Physical Treatments Journal
Volume:3 Issue: 2, 2013

Comparison of global and local abdominal muscles thickness in chronic non- specific low back pain patients with healthy controls in position of hook-lying over variant stability surface utilizing diagnostic ultrasonography Methods and Materials: 20 chronic non-specific low back pain male patients compared with a convenient sample of age and gender matched healthy controls in a semi-experimental study. Thickness of abdominal muscles was measured in end of inspiration and expiration phases by B-mode linear ultrasound transducer in three different hook-lying positions over: 1- stable surface، 2- foam roller under spine and finally 3- foam roller under spine and one foot. Data were analyzed utilizing SPSS. In healthy controls internal oblique and transverse abdomens muscles in expiration phase revealed significant differences between three positions. P< 0. 001 In patients internal oblique and transverse abdomens muscles only revealed significant differences between position one and two. P< 0. 005 In low back pain subjects internal oblique and transverse abdomens muscles were unable to activate in more difficult position over unstable surface due to chronic pain process such as functional deficiency and decrease number of muscle spindle and muscle fiber atrophy.

The aim of this study was to compare effectiveness of stabilization exercises with maximum Isometric exercises on fear avoidance belief، Tampa scale Kinsiophobia، pain and disability in Chronic Non-Specific Neck Pain. In clinical trail study done on fifty patients with chronic neck pain were recruited. Subjects were randomly assigned to either a stabilization (n=25) or a maximum isometric exercise group (n=25). Before and after intervention (4،8،12 weeks) pain، disability، Tampa Scale Kinsiophobia، Fear Avoidance of Belief measured. A 48 session exercise program which 8 weeks. six session per week، and per session was performed for both groups. Repeated measurement of analysis variance، Independent t-test and paired t-test were used for comparison between pretreatment and post treatment test results between groups and within groups، respectively. The mean neck pain decreased in the stabilization group and maximum isometric group (p=0/482). The mean disability (NDI) decreased with significant difference in both groups (p<0/001). The mean FABQ-W decreased with significant difference in both groups (P<0/001) but The mean FABQ-W decreased without significant difference in both groups (P=0/938). The mean TSK decreased with significant difference in both groups (P<0/001). This study showed that neck specific stabilization exercises and maximum isometric exercises decrease pain، disability، fear of pain and fear of re-injury. Also specific stabilization exercises was more useful than maximum isometric procedure.

Target &

Today using exercise for patient with backpain is the most important advised way for backache، and most of the researchers are believed to this issue which among presented exercises، Stabilized exercises in chronic Shade of pain & Macenzi exercise in harsh situation is the best way. So، effect of using electronic rays in curing backache، even for short time & less، it''s not hidden from attitude and it known as an effective way for curing this issue. Among all ways APS way، which has been invented، attracted the most researcher''s attention. Study

in this research which have done on 24 young patient girls (between 20 to 30 years old) with chronic backache، accidentally belonged to one of two selected sport groups with/without application of APS has been studied & cured on both groups during 4 weeks (14 curing sessions). One of them along with selected exercises during 14 sessions and each session 10 minutes، received APS waves from back of the patients. Data، based on Quebec scale in order to measurement in level of paining and Oswestry disability index for study on the application of patient''s spine has been collected and by using Inferential statistics ways including Grof Testing for observing supplying data، T testing dependent samples for comparing score of items in each of target elements in 2 steps (before & after of exercising in each exercising groups and T testing of dependent elements for comparing the differences between average of scores in 2 groups، before performing plan for study of failure of differences between two groups in each of elements and also after performing practicing period in each elements in level of 5% has been used. All calculation by using computer and SPSS 15 software has done and diagrams have drawn by EXCELL 2010. Founds: improvement of performance and deduction of pain in both groups has been increased، but different of this increase in both groups is not definite.

according to all founds of this study، selected therapeutic exercises with/without using APS in two groups caused to improvement of application and decrease of pain in patients. Although this improvement in group by application of APS was not brilliant، both groups did not have cleared different.

Neck pain (NP) is among the common musculoskeletal problems which may be caused or developed due to holding an inappropriate position of head and neck while working. The aim of present study was to investigate if work with computer relates with the forward head posture and its relationship with the neck pain among the office workers A cross-sectional study in 2011-12، included 165 office workers of Semnan Welfare organization who were randomly selected. No limitation such as age، occupation and … were considered and all voluntaries with more than one year work experience could enter. After completing the questionnaires and existance of NP، considering its high incidence among women and to decline the gender confounding effect، 60 women were paired in two groups: with versus without NP. The head angle in compare to nack (CV angle) was measured using the goniometer. A Statistical software was used to analyze the data. Chi-square، mann-withney and independent t test were used for analyses. The results regarding evaluation of instruments’ reliability were acceptable (the questionnare and CV angle measurement، Intera-class Correlation Coefficient 0. 872 and 0. 89، consequently). The CV angle of the neck pain group was significantly smaller than that in the control group (P<0. 001). The relationship between more than three ours work with computer and forward head posture was also significant (P=0. 01). Forward head posture among those who worked with computer more than 3 hours a day was 5. 52 more common in compare to those who used computer maximum 3 hours a day. Discussion and Office workers who worked with computer more than three hours in compare to the opposite group، showed less Cranio-Vertebral (CV) angle. It could increase the risk of developing Forward Head posture. The CV angle of the neck pain group was significantly smaller than that in the normal group. A reverse relationship was found between the existance of neck pain and CVangle; participants with NP showed less CVangle. Additionally، this study confirmed CVangle measurment as a reliable measuremant method to evaluate head and neck position. CV angle measurement with goniometer showed a reliable method to assess the posture of head and neck.

Patients with type 2 diabetes mellitus (T2DM) are subject to progressive reduction of muscle strength especially in the lower limb. But the rate of progression of weakness is not clear yet. The aim of the study was to compare the isometric and concentric peak torque of knee extension and flexion in the T2DM more and less than 10 years of disease with healthy subjects that matched to patients with regards to sex، body mass index (BMI)، ankle to brachial pressure index (ABI)، and physical activity index (PAI). 30 T2DM patients categorized based on duration of disease in the two groups consist of 18 subjects with T2DM less than 10 years and 12 subjects with T2DM more than 10 years. The patients were compared with 20 sex، BMI، ABI and PAI - matched health subjects. Two- way ANCOVA analyzed the main and interaction effect of grouping and sex on the isometric maximum peak torque (IMPT) and concentric MPT (CMPT) of knee extension and flexion recorded by isokinetic instrument. The age was considered as covariate. The results showed that both knee extensor and flexor IMPT and CMPT were significantly greater in the health subjects than both patient groups (P value<0. 02). The amount of CMPT had also negative correlation with HbA1c percent (P value < 0. 002). There was no significant interaction effect of sex and grouping and different between two diabetic groups in the all MPTs. the women were weaker than men (P value < 0. 002). it is demonstrated that the T2DM patients in the both sexes had less knee strength than health subjects. The effect of duration of diabetes on muscle strength was seem very slowly overtime.

Limitation of ankle dorsiflexion range of motion as the most important risk factors for ankle sprain injury can cause disorder in neuromuscular control of muscles around the ankle. The aim of this study was to compare the onset of the activity of selected muscles around the ankle joint of those athletes with ankle dorsiflexion range of motion limitations with healthy Athletes during the single-leg jump landing. 15 male athletes with ankle dorsiflexion range of motion limitations were categorized as the group with limitation and the same number of male athletes without limitation in ankle dorsiflexion range of motion as the healthy group. Universal goniometer was used to measure range of motion of the ankle. The onset of the activity of selected muscles of the ankle during single-leg jump landing task was recorded. A multivariate analysis of variance was used to compare the beginning of the activity of the muscles between groups. The significance level for all analyzes was set as lower than 0/05. The results showed that Peroneus Longus، Lateral Gastrocnemius and Soleus muscles in the athletes with motion limitation had significantly delays in the beginning of their activity than control group. But the Tibialis Anterior muscle delays was not significantly different between the two groups. Delays in the beginning of the activity of muscles that observed in the group with motion limitation can be attributed to changes in preplanned programs of the motor control of nervous system and proprioceptive afferent messages disorder of ankle joint.

We undertook a literature review to produce evidence-based recommendation for the use of kinesio tape of patella on patellofemoral pain syndrome. Data source: A full literature electronic search was performed using google scholar، pubmed، science direct، proquest، medline، advanced google and pedro database. keywords were: patellofemoral pain syndrome، kinesio tape، knee pain، patella Study selection: Criteria that were used by researcher included the studies that exclusively recruited patients diagnosed with patellofemoral pain syndrome or anterior knee pain and outcome measures specific to pain reduction، neuromuscular control، and patellar position. Data extraction: We found 60 articles through database searching، 18 articles، potentially relevant papers retrieved for evaluation of full text. Generaly studies put into 3 categories on the based of the outcome measurement. Data synthesis: Although patellar taping seems to reduce pain in short term and improve function in patients with patellofemoral pain syndrome، strong evidence to identify the underlying mechanisms is still not available. keywors: Patellofemoral pain syndrome، patella، kinesio tape، knee pain.

Kyphosis is a common spinal abnormality. It is thought that kyphosis has an effect on respiratory system function. The purpose of this study was to investigate the relationship between thoracic kyphosis and respiratory capacities measurement by spirometer. This is a descriptive correlational design. A total of 20 males who are matched with age and body mass index participated in the study. The respiratory capacities (Forced vital capacity، Maximum voluntary ventilation، Slow vital capacity) were measured using spirometer. The size of the thoracic kyphosis was measured using flexible curve. Pearson correlation coefficient and Scatterogram was depicted to determine the correlation between variables. The findings showed no significant correlation of the thoracic kyphosis and respiratory capacities used by spirometer. It seems that thoracic kyphosis does not have effect on respiratory capacities.