Adding pulsed electromagnetic field to Conventional physical therapy Protocol yields superior clinical improvement in pain, functional disability, and lumbar ROM in patients with non-specific low back pain than Conventional physical therapy alone.

It is well known that limb lengthening is performed to treat limb-length discrepancies resulting from congenital anomalies and developmental problems. However, few studies discuss lengthening for cosmetic purposes. The current authors conducted a prospective study with long-term follow-up. From July 2002 through June 2007, 133 patients requested that their height be increased. Fifty-two were approved to undergo limb-lengthening surgery. Two were lost to final follow-up, leaving 50 in the study group. For all patients, the Ilizarov ring external fixator was applied with a maximum-stability technique that achieved frame stability and allowed patients to ambulate with a walker from the first week postoperatively. The method requires close follow-up for early detection of problems. Physiotherapy improved ankle function and prevented plantar flexion deformity, which can occur during lengthening. Excellent final outcomes were achieved in all patients except one, who required additional surgery. The Ilizarov device is a safe tool for limb lengthening in individuals of short stature when applied with the authors' maximum stability technique. To the authors' knowledge, this is the first article on this topic to report long-term results (minimum 5-year follow-up for all patients). Many factors influence the outcome of lengthening surgery performed with Ilizarov devices: the material of the rings, the use of a hybrid technique combining pins and wires, the diameter and number of pins over each bone segment, the size of the rings around the limb, the surgical technique for pin insertion, and the use of hydroxyapatite-coated pins or regular stainless pins.

No abstract

Purpose: was to assess functional performance in adolescents with a history of Osgood-Schlatter disease using a developed rating scale before and after application of a comprehensive therapeutic program.Methods: Fifty individuals diagnosed with a history of OSD participated in this study. The study sample randomly into two groups of equal number (A and B). Group (A) received shock wave therapy in addition two conventional physical therapy. Group B received the same conventional physical therapy conducted to the group (A). Sessions executed three times a week for two months.Results: In the present study, both groups demonstrated significant improvement of the measured subscales over an eight week periods; however experimental group demonstrated better improvement in score of "physical examination" than the control group; while other variables improved with the same level. Conclusion:The suggested physiotherapy protocol improved function in subjects with history of OSD and provided a rational for the clinical use of shock wave therapy.

Background: Low back pain is one of the most common health problems.Fatigability of back muscle studied during isometric fatigue test but not studied in static position like standing that is one of the positions that associated with low back pain.Objectives: This study aimed to assess erector spinae (thoracic and lumbar part) and external oblique muscles fatigability and motor control strategies before and after standing task. Material and Methods:Forty two female volunteered subjects, were selected. Chronic mechanical low back pain group includes 22 subjects and control group include 20 healthy subjects. Subjects in both groups were asked to stand for 30 min, median frequency of electromyography (EMG) of right and left (thoracic and lumbar erector spinae, and external oblique muscles) were analyzed at the first and last 5 minutes of the 30 minutes standing task. Results:There was a significant interaction between groups and time in both paraspinal and external oblique muscles (p ˂ 0.05). In addition there was a significant interaction between time, groups, sides and muscles concerning erector spinae muscle (f=5.997 and p 0. 003). Conclusion:Standing task induced muscle fatigue in both MCLBP and control with altered motor control strategies.