ROM and Strengthening Exercises as a Treatment Option
There are multiple kinds of exercise that could be beneficial in treating acute whiplash. Literature shows exercises such as a McKenzie treatment, postural training exercise, endurance strengthening and motor control, eye fixation, isometric exercises, and resistive exercises. In reviewing the literature, these exercises were combined with other treatment strategies such as modalities or mobilization to get the most effective outcome. Also, at this point although there is a large amount of research done on treatment of whiplash injury, the conclusions that are made from this literature conflict each other. However, there is a consensus that excessive treatment of whiplash associated
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Postural exercises may help patients to be more aware of their posture and make self-corrections to avoid future injury throughout the workday. In the systematic review by Drescher (Reference 22), the study compared a group receiving postural exercises to a control group who were not receiving postural exercises. It was found that the group that completed postural exercises demonstrated decreased pain and increased cervical ROM. Another high quality study (references 17-19) within this review compared an intervention group receiving postural exercises to the control group. The postural exercise group showed significant reduction in pain at both the 6 month and 3 year follow up, as well as a lower amount of sick days taken from work at the 3 year study. There was no significant different in cervical ROM improvement in these two groups. Initially the cost of this postural training was higher, however ended up being lower when taking into account the cost of sick-leave days, loss of productivity and other interventions.(Drescher) In a study by Schnabel et al, it was determined that active therapy including postural advice and exercise was superior to passive modalities such as massage and ultrasound. (Schnabel) There is limited evidence on specific postural exercises which would best benefit this population, however there has been some proof that
Adjustable workstations are increasingly becoming a main benefit for organizations using them. When using computers at the workplace, employees typically sit down for longer periods without adjustable designed workstations. Such situations can lead to regular back injuries, stress injuries and other forms of injuries. All these injuries result in lost work time and reduced productivity. Using adjustable workstations reduces employee fatigue, makes them comfortable and helps them avoid standing or sitting in awkward postures. Adjustable designed workstations lowers the rate of suffering from tunnel syndrome injuries, which improves both employer and employee morale. This is characterized by improved productivity, reduction in employee absenteeism and minimal workplace complaints (Washington (State), 2009).
Back Pain, Neck Pain, Headaches - the benefits that apply to muscles pain, joint mobility, and postural strain will ultimately reduce any body pain that you have, be it low back, mid back, neck, and/or headache
Back pain is one of the most commonly reported health problems among working adults. One of the primary reasons
Experience: When I first arrived Noah was just starting to work with a guy dealing with lower back pain. Noah decided after some exercises to hook him up to a lumbar traction machine. Unlike the cervical one I’d seen before, this machine pretty much worked the opposite way. The person was hooked up so there upper body was firmly fastened, and then the machine would slowly pull on their pelvic area and stretch/release the lower vertebrae. We then met a young woman who was having some knee pain. Noah explained beforehand that she’d been injured on the job and had recently had knee surgery so it was perfectly possible that she’d torn her meniscus again. We went through very basic movement tests with her to see where her pain was. Noah provided
The results of this study show that both treatment interventions are just as effective in pain reduction and increased spinal mobility following a single treatment. A post boc correlation (relationship between variables) analysis was performed in order to explore the relationship between changes in pain and lumbar extension motion. Researchers analyzed the relationship between an increase in motion and decrease in pain for this study.
Back injuries cause great impact to people and their employers. As HR Magazine author Nancy Hatch Woodward points out, “back pain remains one of the most common complaints in the workplace today and it can be devastating” (57). The US Bureau of Labor Statistics reported in 2005 that more than 270,000 cases of back injuries and illnesses were reported in the workplace, with those affected taking an average of seven days off of work (Woodward 58).
A majority of the nurses and transportation workers had a less than 5 years of experience at work. Years of experience did not seem to have a significant association with low back pain. This differed with Rahman et al. [12] who observed that job tenure along with awkward posture can cause low back pain. The prevalence of low back pain among nurses and transportation workers was analyzed in the study. The crude odds ratio of nursing reporting back pain was (OR 1.633) and transportation workers (OR 1.156). Furthermore, the association between the low back pain in the past 3 months persisted after controlling for overexertion, high demand, low control, being harassed at work, the White race, married and having more than one minor child. As the majority of the nursing workforce comprised of females, being married and having children seemed to increase the low back pain as in addition to their jobs they have to take care of house and kids. [11]. About 13.59% nurses had more than one job which could contribute to low back pain especially if the other job is also physically demanding. A majority of nurse reported low back pain, however, they did not perceive the pain as work-related. Less than 1% discussed the low back pain with their doctors. The reason could be that with intermittent pain, nurses try to take medications regularly to alleviate the pain. [10] However, medications only provide short-term relief,
Low back pain is a highly prevalent socioeconomic health issue in the world we live in today and one of the top causes of disability - affecting work performance and the overall quality of life for many. The 2010 Global Burden of Disease Study estimated that out of 289 health conditions, low back pain ranked number one in terms of disability (YLDs - Years Lived with Disability), and sixth in terms of overall burden (DALYs - Disability-Adjusted Life Years) (Lancet, 2012). It is estimated that 60% to 70% of the industrialized population will experience non-specific (most common type) low back pain in their lifetimes with a one-year prevalence of 15% to 45%, adults occurring 5% per year (Taimela, Kujala, Salminen, Viljanen, 1997, 1132-1136). Children and adolescents have a lower prevalence rate than adults, but is rapidly on the rise (Balague, Troussier, Salminen, 1999, 429-438).
Chronic lower back pain is on the rise in not only America, but is on the rise in the world. According to a study by the Annals of Rheumatic Diseases in 2010, approximately one in ten people suffer from lower back pain, which makes lower back pain the leading cause of disability in the world (http://ard.bmj.com/content/early/2014/02/14/annrheumdis-2013-204428). This rate is on the rise and should be extremely alarming as common activities, including working a desk job, can contribute to chronic lower back pain. While there are many different methods to treat chronic lower back pain, including physical therapy, therapeutic
Chronic low back pain has been shown to have a significant impact on individuals, their families, professional life, and communities. It is one of the most common health problems causing suffering and disability, and it is a leading cause of physical inactivity. In addition to the physical impairments and professional detriments, chronic low back pain increases the financial burden to the healthcare system by augmenting medical treatment costs. Muscle strengthening activity, on the other side, has been used clinically to treat low back pain. However, there is an inconclusive data regarding the preventative effect of muscle strengthening activity on low back pain. Thus, we wanted to see if being engaged in muscle strengthening activity reduces
Americans work more than any other country in the industrialized world, which means they spend more time sitting and more time in a sedentary, often non-ergonomic position. What people may not know is that bad posture for an extended period of time can affect mood, health and ultimately, productivity in the workplace.
Citation: Young IA, Michener LA, Cleland JA, Aguilera AJ, Snyder AR. Manual therapy, exercise, and traction for patients with cervical radiculopathy: a randomized clinical trial. Phys Ther. 2009;89(7):632-42.
3. Ergonomics. This scientific discovery is valid. By applying the knowledge involving changing your workspace around to reduce awkward positions, the slumps in you shoulders and neck are reduced. Don't forget to invest in a logical work chair that is designed to support your back while keeping your feet flat onto the deck.
Due to the cause of this headache type being primarily musculoskeletal in nature, different manners of physical rehabilitation are often utilized. A research article published by the journal BMC Musculoskeletal Disorders studied the effects of upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headaches (Dunning et al., 2016). The results of the study propose that six to eight sessions of manipulation directed to both upper cervical (C1-C2) and upper thoracic (T1-T2) spinal levels were shown to be more effective than mobilization and exercise alone (Dunning et al., 2016). Individuals in the study experienced reductions in headache intensity, disability, frequency, duration, and medication intake; effects were maintained at a 3 month follow up. While encouraging, the study did present with some limitations, such as it is not known if the effects would have been maintained long term. Another limitation is that multiple secondary outcomes were included in the study, and that the results may not be generalizable to other kinds of manual therapy techniques. However, this study may provide evidence that the management of cervicogenic headaches should include some form of cervical manipulation (Dunning et al.,
Study 1 primarily focused on functional and clinical outcomes and knee ROM. Half of the patients in this study undergoing a TKA surgery received an inflated tourniquet, whereas the other half received an un-inflated tourniquet. The primary outcome measurements were Knee Injury and Osteoarthritis Outcome Score (KOOS), a knee specific questionnaire, and knee ROM measurements. KOOS feedback evaluated functional and clinical outcomes, which were expressed as the change in the average score over the period of 12 months for each subscale: pain, symptom, activities of daily living (ADL), sport/recreation, quality of life (QOL). This review will focus on ADL, sports and recreation, and QOL, because these subscales pertain to the knee ROM.