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MLTJ-Muscles Ligaments and Tendons Journal最新文献

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Clinical Advances in Neuromuscular Diseases: Neurometabolic Disorders 神经肌肉疾病的临床进展:神经代谢紊乱
Q4 ORTHOPEDICS Pub Date : 2023-07-17 DOI: 10.3390/muscles2030020
C. Angelini, D. Tavian
Metabolic myopathies are characterized by the dysfunction of several metabolic pathways that results in a deficiency of fuels required to generate energy for muscle contractions [...]
代谢性肌病的特点是几种代谢途径的功能障碍,导致产生肌肉收缩所需能量的燃料缺乏[…]
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引用次数: 0
Current Cut Points of Three Falls Risk Assessment Tools Are Inferior to Calculated Cut Points in Geriatric Evaluation and Management Units 目前三种跌倒风险评估工具的切割点不如老年评估和管理单位的计算切割点
Q4 ORTHOPEDICS Pub Date : 2023-07-07 DOI: 10.3390/muscles2030019
V. Lee, L. Appiah-Kubi, Simon J. Vogrin, J. Zanker, Joanna Mitropoulos
Background: Falls risk assessment tools are used in hospital inpatient settings to identify patients at increased risk of falls to guide and target interventions for fall prevention. In 2022, Western Health, Melbourne, Australia, introduced a new falls risk assessment tool, the Western Health St. Thomas’ Risk Assessment Tool (WH-STRATIFY), which adapted The Northern Hospital’s risk tool (TNH-STRATIFY) by adding non-English speaking background and falls-risk medication domains to reflect patient demographics. WH-STRATIFY replaced Peninsula Health Risk Screening Tool (PH-FRAT) previously in use at Western Health. This study compared the predictive accuracy of the three falls risk assessment tools in an older inpatient high-risk population. Aims: To determine the predictive accuracy of three falls risk assessment tools (PH-FRAT, TNH-STRATIFY, and WH-STRATIFY) on admission to Geriatric Evaluation Management (GEM) units (subacute inpatient wards where the most frail and older patients rehabilitate under a multi-disciplinary team). Method: A retrospective observational study was conducted on four GEM units. Data was collected on 54 consecutive patients who fell during admission and 62 randomly sampled patients who did not fall between December 2020 and June 2021. Participants were scored against three falls risk assessment tools. The event rate Youden (Youden IndexER) indices were calculated and compared using default and optimal cut points to determine which tool was most accurate for predicting falls. Results: Overall, all tools had low predictive accuracy for falls. Using default cut points to compare falls assessment tools, TNH-STRATIFY had the highest predictive accuracy (Youden IndexER = 0.20, 95% confidence interval CI = 0.07, 0.34). The PH-FRAT (Youden IndexER = 0.01 and 95% CI = −0.04, 0.05) and WH-STRATIFY (Youden IndexER = 0.00 and 95% CI = −0.04, 0.03) were statistically equivalent and not predictive of falls compared to TNH-STRATIFY. When calculated optimal cut points were applied, predictive accuracy improved for PH-FRAT (Cut point 17, Youden IndexER = 0.14 and 95% CI = 0.01, 0.29) and WH-STRATIFY (Cut point 7, Youden IndexER = 0.18 and 95% CI = 0.00, 0.35). Conclusions: TNH-STRATIFY had the highest predictive accuracy for falls. The predictive accuracy of WH-STRATIFY improved and was significant when the calculated optimal cut point was applied. The optimal cut points of falls risk assessment tools should be determined and validated in different clinical settings to optimise local predictive accuracy, enabling targeted fall risk mitigation strategies and resource allocation.
背景:跌倒风险评估工具在医院住院环境中用于识别跌倒风险增加的患者,以指导和目标干预预防跌倒。2022年,澳大利亚墨尔本西部健康中心推出了一种新的跌倒风险评估工具,即西部健康圣托马斯风险评估工具(WH-STRATIFY),该工具对北方医院的风险评估工具(TNH-STRATIFY)进行了改进,增加了非英语背景和跌倒风险药物领域,以反映患者的人口统计数据。WH-STRATIFY取代了以前在Western Health使用的半岛健康风险筛查工具(PH-FRAT)。本研究比较了三种跌倒风险评估工具在老年住院高危人群中的预测准确性。目的:确定三种跌倒风险评估工具(PH-FRAT, TNH-STRATIFY和WH-STRATIFY)对老年评估管理(GEM)单元(亚急性住院病房,最虚弱和老年患者在多学科团队的帮助下康复)入院的预测准确性。方法:对4个GEM单位进行回顾性观察研究。数据收集了54名住院期间连续摔倒的患者和62名随机抽样的患者,这些患者在2020年12月至2021年6月期间没有摔倒。参与者根据三种跌倒风险评估工具进行评分。计算事件率约登(约登指数)指数,并使用默认和最佳切割点进行比较,以确定哪种工具最准确地预测跌倒。结果:总体而言,所有工具对跌倒的预测准确性都较低。使用默认切割点来比较跌倒评估工具,TNH-STRATIFY具有最高的预测准确性(Youden IndexER = 0.20, 95%置信区间CI = 0.07, 0.34)。PH-FRAT (Youden IndexER = 0.01, 95% CI = - 0.04, 0.05)和WH-STRATIFY (Youden IndexER = 0.00, 95% CI = - 0.04, 0.03)与TNH-STRATIFY相比在统计学上是相等的,不能预测跌倒。当应用计算出的最佳切点时,PH-FRAT(切点17,Youden IndexER = 0.14, 95% CI = 0.01, 0.29)和WH-STRATIFY(切点7,Youden IndexER = 0.18, 95% CI = 0.00, 0.35)的预测准确性得到提高。结论:TNH-STRATIFY对跌倒的预测准确率最高。当应用计算的最佳切割点时,WH-STRATIFY的预测精度得到了显著提高。应在不同的临床环境中确定和验证跌倒风险评估工具的最佳切割点,以优化当地预测的准确性,从而实现有针对性的跌倒风险缓解策略和资源分配。
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引用次数: 0
The Chronic Effect of Stair Climbing–Descending Exercises after Meals on Glycemic Control in Individuals with Type 2 Diabetes: A Randomized Controlled Trial 餐后爬楼梯-下楼梯运动对2型糖尿病患者血糖控制的慢性影响:一项随机对照试验
Q4 ORTHOPEDICS Pub Date : 2023-06-15 DOI: 10.3390/muscles2020018
Hiroto Honda, Hiromi Fukutomi, M. Igaki, Shinichiro Tanaka, T. Takaishi, T. Hayashi
This study aimed to examine the chronic effect of a stair climbing–descending exercise (ST-EX) program on glycemic control in individuals with type 2 diabetes (T2D). Sixteen T2D participants were randomly divided into two groups and followed up over 12 weeks: they either performed regular ST-EX after meals at home (n = 8) or maintained their daily routine (CON; no training) (n = 8). The participants in the ST-EX group were instructed to perform a minimum of 12 sessions/week of ST-EX for more than three days/week. One session of ST-EX consisted of two repetitions of 3 min bouts of climbing to the second floor, followed by walking down to the first floor. Fourteen participants completed the study (seven for each group). The decrease in glycoalbumin levels was significantly greater in the ST-EX group (mean value: −1.0%) than in the CON group (+0.4%). Moreover, the knee extension force increased greatly in the ST-EX group (+0.2 Nm/kg) compared with that in the CON group (−0.1 Nm/kg), with no significant change in the skeletal muscle mass. Performing regular ST-EX after meals may be an effective strategy to improve glycemic control and lower-extremity muscle strength in individuals with T2D.
本研究旨在探讨爬楼梯-下楼梯运动(ST-EX)对2型糖尿病(T2D)患者血糖控制的慢性影响。16名T2D参与者被随机分为两组,随访超过12周:他们要么在家饭后进行常规ST-EX (n = 8),要么维持日常作息(CON;无训练)(n = 8)。ST-EX组的参与者被要求每周至少进行12次ST-EX训练,持续时间超过3天。一节ST-EX包括两次3分钟的重复爬到二楼,然后走到一楼。14名参与者完成了这项研究(每组7人)。ST-EX组糖白蛋白水平的下降(平均值:- 1.0%)明显大于CON组(+0.4%)。此外,ST-EX组膝关节伸展力(+0.2 Nm/kg)较CON组(- 0.1 Nm/kg)显著增加,骨骼肌质量无明显变化。饭后定期进行ST-EX可能是改善t2dm患者血糖控制和下肢肌肉力量的有效策略。
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引用次数: 0
Astaxanthin Supplementation Reduces Subjective Markers of Muscle Soreness following Eccentric Exercise in Resistance-Trained Men 补充虾青素可降低抗阻训练男性偏心运动后肌肉酸痛的主观指标
Q4 ORTHOPEDICS Pub Date : 2023-06-08 DOI: 10.3390/muscles2020017
Gaven A. Barker, Alyssa L. Parten, David A. Lara, Kensey E. Hannon, M. McAllister, Hunter S. Waldman
Strenuous exercise involving eccentric muscle actions induces skeletal muscle damage resulting in delayed onset muscle soreness (DOMS). Antioxidant supplementation, such as astaxanthin (AX), may alleviate muscle injury following intense exercise. The purpose of this study was to investigate the effect of a four-week course of AX supplementation at 12 mg/day−1 on subjective markers of DOMS, recovery, and performance after a bout of muscle damaging eccentric exercise. Nineteen resistance-trained men (mean ± SD: age, 22.6 ± 2.2 y) completed a between-group design with a four-week supplementation period of 12 mg/day−1 of either AX or a placebo. Subjects completed four trials, with trials One and Three designed to induce muscle damage, consisting of a one repetition maximum test (1RM) for leg-press, followed by five sets of ten repetitions at 65% of 1RM. Trials Two and Four were performance trials, conducted 48 h later and consisting of repetitions to failure at 65%, 70%, and 75% of 1RM. Subjective markers of DOMS and recovery were collected at multiple timepoints post-trial for trials One and Three. Although performance was not affected (p > 0.05), AX supplementation significantly decreased subjective markers of DOMS (p = 0.01) compared to the placebo. The results demonstrated that AX may enhance recovery by reducing DOMS without detriment to performance in resistance-trained men.
剧烈运动引起的肌肉偏心运动可引起骨骼肌损伤,导致迟发性肌肉酸痛(DOMS)。抗氧化剂补充剂,如虾青素(AX),可以减轻剧烈运动后的肌肉损伤。本研究的目的是研究在一次肌肉损伤性偏心运动后,以12mg /天−1的剂量补充AX对迟发性肌肉酸痛的主观指标、恢复和运动表现的影响。19名接受抗阻训练的男性(平均±SD:年龄,22.6±2.2 y)完成了组间设计,他们在四周的时间内补充12mg /day - 1的AX或安慰剂。受试者完成了四项试验,其中试验一和试验三旨在诱导肌肉损伤,包括腿部按压的一次最大重复测试(1RM),然后以65%的1RM重复五组,每组10次。试验2和4是性能试验,在48小时后进行,包括在65%,70%和75%的1RM下重复失败。在试验1和试验3的试验后的多个时间点收集迟发性肌肉酸痛和恢复的主观标记。虽然表现不受影响(p > 0.05),但与安慰剂相比,补充AX显著降低了DOMS的主观指标(p = 0.01)。结果表明,AX可以通过减少迟发性肌肉酸痛来增强恢复,而不会损害阻力训练男性的表现。
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引用次数: 0
Neck Muscles Sense of Force in Healthy Individuals and Subjects with Trigger Points of the Upper Trapezius Muscle 健康人及有上斜方肌触发点的受试者的颈部肌肉力觉
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.15
M. Saeedzadeh, D.S. Khoshkrodi, khosro khademi-kalantari, A. Akbarzadeh Baghban, M. Khalkhali Zavieh
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引用次数: 0
Muscle Mass Loss in Mechanically Ventilated Critically Ill Patients in Intensive Care Unit 重症监护室机械通气危重病人的肌肉质量损失
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.13
S. Saseedharan, R. R. Chada, S. Rambhad, A. Bhurke, E. Mathew, K. Paradkar
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引用次数: 0
Anatomical Variation of the Sciatic Nerve in Relation to the Piriformis Muscle: An MRI Study 坐骨神经与梨状肌的解剖变异:MRI研究
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.05
M. Almuhaish, I. AlFawaz, T. Hegazi, S. A. Al-Mousa, S. Alsubaie, A. Alkhaldi, M. Almutairi, T. H. Alshammari, H. F. Alhowaish, M. Alzahrani
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引用次数: 0
Calcium is Involved in Necroptosis Through the Expression of Phospho-MLKL in Skeletal Muscle Cell in Mice 钙通过在小鼠骨骼肌细胞中表达Phospho-MLKL参与坏死性下垂
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.03
R. Yashiro, Y. Matsuzaka
{"title":"Calcium is Involved in Necroptosis Through the Expression of Phospho-MLKL in Skeletal Muscle Cell in Mice","authors":"R. Yashiro, Y. Matsuzaka","doi":"10.32098/mltj.02.2023.03","DOIUrl":"https://doi.org/10.32098/mltj.02.2023.03","url":null,"abstract":"","PeriodicalId":46318,"journal":{"name":"MLTJ-Muscles Ligaments and Tendons Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80673747","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}
引用次数: 0
Peroneus Longus Tendon Autograft for Primary Arthroscopic Reconstruction of the Anterior Cruciate Ligament 自体腓骨长肌腱在关节镜下重建前交叉韧带中的应用
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.08
A. Hegde, Shashwat Agrawal, B. S. Rao, P. Mane, Chethan B. Shetty, Vikrant Khanna, Samarth Thakkar, P. Divakar, Ankita Nigam
Purpose. Peroneus longus tendon graft is not a popular first choice for ACL reconstruction. However, newer literature has shown good outcomes with its use. This study compares functional outcome and donor site morbidity of peroneus longus with hamstring tendon autograft to assess if it can be considered as one of the first choices for ACLR. Methods. This prospective cohort study involves 54 patients who underwent arthroscopic single-bundle ACLR. 27 patients each were operated on with hamstring and peroneus longus autografts. At 2 years follow-up, functional outcome was compared between groups using International Knee Documentation Committee (IKDC), Modified Cincinnati, and Tegner-Lysholm scores. Donor site morbidity in the peroneus longus group was assessed using Foot and Ankle Disability Index (FADI) and The American Orthopaedic Foot and Ankle Society (AOFAS) scores. Results. At 2 years follow-up, there was no statistically significant difference in the mean IKDC (77.26 vs 80.78), Modified Cincinnati (84.41 vs 89.07), and Tegner-Ly-sholm scores (85.19 vs 88.78) between the hamstring and peroneus groups respectively. Mean FADI and AOFAS scores at 2 years follow up were 96.11 and 91.67 respectively in the peroneus group suggesting no significant donor site morbidity as compared to preoperative scores. Conclusions. Peroneus longus performs similar to hamstring grafts and can be considered as one of the first choices for arthroscopic ACL reconstruction.
目的。腓骨长肌腱移植并不是前交叉韧带重建的首选。然而,较新的文献显示其使用效果良好。本研究比较了腓骨长肌与腘绳肌腱自体移植的功能结果和供体部位的发病率,以评估其是否可以作为ACLR的首选之一。方法。这项前瞻性队列研究包括54例接受关节镜单束ACLR的患者。27例患者均行自体腘绳肌和腓骨长肌移植。在2年的随访中,使用国际膝关节文献委员会(IKDC)、改良辛辛那提评分和Tegner-Lysholm评分比较各组的功能结局。采用足踝残疾指数(FADI)和美国骨科足踝学会(AOFAS)评分对腓骨长肌组供体部位的发病率进行评估。结果。随访2年,腘绳肌组和腓骨肌组的平均IKDC (77.26 vs 80.78)、改良辛辛那提评分(84.41 vs 89.07)和Tegner-Ly-sholm评分(85.19 vs 88.78)差异均无统计学意义。腓骨肌组2年随访FADI和AOFAS平均评分分别为96.11和91.67,提示与术前评分相比,供区无明显发病率。结论。腓骨长肌的功能与腘绳肌移植物相似,可以被认为是关节镜下前交叉韧带重建的首选之一。
{"title":"Peroneus Longus Tendon Autograft for Primary Arthroscopic Reconstruction of the Anterior Cruciate Ligament","authors":"A. Hegde, Shashwat Agrawal, B. S. Rao, P. Mane, Chethan B. Shetty, Vikrant Khanna, Samarth Thakkar, P. Divakar, Ankita Nigam","doi":"10.32098/mltj.02.2023.08","DOIUrl":"https://doi.org/10.32098/mltj.02.2023.08","url":null,"abstract":"Purpose. Peroneus longus tendon graft is not a popular first choice for ACL reconstruction. However, newer literature has shown good outcomes with its use. This study compares functional outcome and donor site morbidity of peroneus longus with hamstring tendon autograft to assess if it can be considered as one of the first choices for ACLR. Methods. This prospective cohort study involves 54 patients who underwent arthroscopic single-bundle ACLR. 27 patients each were operated on with hamstring and peroneus longus autografts. At 2 years follow-up, functional outcome was compared between groups using International Knee Documentation Committee (IKDC), Modified Cincinnati, and Tegner-Lysholm scores. Donor site morbidity in the peroneus longus group was assessed using Foot and Ankle Disability Index (FADI) and The American Orthopaedic Foot and Ankle Society (AOFAS) scores. Results. At 2 years follow-up, there was no statistically significant difference in the mean IKDC (77.26 vs 80.78), Modified Cincinnati (84.41 vs 89.07), and Tegner-Ly-sholm scores (85.19 vs 88.78) between the hamstring and peroneus groups respectively. Mean FADI and AOFAS scores at 2 years follow up were 96.11 and 91.67 respectively in the peroneus group suggesting no significant donor site morbidity as compared to preoperative scores. Conclusions. Peroneus longus performs similar to hamstring grafts and can be considered as one of the first choices for arthroscopic ACL reconstruction.","PeriodicalId":46318,"journal":{"name":"MLTJ-Muscles Ligaments and Tendons Journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85635125","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}
引用次数: 0
Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair 关节镜下二头肌肌腱固定术:一种新的锚钉缝合技术在单排肩袖修复患者中的中期临床结果
Q4 ORTHOPEDICS Pub Date : 2023-06-01 DOI: 10.32098/mltj.02.2023.09
H. Saremi, B. Heidari, A. Sharifi, E. Khanlarzadeh
{"title":"Arthroscopic Biceps Tenodesis: Midterm Clinical Results of a New Anchor Suture Technique in Patients with Single-Row Rotator Cuff Repair","authors":"H. Saremi, B. Heidari, A. Sharifi, E. Khanlarzadeh","doi":"10.32098/mltj.02.2023.09","DOIUrl":"https://doi.org/10.32098/mltj.02.2023.09","url":null,"abstract":"","PeriodicalId":46318,"journal":{"name":"MLTJ-Muscles Ligaments and Tendons Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85725963","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}
引用次数: 0
期刊
MLTJ-Muscles Ligaments and Tendons Journal
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