Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 1

Postural Correction and Manual Therapy for Chronic Musculoskeletal Diseases

Kapernaros Emmanouil*, Komisopoulos Christos and Siaperas Panagiotis

Metropolitan College, Institute of Occupational Science and Rehabilitation, Greece

*Corresponding Author: Kapernaros Emmanouil, Metropolitan College, Institute of Occupational Science and Rehabilitation, Greece.

Received: November 25, 2022; Published: December 12, 2022

Abstract

The body posture control is a complex function of the human body that continuously controls and regulates balance. By studying the literature on the most commonly appearing musculoskeletal degenerative diseases, it appears that there is a common mechanism affecting the balance through the arthrogenic muscle 2inhibition. In order to manage this mechanism, we found that manual therapy and/or medical exercise are the interventions of choice, with the exercise having a range from simple movements through simple assessment, more specific with the guidance or help of a trainer, or neuromuscular reeducation through personalized assessment and guidance from a physical therapist. Objectives: We want to identify the best intervention between simple exercises or neuromuscular reeducation after applying manual therapy techniques for musculoskeletal degenerative diseases. No comparison between these two methods after manual therapy application could be found in the literature despite the total indication for exercise after manual therapy techniques. Methods: 63 patients took part in the study. They all suffered from the 10 most commonly appearing musculoskeletal degenerative diseases. We tested VAS-pain, FABq for functionality, center of mass characteristics for balance and posture. Results: Both intervention groups showed improvement, with the neuromuscular reeducation group showing statistically significantly better results in all areas.

Keywords: Balance; Manual Therapy; Neuromuscular; Exercise; Posture

References

  1. AS Pollock., et al. “What is balance?”. Clinical Rehabilitation4 (2000): 402-406.
  2. B Missaoui., et al. “Posture and equilibrium in orthopedic and rheumatologic diseases”. Neurophysiologie Clinique6 (2008): 447-457.
  3. RJ Peterka. “Sensorimotor integration in human postural control”. Journal of Neurophysiology3 (2002): 1097-1118.
  4. D Czaprowski., et al. “Non-structural misalignments of body posture in the sagittal plane”. Scoliosis and Spinal Disorders 1 (2018).
  5. M Russo., et al. “Muscle Control and Non-specific Chronic Low Back Pain”. Neuromodulation 1 (2018): 1-9.
  6. HA Alkhawajah and AM Alshami. “The effect of mobilization with movement on pain and function in patients with knee osteoarthritis: A randomized double-blind controlled trial”. BMC Musculoskeletal Disorders1 (2019).
  7. DA Rice and PJ McNair. “Quadriceps Arthrogenic Muscle Inhibition: Neural Mechanisms and Treatment Perspectives”. Seminars in Arthritis and Rheumatism3 (2010): 250-266.
  8. CSL Tuttle., et al. “Markers of inflammation and their association with muscle strength and mass: A systematic review and meta-analysis”. Ageing Research Reviews 64 (2020).
  9. DG Wilder., et al. “Effect of spinal manipulation on sensorimotor functions in back pain patients: Study protocol for a randomised controlled trial”. Trials 12 (2011).
  10. J Parker., et al. “Efficacy of osteopathic manipulative treatment for Low back pain in euhydrated and hypohydrated conditions: A randomized crossover trial”. Journal of the American Osteopathic Association5 (2012): 276-284.
  11. DG Wilder., et al. “Effect of spinal manipulation on sensorimotor functions in back pain patients: Study protocol for a randomised controlled trial”. Trials 12 (2011).
  12. HR Kroll. “Exercise Therapy for Chronic Pain”. Physical Medicine and Rehabilitation Clinics of North America2 (2015): 263-281.
  13. B Winder., et al. “Postural cueing increases multifidus activation during stabilization exercise in participants with chronic and recurrent low back pain: An electromyographic study”. Journal of Electromyography and Kinesiology 46 (2019): 28-34.
  14. MA Nussbaum. “Postural stability is compromised by fatiguing overhead work”. American Industrial Hygiene Association Journal1 (2003): 56-61.
  15. N Oba., et al. “Difference in postural control during quiet standing between young children and adults: Assessment with center of mass acceleration”. PLoS ONE10 (2015).
  16. P Giagazoglou., et al. “Effect of a hippotherapy intervention program on static balance and strength in adolescents with intellectual disabilities”. Research in Developmental Disabilities6 (2012): 2265-2270.
  17. T Hasegawa., et al. “Association of low back load with low back pain during static standing”. PLoS ONE12 (2018).

Citation

Citation: Kapernaros Emmanouil., et al. “Postural Correction and Manual Therapy for Chronic Musculoskeletal Diseases”.Acta Scientific Orthopaedics 6.1 (2023): 84-88.

Copyright

Copyright: © 2023 Kapernaros Emmanouil., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US