Innovations in Physical Medicine and Rehabilitation for the Treatment of Musculoskeletal Disorders

A special issue of Journal of Functional Morphology and Kinesiology (ISSN 2411-5142). This special issue belongs to the section "Functional Anatomy and Musculoskeletal System".

Deadline for manuscript submissions: closed (31 March 2025) | Viewed by 6647

Special Issue Editors


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Guest Editor
Department of Public Health, Rehabilitation Unit, University of Naples Federico II, 80131 Naples, Italy
Interests: physical medicine and rehabilitation; musculoskeletal rehabilitation; sport rehabilitation; musculoskeletal ultrasound; ultrasound-guided injections; interventional physiatry
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Public Health, University of Naples Federico II, 80131 Naples, Italy
Interests: physical medicine and rehabilitation; musculoskeletal rehabilitation; sports rehabilitation; sports medicine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Musculoskeletal disorders are rapidly increasing. This is largely due to both increased participation in sports and recreational activities, as well as population growth and aging.

According to the WHO, musculoskeletal conditions are the highest contributor to the global need for rehabilitation, accounting for approximately two-thirds of all adults in need of rehabilitation, and thus representing a significant burden for public health.

Over the years, advancements in technology and research have revolutionized the field of physical medicine and rehabilitation, developing innovative approaches for the improvement of patient outcomes.

The future of physical medicine and rehabilitation is marked by an exciting range of innovations in rehabilitation services, such as telehealth, virtual reality, robotics, artificial intelligence, gamification, and mobile applications. These new technologies could revolutionize the field of rehabilitation, improving access, engagement, and the personalization of care.

As these technologies continue to evolve and become more accessible, patients can expect a more efficient, engaging, and effective rehabilitation experience. Physical medicine and rehabilitation is poised to incorporate these innovations, shaping a future where rehabilitation reaches new levels of success.

In this Special Issue, we are pleased to invite researchers who are skilled in the field of innovations for the rehabilitation of musculoskeletal disorders to submit high-quality articles or reviews that relate to the issues present in these research areas.

Dr. Domiziano Tarantino
Dr. Felice Sirico
Guest Editors

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Keywords

  • physical medicine and rehabilitation
  • musculoskeletal rehabilitation
  • sports rehabilitation
  • innovative rehabilitation
  • innovative physical therapy

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Published Papers (3 papers)

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Research

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15 pages, 1949 KiB  
Article
Learning Transversus Abdominis Activation in Older Adults with Chronic Low Back Pain Using an Ultrasound-Based Wearable: A Randomized Controlled Pilot Study
by Luis Perotti, Oskar Stamm, Hannah Strohm, Jürgen Jenne, Marc Fournelle, Nils Lahmann and Ursula Müller-Werdan
J. Funct. Morphol. Kinesiol. 2025, 10(1), 14; https://doi.org/10.3390/jfmk10010014 - 1 Jan 2025
Cited by 1 | Viewed by 973
Abstract
Background/Objectives: Chronic low back pain (CLBP) is prevalent among older adults and leads to significant functional limitations and reduced quality of life. Segmental stabilization exercises (SSEs) are commonly used to treat CLBP, but the selective activation of deep abdominal muscles during these [...] Read more.
Background/Objectives: Chronic low back pain (CLBP) is prevalent among older adults and leads to significant functional limitations and reduced quality of life. Segmental stabilization exercises (SSEs) are commonly used to treat CLBP, but the selective activation of deep abdominal muscles during these exercises can be challenging for patients. To support muscle activation, physiotherapists use biofeedback methods such as palpation and ultrasound imaging. This randomized controlled pilot study aimed to compare the effectiveness of these two biofeedback techniques in older adults with CLBP. Methods: A total of 24 participants aged 65 years or older with CLBP were randomly assigned to one of two groups: one group performed self-palpation biofeedback, while the other group used real-time ultrasound imaging to visualize abdominal muscle activation. Muscle activation and thickness were continuously tracked using a semi-automated algorithm. The preferential activation ratio (PAR) was calculated to measure muscle activation, and statistical comparisons between groups were made using ANOVA. Results: Both groups achieved positive PAR values during all repetitions of the abdominal-draw-in maneuver (ADIM) and abdominal bracing (AB). Statistical analysis revealed no significant differences between the groups in terms of PAR during ADIM (F(2, 42) = 0.548, p = 0.58, partial η2 = 0.025) or AB (F(2, 36) = 0.812, p = 0.45, partial η2 = 0.043). Both groups reported high levels of exercise enjoyment and low task load. Conclusions: In conclusion, both palpation and ultrasound biofeedback appear to be effective for guiding older adults with CLBP during SSE. Larger studies are needed to confirm these results and examine the long-term effectiveness of these biofeedback methods. Full article
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11 pages, 305 KiB  
Article
Cervical and Thoracic Spine Mobility in Rotator Cuff Related Shoulder Pain: A Comparative Analysis with Asymptomatic Controls
by Daniel Manoso-Hernando, Javier Bailón-Cerezo, Ignacio Elizagaray-García, Pablo Achútegui-García-Matres, Guillermo Suárez-Díez and Alfonso Gil-Martínez
J. Funct. Morphol. Kinesiol. 2024, 9(3), 128; https://doi.org/10.3390/jfmk9030128 - 24 Jul 2024
Cited by 1 | Viewed by 2683
Abstract
Rotator cuff related shoulder pain (RCRSP) is a prevalent clinical presentation characterized by substantial diagnostic uncertainty. Some of this uncertainty relates to the involvement of the cervical and thoracic spine as a source of or contributing factor to RCRSP. Thirty-two RCRSP cases and [...] Read more.
Rotator cuff related shoulder pain (RCRSP) is a prevalent clinical presentation characterized by substantial diagnostic uncertainty. Some of this uncertainty relates to the involvement of the cervical and thoracic spine as a source of or contributing factor to RCRSP. Thirty-two RCRSP cases and thirty-two asymptomatic controls (AC), recruited from Hospital La Paz-Carlos III between March 2023 and September 2023, were matched for age, gender and hand dominance. Assessed variables included cervical, thoracic range of motion (ROM) and neck disability index (NDI). Independent t-tests were used to compare each of these measurements and multiple linear regression was used to examine the capacity of neck or psychosocial variables to predict the variability of the NDI. The RCRSP group had significantly reduced cervical rotation [RCRSP (111.14 ± 22.98); AC (130.23 ± 21.20), d = 0.86, p < 0.01] and flexo-extension ROM [RCRSP (112.47 ± 2.07); AC (128.5 ± 17.85), d = 0.80, p < 0.01] as well as thoracic spine flexion [RCRSP (33.02 ± 1.14); AC (34.14 ± 1.01), d = 1.04, p < 0.01], extension [RCRSP (28.63 ± 0.89); AC (27.37 ± 0.89), d = −1.40, p < 0.01], right rotation [RCRSP (40.53 ± 10.39); AC (54.45 ± 9.75), d = 1.38, p < 0.01], left rotation [RCRSP (39.00 ± 11.26); AC (54.10 ± 10.51), d = 1.39, p < 0.01] and a significantly increased NDI score [RCRSP (17.56 ± 7.25); AC (2.47 ± 3.25), d = −2.69, p < 0.01]. The variables best explaining neck disability were central sensitization index and SF-12 total score (adjusted R2 = 0.75; p < 0.01). These results suggest that clinicians should assess cervical and thoracic spine mobility in patients with RCRSP. Full article

Review

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27 pages, 3556 KiB  
Review
A Practical Guide to Injection Therapy in Hand Tendinopathies: A Systematic Review of Randomized Controlled Trials
by Antonio Frizziero, Nicola Maffulli, Chiara Saglietti, Eugenio Sarti, Davide Bigliardi, Cosimo Costantino and Andrea Demeco
J. Funct. Morphol. Kinesiol. 2024, 9(3), 146; https://doi.org/10.3390/jfmk9030146 - 26 Aug 2024
Cited by 2 | Viewed by 2312
Abstract
Hand tendinopathies represent a pathological condition associated with significant disability. However, due to this high heterogeneity of the treatments and their efficacy, there is still a lack of consensus on the infiltrative therapy of the hand. This systematic review aimed to investigate the [...] Read more.
Hand tendinopathies represent a pathological condition associated with significant disability. However, due to this high heterogeneity of the treatments and their efficacy, there is still a lack of consensus on the infiltrative therapy of the hand. This systematic review aimed to investigate the efficacy of injection techniques in the treatment of pain related to the main hand tendinopathies. We searched online medical databases (PubMed, Pedro, Cochrane Library, Scopus, and WoS). Only RCTs published in the last 10 years (up to 5 August 2024), written in English, and related to infiltrative treatment in wrist and hand tendinopathies were evaluated. The risk of bias in RCTs was assessed with Version 2 of the Cochrane Risk of Bias tool for randomized trials (RoB 2). Out of 641 articles identified, 23 were included in the final synthesis: 14 RCTs on trigger finger, and 9 RCTs on de Quervain’s tenosynovitis. The present systematic review showed that infiltrative therapy of trigger finger and de Quervain’s tenosynovitis constitutes a fundamental element in the treatment of these pathological conditions, in terms of pain reduction and improvement in the functionality of the hand. Full article
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