Muhammad N. Khalid, S. N. Janjua, Sheraz Mustafa, Shamsa Kanwal, Qasim M. Ghouri, Ubair U. Shaheen
{"title":"Clinical outcomes in anterior cruciate ligament reconstruction using peroneus longus tendon autograft versus hamstring tendon autograft","authors":"Muhammad N. Khalid, S. N. Janjua, Sheraz Mustafa, Shamsa Kanwal, Qasim M. Ghouri, Ubair U. Shaheen","doi":"10.25259/jmsr_62_2024","DOIUrl":"https://doi.org/10.25259/jmsr_62_2024","url":null,"abstract":"\u0000\u0000The objective of this study was to compare the clinical outcomes in anterior cruciate ligament reconstruction (ACLR) using peroneus longus tendon (PLT) autograft and hamstring tendon (HT) autograft.\u0000\u0000\u0000\u0000A quasi-experimental study design was utilized. This study was done at the Orthopedic Department of Pakistan Atomic Energy Commission, General Hospital, Islamabad, from July 2021 to July 2023. Patients were split into two groups, and they received either PLT or HT autograft. Pain, range of motion (ROM), muscle power, and return to jogging were assessed using the visual analog scale, goniometer scale, and anterior cruciate ligament-return to sports after injury scale at six weeks, three months, and six months post-surgery.\u0000\u0000\u0000\u0000A total of 61 patients, out of which 26 patients received an HT (quadrupled gracilis and semitendinosus) graft and 35 received a PLT autograft. The patient’s mean age was 26.51 ± 6.78 years. The HT group had more pain at six weeks and three months, while the PLT group had lesser pain (P < 0.05). Both groups had mild pain after six months (P = 0.337). At six and three months, there was a significant difference in ROM (P = 0.05), but no significant change in the Medical Research Council power of muscles was identified. Thirty-four patients from the PLT group could jog without discomfort before six months. Overall, every patient was satisfied with the treatment that they received.\u0000\u0000\u0000\u0000Patients who had ACLR with a PLT autograft had significantly better clinical and functional outcomes compared to those who received an HT autograft.\u0000","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"46 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141339732","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":"Effects of abdominal bracing maneuver during walking on trunk muscle endurance in healthy staff of Northwest Institute: A randomized controlled pilot study","authors":"Hifsa Mumtaz, Alishba Durani, Waqas Shoaib, Uzair Ahmad, Syed Zain Ul Abidin","doi":"10.25259/jmsr_82_2024","DOIUrl":"https://doi.org/10.25259/jmsr_82_2024","url":null,"abstract":"\u0000\u0000This study aimed to find the effect of abdominal bracing (AB) maneuver during walking on trunk muscle endurance in healthy individuals.\u0000\u0000\u0000\u0000A randomized control pilot study was conducted at Northwest Institute of Health Sciences Peshawar from July to December 2023. A total of 32 participants aged 25–40 were randomized to Groups A and B. Group A received AB maneuver with walking, while Group B received walking only. Both groups received a total of 12 sessions. Pre- and post-endurance testing was performed using McGill’s Torso Muscular Endurance Test.\u0000\u0000\u0000\u0000The mean age of participants in Group A was 29.06 ± 5.14 years, while the mean age of participants in Group B was 27.62 ± 2.84 years. The mean and standard deviation of the flexor endurance test between Groups A and B after treatment were 27.37 ± 3.26 and 16.21 ± 2.24, respectively. A significant difference was observed in flexor endurance and right and left lateral flexor endurance between the two groups (P < 0.05). In contrast, no significant difference was observed in extensor endurance between the two groups, having P > 0.05. Within-group analysis in Group A revealed a significant difference in pre-post-intervention flexion, right and left lateral flexors, and extensors (P < 0.05). However, within-group analysis in Group B revealed a statistical difference in flexors endurance, which is not clinically significant.\u0000\u0000\u0000\u0000The AB maneuver with walking compared with walking alone may improve the endurance of the trunk flexors, specifically the right and left lateral flexors.\u0000","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"4 s7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141375667","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 of active release and post-isometric relaxation techniques on functional performance in patients with chronic lateral epicondylitis","authors":"Ans Hanif, Sana Hafeez, Tooba Arif, Sidra Habib","doi":"10.25259/jmsr_65_2024","DOIUrl":"https://doi.org/10.25259/jmsr_65_2024","url":null,"abstract":"\u0000\u0000Lateral epicondylitis (LE) occurs as a result of repetitive strain near the place of origin of the extensor carpi radialis brevis tendon. This is due to eccentric overload and repetition, causing chronic degeneration of the forearm’s common extensor tendons, which are attached to the lateral epicondyle of the humerus. This study aimed to assess the comparative effects of post-isometric relaxation (PIR) and active release techniques (ARTs) on pain inhibition, grip strength, and functional ability among individuals suffering from chronic LE.\u0000\u0000\u0000\u0000A randomized clinical trial was conducted on 30 individuals suffering from chronic LE. All of the subjects were randomly assigned to one of two treatment groups: PIR method or active release approach. Both groups received 12 sessions over four weeks. The numerical pain rating scale (NPRS), handheld dynamometer, and patient-rated tennis elbow evaluation (PRTEE) were used to assess the impacts of therapy before and after treatment sessions.\u0000\u0000\u0000\u0000The results showed that the NPRS pain score, strength of the grip, and functional performance all showed substantial differences between the two groups (P < 0.05) as well as within-group differences (P < 0.05).\u0000\u0000\u0000\u0000The study concluded that PIR techniques were more effective as compared to ARTs for pain reduction, improved strength of gripping, enhanced functionality, and showed better outcomes in terms of mean difference of NPRS, dynamometer, and PRTEE scoring across the groups.\u0000","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":" 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374847","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}
Aqdas Shahzad, Muhammad Azhar, Hassan Zafar, Muhammad A. Khan, Sana Shakir
{"title":"Therapeutic effects of mobilization in alleviating pain and improving shoulder mobility in adhesive capsulitis – A systematic review","authors":"Aqdas Shahzad, Muhammad Azhar, Hassan Zafar, Muhammad A. Khan, Sana Shakir","doi":"10.25259/jmsr_54_2024","DOIUrl":"https://doi.org/10.25259/jmsr_54_2024","url":null,"abstract":"Frozen shoulder (FS) is a painful clinical disease that lasts over three months and affects 3–5% of the general population. The main goal of this review was to show how mobilization techniques can affect FS treatment compared to other physiotherapy options. A systematic review of randomized controlled studies from CINAHL, MEDLINE, AMED, and PubMed published after 2010. Studies that included patients 18 or older with FS, but no other underlying systemic disorders were eligible. The review focused on two primary outcomes: Pain levels and how effectively patients could move their shoulders. The quality of the studies was assessed using the physiotherapy evidence database (PEDro) technique. Six randomized controlled studies with a PEDro score of 5/10 that met the study requirements were included. The pain was reduced in three of the five investigations with P < 0.05, whereas the remaining studies yielded neutral findings in lowering pain in patients with FS. All of the individuals’ range of motion (ROM) was evaluated. With P < 0.05, four of the six trials showed an improvement in shoulder ROM. Bending, straightening, moving arms away from the body, bringing them back in, internal rotation, and external rotation were all assessed and shown to be significant with P ≤ 0.05. Most studies suggested that patients, who have received mobilization treatment, experienced positive improvements. Techniques such as Mulligan mobilization, scapular mobilization, passive mobilization, and angular joint mobilization have proven effective in addressing pain and improving the ROM in individuals with FSs.","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"116 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669716","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":"Unveiling statistical discrepancies: Methodological review of chronic neck pain study","authors":"Neha Yadav, A. Srivastav","doi":"10.25259/jmsr_91_2024","DOIUrl":"https://doi.org/10.25259/jmsr_91_2024","url":null,"abstract":"","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"116 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140680623","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}
Rida Ejaz, Saba Rafique, Khizra Hamid, Qasim Raza, Shabana Haider
{"title":"Comparative effects of shockwave therapy and Maitland lumbar mobilization on pain, disability, and range of motion in patients with mechanical low back pain: A pilot study","authors":"Rida Ejaz, Saba Rafique, Khizra Hamid, Qasim Raza, Shabana Haider","doi":"10.25259/jmsr_42_2024","DOIUrl":"https://doi.org/10.25259/jmsr_42_2024","url":null,"abstract":"\u0000\u0000Low back pain (LBP) has been considered a neuromusculoskeletal issue that affects a wide variety of populations around the globe at some stage in their life. This paper aimed to see the comparative effects of shockwave therapy and Maitland lumbar mobilizations on pain severity, disability, and range of motion (ROM) values in subjects with mechanical LBP.\u0000\u0000\u0000\u0000A randomized clinical trial was carried out involving 26 subjects divided into two groups using a random number generator table. After baseline therapy (lumbar stretches and core strengthening exercises), shockwave therapy was administered to Group A (2000 shocks/session, pressure of 2 bars, frequency 10 Hz), while Group B received Maitland lumbar mobilizations (starting from Grade 1, with 3–4 sets of oscillations with 40 counts/set, two sets of oscillation to one level below and above the affected vertebras). Both therapeutic interventions were administered for 30 days, twice a week (total of eight sessions) for individual groups.\u0000\u0000\u0000\u0000Numeric pain rating scale, Oswestry LBP disability index, lumbar flexion, and extension ROM pre- and post-treatment values showed significant differences with P < 0.05. A greater difference in mean values was observed in group B receiving Maitland mobilization as compared to group A receiving shockwave therapy. Between-group analysis showed a statistically significant difference in both groups with P < 0.005.\u0000\u0000\u0000\u0000Both groups showed significant effects in reducing pain levels, functional disability scores, and improving flexion and extension ROM values. However, participants receiving Maitland mobilization showed more significant improvement in all variables than shockwave therapy.\u0000","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":" 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140687572","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}
Mandira B. Patil, Shobhalakshmi S Holla, S. M. Ajoy, Manisha R. Patel
{"title":"Assessment of balance and fear of falling in individuals with acute ankle sprain: A cross-sectional pilot study","authors":"Mandira B. Patil, Shobhalakshmi S Holla, S. M. Ajoy, Manisha R. Patel","doi":"10.25259/jmsr_51_2024","DOIUrl":"https://doi.org/10.25259/jmsr_51_2024","url":null,"abstract":"\u0000\u0000The primary objective of this research was to assess balance, pain, and fear of falling (FOF) among individuals with an acute ankle sprain. The secondary objective was to correlate FOF with pain and balance.\u0000\u0000\u0000\u0000The research was conducted among individuals with acute ankle sprain —two to three days after removal of two weeks of casting at M S Ramaiah hospitals, Bengaluru. The primary outcome measures were the Short Falls Efficacy Scale-International (Short FES-I) and the star excursion balance test (SEBT), and the secondary outcome measure was the numerical pain rating scale (NPRS). Cutoff points for Short FES-I defined in prior research using receiver operator characteristic plots were used in this study. For Short FES-I, frequencies and percentages were employed. The NPRS and SEBT were measured using means and standard deviations.\u0000\u0000\u0000\u0000The results showed that among 21 individuals, 76.2% had FOF. Among those with FOF, 56.25% had moderate FOF, and 43.75% had severe FOF. Mean SEBT scores were greater for the uninvolved limb than for the involved limb. Spearman’s Rho test showed that the Short FES-I and NPRS showed no correlation (P = 0.102 > 0.05), and Short FES-I and SEBT showed a significant correlation (P = 0.003 < 0.05).\u0000\u0000\u0000\u0000The FOF was present in two-thirds of those with acute ankle sprains, and balance impairment was present in individuals with Grade II ankle sprains. Among individuals with FOF, the degree of FOF was moderate to severe. There was a significant negative correlation between FOF and balance, but no correlation was found between FOF and pain.\u0000","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685861","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}
Amna Iram, T. Ghaffar, Zohaib Anwar Solangi, Jahanara Ayaz, Abdul Rehman, Naila Yasmin, Ahmad Wassi
{"title":"Association between socioeconomic status and quality of life among cerebral palsy children in government children hospitals and special training centers","authors":"Amna Iram, T. Ghaffar, Zohaib Anwar Solangi, Jahanara Ayaz, Abdul Rehman, Naila Yasmin, Ahmad Wassi","doi":"10.25259/jmsr_250_2023","DOIUrl":"https://doi.org/10.25259/jmsr_250_2023","url":null,"abstract":"\u0000\u0000Cerebral palsy (CP) is a group of disorders that affect a person’s ability to move and maintain the posture and balance of the body. It is the most common motor disability in childhood. The present study investigated the relationship between socioeconomic status (SES) and the quality of life (QoL) among children with CP up to the age of 12 years who attend our center.\u0000\u0000\u0000\u0000This observational corelational survey was conducted on a sample of 80 children with CP from our center. Participants were recruited based on selection criteria. Participants of age brackets up to 12 years, male and female children of all socioeconomic classes, neurologically diagnosed CP children, and patients with posture, brain deficits, and movement impairments were included in the study. The chosen participants completed the Health Questionnaire EQ-5D-5L and provided socioeconomic information with the assistance of their parents.\u0000\u0000\u0000\u0000Nearly half (47%) of the participants were male and 52.5% were female. P-value of all factors was above 0.05, which showed no significant association between SES and the QoL of CP patients.\u0000\u0000\u0000\u0000No statistically significant association was found between SES and the QoL of children with CP at our center.\u0000","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"120 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140708893","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":"Which criterion guarantees successful cervical disc surgery? A report of a 20-year academic experience","authors":"F. Omidi-Kashani","doi":"10.25259/jmsr_60_2024","DOIUrl":"https://doi.org/10.25259/jmsr_60_2024","url":null,"abstract":"","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"29 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140752956","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}
C. Velluto, Michele Inverso, M. I. Borruto, Davide Messina, Guido Bocchino, Andrea Perna, L. Proietti
{"title":"A rare case of infective spondylodiscitis in an 18-month-old infant: Clinical presentation and management","authors":"C. Velluto, Michele Inverso, M. I. Borruto, Davide Messina, Guido Bocchino, Andrea Perna, L. Proietti","doi":"10.25259/jmsr_211_2023","DOIUrl":"https://doi.org/10.25259/jmsr_211_2023","url":null,"abstract":"Spondylodiscitis is a rare inflammatory condition predominantly observed in adults and presents unique challenges when encountered in infants. Diagnosis in this population is complicated by non-specific symptoms necessitating a high index of suspicion and comprehensive clinical evaluation. This case study reports an exceptional spondylodiscitis case in an 18-month-old infant presented with prolonged asthenia, refusal to walk, loss of appetite, and fever. Physical examination revealed general well-being, good hydration, and bilateral tonsillar hypertrophy. The pain was noted in the right hip joint and thoracolumbar spine while hip joint mobility was unrestricted. Initial investigations were conducted including blood tests, ultrasound of the right hip, and lumbosacral spine radiography, all within normal limits. Magnetic resonance imaging indicated spondylodiscitis. Empiric antibiotic therapy was administered. The fever subsided, and the patient’s condition improved leading to conservative treatment with a custom-fitted orthosis. After 15 days of hospitalization, the patient was discharged. This case report aimed to underscore the importance of early recognition and appropriate intervention as well as the need for multidisciplinary collaboration in managing pediatric spondylodiscitis.","PeriodicalId":503319,"journal":{"name":"Journal of Musculoskeletal Surgery and Research","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957689","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}