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Pauletto PA, Chico FTF, Vieira LCG, Bertoncello D, Buzanello MR, de Carvalho AR, Bertolini GRF. Effectiveness of passive mobilization on the deleterious effects of immobilization in patients with musculoskeletal problems: a systematic review. J Man Manip Ther 2025; 33:173-182. [PMID: 40387860 DOI: 10.1080/10669817.2024.2408500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 09/19/2024] [Indexed: 05/20/2025] Open
Abstract
INTRODUCTION Joint immobilization may be necessary in some situations, such as in cases of fractures and osteomyoarticular injuries. However, it is known that there are several harmful effects of immobilization, which can cause muscle weakness, loss of motor function, reduced range of motion and increased local pain, and it is important to understand the possible forms of treatment to alleviate the effects of immobilization, focusing on passive mobilization. OBJECTIVE To address articles that evaluate the effects of passive mobilization on immobilized patients. METHODOLOGY The search was carried out in national and international electronic databases (PubMed, Pedro, Web of Science, Scopus, Embase, Lilacs and Cochrane), in addition to gray literature (Google Scholar, Open Gray and Livivo), using the following descriptors: PASSIVE MOBILIZATION and IMMOBILIZATION, being carried out blindly, by two main researchers, concluding the selection with 6 articles on the subject. RESULTS The studies indicate that passive mobilization was able to reverse the negative aspects of immobilization in relation to the recovery of strength, range of movement, local pain and motor function, as its action provides tissue sliding, increasing circulation and the repair process tissue. CONCLUSION Although the effects are smaller compared to active exercises, it can be considered that passive mobilization can mitigate the harmful effects of immobilization.
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Affiliation(s)
- Pâmela Andressa Pauletto
- Biosciences and Health Program, Universidade Estadual do Oeste do Paraná - UNIOESTE, Paraná, Brazil
| | | | | | - Dernival Bertoncello
- Physical Therapy Program, Universidade Federal do Triângulo Mineiro - UFTM, Uberaba, Brazil
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Du P, Li X, Yin S, Li W, Sun X, Zhang Z, Zhao J, Shijun G, Du S, Zhang D. Lumbar osteopathic manipulative treatment can improve KOA symptoms: short-term efficacy observation and mechanism analysis. Front Bioeng Biotechnol 2024; 12:1431527. [PMID: 39239257 PMCID: PMC11374657 DOI: 10.3389/fbioe.2024.1431527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2024] [Accepted: 08/13/2024] [Indexed: 09/07/2024] Open
Abstract
Background Manipulative treatment can effectively improve knee pain and function, but no previous studies have shown that lumbar osteopathic manipulative treatment can improve knee symptoms. To explore the influence of lumbar manipulation on KOA and analyze its principlerelationship between coronal position of lumbar spine and KOA. Methods Patients were divided into OMT group and DT group according to treatment. WOMAC scores were compared between the two groups, and X-ray examinations before and after treatment were performed in OMT group to analyze the imaging changes. Results Both OMT group and DT group showed significant improvement in WOMAC score after treatment, and the improvement in OMT group was better than that in DT group. After OMT treatment, cTMI(P = 0.034), mL-SOD (P < 0.001), mΔL-KOD (P = 0.001), LL (P = 0.036), and FTA(P = 0.026) were significantly changed. Conclusion Compared with drug therapy, lumbar manipulation can better improve WOMAC scores in KOA patients. It relives symptoms by loosening muscles and correcting small joint disorders to improve local knee alignment.
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Affiliation(s)
- Peiyu Du
- Spine Surgery Department, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Xi Li
- Orthopedics Department, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, China
| | - Shilin Yin
- Orthopedics Department, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, China
| | - Wenyi Li
- Spine Surgery Department, Hebei Provincial People's Hospital, Shijiazhuang, China
| | - Xilong Sun
- Spine Surgery Department, Hebei Provincial People's Hospital, Shijiazhuang, China
| | - Zekun Zhang
- Imaging Department, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, China
| | - Jianyong Zhao
- Spine Surgery Department, Cangzhou Integrated Chinese and Western Medicine Hospital, Cangzhou, China
| | - Gao Shijun
- Joint Surgery Department, The Third Hospital of Hebei Medical University, Shijiazhuang, China
| | - Shuangqing Du
- Orthopedics Department, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, China
| | - Di Zhang
- Spine Surgery Department, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
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Qi XY, Zhou HY, Xing YH. Effect of continuous nursing on rehabilitation of older patients with joint replacement after discharge. World J Clin Cases 2024; 12:4558-4565. [PMID: 39070847 PMCID: PMC11235478 DOI: 10.12998/wjcc.v12.i21.4558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 05/21/2024] [Accepted: 05/30/2024] [Indexed: 06/30/2024] Open
Abstract
BACKGROUND Joint replacement is a common treatment for older patients with high incidences of hip joint diseases. However, postoperative recovery is slow and complications are common, which reduces surgical effectiveness. Therefore, patients require long-term, high-quality, and effective nursing interventions to promote rehabilitation. Continuity of care has been used successfully in other diseases; however, little research has been conducted on older patients who have undergone hip replacement. AIM To explore the clinical effect of continuous nursing on rehabilitation after discharge of older individuals who have undergone joint replacement. METHODS A retrospective analysis was performed on the clinical data of 113 elderly patients. Patients receiving routine nursing were included in the convention group (n = 60), and those receiving continuous nursing, according to various methods, were included in the continuation group (n = 53). Harris score, short form 36 (SF-36) score, complication rate, and readmission rate were compared between the convention and continuation groups. RESULTS After discharge, Harris and SF-36 scores of the continuation group were higher than those of the convention group. The Harris and SF-36 scores of the two groups showed an increasing trend with time, and there was an interaction effect between group and time (Harris score: F intergroup effect = 376.500, F time effect = 20.090, F interaction effect = 4.824; SF-36 score: F intergroup effect = 236.200, F time effect = 16.710, F interaction effect = 5.584; all P < 0.05). Furthermore, the total complication and readmission rates in the continuation group were lower (P < 0.05). CONCLUSION Continuous nursing could significantly improve hip function and quality of life in older patients after joint replacement and reduce the incidence of complications and readmission rates.
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Affiliation(s)
- Xiao-Yan Qi
- Department of Orthopaedics, The Third Hospital of Shijiazhuang, Shijiazhuang 050011, Hebei Province, China
| | - Hong-Yan Zhou
- Department of Orthopaedics, The Third Hospital of Shijiazhuang, Shijiazhuang 050011, Hebei Province, China
| | - Yu-Hong Xing
- Department of Orthopaedics, The Third Hospital of Shijiazhuang, Shijiazhuang 050011, Hebei Province, China
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Du P, Yan Y, Yin S, Li X, Wang H, Sun J, Kang K, Zhao J, Du S. Correlation Between Coronal Position Sequence of Lumbar and WOMAC Score in Knee Osteoarthritis (KOA) in Standard Standing Position. Adv Ther 2024; 41:2924-2935. [PMID: 38833141 DOI: 10.1007/s12325-024-02898-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Accepted: 05/09/2024] [Indexed: 06/06/2024]
Abstract
INTRODUCTION Sagittal sequences of the spine have been shown to correlate with knee osteoarthritis (KOA), but coronal sequences and KOA have never been studied before. The study required patients to use a standard standing posture and aimed to explore the relationship between coronal position of lumbar spine and WOMAC score in KOA. METHODS This is a cross-sectional observational study. Data on a total of 268 patients with KOA were collected. Patients were photographed in a standard standing position and lumbar-sacrum offset distance (L-SOD) and lumbar-knee offset distance (ΔL-KOD) were calculated. Patients were then divided into different groups according to different critical values and differences were compared. RESULTS In the L-SOD of L1-3, WOMAC function (P = 0.021, P = 0.032, P = 0.001) and total score (P = 0.039, P = 0.034, P < 0.001) were different. In the L-SOD of L3-4, WOMAC pain score were different (P = 0.001, P = 0.032). At a cutoff of 13 mm, ΔL-KOD of L1-2 showed significant differences in pain part (P = 0.025, P = 0.039) and total score (P = 0.036, P = 0.050). There were significant differences in pain (P = 0.023, P = 0.027, P = 0.022), function (P = 0.048, P = 0.038, P = 0.047), and total score (P = 0.030, P = 0.027, P = 0.029) of L3-5. In the 18-mm cutoff group, only L1 and L2 have differences in the pain part (P = 0.050, P = 0.038). CONCLUSION Coronal balance of the lumbar spine is associated with knee pain and function. The pelvis plays an important role in maintaining the coronal balance. Both the lumbar spine and the knee joint should be considered when developing the surgical strategy.
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Affiliation(s)
- Peiyu Du
- Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China
| | - Yuntao Yan
- Department of Orthopedics, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, Hebei, People's Republic of China
| | - Shilin Yin
- Department of Orthopedics, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, Hebei, People's Republic of China
| | - Xi Li
- Department of Orthopedics, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, Hebei, People's Republic of China
| | - Hui Wang
- Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China
| | - Jiayuan Sun
- Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China
| | - Kai Kang
- Department of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China
| | - Jianyong Zhao
- Department of Spine Surgery, Cangzhou Integrated Chinese and Western Medicine Hospital, Cangzhou, Hebei, People's Republic of China
| | - Shuangqing Du
- Department of Orthopedics, The First Hospital of Hebei Chinese Medicine University, Shijiazhuang, Hebei, People's Republic of China.
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de Lima E Silva FX, de Araujo Ribeiro-Alvares JB, de Souza Roberti L, Mocellin MP, Baroni BM. Field Hip Stability Isometric Test (F-HipSIT): Reliability of Assessing the Hip Posterolateral Muscle Strength in Sports Settings. J Sport Rehabil 2024:1-6. [PMID: 38936805 DOI: 10.1123/jsr.2023-0146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 04/17/2024] [Accepted: 04/28/2024] [Indexed: 06/29/2024]
Abstract
CONTEXT The Hip Stability Isometric Test (HipSIT) is commonly employed in clinical settings for evaluating the hip posterolateral muscle strength. In this study, we introduced the "Field Hip Stability Isometric Test" (F-HipSIT) and assessed the intrarater and interrater reliability of this strength assessment specifically designed for sports settings. DESIGN Reliability study. METHODS Two independent raters (A and B) went to athletes' training facilities to conduct 2 sessions of F-HipSIT spaced at least 1 week apart. The average peak force value from 3 valid attempts of each leg was recorded and normalized by the participant's body mass for statistical analysis. RESULTS Thirty male and 30 female amateur athletes took part in this study. Rater A obtained similar values in the first (0.39 [0.05] and 0.44 [0.07] kg·f/kg) and second (0.39 [0.06] and 0.45 [0.07] kg·f/kg) testing days for men and women, respectively. Rater B also found similar values in the first (0.35 [0.06] and 0.42 [0.08] kg·f/kg) and second (0.36 [0.06] and 0.45 [0.08] kg·f/kg) testing days for men and women, respectively. Excellent intrarater intraclass correlation coefficient (ICC) values were found for men (ICC = .922) and women (ICC = .930), with coefficient of variation of 6% to 8% and minimal detectable change of 0.06 to 0.10 kg·f/kg. The F-HipSIT presented good interrater reliability for men (ICC = .857) and women (ICC = .868), with coefficient of variation of 5% and minimal detectable change of 0.05 to 0.06 kg·f/kg. CONCLUSION The F-HipSIT intrarater and interrater reliability among male and female recreational athletes supports this field test as a quick and convenient screening tool to monitor hip posterolateral muscle strength in sports settings.
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Affiliation(s)
| | | | - Lucas de Souza Roberti
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil
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Ferguson J, Fritsch A, Rhon DI, Young JL. Adverse Events Reported in Trials Assessing Manual Therapy to the Extremities: A Systematic Review. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2024; 30:507-517. [PMID: 38452161 DOI: 10.1089/jicm.2023.0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Objective: This review aimed to describe the quality and comprehensiveness of adverse event (AE) reporting in clinical trials incorporating manual therapy (MT) as an intervention for extremity conditions using the Consolidated Standards of Reporting Trials (CONSORT)-Harms extension as the benchmark. The secondary aim was to determine whether the quality of AE reporting improved after the availability of the CONSORT reporting checklist. Design: Systematic review. Methods: A literature search was conducted using multiple databases to identify trials where MT was used to treat extremity conditions. Studies that reported AEs were identified and evaluated using the CONSORT-Harms extension. The frequency of trials reporting study AEs before and after the publication of the updated 2010 CONSORT statement was calculated, along with the categorization of how study AEs were reported. Results: Of the 55,539 studies initially identified, 220 trials met all inclusion criteria. Eighty trials (36.4%) reported AE occurrence. None of the studies that reported AEs adhered to all 10 criteria proposed by the 2010 CONSORT-Harms extension. The most commonly reported criterion was number four, which clarified how AE-related information was collected (30% of trials). The least reported criterion was number six, which describes the participant withdrawals for each arm due to AEs and the experience with the allocated treatment (1.3% of trials). The nomenclature used to describe AEs varied substantially. Fifty-nine of 76 trials (33.3%) were published after the updated CONSORT Harms-checklist was available, compared to 21 of 44 trials (46.7%) published before it was available. Conclusion: Reporting of AEs in trials investigating MT for extremity conditions is poor. Every included trial lacked adherence to all 10 criteria proposed by the CONSORT-Harms Extension. The quality and comprehensiveness of AE reporting did not improve after the most recent CONSORT update recommending AE reporting. Clinicians must obtain informed consent before performing any intervention, including MT, which requires disclosing potential risks, which could be better known with improved tracking, analyzing, and reporting of AEs. The authors recommend improved adherence to best practices for adequately tracking and reporting AEs in future MT trials.
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Affiliation(s)
- Jeffrey Ferguson
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
| | - Adam Fritsch
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
| | - Daniel I Rhon
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
- Department of Rehabilitation Medicine, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA
| | - Jodi L Young
- Physical Therapy Program, Bellin College, Green Bay, Wisconsin, USA
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Wong CK, Youdan GA, Chihuri ST. Beyond exercise. Can application of manual therapy before exercise benefit a low functioning person with limb loss? A case study. J Man Manip Ther 2023; 31:383-389. [PMID: 36942674 PMCID: PMC10566409 DOI: 10.1080/10669817.2023.2192650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 03/10/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND Most people with lower-limb loss (PLL) have musculoskeletal conditions and range-of-motion and muscle performance impairments. Such impairments limit potential for functional movement but can be reduced with manual therapy. Manual therapy, however, is rarely used for PLL. This case demonstrated how integrating manual therapy, exercise, and functional training led to lasting benefits for one low functioning PLL. CASE DESCRIPTION A 54-year-old woman more than 1 year after transtibial amputation due to peripheral artery disease presented with multiple comorbidities and yellow flags. Her function remained limited to the Medicare K-1 household walking level with slow gait speed <0.25 m/s. Treatment included four weekly sessions each beginning with manual therapy, followed by exercise and functional training. OUTCOMES After 1 month, performance-based strength, balance, walking speed, and physical activity increased. She advanced to the K-2 limited community walking level and maintained her functional level without further treatment after 3 months. DISCUSSION Improvements maintained without treatment expanded upon research that lacked follow-up and excluded K-1 level walkers. Marked improvement after only four sessions was noteworthy since exercise protocols require ≥4 sessions. CONCLUSION Manual therapy followed by exercise and functional training may optimize movement potential and contribute to improving strength, balance, gait, and physical activity among PLL.
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Affiliation(s)
- Christopher K. Wong
- Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY, USA
| | - Gregory A. Youdan
- Biobehavioral Sciences, Teachers College Columbia University, Bronx, NY, USA
| | - Stanford T. Chihuri
- Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA
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