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An observational study: Correlation between self-perceived readiness and physical performance in healthy individuals 观察研究：健康人的自我感觉准备状态与身体表现之间的相关性。
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103217
Lina Ochoa , Ke’La H. Porter , Bridget M. Walsh , Danielle Torp , Nicholas R. Heebner , Matthew C. Hoch

Introduction

In complex environments, individuals need to anticipate and react to stimuli by integrating complex systems and skills. Identifying the perceptual-cognitive, physical, and health characteristics that afford effective performance is necessary for developing training and readiness strategies. Measuring readiness by establishing a relationship between the Acute Readiness Monitoring Scale (ARMS) and performance during perceptual-cognitive tasks is essential. Therefore, this study aimed to determine the relationship between self-perceived readiness, physical performance, and perceptual-cognitive performance in healthy young adults.

Materials and methods

Cross-sectional design with healthy and physically active young adults (n = 35). Participants completed a measure of self-perceived readiness (the ARMS), physical performance (i.e., Vertical Jump (VJ) and Ballistic Push-Up), and perceptual-cognitive exercises (i.e., Single Leg Memory Hop (SLMH), Reactive VJ, Reactive Ballistic Push-Up, Reactive Agility Run Decide, and Upper and Lower Extremity Reaction Tests). Data was analyzed using Pearson's r (r) correlation to identify associations.

Results

Statistically significant moderate correlations were detected between ARMS Total and VJ (Peak Power Normalized and Flight Time) (r = 0.434, p = 0.010) and (r = 0.420, p = 0.013), and SLMH Distance Normalized (r = 0.409, p = 0.016). Moderate negative correlations between the ARMS Total and Reactive VJ Reaction Time (r = −0.473, p = 0.005).

Conclusion

The ARMS can be an effective tool for measuring acute self-perceived readiness. This suggests that individuals who work in dynamic environments may benefit from training that targets perceptual-cognitive skills. Although moderate, self-perceived readiness was associated with better resilience, health, and performance exercises. Results highlight the importance of protocols targeting populations who work in complex environments for increased performance.
引言在复杂的环境中，个人需要通过整合复杂的系统和技能来预测刺激并做出反应。要制定训练和准备策略，就必须确定能够有效发挥能力的感知认知、身体和健康特征。通过建立急性准备状态监测量表（ARMS）与感知认知任务中的表现之间的关系来衡量准备状态至关重要。因此，本研究旨在确定健康年轻人的自我感觉准备状态、体能表现和感知认知表现之间的关系：横断面设计，对象为健康且身体活跃的年轻人（n = 35）。参与者完成了自我认知准备度量（ARMS）、体能表现（即立定跳远（VJ）和弹道推举）和感知认知练习（即单腿记忆跳跃（SLMH）、反应性立定跳远、反应性弹道推举、反应性敏捷跑决定和上下肢反应测试）。数据分析采用皮尔逊 r（r）相关性来确定相关性：结果：ARMS 总分与 VJ（峰值功率归一化和飞行时间）（r = 0.434，p = 0.010）和（r = 0.420，p = 0.013）以及 SLMH 距离归一化（r = 0.409，p = 0.016）之间存在统计学意义上的中度相关性。结论：ARMS 总分与反应性 VJ 反应时间之间存在中度负相关（r = -0.473，p = 0.005）：结论：ARMS 是测量急性自我认知准备状态的有效工具。这表明，在动态环境中工作的人可能会从针对感知-认知技能的培训中受益。虽然自我感觉准备程度不高，但却与更好的复原力、健康和表现练习有关。研究结果凸显了针对在复杂环境中工作的人群制定方案以提高绩效的重要性。
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引用次数: 0
Good vibes for the brain - Placebo versus real vibration in patients with chronic neck pain: A randomized cross-over study 对大脑有益的振动--慢性颈痛患者服用安慰剂与实际振动的对比：随机交叉研究。
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-11-01 DOI: 10.1016/j.msksp.2024.103210
Sandra Preiss , Wolfgang Taube , Sandra Helmstädter , Larissa Bentz , Konstantin Beinert

Background

Neck muscle vibration decreases pain and improves sensorimotor impairments in patients with chronic neck pain. However, the impact of placebo on these effects are still unclear.

Objective

The aim was to evaluate the effect of neck muscle vibration compared to placebo neck muscle vibration in patients with chronic neck pain.

Methods

Twenty-three people with chronic neck pain participated in this double-blinded, randomized crossover study. After baseline assessment at day 1, patients received either neck muscle vibration or placebo neck muscle vibration at day 2. At day 3, patients underwent the other treatment. The primary outcomes assessed at each day were active cervical joint position sense acuity, resting pain, and pressure pain threshold.

Results

Cervical joint position sense revealed a significant time effect (F1, 22 = 4.366, p = 0.016, η2 = 0.902). Post-hoc testing revealed significant increases in cervical joint position sense after neck muscle vibration (p = 0.023; d = 0.602) but not after placebo vibration. Resting pain (F1, 22 = 7.550, p = 0.003, η2 = 0.418) displayed significant time effects for neck muscle vibration and placebo vibration. Pressure pain threshold demonstrated a significant time to condition effect (F1, 22 = 6.146; p = 0.008, η2 = 0.369). Post-hoc tests revealed that only neck muscle vibration significantly increased pressure pain threshold (p = 0.043, d = 0.516).

Conclusion

The study demonstrates the efficacy of neck muscle vibration to decrease neck pain and improve cervical joint position sense in patients with chronic neck pain. Nevertheless, the influence of placebo effects should not be underestimated as they may contribute to these effects, indicated by similar decreases in resting pain.
背景：颈部肌肉振动可减轻慢性颈痛患者的疼痛并改善其感觉运动障碍。然而，安慰剂对这些效果的影响仍不清楚：目的：评估颈部肌肉振动与安慰剂颈部肌肉振动对慢性颈痛患者的影响：23名慢性颈部疼痛患者参加了这项双盲随机交叉研究。在第 1 天进行基线评估后，患者在第 2 天接受颈部肌肉振动或安慰剂颈部肌肉振动。第 3 天，患者接受另一种治疗。每天评估的主要结果是活动颈椎关节位置感敏锐度、静息痛和压痛阈值：结果：颈椎关节位置感显示出显著的时间效应（F1，22 = 4.366，P = 0.016，η2 = 0.902）。事后检验显示，颈部肌肉振动后颈椎关节位置感明显增强（p = 0.023; d = 0.602），而安慰剂振动后则没有。静息痛（F1，22 = 7.550，p = 0.003，η2 = 0.418）对颈部肌肉振动和安慰剂振动有显著的时间效应。压痛阈值显示出显著的时间条件效应（F1，22 = 6.146；p = 0.008，η2 = 0.369）。事后检验显示，只有颈部肌肉振动能显著提高压痛阈值（p = 0.043，d = 0.516）：研究表明，颈部肌肉振动对减轻慢性颈痛患者的颈部疼痛和改善颈椎关节位置感有一定疗效。尽管如此，安慰剂效应的影响也不容低估，因为安慰剂效应可能会促进这些效果的产生，静息疼痛的类似减轻就说明了这一点。
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引用次数: 0
Act now - serious pathology of the spine is affected by health inequalities 立即行动--脊柱的严重病变受到健康不平等的影响
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-23 DOI: 10.1016/j.msksp.2024.103207
Sue Greenhalgh , Laura M. Finucane , Christopher Mercer , Gill Yeowell
Early diagnosis of serious spinal pathology is the key to optimise patient outcomes, yet early diagnosis can be adversely affected by health inequalities. In this paper we consider the impact of health inequalities on the incidence and outcome for serious spinal musculoskeletal (MSK) pathologies. Health inequalities can be experienced by people grouped around a range of factors. These include socio-economic factors, the environmental conditions in which people live, protected characteristics such as ethnicity, and socially excluded groups such as people who are homeless. These factors can affect people's exposure to health risks and their opportunities to lead healthy lives. A person's behaviour is a key determinant of their health status. ‘Risky’ health behaviours include smoking, poor diet, harmful alcohol consumption and lack of exercise, and are more common in these groups. Importantly, socio-economic factors combined with health behaviours influence the health inequalities a person may experience. The most significant social and economic factors influencing poor MSK health are poverty, education, employment, environment, and food ethos. These determinants of health not only predispose people living in deprivation to having benign MSK conditions at a younger age and with worse outcomes, they are also risk factors of more serious MSK pathologies.
严重脊柱病变的早期诊断是优化患者预后的关键，然而早期诊断可能会受到健康不平等的不利影响。在本文中，我们将探讨健康不平等对严重脊柱肌肉骨骼（MSK）病变的发病率和治疗效果的影响。围绕一系列因素，人们可能会经历健康不平等。这些因素包括社会经济因素、人们生活的环境条件、种族等受保护特征以及无家可归者等被社会排斥的群体。这些因素会影响人们面临的健康风险和过上健康生活的机会。一个人的行为是决定其健康状况的关键因素。高危 "健康行为包括吸烟、不良饮食、酗酒和缺乏锻炼，在这些群体中更为常见。重要的是，社会经济因素与健康行为相结合，会影响一个人可能经历的健康不平等。贫困、教育、就业、环境和饮食风气是影响 MSK 健康状况最重要的社会和经济因素。这些健康决定因素不仅使生活在贫困中的人更容易在年轻时患上良性的 MSK 病症，并导致更坏的结果，而且也是更严重的 MSK 病症的风险因素。
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引用次数: 0
Italian versions of the optimal screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) and the Örebro Musculoskeletal pain screening questionnaire (ÖMPQ-21) and their short forms, in patients with low back pain: Cross-cultural adaptation, reliability and validity 针对腰背痛患者的意大利语版 "转诊和结果黄旗预测最佳筛查"（OSPRO-YF）和Örebro 肌肉骨骼疼痛筛查问卷（ÖMPQ-21）及其简表：跨文化适应性、可靠性和有效性
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-21 DOI: 10.1016/j.msksp.2024.103206
Francesca Bonetti , Domenico Angilecchia , Alessandro Agostini , Paolo Marighetto , Silvia Minnucci , Gloria Giglioni , Leonardo Pellicciari , Alessandro Chiarotto

Background

Low back pain (LBP) is a leading cause of disability worldwide. Early detection of prognostic factors using the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) or the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPQ-21) can predict improvement in pain and disability for patients with nonspecific LBP.

Objectives

To translate and cross-culturally adapt the OSPRO-YF and the ÖMPQ-21 with their short versions into the Italian language and to test their measurement properties in patients with LBP.

Design

Clinimetric study.

Methods

OSPRO-YF and ÖMPQ-21 were translated and administered to LBP patients with questionnaires on pain intensity, disability, pain self-efficacy, and pain catastrophizing. We evaluated test-retest reliability, measurement error, and construct validity.

Results

Eighty-three patients with LBP were included. No floor or ceiling effects were reported. Test-retest reliability of the OSPRO-YF, the ÖMPQ-21, and their short forms were excellent. The measurement error analysis revealed a Standard Error of Measurement (SEM) of 6.7 points, a Minimal Detectable Change (MDC) of 18.6 points for ÖMPQ-21, a SEM of 2.3 points, and a MDC of 6.4 points for OSPRO-YF. The construct validity of the OSPRO-YF and ÖMPQ-21 and its 10-item short version was satisfactory and moderate. OSPRO-YF performed better than ÖMPQ-21 on all three measurement properties.

Conclusion

OSPRO-YF, ÖMPQ-21, and their short versions are reliable and valid for identifying ‘yellow flags’ in Italian patients with LBP, with the former generally performing better than the latter. Further research is needed to confirm their ability to predict outcomes in patients with LBP.
背景腰背痛（LBP）是导致全球残疾的主要原因。使用 "转诊和结果预测最佳筛查黄旗"（OSPRO-YF）或 "Örebro 肌肉骨骼疼痛筛查问卷"（ÖMPQ-21）对预后因素进行早期检测，可预测非特异性腰背痛患者的疼痛和残疾改善情况。方法将OSPRO-YF和ÖMPQ-21翻译成意大利语并对其进行跨文化改编，同时对其在枸杞痛患者中的测量特性进行测试。我们评估了重测信度、测量误差和结构效度。无最低或最高效应报告。OSPRO-YF、ÖMPQ-21及其简表的重测信度非常好。测量误差分析显示，ÖMPQ-21的测量标准误差（SEM）为6.7点，最小可检测变化（MDC）为18.6点，OSPRO-YF的测量标准误差（SEM）为2.3点，最小可检测变化（MDC）为6.4点。OSPRO-YF和ÖMPQ-21及其10项短文本的构建效度令人满意，属于中等水平。结论OSPRO-YF、ÖMPQ-21及其简易版在识别意大利腰背痛患者的 "黄旗 "方面可靠有效，前者的表现普遍优于后者。需要进一步的研究来证实它们预测腰椎间盘突出症患者预后的能力。
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引用次数: 0
More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain 颈部疼痛加剧，脊柱活动度降低，坐姿改变：慢性颈部疼痛女性的脊柱矢状排列和活动度
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-15 DOI: 10.1016/j.msksp.2024.103205
Nur Efsan Unal , Sevtap Gunay Ucurum , Muge Kirmizi , Elif Umay Altas

Background

Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified.

Objectives

To investigate whether there is a significant association between neck pain intensity and sagittal spinal alignment and mobility in people with CNP, and to examine whether sagittal spinal alignment and mobility differ according to pain intensity.

Design

A cross-sectional study.

Method

Forty-four women with CNP were included. The neck pain intensity at rest and during neck movements was assessed with the visual analogue scale (VAS). A skin-surface measurement device was used to assess sagittal alignment and mobility while sitting and standing. Linear regression analysis was used to assess associations. Participants were divided into two groups according to the pain intensity as group with mild pain (VAS≤4.4 cm) and group with moderate to severe pain (VAS>4.4 cm) and compared using the analysis of covariance.

Results

Greater resting pain was associated with a more forward trunk during sitting (Beta = 0.433, p < 0.05). Greater pain during neck movements was associated with increased lumbar lordosis during sitting (Beta = −0.376, p < 0.05). Classified by pain intensity at rest, trunk mobility while sitting was lower and forward trunk inclination and sacral kyphosis while sitting were higher in those with moderate/severe pain (η2p = 0.093–0.119, p < 0.05). By pain intensity during neck movements, women with moderate/severe pain exhibited lower sacral mobility while sitting (η2p = 0.129, p < 0.05).

Conclusions

Addressing the entire spine in the assessment and management of CNP may help reduce pain.
背景越来越多的证据表明，慢性颈痛（CNP）患者可能会表现出颈椎以外的生物力学改变。目的研究慢性颈部疼痛患者的颈部疼痛强度与脊柱矢状排列和活动度之间是否存在显著关联，并探讨脊柱矢状排列和活动度是否随疼痛强度而有所不同。采用视觉模拟量表（VAS）评估休息时和颈部活动时的颈部疼痛强度。使用皮肤表面测量仪评估坐姿和站姿时的矢状排列和活动度。线性回归分析用于评估相关性。根据疼痛强度将参与者分为两组，即轻度疼痛组（VAS≤4.4 cm）和中度至重度疼痛组（VAS>4.4 cm），并使用协方差分析进行比较。颈部运动时疼痛加剧与坐姿时腰部前凸增加有关（Beta = -0.376，p < 0.05）。按静止时的疼痛强度分类，中度/重度疼痛者坐位时的躯干活动度较低，坐位时的躯干前倾和骶骨后凸较高（η2p = 0.093-0.119, p <0.05）。根据颈部活动时的疼痛强度，中度/重度疼痛的女性坐着时骶骨活动度较低（η2p = 0.129，p < 0.05）。
{"title":"More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain","authors":"Nur Efsan Unal ,&nbsp;Sevtap Gunay Ucurum ,&nbsp;Muge Kirmizi ,&nbsp;Elif Umay Altas","doi":"10.1016/j.msksp.2024.103205","DOIUrl":"10.1016/j.msksp.2024.103205","url":null,"abstract":"<div><h3>Background</h3><div>Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified.</div></div><div><h3>Objectives</h3><div>To investigate whether there is a significant association between neck pain intensity and sagittal spinal alignment and mobility in people with CNP, and to examine whether sagittal spinal alignment and mobility differ according to pain intensity.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Method</h3><div>Forty-four women with CNP were included. The neck pain intensity at rest and during neck movements was assessed with the visual analogue scale (VAS). A skin-surface measurement device was used to assess sagittal alignment and mobility while sitting and standing. Linear regression analysis was used to assess associations. Participants were divided into two groups according to the pain intensity as group with mild pain (VAS≤4.4 cm) and group with moderate to severe pain (VAS&gt;4.4 cm) and compared using the analysis of covariance.</div></div><div><h3>Results</h3><div>Greater resting pain was associated with a more forward trunk during sitting (Beta = 0.433, p &lt; 0.05). Greater pain during neck movements was associated with increased lumbar lordosis during sitting (Beta = −0.376, p &lt; 0.05). Classified by pain intensity at rest, trunk mobility while sitting was lower and forward trunk inclination and sacral kyphosis while sitting were higher in those with moderate/severe pain (η<sup>2</sup><sub>p</sub> = 0.093–0.119, p &lt; 0.05). By pain intensity during neck movements, women with moderate/severe pain exhibited lower sacral mobility while sitting (η<sup>2</sup><sub>p</sub> = 0.129, p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Addressing the entire spine in the assessment and management of CNP may help reduce pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103205"},"PeriodicalIF":2.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442338","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
Knee joint pathology and efferent pathway dysfunction: Mapping muscle inhibition from motor cortex to muscle force 膝关节病变和传出通路功能障碍：绘制从运动皮层到肌肉力量的肌肉抑制图谱
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-11 DOI: 10.1016/j.msksp.2024.103204
David A. Sherman , Justin Rush , Neal R. Glaviano , Grant E. Norte

Background

Dysfunction in efferent pathways after knee pathology is tied to long-term impairments in quadriceps and hamstrings muscle performance, daily function, and health-related quality of life. Understanding the underlying etiology is crucial for effective treatment and prevention of poor outcomes, such as post-traumatic osteoarthritis or joint replacement.

Objectives

To synthesize recent evidence of efferent pathway dysfunction (i.e., motor cortex, motor units) among individuals with knee pathology.

Design

Commentary.

Method

We summarize the current literature investigating the motor cortex, corticospinal tract, and motoneuron pool in individuals with three common knee pathologies: anterior cruciate ligament (ACL) injury, anterior knee pain (AKP), and knee osteoarthritis (OA). To offer a complete perspective, we draw from studies applying a range of neuroimaging and neurophysiologic techniques.

Results

Adaptations within the motor cortices, corticospinal tract, and motoneuron pool are present in those with knee pathology and underline impairments in quadriceps and hamstrings muscle function. Each pathology has evidence of altered motor system excitability and reduced volitional muscle activation and force-generating capacity, but few impairments were common across ACL injury, AKP, and OA studies. These findings underscore the central role of the motor cortex and motor unit behavior in the long-term outcomes of individuals with knee pathology.

Conclusions

Adaptations in the efferent pathways underlie persistent muscle dysfunction across three common knee pathologies. This review provides an overview of these changes and summarizes key findings from neurophysiology and neuroimaging studies, offering direction for future research and clinical application in the rehabilitation of joint injuries.
背景膝关节病变后传出通路的功能障碍与股四头肌和腿肌表现、日常功能和健康相关生活质量的长期损害有关。了解其根本病因对于有效治疗和预防不良后果（如创伤后骨关节炎或关节置换）至关重要、方法我们总结了目前研究三种常见膝关节病变（前交叉韧带 (ACL) 损伤、前膝关节疼痛 (AKP) 和膝关节骨性关节炎 (OA)）患者运动皮层、皮质脊髓束和运动神经元池的文献。为了提供一个完整的视角，我们借鉴了应用一系列神经影像学和神经生理学技术进行的研究。结果膝关节病变患者的运动皮层、皮质脊髓束和运动神经元池均存在适应性改变，并突出显示了股四头肌和腿肌功能的损伤。每种病症都有证据表明运动系统的兴奋性发生了改变，肌肉的自主激活和发力能力下降，但在前交叉韧带损伤、AKP 和 OA 的研究中，很少有共同的损伤。这些发现强调了运动皮层和运动单元行为在膝关节病变患者长期预后中的核心作用。结论传出通路的适应性是三种常见膝关节病变中肌肉功能持续障碍的原因。本综述概述了这些变化，并总结了神经生理学和神经影像学研究的主要发现，为关节损伤康复的未来研究和临床应用提供了方向。
{"title":"Knee joint pathology and efferent pathway dysfunction: Mapping muscle inhibition from motor cortex to muscle force","authors":"David A. Sherman ,&nbsp;Justin Rush ,&nbsp;Neal R. Glaviano ,&nbsp;Grant E. Norte","doi":"10.1016/j.msksp.2024.103204","DOIUrl":"10.1016/j.msksp.2024.103204","url":null,"abstract":"<div><h3>Background</h3><div>Dysfunction in efferent pathways after knee pathology is tied to long-term impairments in quadriceps and hamstrings muscle performance, daily function, and health-related quality of life. Understanding the underlying etiology is crucial for effective treatment and prevention of poor outcomes, such as post-traumatic osteoarthritis or joint replacement.</div></div><div><h3>Objectives</h3><div>To synthesize recent evidence of efferent pathway dysfunction (i.e., motor cortex, motor units) among individuals with knee pathology.</div></div><div><h3>Design</h3><div>Commentary.</div></div><div><h3>Method</h3><div>We summarize the current literature investigating the motor cortex, corticospinal tract, and motoneuron pool in individuals with three common knee pathologies: anterior cruciate ligament (ACL) injury, anterior knee pain (AKP), and knee osteoarthritis (OA). To offer a complete perspective, we draw from studies applying a range of neuroimaging and neurophysiologic techniques.</div></div><div><h3>Results</h3><div>Adaptations within the motor cortices, corticospinal tract, and motoneuron pool are present in those with knee pathology and underline impairments in quadriceps and hamstrings muscle function. Each pathology has evidence of altered motor system excitability and reduced volitional muscle activation and force-generating capacity, but few impairments were common across ACL injury, AKP, and OA studies. These findings underscore the central role of the motor cortex and motor unit behavior in the long-term outcomes of individuals with knee pathology.</div></div><div><h3>Conclusions</h3><div>Adaptations in the efferent pathways underlie persistent muscle dysfunction across three common knee pathologies. This review provides an overview of these changes and summarizes key findings from neurophysiology and neuroimaging studies, offering direction for future research and clinical application in the rehabilitation of joint injuries.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103204"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445249","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
Neck muscle stiffness during craniocervical flexion under functional upper extremity conditions in patients with chronic non-specific neck pain: A shear-wave elastography study 慢性非特异性颈部疼痛患者在上肢功能条件下屈曲颅颈时颈部肌肉僵硬：剪切波弹性成像研究
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-09 DOI: 10.1016/j.msksp.2024.103203
Ebrahim Ramezani , Meysam Velayati , Mohammad Akbari , Reza Salehi , Holakoo Mohsenifar

Objective

The primary objective of the present study was to examine the differences and patterns of change in the neck extensor (NE) muscle stiffness during the Cranio-cervical flexion (CCF) task under different functional conditions of the upper extremity between CNSNP participants and asymptomatic controls.

Methods

In the current case-control study, 25 participants with CNSNP and 25 asymptomatic controls were recruited. The stiffness of the superficial (i.e., upper trapezius, splenius capitis, and semispinalis capitis) and deep (i.e., semispinalis cervicis and multifidus) NE muscles was measured at prone resting, sitting resting, and during the CCF task in different functional conditions of upper extremity using shear wave elastography.

Results

The findings showed that there was a significant main effect of condition in all NE muscles (P < 0.05), as well as a significant main effect of the group on the stiffness of superficial neck muscles (P < 0.05), indicating higher muscle stiffness in participants with CNSNP compared to the control group. There was no significant group-by-condition interaction effect on the stiffness of NE muscles (P > 0.05), except for the upper trapezius muscle (P = 0.00), indicating a different pattern of stiffness changes compared to the other muscles.

Conclusions

Individuals with CNSNP exhibited significantly greater stiffness in the superficial neck extensor muscles compared to healthy controls. Furthermore, the CCF task performed under functional upper extremity conditions, which includes bilateral shoulder scaption and shoulder abduction-external rotation while seated, resulted in increased stiffness of the NE muscles. Additionally, participants with CNSNP exhibited a higher magnitude of stiffness changes in the upper trapezius muscle across different conditions.
目的 本研究的主要目的是探讨在颅颈屈曲（CCF）任务中，在上肢不同功能条件下，CNSNP 患者与无症状对照组之间颈部伸肌（NE）僵硬度的差异和变化规律。方法 在本病例对照研究中，招募了 25 名 CNSNP 患者和 25 名无症状对照组。表层（即斜方肌上部、脾岬肌和半脊柱岬肌）和深层（即颈椎半脊柱肌）肌肉的僵硬度分别为 0.5%、0.5% 和 0.5%、结果表明，所有东北东北肌肉的僵硬度均存在显著的主条件效应（P < 0.05），颈部浅层肌肉的僵硬度也存在显著的组间主条件效应（P < 0.05），这表明与对照组相比，中枢神经系统营养不良患者的肌肉僵硬度更高。结论与健康对照组相比，CNSNP 患者颈部浅层伸肌的僵硬度明显更高。此外，在功能性上肢条件下进行的 CCF 任务（包括坐位时的双侧肩胛和肩外展-外旋）会导致东北神经肌肉的僵硬度增加。此外，在不同条件下，CNSNP 患者的斜方肌上部的僵硬度变化幅度更大。
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引用次数: 0
UK physiotherapists’ perceptions on providing face-to-face and virtual rehabilitation for patients with Greater Trochanteric Pain Syndrome (GTPS): A cross-sectional survey 英国物理治疗师对为大转子痛综合征（GTPS）患者提供面对面和虚拟康复治疗的看法：横断面调查。
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-05 DOI: 10.1016/j.msksp.2024.103199
Ben Foxcroft , Christine Comer , Anthony C. Redmond

Background

Greater Trochanteric Pain Syndrome (GTPS) is a prevalent and debilitating cause of lateral hip pain. Physiotherapists often prescribe exercises and educate patients on self-management strategies. Virtual consultations have increased since COVID-19. Rehabilitating patients with GTPS virtually may offer benefits to patients and healthcare providers.

Objectives

Understand physiotherapists' perceived effectiveness of providing rehabilitation for people with GTPS virtually compared to face-to-face.

Design

Cross-sectional survey.

Methods

An internet-based survey was distributed via Twitter (now X). The survey included participant characteristics and 5-point Likert scales to rate the perceived effectiveness (higher score is more effective) of each consult method to deliver treatments for GTPS. Descriptive and inferential statistics were calculated to compare effectiveness between consultation types.

Results

54 physiotherapists responded. Overall, physiotherapists felt they were more effective at managing patients face-to-face compared to virtually with median scores of 5 (IQR 4–5) to 3 (IQR 2–4) respectively (P < 0.001). Physiotherapists rated themselves more effective at delivering exercise interventions and most educational components face-to-face compared to virtually. Coaching exercises and checking exercise technique received the lowest rating with virtual consults. Higher levels of post-graduate education and confidence in technology were associated with higher perceptions of virtual consults (P < 0.05). There has been a significant increase in virtual practice since COVID-19 (P < 0.001), despite few physiotherapists receiving training.

Conclusion

Physiotherapists rated themselves as more effective in treating patients with GTPS face-to-face compared to virtually in almost all aspects of rehabilitation. However, virtual consultations still scored highly in self-management support and specific aspects of exercise and education.
背景：大转子疼痛综合征（GTPS）是导致髋关节外侧疼痛的一个普遍且令人衰弱的原因。物理治疗师通常会给患者开一些运动处方，并教育他们自我管理的策略。自 COVID-19 以来，虚拟咨询的数量有所增加。通过虚拟方式对 GTPS 患者进行康复治疗可为患者和医疗服务提供者带来益处：了解物理治疗师对通过虚拟方式为 GTPS 患者提供康复治疗的有效性认知：设计：横断面调查：方法： 通过 Twitter（现在为 X）发布一项基于互联网的调查。调查内容包括参与者特征和 5 分制李克特量表，用于评定每种咨询方法对 GTPS 治疗的效果（分数越高效果越好）。通过计算描述性和推论性统计来比较不同咨询类型的有效性：54名物理治疗师做出了回应。总体而言，物理治疗师认为，与虚拟咨询相比，面对面咨询更有效，中位数分别为 5（IQR 4-5）和 3（IQR 2-4）（P 结论：物理治疗师对自己的评价是 "更有效"：物理治疗师认为，在康复的几乎所有方面，面对面治疗 GTPS 患者比虚拟治疗更有效。然而，虚拟咨询在自我管理支持以及运动和教育的特定方面仍然得分较高。
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引用次数: 0
Translation and psychometric properties of the Hebrew version of Patient Enablement Instrument for Back Pain (PEI-BP) 希伯来语版背痛患者赋能工具（PEI-BP）的翻译和心理测量特性
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-05 DOI: 10.1016/j.msksp.2024.103202
Aviya Levin , Ruth Goldstein , Jan Hartvigsen , Henrik Hein Lauridsen , Tamar Pincus , Noa Ben Ami

Background

Low back pain (LBP) is a widespread cause of disability worldwide. Self-management is a significant factor impacting an individual's ability to cope with LBP. The Patient Enablement Instrument for Back Pain (PEI-BP) assesses the ability of people with LBP to self-manage their illness.

Objective

This study aimed to translate and culturally adapt the PEI-BP into Hebrew and evaluate the reliability, validity, and responsiveness.

Design

Cross-sectional study with a nested prospective sub‐sample.

Methods

The PEI-BP was translated and culturally adapted into Hebrew using recommended guidelines. We included 188 LBP patients. The psychometric properties of the PEI-BP were evaluated according to the COSMIN methodology. For construct validity, the Ronald Morris disability questionnaire, the Brief Illness Perception Questionnaire, the Fear-Avoidance Beliefs Questionnaire-physical activity, the 12-item Short‐Form Health Survey mental health, and the Numerical pain rating scale were included. To assess reliability, a sub-sample of participants (n = 50) completed the PEI-BP again after one week and after six weeks (n = 50) to evaluate responsiveness.

Results

The PEI-BP demonstrated good internal consistency (Cronbach's α = 0.821) and test-retest reliability (ICC = 0.77). For construct validity, four out of the five hypothesized correlations were confirmed. Responsiveness showed a Receiver Operating Characteristic curve area of 0.81 (95% CI 0.67–0.93); the minimal detectable change was 14.5. A potential significant ceiling but no floor effects were observed (17.5% and 6.4%, respectively).

Conclusions

The translation and validation of the PEI-BP suggest that it is a feasible, reliable, valid, and responsive instrument for evaluating 'patient enablement' with LBP in the Hebrew-speaking population.
背景腰背痛（LBP）是导致全球残疾的一个普遍原因。自我管理是影响个人应对腰背痛能力的一个重要因素。背痛患者能力评估工具（PEI-BP）可评估腰背痛患者自我管理疾病的能力。本研究旨在将 PEI-BP 翻译成希伯来语并进行文化调整，同时评估其可靠性、有效性和响应性。我们纳入了 188 名枸杞多糖症患者。根据 COSMIN 方法评估了 PEI-BP 的心理测量特性。为了评估结构效度，我们纳入了罗纳德-莫里斯残疾问卷、简明疾病感知问卷、恐惧-逃避信念问卷-体力活动、12 项短式健康调查心理健康和数字疼痛评分量表。结果 PEI-BP 显示出良好的内部一致性（Cronbach's α = 0.821）和测试-再测可靠性（ICC = 0.77）。在建构效度方面，五项假设相关性中有四项得到了证实。反应性的接收者操作特征曲线面积为 0.81（95% CI 0.67-0.93）；可检测到的最小变化为 14.5。结论 PEI-BP 的翻译和验证表明，它是一种可行、可靠、有效且反应灵敏的工具，可用于评估希伯来语人群中 "患者对腰椎间盘突出症的适应能力"。
{"title":"Translation and psychometric properties of the Hebrew version of Patient Enablement Instrument for Back Pain (PEI-BP)","authors":"Aviya Levin ,&nbsp;Ruth Goldstein ,&nbsp;Jan Hartvigsen ,&nbsp;Henrik Hein Lauridsen ,&nbsp;Tamar Pincus ,&nbsp;Noa Ben Ami","doi":"10.1016/j.msksp.2024.103202","DOIUrl":"10.1016/j.msksp.2024.103202","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain (LBP) is a widespread cause of disability worldwide. Self-management is a significant factor impacting an individual's ability to cope with LBP. The Patient Enablement Instrument for Back Pain (PEI-BP) assesses the ability of people with LBP to self-manage their illness.</div></div><div><h3>Objective</h3><div>This study aimed to translate and culturally adapt the PEI-BP into Hebrew and evaluate the reliability, validity, and responsiveness.</div></div><div><h3>Design</h3><div>Cross-sectional study with a nested prospective sub‐sample.</div></div><div><h3>Methods</h3><div>The PEI-BP was translated and culturally adapted into Hebrew using recommended guidelines. We included 188 LBP patients. The psychometric properties of the PEI-BP were evaluated according to the COSMIN methodology. For construct validity, the Ronald Morris disability questionnaire, the Brief Illness Perception Questionnaire, the Fear-Avoidance Beliefs Questionnaire-physical activity, the 12-item Short‐Form Health Survey mental health, and the Numerical pain rating scale were included. To assess reliability, a sub-sample of participants (n = 50) completed the PEI-BP again after one week and after six weeks (n = 50) to evaluate responsiveness.</div></div><div><h3>Results</h3><div>The PEI-BP demonstrated good internal consistency (Cronbach's α = 0.821) and test-retest reliability (ICC = 0.77). For construct validity, four out of the five hypothesized correlations were confirmed. Responsiveness showed a Receiver Operating Characteristic curve area of 0.81 (95% CI 0.67–0.93); the minimal detectable change was 14.5. A potential significant ceiling but no floor effects were observed (17.5% and 6.4%, respectively).</div></div><div><h3>Conclusions</h3><div>The translation and validation of the PEI-BP suggest that it is a feasible, reliable, valid, and responsive instrument for evaluating 'patient enablement' with LBP in the Hebrew-speaking population.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103202"},"PeriodicalIF":2.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433764","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
Assessing the knowledge of low back pain among physiotherapists in Spain: A cohort study with pre- and post-educational course evaluation 评估西班牙物理治疗师对腰背痛的认识：教育课程前后评估的队列研究。
IF 2.2 3区 医学 Q1 REHABILITATION
Musculoskeletal Science and Practice
Pub Date : 2024-10-02 DOI: 10.1016/j.msksp.2024.103201
Julia Blasco-Abadía , Pablo Bellosta-López , Thorvaldur Skuli Palsson , Steffan Wittrup McPhee Christensen , Morten Hoegh , Francesco Langella , Pedro Berjano , Priscila De Brito Silva , Palle Schlott Jensen , Víctor Doménech-García

Background

Low back pain (LBP) is the most prevalent musculoskeletal disorder worldwide and physiotherapists are among the primary healthcare professionals assessing and treating the condition. However, scientific knowledge regarding the management of LBP amongst physiotherapists is largely unknown.

Objectives

To evaluate the level of evidence-based knowledge among Spanish physiotherapists in LBP management and assess knowledge enhancement following the completion of an e-learning course.

Design

Single-arm cohort study with pre-post evaluation.

Methods

This single-arm pre-post study involved 1350 physiotherapists practicing in Spain. Initially, participants underwent a 22-question test on evidence-based LBP knowledge, covering socio-economic impact, characteristics of LBP, rehabilitation goals, psychosocial factors, and high- and low-value interventions. After completing the course, participants took a final test with the same 22 questions in randomized order.

Results

Out of the 1350 physiotherapists enrolled, 857 completed the course. The initial responses demonstrated that almost half of the participants considered medical imaging essential before starting physiotherapy treatment, perceived glucocorticoids as recommended for chronic low back pain, and considered ergonomic adjustments crucial for managing the condition. Individuals who completed their education more than 10 years ago showed a minor improvement in evidence-based knowledge compared to those who recently finished their university degree. Following the course, participants displayed improved knowledge, narrowing prior disparities in error percentages across questions.

Conclusion

Due to existing gaps in physiotherapists’ evidence-based knowledge of LBP, particularly among those who have worked longer time as physiotherapists, e-learning initiatives may be a feasible approach to support continuous training of physiotherapists.
背景：腰背痛（LBP）是全球最常见的肌肉骨骼疾病，物理治疗师是评估和治疗该疾病的主要医疗专业人员之一。然而，物理治疗师对腰背痛管理的科学知识却知之甚少：评估西班牙物理治疗师在枸杞多糖症管理方面的循证知识水平，并评估完成电子学习课程后的知识提升情况：设计：单臂队列研究，事后评估：这项单臂事后评估研究涉及西班牙的 1350 名物理治疗师。首先，参与者接受了一项由 22 个问题组成的循证枸杞多糖症知识测试，测试内容包括社会经济影响、枸杞多糖症的特征、康复目标、社会心理因素以及高价值和低价值干预措施。课程结束后，学员们还参加了最后一次测试，测试中的 22 个问题均按随机顺序排列：结果：在报名的 1350 名物理治疗师中，有 857 人完成了课程。初步调查结果显示，近一半的参与者认为在开始物理治疗前必须进行医学影像检查，认为糖皮质激素是治疗慢性腰背痛的推荐药物，并认为人体工程学调整对控制病情至关重要。与刚刚完成大学学业的学员相比，10 多年前完成学业的学员在循证知识方面略有提高。课程结束后，参与者的知识水平有所提高，缩小了之前在不同问题上错误率的差距：由于物理治疗师在腰椎间盘突出症的循证知识方面存在差距，尤其是在工作时间较长的物理治疗师中，电子学习计划可能是支持物理治疗师持续培训的可行方法。
{"title":"Assessing the knowledge of low back pain among physiotherapists in Spain: A cohort study with pre- and post-educational course evaluation","authors":"Julia Blasco-Abadía ,&nbsp;Pablo Bellosta-López ,&nbsp;Thorvaldur Skuli Palsson ,&nbsp;Steffan Wittrup McPhee Christensen ,&nbsp;Morten Hoegh ,&nbsp;Francesco Langella ,&nbsp;Pedro Berjano ,&nbsp;Priscila De Brito Silva ,&nbsp;Palle Schlott Jensen ,&nbsp;Víctor Doménech-García","doi":"10.1016/j.msksp.2024.103201","DOIUrl":"10.1016/j.msksp.2024.103201","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain (LBP) is the most prevalent musculoskeletal disorder worldwide and physiotherapists are among the primary healthcare professionals assessing and treating the condition. However, scientific knowledge regarding the management of LBP amongst physiotherapists is largely unknown.</div></div><div><h3>Objectives</h3><div>To evaluate the level of evidence-based knowledge among Spanish physiotherapists in LBP management and assess knowledge enhancement following the completion of an e-learning course.</div></div><div><h3>Design</h3><div>Single-arm cohort study with pre-post evaluation.</div></div><div><h3>Methods</h3><div>This single-arm pre-post study involved 1350 physiotherapists practicing in Spain. Initially, participants underwent a 22-question test on evidence-based LBP knowledge, covering socio-economic impact, characteristics of LBP, rehabilitation goals, psychosocial factors, and high- and low-value interventions. After completing the course, participants took a final test with the same 22 questions in randomized order.</div></div><div><h3>Results</h3><div>Out of the 1350 physiotherapists enrolled, 857 completed the course. The initial responses demonstrated that almost half of the participants considered medical imaging essential before starting physiotherapy treatment, perceived glucocorticoids as recommended for chronic low back pain, and considered ergonomic adjustments crucial for managing the condition. Individuals who completed their education more than 10 years ago showed a minor improvement in evidence-based knowledge compared to those who recently finished their university degree. Following the course, participants displayed improved knowledge, narrowing prior disparities in error percentages across questions.</div></div><div><h3>Conclusion</h3><div>Due to existing gaps in physiotherapists’ evidence-based knowledge of LBP, particularly among those who have worked longer time as physiotherapists, e-learning initiatives may be a feasible approach to support continuous training of physiotherapists.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103201"},"PeriodicalIF":2.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395562","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}
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