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e196 Musculoskeletal diseases / Annals of Physical and Rehabilitation Medicine 57S (2014) e183–e201
Methods.– Twenty-two patients are included and followed during epicondylitis Objective.– To evaluate the impact of physical and sports activities on the evo-
treatment. The chosen patients, beside epicondylitis had a functional deficit with lution in terms of pain, quality of life and delay before resuming work.
movement limitations of flexion. First group (12 patients) was treated with laser Methods.– Eighty-three patients who had disc prosthesis surgery for lumbar
beam applied on painful areas. Ten patients in second group were treated with disc degeneration between 2003 and 2008. The 83 patients with disc prosthesis
laser applied on acupunctural point SJ5, Li4, Li10, L11, Pc3, Si8. surgery were distributed into three groups, according to their level of physical
Results.– Analysing the VAS scale data it was estimated that high statisti- and sports activity: intensive physical and sports activity, regular physical and
cal significance in both groups is P < 0.001.While measuring ankle movement sports activity, and settled way of life.
high statistical significance is achieved also in improvement of ankle flexion Results.– After a mean follow-up of 36 months, the results in terms of pain,
amplitude in both groups (Kruskal-Wallis test, P < 0.001). Better pain relief quality of life and delay before resuming work are all better for subjects with
and increased flexion was detected in group II laser acupuncture application intensive physical and sports activity, highlighting the beneficial role of phys-
(Mann-Whitney P < 0.05). ical and sports activity, on the effects of a surgical treatment by lumbar disc
Conclusion.– Analysis has clearly shown positive impact of laser therapy in pain prosthesis.
relief, and ankle movement amplitude, with better results of laser applications http://dx.doi.org/10.1016/j.rehab.2014.03.714
on acupunctural points during treatment.
http://dx.doi.org/10.1016/j.rehab.2014.03.712
P115-e
Clinical effects of different therapytic models
P113-e
in tendinitis supraspinatus
Effect of kinesiotaping in patients with V. Bajec a , S. Janjic a , G. Radunovic a , L. Konstantinovic b ,
chronic lumbar disc herniation: B. Stojic a
a Institut of Rheumatology, Belgrade, Serbia
Randomized-controlled, double-blind study
b Clinik of Rehabilitation, Belgrade, Serbia
B. Yavuz Keles , E. Yilmaz Yalcinkaya ∗ , B. Gunduz ,
A. Bardak , B. Erhan
Istanbul Physical Therapy Rehabilitation Training and Research Hospital, Keywords: Tendinitis supraspinatus; Laserotherapy; Corticosteroid
Istanbul, Turkey infiltration; Acupuncture
∗ Corresponding author. Clinical effects of different therapies in tendinitis supraspinatus Leading patho-
logical cause is tendon inflammation followed by hypervascularisation and
Keywords: Chronic low back pain; Kinesiotaping; Oswestry Disability Index; oedema. Main clinical manifestations are pain and impaired function.
Health Assessment Questionnary Objectives.– To establish therapeutic effects of three different therapeutic
Introduction.– We aimed to investigate the effects of KinesioTape (KT) on models: low level laserotherapy (LLT), local corticosteroid infiltration (LCI)
patients with chronic low back pain due to lumbar disc herniation. and acupuncture (A), on subjective symptoms and objective signs, in painful
Material and methods.– Patients with low back pain more than 3 months shoulder syndrome caused by tendinitis supraspinatus. To compare effects of
diagnosed as lumbar disc herniation, aged between 25–45-years-old were ran- the three different therapeutic models.
domized to the KT (n:32) or sham taping (n:28) group. All the patients were Methods.– Randomised prospective clinical study included 36 patients with
prescribed home exercises for lumbar disc herniation; taping was done 3 times, chronic shoulder pain, comparable with regard to sex, age, concomitant dis-
once a week either with KT or sham tape. Patients were evaluated at the begin- eases. Diagnosis was made with regard to clinical, radiological, ultrasonographic
ning, 3rd, 6th and 12th weeks by a blinded physiatrist. Visual Analog Scale examination. Patients were divided in three therapeutic groups (12 patients).
(VAS), Health Assessment Questionnary (HAQ), Oswestry Disability index I-group: treated with laseroterapy. Midlaser, Irradia, 904 ␩m, f5000 Hz. Ten
(ODI) and number of paracetamol tablets taken were used for evaluation. points located in inflammatory region, daily dose of 10 J/cm2 .X days. II-
Results.– Mean age was 37.3 ± 6.6 years. The demographic and clinical features group: treated with LCI/Betamethasonium Diprofos® 1 mL/in inflammatory
of the two groups were similar at the beginning. There was significant improve- region. III-group:threated with acupunctue(LI4,G38,UB57,LI11,LI15,LI16, 4
ment at all the parameters at the 3rd week in both groups; but the improvement pain-tender-points), NoX. All of the patients were given pendular free-swinging
continued to 12th week (HAQ and VAS) in the taping group only. The patients exercises. Measured parameters were: local functional status-measured with
in the sham group needed more analgesic after 3rd week. Constant Murley functional scale. Wilcoxon test and Kruscall-Wallis test was
Discussion.– Kinesiotaping is effective in increasing function, decreasing pain, used for statistical analysis.
need for analgesic medication in patients with chronic lumbar disc herniation. Results.– Highly significant statistical difference was fortified before and after
the treatment in every of the three therapeutic groups (Wilcoxon, P < 0.001).
http://dx.doi.org/10.1016/j.rehab.2014.03.713
There was no significant difference among therapeutic groups (Kruscall-Wallis,
P < 0.05).
P114-e Conclusion.– In patients with tendinitis supraspinatus, laserotherapy, Diprofos®
Lumbar disc prosthesis and physical and and acupuncture are highly effective for functional status improving.
sports activities: A monocentric study with http://dx.doi.org/10.1016/j.rehab.2014.03.715
83 patients
G. Muff a,∗ , M.E. Isner-Horobeti a , C. Muhl a , J. Masat a , P116-e
J.P. Steib b , P. Vautravers a , J. Lecocq a
a Institut Universitaire de Réadaptation Clémenceau, Marlenheim, France
Effects of lumbar orthosis on postural
b Service de Chirurgie du Rachis, Hôpitaux Universitaires de Strasbourg, control strategies in subacute low back pain
Strasbourg, France F. Munoz a,∗ , J.F. Salmochi b , P. Rougier c
a ALTEOR, CROLLES, France
∗ Corresponding author.
b Clinique du Parc, Lyon, France
c Laboratoire de Physiologie de l’Exercice, Université de Savoie, France
Keywords: Lumbar disc prosthesis; Physical and sports activities; Chronic ∗ Corresponding author.
lumbalgia
Introduction.– Surgical treatment by disc prosthesis of chronic lumbalgia for Some low back pain (LBP) patients demonstrate a rigid postural control strategy
disc insufficiency is an alternative to the treatment by arthrodesis, particularly in induced by a persistent and excessive muscular co-activation of the trunk. The
physically active patients, eager to continue exercising their practice. In terms aim of this study was to measure the effect of different lumbar orthosis (LO)
of efficacy on pain, both treatments have similar results; however, the treatment designs for preventing the occurrence of this fear-avoidance strategy. Twelve
by prosthesis enables preserving the mobility of the operated spinal segment.

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