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Xavier DD, Graf RM, Ferreira AS. Short-Term Changes in Posture and Pain of the Neck and Lower Back of Women Undergoing Lipoabdominoplasty: A Case Series Report. J Chiropr Med 2023; 22:138-147. [PMID: 37346239 PMCID: PMC10280349 DOI: 10.1016/j.jcm.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 07/12/2022] [Accepted: 07/13/2022] [Indexed: 11/20/2022] Open
Abstract
Objective The purpose of this study was to analyze short-term variations in posture and intensity of neck and lower back pain in women undergoing lipoabdominoplasty. Methods This prospective case series study involved 17 women (age 43 ± 12 years, presurgical body mass index 27.0 ± 3.7 kg/m2). Participants were assessed preoperatively (T0) and at 15 (T15) and 30 days (T30) after surgery for clinical data (number of pregnancies, number of deliveries, presurgical body mass), neck and lower back angles calculated by photogrammetry, and pain intensity by numeric pain rating scale. Postoperative complications were assessed at T15 and T30. Results After adjusting for age and presurgical body mass index, there was an increase in forward head position in T15 and a return by T30 (marginal R2 = 0.411). The lower back showed an increase in flexion at T15 and return by T30 (marginal R2 = 0.266). No statistical evidence of significance was observed for changes in the intensity of neck (P > .355) or lower back (P > .293) pain. Complications were mild and common at T15; most of them resumed at T30. Conclusion A transient, nonlinear compensatory change in neck and lower back lordosis was observed 15 days after lipoabdominoplasty, with almost full recovery in the short term (30 days). No systematic change in pain intensity was observed within this period. Postsurgical complications were mild and common, and most of them resumed shortly after surgery.
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Affiliation(s)
- Denise D. Xavier
- Postgraduate Program in Rehabilitation Sciences, Central University of Augusto Motta, Rio de Janeiro, Brazil
| | | | - Arthur S. Ferreira
- Postgraduate Program in Rehabilitation Sciences, Central University of Augusto Motta, Rio de Janeiro, Brazil
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Leonet-Tijero L, Corral-de-Toro J, Rodríguez-Sanz J, Hernández-Secorún M, Abenia-Benedí H, Lucha-López MO, Monti-Ballano S, Müller-Thyssen-Uriarte J, Tricás-Vidal H, Hidalgo-García C, Tricás-Moreno JM. Interexaminer Reliability and Validity of Quantity of Cervical Mobility during Online Dynamic Inspection. Diagnostics (Basel) 2022; 12:diagnostics12020546. [PMID: 35204635 PMCID: PMC8870754 DOI: 10.3390/diagnostics12020546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 02/17/2022] [Accepted: 02/18/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Physical therapists routinely measure range of motion (ROM) of cervical spine. The reliability of the cervical range of motion (CROM) device has been demonstrated in several studies, but current evidence on the validity and reliability of the visual inspection is contradictory. The aim is to assess the validity and interexaminer reliability of the online visual inspection of active cervical ROM in physiotherapy students. Methods: Flexion, extension, both lateral flexions and rotations of a single participant were measured using CROM. Online visual inspection of 18 physiotherapy students against CROM was registered. Results: The validity, against CROM, of the online visual inspection of the active ROM ranged from good to excellent (Intraclass Correlation Coefficient (ICC) 0.83–0.97). Interexaminer reliability of the online visual inspection had favorable outcomes in all cervical movements in the three physiotherapy courses (ICC 0.70–0.96), with the visual inspection of the rotations being the most reliable (ICC 0.93–0.97). Interexaminer reliability of the classification of mobility was poor to good (Kappa 0.03–0.90). Conclusions: The interexaminer reliability and validity of the quantification of active cervical movement during online visual inspection was shown to be good to excellent for flexion-extension and lateral flexions and excellent for rotations.
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Affiliation(s)
- Leire Leonet-Tijero
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
| | - Jaime Corral-de-Toro
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
| | - Jacobo Rodríguez-Sanz
- Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, 08195 Barcelona, Spain;
- ACTIUM Functional Anatomy Group, 08028 Barcelona, Spain
| | - Mar Hernández-Secorún
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
| | - Hugo Abenia-Benedí
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
| | - María Orosia Lucha-López
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
- Correspondence: (M.O.L.-L.); (C.H.-G.); Tel.: +34-976761760 (M.O.L.-L.); +34-976764430 (C.H.-G.)
| | - Sofía Monti-Ballano
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
| | - Julián Müller-Thyssen-Uriarte
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
| | - Héctor Tricás-Vidal
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
| | - César Hidalgo-García
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
- Correspondence: (M.O.L.-L.); (C.H.-G.); Tel.: +34-976761760 (M.O.L.-L.); +34-976764430 (C.H.-G.)
| | - José Miguel Tricás-Moreno
- Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (L.L.-T.); (J.C.-d.-T.); (M.H.-S.); (H.A.-B.); (S.M.-B.); (J.M.-T.-U.); (J.M.T.-M.)
- Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain;
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Maddaluno MLM, Ferreira APA, Tavares ACLC, Meziat-Filho N, Ferreira AS. Craniocervical Posture Assessed With Photogrammetry and the Accuracy of Palpation Methods for Locating the Seventh Cervical Spinous Process: A Cross-sectional Study. J Manipulative Physiol Ther 2021; 44:196-204. [PMID: 33461748 DOI: 10.1016/j.jmpt.2020.07.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Revised: 11/17/2019] [Accepted: 07/26/2020] [Indexed: 11/16/2022]
Abstract
OBJECTIVE The purpose of this study was to compare craniocervical posture assessed by photogrammetry using 2 distinct palpation methods for locating the spinous process of the seventh cervical vertebra (C7SP). METHODS This cross-sectional study was conducted in 2 phases. In phase I (n = 42), the assessor's accuracy in locating the C7SP using the flexion-extension and the modified thorax-rib static methods was compared to radiography. In phase II (n = 68), the craniocervical posture was analyzed with photogrammetry after palpation using the 2 methods. Neck pain intensity and disability were also determined. RESULTS The accuracy in locating the C7SP was higher using the modified thorax-rib static method (67%, 95% confidence interval [CI], 55-79) compared to the flexion-extension method (38%, 95% CI, 26-50, P = .016). Lower values of the craniocervical angle were obtained with the flexion-extension method than the modified thorax-rib static method (mean difference = -1.1°, 95% CI, -1.6 to -0.6, P < .001). However, both palpation methods resulted in similar classifications of participants as with or without forward head posture (P = .096). Weak correlations were observed between the craniocervical angle and neck pain intensity (ρ = -0.088 and -0.099, respectively) and disability (ρ = -0.231 and -0.249, respectively). CONCLUSION Craniocervical angles obtained using palpation methods with different accuracies were different, although the magnitude of the difference was insufficient to lead to different classifications of a forward head posture in adults with mild neck pain and disability. Craniocervical posture was weakly correlated with neck-pain intensity and disability.
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Affiliation(s)
- Maria Letizia M Maddaluno
- Postgraduate Program in Rehabilitation Sciences, Centro Universitário Augusto Motta, Rio de Janeiro, RJ, Brazil
| | - Ana Paula A Ferreira
- Postgraduate Program in Rehabilitation Sciences, Centro Universitário Augusto Motta, Rio de Janeiro, RJ, Brazil
| | - Ana Carolina L C Tavares
- Postgraduate Program in Rehabilitation Sciences, Centro Universitário Augusto Motta, Rio de Janeiro, RJ, Brazil
| | - Ney Meziat-Filho
- Postgraduate Program in Rehabilitation Sciences, Centro Universitário Augusto Motta, Rio de Janeiro, RJ, Brazil
| | - Arthur S Ferreira
- Postgraduate Program in Rehabilitation Sciences, Centro Universitário Augusto Motta, Rio de Janeiro, RJ, Brazil.
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