{"title":"Other Soft Tissue Pain Conditions","authors":"T. Romano","doi":"10.3109/10582452.2014.941128","DOIUrl":"https://doi.org/10.3109/10582452.2014.941128","url":null,"abstract":"This is a case report of a 30-year-old healthy righthanded man who complained of pain in the lateral aspect of the right elbow with limited motion for two months. It began after he played badminton with a back-hand posture. The pain was aggravated by grasping, lifting or twisting the racket or any sudden movements of extension or supination of the elbow joint. Anti-inflammatory medication and conventional rehabilitation was of little help. The authors decided to treat with fire needle therapy, which is an acupuncture technique. They did triple needling on the Ah-shi point associated with Shousanli (LI10) and Quchi (LI11) over the muscular origin of the lateral extensor group of the forearm. In addition, triple needling was done at the Zhouliao (LI12) superolateral to LI11 and Chize (LU5) in the cubital region. These needles were single use, disposable sterile 40 millimeter 30-gauge needles and manipulated manually. They remained in situ for 15 minutes after manipulation and concomitant electroacupuncture was managed on LI10 and LI11. Moxibustion was used above the three Ah-shi points. After four sessions of acupuncture within two weeks, Visual analogue pain scores (VAS) improved compared to pre-treatment values. Furthermore, the pre-treated shoulder and hands (DASH) score of 43.33 decreased to 17.5. The average grip strength of the affected hand increased from 50 pounds to 65 pounds. Unfortunately, after resumption of work and sporting activity, the patient relapsed. The authors changed their technique a bit and used fire needle therapy which consisted of an acupuncture needle made of tungsten heated red hot over a lamp and then inserted into the three Ah-shi points. The patient received two sessions of the fire needle therapy. Afterwards, the elbow pain significantly improved and his strength was also increased. VAS and DASH scores were also significantly improved and the average grip strength of the affected hand increased from 65 pounds to 100 pounds. At four-month follow-up, the patient continued to be significantly improved.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"331 - 334"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.941128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500579","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":"A Systematic Review of Neurofeedback as a Treatment for Fibromyalgia Syndrome Symptoms","authors":"Maya S Santoro, T. Cronan","doi":"10.3109/10582452.2014.883037","DOIUrl":"https://doi.org/10.3109/10582452.2014.883037","url":null,"abstract":"Abstract Objectives: Fibromyalgia syndrome [FMS] is a musculoskeletal condition that is defined by widespread pain, mood disturbance, and cognitive dysfunction. There is debate surrounding the causes of this disorder, with growing attention being placed on central nervous system [CNS] abnormalities. Neurofeedback is a form of biofeedback that is designed to alter neurophysiological processes using electro-encephalogram [EEG] technology. This review includes systematic examination and comparison of neurofeedback interventions used to treat FMS symptoms [i.e. pain, fatigue, cognitive function, depression, anxiety, FMS impact]. Systematic searches were conducted on PubMed, PsycINFO, Cochrane Library, Medline, Web of Science, and the Society of Behavioral Medicine listserv for published and unpublished reports of interventions studies. Findings: Seven of the identified 255 studies met the criteria for inclusion. Three of these reports described traditional neurofeedback interventions and four described alternative neurofeedback training. There was a significant variability in terms of study design, intervention procedures [length and number of treatment sessions], and overall study quality. The traditional neurofeedback articles were ranked as having the poorest quality and reported greatest symptom improvements in response to neurofeedback as a monotherapy. The articles describing alternative neurofeedback varied in their global quality and provided mixed results with regards to its efficacy as a treatment. Conclusions: The research provides initial evidence of the utility of neurofeedback in the treatment of FMS symptoms; however, additional high quality research is needed.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"286 - 300"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499958","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}
Sil-ah Choi, Heon-seock Cynn, Tae-lim Yoon, Woo-jeong Choi, Jihyun Lee
{"title":"Effects of Ankle Dorsiflexion on Vastus Medialis Oblique and Vastus Lateralis Muscle Activity During Straight Leg Raise Exercise with Hip External Rotation in Patellofemoral Pain Syndrome","authors":"Sil-ah Choi, Heon-seock Cynn, Tae-lim Yoon, Woo-jeong Choi, Jihyun Lee","doi":"10.3109/10582452.2014.907857","DOIUrl":"https://doi.org/10.3109/10582452.2014.907857","url":null,"abstract":"Abstract Objectives: The purpose of this study was to investigate the effect of combined ankle dorsiflexion [DF] and straight leg raise with hip external rotation [SLRER] on the vastus medialis oblique [VMO] and vastus lateralis [VL] muscle activity and VMO/VL ratio in subjects with patellofemoral pain syndrome [PFPS] and healthy normal control [HNC] subjects. Methods: Twenty-six subjects [13 in the PFPS group and 13 in the HNC group] were recruited and all subjects performed two exercises; SLRER and SLRER with DF [SLRERDF]. Surface electromyography was used to collect data of the VMO and VL muscle activity. A two-way mixed analysis of variance was used to determine the statistical significance of VMO and VL muscle activity and VMO/VL ratio. Results: The VMO muscle activity during SLRERDF was significantly greater than SLRER in both groups and the VL muscle activity during SLRERDF was significantly greater than SLRER in both groups. For the VMO/VL ratio, there were no significant main effect of group and exercise. Conclusions: Although the findings of this study did not demonstrate that SLRERDF is effective for targeting the VMO over VL muscle activity in the PFPS group, SLRERDF could be recommended as activation strategy for subjects with the general quadriceps weakness.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"260 - 267"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.907857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500826","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}
G. Mengi, A. Gencay-Can, N. Demirsoy, Emrah Tomsuk, B. Koku, M. Beyazova
{"title":"Reliability of a Novel Visual Feedback System Developed for Increasing the Efficiency of Posterior Pelvic Tilt Exercise","authors":"G. Mengi, A. Gencay-Can, N. Demirsoy, Emrah Tomsuk, B. Koku, M. Beyazova","doi":"10.3109/10582452.2014.907859","DOIUrl":"https://doi.org/10.3109/10582452.2014.907859","url":null,"abstract":"Abstract Objectives: This study aimed to develop and assess the reliability of a visual feedback system intended to improve the patient’s perception and the performance of posterior pelvic tilt [PPT] exercises. The feedback setup designed and constructed by the authors included a bed covered with a mat with three embedded force sensors corresponding to the lumbosacral region of the subject lying supine; a data acquisition card to collect and convert data; and two monitors, one above the subject and one on the physician’s table. Software was developed to monitor the force exerted vertically upon the force sensors during PPT to be followed both by the physician and the subject. Methods: Fifteen healthy volunteers were enrolled for a relability trial. The subjects were asked to perform five consecutive PPT with maximum effort. Each subject was evualated three times by two physicians. Intraclass correlation coefficients (ICC) were computed to determine the intrarater and interrater reliability of the maximum force values measured by the visual feedback PPT exercise system. Results: The ICC were 0.89 and 0.98 for intrarater and 0.89, 0.89, and 0.96 for interrater reliability. Conclusions: The novel visual feedback system for PPT proved to be highly reliable for both intrarater and interrater measurements of maximum force.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"237 - 241"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.907859","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500415","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":"Efficacy of Web-Based [E-Learning] Office Ergonomics Training: A Test Study","authors":"M. Dalkılınç, H. Kayıhan","doi":"10.3109/10582452.2014.907851","DOIUrl":"https://doi.org/10.3109/10582452.2014.907851","url":null,"abstract":"Abstract Objectives: Work-related musculoskeletal disorders of computer users represent a growing problem for the workplace, the health care system, and the society. Office ergonomic educational strategies have been developed and implemented to address this concern. In this study, we aimed to establish and test an e-learning method for office ergonomics training and evaluate immediate and short-term effects of the training. Methods: Web-based ergonomics training was designed and delivered. Assessments included demographic, knowledge, and behavioral aspects. Several online surveys and the Rapid Upper Limb Assessment [RULA] were used as assessment tools. Results: The Knowledge Assessment Score after the training significantly improved from 4.70 to 9.58. Behavioral assessment scores including the RULA and Workplace Interaction Score improved from 5.72 to 5.11 and 6.39 to 7.99, respectively. Conclusion: It was observed that employees had converted the knowledge they gained by training into behavioral change, and they reflected this in their working postures and workplace interaction.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"275 - 285"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.907851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500272","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":"Frozen Shoulder—A Review of Current Concepts","authors":"M. Khan, S. Nuhmani","doi":"10.3109/10582452.2014.883034","DOIUrl":"https://doi.org/10.3109/10582452.2014.883034","url":null,"abstract":"Abstract Objective: To provide an overview of the natural history, pathogenesis, diagnosis, and management of adhesive capsulitis, with emphasis on the most recent evidence regarding etiology and treatment. Findings: Frozen shoulder is also known as adhesive capsulitis, a common condition in which the shoulder joint capsule and the connective tissues around the gleno humeral joint get inflamed and stiff, causing scapulohumeral pain and loss of motion. In addition to difficulty in performing daily activities, these patients usually experience problems in sleeping for an extended period of time due to pain that is worse at night. Frozen shoulder [FS] is a distinct clinical entity with characteristic clinical and arthrographic findings. Conclusion: Due to a large number of treatment options and limited evidence for their effectiveness, more research is required to establish the effectiveness of each treatment strategy. However, this information should assist health-care practitioners who treat patients with this disorder.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"308 - 313"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499865","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":"A History of Dry Needling","authors":"David Legge","doi":"10.3109/10582452.2014.883041","DOIUrl":"https://doi.org/10.3109/10582452.2014.883041","url":null,"abstract":"Abstract Objectives: To trace the development of the practice and theoretical basis of dry needling by means of an examination of the literature. Findings: The term dry needling arose from the need to provide a contrast to the injection of a fluid through a hypodermic syringe [now sometimes referred to as wet needling]. Dry needling does not involve the injection of any substance, merely the insertion of a needle. The history of dry needling is inextricably bound up with the search for effective treatment of painful musculoskeletal disorders. In particular, it was the research into the use of injections, to both cause and relieve pain in muscular tissue, that led to the development of trigger point theory and then to the use of dry needling as a treatment. Conclusions: A search of the literature reveals that the important clinical finding that simple dry needling of tender points could produce profound and long-lasting relief of musculoskeletal pain had been published in 1941 and again in 1947. This provoked little interest in the wider academic or clinical community until the focus on acupuncture in the 1970s and the publication of a scientific explanation of the nature of myofascial trigger points in the 1970s and 1980s. Since 2000, there has been a surge in academic interest in dry needling and its use has expanded into the allied health professions of physiotherapy, osteopathy, and chiropractic.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"301 - 307"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500026","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}
Z. Dimitriadis, N. Strimpakos, E. Kapreli, J. Oldham
{"title":"Validity of Visual Analog Scales for Assessing Psychological States in Patients with Chronic Neck Pain","authors":"Z. Dimitriadis, N. Strimpakos, E. Kapreli, J. Oldham","doi":"10.3109/10582452.2014.907852","DOIUrl":"https://doi.org/10.3109/10582452.2014.907852","url":null,"abstract":"Abstract Objectives: Examination of visual analog scale’s [VAS] validity for assessing psychological states in patients with chronic neck pain. Methods: Forty-five patients with chronic neck pain completed the Hospital Anxiety and Depression Scale, Tampa Scale for Kinesiophobia, and Pain Catastrophizing Scale. Anxiety, depression, kinesiophobia, and catastrophizing were additionally assessed by using a VAS for each. Results: Only the anxiety VAS could correlate high enough with its corresponding questionnaire. This correlation was higher than any other of its correlations with the other psychological instruments. Conclusions: The VAS seems to be a valid scale for assessing anxiety in patients with chronic neck pain.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"242 - 246"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.907852","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500659","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":"Bilateral Complex Regional Pain Syndrome Associated with Cervical Disc Herniation: A Case Report","authors":"Gülcan Öztürk, D. Külcü, N. Alan Selçuk, E. Aydoğ","doi":"10.3109/10582452.2014.883038","DOIUrl":"https://doi.org/10.3109/10582452.2014.883038","url":null,"abstract":"Abstract Objectives: To report a previously undescribed sudden onset of bilateral complex regional pain syndrome [CRPS] associated with cervical disc herniation [CDH]. Findings: A patient with sudden onset of intensive pain in both hands was diagnosed as bilateral CRPS. The etiologic factor was found to be CDH, spinal cord, and C6 nerve root compression. The diagnosis was confirmed by three-phase scintigraphy. The patient was treated with pregabalin. Conclusions: This case allows clinicians to suggest CDH in the etiology of CPRS, even if the patient does not have any symptoms and complaints resulting from CDH. The mechanism is not clear, but suggests nerve damage.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"314 - 317"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499967","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}
G. Celbek, M. Ozşahin, M. Uslu, E. Onder, A. Kutlucan, F. H. Beşir, Y. Aydin
{"title":"An Atypical Femoral Fracture in a Patient on Long-term Alendronate Therapy","authors":"G. Celbek, M. Ozşahin, M. Uslu, E. Onder, A. Kutlucan, F. H. Beşir, Y. Aydin","doi":"10.3109/10582452.2014.883031","DOIUrl":"https://doi.org/10.3109/10582452.2014.883031","url":null,"abstract":"Abstract Background: Biphosphonates, especially alendronate, are used extensively and successfully for the treatment of osteoporosis. However, there are numerous recent studies that indicate low-energy subtrochanteric femoral fractures can be associated with long-term alendronate therapy. Findings: We present a 76-year-old female patient who has taken 70 mg alendronate per week for 7 years, and who presented with pain in the left thigh. Conclusions: The patient was diagnosed as atypical femoral fracture resulting from long-term alendronate use. The diagnosis and the treatment will be discussed with a review of the literature.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"322 - 326"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500263","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}