Pub Date : 2018-12-31DOI: 10.23937/2572-3243.1510063
J. Adinma, E. Adinma, O. Umeononihu, V. Oguaka, Nd Adinma-Obiajulu, Oyedum So
Background: Hormonal and physical adaptations to pregnancy may result in musculoskeletal discomforts. The pattern and perception of these disturbances may form the basis for the health-seeking behaviours adopted by the pregnant women. Objective: To determine the pattern of, perception on, and biosocial risk factors to musculoskeletal discomfort among pregnant women in South Eastern Nigeria. Subjects and method: This is a cross-sectional, interviewer-administered questionnaire-based study of 115 pregnant women attending antenatal-care outreaches in South Eastern Nigeria. Results: One hundred and fifteen antenatal volunteers were interviewed, majority were traders (50.4%) and within the age bracket of 26-30 years (45.2%). Most were of parity 1-4 (68.7%) and predominantly of social class 3 (60.0%). Up to 85 (73.9%) of the respondent had heard of musculoskeletal discomfort (MSD) during pregnancy while 55.7% had experienced it in the index pregnancy, and 32% in the last pregnancy. The types of MSD experienced in the index pregnancy includes pelvic pain 45 (70.3%), leg pain 16 (25%), low back pain 15 (23.4%), and coccydynia 1 (1.6%). The major causes of discomfort were attributed to malnutrition (55.6%), strenuous activity (54.7%), big baby (35.7%), pregnancy hormones (21.8%), and too many pregnancies (18.2%). Thirty-three (28.7%) respondents attributed MSD complications to miscarriage and premature deliveries. Experience of MSD, measured as discomfort respondent ratio (DRR) was high at extremes of maternal age, and increased with increasing gestational age, parity and social class. A significantly large number 30 (46.9%) had no form of treatment for their discomfort, while a few others applied a wrong treatment like antibiotics 1 (1.6%) and herbal concoctions 1 (1.6%). Conclusion: This study showed a higher level of awareness and experience of musculoskeletal discomfort amongst the respondents. There was however insufficient knowledge as to the causes, risk factors, treatment and possible complications among them. Pelvic pain, leg pain and low back pain were the most commonly observed musculoskeletal discomfort amongst the respondents. Recommendation: Health workers and pregnant women should have adequate knowledge, information and education on the various types of musculoskeletal discomforts as well as their causes, management and treatment as part of a comprehensive pregnancy health education package. ISSN: 2572-3243 DOI: 10.23937/2572-3243.1510063 Adinma et al. J Musculoskelet Disord Treat 2018, 4:063 • Page 2 of 9 • caesarean delivery [1]. Hip pain in pregnancy can result from osteonecrosis of the femoral head and transient osteoporosis of the hip. The former is rare with unclear aetiology, but may be secondary to weight gain, endogenous production of glucocorticoids by the adrenal gland [11], or a hypercoagulable state. It manifests as hip pain radiating to the groin or lateral thigh, particularly with weightbearing. Transient osteoporosis of the
{"title":"Prevalence, Perception and Risk Factors for Musculoskeletal Discomfort among Pregnant Women in Southeast Nigeria","authors":"J. Adinma, E. Adinma, O. Umeononihu, V. Oguaka, Nd Adinma-Obiajulu, Oyedum So","doi":"10.23937/2572-3243.1510063","DOIUrl":"https://doi.org/10.23937/2572-3243.1510063","url":null,"abstract":"Background: Hormonal and physical adaptations to pregnancy may result in musculoskeletal discomforts. The pattern and perception of these disturbances may form the basis for the health-seeking behaviours adopted by the pregnant women. Objective: To determine the pattern of, perception on, and biosocial risk factors to musculoskeletal discomfort among pregnant women in South Eastern Nigeria. Subjects and method: This is a cross-sectional, interviewer-administered questionnaire-based study of 115 pregnant women attending antenatal-care outreaches in South Eastern Nigeria. Results: One hundred and fifteen antenatal volunteers were interviewed, majority were traders (50.4%) and within the age bracket of 26-30 years (45.2%). Most were of parity 1-4 (68.7%) and predominantly of social class 3 (60.0%). Up to 85 (73.9%) of the respondent had heard of musculoskeletal discomfort (MSD) during pregnancy while 55.7% had experienced it in the index pregnancy, and 32% in the last pregnancy. The types of MSD experienced in the index pregnancy includes pelvic pain 45 (70.3%), leg pain 16 (25%), low back pain 15 (23.4%), and coccydynia 1 (1.6%). The major causes of discomfort were attributed to malnutrition (55.6%), strenuous activity (54.7%), big baby (35.7%), pregnancy hormones (21.8%), and too many pregnancies (18.2%). Thirty-three (28.7%) respondents attributed MSD complications to miscarriage and premature deliveries. Experience of MSD, measured as discomfort respondent ratio (DRR) was high at extremes of maternal age, and increased with increasing gestational age, parity and social class. A significantly large number 30 (46.9%) had no form of treatment for their discomfort, while a few others applied a wrong treatment like antibiotics 1 (1.6%) and herbal concoctions 1 (1.6%). Conclusion: This study showed a higher level of awareness and experience of musculoskeletal discomfort amongst the respondents. There was however insufficient knowledge as to the causes, risk factors, treatment and possible complications among them. Pelvic pain, leg pain and low back pain were the most commonly observed musculoskeletal discomfort amongst the respondents. Recommendation: Health workers and pregnant women should have adequate knowledge, information and education on the various types of musculoskeletal discomforts as well as their causes, management and treatment as part of a comprehensive pregnancy health education package. ISSN: 2572-3243 DOI: 10.23937/2572-3243.1510063 Adinma et al. J Musculoskelet Disord Treat 2018, 4:063 • Page 2 of 9 • caesarean delivery [1]. Hip pain in pregnancy can result from osteonecrosis of the femoral head and transient osteoporosis of the hip. The former is rare with unclear aetiology, but may be secondary to weight gain, endogenous production of glucocorticoids by the adrenal gland [11], or a hypercoagulable state. It manifests as hip pain radiating to the groin or lateral thigh, particularly with weightbearing. Transient osteoporosis of the","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79034730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-30DOI: 10.23937/2572-3243.1510057
Pietrzak Jrt, M. Donaldson, B. Kayani, F. Rowan, F. Haddad
The incidence of hip arthroscopy is increasing worldwide. This is due to improved knowledge of the surgical anatomy, expansion of surgical indications, evolution and refinement of surgical instrumentation and continued reports of good long-term functional results. However hip arthroscopy remains a technically challenging surgical procedure with a described “steep” learning curve. This narrative review discusses key areas of hip arthroscopy including indications, outcomes, issues regarding the learning curve and potential peri-operative complications with particular interest in the most recently published literature. It highlights that while benefits exist with hip arthroscopy, consideration must be paid to patient selection and adequate training.
{"title":"Hip Arthroscopy: A Narrative Review of the Current Literature","authors":"Pietrzak Jrt, M. Donaldson, B. Kayani, F. Rowan, F. Haddad","doi":"10.23937/2572-3243.1510057","DOIUrl":"https://doi.org/10.23937/2572-3243.1510057","url":null,"abstract":"The incidence of hip arthroscopy is increasing worldwide. This is due to improved knowledge of the surgical anatomy, expansion of surgical indications, evolution and refinement of surgical instrumentation and continued reports of good long-term functional results. However hip arthroscopy remains a technically challenging surgical procedure with a described “steep” learning curve. This narrative review discusses key areas of hip arthroscopy including indications, outcomes, issues regarding the learning curve and potential peri-operative complications with particular interest in the most recently published literature. It highlights that while benefits exist with hip arthroscopy, consideration must be paid to patient selection and adequate training.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76459150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rheumatoid arthritis (RA) is an inflammatory, multisystemic autoimmune disease. It has been described as an often progressive chronic disease, characterized by severe functional decline, radiographic progression, frequent work disability and premature mortality. Efforts have been made to identify among patients with peripheral inflammatory arthritis which patients will have a benign course, with spontaneous resolution, and which will develop a chronic progressive inflammatory disabling disease if untreated. In recent years a remarkable improvement in RA patient outcome is observed. The two major approach changes that explain the better course of RA are the early diagnosis with subsequent prompt treatment initiation, and the treat to target strategy. The windows of opportunity theory sustains that in early stage of the disease autoimmunity may be reversed, and with prompt and intensive treatment even an antirheumatic drugs-free remission could be possible. Early and sustained remission became a feasible target leading to a much benign course of disease, in term of articular and systemic complication, quality of live, working disability and survival. represents different diseases from the very beginning [4]. Moreover, it has been postulated that we should reconsider whether RA should be thought of as a syndrome with multiple etiologic events [5]. Nevertheless, different cohort studies show a better outcome in recent years in RA patient [6-8]. Evidence sustains that the disease prospects of patients newly diagnosed with RA today are much better than they were decades ago, and that this seems to be the result of several changes in treatment strategies [9-11]. Therefore we may assume that at least part of the clinical course of the disease can be modified by appropriate clinical management. From Undifferentiated Peripheral Inflammatory Arthritis to Established RA Recent onset arthritis is a common complaint both in primary care settings and in rheumatologic consultations. Undifferentiated peripheral inflammatory arthritis (UPIA) diagnosis is based on the failure to satisfy classification criteria for other well-recognized rheumatic conditions such as rheumatoid arthritis, psoriatic arthritis, gout, systemic lupus erythematosus, osteoarthritis, or other infectious, metabolic, traumatic o malignant etiologies [4,12]. Its estimated prevalence is between 30% and 50% of patients presenting to the rheumatologist [13]. In some of these patients, the disease evolves into other rheumatic conditions, while in many cases disease regresses [13]. UPIA should be constantly rethought, as patients may develop a disease that can be labelled with a specific diagnosis at any time [12]. Remission rate in UPIA range from 13% [13] to 57.9%, [14] while evolution to RA according to 1987 American College of Rheumatology (ACR) classification criteria [15] range around 14% [13,14]. Nevertheless persistent disease Introduction Rheumatoid arthritis (RA) is an inflammatory, multis
类风湿性关节炎(RA)是一种炎症性多系统自身免疫性疾病。它通常被描述为一种进行性慢性疾病，其特征是严重的功能衰退、放射学进展、经常工作残疾和过早死亡。已经做出努力，以确定周围炎性关节炎患者中，哪些患者将有一个良性过程，自发的解决，哪些将发展为慢性进行性炎性致残疾病，如果不治疗。近年来观察到RA患者预后的显著改善。两种主要的治疗方法的改变解释了RA更好的病程，即早期诊断并随后迅速开始治疗，以及靶向治疗策略。机会之窗理论认为，在疾病的早期阶段，自身免疫可能会逆转，通过及时和强化治疗，甚至可能出现无抗风湿药缓解。就关节和全身并发症、生活质量、工作残疾和生存而言，早期和持续的缓解成为一个可行的目标，导致疾病的良性发展。从一开始就代表不同的疾病b[4]。此外，有人认为我们应该重新考虑是否应该将RA视为具有多种病因事件的综合征。然而，近年来不同的队列研究显示RA患者的预后较好[6-8]。有证据表明，今天新诊断为类风湿性关节炎的患者的疾病前景比几十年前好得多，这似乎是治疗策略的一些变化的结果[9-11]。因此，我们可以假设，通过适当的临床管理，至少可以改变该疾病的部分临床病程。从未分化的外周炎性关节炎到已确诊的类风湿性关节炎，初发性关节炎是初级保健机构和风湿病学咨询的常见主诉。未分化外周炎性关节炎(Undifferentiated peripheral inflammatory arthritis, UPIA)的诊断是基于不能满足其他公认的风湿性疾病的分类标准，如类风湿关节炎、银屑病关节炎、痛风、系统性红斑狼疮、骨关节炎或其他感染性、代谢性、创伤性或恶性病因[4,12]。据估计，在向风湿病学家求诊的患者中，其患病率在30%至50%之间。在其中一些患者中，疾病发展为其他风湿病，而在许多病例中，疾病消退。应不断重新考虑UPIA，因为患者可能会发展成一种可以在任何时候贴上特定诊断标签的疾病。UPIA的缓解率为13%[13]- 57.9%，[14]，而根据1987年美国风湿病学会(American College of Rheumatology, ACR)分类标准，演变为RA的[15]约为14%[13,14]。类风湿关节炎(RA)是一种炎症性多系统自身免疫性疾病。它影响0.5%的人口，被描述为一种进行性慢性疾病，其特征是严重的功能下降、放射学进展、频繁的工作残疾和过早死亡[1,2]。然而，人们也认识到RA具有异质性，从轻度、自限性关节炎到严重的永久性活动性和侵蚀性多发性关节炎，导致进行性关节损伤、功能残疾[3]和关节外表现[4]。如果临床表型的广谱是由一组不同的风险因素决定的，或者如果随后的病程(ISSN: 2572-3243)仍然没有答案。J肌肉骨骼疾病治疗2018,4:053•6页2•管理可以在12周时自信地进行。这些发现与Green[17]的研究结果一致，并表明非常早期的炎症性疾病在免疫学上可能与持续时间较长的疾病不同，因此，在持续性发展之前的这一阶段进行干预，可能为结果[13]的定性改善提供了独特的机会。此外，一些作者还假设，在一些患者的早期阶段，自身免疫甚至可以逆转。在疾病进化的时间轴上，自身抗体的出现和促炎细胞因子水平的升高早于AR[16]的发展。在这个疾病前期，ACPA、RF和SE阳性的个体有显著的RA风险，特别是如果他们有关节痛。这一阶段可转变为与自身免疫加速、耐受性进一步丧失和临床症状[18]相关的明确RA。在这个早期阶段，疾病的积极治疗会带来不成比例的益处，患者有很好的缓解机会[10,16,18,19]。 根据这一机会之窗理论，RA自身免疫的潜在可逆性随着时间的推移而降低，这改变了治疗的潜在疗效[18]。及时和早期诊断的重要性
{"title":"Clinical Course and Sustained Remission in Rheumatoid Arthritis","authors":"Lagrutta Mariana, Parodi Roberto Leandro, Greca Alcides Alejandro","doi":"10.23937/2572-3243.1510053","DOIUrl":"https://doi.org/10.23937/2572-3243.1510053","url":null,"abstract":"Rheumatoid arthritis (RA) is an inflammatory, multisystemic autoimmune disease. It has been described as an often progressive chronic disease, characterized by severe functional decline, radiographic progression, frequent work disability and premature mortality. Efforts have been made to identify among patients with peripheral inflammatory arthritis which patients will have a benign course, with spontaneous resolution, and which will develop a chronic progressive inflammatory disabling disease if untreated. In recent years a remarkable improvement in RA patient outcome is observed. The two major approach changes that explain the better course of RA are the early diagnosis with subsequent prompt treatment initiation, and the treat to target strategy. The windows of opportunity theory sustains that in early stage of the disease autoimmunity may be reversed, and with prompt and intensive treatment even an antirheumatic drugs-free remission could be possible. Early and sustained remission became a feasible target leading to a much benign course of disease, in term of articular and systemic complication, quality of live, working disability and survival. represents different diseases from the very beginning [4]. Moreover, it has been postulated that we should reconsider whether RA should be thought of as a syndrome with multiple etiologic events [5]. Nevertheless, different cohort studies show a better outcome in recent years in RA patient [6-8]. Evidence sustains that the disease prospects of patients newly diagnosed with RA today are much better than they were decades ago, and that this seems to be the result of several changes in treatment strategies [9-11]. Therefore we may assume that at least part of the clinical course of the disease can be modified by appropriate clinical management. From Undifferentiated Peripheral Inflammatory Arthritis to Established RA Recent onset arthritis is a common complaint both in primary care settings and in rheumatologic consultations. Undifferentiated peripheral inflammatory arthritis (UPIA) diagnosis is based on the failure to satisfy classification criteria for other well-recognized rheumatic conditions such as rheumatoid arthritis, psoriatic arthritis, gout, systemic lupus erythematosus, osteoarthritis, or other infectious, metabolic, traumatic o malignant etiologies [4,12]. Its estimated prevalence is between 30% and 50% of patients presenting to the rheumatologist [13]. In some of these patients, the disease evolves into other rheumatic conditions, while in many cases disease regresses [13]. UPIA should be constantly rethought, as patients may develop a disease that can be labelled with a specific diagnosis at any time [12]. Remission rate in UPIA range from 13% [13] to 57.9%, [14] while evolution to RA according to 1987 American College of Rheumatology (ACR) classification criteria [15] range around 14% [13,14]. Nevertheless persistent disease Introduction Rheumatoid arthritis (RA) is an inflammatory, multis","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80370574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-30DOI: 10.23937/2572-3243.1510055
Isabel Santos, Carlos Vasconcelos Jose, C. Ribeiro, C. Moreira, A. Magalhães, P. Cantista, C. Vasconcelos
Objective: To evaluate the usefulness of ultrasonography as an evaluation tool in a Randomized Controlled Trial assessing Balneotherapy effects in Rheumatoid Arthritis. Methods: A prospective controlled clinical trial, not blinded, randomly assigned of patients with rheumatoid arthritis accordingly to the American College of Rheumatology criteria. The Balneotherapy group received Balneotherapy’s throughout 21 days in S. Jorge Spa. The main outcome was hand/wrist ultrasonography measured at the same moments in the two groups, and McNemar’s tests were used to compare changes in ecographics signals, with a 5% statistical significance level. Secondary outcomes were taken at same time for HAQ-DI and DAS28. A moderated regression analysis, complemented with the Johnson-Neyman (J-N) technique was used to perform the statistical analysis. Results: In thermal group there was a statistically significant result (p < 0.05) regarding the evolution of synovitis only at left hand/wrist according to ultrasonography signals, between baseline and day 21, end of thermal treatment, and after 3 months. Curiously, the same statistical findings were found in the control group, but at right side. No difference was found in DAS28 at the end of Balneotherapy but almost reach significance at month 3. HAQ-DI at end of treatment and 3rd month follow-up was significantly improved in the Balneotherapy. Conclusions: Pain and diminished function are hallmarks of RA patients, so any complementary contribution with no or mild side effects, as Balneotherapy, is welcome to enhance quality of life. In this study ultrasonography could detect improvement in synovitis in both RA patients groups, Balneotherapy translating both the possible effect of treatment and the natural history of RA. Both joints were the more affected at enrolment and the Balneotherapy had a slightly higher DAS28. Quality of life had a sustainable improvement with Balneotherapy. Ultrasonography is an objective, inexpensive modality to measure the response of RA small joint synovitis to Balneotherapy, provided that it is realized by a medical doctor with specific formation.
{"title":"Ultrasonography as an Evaluation Tool in a Randomized Controlled Trial Assessing Balneotherapy Effects in Rheumatoid Arthritis","authors":"Isabel Santos, Carlos Vasconcelos Jose, C. Ribeiro, C. Moreira, A. Magalhães, P. Cantista, C. Vasconcelos","doi":"10.23937/2572-3243.1510055","DOIUrl":"https://doi.org/10.23937/2572-3243.1510055","url":null,"abstract":"Objective: To evaluate the usefulness of ultrasonography as an evaluation tool in a Randomized Controlled Trial assessing Balneotherapy effects in Rheumatoid Arthritis. Methods: A prospective controlled clinical trial, not blinded, randomly assigned of patients with rheumatoid arthritis accordingly to the American College of Rheumatology criteria. The Balneotherapy group received Balneotherapy’s throughout 21 days in S. Jorge Spa. The main outcome was hand/wrist ultrasonography measured at the same moments in the two groups, and McNemar’s tests were used to compare changes in ecographics signals, with a 5% statistical significance level. Secondary outcomes were taken at same time for HAQ-DI and DAS28. A moderated regression analysis, complemented with the Johnson-Neyman (J-N) technique was used to perform the statistical analysis. Results: In thermal group there was a statistically significant result (p < 0.05) regarding the evolution of synovitis only at left hand/wrist according to ultrasonography signals, between baseline and day 21, end of thermal treatment, and after 3 months. Curiously, the same statistical findings were found in the control group, but at right side. No difference was found in DAS28 at the end of Balneotherapy but almost reach significance at month 3. HAQ-DI at end of treatment and 3rd month follow-up was significantly improved in the Balneotherapy. Conclusions: Pain and diminished function are hallmarks of RA patients, so any complementary contribution with no or mild side effects, as Balneotherapy, is welcome to enhance quality of life. In this study ultrasonography could detect improvement in synovitis in both RA patients groups, Balneotherapy translating both the possible effect of treatment and the natural history of RA. Both joints were the more affected at enrolment and the Balneotherapy had a slightly higher DAS28. Quality of life had a sustainable improvement with Balneotherapy. Ultrasonography is an objective, inexpensive modality to measure the response of RA small joint synovitis to Balneotherapy, provided that it is realized by a medical doctor with specific formation.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"221 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83648158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-30DOI: 10.23937/2572-3243.1510054
J. Buckley, S. Nichols, C. Bhattacharjee
{"title":"Knee Compression Loading When Lying Supine: Effects of Foot Position on Mattress","authors":"J. Buckley, S. Nichols, C. Bhattacharjee","doi":"10.23937/2572-3243.1510054","DOIUrl":"https://doi.org/10.23937/2572-3243.1510054","url":null,"abstract":"","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76990387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.23937/2572-3243.1510051
Mine Koya
Objectives: This study aimed to examine acute effects of scapular mobilisation on upper limb neurodynamic test 1 (ULNT1) in asymptomatic adults. Methods: This study was a crossover randomised controlled trial. 12 young healthy individuals (10 men and two women, age 21.1 ± 0.3 years, body mass index 20.4 ± 1.9) were recruited. At two separate sessions, participants received randomly assigned interventions; scapular mobilisation or placebo intervention. Range of motion in elbow extension and pain during ULNT1 were assessed before and after each intervention. Results: There was a statistically significant improvement in ULNT1 only after scapular mobilisation (p < 0.05). No significant change in pain level was identified in the two groups. The scapular mobilisation group displayed large or moderate effect sizes to improve ULNT1 and pain, whereas effect sizes of placebo intervention were small. Conclusions: Large-amplitude end-range scapular mobilisation significantly improved ULNT1 in asymptomatic participants. Scapular mobilisation might be able to affect mechanosensitivity of the nervous system. Further research is required to test its effects among symptomatic patients with nerve-related neck and arm pain.
{"title":"The Effects of Scapular Mobilisation on Upper Limb Neurodynamic Test 1: A Randomised, Placebo-Controlled Crossover Study","authors":"Mine Koya","doi":"10.23937/2572-3243.1510051","DOIUrl":"https://doi.org/10.23937/2572-3243.1510051","url":null,"abstract":"Objectives: This study aimed to examine acute effects of scapular mobilisation on upper limb neurodynamic test 1 (ULNT1) in asymptomatic adults. Methods: This study was a crossover randomised controlled trial. 12 young healthy individuals (10 men and two women, age 21.1 ± 0.3 years, body mass index 20.4 ± 1.9) were recruited. At two separate sessions, participants received randomly assigned interventions; scapular mobilisation or placebo intervention. Range of motion in elbow extension and pain during ULNT1 were assessed before and after each intervention. Results: There was a statistically significant improvement in ULNT1 only after scapular mobilisation (p < 0.05). No significant change in pain level was identified in the two groups. The scapular mobilisation group displayed large or moderate effect sizes to improve ULNT1 and pain, whereas effect sizes of placebo intervention were small. Conclusions: Large-amplitude end-range scapular mobilisation significantly improved ULNT1 in asymptomatic participants. Scapular mobilisation might be able to affect mechanosensitivity of the nervous system. Further research is required to test its effects among symptomatic patients with nerve-related neck and arm pain.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81251718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.23937/2572-3243.1510047
S. Moniz, A. Eranki, S. Hodgkinson, P. Yates
Hip fractures are a common problem in Australia and are associated with high mortality and morbidity [1]. Only one third of patients who survive a hip fracture return to previous levels of independence, fifty percent require long-term help with routine activities and a further twenty-five percent require high level care [1]. Careful consideration for definitive treatment of these fractures is essential to avoid the burden associated with unnecessary revision. The optimal surgical treatment of extracapsular fractures is well established and involves internal fixation [2-5].
{"title":"Preoperative Factors Predicting Failure of Hemiarthroplasty after Displaced Subcapital Fractured Neck of Femur in the Active Elderly","authors":"S. Moniz, A. Eranki, S. Hodgkinson, P. Yates","doi":"10.23937/2572-3243.1510047","DOIUrl":"https://doi.org/10.23937/2572-3243.1510047","url":null,"abstract":"Hip fractures are a common problem in Australia and are associated with high mortality and morbidity [1]. Only one third of patients who survive a hip fracture return to previous levels of independence, fifty percent require long-term help with routine activities and a further twenty-five percent require high level care [1]. Careful consideration for definitive treatment of these fractures is essential to avoid the burden associated with unnecessary revision. The optimal surgical treatment of extracapsular fractures is well established and involves internal fixation [2-5].","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83625023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.23937/2572-3243.1510050
Yahya Ayesha, Bamberger H Brent
Carpometacarpal boss is a rare cause of pain and swelling on the dorsum of the hand. Literature is limited on the etiology of this condition and there is no consensus on treatment. We report an unusual case of a 53-year-old man with extensor tendon rupture caused by carpometacarpal boss. Surgical excision of the bony growth and repair of the EIP utilizing interpositional tendon autograft resulted in relief of symptoms and return of function.
{"title":"Carpometacarpal Boss with Extensor Tendon Rupture: Case Report","authors":"Yahya Ayesha, Bamberger H Brent","doi":"10.23937/2572-3243.1510050","DOIUrl":"https://doi.org/10.23937/2572-3243.1510050","url":null,"abstract":"Carpometacarpal boss is a rare cause of pain and swelling on the dorsum of the hand. Literature is limited on the etiology of this condition and there is no consensus on treatment. We report an unusual case of a 53-year-old man with extensor tendon rupture caused by carpometacarpal boss. Surgical excision of the bony growth and repair of the EIP utilizing interpositional tendon autograft resulted in relief of symptoms and return of function.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81835799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.23937/2572-3243.1510046
Vahtrik Doris, Bergmann Margot, Vanahunt Ingrid, Braschinsky Mark
Background: Due to controversial information about the effect of different physiotherapy methods used in the treatment of migraine patients, the aim of the study was to assess the effectiveness of postural correction and orthopedic massage as interventions against headache, and neck and shoulder area muscles tenderness, on improving active range of cervical motion and upper body posture in episodic migraine patients (n = 10) before, after five-week therapy program and 6 months after the therapy. Methods: Effectiveness of interventions against headache was measured by the Headache Under-Response to Treatment (HURT) Questionnaire. Neck and shoulder area muscles tenderness was assessed using Total Tenderness Score (TTS) and active range of cervical motion (caAROM) by cervical goniometry. Upper body alignment from lateral and posterior view was assessed by observation. Results: HURT-3 score was significantly lower both after five-week therapy program (P < 0.05, g = 0.98, 95% CI = 0.06, 1.91) and 6 months after the therapy (P < 0.05, g = 1.08, 95% CI = 0.14, 2.02) as compared to the respective characteristics before the therapy. TTS was significantly lower after five-week therapy program (P < 0.01, g = 1.40, 95% CI = 0.42, 2.38), increasing during half a year, but not significantly (P > 0.05, g = 0.51, 95% CI = -0.38, 1.40). Six different directions of caAROM increased after five-week therapy, but significant increase was registered only in lateral flexion to the right 6 months after the therapy (P < 0.05, g = -1.17, 95% CI = -2.12, -0.22). Upper body posture from lateral view was significantly improved after five-week therapy (P < 0.05, g = -1.25, 95% CI = -2.21, -0.29) and 6 months after the therapy (P < 0.05, g = -1.22, 95% CI = -2.18, -0.27). From posterior view significant postural correction was registered only after five-week therapy program (P < 0.05, g = -1.37, 95% CI = -2.34, -0.39). Conclusions: Half a year after the postural correction and orthopedic massage therapy the frequency of headaches is lowered, but neck and shoulder area muscles tenderness has increased. Significant positive effect on the frequency of headaches and correct upper body posture from lateral view is maintained 6 months after the therapy. Characteristics of cervical motions are comparable to standard values both after five-week therapy program and 6 months after the therapy. Postural correction and orthopedic massage are effective in reducing frequency of headaches in episodic migraine patients.
背景:由于不同物理治疗方法在治疗偏头痛患者中的效果存在争议，本研究的目的是评估体位矫正和骨科按摩作为治疗头痛和颈肩肌肉压痛的干预措施，在改善发作性偏头痛患者(n = 10)在治疗前、治疗后5周和治疗后6个月的颈椎活动范围和上肢姿势的有效性。方法:采用头痛治疗反应不足(HURT)问卷对干预措施的有效性进行测量。颈部和肩部肌肉压痛采用总压痛评分(TTS)和颈椎活动度(caAROM)进行评估。通过观察从侧面和后部观察上半身的排列。结果:与治疗前相比，治疗5周后(P < 0.05, g = 0.98, 95% CI = 0.06, 1.91)和治疗6个月后(P < 0.05, g = 1.08, 95% CI = 0.14, 2.02)患者的HURT-3评分均显著降低。治疗5周后TTS显著降低(P < 0.01, g = 1.40, 95% CI = 0.42, 2.38)，半年后TTS升高，但无显著性差异(P > 0.05, g = 0.51, 95% CI = -0.38, 1.40)。治疗5周后，6个不同方向的caAROM均增加，但治疗6个月后，仅右侧屈曲有显著增加(P < 0.05, g = -1.17, 95% CI = -2.12， -0.22)。治疗5周后和治疗6个月后(P < 0.05, g = -1.25, 95% CI = -2.21， -0.29)，患者侧位体位明显改善(P < 0.05, g = -1.22, 95% CI = -2.18， -0.27)。从后视图来看，只有在5周的治疗方案后才有显著的姿势矫正(P < 0.05, g = -1.37, 95% CI = -2.34， -0.39)。结论:经体位矫正及矫形按摩治疗半年后，头痛发生率降低，但颈肩区肌肉压痛加重。治疗后6个月，患者头痛频率和体位矫正效果显著。治疗5周后和治疗6个月后，颈椎运动特征与标准值相当。体位矫正和矫形按摩对减少发作性偏头痛患者的头痛频率是有效的。
{"title":"Effect of Postural Correction and Orthopedic Massage Therapy on the Frequency of Headaches and Tenderness of Muscles in Migraine Patients","authors":"Vahtrik Doris, Bergmann Margot, Vanahunt Ingrid, Braschinsky Mark","doi":"10.23937/2572-3243.1510046","DOIUrl":"https://doi.org/10.23937/2572-3243.1510046","url":null,"abstract":"Background: Due to controversial information about the effect of different physiotherapy methods used in the treatment of migraine patients, the aim of the study was to assess the effectiveness of postural correction and orthopedic massage as interventions against headache, and neck and shoulder area muscles tenderness, on improving active range of cervical motion and upper body posture in episodic migraine patients (n = 10) before, after five-week therapy program and 6 months after the therapy. Methods: Effectiveness of interventions against headache was measured by the Headache Under-Response to Treatment (HURT) Questionnaire. Neck and shoulder area muscles tenderness was assessed using Total Tenderness Score (TTS) and active range of cervical motion (caAROM) by cervical goniometry. Upper body alignment from lateral and posterior view was assessed by observation. Results: HURT-3 score was significantly lower both after five-week therapy program (P < 0.05, g = 0.98, 95% CI = 0.06, 1.91) and 6 months after the therapy (P < 0.05, g = 1.08, 95% CI = 0.14, 2.02) as compared to the respective characteristics before the therapy. TTS was significantly lower after five-week therapy program (P < 0.01, g = 1.40, 95% CI = 0.42, 2.38), increasing during half a year, but not significantly (P > 0.05, g = 0.51, 95% CI = -0.38, 1.40). Six different directions of caAROM increased after five-week therapy, but significant increase was registered only in lateral flexion to the right 6 months after the therapy (P < 0.05, g = -1.17, 95% CI = -2.12, -0.22). Upper body posture from lateral view was significantly improved after five-week therapy (P < 0.05, g = -1.25, 95% CI = -2.21, -0.29) and 6 months after the therapy (P < 0.05, g = -1.22, 95% CI = -2.18, -0.27). From posterior view significant postural correction was registered only after five-week therapy program (P < 0.05, g = -1.37, 95% CI = -2.34, -0.39). Conclusions: Half a year after the postural correction and orthopedic massage therapy the frequency of headaches is lowered, but neck and shoulder area muscles tenderness has increased. Significant positive effect on the frequency of headaches and correct upper body posture from lateral view is maintained 6 months after the therapy. Characteristics of cervical motions are comparable to standard values both after five-week therapy program and 6 months after the therapy. Postural correction and orthopedic massage are effective in reducing frequency of headaches in episodic migraine patients.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88932710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-30DOI: 10.23937/2572-3243.1510052
M. Sheldon, Sart Ryan Du, Yates Piers
Background: Total knee replacement (TKR) is a surgical procedure for intractable degenerative disease of the knee joint. Despite continued evolution in prosthesis design and surgical procedures, restricted range of motion and functional performance is still common in patients undergoing TKR. Posterior stabilized TKR aims to maintain a more reproducible roll back than cruciate retaining and mobile bearing knees, possibly leading to better flexion and function. The aim of this study was to compare the performance of De-Puy posterior-stabilized rotating platform TKR prosthesis (PS-RP) with the newer Hi-Flex PS-RPF system. In particular, the two prostheses were compared for patient satisfaction and functional outcome. Methods: Seventy physically active patients with unilateral knee osteoarthritis, allocated for primary TKR were recruited into the study. Patients were randomly allocated to one of the two treatment groups. The pre and post-operative data (functional outcome and patient satisfaction) was statistically analysed between the two groups. Results: There were no statistical subjective differences between the 2 groups at 6 weeks and 12 months post-operative. There was a significant difference between knee flexion of patients in the Hi-Flex TKR group at 12 months post-operative, achieving higher mean flexion (123.8 ± 7.8 deg compared to 116.4 ± 14.1 deg; p < 0.013). However, this group also had better preoperative flexion suggesting direct correlation between the preoperative and postoperative knee flexion angles, in keeping with current literature. Conclusion: Therefore, we concluded that there are no significant subjective or objective differences between hiflex and standard knee replacements after 12 months of follow-up.
{"title":"Performance of Hi-Flex Femoral Component in Total Knee Arthroplasty - A Randomized Control Study","authors":"M. Sheldon, Sart Ryan Du, Yates Piers","doi":"10.23937/2572-3243.1510052","DOIUrl":"https://doi.org/10.23937/2572-3243.1510052","url":null,"abstract":"Background: Total knee replacement (TKR) is a surgical procedure for intractable degenerative disease of the knee joint. Despite continued evolution in prosthesis design and surgical procedures, restricted range of motion and functional performance is still common in patients undergoing TKR. Posterior stabilized TKR aims to maintain a more reproducible roll back than cruciate retaining and mobile bearing knees, possibly leading to better flexion and function. The aim of this study was to compare the performance of De-Puy posterior-stabilized rotating platform TKR prosthesis (PS-RP) with the newer Hi-Flex PS-RPF system. In particular, the two prostheses were compared for patient satisfaction and functional outcome. Methods: Seventy physically active patients with unilateral knee osteoarthritis, allocated for primary TKR were recruited into the study. Patients were randomly allocated to one of the two treatment groups. The pre and post-operative data (functional outcome and patient satisfaction) was statistically analysed between the two groups. Results: There were no statistical subjective differences between the 2 groups at 6 weeks and 12 months post-operative. There was a significant difference between knee flexion of patients in the Hi-Flex TKR group at 12 months post-operative, achieving higher mean flexion (123.8 ± 7.8 deg compared to 116.4 ± 14.1 deg; p < 0.013). However, this group also had better preoperative flexion suggesting direct correlation between the preoperative and postoperative knee flexion angles, in keeping with current literature. Conclusion: Therefore, we concluded that there are no significant subjective or objective differences between hiflex and standard knee replacements after 12 months of follow-up.","PeriodicalId":16374,"journal":{"name":"Journal of musculoskeletal disorders and treatment","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83757063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：