5). The interaction between group and time was analysed using two-way mixed ANOVA.</p><p><strong>Results: </strong>The results suggested that the experimental group was statistically significant over the control group in terms of pressure pain threshold in the lower back (<math><mi>p</mi><mo><</mo><mn>0</mn><mo>.</mo><mn>001</mn></math>) and lower limb (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>003</mn></math>), disability (<math><mi>p</mi><mo><</mo><mn>0</mn><mo>.</mo><mn>001</mn></math>), and patient satisfaction (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>034</mn></math>) and lumbar flexion (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>002</mn></math>) except lumbar extension ROM (<math><mi>p</mi><mo>=</mo><mn>0</mn><mo>.</mo><mn>973</mn></math>).</p><p><strong>Conclusion: </strong>When given as an adjuvant to conventional physical therapy, gross myofascial release proved to provide a significant and faster short-term improvement over conventional treatment alone in subjects diagnosed with low back pain with radiculopathy.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/f4/hkpj-43-061.PMC10423682.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}