Abstract:
BACKGROUND:In the relevant literature generalized hypermobility syndrome (GHS) has been shown to alter the kinetic and kinematic patterns of the human movement system. Although GHS affects the general body biomechanics of individuals, the body of knowledge in plantar pressure distribution in GHS is far from sufficient. OBJECTIVE:The aim of this study was to determine whether individuals with joint hypermobility syndrome have abnormal plantar pressure distribution during normal gait compared to healthy individuals. METHODS:A total of 37 participants (mean age: 22.16 ± 2.58 years) diagnosed with GHS and 37 aged-matched participants (mean age: 23.35 ± 2.85 years) without GHS were included in the study. Dynamic plantar pressure distribution was obtained as each participant walked in barefoot at a self-selected pace over EMED-m system (Novel GmbH, Munich, Germany). Correlations between hypermobility score (HS) (Beighton score) and plantar pressure variables, and between group differences in peak pressure (PP), pressure-time integral (PTI), average pressure (AP) and maximum force (MxF) were computed for 10 regions under the sole. RESULTS:HS was significantly correlated with peak pressure under the mid-foot (MF) (r= 0.24, p= 0.043), 5th metatarsal head (MH5) (r= 0.33, p= 0.001), big toe (BT) (r= 0.44, p< 0.001), and second toe (ST) (r= 0.38, p= 0.001). A similar trend was observed for pressure-time integrals under hindfoot (HF) (r= 0.24, p= 0.04), MF (r= 0.30, p= 0.009), MH5 (r= 0.25, p= 0.033), BT (r= 0.37, p= 0.001) and ST (r= 0.34, p= 0.003). The only significant MxF detected was under the ST (r= 0.23, p= 0.048), and AP was determined to be significantly higher as HS increases indicated by APs under MH5 (r= 0.24, p= 0.042), BT (r= 0.32, p= 0.005) and ST (r= 0.40, p< 0.001). Peak pressure values under HF were significantly higher in the hypermobile group (p= 0.023), MH5 (p= 0.001), BT (p< 0.001) and ST (p= 0.003). AP and PTI were also found to be significantly higher in the hypermobile group under MH5 (p= 0.009), BT (p= 0.037), and ST (p= 0.003). MxF was higher only under MF5 (p= 0.029) and SF (p= 0.041) in the hypermobile group. CONCLUSION:The forefoot regions received a higher load in GHS during gait. This could be useful in clinical evaluation of the foot in GHS, preventing potential injuries of lower extremity, and also in processes related to decision making for foot orthotics and/or rehabilitation protocols.
journal_name
J Back Musculoskelet Rehabiljournal_title
Journal of back and musculoskeletal rehabilitationauthors
Simsek IE,Elvan A,Selmani M,Cakiroglu MA,Kirmizi M,Bayraktar BA,Angin Sdoi
10.3233/BMR-170973subject
Has Abstractpub_date
2019-01-01 00:00:00pages
321-327issue
2eissn
1053-8127issn
1878-6324pii
BMR170973journal_volume
32pub_type
杂志文章abstract:BACKGROUND:Kinesio taping (KT) is a new taping modality frequently used in the clinical setting. However there is contradictory evidence about its effectiveness in patients with neck pain. OBJECTIVE:To determine the effectiveness of KT as a supplementary treatment in addition to conventional rehabilitation in patients...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-170835
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Physical therapists are particularly vulnerable to work-related musculoskeletal disorders (WRMDs). OBJECTIVE:To evaluate the prevalence, causes and impact of WRMDs among physical therapists in the Kingdom of Saudi Arabia (KSA). METHODS:A cross-sectional study of physical therapists using a valid and reliab...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-160687
更新日期:2016-11-21 00:00:00
abstract:PURPOSE:The purposes of this study were to: 1) investigate the inter-rater and intra-rater reliability of use of the Flexicurve for measurement of spinal length (L), thoracic (TL) and lumbar length (LL), thoracic (TW) and lumbar width (LW), and 2) quantify measurement error and minimal detectable change at the 95% CI (...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2010-0269
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Very few studies have quantified the degree of fatigue characterized by the decline in the maximal voluntary contraction (MVC) force of the trunk extensors induced by the widely used Sørensen test. OBJECTIVE:Measure the degree of fatigue of the trunk extensor muscles induced by the Sørensen test. METHODS:E...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150592
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Upper rib manipulative therapy appears to be effective on primary complaint of shoulder pain, but its efficacy has not been evaluated in subjects with whiplash-associated disorders. OBJECTIVE:To assess the immediate changes on neural and muscular mechanosensitivity after first-rib manipulation in patients w...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-160645
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Latent myofascial trigger point (LMTP) is a small hypersensitive area in skeletal muscles that becomes painful under compression or stimulation. LMTPs are relevant for various musculoskeletal disorders. Although several treatments have been introduced to treat LMTP, the most efficient one is yet to be found....
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-181302
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Patellar tendinopathy is a common overuse injury for which no evidence-based treatment guidelines exist. Extracorporeal Shock Wave Therapy (ESWT) seems to be an effective treatment for patellar tendinopathy but the most beneficial treatment strategies still need to be ascertained. Aim of this pil...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2010-0257
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:The STarT Back Screening Tool (SBT) is a multidimensional questionnaire consisting of physical and psychological factors which categorizes the patients in the low, medium or high risk subgroups. OBJECTIVE:To investigate the relationship between SBT-based subgrouping and clustering of patients with LBP using...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-181484
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The muscle activity of the deep cervical flexors is emphasized more than that of the superficial cervical flexors, and it has been reported that functional disorders of the longuscolli are found in patients who experience neck pain. OBJECTIVE:The objective of this study was to analyze the recruitment patter...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140512
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Cervicogenic headache (CGH) originated from impaired cervical musculoskeletal structures. Dysfunction of deep neck flexor muscles has been reported in CGH subjects. The purpose of this study was to assess relationship between the size of these muscles and headache laterality in CGH subjects. ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140532
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Preprogrammed reactions (PPR) appear at a latency of higher than 40 ms, but before the voluntary muscle responds (approximately 120 ms) to postural perturbations. OBJECTIVE:To examine the difference in magnitude of preprogrammed reactions in patients with chronic low back pain (CLBP) and without low back pa...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2010-0254
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Adjacent segment disease (ASD) is one of the problematic complications following anterior cervical decompression and fusion (ACDF). The impact of additional surgery with instruments is still unknown. OBJECTIVE:The objective of this study was to investigate the surgical outcomes of additional ACDF with instr...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150381
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Sensitive muscle strength tests are needed to measure muscle strength in the diagnosis and management of sciatica patients. OBJECTIVE:The aim of this study was to assess the isokinetic muscle strength in sciatica patients' and control subjects' ankles that exhibited normal ankle muscle strength when measure...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-130392
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Co-existing depressive symptoms aggravate the chronic course of pain and may interfere with successful rehabilitation. OBJECTIVE:To examine the psychosocial rehabilitation success of a standard rehabilitation program with a supplemental cognitive-behavioral management training of depressive s...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140489
更新日期:2015-01-01 00:00:00
abstract::The article describes the case of 35 year old female who was admitted to the department with saddle type hypoesthesia, anal incontinence without muscle weakness of lower extremities and sciatica. Central lumbar disc herniation (LDH) was determined on level L5-S1 level and the patient was operated thereafter. In the po...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2011-0303
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Tension tests or neurodynamic techniques assess the mobility of the peripheral nerves and provide a guide for planning and managing physiotherapy treatments of entrapment syndromes such as carpal tunnel syndrome (CTS). One of the upper limb tension tests (ULTT) is ULTT1 that evaluates the effic...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2012-0330
更新日期:2012-01-01 00:00:00
abstract::The purpose of this study was to investigate the effect of back injury and load on the ability to replicate a target standing posture. Subjects included 16 back-injured males and 16 age-matched controls. Subjects were asked to reproduce a target standing posture and to repeat this task while holding a weight. Trunk in...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-1997-8304
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Osteitis pubis refers to a painful, inflammatory condition involving the pubic bones, pubic symphysis, and adjacent structures. So, the aims of the study were to evaluate the strength of trunk muscles of soccer players suffering from osteitis pubis, and to compare the agonist/antagonist ratio ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-130429
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The occurrence of specific low back pain (LBP) due to workplace factors has not been well described among kitchen industry workers. This study would claim various risk factors that contributing LBP among kitchen workers. OBJECTIVE:The purpose of the study was to examine the risk factors and the prevalence o...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-140544
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Among all musculoskeletal disorders back pain is the most common reason for functional limitation in working age. It is due to low back pain (LBP) that the ODI has become one of the principal outcome measures for evaluation of disability and has been widely used in research as well as in clinical practice. S...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-169728
更新日期:2017-09-22 00:00:00
abstract:BACKGROUND:Systematic reviews have confirmed the effectiveness of work-related rehabilitation with significant cognitive-behavioural components for patients with musculoskeletal disorders (MSDs). In Germany, however, work-related rehabilitation focuses mainly on functional capacity training and less on psychosocial wor...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-2011-0290
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Psychosocial risk factors are very important in the development of chronicity in low back pain. And Örebro Musculoskeletal Pain Questionnaire (ÖMPQ) is the screening instrument concerning these psychosocial and work-related risk factors in patients with low back pain. OBJECTIVE:The purpose of the study was ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-150609
更新日期:2016-01-01 00:00:00
abstract:AIM:Rheumatoid arthritis (RA) is a chronic disease of unknown etiology. Various cellular and molecular immunological factors are involved in the pathophysiology of RA. Recent studies suggest that neutrophils and alpha-defensins released from the neutrophils assume significant roles in the pathogenesis of RA. The aim of...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-160743
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:This study compared the effectiveness of regenerative injection therapy (RIT), i.e. prolotherapy, and repetitive transcranial magnetic stimulation (rTMS) in the treatment of fibromyalgia syndrome. PATIENTS AND METHODS:This study included 120 female, age-matched fibromyalgia patients. All patients underwent a...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/BMR-181127
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Lateral gliding cervical spine mobilisation is shown to improve shoulder pain, disability and function. However, despite common clinical-use, no study reports the effect of unilateral anterior-posterior (A-P) cervical mobilisation on shoulder pain and function, and particularly in patients after arthroscopic...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-160566
更新日期:2017-01-01 00:00:00
abstract::An imbalance in the recruitment patterns of the quadriceps muscle has been implicated in patellofemoral knee pain; however ambiguity remains in the normal recruitment patterns of this muscle. We investigated the activity of the quadriceps muscle during the final degrees of knee extension, specifically in the medial an...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-2011-0298
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Cranio-cervical flexion exercise (CCFE) is a representative exercise that activates the deep muscles of neck pain patients. However, there is a lack of studies that propose specific exercise methods to examine the more effective activity level of the deep cervical flexor. OBJECTIVE:The objective of this stu...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-170860
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Body height (BH) measurement is an important part of the clinical evaluation of children with idiopathic scoliosis (IS) as its progression is defined based on the observation of a growth spurt. OBJECTIVE:The aim of the study is to assess diurnal variation of BH in children with IS. METHODS:BH was measured ...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-170948
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:The aim was to analyze the effect of one session and three sessions of strength training (ST) on pain in women with fibromyalgia (FM). METHOD:Twenty-three women with FM performed three sessions of ST for a week. Each training session worked the main muscle groups and lasted 60 min. Three sets of 12 repetitio...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章
doi:10.3233/BMR-181254
更新日期:2020-12-30 00:00:00
abstract:BACKGROUND:Neural mobilization is an effective technique in the management of cervical radiculopathy (CR). However, the difference between active versus passive upper extremity (UE) neural mobilization techniques in the management of cervical radiculopathy is not well established. OBJECTIVE:To determine the role of ac...
journal_title:Journal of back and musculoskeletal rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/BMR-170887
更新日期:2019-01-01 00:00:00