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Musculoskeletal Disorders: Clinical Rehabilitation and Physiotherapy
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Musculoskeletal Disorders: Clinical Rehabilitation and Physiotherapy

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 3991

Special Issue Editor

Dr. David Rodríguez-Sanz

E-Mail Website
Guest Editor
Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain
Interests: foot; ligaments; muscles; musculoskeletal disorders; sports; tendons; ultrasonography
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Physiotherapy and clinical rehabilitation offer different approaches for the assessment and management of musculoskeletal disorders. As of now, there has been considerable research on physical therapy and clinical rehabilitation areas; however, standardized protocols for the clinical assessment and key therapies of musculoskeletal pathologies requiring physical therapy interventions are still needed.

Furthermore, novel evidence-based therapies, such as manual therapy, therapeutic exercise and movement rehabilitation programs, electrotherapy, respiratory interventions, and thermotherapy may have benefits in acute and chronic syndromes, as well as in new clinical assessment interventions. I would like to invite researchers and clinicians to contribute their expertise, insights, and findings in the form of novel and original research articles and reviews for this Special Issue, entitled “Musculoskeletal disorders: clinical rehabilitation and physiotherapy”.

The purpose of this Special Issue is to highlight the benefits of physical therapy and clinical rehabilitation for the assessment and management of musculoskeletal disorders, related to the health of the general population.

Dr. David Rodríguez-Sanz
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. Journal of Clinical Medicine 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 2600 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

  • muscle
  • tendon
  • physical therapy
  • rehabilitation
  • diagnosis
  • pain

Published Papers (4 papers)

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Research

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14 pages, 2202 KiB  
Article
Effect of Mirror Therapy on Post-Needling Pain Following Deep Dry Needling of Myofascial Trigger Point in Lateral Elbow Pain: Prospective Controlled Pilot Trial
by Sebastián Eustaquio Martín Pérez, Jhoselyn Delgado Rodríguez, Alejandro Kalitovics, Pablo de Miguel Rodríguez, Daniela Sabrina Bortolussi Cegarra, Iremar Rodríguez Villanueva, Álvaro García Molina, Iván Ruiz Rodríguez, Juan Montaño Ocaña, Isidro Miguel Martín Pérez, María Dolores Sosa Reina, Jorge Hugo Villafañe and José Luis Alonso Pérez
J. Clin. Med. 2024, 13(5), 1490; https://doi.org/10.3390/jcm13051490 - 05 Mar 2024
Viewed by 679
Abstract
Background: This prospective randomized, controlled pilot trial to explore the immediate effect of adding Mirror Visual Feedback Therapy on pain sensitivity and motor performance among subjects suffering from post-needling pain diagnosed as Lateral Elbow Pain. Methods: A total of 49 participants [...] Read more.
Background: This prospective randomized, controlled pilot trial to explore the immediate effect of adding Mirror Visual Feedback Therapy on pain sensitivity and motor performance among subjects suffering from post-needling pain diagnosed as Lateral Elbow Pain. Methods: A total of 49 participants (23 female, 26 male) were enrolled and randomly allocated to either the experimental group, which received Deep Dry Needling in the m. Brachioradialis, Ischemic Compression, Cold Spray, Stretching, and Mirror Visual Feedback Therapy (n = 25), or a control group without Mirror Visual Feedback Therapy (n = 24). Pre- and post-treatment evaluations included assessments of post-needling pain intensity, pressure pain threshold, two-point discrimination threshold, and maximum hand grip strength. Results: Intergroup analysis revealed a statistically significant reduction in post-needling pain intensity favoring the experimental group (U = 188.00, p = 0.034). Additionally, intragroup analysis showed significant improvements in post-needling pain intensity (MD = 0.400, SEM = 0.271, W = 137.00, p = 0.047) and pressure pain threshold (MD = 0.148 Kg/cm2, SEM = 0.038, W = 262.00, p < 0.001) within the experimental group following the intervention. Conclusions: These findings suggest a potential benefit of integrating Mirror Visual Feedback Therapy into treatment protocols for individuals with Lateral Elbow Pain experiencing post-needling discomfort. Further research is necessary to fully elucidate the clinical implications of these findings. Full article
(This article belongs to the Special Issue Musculoskeletal Disorders: Clinical Rehabilitation and Physiotherapy)
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12 pages, 1368 KiB  
Article
Impact of the Order of Movement on the Median Nerve Root Function: A Neurophysiological Study with Implications for Neurodynamic Exercise Sequencing
by Dalia Ibrahim, Amal Ahbouch, Raneen Mohammed Qadah, Meeyoung Kim, Saud M. Alrawaili and Ibrahim M. Moustafa
J. Clin. Med. 2024, 13(3), 913; https://doi.org/10.3390/jcm13030913 - 05 Feb 2024
Viewed by 707
Abstract
Background: Neurodynamic exercise is a common clinical practice used to restore neural dynamic balance. The order in which movements are performed during these exercises is believed to play a crucial role in their effectiveness. This study aimed to investigate the impact of different [...] Read more.
Background: Neurodynamic exercise is a common clinical practice used to restore neural dynamic balance. The order in which movements are performed during these exercises is believed to play a crucial role in their effectiveness. This study aimed to investigate the impact of different sequences of neurodynamic exercise on nerve root function, with a specific focus on the median nerve. Methods: Participants were assigned randomly to three experimental groups, each undergoing a different test sequence: standard, proximal-to-distal, and distal-to-proximal. Dermatomal somatosensory evoked potentials (DSSEPs) were recorded at key levels (C6, C7, C8, and T1). Results: The findings revealed a significant influence of the movement sequence on DSSEP amplitudes. The execution of neurodynamic exercise in the proximal-to-distal sequence was associated with a notable reduction in amplitudes (p < 0.05). Conversely, the distal-to-proximal sequence resulted in increased amplitudes compared to the standard sequence (p < 0.05). Conclusions: This study underscores the importance of carefully considering the order of movements during neurodynamic exercising, particularly when evaluating nerve roots that lack the protective perineurium. The choice of sequence appears to have a substantial impact on nerve function, with implications for optimizing clinical neurodynamic exercise techniques. Full article
(This article belongs to the Special Issue Musculoskeletal Disorders: Clinical Rehabilitation and Physiotherapy)
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18 pages, 2084 KiB  
Article
Clinical Evidence Regarding the Dynamic of Baker Cyst Dimensions after Intermittent Vacuum Therapy as Rehabilitation Treatment in Patients with Knee Osteoarthritis
by Elena-Valentina Ionescu, Liliana-Elena Stanciu, Andreea Bujduveanu, Mihaela Minea, Doinita Oprea, Adina Petcu, Madalina-Gabriela Iliescu, Viorela-Mihaela Ciortea, Florina-Ligia Popa, Emma Gheorghe, Bogdan Obada and Carmen Oprea
J. Clin. Med. 2023, 12(20), 6605; https://doi.org/10.3390/jcm12206605 - 18 Oct 2023
Viewed by 896
Abstract
The Baker cyst (BC), also known as the popliteal cyst or parameniscal cyst, is a fluid-filled sac that normally develops in the back of the knee, between the semimembranosus and medial head of the gastrocnemius. We aimed to evaluate the effectiveness of physiotherapy [...] Read more.
The Baker cyst (BC), also known as the popliteal cyst or parameniscal cyst, is a fluid-filled sac that normally develops in the back of the knee, between the semimembranosus and medial head of the gastrocnemius. We aimed to evaluate the effectiveness of physiotherapy (10 days of treatment) that associates intermittent vacuum therapy (IVT) on the lower limbs in the treatment of the BC, respectively, in its size reduction. Sixty-five patients with knee osteoarthritis using Kellgren–Lawrence criteria and the presence of BC (ultrasonography evaluation), were divided into the Control and Vacuum groups. We collected the following features: sex, age, level of education, occupation, environment, body mass index, Knee Injury and Osteoarthritis Outcome Score, Western Ontario, and McMaster Universities Osteoarthritis Index, the Functional Independence Measurement, the Fall Risk Score, and the Visual Analog Scale were recorded at baseline and after 10 days. Both groups are similar in terms of demographic features. Regarding the clinical functional parameters, the results elicit a statistically significant change in all parameters between admission and discharge, including the echo volume at BC. Physical medicine and rehabilitation increase the autonomy of patients with BC. Clinical-functional improvement begins in the first 10 days of complex rehabilitation treatment; it is statistically significant and is not different between the two groups, which brings an additional argument for the effectiveness of conservative therapy in the treatment of BC. Although IVT has not demonstrated its superiority over classical balneo-physical therapy, additional research, and long-term monitoring are needed to provide additional arguments regarding this aspect. Full article
(This article belongs to the Special Issue Musculoskeletal Disorders: Clinical Rehabilitation and Physiotherapy)
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Other

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19 pages, 8560 KiB  
Systematic Review
Effects of Extracorporeal Shock Wave Therapy in Patients with Mild-to-Moderate Carpal Tunnel Syndrome: An Updated Systematic Review with Meta-Analysis
by Lei Zhang, Ting Yang, Long Pang, Yinghao Li, Tao Li, Chunsen Zhang, Lei Yao, Ran Li and Xin Tang
J. Clin. Med. 2023, 12(23), 7363; https://doi.org/10.3390/jcm12237363 - 28 Nov 2023
Viewed by 1166
Abstract
Background: Carpal tunnel syndrome (CTS) is the most common entrapment syndrome, primarily affecting women between the ages of 40 and 70, and conservative treatments are the first option for mild-to-moderate CTS. However, the comparisons between extracorporeal shock wave therapy (ESWT) and other non-surgical [...] Read more.
Background: Carpal tunnel syndrome (CTS) is the most common entrapment syndrome, primarily affecting women between the ages of 40 and 70, and conservative treatments are the first option for mild-to-moderate CTS. However, the comparisons between extracorporeal shock wave therapy (ESWT) and other non-surgical methods in the treatment of mild-to-moderate CTS remain controversial, and an updated systematic review is needed. Methods: An electronic search was performed, and all available articles until August 2023 were included in the analysis. The overall quality of evidence was assessed by the GRADE approach. Meta-analyses were conducted using Manager V.5.3.3. Pooled effect sizes were expressed as the weighted mean difference (WMD) with 95% confidence intervals (CIs). Results: A total of 19 RCTs were included. Low-level quality evidence showed that ESWT outperformed the control intervention in terms of functional improvements, pain relief, electrodiagnostic parameters, and cross-sectional area of the median nerve at any time point of follow-up. Compared to local corticosteroid injection (LCI), there were statistically better improvements in functional improvements, pain relief, and electrodiagnostic parameters at 3 and 6 months of follow-up. Conclusions: There is low-level quality evidence to show that both fESWT and rESWT are more clinically effective than controls in symptom relief, functional enhancement, and electrophysiologic parameters’ improvement for patients with mild-to-moderate CTS at any time point of follow-up. Compared with LCI, ESWT yielded similar short-term (<1 month) but better medium- (1–6 months) and long-term (>6 months) improvements in pain relief and functional recovery with fewer potential complications. Full article
(This article belongs to the Special Issue Musculoskeletal Disorders: Clinical Rehabilitation and Physiotherapy)
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