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Healthcare
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Physiotherapy and Rehabilitation of Musculoskeletal Disorders
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Physiotherapy and Rehabilitation of Musculoskeletal Disorders

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 5951

Special Issue Editor

Prof. Dr. Kiyokazu Akasaka

E-Mail Website
Guest Editor
1. Master’s and Doctoral Program in Physical Therapy, Saitama Medical University Graduate School of Medicine, Saitama, Japan
2. School of Physical Therapy, Saitama Medical University, Saitama, Japan
Interests: the effectiveness of physiotherapy; manual therapy and sports; musculoskeletal injury prevention
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to announce the launch of a new Special Issue entitled “Physiotherapy and Rehabilitation of Musculoskeletal Disorders” covering body parts such as the neck, chest, upper arm, forearm, hand, lumbar, pelvic girdle, thigh, lower leg, and foot, and the joints and articulations that connect them, including the shoulders, elbows, wrists, hips, knees, and ankle joints. The issue includes evaluating and treating disorders and trauma in the body parts listed above and soft tissues, such as muscles, ligaments, etc., that affect joint stability, mobility, and pain. This Special Issue will focus on exercise therapy and physiotherapy, including manual therapy, physical agents, and mechanical modalities for disorders and trauma in these areas, and assistive technology, including assistive, adaptive, orthotic, protective, supportive, and prosthetic devices and equipment. We also welcome manuscripts related to physiotherapy, rehabilitation care, and preventive interventions for injured people, athletes, those born with congenital disabilities, and people with acute and chronic pain in the musculoskeletal system.

Our colleagues and I look forward to reading your new manuscripts soon. 

Sincerely yours,
Prof. Dr. Kiyokazu Akasaka
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • physiotherapy
  • rehabilitation
  • musculoskeletal disorders

Published Papers (5 papers)

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Research

13 pages, 2803 KiB  
Article
Trunk Muscle Activity and Ratio of Local Muscle to Global Muscle Activity during Supine Bridge Exercises under Unstable Conditions in Young Participants with and without Chronic Low Back Pain
by Akimi Nakata, Satoshi Osuka, Tomoya Ishida, Yuki Saito, Mina Samukawa, Satoshi Kasahara, Yuta Koshino, Naoki Oikawa and Harukazu Tohyama
Healthcare 2024, 12(5), 514; https://doi.org/10.3390/healthcare12050514 - 21 Feb 2024
Viewed by 801
Abstract
Core exercises on an unstable surface increase trunk muscle activity, especially for local muscle groups. Therefore, there is a possibility that exercises on an unstable surface would be effective in the rehabilitation of non-specific chronic low back pain (NSCLBP). The present study assessed [...] Read more.
Core exercises on an unstable surface increase trunk muscle activity, especially for local muscle groups. Therefore, there is a possibility that exercises on an unstable surface would be effective in the rehabilitation of non-specific chronic low back pain (NSCLBP). The present study assessed trunk muscle activities during bridge exercise on the floor and two kinds of unstable surfaces, i.e., a balance ball and the BOSU, for individuals with and without NSCLBP. This study enrolled 17 and 18 young participants with and without NSCLBP, respectively. In the balance ball condition, both groups showed a significant increase in erector spinae activity compared to the floor condition, and the increase in activity was significantly greater in the NSCLBP group than in the control group (p = 0.038). On the other hand, neither group showed significant changes in trunk muscle activities in the BOSU condition compared to those in the floor condition. The control group showed a significant increase in internal oblique/transversus abdominis activity under the balance ball condition (p = 0.020), whereas there were no significant changes in these muscle activities between the balance ball and floor conditions in the NSCLBP group. The present study showed that participants with NSCLBP significantly increased muscle activity of the erector spinae, one of the global back muscles, on the balance ball in spite of small effects on muscle activity of the internal oblique/transversus abdominis, which is one of the local abdominal muscles. Therefore, attention should be paid to the application of bridge exercises on the balance ball for individuals with NSCLBP. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation of Musculoskeletal Disorders)
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14 pages, 1376 KiB  
Article
Short-Term Impact of Low-Intensity Exercise with Blood Flow Restriction on Mild Knee Osteoarthritis in Older Adults: A Pilot Study
by Kang-Ho Kim, Seung-Ho Kang, Nackhwan Kim, Jaehyeong Choi and Seok Kang
Healthcare 2024, 12(3), 308; https://doi.org/10.3390/healthcare12030308 - 25 Jan 2024
Viewed by 889
Abstract
This pilot study aimed to investigate the immediate impact of low-intensity exercises with blood flow restriction (BFR) on older adults with knee osteoarthritis (KOA). Fifteen patients with KOA who were over 50 years old, participated and underwent low-intensity resistance knee exercises at 30% [...] Read more.
This pilot study aimed to investigate the immediate impact of low-intensity exercises with blood flow restriction (BFR) on older adults with knee osteoarthritis (KOA). Fifteen patients with KOA who were over 50 years old, participated and underwent low-intensity resistance knee exercises at 30% of their one-repetition maximum with BFR three times/week for two weeks. Pre- and post-exercise assessments included pain levels, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, isokinetic knee strength, lower extremity muscle volume (via leg circumference and muscle thickness), functional performance tests (timed up-and-go [TUG] and sit-to-stand [STS]), skeletal muscle index (SMI) using bioelectrical impedance analysis, and handgrip strength (HGS). Post-exercise, there was a significant reduction in pain. WOMAC scores showed significant improvements across all three domains: pain, stiffness, and physical function. In the TUG and STS tests, completion times were significantly reduced. Thigh and calf circumferences, as well as thigh muscle thickness significantly increased after exercise. Post-exercise SMI and HGS also significantly increased. However, isokinetic knee strength did not show significant changes. In conclusion, low-intensity BFR exercises provide immediate benefits in symptoms and physical performance for patients with KOA, potentially inducing local and systemic muscle mass increase, even after a short-term intervention. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation of Musculoskeletal Disorders)
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10 pages, 601 KiB  
Article
The Effect of Therapeutic Adherence on the Effectiveness of a Digital Therapeutic Exercise Program: A Propensity Score Matching Analysis
by Markus Klingenberg, Andreas Elsner, Jan-Steffen Pooth, Felix Patricius Hans and Leo Benning
Healthcare 2023, 11(19), 2614; https://doi.org/10.3390/healthcare11192614 - 23 Sep 2023
Viewed by 1101
Abstract
Nonspecific back pain (NSBP) contributes greatly to the overall burden of disease from musculoskeletal conditions. Digital therapeutics (DTx) aims to address the excess demand for movement and exercise therapy resulting from this spectrum of conditions. This study aims to investigate the differential therapeutic [...] Read more.
Nonspecific back pain (NSBP) contributes greatly to the overall burden of disease from musculoskeletal conditions. Digital therapeutics (DTx) aims to address the excess demand for movement and exercise therapy resulting from this spectrum of conditions. This study aims to investigate the differential therapeutic response of NSBP to different use profiles of a digital home exercise program. Methods: This study used a PSM model to comparatively assess the achievement of a clinically relevant pain improvement among patients who exhibit a high use (HU), intermediate use (IU), low use (LU), or sub-LU use profile. Sensitivity analyses with commonly accepted thresholds for clinically relevant improvements were conducted. Results: Higher use profiles show a higher probability of achieving a clinically relevant improvement of self-reported pain intensities. Additionally, the achievement of any higher use level is associated with a significant increase in the probability of achieving a clinically relevant improvement. Conclusion: To enable the optimal effectiveness of DTx home exercise programs, an HU use profile should be pursued. This finding is in line with earlier guidance for the achievement of optimal therapeutic benefit from conventional movement and exercise therapy and underscores the importance of a cross-disciplinary effort from patients, healthcare professionals and system stakeholders alike to maximize the therapeutic effect from DTx. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation of Musculoskeletal Disorders)
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11 pages, 920 KiB  
Article
Immediate Effects of Foam Roller and Stretching to the Lead Hip on Golfers Swing: A Randomized Crossover Trial
by Yuji Hamada, Kiyokazu Akasaka, Takahiro Otsudo, Yutaka Sawada, Hiroshi Hattori, Yuki Hasebe, Yuto Kikuchi and Toby Hall
Healthcare 2023, 11(14), 2001; https://doi.org/10.3390/healthcare11142001 - 11 Jul 2023
Cited by 2 | Viewed by 959
Abstract
Golfers with decreased range of motion (ROM) of their leading hip internal rotation (IR) have increased lumbar rotation ROM and load. This study investigated the effects of foam roller (FR) applied to their leading hip muscles combined with stretching to the leading hip [...] Read more.
Golfers with decreased range of motion (ROM) of their leading hip internal rotation (IR) have increased lumbar rotation ROM and load. This study investigated the effects of foam roller (FR) applied to their leading hip muscles combined with stretching to the leading hip together with lumbar rotation ROM during the golf swing. The study design was a crossover design. Subjects were allocated to one of two groups comprising FR and dynamic stretching (FR + DS) or practice swing. Motion analysis was used to evaluate hip and lumbar angles during the golf swing. Data were compared using analysis of variance with Bonferroni correction using paired t-test’s post hoc. The association between lead hip IR angle and lumbar spine left rotation (Lrot) angle was investigated using correlation analysis. Lead hip IR ROM during the golf swing was significantly greater in the FR + DS group (p = 0.034). The FR + DS group showed a moderate negative correlation between lead hip IR ROM and lower lumbar spine Lrot ROM during the golf swing (r = −0.522). The application of FR + DS might be useful to increase lead hip IR angle during the golf swing. Moreover, the application of FR + DS improves lead hip IR angle and may decrease lumbar spine rotation. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation of Musculoskeletal Disorders)
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11 pages, 276 KiB  
Article
Predictors of 1-Year Perceived Recovery, Absenteeism, and Expenses Due to Low Back Pain in Workers Receiving Mechanical Diagnosis and Therapy: A Prospective Cohort Study
by Hiroshi Takasaki
Healthcare 2023, 11(9), 1293; https://doi.org/10.3390/healthcare11091293 - 30 Apr 2023
Cited by 1 | Viewed by 1116
Abstract
This multicenter prospective cohort study aimed to preliminarily explore statistically relevant modifiable and predetermined factors for 1-year perceived recovery, absenteeism, and personal expenses in workers who received Mechanical Diagnosis and Therapy (MDT) for low back pain (LBP). Three stepwise multiple regression models were [...] Read more.
This multicenter prospective cohort study aimed to preliminarily explore statistically relevant modifiable and predetermined factors for 1-year perceived recovery, absenteeism, and personal expenses in workers who received Mechanical Diagnosis and Therapy (MDT) for low back pain (LBP). Three stepwise multiple regression models were explored with 42 independent variables, including (1) socio-demographic factors; (2) risk stratification; (3) pain-related variables, psychological variables, and behavioral variables at baseline and changes after a month; (4) therapeutic alliance and exercise adherence at 1-month follow-up; and (5) MDT classification and therapist levels. Data from 58 participants were analyzed, after which a model with a medium effect size was developed for 1-year perceived recovery only. Consequently, patients with derangement syndrome were expected to have improved 1-year perceived recovery, with expected predetermined prognostic factors including shorter symptom duration, self-management skills to lead a healthy life, and less pain catastrophization at baseline. A stronger therapeutic alliance between patient and therapist during the 1-month MDT intervention was identified as an expected modifiable prognostic factor. It may be difficult to accurately predict the annual absenteeism and personal expenses due to LBP given the weak to low effect sizes of the developed models. Full article
(This article belongs to the Special Issue Physiotherapy and Rehabilitation of Musculoskeletal Disorders)
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