Journal of Rehabilitation Sciences & Research

Background: Stretching is widely used to improve joint range of motion (ROM). This study examined the immediate effects of different stretching protocols on scapular muscle activity ... Read More

Original Articles

Effects of Three Sessions of Diaphragmatic Myofascial Release on Pain, Balance, and Quality of Life in Patients with Chronic Nonspecific Low Back Pain (A Regional Interdependence Model): Protocol of a Randomized Clinical Trial

soheil hejazi yekta; kazem malmir; Sara Fereydounnia; Khadijeh Otadi; Fatemeh Ehteshami

Volume 12, Issue 3 , September 2025, Pages 11-16

Abstract

Background: Chronic nonspecific low back pain (CNLBP) is a prevalent cause of disability, despite advancements in management. The diaphragm, a key respiratory muscle crucial for adjusting ... Read More Background: Chronic nonspecific low back pain (CNLBP) is a prevalent cause of disability, despite advancements in management. The diaphragm, a key respiratory muscle crucial for adjusting intra-abdominal pressure and maintaining lumbar spine stability, often exhibits dysfunction in chronic LBP. Improving diaphragm function may yield positive effects on chronic LBP. Therefore, the main aim of the present study is to assess the addition of myofascial release of the diaphragm to traditional treatment on pain, balance, and quality of life in patients with chronic nonspecific LBP. Methods: A prospective, double-blind, randomized controlled clinical trial will include 24 participants with CNLBP, randomly assigned to a control group (sham diaphragm myofascial release) or an interventional group (diaphragm myofascial release). All patients will receive three sessions of either the main release or sham interventions, followed by the application of Transcutaneous Electrical Nerve Stimulation (TENS). Outcome measures will be assessed at baseline, after the third session (post-treatment), and after one week (follow-up). Pain will be measured using the Visual Analogue Scale (VAS), disability using the Roland-Morris Questionnaire, static balance via the single-leg stance test, dynamic balance using the functional reach test, lumbopelvic mobility via the tip-to-floor test, and chest expansion with a tape measure. This study is the first to investigate the effects of diaphragm myofascial release in individuals with chronic low back pain. Considering the diaphragm’s potential role in postural control and interdependence of body regions, this intervention may offer benefits beyond pain relief, including improved balance and function. The randomized controlled design enhances the reliability of findings. Although blinding and objective diaphragm assessment were limited, the results may support the inclusion of this safe and simple technique as an adjunct in managing chronic LBP. Results: Repeated measures ANOVA will be used for data analysis after collection. Conclusion: This trial will examine the effects of diaphragm myofascial release compared with sham diaphragm myofascial release on pain, balance, chest expansion, lumbopelvic mobility, and disability in individuals with chronic nonspecific LBP. Potential implications for clinical practice and future research will be discussed, and the limitations of the study will also be considered.

Original Articles

Effect of Integrated Neuromuscular Inhibition Technique and Posture Correction in the Management of Mechanical Neck Pain

Alka Pawalia; Varsha Sharma; Shabnam Joshi; Vikram Singh Yadav

Volume 12, Issue 3 , September 2025, Pages 17-24

Abstract

Background: This study aimed to compare the effectiveness of the Integrated Neuromuscular Inhibition Technique (INIT)—a manual therapy approach combining Muscle Energy Techniques ... Read More

Original Articles

The Effect of Eight Weeks of NASM and Kinetic Chain Training on Lordosis, Pelvic Tilt, and Hip Joint ROM in Individuals with Lower Crossed Syndrome

Leila Ghadirian marnani; Hooman Fatahi; Mehrnoosh Esmaeilian; Saeid Rostami

Volume 12, Issue 3 , September 2025, Pages 25-31

Abstract

Background: Lower Crossed Syndrome (LCS) is characterized by muscle imbalances and reduced flexibility, often leading to altered posture and movement dysfunctions. This semi-experimental ... Read More

Case Report

Application of Hypothetico-Deductive Reasoning Process for Physiotherapy Management of a Case with Meniscus Injury

Faruq Ahmed; Mohammad Habibur Rahman; Ehsanur Rahman; Shazal Kumar Das; Md. Obaidul Haque

Volume 12, Issue 3 , September 2025, Pages 32-36

Abstract

Background: Clinical reasoning refers to the professional decision-making involved in physical rehabilitation. The hypothetico-deductive reasoning (HDR) model integrates clinicians' ... Read More

Original Articles

Development of Speech Therapy Application for Children with Stuttering (STACS)

Janith Raj Jayaraju; Amudhu Sankar

Volume 12, Issue 3 , September 2025, Pages 37-42

Abstract

Background: There is a growing need for online therapy due to various factors, such as the COVID-19 pandemic, long travel distances, and the duration of speech therapy sessions. This ... Read More

Original Articles

Assessing the Impact of Closed and Open Kinetic Chain Hydrotherapy on Vertical Ground Reaction Force, Rate of Loading, Lumbo-Pelvic Stability, Pain Intensity, and Kinesiophobia in Men with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial

Hossien Ashoury; Ali Yalfani; Mahdi Arjipour

Volume 12, Issue 3 , September 2025, Pages 43-54

Abstract

Background: Chronic non-specific low back pain (CNSLBP) is a leading cause of work absenteeism and increased dependence on healthcare services and insurance. Despite its prevalence, ... Read More Background: Chronic non-specific low back pain (CNSLBP) is a leading cause of work absenteeism and increased dependence on healthcare services and insurance. Despite its prevalence, limited research has explored the effects of open and closed kinetic chain (O/CKC) exercises performed in water on improving CNSLBP-related outcomes. This study aimed to assess the impact of hydrotherapy-based closed and open kinetic chain exercises on lumbo-pelvic stability, pain intensity, kinesiophobia, rate of loading (ROL), and vertical ground reaction force (vGRF) in men with CNSLBP. Methods: The double-blind randomized controlled trial was designed with a pre-post test in men aged 40–60 (48.10 ± 5.97) with CNSLBP. Patients were randomly assigned to two hydrotherapy groups—CKCE and OKCE—and a control group. Pain intensity, kinesiophobia, lumbo-pelvic stability (LPS), rate of loading (ROL), and vertical ground reaction force (vGRF) were measured using the visual analog scale, Tampa Kinesiophobia Scale, biofeedback pressure device, and plantar pressure device. The intervention groups performed prescribed exercises for eight weeks, with three sessions per week. Covariance analysis was used to compare group differences. Results: In the comparison within the OKCE and CKCE groups, significant differences were observed between the pre- and post-intervention measurements (p < 0.05). Moreover, statistically significant differences were found in pain (p = 0.001) and kinesiophobia scores (p = 0.001), both with a large effect size. Additionally, noteworthy differences were noted in vGRF (p = 0.003), ROL (p = 0.012), and LPS (p = 0.022). Conclusion: The study results indicate that hydrotherapy exercises involving open and closed kinetic chains benefit individuals with CNSLBP. It is recommended that healthcare professionals, including physicians, physiotherapists, and occupational therapists, incorporate these exercises into comprehensive rehabilitation programs for such patients.

Review Article

Home-Based Modification Approaches for Children with Autism (3–18 Years): A Scoping Review

Golnaz Ahmadi; Nazila Akbarfahimi; Navid Mirzakhani Araghi

Volume 12, Issue 3 , September 2025, Pages 55-65

Abstract

Background: Creating a calm and supportive home environment is vital for children with Autism Spectrum Disorder (ASD) and their families. This scoping review aimed to examine the impact ... Read More

Journal of Rehabilitation Sciences & Research

Articles in Press

Current Issue

Volume 12 (2025)

Volume 11 (2024)

Volume 10 (2023)

Volume 9 (2022)

Volume 8 (2021)

Volume 7 (2020)

Volume 6 (2019)

Volume 5 (2018)

Volume 4 (2017)

Volume 3 (2016)

Volume 2 (2015)

Volume 1 (2014)

Volume & Issue: Volume 12, Issue 3, September 2025, Pages 1-65

Immediate Effects of Combined Stretching Protocols on Scapular Myoelectric Activity and Kinematics in Gymnasts

Abstract

Effects of Three Sessions of Diaphragmatic Myofascial Release on Pain, Balance, and Quality of Life in Patients with Chronic Nonspecific Low Back Pain (A Regional Interdependence Model): Protocol of a Randomized Clinical Trial

Abstract

Effect of Integrated Neuromuscular Inhibition Technique and Posture Correction in the Management of Mechanical Neck Pain

Abstract

The Effect of Eight Weeks of NASM and Kinetic Chain Training on Lordosis, Pelvic Tilt, and Hip Joint ROM in Individuals with Lower Crossed Syndrome

Abstract

Application of Hypothetico-Deductive Reasoning Process for Physiotherapy Management of a Case with Meniscus Injury

Abstract

Development of Speech Therapy Application for Children with Stuttering (STACS)

Abstract

Assessing the Impact of Closed and Open Kinetic Chain Hydrotherapy on Vertical Ground Reaction Force, Rate of Loading, Lumbo-Pelvic Stability, Pain Intensity, and Kinesiophobia in Men with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial

Abstract

Home-Based Modification Approaches for Children with Autism (3–18 Years): A Scoping Review

Abstract