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Virtual Reality in Orthopedic Rehabilitation
Published in Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer, Virtual Reality in Health and Rehabilitation, 2020
Aliaa Rehan Youssef, Mohammed Gumaa
Similar to neck pain, exercise therapy is crucial for the management of chronic low back pain (Saragiotto et al., 2016; Gomes-Neto et al., 2017; Oliveira et al., 2018). VR rehabilitation of low back pain was delivered using an off-the-shelf Nintendo Wii console (Park, Lee and Ko, 2013; Kim et al., 2014; Zadro et al., 2019), custom-made VR games (Thomas et al., 2016), and horse-back riding simulator machine (Yoo et al., 2014). Treatment duration ranged from three days (Thomas et al., 2016) to eight weeks (Park, Lee and Ko, 2013; Yoo et al., 2014; Zadro et al., 2019). VR treatment was combined with other interventions such as electrophysical modalities (Park, Lee and Ko, 2013) or was given as a standalone intervention (Kim et al., 2014; Yoo et al., 2014; Thomas et al., 2016). VR training was delivered as supervised clinic-based (Park, Lee and Ko, 2013; Kim et al., 2014; Yoo et al., 2014; Thomas et al., 2016) or unsupervised home-based (Zadro et al., 2019). Although not explicitly mentioned, the aims of VR intervention were to improve muscle strength, neuromuscular control and balance, spine range of motion (ROM) as well as patients' QoL.
A Case Study in Predicting Treatment Outcome
Published in Richard J. Roiger, Just Enough R!, 2020
Approximately 80% of the adult population suffers from acute low back syndrome (LBS) at some point during their life. Individuals with acute low back pain may seek relief from one or several sources including physical therapists, chiropractors, massage therapists, or primary care physicians. However, most cases of LBS self-correct within a period of 1–6 weeks without specific treatment.
Diathermy therapy
Published in Riadh Habash, BioElectroMagnetics, 2020
In a literature review, Cacolice et al. [12] provided a summary of evidence that evaluates the clinical utility of diathermy as an intervention for musculoskeletal pathologies. Limited positive results suggested that diathermy may be beneficial for the treatment of knee osteoarthritis, supraspinatus tendinopathy, and chronic lower back pain. In another review, Andrade et al. [13] assessed the effectiveness of the PEMF in reducing pain and clinical symptomatology in patients with lower back pathological conditions. Six studies were eligible for inclusion in the qualitative analysis and five in the quantitative analysis. The therapy seems to be able to relieve the pain intensity and improve functionality in individuals with lower back pain conditions. Kumaran and Watson [14,15] reviewed the evidence for the use of non-invasive low-frequency (30 kHz–30 MHz) RF energy for treating chronic therapy-related clinical conditions. It is noticed that a general lack of research emphasis in the non-shortwave RF band is evident.
Efficacy of Kinesio Taping Compared to Other Treatment Modalities in Musculoskeletal Disorders: A Systematic Review and Meta-Analysis
Published in Research in Sports Medicine, 2023
Linh Tran, Abdelrahman M Makram, Omar Mohamed Makram, Muhammed Khaled Elfaituri, Sara Morsy, Sherief Ghozy, Ahmed Helmy Zayan, Nguyen Hai Nam, Marwa Mostafa Mohamed Zaki, Elizabeth L Allison, Truong Hong Hieu, Loc Le Quang, Dang The Hung, Nguyen Tien Huy
Comparison of KT to different treatment modalities yielded contradicting results. Fong et al. compared KT to exercise and found that exercise had a better effect over KT for better muscle activity (Fong et al., 2015). Talu et al. compared KT with exercise to exercise alone in lumbar region pathologies and found that adding KT to exercise significantly decreased the pain more than exercises alone (Talu et al., 2016). This was supported by other studies, which compared conventional physical therapy with KT to conventional physical therapy in chronic low back pain and found that the first group had significant improvement of pain and disability up to six months (Added et al., 2016; Bharti et al., 2016). Also, Sedhom et al. compared aescin and diethylamine salicylate gel pH to KT in knee osteoarthritis and found that medical gel significantly enhanced the pain more than KT (Gaid Sedhom, 2016). Hayta et al. compared pain relief and disability enhancement in myofascial pain patients between KT and dry needling (Hayta & Umdu, 2016) and concluded that both groups had significant improvement of pain that was persistent up to 12 weeks. However, the dry needling significantly improved disability and ROM in the neck region and when compared to placebo, KT always significantly improved pain and disability. Studies comparing sham taping and KT also showed significant efficacy of KT over sham taping. However, one study suggested that this effect over sham taping is mainly attributed to the method of application. When applying the sham taping with the same method as KT, both had the same efficacy.
Application of percutaneous vertebroplasty and percutaneous kyphoplasty in treating Kümmell’s patients with different stages and postural correction status
Published in Expert Review of Medical Devices, 2020
Haiming Yu, Yizhong Li, Xuedong Yao, Jinkuang Lin, Yuancheng Pan, Huafeng Zhuang, Peiwen Wang
Low back pain was relieved after the surgery. On the third day post-operation, VAS scores were markedly reduced (PVP, 1.71 ± 0.76 vs 8.00 ± 0.58, p = 0.000; PKP, 1.92 ± 0.76 vs 8.08 ± 0.64, p = 0.000) and ODI scores were markedly reduced (PVP, 20.31 ± 6.99% vs 77.77 ± 3.85%, p = 0.000; PKP, 25.45 ± 7.68% vs 77.96 ± 2.92%, p = 0.000) compared with the preoperative values. On the last follow-up, VAS scores were markedly reduced (PVP, 2.29 ± 0.49 vs 8.00 ± 0.58, p = 0.000; PKP, 2.31 ± 0.48 vs 8.08 ± 0.64, p = 0.000) and ODI scores were markedly reduced (PVP, 21.58 ± 4.56% vs 77.77 ± 3.85%, p = 0.000; PKP, 25.81 ± 6.58% vs 77.96 ± 2.92%, p = 0.000) compared with the preoperative values. However, there was no significant difference between the 2 groups on the VAS and ODI scores before and after the surgery (Table 4). Postoperative neurological function was improved in the 3 patients in stage III with spinal cord injury compared with preoperative status, and the Frankel grade was improved from class D to class E (Figure 3).
Concurrent validity of the inertial sensors for assessment of balance control during quiet standing in patients with chronic low back pain and asymptomatic individuals
Published in Journal of Medical Engineering & Technology, 2022
Gustavo Felicio Telles, Arthur de Sá Ferreira, Pedro Manoel Pena Junior, Thiago Lemos, Juliana Valentim Bittencourt, Leandro Alberto Calazans Nogueira
Low back pain is the leading cause of physical disability worldwide [1]. Low back pain is commonly associated with multiple factors, including musculoskeletal biomechanics. Also, numerous studies are concentrated in kinematic analysis in this population [2,3]. Pain could lead to proprioception deficits and diminished muscles recruitment which contributes to movement impairments and poor balance control [4,5]. Therefore, patients with chronic low back pain could have impaired balance control during standing [6].