Musculoskeletal Science and Practice最新文献

German translation, transcultural adaptation and test-retest reliability of the headache screening questionnaire

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-17 DOI: 10.1016/j.msksp.2025.103288

Ramon Gubser , Caroline M. Speksnijder , Hedwig A. van der Meer , Markus J. Ernst

Introduction

Tension-type headache (TTH) and migraines are frequent headache types. For appropriate treatment, physiotherapists need to be able to recognize these two headache types. The Dutch Headache Screening Questionnaire (HSQ-DV) is the only screening questionnaire designed specifically for migraines and TTH, based on the latest International Classification of Headache Disorders and supporting evidence. The aim of this study is to translate the HSQ-DV into German and evaluate its test-retest reliability.

Methods

A cross-sectional and prospective cohort study was conducted to answer the research questions. The HSQ-DV was translated according to the COMSIN checklist for patient-reported outcome measurement instruments. Test-retest reliability was assessed with a retest after two weeks. Weighted kappa values, intraclass-correlation coefficients (ICCs) and standard error of the measurements (SEMs) were calculated separately for migraines and THH, based on point scale ranging from 0 to 8.

Results

The HSQ-DV was translated and culturally adapted into German. An introductory clarification was added to guide participants with multiple headaches, which headache type to consider. Sixty-one subjects were included in the reliability study. For migraine, the weighted kappa was 0.70 (95% Confidence Interval (CI) 0.52 to 0.87), the ICC was 0.84 (95% CI: 0.71 to 0.91), and the SEM was 0.39 points. For TTH, the weighted kappa was 0.73 (95% CI: 0.57 to 0.90), the ICC was 0.85 (95% CI: 0.74 to 0.92), and the SEM was 0.29 points.

Conclusion

The HSQ-GV is a reliable screening questionnaire for migraines and TTH in physiotherapy settings, demonstrating substantial to nearly perfect reliability.

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引用次数: 0

Patient perspectives of process variables in musculoskeletal care pathways

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-14 DOI: 10.1016/j.msksp.2025.103287

Daniel Harvey , Steve White , Duncan Reid , Chad Cook

Background

The prevalence of disability caused by musculoskeletal conditions continues to increase. Little research has considered the effect of process variables of a musculoskeletal care pathway on patient outcomes. A process variable is as any modifiable factor in a pathway that can be quantified and measured and that if varied may achieve a different operational or patient outcome. The perspective of patients on what process variables are important in musculoskeletal care pathways remains unknown.

Objective

The aim of this study was to investigate which process variables are important to patients and what their experiences of these processes were during the rehabilitation of their musculoskeletal conditions. Method: A qualitative study using a reflexive thematic analytical approach was undertaken. Four focus groups with 12 participants were conducted. Thematic analysis was utilized on the focus group data.

Results

Four key themes were generated: 1) Process matters; (2) Quantifying progress facilitated patient engagement; (3) Benefits of equitable access of care; and (4) Recovery made easier with navigation.

Conclusion

Patients with musculoskeletal conditions recognise the importance of process variables, especially timeliness, order of care, coordination of care delivery, quantifying progress, equity of access and navigation. These findings offer insights to care pathway designers as well as future research opportunities examining the effects of process variables on the outcomes of patients with musculoskeletal conditions.

背景肌肉骨骼疾病导致的残疾发生率持续上升。很少有研究考虑到肌肉骨骼护理路径的过程变量对患者预后的影响。过程变量是指路径中任何可以量化和测量的可改变因素，如果改变这些因素，可能会实现不同的操作或患者效果。本研究旨在调查哪些过程变量对患者很重要，以及患者在肌肉骨骼疾病康复过程中对这些过程的体验。研究方法采用反思性主题分析法进行定性研究。共进行了四个焦点小组讨论，共有 12 人参加。对焦点小组的数据进行了主题分析：结论患有肌肉骨骼疾病的患者认识到流程变量的重要性，尤其是及时性、护理顺序、护理服务的协调、量化进展、公平就医和导航。这些发现为护理路径设计者提供了启示，也为今后研究过程变量对肌肉骨骼疾病患者治疗效果的影响提供了机会。

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引用次数: 0

Does motion sensor biofeedback augment change in movement? A longitudinal study of lifting spinal kinematics in people with chronic low back pain undergoing Cognitive Functional Therapy with and without biofeedback

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-12 DOI: 10.1016/j.msksp.2025.103286

Ivan Pui Hung Au , Anne Smith , Peter O'Sullivan , Leo Ng , Nic Saraceni , Amity Campbell

Background

Lifting is a functional movement commonly assessed and targeted in the treatment of people with low back pain (LBP).

Objective

To investigate changes in spinal range of motion (ROM) and velocity during lifting in people with lifting-related LBP over the course of Cognitive Functional Therapy (CFT), and to compare these changes between CFT-only and CFT-with-biofeedback.

Design

Longitudinal observational study.

Method

One hundred and forty-one people with lifting-related LBP received CFT and performed a lifting task prior to each treatment session. Measures included ROM and velocity from trunk and pelvis sensors independently and the intersensor angle. Multilevel models estimated the average amount of change and inter-individual variability. Time-group interaction was used to test the differences in the mean change between CFT-only and CFT-with-biofeedback.

Results

During the 13-week intervention period, the average trunk and pelvis ROM increased significantly between week 1 and week 8 (10.6°, 95% CI: 5.9, 15.4; 10.4°, 95% CI: 6.9, 14.0), while the average intersensor ROM did not change over 13 weeks (−0.79°, 95% CI: −3.74, 2.16). The average trunk, pelvis and intersensor velocity increased significantly up to weeks 9 or 10 (17.8°/sec, 95% CI: 14.0, 21.6; 10.8°/sec, 95% CI: 8.3, 13.4; 6.0°/sec, 95% CI: 3.7, 8.3). There was no evidence for differences in change in ROM or velocity measures between CFT-only and CFT-with-biofeedback (P = 0.14–0.64).

Conclusions

People with lifting-related LBP demonstrated increases in trunk and pelvis ROM and all velocity measures but not intersensor ROM during lifting over the course of CFT. Biofeedback did not augment changes in lifting kinematics.

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引用次数: 0

Cervicocephalic force steadiness and force sense in people with and without neck pain

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-09 DOI: 10.1016/j.msksp.2025.103284

Daniel J. English , Nivan Weerakkody , Anita Zacharias , Rodney A. Green , Tegan French , Cassandra Hocking , Marcos de Noronha , Rodrigo Rico Bini

Background

Proprioceptive and motor control impairments have been identified in people with neck pain, but there is limited data regarding deficits and reliability of cervical force steadiness and force sense.

Objectives

To evaluate between-group differences and test-retest reliability of cervical force steadiness and force sense in people with and without neck pain.

Design

Cross-sectional comparative study.

Method

Fourteen people with chronic neck pain (CNP) and 15 healthy participants of comparable age range completed a force-matching protocol of randomised isometric contractions for cervical flexion, extension, rotation (left and right), and lateral flexion (left and right) at intensities of 10% and 25% of their maximal voluntary contraction (MVC). Twenty-four participants completed a second session 4–7 days later to evaluate reliability. Force was converted to coefficient of variation (COV) to measure force steadiness, and absolute error (AE), constant error (CE), and variable error (VE) for force sense.

Results

CNP participants demonstrated worse total VE at 10% MVC (mean difference 36.96%, p < .001). Reliability of force sense varied between poor to good, with best reliability shown for CE (ICC estimates 0.21–0.88). Force steadiness was significantly worse in the CNP population for 10% MVC (mean difference 42.26%, p < .001) and 25% MVC (mean difference 23.97%, p < .001), and reliability was moderate-good for all contractions (ICC estimates 0.53–0.87) except two.

Conclusions

People with CNP demonstrated impairments in force steadiness and force sense, particularly at 10% MVC intensity contractions. Reliability was varied for force sense and most contractions demonstrated moderate-good reliability for force steadiness.

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引用次数: 0

GPs’ experience of embedded Musculoskeletal Advanced Practice Physiotherapists in Primary Care: A cross-sectional survey with content analysis

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-09 DOI: 10.1016/j.msksp.2025.103285

Jordan Hepburn , Gordon Cameron , Libby Dale , Gavin Frizzell , Amegad Abdelgawad , Cathy Bulley , Kerrie Crisp

Background

General Practices across Scotland have expanded their multi-disciplinary teams (MDTs) to include non-medical allied health professionals (NMAHPs) as part of the 2018 General Medical Services Contract (GMS), including musculoskeletal (MSK) Advanced Practice Physiotherapists (APPs). MDT expansion was hoped to reduce General Practitioner (GP) workloads and release their time to care for patients with complex needs. Published research concerning GPs’ experiences of these roles is conflicting on whether they perceive this to be the case.

Aim

To understand GPs’ experience of MSK APPs since their integration within MDTs.

Design and setting

Observational study of N = 22 GPs’ from a single health and social care partnership (HSCP) within an NHS Scotland Health Board.

Method

Cross-sectional survey study with conceptual analysis of open free-text responses.

Results

The majority of GPs’ agreed that MSK APPs: impacted positively on their management of clinical caseloads and diagnostic uncertainty; improved quality of care and system flow for patients with MSK conditions; had been embedded successfully with adequate implementation support, and their role was clear.

Conclusion

Findings support the argument that APPs are contributing to the achievement of GMS contract aims. Further research is required to increase the pool of available studies from which evidence-based recommendations can be made to health boards. Consistency in the design and wording of future surveys would improve the level of inference that can be drawn on GPs’ experiences of MSK APP services.

背景苏格兰各地的全科医生已扩大其多学科团队（MDT），将非医疗专职保健专业人员（NMAHPs）纳入其中，作为 2018 年全科医疗服务合同（GMS）的一部分，包括肌肉骨骼（MSK）高级实践物理治疗师（APPs）。MDT 的扩大有望减轻全科医生（GP）的工作量，使他们有时间照顾有复杂需求的患者。目的了解全科医生在将 MSK APP 纳入 MDT 后对其的体验。设计与环境对苏格兰国家医疗服务体系卫生委员会（NHS Scotland Health Board）内一个医疗与社会护理合作机构（HSCP）的 N = 22 名全科医生进行观察研究。方法横断面调查研究，对开放式自由文本回复进行概念分析。结果大多数全科医生都认为 MSK APP：对他们管理临床病例和诊断不确定性产生了积极影响；改善了 MSK 患者的护理质量和系统流程；在充分的实施支持下已成功嵌入，而且他们的作用也很明确。需要进一步开展研究，以增加可用研究的数量，并据此向医疗委员会提出循证建议。未来调查的设计和措辞的一致性将提高全科医生对 MSK APP 服务体验的推断水平。

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引用次数: 0

Quality indicators for the community care of MSK conditions: An online modified-Delphi study

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-07 DOI: 10.1016/j.msksp.2025.103283

A. Braybrooke , R. Burgess , M. Brooks , A. Banerjee , J.C. Hill

Background

Quality indicators can be used within healthcare to measure and benchmark performance. Variations in the access and quality of healthcare for musculoskeletal conditions highlights the need for a nationally agreed set of indicators.

Objectives

The study's primary aim was to develop a set of care quality themes and indicators for musculoskeletal community care.

Methods

An online Delphi process was used, that included clinicians, managers, researchers, and patients. In round one, participants rated 79 indicators, across six care quality themes, for their importance to quality community musculoskeletal care. Following this, participants discussed the results of the first round in an online panel and then re-rated indicators in a second-round survey. The panel discussion focused on a) the importance rating of indicators, and b) the wording of care quality themes. Consensus for high importance was set at ≥60% in both rounds of the study.

Results/findings

Forty-six individuals participated in the first round of the study, with 21 participating in the second round. After the second round, six care quality themes emerged: 1) Optimising patient access and assessment, 2) Optimising patient education, self-management, and rehabilitation, 3) Optimising personalised care, 4) Optimising diagnosis, imaging, investigation, and referrals, 5) Optimising patient experience and outcomes, and 6) Population health relevant to musculoskeletal conditions. Within the six themes, 59 indicators were ranked as highly important.

Conclusions

This study has developed a set of care quality themes and indicators for community musculoskeletal care. In the next stage of indicator development, real-world data will be used to validate the indicators across several constructs.

背景医疗质量指标可用于衡量和基准绩效。该研究的主要目的是为肌肉骨骼社区护理制定一套护理质量主题和指标。方法采用在线德尔菲法，参与者包括临床医生、管理人员、研究人员和患者。在第一轮中，参与者对六个护理质量主题中的 79 个指标进行了评分，以确定其对优质社区肌肉骨骼护理的重要性。之后，参与者在一个在线小组中讨论了第一轮的结果，然后在第二轮调查中对指标进行了重新评分。小组讨论的重点是 a) 指标的重要性评级，以及 b) 护理质量主题的措辞。在两轮研究中，高度重要性的共识率均设定为≥60%。结果/发现46人参与了第一轮研究，21人参与了第二轮研究。第二轮研究后，形成了六个护理质量主题：1）优化患者就诊和评估；2）优化患者教育、自我管理和康复；3）优化个性化护理；4）优化诊断、成像、检查和转诊；5）优化患者体验和结果；6）与肌肉骨骼疾病相关的人群健康。在这六个主题中，有 59 项指标被评为高度重要。在下一阶段的指标开发中，将使用真实世界的数据来验证多个结构的指标。

{"title":"Quality indicators for the community care of MSK conditions: An online modified-Delphi study","authors":"A. Braybrooke , R. Burgess , M. Brooks , A. Banerjee , J.C. Hill","doi":"10.1016/j.msksp.2025.103283","DOIUrl":"10.1016/j.msksp.2025.103283","url":null,"abstract":"<div><h3>Background</h3><div>Quality indicators can be used within healthcare to measure and benchmark performance. Variations in the access and quality of healthcare for musculoskeletal conditions highlights the need for a nationally agreed set of indicators.</div></div><div><h3>Objectives</h3><div>The study's primary aim was to develop a set of care quality themes and indicators for musculoskeletal community care.</div></div><div><h3>Methods</h3><div>An online Delphi process was used, that included clinicians, managers, researchers, and patients. In round one, participants rated 79 indicators, across six care quality themes, for their importance to quality community musculoskeletal care. Following this, participants discussed the results of the first round in an online panel and then re-rated indicators in a second-round survey. The panel discussion focused on a) the importance rating of indicators, and b) the wording of care quality themes. Consensus for high importance was set at ≥60% in both rounds of the study.</div></div><div><h3>Results/findings</h3><div>Forty-six individuals participated in the first round of the study, with 21 participating in the second round. After the second round, six care quality themes emerged: 1) Optimising patient access and assessment, 2) Optimising patient education, self-management, and rehabilitation, 3) Optimising personalised care, 4) Optimising diagnosis, imaging, investigation, and referrals, 5) Optimising patient experience and outcomes, and 6) Population health relevant to musculoskeletal conditions. Within the six themes, 59 indicators were ranked as highly important.</div></div><div><h3>Conclusions</h3><div>This study has developed a set of care quality themes and indicators for community musculoskeletal care. In the next stage of indicator development, real-world data will be used to validate the indicators across several constructs.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103283"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validity of a qualitative visual method for diagnosing forward head posture

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-07 DOI: 10.1016/j.msksp.2025.103282

Shohei Shibasaki , Tomonori Kishino , Yoriko Sei , Keiichiro Harashima , Konomi Sakata , Hiroaki Ohnishi , Takashi Watanabe

Introduction

Forward head posture (FHP) is quantitatively diagnosed by measuring the craniovertebral angle (CVA). A qualitative visual method has recently been introduced but the validity of this method has not been confirmed. The present study aimed to clarify the validity of the visual method, using CVA methods as a standard.

Methods

CVAs were measured photographically, adopting reported criteria of less than 53° or 55° to diagnose FHP. The visual method defined a positive FHP as the back of participant's head not touching the wall while standing with heels, buttocks and shoulder blades touching the wall. These studies were performed in healthy young adults. Rates of positive FHP were compared between methods. Positive predictive values were then calculated for FHP based on CVA methods.

Results

The study population comprised 37 men and 43 women (21 ± 1 years). With the visual method, 41% (33/80) had FHP. With CVA methods using criteria of 53° and 55°, 34% (27/80) and 50% (40/80) displayed FHP, respectively. However, the visual method exhibited a male predominance in the group with FHP compared to that without FHP, together with high body mass index (BMI). Positive predictive values were 0.42 and 0.61 for FHP by CVA methods using criteria of 53° and 55°, respectively.

Conclusion

The visual method exhibited positivity rates approximating those using CVA methods of 53° and 55°. However, the relatively low positive predictive values suggested the visual method was inferior to CVA methods, partly due to the increased positivity rate for males with high BMI.

{"title":"Validity of a qualitative visual method for diagnosing forward head posture","authors":"Shohei Shibasaki , Tomonori Kishino , Yoriko Sei , Keiichiro Harashima , Konomi Sakata , Hiroaki Ohnishi , Takashi Watanabe","doi":"10.1016/j.msksp.2025.103282","DOIUrl":"10.1016/j.msksp.2025.103282","url":null,"abstract":"<div><h3>Introduction</h3><div>Forward head posture (FHP) is quantitatively diagnosed by measuring the craniovertebral angle (CVA). A qualitative visual method has recently been introduced but the validity of this method has not been confirmed. The present study aimed to clarify the validity of the visual method, using CVA methods as a standard.</div></div><div><h3>Methods</h3><div>CVAs were measured photographically, adopting reported criteria of less than 53° or 55° to diagnose FHP. The visual method defined a positive FHP as the back of participant's head not touching the wall while standing with heels, buttocks and shoulder blades touching the wall. These studies were performed in healthy young adults. Rates of positive FHP were compared between methods. Positive predictive values were then calculated for FHP based on CVA methods.</div></div><div><h3>Results</h3><div>The study population comprised 37 men and 43 women (21 ± 1 years). With the visual method, 41% (33/80) had FHP. With CVA methods using criteria of 53° and 55°, 34% (27/80) and 50% (40/80) displayed FHP, respectively. However, the visual method exhibited a male predominance in the group with FHP compared to that without FHP, together with high body mass index (BMI). Positive predictive values were 0.42 and 0.61 for FHP by CVA methods using criteria of 53° and 55°, respectively.</div></div><div><h3>Conclusion</h3><div>The visual method exhibited positivity rates approximating those using CVA methods of 53° and 55°. However, the relatively low positive predictive values suggested the visual method was inferior to CVA methods, partly due to the increased positivity rate for males with high BMI.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103282"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The International Headache Society welcomes a physiotherapy special interest group. 国际头痛学会欢迎理疗特别兴趣小组的加入。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-07 DOI: 10.1016/j.msksp.2025.103281

Kerstin Luedtke, Zhiqi Liang, Debora Bevilaqua-Grossi, Gwendolen Jull

引用次数: 0

Endogenous pain modulation is not different in basketball or volleyball athletes with patellar tendinopathy compared to asymptomatic athletic controls

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-05 DOI: 10.1016/j.msksp.2025.103280

Patrick Vallance , Dawson J. Kidgell , Bill Vicenzino , Peter Malliaras

Background

Patellar tendinopathy is highly prevalent in basketball and volleyball athletes. Despite pain being the main symptom reported, underlying mechanisms are unclear.

Objectives

Our primary aim was to compare endogenous pain inhibition using a conditioned pain modulation protocol in basketball and volleyball athletes with patellar tendinopathy to asymptomatic athletic controls. Our secondary aim was to compare endogenous pain facilitation using a temporal summation protocol.

Design

Cross-sectional case-control.

Methods

Twenty-six athletes and 19 asymptomatic controls participated. We calculated the difference in PPT at the patellar tendon over the most painful site (pain site), the ipsilateral tibialis anterior (regional site), and the contralateral elbow lateral epicondyle (remote site), before and after immersion of the hand (ipsilateral to pain site) in painful cold-water. PPT change was used to quantify endogenous pain inhibition. Participants rated pain on a numerical rating scale (NRS; 0 = no pain to 10 = worst pain imaginable) at five, 20, 60 and 120 s during the cold-water immersion task. Change in NRS from five to 20 s quantified temporal summation.

Results

Median symptom duration in our patellar tendinopathy group was 39 (IQR 22.5–55.5) months, and 85% experienced symptoms bilaterally. We did not observe alterations in endogenous pain inhibition at any site, or in temporal summation, in athletes with patellar tendinopathy compared to controls (p > 0.05).

Conclusion

Our findings indicate that altered central nervous system function is not a predominate feature contributing to pain in jumping athletes with patellar tendinopathy. Accordingly, clinicians should view pain as being of a local tissue source if targeting this symptom.

{"title":"Endogenous pain modulation is not different in basketball or volleyball athletes with patellar tendinopathy compared to asymptomatic athletic controls","authors":"Patrick Vallance , Dawson J. Kidgell , Bill Vicenzino , Peter Malliaras","doi":"10.1016/j.msksp.2025.103280","DOIUrl":"10.1016/j.msksp.2025.103280","url":null,"abstract":"<div><h3>Background</h3><div>Patellar tendinopathy is highly prevalent in basketball and volleyball athletes. Despite pain being the main symptom reported, underlying mechanisms are unclear.</div></div><div><h3>Objectives</h3><div>Our primary aim was to compare endogenous pain inhibition using a conditioned pain modulation protocol in basketball and volleyball athletes with patellar tendinopathy to asymptomatic athletic controls. Our secondary aim was to compare endogenous pain facilitation using a temporal summation protocol.</div></div><div><h3>Design</h3><div>Cross-sectional case-control.</div></div><div><h3>Methods</h3><div>Twenty-six athletes and 19 asymptomatic controls participated. We calculated the difference in PPT at the patellar tendon over the most painful site (pain site), the ipsilateral tibialis anterior (regional site), and the contralateral elbow lateral epicondyle (remote site), before and after immersion of the hand (ipsilateral to pain site) in painful cold-water. PPT change was used to quantify endogenous pain inhibition. Participants rated pain on a numerical rating scale (NRS; 0 = no pain to 10 = worst pain imaginable) at five, 20, 60 and 120 s during the cold-water immersion task. Change in NRS from five to 20 s quantified temporal summation.</div></div><div><h3>Results</h3><div>Median symptom duration in our patellar tendinopathy group was 39 (IQR 22.5–55.5) months, and 85% experienced symptoms bilaterally. We did not observe alterations in endogenous pain inhibition at any site, or in temporal summation, in athletes with patellar tendinopathy compared to controls (p > 0.05).</div></div><div><h3>Conclusion</h3><div>Our findings indicate that altered central nervous system function is not a predominate feature contributing to pain in jumping athletes with patellar tendinopathy. Accordingly, clinicians should view pain as being of a local tissue source if targeting this symptom.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103280"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tactile acuity, left/right judgment performance, motor imagery ability, and pressure-pain threshold in patients with chronic rotator cuff-related shoulder pain: a cross-sectional case-control study

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2025-02-05 DOI: 10.1016/j.msksp.2025.103278

Nuray Alaca , Dilek Çağrı Arslan , Seda Sırlan , Hacı Ahmet Yarar , Onur Başcı

Background

Chronic pain can alter cortical pain representation, and tests like Two-Point Discrimination Test (TPDT), Left/Right Judgment Task (LRJT), motor imagery, and Pressure-Pain Threshold (PPT) can assess these changes. However, their applicability to all pain mechanisms is uncertain.

Objective

To compare the TPDT, LRJT, motor imagery ability, and PPT of chronic rotator cuff-related shoulder pain (C-RCRSP) patients with asymptomatic and pain-free controls.

Methods

Forty-eight C-RCRSP patients and 45 pain-free controls were assessed using a caliper for TPDT and the Recognize® application for LRJT. Motor ability, PPT, physical function, fear avoidance, pain catastrophizing, and Central Sensitization Inventory (CSI) were also evaluated. As part of the subgroup analysis, C-RCRSP patients were divided into two groups based on their CSI (≥40, n = 19; <40, n = 29).

Results

C-RCRSP patients demonstrated higher TPDT thresholds [acromion (F = 5.41, p = 0.001) and deltoid (F = 26.67, p < 0.001)] but no significant differences in LRJT performance [recognition accuracy (F = 2.47, p = 0.063) and response time (F = 0.98, p = 0.414)] than pain-free controls in both shoulder joints. C-RCRSP patients had poorer motor imagery abilities (p < 0.001). The deltoid region PPT differed significantly between the groups (F = 17.45, p < 0.001), but it was not significant for the tibialis anterior region (F = 1.16, p = 0.33). C-RCRSP patients with a CSI≥40 reported higher night pain, reduced shoulder range of motion, slower response times, poorer motor imagery ability, and higher scores on pain-related questionnaires compared to those with a CSI<40 (p = 0.043-<0.001).

Conclusion

C-RCRSP patients demonstrated poorer tactile acuity, mechanical sensitivity, and motor imagery ability especially in those with central sensitization, which should be considered in treatment planning.

{"title":"Tactile acuity, left/right judgment performance, motor imagery ability, and pressure-pain threshold in patients with chronic rotator cuff-related shoulder pain: a cross-sectional case-control study","authors":"Nuray Alaca , Dilek Çağrı Arslan , Seda Sırlan , Hacı Ahmet Yarar , Onur Başcı","doi":"10.1016/j.msksp.2025.103278","DOIUrl":"10.1016/j.msksp.2025.103278","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain can alter cortical pain representation, and tests like Two-Point Discrimination Test (TPDT), Left/Right Judgment Task (LRJT), motor imagery, and Pressure-Pain Threshold (PPT) can assess these changes. However, their applicability to all pain mechanisms is uncertain.</div></div><div><h3>Objective</h3><div>To compare the TPDT, LRJT, motor imagery ability, and PPT of chronic rotator cuff-related shoulder pain (C-RCRSP) patients with asymptomatic and pain-free controls.</div></div><div><h3>Methods</h3><div>Forty-eight C-RCRSP patients and 45 pain-free controls were assessed using a caliper for TPDT and the Recognize® application for LRJT. Motor ability, PPT, physical function, fear avoidance, pain catastrophizing, and Central Sensitization Inventory (CSI) were also evaluated. As part of the subgroup analysis, C-RCRSP patients were divided into two groups based on their CSI (≥40, n = 19; <40, n = 29).</div></div><div><h3>Results</h3><div>C-RCRSP patients demonstrated higher TPDT thresholds [acromion (F = 5.41, p = 0.001) and deltoid (F = 26.67, p < 0.001)] but no significant differences in LRJT performance [recognition accuracy (F = 2.47, p = 0.063) and response time (F = 0.98, p = 0.414)] than pain-free controls in both shoulder joints. C-RCRSP patients had poorer motor imagery abilities (p < 0.001). The deltoid region PPT differed significantly between the groups (F = 17.45, p < 0.001), but it was not significant for the tibialis anterior region (F = 1.16, p = 0.33). C-RCRSP patients with a CSI≥40 reported higher night pain, reduced shoulder range of motion, slower response times, poorer motor imagery ability, and higher scores on pain-related questionnaires compared to those with a CSI<40 (p = 0.043-<0.001).</div></div><div><h3>Conclusion</h3><div>C-RCRSP patients demonstrated poorer tactile acuity, mechanical sensitivity, and motor imagery ability especially in those with central sensitization, which should be considered in treatment planning.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"76 ","pages":"Article 103278"},"PeriodicalIF":2.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0