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Assessment of joint position sense in active and passive modes with various elbow flexion angles and movement speeds using an isokinetic dynamometer 使用等动测力计评估不同肘关节屈伸角度和运动速度下主动和被动模式下的关节位置感知
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-26 DOI: 10.1016/j.msksp.2024.103153
Yi-Jung Tsai , Ting-Chien Tsai , Tzu-Chun Chung , Chih-Kun Hsiao , Yuan-Kun Tu

Background

Joint position sense is the ability to detect body segment position in space and is commonly used to represent proprioceptive performance. The isokinetic dynamometer is frequently used to evaluate elbow joint position sense during active and passive reproduction tasks with various testing protocols. However, few studies have reported the performance of joint position sense under different testing conditions.

Objective

To compare elbow joint position sense between active and passive reproduction tasks under different matching speeds and reference targets.

Design

A cross-sectional study.

Methods

Twenty participants without a history of upper-extremity surgery or neuromuscular diseases that affect the joint position sense of the elbow. Active and passive ipsilateral matching tasks were performed at four movement speeds (0.5°/s, 1°/s, 2°/s, and 4°/s) and three reference targets (elbow flexion at 0°–15°, 45°–60°, and 75°–90°), using an isokinetic dynamometer. The absolute and variable errors of each condition were calculated for comparison.

Results

In active matching task with elbow flexion of 0°–15°, the absolute error at 0.5°/s was significantly larger than that at 2°/s and 4°/s, while the variable error at 1°/s was significantly larger than that at 2°/s. However, no differences were found at elbow flexion angles of 45°–60° and 75°–90°. Larger absolute errors were found at 4°/s with three testing angles in passive matching task.

Conclusions

This study compared the joint position sense errors under various testing conditions in the active and passive reproduction tasks. The movement speeds and target position effects should be considered during evaluation.

背景关节位置感是指检测身体在空间中的位置的能力,通常用来表示本体感觉性能。等动测力计常用于评估肘关节在主动和被动再现任务中的位置感,测试方案多种多样。目的比较在不同匹配速度和参考目标下主动和被动再现任务中的肘关节位置感。方法20名没有上肢手术史或影响肘关节位置感的神经肌肉疾病的参与者。使用等动测力计,在四种运动速度(0.5°/s、1°/s、2°/s 和 4°/s)和三个参考目标(肘关节屈曲 0°-15°、45°-60° 和 75°-90°)下进行主动和被动同侧匹配任务。结果在肘关节屈曲 0°-15°的主动匹配任务中,0.5°/秒时的绝对误差明显大于 2°/秒和 4°/秒时的误差,而 1°/秒时的可变误差明显大于 2°/秒时的误差。然而,在屈肘角度为 45°-60°和 75°-90°时则没有发现差异。结论 本研究比较了主动和被动再现任务中不同测试条件下的关节位置感误差。在评估过程中应考虑运动速度和目标位置的影响。
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引用次数: 0
Physical therapists’ perceptions and attitudes towards artificial intelligence in healthcare and rehabilitation: A qualitative study 物理治疗师对医疗和康复领域人工智能的看法和态度:定性研究
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-24 DOI: 10.1016/j.msksp.2024.103152
Lama Shawli , Mashael Alsobhi , Mohamed Faisal Chevidikunnan , Sheeba Rosewilliam , Reem Basuodan , Fayaz Khan

Background

Artificial intelligence (AI) is being introduced to rehabilitation practices, and it can optimize the patient's outcome through their ability to design personalized care strategies and interventions.

Objectives

To understand the attitudes and perceptions of physical therapy professionals on the use of AI in rehabilitation in regard to treatment planning, diagnosis, outcome prediction, and advantages and disadvantages.

Design and Methods

This paper followed an exploratory, qualitative research design. Semi-structured, one-to-one interviews were conducted with participants of different experience levels and specialties in physical therapy. Results were evaluated using thematic analysis.

Results

Four themes were identified: (i) perceptions of AI and its applications in healthcare services, (ii) impact on the workforce (iii) considerations around implementing AI within rehabilitation and (iv) AI, and the fast-approaching future. Participants shared views on the potential impact of AI on rehabilitation practices, such as aiding the decision-making process, saving time and effort of both the therapist and patients. Participants have stressed on potential pitfalls that still need to be considered, such as patient data privacy, potential loss of patient-healthcare practitioner relationship, ethical concerns regarding overreliance on these applications and how that might hinder effective patient care.

Conclusion

The findings add to the literature about physical therapists' understanding regarding the use of AI in patient care. Several concerns were raised to the adoption of AI, including concerns about patient privacy, and ethical concerns. Based on the study findings, researchers emphasize the importance of establishing guidelines when incorporating AI in rehabilitation to improve the therapist's knowledge and skills.

人工智能(AI)正在被引入康复实践中,它可以通过设计个性化护理策略和干预措施的能力来优化患者的治疗效果。本文旨在了解物理治疗专业人员对在康复中使用人工智能在治疗计划、诊断、结果预测以及优缺点等方面的态度和看法:本文采用探索性定性研究设计。对不同经验水平和物理治疗专业的参与者进行了半结构化的一对一访谈。采用主题分析法对结果进行评估。确定了四个主题(i) 对人工智能及其在医疗保健服务中的应用的看法;(ii) 对劳动力的影响;(iii) 在康复领域实施人工智能的考虑因素;(iv) 人工智能以及快速逼近的未来。与会者就人工智能对康复实践的潜在影响交流了看法,例如帮助决策过程、节省治疗师和患者的时间和精力。与会者还强调了仍需考虑的潜在隐患,如患者数据隐私、患者与医护人员关系的潜在损失、过度依赖这些应用的伦理问题以及这可能如何阻碍有效的患者护理。研究结果补充了有关物理治疗师对在患者护理中使用人工智能的理解的文献。研究人员对采用人工智能提出了一些担忧,包括对患者隐私和伦理的担忧。根据研究结果,研究人员强调了在将人工智能应用于康复治疗时制定指导方针的重要性,以提高治疗师的知识和技能。
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引用次数: 0
Words matter: Effects of instructional cues on pressure pain threshold values in healthy people 语言很重要:教学线索对健康人压力痛阈值的影响
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-23 DOI: 10.1016/j.msksp.2024.103150
David W. Evans , Emily Mear , Bradley S. Neal , Sally Waterworth , Bernard X.W. Liew

Background

Pressure pain threshold (PPT) measurements require standardised verbal instructional cues to ensure that the increasing pressure is stopped at the correct time consistently. This study aimed to compare how PPT values and their test-retest reliability were affected by different instructional cues.

Methods

At two separate sessions, two PPT measurements were taken at the anterior knee for each of four different instructional cues: the cue of the German Neuropathic Research Network instructions (‘DFNS’), the point where pressure first feels uncomfortable (‘Uncomfortable’), 3/10 on the numerical pain rating scale (‘3NPRS’), and where pain relates to an image from the pictorial-enhanced NPRS scale (‘Pictorial’). Linear mixed modeling was used to quantify differences between pairs of instructional cues. Test-retest reliability was estimated using intraclass correlation coefficients (ICC[2,1] and ICC[2,k]).

Results

Twenty participants were recruited. The cue resulting in greatest PPT value was DFNS (394.32 kPa, 95%CI [286.32 to 543.06]), followed by Pictorial (342.49 kPa, 95%CI [248.68 to 471.68]), then Uncomfortable (311.85 kPa, 95%CI [226.43 to 429.48]), and lastly 3NPRS (289.78 kPa, 95%CI [210.41 to 399.09]). Five of six pairwise contrasts were statistically significant. Regardless of the cues, the point estimates of ICC (2,1) ranged from 0.80 to 0.86, and the ICC (2,k) values ranged from 0.89 to 0.93. No statistically significant differences were found between any pairwise contrasts of reliability indices.

Conclusion

Words matter when instructing people when to stop testing in pressure algometry. Clinicians should use the same instructional cue when assessing pain thresholds to ensure reliability.

压痛阈值(PPT)测量需要标准化的口头指导提示,以确保在正确的时间内持续停止增加压力。本研究旨在比较 PPT 值及其重复测试可靠性如何受到不同指导提示的影响。在两个不同的疗程中,分别针对以下四种不同的指示线索在膝关节前侧进行了两次 PPT 测量:德国神经病学研究网络指示线索("DFNS")、首次感到不舒服的压力点("不舒服")、数字疼痛评分量表("3NPRS")中的 3/10,以及疼痛与图像增强 NPRS 量表中的图像相关的位置("图像")。线性混合模型用于量化成对教学线索之间的任何差异。使用类内相关系数(ICC[2,1] 和 ICC[2,k])估算测试-再测可靠性。共招募了 20 名参与者。PPT 值最大的线索是 DFNS(394.32 kPa,95%CI [286.32 至 543.06]),其次是 Pictorial(342.49 kPa,95%CI [248.68 至 471.68]),然后是 Uncomfortable(311.85 kPa,95%CI [226.43 至 429.48]),最后是 3NPRS(289.78 kPa,95%CI [210.41 至 399.09])。六项成对对比中有五项具有统计学意义。无论采用哪种线索,ICC (2,1) 的点估计值在 0.79 到 0.89 之间,ICC (2,k) 值在 0.88 到 0.94 之间。在可靠性指数的成对对比中,没有发现有统计学意义的差异。在指导人们何时停止压力算法测试时,用词很重要。临床医生应确保在评估疼痛阈值时使用相同的指示线索,以确保可靠性。
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引用次数: 0
Item generation for a new patient-reported outcome measure: The non-traumatic anterior knee pain (AKP)-YOUTH scale 非创伤性膝关节前侧疼痛 (AKP)-YOUTH 量表:新的患者报告结果测量项目的生成
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-23 DOI: 10.1016/j.msksp.2024.103151
Marie Germund Nielsen , Kristian Damgaard Lyng , Sinead Holden , Simon Kristoffer Johansen , Marinus Winters , Michael Skovdal Rathleff

Background

Non-traumatic anterior knee pain affects one in every five adolescents. Despite the commonality of the condition, there are no patient-reported outcome measures developed specifically for this population. The aim of this study was to identify domains and develop a preliminary item bank for adolescents with non-traumatic anterior knee pain.

Participants

Twenty-one adolescents with anterior knee pain participated in semi-structured interviews which explored their experience of living with knee pain. Following thematic analysis, we generated an item bank based on the domains which emerged from the impact their knee pain had on their daily life. Ten clinical experts provided input on the preliminary item bank via an online survey. Cognitive interviews were conducted using the think-aloud approach with ten adolescents to evaluate the comprehensibility and face validity of the items.

Results

From the interviews we identified four overarching domains where adolescents were impacted by their knee pain: knee symptoms, limitations in physical activity/sport, limitations in social activities, and emotional impact of pain. Eighteen items were initially developed and expanded to 23 following clinical expert input. The cognitive interviews with adolescents demonstrated that the items were comprehensive, understandable, and relevant for adolescents.

Conclusion

This study developed an item bank of 23 items. These spanned four domains of impact for adolescents with anterior knee pain. The items had good face validity and were deemed relevant and understandable for adolescents with knee pain. Further steps are needed to validate and reduce the items for the non-traumatic anterior knee pain (AKP)-YOUTH scale.

每五名青少年中就有一名患有非创伤性膝关节前疼痛。尽管这种情况很常见,但目前还没有专门针对这一人群的患者报告结果测量方法。本研究的目的是为患有非创伤性膝关节前侧疼痛的青少年确定领域并开发一个初步的项目库。21 名患有膝关节前侧疼痛的青少年参加了半结构式访谈,探讨了他们与膝关节疼痛为伴的生活经历。经过主题分析,我们根据膝关节疼痛对其日常生活的影响所产生的领域建立了一个项目库。十位临床专家通过在线调查为初步项目库提供了意见。为了评估项目的可理解性和表面效度,我们采用思考-朗读法对十名青少年进行了认知访谈。通过访谈,我们确定了青少年受膝关节疼痛影响的四个主要领域:膝关节症状、体力活动/体育运动的限制、社交活动的限制以及疼痛对情绪的影响。最初开发了 18 个项目,后根据临床专家的意见扩展到 23 个。对青少年的认知访谈表明,这些项目对青少年来说是全面、易懂和相关的。这项研究建立了一个包含 23 个项目的项目库。这些项目涵盖了影响青少年膝关节前侧疼痛的四个领域。这些项目具有良好的表面效度,并被认为与患有膝关节疼痛的青少年相关且易于理解。还需要进一步验证和减少非创伤性膝前疼痛(AKP)-青少年量表的项目。
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引用次数: 0
An 8-week physiotherapist-led return to sport group program after anterior cruciate ligament reconstruction improves measures of physical and psychological function: A case series 在前十字韧带重建术后,由理疗师指导的为期 8 周的重返运动集体计划可改善身体和心理功能的测量:病例系列。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-19 DOI: 10.1016/j.msksp.2024.103149
Adam Walker , Larissa Sattler , Samuel Heyward , Jordan Tedesco , Zachariah Jones , Corey D'Lima , Caroline Higham , Sophie Cuthbert , Wayne Hing

Background

Low return to competitive sport, high reinjury rates and long-term functional impairment of anterior cruciate ligament reconstruction (ACLR) present significant challenges for patients. A program that facilitates a safe return to sport (RTS) following ACLR could potentially improve outcomes.

Study design

Case Series.

Methods

Sixty participants (median 20-years-old (13–36), 43 males, 18 females, median 7.5 months (4–25) post-ACLR) completed an eight-week exercise program. A battery of physical tests and patient-reported outcome measures were assessed pre and post-program. The number of participants passing RTS criteria was evaluated, and RTS rates were determined. The correlation between the ACL-RSI and measures of physical function was explored.

Results

Improvements in all isometric strength, hop tests, running T-test, and patient reported outcome measures were seen post-program. Five (8%) participants successfully passed all RTS criteria and eighty-five percent of participants returned to their previous level of sport. The ACL-RSI and the IKDC showed correlation across all time points (pre rs = 0.49; post rs = 0.40; change r = 0.40).

Conclusions

Our study demonstrated improvements in all RTS criteria tests upon completing the 8-week rehabilitation program; however, few participants (8%) passed all RTS criteria. Psychological readiness is more closely related to patient-reported function than functional tests.

背景:前交叉韧带重建术(ACLR)后,竞技运动恢复率低、再损伤率高以及长期功能障碍是患者面临的重大挑战。研究设计:病例系列:研究设计:病例系列:60名参与者(中位数20岁(13-36岁),43名男性,18名女性,中位数ACLR术后7.5个月(4-25个月))完成了为期八周的锻炼计划。计划前后对一系列身体测试和患者报告的结果进行了评估。评估了通过 RTS 标准的参与者人数,并确定了 RTS 率。此外,还探讨了 ACL-RSI 与身体功能测量之间的相关性:结果:项目结束后,所有等长力量、跳跃测试、跑步 T 测试和患者报告结果指标均有所改善。五名参与者(8%)成功通过了所有 RTS 标准,85% 的参与者恢复到了之前的运动水平。ACL-RSI 和 IKDC 在所有时间点都显示出相关性(前 rs = 0.49;后 rs = 0.40;变化 r = 0.40):我们的研究表明,在完成为期 8 周的康复计划后,所有 RTS 标准测试均有所改善;但是,只有少数参与者(8%)通过了所有 RTS 标准测试。与功能测试相比,心理准备与患者报告的功能关系更为密切。
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引用次数: 0
Effects of the stretching program in male volleyball players with posterior shoulder tightness 拉伸计划对肩部后部紧张的排球男运动员的影响。
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-18 DOI: 10.1016/j.msksp.2024.103148
Seda Bicici Ulusahin , Irem Duzgun , Mustafa Ugurlu , Levent Ozcakar

Background

Stretching programs are often used to improve muscle stiffness and thereby posterior shoulder tightness (PST); however, knowledge about their effects on the viscoelastic properties of muscles and performance is limited.

Objective

The aim of this study was to investigate the effects of a six-week stretching program on the viscoelastic properties of posterior shoulder muscles, shoulder functional performance and range of motion in volleyball players with PST.

Study design

A Randomized Controlled Trial.

Level of evidence

Level II.

Methods

The study was conducted in 34 male (aged 19–26) professional volleyball players with PST. They were randomly assigned to stretching and control groups. A stretching routine (combining sleeper stretch and cross body stretch exercises) was performed in the stretching group for six weeks. Measurements were taken during the first assessment and six weeks after the initiation of stretching for the following: shoulder external/internal rotation range of motion, spike velocity, single arm seated shot-put test, and infraspinatus– posterior deltoid muscle stiffness (by shear wave elastography).

Results

While the stretching group had statistically better results regarding increased shoulder internal rotation (p < 0.01), spike velocity (p = 0.02) and seated single arm shot put distance (p < 0.01), stretching did not have any effect on tissue stiffness.

Conclusions

A 6-week program of sleeper stretch, and cross body stretch exercises improved shoulder internal rotation and functional performance. A clinically meaningful change in muscle mechanical properties cannot be detected after a 6-week stretching program.

背景:拉伸计划通常用于改善肌肉僵硬,从而改善肩后肌(PST);然而,人们对拉伸计划对肌肉粘弹性和运动表现的影响了解有限:本研究旨在调查为期六周的拉伸计划对患有肩后肌紧张症的排球运动员的肩后肌粘弹性、肩关节功能表现和活动范围的影响:随机对照试验:研究方法:随机对照试验:研究对象为 34 名患有 PST 的男性(19-26 岁)专业排球运动员。他们被随机分配到拉伸组和对照组。拉伸组进行为期六周的常规拉伸(结合卧位拉伸和跨体拉伸练习)。在第一次评估期间和开始拉伸六周后,对以下项目进行了测量:肩关节外旋/内旋活动范围、扣杀速度、单臂坐姿铅球测试以及冈下-三角肌后部肌肉僵硬度(通过剪切波弹性成像):结果:拉伸组在增加肩关节内旋方面取得了更好的统计结果(P为期 6 周的卧位拉伸和跨体拉伸练习改善了肩关节内旋和功能表现。在为期 6 周的拉伸训练后,无法检测到肌肉机械特性发生了有临床意义的变化。
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引用次数: 0
Effect of cervical contralateral lateral flexion on the median nerve and fascia at the wrist – Cadaveric study 颈椎对侧侧屈对腕部正中神经和筋膜的影响 - 尸体研究
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-15 DOI: 10.1016/j.msksp.2024.103146
Albert Pérez-Bellmunt , Carlos López-de-Celis , Elena Estébanez-de-Miguel , Jorge Pérez-Rey , Michael Shacklock , Sara Ortiz-Miguel , Elena Bueno-Gracia

Background

Neurodynamic tests are an essential aspect of the physical examination of the patient when suspicion of neural involvement exists. A manoeuvre that is hypothesised to move nerves differentially relative to other structures (structural differentiation) has been proposed as a necessary part of neurodynamic testing for differential diagnosis. However, although the specificity of structural differentiation for peripheral nerve over muscle has been demonstrated in some body regions, no study has tested specificity of nerve movement relative to fascia.

Objectives

The aim of this study was to measure the effect of the cervical contralateral lateral flexion (CCLF) as an structural differentiation manoeuvre for the median nerve compared to fascia (superficial and deep) at the wrist during the upper limb neurodynamic test 1 (ULNT1).

Design

A cross-sectional study was performed in 5 fresh frozen cadavers.

Methods

Excursion and strain in the fascia (superficial and deep) and the median nerve were measured at the wrist with structural differentiation during the ULNT1. KINOVEA software was used to measure kinematic parameters.

Results

CCLF resulted in significant proximal excursion in the median nerve (p < 0.001*) but not in the strain. CCLF neither produced changes in strain nor excursion in the superficial and deep fascia (p > 0.05).

Conclusion

This study showed that CCLF produced significant differential excursion in the median nerve at the wrist compared to the local superficial and deep fascia during the ULNT1. The data support CCLF in mechanical differentiation between nerve and fascia in this area in diagnosis of local sources of wrist pain.

背景神经动力测试是怀疑神经受累时对患者进行体格检查的一个重要方面。一种假定神经相对于其他结构有不同运动的操作(结构分化)被认为是神经动力测试的必要组成部分,用于鉴别诊断。本研究的目的是测量在上肢神经动力测试 1(ULNT1)中,颈椎对侧屈曲(CCLF)作为正中神经结构分化动作与腕部筋膜(浅层和深层)相比的效果。方法 在 ULNT1 中测量腕部筋膜(浅层和深层)和正中神经的扭转和应变,并进行结构分化。结果CCLF导致正中神经近端明显偏移(p <0.001*),但未导致应变。结论这项研究表明,与局部浅层和深层筋膜相比,CCLF 在 ULNT1 期间对腕部正中神经产生了显著的不同偏移。这些数据支持 CCLF 在诊断腕部局部疼痛源时对该区域的神经和筋膜进行机械区分。
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引用次数: 0
Central sensitization-related symptoms and their relationship to disability in prevalent chronic musculoskeletal pain: A cross-sectional study 中枢敏感化相关症状及其与普遍慢性肌肉骨骼疼痛残疾的关系: 一项横断面研究
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-15 DOI: 10.1016/j.msksp.2024.103147
Feyza Nur Yücel , Canan Sanal-Toprak

Background

Central sensitization (CS) has an important role in chronic musculoskeletal (MSK) pain, which is one of the leading causes of disability worldwide.

Objectives

To investigate the relationship between CS-related symptoms and disability in chronic MSK pain.

Design

Multi-center cross-sectional survey.

Methods

Demographic and clinical variables including location, duration, and severity of pain were recorded. In the examination of disability, Istanbul Low Back Pain Disability Index for low back pain, Neck Pain and Disability Scale for neck pain, Quick Disability of the Arm, Shoulder, and Hand for shoulder/upper extremity pain, and Knee Injury and Osteoarthritis Outcome Score for knee pain were used. CS-related symptoms were investigated via the central sensitization inventory (CSI). Based on CSI scores, patient data were compared using the T test and an ANOVA. The association between CSI and selected variables was investigated using Pearson correlation and multivariate regression analysis.

Results

The mean CSI score of five hundred participants was 40.46 (SD: 15.87). Patients with CSI≥40 were found to have higher levels of pain and disability and a poorer quality of life (p < 0.05). In ANOVA, significant differences between groups were observed in CS severity levels for VAS, symptom duration, and all clinical scores (p < 0.01). In the multivariate regression analysis, CSI and VAS scores were found to be related to disability in all pain groups, while pain duration was effective only in the change of knee disability.

Conclusion

CS-related symptoms, which are related to increased pain and disability, should be closely monitored in patients with chronic MSK pain.

背景中枢敏化(CS)在慢性肌肉骨骼(MSK)疼痛中起着重要作用,而慢性肌肉骨骼疼痛是导致全球残疾的主要原因之一。目的研究慢性肌肉骨骼疼痛中 CS 相关症状与残疾之间的关系。在残疾检查中,使用伊斯坦布尔腰背痛残疾指数(针对腰背痛)、颈部疼痛和残疾量表(针对颈部疼痛)、手臂、肩部和手部快速残疾量表(针对肩部/上肢疼痛)以及膝关节损伤和骨关节炎结果评分(针对膝关节疼痛)。与 CS 相关的症状通过中枢敏感性清单(CSI)进行调查。根据 CSI 评分,使用 T 检验和方差分析对患者数据进行比较。结果 五百名参与者的平均 CSI 得分为 40.46(标准差:15.87)。CSI≥40分的患者疼痛和残疾程度较高,生活质量较差(p < 0.05)。在方差分析中,观察到各组之间在 VAS、症状持续时间和所有临床评分的 CS 严重程度上存在显著差异(p < 0.01)。在多变量回归分析中,发现 CSI 和 VAS 评分与所有疼痛组的残疾程度有关,而疼痛持续时间仅对膝关节残疾程度的变化有效。
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引用次数: 0
The quality of reporting in randomized controlled trials investigating exercise for individuals with whiplash-associated disorders; a systematic review 调查针对鞭打相关疾病患者的运动的随机对照试验的报告质量;系统综述
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-14 DOI: 10.1016/j.msksp.2024.103145
Andrea Colombi , Silvia Vedani , Antonello Viceconti , Claire Stapleton

Background

Whiplash-associated disorders are a common sequela of road traffic accidents. Exercise therapy is considered an effective intervention, and it is recommended for the management of such condition. However, the application of research findings to everyday clinical practice is dependent on sufficient details being reported.

Objectives

To explore the quality of reporting in studies investigating the effectiveness of exercise for whiplash-associated disorders.

Methods

A literature search was conducted to identify studies testing the effectiveness of exercise for whiplash-associated disorders. Two reporting checklists were used to evaluate reporting completeness. The median positive scores for each study and overall percentage of positive scores for each item were calculated. Percentage agreement and the Cohen's Kappa coefficient were calculated.

Results

Twenty-one studies were included. According to the Template for Intervention Description and Replication checklist, items were reported appropriately with a median of 29% (range 0–95%, IQR 40.5). The median number of adequately reported items per study was 5 (range 1–10, IQR 3). For the Consensus on Exercise Reporting Template checklist, items were reported appropriately with a median of 29% (range 0–57%, IQR 29). The median number of adequately reported items per study was 4 (range 0–16, IQR 8). Percentage agreement ranged from 57% to 100% while Cohen's Kappa from −0.17 to 1.00.

Conclusions

The study reveals significant gaps in the quality of reporting in studies investigating exercise for whiplash-associated disorders as both checklists showed a median reporting adequacy of only 29%. Overall, the inter-rater agreement for both checklists was acceptable.

背景鞭相关疾病是道路交通事故的常见后遗症。运动疗法被认为是一种有效的干预措施,建议用于此类疾病的治疗。目的 探讨运动治疗鞭打相关疾病有效性研究的报告质量。方法 通过文献检索来确定测试运动治疗鞭打相关疾病有效性的研究。使用两个报告核对表来评估报告的完整性。计算了每项研究的阳性得分中位数和每项阳性得分的总百分比。结果共纳入 21 项研究。根据 "干预描述和复制模板 "核对表,适当报告项目的中位数为 29%(范围为 0-95%,IQR 为 40.5)。每项研究充分报告项目的中位数为 5 个(范围为 1-10,IQR 为 3)。对于运动报告模板共识核对表,项目报告适当的中位数为 29%(范围为 0-57%,IQR 为 29)。每项研究充分报告项目的中位数为 4 个(范围 0-16,IQR 8)。结论该研究显示,在调查运动治疗鞭打相关疾病的研究中,报告质量存在很大差距,因为两份检查表的报告充分性中位数仅为 29%。总体而言,两份核对表的评分者之间的一致性是可以接受的。
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引用次数: 0
Characteristics and outcomes of patients with low back pain with and without radiating leg pain following the GLA:D back program 伴有或不伴有腿部放射痛的腰痛患者参加 GLA:D 背部项目后的特征和疗效
IF 2.2 3区 医学 Q1 REHABILITATION Pub Date : 2024-07-11 DOI: 10.1016/j.msksp.2024.103144
A Khoshal Khorami , Alessandro Chiarotto , Alice Kongsted , Jan Hartvigsen , Bart W. Koes

Background

Some patients with low back pain (LBP) also report radiating leg pain which is a prognostic factor for poorer clinical outcomes. We aimed: 1) to compare the baseline characteristics of patients with LBP with - (LBP + leg pain) and without radiating leg pain (LBP - alone); 2) to investigate whether patients with LBP + leg pain show similar post-treatment outcomes as compared to LBP – alone, after participation in an exercise and patient education program, i.e. the GLA:D Back program.

Methods

The patient sample included 3508 patients in the GLA:D Back program between March 2018 and August 2022. The outcomes were mean changes in LBP intensity, back-related activity limitation, self-efficacy and fear of movement measured from baseline to 3, 6 and 12 months. Baseline characteristics were compared with descriptive statistics, and linear mixed models were used to estimate group differences in changes from baseline to 3-, 6- and 12 months.

Results

1915 (55%) of the patients were in the group LBP- alone and 1593 (45%) in the LBP + leg pain. The LBP + leg pain group displayed higher STarT back classification (greater risk of chronicity) compared to the LBP–alone. The LBP + leg pain group showed almost similar improvements in all outcomes compared to LBP – alone after the GLA:D Back program.

Conclusion

In long-lasting (chronic) LBP patients, the LBP + leg pain group improved to the same extent as LBP - alone regarding LBP intensity, disability, and fear of movement following an exercise and patient education program, GLA:D Back.

背景一些腰背痛(LBP)患者还报告有腿部放射痛,这是导致临床预后较差的一个预后因素。我们的目的是:1)比较伴有放射性腿痛的腰背痛患者(腰背痛+腿痛)和没有放射性腿痛的腰背痛患者(单纯腰背痛)的基线特征;2)研究腰背痛+腿痛的患者在参与运动和患者教育计划(即 GLA:D Back 计划)后,与单纯腰背痛患者相比,是否表现出相似的治疗后结果。方法患者样本包括 2018 年 3 月至 2022 年 8 月间参与 GLA:D Back 计划的 3508 名患者。研究结果为从基线到3个月、6个月和12个月期间枸杞痛强度、背部相关活动限制、自我效能感和运动恐惧的平均变化。通过描述性统计比较基线特征,并使用线性混合模型估计从基线到3个月、6个月和12个月期间各组的变化差异。结果1915名患者(55%)属于单纯枸杞多糖症组,1593名患者(45%)属于枸杞多糖症+腿痛组。与单纯枸杞多糖症组相比,枸杞多糖症+腿痛组的 STarT 背部分级更高(慢性化风险更高)。结论在长期(慢性)椎管内疼痛患者中,椎管内疼痛+腿痛组与单纯椎管内疼痛组在运动和患者教育项目GLA:D Back后,在椎管内疼痛强度、残疾和运动恐惧方面的改善程度相同。
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引用次数: 0
期刊
Musculoskeletal Science and Practice
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