JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

{"title":"Methodological quality of systematic reviews on physical exercise for breast cancer patients. Meta-epidemiological study","authors":"Larissa Gomes Peres Bomfim ,&nbsp;Vinícius Lúcio de Barros ,&nbsp;Raíssa Mendonça de Menezes ,&nbsp;Giuliana Raduan Crizol ,&nbsp;Mileny Esbravatti Stephano Colovati ,&nbsp;Ana Luiza Cabrera Martimbianco","doi":"10.1016/j.jbmt.2024.04.051","DOIUrl":"10.1016/j.jbmt.2024.04.051","url":null,"abstract":"<div><h3>Objective</h3><p>several clinical trials have been published in recent years to investigate the potential benefits of physical exercise for women with breast cancer. This meta-epidemiological study aimed to map and critically assess the methodological quality of systematic reviews on physical activity for breast cancer patients.</p></div><div><h3>Methods</h3><p>a meta-epidemiological study including systematic reviews of randomized clinical trials that evaluated the effects of physical exercise on breast cancer patients. The search was performed in MEDLINE. The methodological quality was assessed using the AMSTAR-2 tool. We collected additional information regarding included systematic review search details.</p></div><div><h3>Results</h3><p>we included 57 systematic reviews published between 2006 and 2021, including only randomized clinical trials on the effects of any physical activity on breast cancer patients. The results showed that 58% of the included reviews were classified as low or critically low quality. Only 10% presented high methodological quality, and 32% were classified as moderate. Furthermore, complete search strategies were presented in 54,4% of the reviews, and 59,6% fully described the search date; 61,4% presented data and/or language restrictions, and 52,6% conducted additional hand searches.</p></div><div><h3>Conclusion</h3><p>The findings of this study showed the methodological frailty of most systematic reviews on the effects of physical exercises on breast cancer patients. Caution is needed on the part of health professionals, managers and policymakers in health, patients and the general population when interpreting the applicability of this evidence, and it is suggested to perform systematic reviews of high methodological quality to assist decision-making.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772965","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":"Kinesiology taping improves balance in football players with chronic ankle instability","authors":"Pedro Harry-Leite ,&nbsp;Manuel Paquete ,&nbsp;Telmo Parada ,&nbsp;José António Fraiz ,&nbsp;Fernando Ribeiro","doi":"10.1016/j.jbmt.2024.04.048","DOIUrl":"10.1016/j.jbmt.2024.04.048","url":null,"abstract":"<div><h3>Introduction</h3><p>There appears to be no consensus on the usefulness of kinesiological tape in athletes with chronic ankle instability, therefore the aim of this study was to examine the effects of kinesiological tape on dynamic balance in football players with chronic ankle instability.</p></div><div><h3>Design, setting and participants</h3><p>Football players who were eligible for this randomized controlled study were randomly assigned (allocation ratio 1:1:1) to one of three groups: experimental group, placebo group or control.</p></div><div><h3>Interventions</h3><p>The experimental group received kinesiological tape bands applied to the peroneal and tibialis anterior muscles. The tape was applied for 48 h. The placebo group received a sham kinesiological tape application for the same duration, while the control group did not receive any tape.</p></div><div><h3>Outcome measures</h3><p>Balance was assessed using the Y-Balance Test at baseline and 48 h later, with the kinesiological tape still in place, either sham or control.</p></div><div><h3>Results</h3><p>A total of 69 (23 per group) semi-professional, male, players (22.1 ± 4.3 years) completed the study. There was a significant change in test performance over time (F_1,66 = 9.425; P = 0.003; η_p² = 0.125), with a significant interaction for group × time (F_2,66 = 11.154; P &lt; 0.001; η_p² = 0.253). The kinesiological tape group improved the overall performance in the Y-balance test (85.2 ± 8.7% to 90.3 ± 8.4%, P &lt; 0.001), while no differences were observed for the placebo and control groups.</p></div><div><h3>Conclusion</h3><p>The application of kinesiological tape for 48 h improved overall dynamic balance performance on the Y-balance test. These findings suggest that kinesiological tape could be a beneficial strategy for addressing the consequences of chronic ankle instability.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786179","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":"“Varus knee dysfunction contributing to early medial knee arthritis: Novel pathomechanics, diagnosis and multi-modal conservative interventions”","authors":"Naveen Kumar Potti ,&nbsp;Kaiser Jamil ,&nbsp;Kirti Sundar Sahu","doi":"10.1016/j.jbmt.2024.04.035","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.04.035","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate whether the three-planar spring test and pathomechanics-based interventions (manual therapy, strengthening, orthosis) increase the range of motion and explore potential changes in joint space of varus knee dysfunction, further investigating their potential association with the early development of medial knee arthritis (MKA).</p></div><div><h3>Methods</h3><p>Single group, pre-and post-test design. Adults (n = 54) exhibiting a positive spring test for varus knee dysfunction, characterised by extension lag with proximal tibia externally rotated and subluxed laterally, completed the study. Outcome measures include pain intensity, ROM, functional abilities and X-ray measures (joint space, tilt, and tibia position relative to the femur) following the interventions.</p></div><div><h3>Results</h3><p>After interventions, the spring test has become negative at the pre-assessment range. There is an increased ROM [internal rotation by 3.61° (95CI 3.22, 4.01) and extension by 3.92° (95CI −4.51, −3.33)], and X-ray measurements showed an increase in both medial and lateral joint space by 0.78 mm (95CI 0.63, 0.92) and 0.13 mm (95CI −0.03, 0.24) respectively. Additionally, total joint space expansion happened by 0.28 ± 0.23 mm. The proximal tibia medially shifted by 0.85 ± 0.96 mm, and the medial tilt was reduced by 1.79°±1.28°. A significant decrease in pain by five points (NPRS) and an increase in the overall functional abilities of participants by 36.9 points (95CI 34.72, 39.09).</p></div><div><h3>Conclusion</h3><p>The study results indicate that diagnosis with a spring test and interventions have increased the medial joint space and ROM, possibly improved alignment and synovial fluid, contributing to decreasing the pain and improving the functional abilities, thereby supporting the study's objective.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646954","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 inspiratory muscle training on pulmonary function, respiratory muscle strength, aerobic performance, sports skills, and quality of life in wheelchair rugby athletes","authors":"Jeter Pereira de Freitas ,&nbsp;Rayanne Costa ,&nbsp;Larissa Carqueija Barranco ,&nbsp;Karina Reis ,&nbsp;Agnaldo José Lopes ,&nbsp;Míriam Raquel Meira Mainenti ,&nbsp;Patrícia dos Santos Vigário","doi":"10.1016/j.jbmt.2024.04.049","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.04.049","url":null,"abstract":"<div><h3>Introduction</h3><p>Inspiratory muscle training (IMT) has been used in sports to improve factors that can positively influence sports performance. However, the effects of IMT on athletes with disabilities are less well explored. This study aimed to investigate the effects of IMT on the pulmonary function, respiratory muscle strength, aerobic performance, sports skills, and quality of life (QoL) of wheelchair rugby (WCR) athletes.</p></div><div><h3>Methods</h3><p>A pre–post-intervention case series study of IMT was carried out with six WCR athletes. Pulmonary function (spirometry), respiratory muscle strength (manovacuometry), aerobic (cardiopulmonary exercise test) and WCR skills (Beck Battery) performance and QoL (WHOQOL-DIS) were investigated. Participants were submitted to a six-week IMT with a linear load resistor involving 30 dynamic inspiratory maneuvers twice daily for five days/week.</p></div><div><h3>Results</h3><p>Increases in maximum load (+14.6%; <em>p</em> = 0.03), maximum effort time (+19.4%; <em>p</em> = 0.03), absolute and percent of predicted maximal expiratory muscle pressure (both +13.2%; <em>p</em> = 0.04) and absolute and percent of predicted maximal inspiratory muscle pressure (both +28.6%; <em>p</em> = 0.04) were observed. No significant differences were observed for pulmonary function variables, WCR skills performance or QoL.</p></div><div><h3>Conclusion</h3><p>IMT seemed to be effective at improving the respiratory muscle strength and aerobic performance of WCR players but there was no impact on pulmonary function, sports skills or QoL.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140645006","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":"Investigation of the effect of chronic ankle instability on core stabilization, dynamic balance and agility among basketball players of a university","authors":"Eda Urhun,&nbsp;Elif Develi","doi":"10.1016/j.jbmt.2024.04.036","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.04.036","url":null,"abstract":"<div><h3>Background</h3><p>Chronic ankle instability (CAI) is frequently seen in basketball, where ankle sprains are common due to repetitive movements such as jumping, landing, deceleration and acceleration.</p></div><div><h3>Objective</h3><p>This study investigated the effects of CAI on core stabilization, dynamic balance, and agility in university-level basketball players.</p></div><div><h3>Materials and methods</h3><p>The study included 22 basketball players with CAI (8F, 3M; 20.09 ± 1.04 years) and without CAI (8F, 3M; 21.27 ± 2.24 years), registered as team players in the Yeditepe University basketball teams. Participants divided into two groups: the chronic ankle instability group (CAIG) and the control group (CG). The participants' core stabilization was evaluated using the McGill Core Endurance Test, dynamic balance was evaluated with the Y Balance Test and the T Test was used to evaluate agility.</p></div><div><h3>Results</h3><p>According to the results of an independent <em>t</em>-test, significant differences were observed between groups including posteromedial (p = 0.03) and posterolateral (p = 0.03) reach distances, trunk flexion (p = 0.04) and trunk extension (p = 0.03) tests. According to the logistic regression analysis, Y Balance Test posteromedial and posterolateral reach distances, trunk flexion and trunk extension tests in the McGill Core Endurance Test were found to be statistically significant on the presence of CAI (p &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Including core stabilization and dynamic balance exercises in the training program may be beneficial to improve core stabilization and dynamic balance parameters and prevention of CAI in university-level basketball players with CAI.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638803","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":"Manual therapists’ appraisal of optimal non-pharmacological conservative management of patients with lumbar spinal stenosis. An international Delphi study","authors":"Konstantinos Prentzas ,&nbsp;Zacharias Dimitriadis ,&nbsp;Renée De Ruijter ,&nbsp;Sionnadh McLean","doi":"10.1016/j.jbmt.2024.04.038","DOIUrl":"10.1016/j.jbmt.2024.04.038","url":null,"abstract":"<div><h3>Background</h3><p>Lumbar Spinal Stenosis (LSS) is a slow progressive degenerative disorder associated with chronic pain and disability. Although consensus-based international guidelines for invasive treatment of patients with LSS exist, few consensus-based guidelines for optimal conservative management strategies have been published.</p></div><div><h3>Objective</h3><p>To achieve manual therapists’ consensus on optimal physiotherapeutic management strategies for LSS.</p></div><div><h3>Methods</h3><p>The study employed a three-round, email–based International Delphi survey. All qualified members of the International Maitland Teacher Association (IMTA) (n = 30) were invited to participate.</p></div><div><h3>Results</h3><p>Twelve IMTA teachers participated in the study. Eight essential physiotherapy management strategies were identified, as follows: 1. Detailed assessment with in-depth interview; 2. Recognition of red flags, contraindications and precautions; 3. Neurological examination; 4. Postural and movement analysis with related ergonomics; 5. Functional analysis; 6. Individualized treatment based on assessment findings and research evidence; 7. Aerobic training and 8. Patient education.</p></div><div><h3>Conclusion</h3><p>This Delphi survey provides a foundation for physiotherapists to individualize and optimise management approaches for patients with LSS. With a growing elderly population, there is an increasing need for evidence-based conservative management guidelines based on high quality research.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787253","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":"Incidence of lower limb tendinopathy: A 3-year prospective study of a youth elite athletes in a Brazilian sport club","authors":"Natália FN. Bittencourt ,&nbsp;Rodrigo Vaz ,&nbsp;Leandro Garcia ,&nbsp;Johannes Zwerver ,&nbsp;Luciana D. Mendonça","doi":"10.1016/j.jbmt.2024.04.042","DOIUrl":"10.1016/j.jbmt.2024.04.042","url":null,"abstract":"<div><h3>Introduction</h3><p>The purpose of this study was to investigate lower limb tendinopathy incidence over 3 seasons in Brazilian youth elite athletes.</p></div><div><h3>Design</h3><p>Prospective epidemiological study.</p></div><div><h3>Methods</h3><p>A prospective study was performed during 2015, 2016 and 2017 seasons, with a total of 1553 Brazilian youth athletes (1.195 male and 358 female) out of 6 sports (volleyball, basketball, judo, gymnastics, tennis and futsal). The mean age was 14.1 (11.2; 17.0) years, mean height was 1.75 (1.55; 1.95) meters and mean body mass was 59.4 (42.0; 76.4) kilograms. The diagnosis of lower limb tendinopathy (LLT) was made by an experienced sports physician based on a detailed history and clinical exam. The incidence of LLT was determined by number of injuries/total exposure hours x 1000.</p></div><div><h3>Results</h3><p>In total, 100 LLT were recorded during the 3 seasons. The most frequent type of LLT was patellar (79%), adductor (12%) and Achilles (9%). The frequency of patellar tendinopathy was higher in male's volleyball, basketball and female volleyball (41%, 25%, 13%, respectively) and the frequency of Achilles tendinopathy was higher in basketball and female volleyball (33%,22%). The LLT incidence was 2.5/1000h in 2015, 4.2/1000h in 2016 and 2.1/1000h in 2017.</p></div><div><h3>Conclusion</h3><p>Lower limb tendinopathies are relatively common in youth elite athletes. In 3-season, the most frequent type was patellar tendinopathy. A higher LLT incidence was observed in male volleyball athletes when compared to female volleyball athletes. Basketball athletes presented a higher frequency of patellar, adductor and Achilles tendinopathies in 3-seasons when compared to other sports.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792607","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":"Immediate effects of soft tissue mobilization and percussive massage on balance in young adults with pes planus: A single blind, randomized controlled pilot study","authors":"Mustafa Oğuz Kethüdaoğlu ,&nbsp;Ayşem Ecem Özdemir ,&nbsp;Öznur Kaya Sağlam ,&nbsp;Engin Çağlar ,&nbsp;Meltem Meran Çağlar ,&nbsp;Gökhan Demir ,&nbsp;Tomris Duymaz","doi":"10.1016/j.jbmt.2024.04.034","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.04.034","url":null,"abstract":"<div><h3>Background</h3><p>Presence of pes planus is known to effect balance. In this study, it was aimed to examine the immediate effects of IASTM and PMT on static and dynamic balance in young adults with pes planus.</p></div><div><h3>Method</h3><p>The navicular drop test was used to diagnose pes planus. 51 individuals were included in the study and divided into three groups [IASTM (n:15), percussive massage (n:18) and control (n:18) groups] by simple randomization. Flamingo and Y Balance test was assessed before and immediately after intervention. Repeated Measures ANOVA test was used for the intergroup comparison, and the One-Way ANOVA test was used for the intragroup comparison, also post-hoc test with Tukey correction was performed.</p></div><div><h3>Results</h3><p>There was no significant difference in static balance between the three groups (p &gt; 0.05). There was a significant difference in dynamic balance between groups (p &lt; 0.05). Only IASTM group had significant differences at before and after intervention of all directions except for posterolateral direction of Y Balance Test (p &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>IASTM applied to the plantar fascia of individuals with pes planus have immediate effects on dynamic balance when compared to no intervention and percussive massage even within a small sample size.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140649487","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":"Correlation of postural stability with pain, disability and quality of life among patients with sacroiliac joint dysfunction- A cross-sectional study","authors":"Nabeela Rehman ,&nbsp;Sahar Zaidi ,&nbsp;Sohrab Ahmad Khan ,&nbsp;Irshad Ahmad ,&nbsp;Deepak Malhotra ,&nbsp;Charu Chhabra","doi":"10.1016/j.jbmt.2024.04.045","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.04.045","url":null,"abstract":"<div><h3>Context-</h3><p>Sacroiliac (SI) joint dysfunction accounts for altered postural stability which can cause a continuously intense pain level and range of disabilities.</p></div><div><h3>Aim</h3><p>To investigate the correlation of postural stability with pain, disability &amp; QOL among sufferers of sacroiliac joint dysfunction.</p></div><div><h3>Setting</h3><p>This cross-sectional research was undertaken at Rehabilitation Centre, Jamia Hamdard University.</p></div><div><h3>Method</h3><p>A total of fifty participants were recruited using sample of convenience according to inclusion and exclusion criteria. After obtaining informed consent, three pain provocative tests and one motion palpation test were used to determine sacroiliac joint dysfunction. Humac balance master system (CSMi USB powered, Stoughton, USA), Visual analogue scale (VAS), modified Oswestry Disability Index (ODI) &amp; WHO QOL-BREF (US version) were used to assess postural stability, pain, disability &amp; Quality of life (QOL) respectively. Data analysis was done for correlation by SPSS version 24.0.</p></div><div><h3>Result</h3><p>Strong positive correlations were found between reaction time, VAS (r = 0.791) and modified ODI score (r = 0.576) and weak positive correlations between eyes closed solid surface (ECSS) component of modified clinical test of sensory interaction &amp; balance with VAS (r = 0.333) and with modified ODI score (r = 0.304) and eyes open foam surface (EOFS) component with environmental component of QOL (r = 0.287). There were negative correlations between reaction time, physical health (r = −0.413), psychological health (r = −0.375), social relations (r = −0.305), and environment (r = −0.379) parameters of QOL.</p></div><div><h3>Conclusion</h3><p>According to the findings of the study<strong>, t</strong>here were positive correlations of reaction time with pain and disability and negative correlations with QOL. Awareness of clinicians regarding the altered postural stability can help in improvising the assessment and treatment protocols for patients of SI dysfunction.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638862","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":"Integrating manual therapy into conservative management of a patient with bilateral femoral head avascular necrosis: A case report with a 2-year follow up","authors":"Dhinu J. Jayaseelan ,&nbsp;Joseph Signorino ,&nbsp;Kathleen Brindle","doi":"10.1016/j.jbmt.2024.04.044","DOIUrl":"https://doi.org/10.1016/j.jbmt.2024.04.044","url":null,"abstract":"<div><h3>Background</h3><p>Femoral head avascular necrosis (AVN) can contribute to substantial functional limitation. Although surgical intervention for advanced staged AVN can be useful, non-surgical interventions to improve functional independence of patients with hip AVN are not well described.</p></div><div><h3>Objective</h3><p>The purpose of this case report is to describe the physical therapy intervention provided to a patient with bilateral hip AVN.</p></div><div><h3>Methods</h3><p>The patient was a 56-year-old male presenting to physical therapy with bilateral femoral head AVN. Impairment-based manual therapy, therapeutic exercise, and education were provided to promote decreased pain and improved self-reported function.</p></div><div><h3>Results</h3><p>The patient completed eight visits over the course of 10 weeks. Clinically significant improvements were noted in pain ratings and functional level as measured by the Lower Extremity Functional Scale and Harris Hip Score. Improvements were maintained at a two-year follow up period.</p></div><div><h3>Conclusion</h3><p>Early identification and physical therapy intervention can contribute to promoting functional independence for patients with bilateral hip AVN. Early intervention could potentially reduce the need for surgical intervention. Further research is necessary to describe with detail the optimal methods to accomplish these goals.</p></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140638752","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}