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Segmental stabilisation exercise

Ewan Kennedy, Michael Albert, Helen Nicholson
BACKGROUND: Longus capitis and colli are proposed to play a role in stabilising the cervical spine, targeted in clinical and research practice with cranio-cervical flexion. However, it is not clear if these muscles are anatomically or biomechanically suited to a stabilising role. OBJECTIVES: To describe the fascicular morphology of the longus capitis and colli, and estimate their peak force generating capabilities across the individual cervical motion segments. STUDY DESIGN: Biomechanical force modelling based on anatomical data...
December 2017: Musculoskeletal Science & Practice
Sharon Wang-Price, Jason Zafereo, Kelli Brizzolara, Lily Sokolowski, Dawn Turner
BACKGROUND: Spinal stabilisation exercise has been shown to be effective in the rehabilitation of low back pain (LBP). Due to the isometric nature of spinal stabilisation exercise, manual therapists use various verbal instructions to elicit lumbar multifidus muscle contraction. OBJECTIVES: The purpose of this study was to assess whether or not three verbal instructions would alter muscle thickness of the lumbar multifidus muscle differently in asymptomatic individuals and patients with LBP...
February 2017: Journal of Manual & Manipulative Therapy
Faisal M Alyazedi, Everett B Lohman, R Wesley Swen, Khaled Bahjri
OBJECTIVES: This study investigated the inter-rater reliability of three structural end range lumbar segmental instability tests with the highest positive likelihood ratio (+ LR) against flexion-extension radiographs, and three functional mid-range clinical tests that predict the success of lumbar stabilisation exercises in patients with recurrent or chronic low-back pain (R/CLBP). The study also investigated the reliability of lumbar segmental instability, subclassification as: functional, structural and combined instability...
September 2015: Journal of Manual & Manipulative Therapy
L Hrabálek, O Kalita, K Langová
PURPOSE OF THE STUDY: The aim of this study was to compare the efficiency of different surgical approaches to thoracic disc herniation, and to show the role of segmental fusion and selection of an appropriate microsurgical decompression technique for the successful outcome of surgery. MATERIAL: A group of 27 patients, 10 men and 17 women, between 31 and 70 years (average age, 49.33 years) were included in this prospective study. They underwent surgery for thoracic degeneration disc disease in the period from June 1994 to August 2008...
August 2010: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Philippe Mahaudens, C Detrembleur, M Mousny, X Banse
For patients whose scoliosis progresses, surgery remains the ultimate way to correct and stabilise the deformity while maintaining as many mobile spinal segments as possible. In thoracolumbar/lumbar adolescent idiopathic scoliosis (AIS), the spinal fusion has to be extended to the lumbar spine. The use of anterior spinal fusion (ASF) instead of the classic posterior fusion (PSF) may preserve more distal spinal levels in attempt to limit the consequences of surgery on trunk mobility. The effects of surgery on body shape, pain and the decompensation phenomenon have all been well evaluated...
July 2010: European Spine Journal
Katharina von Garnier, Kirstin Köveker, Berid Rackwitz, Ulrike Kober, Sabine Wilke, Thomas Ewert, Gerold Stucki
BACKGROUND: There are indications that segmental stabilising exercises (SSEs) are effective in the treatment of low back pain. The evaluation of successful training in SSE performance in patients requires a reliable outcome measure. The PRONE test gives an indication of the activity of the transversus abdominis muscle. Performed in prone lying using a pressure biofeedback unit, it has been used as an aid to training and to assess the subject's ability to perform SSEs correctly. OBJECTIVES: To evaluate inter-observer and test-retest reliability of the PRONE test...
March 2009: Physiotherapy
Anne F Mannion, Daniel Helbling, Natascha Pulkovski, Haiko Sprott
Exercise rehabilitation is one of the few evidence-based treatments for chronic non-specific low back pain (cLBP), but individual success is notoriously variable and may depend on the patient's adherence to the prescribed exercise regime. This prospective study examined factors associated with adherence and the relationship between adherence and outcome after a programme of physiotherapeutic spine stabilisation exercises. A total of 32/37 patients with cLBP completed the study (mean age, 44.0 (SD = 12.3) years; 11/32 (34%) male)...
December 2009: European Spine Journal
H Post, G Heusch
Brief periods of non-lethal ischemia and reperfusion render the myocardium more resistant to subsequent ischemia. This adaption occurs in a biphasic pattern: the first being active immediately and lasting for 2-3 hrs (early preconditioning), the second starting at 24 hrs until 72 hrs after the initial ischemia (delayed preconditioning) and requiring genomic activation with de novo protein synthesis. Early preconditioning is more potent than delayed preconditioning in reducing infarct size; delayed preconditioning also attenuates myocardial stunning...
December 2002: Minerva Cardioangiologica
J McConnell
Musculoskeletal problems are often multifactorial and consequently can be challenging to treat. This paper examines management of chronic musculoskeletal conditions in the light of Panjabi's stabilisation subsystems and Dye's concept of homeostasis and critical symptom threshold. In many circumstances treatment can aggravate symptoms. Tape may be used to unload painful structures to minimise the aggravation of the symptoms so treatment can be directed at improving the patient's 'envelope of function'. This involves specific muscle training of the dynamically unstable segment/s and increasing the mobility of the less flexible surrounding soft tissues...
September 2000: Journal of Science and Medicine in Sport
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