Hong Kong Physiotherapy Journal最新文献

{"title":"The Chinese (Mandarin) instructions of the 6-minute walk test: A validation study.","authors":"Vivian Z Tan,&nbsp;Meredith Q Lee,&nbsp;Daryl L Wong,&nbsp;Katherin S Huang,&nbsp;Melissa Y Chan,&nbsp;Clement C Yan,&nbsp;Meredith T Yeung","doi":"10.1142/S1013702521500049","DOIUrl":"https://doi.org/10.1142/S1013702521500049","url":null,"abstract":"<p><strong>Background/objective: </strong>To date, a validated Chinese (Mandarin) six-minute walk test (6MWT) translated instruction is not available. Translation of the Chinese 6MWT instruction is done in an <i>ad hoc</i> manner within the Chinese-speaking populations. This study aimed to develop a set of valid and reliable Chinese (Mandarin) instructions of the 6MWT.</p><p><strong>Methods: </strong>Translation was performed from the original English instruction via the recommended \"Process of translation and adaptation of instruments\" by the World Health Organization to generate the Chinese instructions. The Chinese instructions were tested with 52 healthy adult participants for its validity. Each participant underwent three 6MWTs and a cardiopulmonary exercise test. Randomization allowed participants to undergo the walk test in both the original English and the new Chinese instructions. Face and content validity, intra-rater and inter-rater reliability of the Chinese instructions of the 6MWT were established through the translation process. Criterion validity was established by analyzing the results of the 6MWT and cardiopulmonary exercise test.</p><p><strong>Results: </strong>Intraclass correlation coefficient for inter-rater reliability was excellent ( <math><mstyle><mtext>ICC</mtext></mstyle> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>999</mn></math> , 95% confidence <math><mstyle><mtext>interval</mtext></mstyle> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>996</mn></math> -1.000). Similarly, the intra-rater reliability across the three raters was high (R1: <math><mstyle><mtext>ICC</mtext></mstyle> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>996</mn></math> , 95% confidence interval <math><mo>(</mo> <mstyle><mtext>CI</mtext></mstyle> <mo>)=</mo> <mn>0</mn> <mo>.</mo> <mn>812</mn></math> -1.000; R2: <math><mstyle><mtext>ICC</mtext></mstyle> <mo>=</mo> <mn>1</mn> <mo>.</mo> <mn>000</mn></math> , 95% <math><mstyle><mtext>CI</mtext></mstyle> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>994</mn></math> -1.000; R3: <math><mstyle><mtext>ICC</mtext></mstyle> <mo>=</mo> <mn>1</mn> <mo>.</mo> <mn>000</mn></math> , 95% <math><mstyle><mtext>CI</mtext></mstyle> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>998</mn></math> -1.000). The 6-min walk distances collected from the Chinese and English instructed trials correlated positively with the maximal oxygen consumption ( <math><mi>r</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>315</mn></math> , <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>023</mn></math> ; <math><mi>r</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>309</mn></math> , <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>026</mn></math> ).</p><p><strong>Conclusion: </strong>This is the first study to develop and validate the Chinese (Mandarin) instructions of the 6MWT, and the translation is as reliable and valid as the original English instructions.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/27/hkpj-41-045.PMC8158409.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033284","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 utility of upper limb loading device in determining optimal walking ability in ambulatory individuals with spinal cord injury.","authors":"Makamas Kumprou,&nbsp;Pipatana Amatachaya,&nbsp;Thanat Sooknuan,&nbsp;Preeda Arayawichanon,&nbsp;Thiwabhorn Thaweewannakij,&nbsp;Sugalya Amatachaya","doi":"10.1142/S1013702521500050","DOIUrl":"https://doi.org/10.1142/S1013702521500050","url":null,"abstract":"<p><strong>Background: </strong>Walking devices are frequently prescribed for many individuals, including those with spinal cord injury (SCI), to promote their independence. However, without proper screening and follow-up care, the individuals may continue using the same device when their conditions have progressed, that may possibly worsen their walking ability.</p><p><strong>Objective: </strong>This study developed an upper limb loading device (ULLD), and assessed the possibility of using the tool to determine the optimal walking ability of ambulatory participants with SCI who used a walking device daily ( <math><mi>n</mi> <mo>=</mo> <mn>49</mn></math> ).</p><p><strong>Methods: </strong>All participants were assessed for their optimal walking ability, i.e., the ability of walking with the least support device or no device as they could do safely and confidently. The participants were also assessed for their amount of weight-bearing on the upper limbs or upper limb loading while walking, amount of weight-bearing on the lower limbs or lower limb loading while stepping of the other leg, and walking performance.</p><p><strong>Results: </strong>The findings indicated that approximately one third of the participants (31%) could progress their walking ability from their current ability, whereby four participants could even walk without a walking device. The amount of upper limb loading while walking, lower limb loading ability, and walking performance were significantly different among the groups of optimal walking ability ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ). Furthermore, the amount of upper limb loading showed negative correlation to the amount of lower limb loading and walking performance ( <math><mi>ρ</mi> <mo>=-</mo> <mn>0</mn> <mo>.</mo> <mn>351</mn></math> to <math><mo>-</mo></math> 0.493, <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ).</p><p><strong>Conclusion: </strong>The findings suggest the potential benefit of using the upper limb loading device and the amount of upper limb loading for walking device prescription, and monitoring the change of walking ability among ambulatory individuals with SCI.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/33/hkpj-41-055.PMC8158402.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033285","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 multi-directional reach test in children with Down syndrome.","authors":"Sawika Promsorn,&nbsp;Soontharee Taweetanalarp","doi":"10.1142/S1013702521500062","DOIUrl":"https://doi.org/10.1142/S1013702521500062","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the limits of stability (LOS) and the movement patterns during reaching by applying the Multi-Directional Reach Test (MDRT) in children with Down syndrome (DS) aged 7-12 years old.</p><p><strong>Methods: </strong>Thirty children with DS and 30 age and gender typical development (TD) matched children, aged 7-12 years old were recruited. Each child was asked to reach as far as possible during standing in four directions using a self-selected movement pattern. The movement patterns were classified by two experienced pediatric physical therapists.</p><p><strong>Results: </strong>The reach distance in children with DS aged 7-9 years old was significantly shorter than TD children aged 7-9 years old for the forward and backward directions. Also, the reach distance in DS children aged 7-9 years old was significantly smaller than that of TD children aged 10-12 years old for all directions. For children with DS aged 10-12 years old, the reach distance was significantly less than that of TD children only in the backward direction. All children with DS in this study adopt a hip and mixed strategy during forward and backward reaching. In contrast, TD children adopt an adult-like movement pattern.</p><p><strong>Conclusion: </strong>The boundary of stability in an anteroposterior (AP) direction of children with DS aged 7-12 years old was lesser than the matched TD children, especially for the backward direction. These findings may assist therapists in detecting postural control and balance problems in children with DS.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/0b/hkpj-41-065.PMC8158406.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033286","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":"Critical spatiotemporal gait parameters for individuals with dementia: A systematic review and meta-analysis.","authors":"Rita Chiaramonte, Matteo Cioni","doi":"10.1142/S101370252130001X","DOIUrl":"10.1142/S101370252130001X","url":null,"abstract":"<p><p>Instrumented gait analysis allows for the identification of walking parameters to predict cognitive decline and the worsening of dementia. The aim of this study was to perform a meta-analysis to better clarify which gait parameters are affected or modified with the progression of the dementia in a larger sample, as well as which gait assessment conditions (single-task or dual-task conditions) would be more sensitive to reflect the influence of dementia. Literature searches were conducted with the keywords \"quantitative gait\" OR \"gait analysis\" AND \"dementia\" AND \"single-task\" AND \"dual-task,\" and for \"quantitative gait\" OR \"gait analysis\" AND \"dementia\" AND \"fall risk\" on PubMed, EMBASE, the Cochrane Library, Scopus, and Web of Science. The results were used to perform a systematic review focussing on instrumental quantitative assessment of the walking of patients with dementia, during both single and dual tasks. The search was performed independently by two authors (C. R. and C. M.) from January 2018 to April 2020 using the PICOS criteria. Nine publications met the inclusion criteria and were included in the systematic review. Our meta-analysis showed that during a single task, most of the spatiotemporal parameters of gait discriminated best between patients with dementia and healthy controls, including speed, cadence, stride length, stride time, stride time variability, and stance time. In dual tasks, only speed, stride length, and stride time variability discriminated between the two groups. In addition, compared with spatial parameters (e.g. stride length), some temporal gait parameters were more correlated to the risk of falls during the comfortable walking in a single task, such as cadence, stride time, stride time variability, and stance time. During a dual task, only the variability of stride time was associated with the risk of falls.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S101370252130001X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033280","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 influence of low-intensity resistance training combined with neuromuscular electrical stimulation on autonomic activity in healthy adults: A randomized controlled cross-over trial.","authors":"Toshiki Kutsuna,&nbsp;Hitoshi Sugawara,&nbsp;Hideaki Kurita,&nbsp;Satomi Kusaka,&nbsp;Tetsuya Takahashi","doi":"10.1142/S1013702521500013","DOIUrl":"https://doi.org/10.1142/S1013702521500013","url":null,"abstract":"Background: Low-intensity resistance training (RT) combined with neuromuscular electrical stimulation (NMES) is one method of exercise to improve the deterioration of physical function. However, it is unclear whether low-intensity RT combined with NMES (RT + NMES) can be safely implemented. Objective: This study aimed to examine the influence of low-intensity RT + NMES on autonomic activity and cardiovascular responses in healthy adults. Methods: This study was an open-label, randomized controlled cross-over trial. The exercise intensity of isometric knee extension RT was set to 40% of the maximum voluntary contraction (peak torque). NMES was adjusted to a biphasic asymmetrical waveform with the frequency maintained at 50 Hz and a phase duration of 300 μs. The difference in the change in autonomic activity and cardiovascular responses was compared by assessing heart rate variability, blood pressure, and heart rate during RT and RT+NMES. Results: Twenty healthy male college students (mean age 21.0±0.6 years) participated in this study. The ratio of low- and high-frequency components of heart rate variability, systolic blood pressure, and heart rate increased during exercise in the RT and RT+NMES sessions (P<0.05). There were no significant differences in autonomic activity and cardiovascular responses throughout the sessions during RT and RT+NMES. Conclusion: In conclusion, our results demonstrated that low-intensity RT+NMES was safe and did not induce excessive autonomic and cardiovascular responses in healthy adults.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/46/hkpj-41-015.PMC8158405.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033281","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":"Erratum: A systematic review and meta-analysis on effect of spinal mobilization and manipulation on cardiovascular responses.","authors":"Charu Gera,&nbsp;Manoj Malik,&nbsp;Jaspreet Kaur,&nbsp;Minaxi Saini","doi":"10.1142/S1013702521920013","DOIUrl":"https://doi.org/10.1142/S1013702521920013","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1142/s1013702520500122.].</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/6c/hkpj-41-075.PMC8158407.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033287","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":"A systematic review and meta-analysis on effect of spinal mobilization and manipulation on cardiovascular responses.","authors":"Charu Gera,&nbsp;Manoj Malik,&nbsp;Jaspreet Kaur,&nbsp;Minaxi Saini","doi":"10.1142/S1013702520500122","DOIUrl":"https://doi.org/10.1142/S1013702520500122","url":null,"abstract":"<p><strong>Background: </strong>Spinal pain or misalignment is a very common disorder affecting a significant number of populations resulting in substantial disability and economic burden. Various manual therapeutic techniques such as spinal manipulations and mobilizations can be used to treat and manage pain and movement dysfunctions such as spinal mal-alignments and associated complications. These manual therapeutic techniques can affect the cardiovascular parameters.</p><p><strong>Objective: </strong>The objective of this systematic review and meta-analysis is to assess the effect of spinal manipulation and mobilization on cardiovascular parameters.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis to assess the effects of spinal mobilization and manipulation on cardiovascular responses. Mean changes in Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Heart Rate (HR) were primary outcome measures. RevMan 5.3 software was used for the meta-analyses. Quality of the included studies was assessed by PEDro Rating scale. Risk of bias was assessed by Cochrane collaboration tool of risk of bias.</p><p><strong>Results: </strong>Results of meta-analysis showed that there was statistically significant decrease in SBP ( <math><mstyle><mtext>MD</mtext></mstyle> <mo>=-</mo> <mn>4</mn> <mo>.</mo> <mn>56</mn></math> , 95% <math><mstyle><mtext>CI</mtext></mstyle> <mo>=-</mo> <mn>9</mn> <mo>.</mo> <mn>20</mn></math> , 0.08; <math><mi>p</mi> <mo>≤</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ) with moderate heterogeneity ( <math><mstyle><mtext>I</mtext></mstyle> <mn>2</mn> <mo>=</mo> <mn>75</mn> <mi>%</mi></math> , <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>0002</mn></math> ) in experimental group as compared to control group. There was statistically non-significant decrease in DBP ( <math><mstyle><mtext>MD</mtext></mstyle> <mo>=-</mo> <mn>1</mn> <mo>.</mo> <mn>96</mn></math> , 95% <math><mstyle><mtext>CI</mtext></mstyle> <mo>=-</mo> <mn>4</mn> <mo>.</mo> <mn>60</mn></math> , 0.69; <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>15</mn></math> ) with high heterogeneity ( <math><mstyle><mtext>I</mtext></mstyle> <mn>2</mn> <mo>=</mo> <mn>91</mn> <mi>%</mi></math> , <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>00001</mn></math> ), Change HR was statistically non-significant ( <math><mstyle><mtext>MD</mtext></mstyle> <mo>=-</mo> <mn>0</mn> <mo>.</mo> <mn>24</mn></math> , 95% <math><mstyle><mtext>CI</mtext></mstyle> <mo>=-</mo> <mn>3</mn> <mo>.</mo> <mn>59</mn></math> , 3.11; <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>89</mn></math> ) with moderate heterogeneity ( <math><mstyle><mtext>I</mtext></mstyle> <mn>2</mn> <mo>=</mo> <mn>60</mn> <mi>%</mi></math> , <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn></math> ). Exclusion of short duration studies in sensitivity analysis revealed a statistically significant change in DBP ( <math><mstyle><mtext>MD</mtext></mstyle> <m","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541110","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":"Effects of incentive spirometry on cardiopulmonary parameters, functional capacity and glycemic control in patients with Type 2 diabetes.","authors":"Happiness Anulika Aweto, Esther Onyinyechi Obikeh, Bosede Abidemi Tella","doi":"10.1142/S1013702520500110","DOIUrl":"10.1142/S1013702520500110","url":null,"abstract":"<p><strong>Background: </strong>Patients with Type 2 diabetes mellitus (T2DM) suffer cardiopulmonary impairment and may present with weakness of the inspiratory muscles.</p><p><strong>Objective: </strong>This study was designed to determine the effects of incentive spirometry (IS) on selected cardiopulmonary parameters, functional capacity and glycemic control in patients with T2DM.</p><p><strong>Methods: </strong>Fifty-nine participants (25 males and 34 females) recruited from the out-patient clinic of the Department of Medicine of two hospitals in Lagos State, Nigeria, who were randomly assigned into two groups, completed the study. In addition to the medical management of T2DM, IS group received incentive spirometry while control group continued with the medical management of T2DM alone. Selected cardiovascular parameters, pulmonary parameters, functional capacity (using 6-min walk test) and fasting blood glucose level were assessed at baseline and at the end of eight weeks intervention period. Data were analyzed using the Statistical Package for Social Sciences (SPSS Version 21). Level of significance was set at <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> .</p><p><strong>Results: </strong>There were statistically significant improvements in all the cardiovascular parameters ( <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>001</mn></math> ) of IS group except systolic blood pressure. There were significant changes in all the pulmonary parameters, functional capacity and glycemic control ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ) of IS group while there was none in control group. There were significant differences between the mean changes of various selected outcome measures of the two groups ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ) except for diastolic blood pressure and blood glucose level.</p><p><strong>Conclusion: </strong>IS had positive effects in improving cardiopulmonary function, functional capacity and glycemic control in patients with T2DM.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541114","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":"Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study.","authors":"Wahyuddin Wahyuddin, Mantana Vongsirinavarat, Keerin Mekhora, Sunee Bovonsunthonchai, Rachaneewan Adisaipoapun","doi":"10.1142/S1013702520500109","DOIUrl":"10.1142/S1013702520500109","url":null,"abstract":"<p><strong>Background: </strong>Facet joint is a potential structure to be the source of chronic low back pain (LBP) affecting lumbar motion, pain, and disability. Other than the recommended treatment of lumbar stabilization exercise (LSE), several manual procedures including muscle energy technique (MET) are commonly used in physical therapy clinic. However, little evidences of the effects of MET have been reported.</p><p><strong>Objective: </strong>This study aimed to compare the immediate effects of MET and LSE in patients with chronic LBP with suspected facet joint origin.</p><p><strong>Methods: </strong>Twenty-one patients with low back pain were recruited and randomly assigned to receive treatment either MET or LSE. The outcomes were kinematic changes, pain intensity, and disability level. Lumbar active range of motion (ROM) of flexion, extension, left and right lateral flexion, and left and right rotation were evaluated using the three-dimension motion analysis system at baseline and immediately after treatment. Pain intensity was evaluated using visual analogue scale (VAS) at baseline, immediately after, and two days after treatment. Thai version of the modified Oswestry disability questionnaire (ODQ) was utilized at baseline and two days after treatment. The mixed model analysis of variance was used to analyze all outcomes.</p><p><strong>Results: </strong>The results showed that all outcomes were not different between groups after treatments. Although there were statistically significant improvements after the treatments when collapsing the groups, the minimal clinically important change was found only for pain but not for lumbar movements and disabilities scores.</p><p><strong>Conclusion: </strong>The effect of MET and LSE alone in single session might not be intensive enough to improve movements and decrease disability in patients with chronic LBP with suspected facet joint origin.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541113","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":"Abdominal muscle activation: An EMG study of the Sahrmann five-level core stability test.","authors":"Ebby Waqqash Mohamad Chan,&nbsp;Mohamad Shariff A Hamid,&nbsp;Ali Md Nadzalan,&nbsp;Eliza Hafiz","doi":"10.1142/S1013702520500080","DOIUrl":"https://doi.org/10.1142/S1013702520500080","url":null,"abstract":"Background: Sahrmann five-level core stability test protocol has been used to evaluate the ability of the core muscles to stabilize the spine. However, validation studies on the Sahrmann protocol are limited. Objective: The purpose of this study was to compare the different levels of Sahrmann five-level core stability (levels 1–5) on the muscle activity of rectus abdominis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO). Methods: Twenty-two asymptomatic male participants aged 21.36±1.59 years were recruited. Participants were instructed to perform maximum voluntary contraction (MVC) and five levels of Sahrmann five-level core stability test guided with a pressure biofeedback unit (PBU). The surface electromyography (EMG) data of each muscle during five levels of Sahrmann five-level core stability test were normalized as a percentage of MVC. Results: Results showed significant differences in the normalized EMGs of RA [χ2(4) = 64.80, p<0.001], EO [χ2(4) = 58.11, p<0.001], and TrA/IO [χ2(4) = 56.00, p<0.001] between the five levels of Sahrmann five-level core stability test. Post-hoc analysis revealed Sahrmann levels 5 and 3 have significantly higher abdominal EMG signals than levels 4, 2, and 1 (p<0.001). Conclusion: In conclusion, the Sahrmann five-level core stability test differs according to the level of Sahrmann tests. Significantly higher abdominal muscle activities were observed during levels 3 and 5. Therefore, the classification exchange in levels 3 and 4 of the Sahrmann five-level core stability test should be reconsidered in the future.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541111","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}