Journal Sciences News
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Available online 7 March 2018
A critical overview of the current myofascial pain literature – April 2018
Publication date: Available online 28 April 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Jan Dommerholt, Li-Wei Chou, Michelle Finnegan, Todd Hooks Twenty-four basic and clinical studies and case reports are included in this quarterly review of the myofascial pain literature. The majority of publications focus on invasive techniques, especially dry needling. We hope, that this not suggest that clinicians and researchers are slowly moving away from manual trigger point (TrP) approaches. While some physiotherapists have bought into the notion that hands-on approaches are a thing of the past, since “pain is in the brain” and “the issues are not in the tissues,” there is also a body of research that aims to combine so-called top-down and bottom-up therapies. Combining manual therapy and dry needling with pain neuroscience education is likely the preferred method using a multimodal approach (Puentedura and Flynn, 2016; Lluch Girbes et al., 2015).
Available online 5 March 2018
Working with the ghost in the machine – Practical
Publication date: Available online 7 March 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Matt Wallden, Paul Chek
Available online 28 February 2018
Anticipating the 5th International Fascia Research Congress
Publication date: Available online 5 March 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Susan Shockett, Thomas Findley
Available online 21 February 2018
The ghost in the machine – Is musculoskeletal medicine lacking soul?
Publication date: Available online 28 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Matt Wallden, Paul Chek In recent times there have been, concurrently, increasing volumes of research questioning whether biomechanics have any relevance at all to musculoskeletal medicine; and a blossoming field of Pain Science identifying that perception of, and context for, pain is often more important than the tissues generating the pain in the first instance. From the academic world to social media, much excitement has been generated in supporting this new direction. However, most of the great work arising from the Pain Science arena is focused on pain itself and on the patients' conscious beliefs around their pain. A redirection of focus toward function beyond the pain, and awareness of how unconscious behavioral programming accounts for the majority of lifestyle habits and perceptions, may facilitate more effective outcomes. Other unconscious processes which are known to contribute to persistent pain, yet are still largely unacknowledged in musculoskeletal practice, are those involved in central sensitivity. A plethora of systemic and visceral conditions are known to contribute to central sensitivity yet are barely considered in typical clinical screening or management. The more that is understood about the complexity of these and other interacting factors in pain, the more the inadequacies of our prevailing research and clinical methodologies are exposed. The question posed is, are unconscious processes the next key field of exploration and “harvest” in musculoskeletal medicine and, if so, how can we most effectively address them?
Available online 20 February 2018
Patient-reported improvements of pain, disability and health-related quality of life following chiropractic care for back pain – A national observational study in Sweden
Publication date: Available online 21 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): F. Gedin, V. Dansk, A.-C. Egmar, T. Sundberg, K. Burstr
Available online 17 February 2018
Efficacy of instrument-assisted soft tissue mobilization in comparison to gastrocnemius-soleus stretching for dorsiflexion range of motion: A randomized controlled trial
Publication date: Available online 20 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Carrie A. Rowlett, William J. Hanney, Patrick S. Pabian, Jordon H. McArthur, Carey E. Rothschild, Morey J. Kolber Objectives To determine the efficacy of IASTM of the gastrocnemius-soleus complex in comparison to a traditional stretching intervention on dorsiflexion ROM. Methods Sixty healthy participants were randomly allocated to one of 3 groups: IASTM (n
Available online 17 February 2018
Systems based model: A Holistic Approach to Developmental Movement Education
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Myles Jay Polsgrove, Roch Lockyer Considering the human body as a dynamic system, a given movement is the result of contributing sub-systems (Thelen and Smith, 1993). In this view, gains in movement performance occur as subsystem performance becomes optimized. Movement instruction offered from a systems perspective is aimed optimizing learner's performance through evolving understanding and through application. The Holistic Approach to Developmental Movement Education (HADME) is a systems based instructional model that depicts the interactive process between learner and practitioner. This mind-body approach utilizes 11 steps to optimize movement performance: A) Current Understandings, B) Increased Insights of Evaluation, C) Truthful Reflection of Current State, D) Systematic Modification to Optimize Performance, E) Application of the Change Tool to Change Target Pattern, F) Fine-Tune Learner Perception Tool Application, G) Improved Understanding Through a Point of Control, H) Expanded Systemic Understanding of Learner's Knowledge/Movement, I) Isolation of Target Muscle for a Constant Steady Flowing Movement, J) Gained Conceptual Understanding of Movement and K) Increased Knowledge of Systemic Inputs. The instructor adopting this viewpoint may experience continual insights on how to best optimize the performance for an increasing range of leaners display unique systemic variations. Gaining insights on how to overcome movement limitations through optimizing subsystem performances, the learner taking part in a HADME may experience greater movement enjoyment and hopefully, a more active lifestyle.
Available online 17 February 2018
The effects of dry needling and neurodynamic exercise on idiopathic peripheral neuropathy: A case report
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Andrew J. Nasr, Jason Zafereo A single patient (male, 67) with a medical diagnosis of idiopathic peripheral neuropathy (G60.9) was referred to physical therapy. The patient presented with signs and symptoms consistent with peripheral neuropathy, including bilateral single leg balance deficits, sensation impairments, and antalgic gait. Treatment consisted of dry needling (DN) with electrical stimulation and a home exercise program involving a neurodynamic exercise to be performed daily. Dry needling included the use of thin filiform needles to stimulate the underlying structures directed at eliciting a change within the tissues. The needles were left in situ and connected to an electrical stimulation unit. The neurodynamic exercise used in this case study was designed to target the distal branches of the sciatic nerve. The patient was directed to complete 3 sets of 10 repetitions in the slumped position and moving between ankle plantar flexion and dorsiflexion. The patient was treated for a total of 4 visits over a 5-week period. The Foot and Ankle Ability Measure (FAAM), Numeric Pain Rating Scale (NPRS), Romberg Test, and sensation testing were collected at baseline and then again after the 4th treatment. A Global Rating of Change (GROC) score was obtained at the end of treatment. After the 4th visit, functional self-report scores were not improved (93.75%–86.9% at completion), while NPRS decreased to 2 from a baseline rating of 4. The eyes closed portion of the Rhomberg balance test improved from 5 s on the right limb to 15 s and from 8 s to 20 s on the left limb. Sharp/dull sensation testing of the L4 dermatome also improved from 2 out of 5 correctly selected on the left lower limb to 5 out of 5. At the S1 level, sensation improved on the left lower limb from 2 out of 5 to 4 out of 5 and from 2 out of 5 on the right lower limb to 5 out of 5. The patient's GROC score was rated as quite a bit better (+5). The outcomes of this case study suggest that clinicians may consider the addition of DN with electrical stimulation and neurodynamic exercises to the treatment of this patient population given the sizeable and rapid improvements in pain, balance, and sensation testing following only 4 treatments.
Available online 17 February 2018
Effect of remote myofascial release on hamstring flexibility in asymptomatic individuals – A randomized clinical trial
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Durga Girish Joshi, Ganesh Balthillaya, Anupama Prabhu Background The existence of continuity between fascia and muscles that may be anatomically distant from each other is emphasized in the tensegrity principle. Despite evidence from in vitro studies, there is a dearth of literature concerning the in vivo behavior of these connections. Aim To compare the effect of Static Stretching (SS) of hamstrings with remote Myofascial Release (MFR) (bilateral plantar fascia and suboccipital region) and a combination of SS and remote MFR on hamstring flexibility. The secondary aim of this study was to investigate the difference between therapist administered and self-administered interventions. Design Three arm assessor-blinded Randomized Clinical Trial (RCT). Participants Fifty-eight asymptomatic participants (16 Males; Mean age 22.69
Available online 17 February 2018
Effect of neuromuscular training on functional throwing performance and speed in asymptomatic cricket players
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): S.A. Hydar Abbas, H. Karvannan, V. Prem Objective To determine the effect of neuromuscular training on functional throwing performance and speed among asymptomatic cricket players. Design Single-subject A-B-A design. Method Forty-three male asymptomatic sub-elite cricket players were recruited from Karnataka Institute of Cricket, Bangalore, India, with a mean age of 20.4
Available online 17 February 2018
The use of dry needling as a diagnostic tool and clinical treatment for cervicogenic dizziness: a narrative review & case series
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): James Escaloni, Raymond Butts, James Dunning Study design Narrative Review & Case Series. Background No “gold standard” test presently exists to confirm a diagnosis of cervicogenic dizziness, a condition whereby the neuromusculoskeletal tissues of the cervical spine are thought to contribute to imbalance and dizziness. Clusters of tests are presently recommended to provoke signs and symptoms of the condition. In this regard, dry needling may provide a valuable diagnostic tool. Targeting the musculoskeletal structures of the upper neck with dry needling may also provide a valuable treatment tool for patients that suffer from cervicogenic dizziness. While dry needling has been used to treat various musculoskeletal conditions, it has not been specifically reported in patients with cervicogenic dizziness. Case description Three patients were screened for signs and symptoms related to cervicogenic dizziness in an outpatient physical therapy clinic. These patients presented with signs and symptoms often associated with (though not always) cervicogenic dizziness, including a positive flexion-rotation test, altered cervical range of motion, and tenderness with manual assessment of the upper cervical extensors. In addition, dry needling targeting the obliquus capitis inferior muscle was used diagnostically to reproduce symptoms as well as to treat the patients. Outcomes Two of the patients reported full resolution of their dizziness and a significant improvement in their function per standardized outcome measures. While the third patient did not report full resolution of her cervicogenic dizziness, she noted significant improvement, and dry needling was helpful in guiding further treatment. Importantly, the effect of the treatment was maintained in all three patients for at least 6 months. Discussion This case series with narrative review covers various testing procedures for cervicogenic dizziness and explores the use of dry needling targeting the suboccipital muscles to evaluate and treat this patient population. The physiologic changes that occur in the periphery, the spine and the brain secondary to dry needling and their potential relevance to the mechanisms driving cervicogenic dizziness are discussed in detail.
Available online 17 February 2018
Reliability of modified adheremeter and digital pressure algometer in measuring normal abdominal tissue and C-section scars
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Rachel Kelly-Martin, Laura Doughty, Marina Garkavi, Jennifer B. Wasserman Objective This study tested inter- and intrarater reliability of the digital pressure algometer and modified adheremeter and concurrent validity in the algometer in both normal abdominal tissue and in chronically painful C-section scars. Study design Correlational Reliability/Validity. Background The algometer is used to measure pressure-pain threshold (PPT). The adheremeter is a tool to measure tissue extensibility. Painful abdominal scars are being treated successfully with soft-tissue techniques yet reliable measurement tools for this tissue have not been reported. Methods and measures 59 subjects with normal abdominal tissue were marked at a point 2 inches inferolateral to the umbilicus. Two separate testers measured PPT twice with an algometer and tissue extensibility in superior/left/inferior/right directions with a modified adheremeter. 29 subjects with painful C-section scars were marked at 2.5
Available online 12 February 2018
Osteopathic manipulative treatment in pudendal neuralgia: A case report
Publication date: Available online 17 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): D. Origo, A.G. Tarantino Pudendal neuralgia is characterised by pain in the pudendal dermatome. It could be due to a stenosis of the pudendal canal, a compression along its pathway, or a pelvic trauma. Pudendal nerve entrapment (PNE) syndrome is frequently involved in pudendal neuralgia onset. This case report describes the osteopathic manipulative treatment (OMT) of a patient with functional PNE. A 40-year-old female presented with a 12-month history of intense pelvic pain resistant to 3 months of pharmacologic treatment that arose after three proctological surgeries. A perineal retracted painful scar was visible upon examination. PNE syndrome diagnosis was based on Nantes criteria. The electromyogram of the nerve showed an increased motor response latency of the left pudendal nerve. Visual analogue scale (VAS), female National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Oswestry Disability Index (ODI) and Tampa scale of kinesiophobia (TSK) were used to assess patient's symptoms at baseline (T0), after pharmacologic treatment (T1), after OMT (T2), and at 6-month follow-up. Five treatments, including direct and indirect techniques, were performed over 1 month. OMT reduced pelvic neuralgia and disability indexes without any complications, maintaining a positive outcome at 6-month follow-up (VAS: T0
Available online 12 February 2018
Effects of Qigong practice in office workers with chronic non-specific low back pain: A randomized control trial
Publication date: Available online 12 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Suttinee Phattharasupharerk, Nithima Purepong, Sukanya Eksakulkla, Akkradate Siriphorn Objective To investigate the effects of Qigong practice, Guan Yin Zi Zai Gong level 1, compared with a waiting list control group among office workers with chronic nonspecific low back pain (CNLBP). Methods A randomized controlled trial was conducted at offices in the Bangkok Metropolitan Region. Seventy-two office workers with CNLBP were screened for inclusion/exclusion criteria (age 20–40 years; sitting period more than 4
Available online 12 February 2018
The effects of passive stretching on the blood glucose levels of patients with type 2 diabetes
Publication date: Available online 12 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Navid Taheri, Hosein Kouhzad Mohammadi, Gholamreza Jafarian Ardakani, Mojtaba Heshmatipour Background Type 2 diabetes is characterized by poor glycemic control due to decreased insulin sensitivity. Physical activity plays an important role in the management of diabetes and reduces blood glucose level. The aim of this study was to evaluate the effectiveness of passive stretching (PS) on the blood glucose level (BGL) of diabetic patients. Materials and methods In this randomized clinical trial, fifty patients with type 2 diabetes and mean age of 50.7
Available online 12 February 2018
Sophrology versus resistance training for treatment of women with fibromyalgia: A randomized controlled trial
Publication date: Available online 12 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Hugo J
Available online 11 February 2018
The Skater Squat
Publication date: Available online 12 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Lachlan Wilmot, Craig Liebenson
Available online 11 February 2018
Overflow using proprioceptive neuromuscular facilitation in post-stroke hemiplegics: A preliminary study
Publication date: Available online 11 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Karoline Cipriano Raimundo de Oliveira, Luciane Aparecida Pascucci Sande de Souza, Marina Mendon
Available online 11 February 2018
The effects of dry needling and radial extracorporeal shockwave therapy on latent trigger point sensitivity in the quadriceps: A randomised control pilot study
Publication date: Available online 11 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Richie Walsh, Sharon Kinsella, Johnson McEvoy Objectives Latent myofascial trigger points (TrP) can alter joint kinematics, reduce strength and alter activation patterns, affecting athletic performance. TrP sensitivity can be measured with the pressure pain threshold (PPT). Dry needling (DN) has been used to treat latent TrPs, but may cause post-needling soreness. Radial extracorporeal shockwave therapy (rESWT) could be used as an alternative to DN during heavy training or competition. Methods After baseline measures, 21 recreational athletes were split into three groups: DN, rESWT or control group, and were treated for three sessions in one week. Follow-up outcome sessions were conducted two to four and seven days after the last treatment. TrP sensitivity was measured using the PPT. Results There was a groupXtime interaction for the PPT (p
Available online 6 February 2018
Influence of a Pilates exercise program on the quality of life of sedentary elderly people: A randomized clinical trial
Publication date: Available online 11 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Daniela Branco Liposcki, Irany Ferreira da Silva Nagata, G
Available online 6 February 2018
Isokinetic assessment of shoulder complex strength in adolescent elite synchronized swimmers
Publication date: Available online 6 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Soledad Aguado-Henche, Ana Slocker de Arce, Josefa Carrascosa-S
Available online 5 February 2018
Effects of taijiquan and qigong practice over behavioural disorders in school-age children: A pilot study
Publication date: Available online 6 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Jorge Manuel S.M. Rodrigues, Mariana Isabel C.P. Mestre, Lu
Available online 5 February 2018
Perceptions of individuals with stroke regarding the use of a cane for walking: A qualitative study
Publication date: Available online 5 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Lucas R. Nascimento, Louise Ada, Gerdeany M. Rocha, Luci F. Teixeira-Salmela It is well known that clinical decisions, which include prescription of canes after stroke, should not only be based on biomechanical research. According to the principles of evidence-based medicine, patients' perceptions and preferences should also be investigated to help planning good clinical decisions. The purpose of this study was to comprehend how ambulatory people with stroke, na
Available online 5 February 2018
Yoga, fascia and the second law of thermodynamics
Publication date: Available online 5 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Serge Gracovetsky
Available online 3 February 2018
The effect of aerobic exercises among women with mild and moderate irritable bowel syndrome: A pilot study
Publication date: Available online 5 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Mozhgan Fani, Javid Mostamand, Maedeh Fani, Navid Chitsaz, Awat Feizi Background Irritable Bowel Syndrome (IBS) is a functional bowel disorder characterized by abdominal pain or discomfort. Although patients with IBS are commonly recommended to increase their physical activity, after reviewing the literature, it was found that no study has assessed the effect of aerobic exercises on the severity of symptoms and quality of life in patients with IBS. Therefore the aim of the present study was to evaluate the effect of aerobic exercises with treadmill on the severity of symptoms and quality of life among women with mild and moderate IBS. Methods Twenty women with mild and moderate IBS were randomly assigned into two groups of treadmill exercise (10 participants) and control (10 participants). The treadmill group had six weeks (30
Available online 2 February 2018
Manual therapy treatment for adolescent idiopathic scoliosis
Publication date: Available online 3 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Shir Lotan, Leonid Kalichman Background Adolescent idiopathic scoliosis (AIS) is a common orthopedic condition with a prevalence of 2%–3% in children aged 10–16 years. Conservative interventions remain controversial and are usually based on physical therapy exercises and treatments. Manual therapy techniques may also serve as adequate treatments for AIS due to their ability to improve range of motion and decrease muscle tone and pain. Objective To critically assess the current literature on the effectiveness of manual therapy methods used to treat AIS. Methods PubMed, PEDro, BioMed Central, and Google Scholar databases were searched from inception until December 2016 using keywords associated with scoliosis and manual therapy. Criteria for inclusion were studies investigating the effect of manual therapy methods on AIS treatment. We analyzed all published material with an emphasis on randomized controlled trials (RCT). Trials of any methodological quality written in English were included in the review. Major findings Fourteen papers were reviewed, all presenting manual therapy treatments such as manipulation, mobilization, and soft tissue techniques used to treat AIS. All case studies showed a significant improvement, post-treatment, in most measured parameters. Observational studies showed mixed results. Only one RCT concluded manual therapy techniques were ineffective in improving trunk morphology and spine flexibility in AIS patients. Conclusion Case reports and small-scale clinical trials of poor methodological quality presented in this review did not allow us to draw a clear conclusion about the effectiveness of manual therapy in the treatment of AIS. On the other hand, they provide us a basis to assume that manual therapy techniques such as myofascial release and spinal manipulative techniques may potentially be effective in treating AIS in conjunction with other conservative treatments. Further high-quality studies are essential to determine the effectiveness of the different manual therapy techniques.
Available online 2 February 2018
Comparison of a foam rolling session with active joint motion and without joint motion: A randomized controlled trial
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Scott W. Cheatham, Kyle R. Stull Background Foam rolling has become a popular form of self-myofascial release or roller massage among health and fitness professionals. Due to this popularity, foam roller devices can be found in many clinical and fitness settings. Despite the popularity, there are still several unknowns regarding foam rolling such the optimal technique. Specifically, there is a lack of research analyzing different foam roll techniques such as combining active joint motion with foam rolling. Purpose The purpose of this study was to compare the effects of a foam rolling session to the left quadriceps with active joint motion and without joint motion on passive knee flexion range of motion (ROM) and pressure pain thresholds (PPT). Methods Thirty healthy adults were randomly allocated to one of two intervention groups: active joint motion and no joint motion. Each foam roll intervention to the left quadriceps lasted a total of 2
Available online 2 February 2018
Immediate effects and one-week follow-up after neuromuscular electric stimulation alone or combined with stretching on hamstrings extensibility in healthy football players with hamstring shortening
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Luis Espejo-Ant
Available online 2 February 2018
Knowledge of self-myofascial release among allied health students in the United States: A descriptive survey
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Scott W. Cheatham, Kyle R. Stull Background University and collegiate education of the human myofascial system is commonly taught in basic science courses such as anatomy. Allied health programs may expand upon these concepts by teaching interventions such as myofascial release in clinical education courses. Self-myofascial release (SMR) with a device such as a foam roller is an emerging intervention that has become popular among clinicians and active individuals. Currently, it's unknown if allied health programs provide SMR education. Purpose The purpose of this study was to survey and document responses in the knowledge of SMR among allied health students. Methods 12 undergraduate and graduate allied health programs in the United States were sent a 12-question electronic survey that represented three areas: 1) respondent demographics and beliefs, 2) experience with SMR, 3) future practice and education. Descriptive data including response frequency and percentage was calculated and reported for the 12 questions. Results A total of 502 students from the different allied health programs completed the survey which represented a 33.00% response rate (502/1521). Approximately, half of respondents (49.6%, N
Available online 2 February 2018
Comparison of muscular activities between subjects with and without scapular downward rotation impairment during diagonal pattern of exercises
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Se-Yeon Park, Du-Jin Park Backgrounds One form of abnormal scapular alignment is scapular downward rotation (SDR). Changes in muscle function in SDR have not been clearly identified, and SDR exercises also require investigation. Although a diagonal pattern of exercise is commonly used as part of the exercise protocol, a direct comparison of shoulder and scapular diagonal exercises has not yet been conducted. The objectives of this study were to determine the altered activation of the scapular musculature in the SDR group and to investigate which diagonal pattern of exercise effectively activates the scapular musculature. Methods Thirty-two participants (18 in the control group and 14 in the SDR group) volunteered to participate in this study. Electromyographic signals were collected from four muscles, the upper trapezius (UT), lower trapezius (LT), serratus anterior (SA), and anterior deltoid (AD), during standing performance of diagonal shoulder and scapular exercises. Results The control group showed significantly lower UT activity, UT/LT ratio, and UT/SA values than the SDR group (p
Available online 2 February 2018
Dry needling in chronic abdominal wall pain of uncertain origin
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Pandurangan Rajkannan, Rajagopalan Vijayaraghavan Background Abdominal wall pain is considered as pain that arises from the abdominal muscles rather than the underlying viscera or the spine. It is frequently overlooked and is often misdiagnosed, as these patients continue to suffer with pain. Many such patients would have even been subjected to a psychiatric evaluation in view of the absence of any ostensible clinical cause for the pain. In this study, we describe the role of myofascial trigger points in the abdominal wall pain that could be a cause of chronic pain and present our findings of pain relief by dry needling technique. Objectives To report the effect of dry needling treatment for patients who suffer from chronic abdominal wall pain of uncertain etiology and in whom specific myofascial trigger points were identified. Methods Twelve patients diagnosed with chronic abdominal wall pain were included in the study. All patients were clinically evaluated and subjected to a combination of imaging techniques. Once categorized as patients suffering from chronic abdominal wall pain, they were subjected to a thorough palpation of the abdominal wall to identify the presence of myofascial trigger points (MTrPs) over the abdominal muscles. All had MTrPs over one or more abdominal muscles either unilaterally or bilaterally. Dry Needling using a standard technique was done based on the side and localization of the myofascial trigger points. Numerical pain rating scale (NPRS) was used to measure pain before and after treatment and at the end of four months. All patients were then seen by the primary clinician and re-evaluated. Results Eleven out of twelve patients had significant reduction with a mean difference 5.95 in NPRS in their pain levels at four months follow up. Seven patients had complete resolution of the pain. Some patients had improvement in complaints such as Dysmenorrhea, Urinary Frequency and constipation. Conclusion Dry Needling can be a useful adjunct in treating chronic abdominal wall pain especially in those patients in whom Myofascial Trigger Points in the muscles of abdomen are identified by palpation. Level of evidence Level 4.
Available online 2 February 2018
Reliability of two pragmatic tools for assessing text neck
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Gerson Moreira Damasceno, Arthur S
Available online 31 January 2018
Therapeutic heat and cold around the elbow on the response of median neurodynamic test 1
Publication date: Available online 2 February 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Winora Conchita Gomes, Kavitha Vishal, Ganesh Balthillaya Objective To compare the effects of the application of therapeutic heat and cold on the mechanical response of the median nerve neurodynamic testing. Design Single-blinded randomized crossover trial. Methodology 56 asymptomatic university students (mean age
Available online 31 January 2018
Development of a multivariate model of the six-minute walked distance to predict functional exercise capacity in hypertension
Publication date: Available online 31 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Rodrigo de Assis Ramos, Fernando Silva Guimar
Available online 31 January 2018
Dry needling versus friction massage to treat tension type headache: A randomized clinical trial
Publication date: Available online 31 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Fahimeh Kamali, Marzieh Mohamadi, Leila Fakheri, Fatemeh Mohammadnejad Tension type headache (TTH), the most common type of headache, is known to be associated with myofascial pain syndrome and the existence of myofascial trigger points. There are several treatment options for myofascial trigger points. In this study we compared the effectiveness of dry needling and friction massage to treat patients with TTH. A convenience sample of 44 patients with TTH participated in this randomized clinical trial. The frequency and intensity of headache, pressure pain threshold at the trigger point site, and cervical range of motion were recorded. Then the participants were randomly assigned to one of two treatment groups for dry needling or friction massage, delivered in 3 sessions during 1 week. The participants were evaluated 48
Available online 31 January 2018
The effect of traditional dysphagia therapy on the swallowing function in patients with Multiple Sclerosis: A pilot double-blinded randomized controlled trial
Publication date: Available online 31 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Maryam Tarameshlu, Leila Ghelichi, Amir Reza Azimi, Noureddin Nakhostin Ansari, Ahmad Reza Khatoonabadi Background Dysphagia is common following Multiple Sclerosis (MS) and is associated with significant morbidity and mortality. The current rehabilitation program to swallowing therapy is Traditional Dysphagia Therapy (TDT), but there is a dearth of evidence about its effectiveness in MS patients. Objectives This study was aimed to determine the effects of the TDT on the swallowing function in MS patients with dysphagia. Methods A pilot double blind randomized clinical trial was carried out on 20 patients with MS. Patients were randomly divided into experimental group (TDT) comprising sensorimotor exercises and swallowing maneuvers, and Usual Care (UC) comprising diet prescription and postural changes. Patients in both groups received treatments for 6 weeks, 18 treatment sessions, 3 times per week, every other day. The Mann Assessment of Swallowing Ability (MASA) was the main outcome measure. The swallowing ability was assessed before treatment (T0), after the end of 9th session (T1), after the end of 18th session (T2), and after 6 weeks follow-up (T3). Penetration–Aspiration Scale (PAS) and Pharyngeal Residue Rating Scale (PRRS) as secondary outcome measures were applied at T0 and T2. Results Both groups had improved regarding MASA, PAS and PRRS scores over the time (P
Available online 31 January 2018
A descriptive analysis of shoulder muscle activities during individual stages of the Turkish Get-Up exercise
Publication date: Available online 31 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Eric St-Onge, Andrew Robb, Tyson A.C. Beach, Samuel J. Howarth The Turkish Get-Up (TGU) is a complex and multi-planar exercise; the performer begins in a supine lying position, progresses toward upright standing through a series of 7 stages while holding a mass overhead in one hand, and returns to the original supine lying position through a reversal of the same 7 stages. A descriptive analysis of shoulder muscle activity during the TGU may provide insight toward its use in training and rehabilitation contexts. Our objectives were to: (1) describe the activity patterns from a subset of muscles that span the glenohumeral joint during individual stages of the TGU, and (2) interpret these patterns through comparisons between left- and right-side muscles, and between the up and down phases of the TGU. Twelve individuals with at least one-year experience performing the TGU were included in this study. Surface electromyographic (EMG) recordings were bilaterally obtained from 8 glenohumeral muscle groups while participants performed ten trials of the TGU with a kettlebell in their right hand. Instants representing the start and end of each TGU stage were identified from a synchronized video for each trial, and EMG activities for each muscle were integrated over the duration of each stage. Average integrated EMG and within-participant coefficients of variation were calculated. Overall, the greatest muscular demand occurred during the second (press to elbow support) and fifth (leg sweep) stages. Activities from muscles on the ipsilateral side to the kettlebell (right-side) were greater during stages when the contralateral upper limb did not contribute to supporting the body; however, contralateral (left-side) muscles were invoked during stages when the non-kettlebell-bearing forearm or hand contributed to supporting the body. The results suggest the importance of training both phases of the TGU to gain the most benefit from the exercise and highlights the asymmetric nature of the exercise, which may be particularly relevant for athletes engaged in activities with rotational demands.
Available online 17 January 2018
Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: A randomized clinical trial
Publication date: Available online 31 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Fahimeh Kamali, Mehdi Zamanlou, Ali Ghanbari, Abbass Alipour, Soha Bervis Background Manual therapy and exercise therapy are two common treatments for low back pain. Although their effects have been discussed in several studies, the superiority of one over the other for patients with sacroiliac joint dysfunction is still unclear. Objectives The aim of this study was to compare the effects of manipulation (M) and stabilization exercises (S) in patients with subacute or chronic sacroiliac joint dysfunction. Methods The participants in this randomized controlled trial study were patients with subacute or chronic sacroiliac joint dysfunction for more than 4 weeks and less than 1 year. A total of 40 patients were randomized with a minimization method to the M (n
Available online 17 January 2018
Post-needling soreness after myofascial trigger point dry needling: Current status and future research
Publication date: Available online 17 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Aitor Mart
Available online 6 January 2018
Effects of Integrated Neuromuscular Inhibition Technique on pain threshold and pain intensity in patients with upper trapezius trigger points
Publication date: Available online 17 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Zahra Saadat, Ladan Hemmati, Soraya Pirouzi, Mahnaz Ataollahi, Fatemeh Ali-mohammadi Introduction Upper trapezius trigger points are among the most common causes of neck pain. This study aimed to investigate the effects of integrated Neuromuscular Inhibition Technique (INIT) on pain intensity and threshold. Materials & methods Thirty two female participants with upper trapezius trigger points were recruited in this study. The participants were assigned to control (n
January 2018
Effects of tactile feedback on lumbar multifidus muscle activity in asymptomatic healthy adults and patients with low back pain
Publication date: Available online 6 January 2018
Source:Journal of Bodywork and Movement Therapies Author(s): Sharon Wang-Price, Jason Zafereo, Kelli Brizzolara, Elizabeth Anderson Background Reduced lumbar multifidus (LM) muscle contraction has been observed in patients with low back pain (LBP). Clinicians often use various strategies to ensure LM activation, including tactile feedback and verbal instruction. However, the effects of tactile feedback on muscle activation have not been studied previously. Therefore, the purpose of this study was to investigate whether or not tactile feedback would increase LM muscle activity in adults with and without LBP. Methods Twenty asymptomatic adults and 20 patients with existing LBP completed the study. Two electromyographic (EMG) electrodes were applied to both sides of the LM at the L5 segment. EMG activity was collected three times at rest with and without tactile feedback, then five times during contralateral arm lifts with and without tactile feedback. The tactile feedback was applied by direct and continuous hand contact to the bilateral LM over the lumbosacral area. Lastly, two 5-second trials of maximum voluntary isometric contraction (MVIC) during a bilateral arm lift were performed. EMG activity collected at rest and during contralateral arm lifts was normalized to that collected during MVIC. Normalized EMG values of the right side of the asymptomatic group and the painful side of the LBP group were used for data analysis. Results Statistical analysis showed significantly decreased LM EMG activity with tactile feedback both at rest and during contralateral arm lifts compared to LM EMG activity without tactile feedback. There was no difference in LM EMG between the asymptomatic and the LBP groups. Conclusions The results of the study showed that adding tactile stimulation to verbal instruction appeared to provide an inhibitory effect on LM activity in both asymptomatic healthy adults and patients with LBP. Contrary to common belief, tactical feedback via direct hand contact may reduce LM muscle recruitment, and may lessen the desired treatment effect.
January 2018
Editorial Board
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1

January 2018
Biomechanical factors associated with running economy and performance of elite Kenyan distance runners: A systematic review
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Nassib Tawa, Quinette Louw Background Running economy (RE) is a determinant of performance in endurance sports and is a complex multi-factorial measure which reflects the combined functioning of bio-mechanical, neuro-muscular, metabolic and cardio-respiratory factors some of which are hereditary or adapt to coaching. Kenyan distance runners have dominated major global events with their unmatched performance for decades and this phenomenon has prompted several investigations aimed at establishing possible factors associated with their performance. This systematic review was aimed at establishing up-to date quantitative synthesis of evidence on biomechanical factors associated with running economy and performance of elite Kenyan distance runners and to provide an algorithm for future research and coaching strategies. Methods A comprehensive electronic search was conducted through June 2017. Quality appraisal was independently done by both reviewers using the STROBE checklist. Descriptive summaries and tables were used to illustrate biomechanical outcomes, mean differences and confidence intervals. Evidence from reviewed studies was graded according to the Australian National Health and Medical Research Council (NHMRC) hierarchy for aetiological factors and meta-analysis was performed where applicable. Results Eight cross-sectional studies were included. The overall methodological score was moderate (58%). Elite Kenyan distance runners have significant longer gastroc-Achilles tendons compared to their counterparts while their shank length is not significantly longer. There is no certainty of evidence regarding the association between their characteristic unique profile of tall and slender bodies, low BMI and low body mass, short ground contact and flight times, greater forward lean torso and faster and greater forward leg swing with RE and performance. Conclusion Our findings presents evidence on biomechanical factors associated with RE and performance of elite Kenyan distance runners. Despite these findings, there are a number of limitations inherent to this review including; low level of evidence, minimal number of included studies, small sample size and lack of appropriate control subjects. However, we considered these shortcomings and summarised the best available evidence in attempt to give direction to future research and coaching strategies.
January 2018
The science of respiratory characteristics in individuals with chronic low back pain: Interpreting through statistical perspective
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Vikram Mohan, Aatit Paungmali, Patraporn Sitilertpisan
January 2018
Effect of a lateral glide mobilisation with movement of the hip on vibration threshold in healthy volunteers
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Darren A. Smith, Jacob Saranga, Andrew Pritchard, Nikolaos A. Kommatas, Shinu Kovelal Punnoose, Supriya Tukaram Kale Background Mulligan's mobilisation-with-movement (MWM) techniques are proposed to achieve their clinical benefit via neurophysiological mechanisms. However, previous research has focussed on responses in the sympathetic nervous system only, and is not conclusive. An alternative measure of neurophysiological response to MWM is required to support or refute this mechanism of action. Recently, vibration threshold (VT) has been used to quantify changes in the sensory nervous system in patients experiencing musculoskeletal pain. Objective To investigate the effect of a lateral glide MWM of the hip joint on vibration threshold compared to a placebo and control condition in asymptomatic volunteers. Methods Fifteen asymptomatic volunteers participated in this single-blinded, randomised, within-subject, placebo, control design. Participants received each of three interventions in a randomised order; a lateral glide MWM of the hip joint into flexion, a placebo MWM, and a control intervention. Vibration threshold (VT) measures were taken at baseline and immediately after each intervention. Mean change in VT from baseline was calculated for each intervention and then analysed for between group differences using a one-way analysis of variance (ANOVA). Results A one-way ANOVA revealed no statistically significant differences between the three experimental conditions (P = 0.812). Conclusion This small study found that a lateral glide MWM of the hip did not significantly change vibration threshold compared to a placebo and control intervention in an asymptomatic population. This study provides a method of using vibration threshold to investigate the potential neurophysiological effects of a manual therapy intervention that should be repeated in a larger, symptomatic population.
January 2018
How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis? A retrospective study
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Silvano Ferrari, Jorge Hugo Villafa
January 2018
The effects of neck mobilization in patients with chronic neck pain: A randomized controlled trial
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Muhammad Nazim Farooq, Mohammad A. Mohseni-Bandpei, Syed Amir Gilani, Muhammad Ashfaq, Qamar Mahmood Objective To determine the effect of mobilization and routine physiotherapy on pain, disability, neck range of motion (ROM) and neck muscle endurance (NME) in patients having chronic mechanical neck pain (NP). Methods Sixty eight patients with chronic mechanical NP were randomly allocated into two groups by using a computer generated random sequence table with 34 patients in the multi-modal mobilization group and 34 patients in the routine physiotherapy group. Baseline values for pain, disability, NME, and neck ROM were recorded using visual analogue scale (VAS), neck disability index (NDI), neck flexor muscle endurance test and universal goniometer respectively, before the treatment. Each patient received 10 treatment sessions over a period of four weeks and at the end of four weeks all the outcome measures were recorded again. Results A paired t-test revealed significant pre to post treatment differences for all outcome measures in both groups (p 
January 2018
Cognitive Functional Therapy (CFT) for chronic non-specific neck pain
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Ney Meziat-Filho, Maicom Lima, Jessica Fernandez, Felipe J.J. Reis This case report presents the effect of Cognitive Functional Therapy (CFT) in a patient with chronic non-specific neck pain. The patient believed that pain signified tissue damage, and demonstrated pain catastrophizing, hypervigilance, stress sensitivity, and movement impairment of the neck, during extension and rotation. The CFT intervention integrated a cognitive approach with manual therapy and active exercises to encourage the patient to trust her neck again. One month after the first appointment, the patient had recovered confidence, and the pain and disability had disappeared almost entirely.
January 2018
Conservative management of thumb carpometacarpal osteoarthritis: An Italian survey of current clinical practice
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Jorge Hugo Villafa

Investigating the anticipatory postural adjustment phase of gait initiation in different directions in chronic ankle instability patients
Publication date: January 2018
Source:Journal of Bodywork and Movement Therapies, Volume 22, Issue 1 Author(s): Zahra Ebrahimabadi, Sedigheh Sadat Naimi, Abbas Rahimi, Heydar Sadeghi, Seyed Majid Hosseini, Alireza Akbarzadeh Baghban, Syed Asadullah Arslan Objective The main objective of the present study was to analyze how supra spinal motor control mechanisms are altered in different directions during anticipatory postural phase of gait initiation in chronic ankle instability patients. It seems that supra spinal pathways modulate anticipatory postural adjustment phase of gait initiation. Yet, there is a dearth of research on the effect of chronic ankle instability on the anticipatory postural adjustment phase of gait initiation in different directions. Method A total of 20 chronic ankle instability participants and 20 healthy individuals initiated gait on a force plate in forward, 30° lateral, and 30° medial directions. Results According to the results of the present study, the peak lateral center of pressure shift decreased in forward direction compared to that in other directions in both groups. Also, it was found that the peak lateral center of pressure shift and the vertical center of mass velocity decreased significantly in chronic ankle instability patients, as compared with those of the healthy individuals. Conclusion According to the results of the present study, it seems that chronic ankle instability patients modulate the anticipatory postural adjustment phase of gait initiation, compared with healthy control group, in order to maintain postural stability. These changes were observed in different directions, too.
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