Musculoskeletal Science and Practice最新文献_第5页

Effectiveness of conservative treatment in the management of post-traumatic elbow stiffness: A systematic review 治疗创伤后肘关节僵硬的保守疗法的有效性：系统性综述。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-26 DOI: 10.1016/j.msksp.2024.103194

Alberto Piacenza , Andrea Zerilli , Ilenia Viccari , Greta Castelli

Background

Post-traumatic elbow stiffness is a common consequence following trauma or surgery, resulting in significant limb disability, with a negative impact on daily life. Although conservative treatment is the first-line approach, it is not yet known which is most suitable and effective.

Objective

To investigate the effectiveness of conservative treatments in patients with post-traumatic elbow stiffness.

Method

A protocol for this systematic review was published in PROSPERO (CRD42024517823). PRISMA standards were followed. An extensive systematic search was conducted in six databases (PubMed, CINHAL, Cochrane Library, Web of Science, Scopus, and PEDro), and the CENTRAL trial register. Two reviewers independently assessed, selected results, collected data, rated the risk of bias (RoB) of included studies with the Cochrane risk of bias tool, synthesized the available evidence, and rated it using GRADE methodology.

Results

Five studies were included in the review, although high variability in interventions and comparators precluded the synthesis of results into a meta-analysis. Large effect sizes were observed when conservative treatment was initiated immediately after immobilization, improving elbow functionality (SMD 3.07; 95%CI 1.91 to 4.23), and pain (SMD 1.83; 95%CI 0.91 to 2.76). Results indicate that Proprioceptive Neuromuscular Facilitation (SMD = −1.22; 95%CI [-1.90, −0.54]) and Graded Motor Imagery (SMD = −2.79; 95%CI [-3.59, −2.00]) were more effective than comparisons in recovering elbow functionality and pain reduction.

Conclusion

Although conservative treatment is recommended as a first-line approach, the best conservative treatment cannot be determined with certainty due to the low to very low confidence in the results.

背景：创伤后肘关节僵硬是创伤或手术后常见的后果，会导致严重的肢体残疾，对日常生活造成负面影响。虽然保守治疗是一线治疗方法，但目前尚不清楚哪种方法最合适、最有效：调查保守疗法对创伤后肘关节僵硬患者的有效性：方法：在 PROSPERO（CRD42024517823）上发布了本系统综述的方案。研究遵循 PRISMA 标准。在六个数据库（PubMed、CINHAL、Cochrane Library、Web of Science、Scopus 和 PEDro）和 CENTRAL 试验登记册中进行了广泛的系统检索。两名审稿人独立评估、选择结果、收集数据，使用 Cochrane 偏倚风险工具对纳入研究的偏倚风险（RoB）进行评级，综合现有证据，并使用 GRADE 方法进行评级：共有五项研究被纳入综述，但由于干预措施和比较对象存在很大差异，因此无法对结果进行荟萃分析。当固定后立即开始保守治疗时，观察到较大的效应大小，可改善肘关节功能（SMD 3.07；95%CI 1.91 至 4.23）和疼痛（SMD 1.83；95%CI 0.91 至 2.76）。结果表明，在恢复肘关节功能和减轻疼痛方面，感觉神经肌肉刺激疗法（SMD = -1.22; 95%CI [-1.90, -0.54]）和分级运动想象疗法（SMD = -2.79; 95%CI [-3.59, -2.00]）比比较疗法更有效：结论：虽然建议将保守治疗作为一线治疗方法，但由于结果的可信度较低或非常低，因此无法确定最佳的保守治疗方法。

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引用次数: 0

The CROM-VAS Test: A novel and reliable clinical test to assess immediate pain relief following treatment for movement-evoked neck pain CROM-VAS 测试：一种新颖可靠的临床测试，用于评估运动诱发的颈部疼痛治疗后的即时疼痛缓解情况

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-21 DOI: 10.1016/j.msksp.2024.103191

Ivo J. Lutke Schipholt , Gwendolyne G.M. Scholten-Peeters , Sifra Logghe , Meghan Koop , Sietse Donders , Martijn S. Stenneberg , Michel W. Coppieters

Background

The CROM-VAS Test is a novel method to quantify immediate hypoalgesic treatment effects for neck pain by measuring the reduction in pain intensity (using a VAS) at the same (sub)maximal neck position (using a CROM device) before and after treatment. It is a novel test designed to quantify immediate pain relief following treatment, without the potentially confounding effects of simultaneous improvements in function.

Objectives

(1) To describe the CROM-VAS Test, (2) To assess reliability and absolute agreement of the CROM-VAS Test, and (3) To evaluate its distinctiveness by comparing it to changes in pressure pain threshold (PPT) and baseline pain scores.

Design

Cross-sectional study.

Methods

The CROM-VAS Test was assessed in 58 people with non-specific neck pain treated with cervical mobilisation and cervicothoracic manipulation. Inter-rater reliability (intraclass correlation coefficient (ICC_1.1)) and absolute agreement (standard error of measurement (SEM), minimal detectable change (MDC) and Bland-Altman limits of agreement (LoA)) were determined.

Results

Reliability was high (ICC_1.1: 0.91 (95%CI: 0.85–0.95) for the CROM-VAS Test in the painful direction and 0.73 (95%CI: 0.54–0.85) in the non/least painful direction). Agreement was good (CROM-VAS Test (painful direction): SEM: 2.3 mm; MDC: 6.4 mm; LoA: 13.5 to 16.6 mm; CROM-VAS Test (non/least painful direction): SEM: 4.0 mm; MDC: 11.1 mm; LoA: 14.7 to 22.0 mm). Low or negative correlations were observed between CROM-VAS Test scores and changes in PPT and baseline neck pain scores.

Conclusion

The CROM-VAS Test has good clinimetric properties. It measures a distinct dimension of pain relief compared to PPTs and baseline pain scores.

背景CROM-VAS测试是一种新型方法，通过测量治疗前后相同（亚）最大颈部位置（使用CROM设备）的疼痛强度降低情况（使用VAS）来量化颈部疼痛的即时低痛治疗效果。目的（1）描述 CROM-VAS 测试；（2）评估 CROM-VAS 测试的可靠性和绝对一致性；（3）通过与压力痛阈值（PPT）和基线疼痛评分的变化进行比较，评估 CROM-VAS 测试的独特性。方法对 58 名接受颈椎活动和颈胸手法治疗的非特异性颈痛患者进行 CROM-VAS 测试评估。结果可靠性高（CROM-VAS 测试在疼痛方向上的 ICC1.1：0.91（95%CI：0.85-0.95），在非/轻度疼痛方向上的 ICC1.1：0.73（95%CI：0.54-0.85））。一致性良好（CROM-VAS 测试（疼痛方向）：SEM：2.3 毫米；MDC：6.4 毫米；LoA：13.5 至 16.6 毫米：13.5至16.6毫米；CROM-VAS测试（非/最轻疼痛方向）：SEM: 4.0 mm; MDC: 11.1 mm; LoA：14.7至22.0毫米）。CROM-VAS测试评分与PPT的变化和基线颈痛评分之间的相关性较低或呈负相关。结论 CROM-VAS 测试具有良好的临床测量特性，与 PPT 和基线疼痛评分相比，它能测量出疼痛缓解的不同维度。

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引用次数: 0

Influence of nationality on the trajectories of pain, disability and health related quality of life in neck and back patients – The Norwegian Neck and Back Registry 国籍对颈背部患者疼痛、残疾和健康相关生活质量轨迹的影响--挪威颈背部登记处。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-20 DOI: 10.1016/j.msksp.2024.103193

Janica S. Ignatius , Cecilie Røe , Paul B. Perrin , Sigrid Skatteboe , Jens I. Brox , Maja Garnaas Kielland , John Bjørneboe

Purpose

The aim of the current study was to examine differences in trajectories of pain, disability, and health related quality of life (HRQOL) between non-Norwegian and Norwegian patients with neck and back pain over 12 months.

Methods

The study is based on data from the Norwegian Neck and Back Registry (NNRR). The data include demographics and patient-reported outcome measures such as pain rating, the Oswestry Disability Index and HRQOL. Data were collected at baseline, 6 and 12 months after consultation for neck and back pain in specialist health care.

Results

A total of 5012 patients were included. We found a significant main effect of nationality. Non-Norwegian patients showed higher levels of pain and disability and lower HRQOL than Norwegian patients. Both patient groups exhibited an improvement in all three outcomes at 6- and 12-month follow-ups. The improvement was similar for pain with the greatest improvement taking place during the first 6 months and then slightly flattening out. For disability and HRQOL, we observed a differential effect over time as a function of nationality. Both groups reported an improvement the first 6 months, however, while the Norwegian patients continued their improvement to 12 months, non-Norwegian patients had increasing disability and lower HRQOL at 12 months.

Conclusion

Both patient groups improved over the 12-month period. Non-Norwegian patients showed an overall higher level of pain, disability and lower HRQOL compared to Norwegian patients, with a differential effect over time as a function of nationality for disability and HRQOL. Suggesting that future studies should focus on potential systemic barriers that may affect the recovery of neck and back patients based on nationality.

目的：本研究旨在探讨非挪威籍和挪威籍颈背部疼痛患者在12个月内的疼痛、残疾和健康相关生活质量（HRQOL）轨迹的差异：研究以挪威颈背部登记处（NNRR）的数据为基础。数据包括人口统计学和患者报告的结果测量，如疼痛评分、Oswestry残疾指数和HRQOL。数据收集于专科医疗机构颈背部疼痛就诊后的基线、6个月和12个月：结果：共纳入 5012 名患者。我们发现，国籍对研究有重大影响。与挪威病人相比，非挪威病人的疼痛和残疾程度较高，HRQOL较低。在6个月和12个月的随访中，两组患者的三种结果均有所改善。疼痛方面的改善情况类似，头6个月的改善幅度最大，随后略微趋于平稳。在残疾和 HRQOL 方面，我们观察到随着时间的推移，不同国籍的影响也不同。两组患者在头6个月都有所改善，但挪威患者的改善持续到12个月，而非挪威患者在12个月时残疾程度增加，HRQOL降低：结论：两组患者的病情在12个月内都有所改善。与挪威病人相比，非挪威病人的疼痛、残疾和HRQOL总体水平较高，残疾和HRQOL随时间的推移会因国籍不同而产生不同的影响。这表明，今后的研究应根据国籍重点关注可能影响颈背部患者康复的潜在系统性障碍。

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引用次数: 0

Communicating safety-netting information in primary care physiotherapy consultations for people with low back pain 在初级保健物理治疗咨询中为腰背痛患者传达安全网信息。

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-19 DOI: 10.1016/j.msksp.2024.103192

Christopher Horler , Geraldine Leydon , Lisa Roberts

Background

Safety-netting involves communicating information to patients about diagnostic uncertainty, the likely time-course of their condition and how to appropriately seek help from a healthcare professional if their condition persists or worsens. Little is known about how physiotherapists communicate safety-netting information to people with low back pain (LBP).

Objectives

This research aimed to use a Safety-Netting Coding Tool (SaNCoT) to explore how physiotherapists communicate safety-netting information to people with LBP.

Methods

The SaNCoT was used to conduct a secondary analysis of audio-recordings and transcripts from 79 primary care physiotherapy consultations (41 initial and 38 follow-up) involving 12 physiotherapists and 41 patients with LBP in Southern England. Quantitative data from the SaNCoT were analysed descriptively.

Findings

The study found evidence of diagnostic uncertainty in 53 (67%) appointments and no examples of physiotherapists providing patients with specific information about their condition time-course. Eight patients were given safety-netting advice, but most (57.9%, n = 11) episodes of safety-netting advice did not include specific signs and symptoms for patients to monitor. Potential missed opportunities for safety-netting advice were identified in 19 appointments (24.1%) which tended to relate to the patient's associated leg symptoms but also included possible serious pathology.

Conclusion

The SaNCoT was successfully used to measure safety-netting communication within physiotherapy consultations and found missed opportunities for providing clear safety-netting advice. Physiotherapists can use the findings to reflect on how they can provide clear safety-netting information to patients with LBP to effectively support patients to self-manage and help them seek appropriate care if their condition deteriorates.

背景：安全网涉及向患者传达有关诊断不确定性、病情可能的时间进程以及在病情持续或恶化时如何适当寻求医疗保健专业人员帮助的信息。人们对物理治疗师如何向腰背痛患者传达安全网信息知之甚少：本研究旨在使用安全网编码工具（SaNCoT）探讨物理治疗师如何向腰背痛患者传达安全网信息：方法：使用 SaNCoT 对 79 次初级保健物理治疗咨询（41 次初诊和 38 次复诊）的录音和文字记录进行二次分析，涉及英格兰南部的 12 名物理治疗师和 41 名枸杞多糖症患者。对来自 SaNCoT 的定量数据进行了描述性分析：研究发现，53 次（67%）会诊存在诊断不确定性，物理治疗师未向患者提供有关其病情时间进程的具体信息。八名患者获得了安全网建议，但大多数（57.9%，n = 11）安全网建议并不包括患者需要监测的具体体征和症状。在19次预约（24.1%）中发现了可能错失的安全网建议机会，这些建议往往与患者相关的腿部症状有关，但也包括可能的严重病变：SaNCoT被成功地用于测量物理治疗咨询中的安全网沟通，并发现了在提供明确的安全网建议方面所错失的机会。物理治疗师可利用研究结果反思如何为腰椎间盘突出症患者提供清晰的安全网信息，以有效支持患者进行自我管理，并在病情恶化时帮助他们寻求适当的护理。

{"title":"Communicating safety-netting information in primary care physiotherapy consultations for people with low back pain","authors":"Christopher Horler , Geraldine Leydon , Lisa Roberts","doi":"10.1016/j.msksp.2024.103192","DOIUrl":"10.1016/j.msksp.2024.103192","url":null,"abstract":"<div><h3>Background</h3><div>Safety-netting involves communicating information to patients about diagnostic uncertainty, the likely time-course of their condition and how to appropriately seek help from a healthcare professional if their condition persists or worsens. Little is known about how physiotherapists communicate safety-netting information to people with low back pain (LBP).</div></div><div><h3>Objectives</h3><div>This research aimed to use a Safety-Netting Coding Tool (SaNCoT) to explore how physiotherapists communicate safety-netting information to people with LBP.</div></div><div><h3>Methods</h3><div>The SaNCoT was used to conduct a secondary analysis of audio-recordings and transcripts from 79 primary care physiotherapy consultations (41 initial and 38 follow-up) involving 12 physiotherapists and 41 patients with LBP in Southern England. Quantitative data from the SaNCoT were analysed descriptively.</div></div><div><h3>Findings</h3><div>The study found evidence of diagnostic uncertainty in 53 (67%) appointments and no examples of physiotherapists providing patients with specific information about their condition time-course. Eight patients were given safety-netting advice, but most (57.9%, n = 11) episodes of safety-netting advice did not include specific signs and symptoms for patients to monitor. Potential missed opportunities for safety-netting advice were identified in 19 appointments (24.1%) which tended to relate to the patient's associated leg symptoms but also included possible serious pathology.</div></div><div><h3>Conclusion</h3><div>The SaNCoT was successfully used to measure safety-netting communication within physiotherapy consultations and found missed opportunities for providing clear safety-netting advice. Physiotherapists can use the findings to reflect on how they can provide clear safety-netting information to patients with LBP to effectively support patients to self-manage and help them seek appropriate care if their condition deteriorates.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103192"},"PeriodicalIF":2.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246878122400287X/pdfft?md5=d0da9eb5f94103165312aae6e3822444&pid=1-s2.0-S246878122400287X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301852","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

Think fast, stay healthy? A narrative review of neurocognitive performance and lower extremity injury 快速思考，保持健康？神经认知表现与下肢损伤的叙述性回顾

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-17 DOI: 10.1016/j.msksp.2024.103186

Jason M. Avedesian

Background

Lower extremity (LE) injury has been problematic in athletic populations. While previous research has identified biomechanical and neuromuscular risk factors, more recent efforts have determined that neurocognitive performance (NP) may influence LE injury risk.

Objectives

To describe the present findings pertaining to the relationship between NP and LE injury. This review described potential cerebral neural mechanisms underpinning LE injury with a particular emphasis on the role of vision in sensorimotor integration. Lastly, newer technology such as stroboscopic eyewear, smartboards, and virtual/augmented reality were discussed for their utility in assessing and training NP.

Methods

Narrative review that described NP and LE injury, as well as plausible mechanisms and training interventions.

Results

NP appears to influence both LE biomechanics and LE injury risk. Athletes with worse NP demonstrated decreased knee flexion and increased frontal plane knee loading compared to better performing athletes. Most studies determined an association between NP and LE injury risk. Visual motor reaction time, processing speed, and working memory appear to be useful NP measures for identifying athletes at risk for LE injury. Various brain regions including the precuneus and lingual gyrus may be implicated as neural signatures for LE injury. While recently developed technology offer promise, far-transfer effects to LE injury risk reduction have yet to be substantially investigated.

Conclusions

NP should be considered an important component for identifying LE injury risk. Sports scientists and clinicians may consider a variety of assessments and interventions to quantify and train NP in conjunction with previously established protocols.

背景下肢（LE）损伤一直是运动人群中的一个问题。尽管之前的研究已经确定了生物力学和神经肌肉风险因素，但最近的研究发现神经认知能力（NP）可能会影响下肢损伤风险。这篇综述描述了支持 LE 损伤的潜在脑神经机制，并特别强调了视觉在感觉运动整合中的作用。最后，还讨论了频闪眼镜、智能板和虚拟/增强现实等新技术在评估和训练 NP 方面的实用性。结果NP 似乎影响 LE 生物力学和 LE 损伤风险。与表现较好的运动员相比，NP较差的运动员膝关节屈曲减少，膝关节前平面负荷增加。大多数研究确定 NP 与 LE 损伤风险之间存在关联。视觉运动反应时间、处理速度和工作记忆似乎是识别有 LE 损伤风险的运动员的有用 NP 测量指标。包括楔前回和舌回在内的多个脑区可能与 LE 损伤的神经特征有关。虽然最近开发的技术带来了希望，但对降低 LE 损伤风险的远期转移效果还有待深入研究。运动科学家和临床医生可以考虑采用各种评估和干预措施，结合先前制定的方案对 NP 进行量化和训练。

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引用次数: 0

Experimentally induced pain increases absolute but not relative errors and reduces variability in joint repositioning of the knee joint in healthy participants 实验诱导的疼痛会增加绝对误差，但不会增加相对误差，并降低健康参与者膝关节复位的可变性

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-17 DOI: 10.1016/j.msksp.2024.103188

Michalis A. Efstathiou , Stelios Hadjisavvas , Irene-Chrysovalanto Themistocleous , Katerina Daskalaki , Zoi Roupa , Savoula Ghobrial , Christoforos Giannaki , Christos Savva , Lee Herrington , Manos Stefanakis

Background

Joint position sense (JPS) plays an important role in knee joint function. Despite the possible influence of pain on the proprioceptive system, the effects of experimental muscle pain on knee JPS have not been studied.

Objectives

To investigate if experimentally induced muscle pain affects knee JPS in healthy participants.

Methods

Measurements of knee JPS were conducted before and after the injection of 5.8% sterile hypertonic saline in the vastus medialis muscle of 26 healthy physically active adults. Knee JPS was assessed through a passive/active repositioning paradigm in target angles of 15°, 45° and 60° using an isokinetic dynamometer. Absolute and relative angular errors were calculated. The coefficient of variation analysis was used to assess differences in the angles’ variability during the repositioning task.

Results

Absolute angular error increased in all three angles following experimentally induced pain. The difference was statistically significant at 45° (p = 0.003, d = 0.6) and 15° (p = 0.047, d = 0.4) but not at 60° (p = 0.064, d = 0.4). Relative error did not show directional bias at 45° (p = 0.272, d = 0.2), 15° (p = 0.483, d = 0.1) or 60° (p = 0.091, d = 0.3). The coefficient of variation analysis revealed a statistically significant reduction in variability at angles of 60° (p = 0.002, d = 0.7) and 15° (p = 0.031, d = 0.4) after the pain intervention.

Conclusion

The presence of experimentally induced muscle pain affects the ability of healthy participants to accurately reposition the knee at two angles of knee flexion and reduces movement variability during the repositioning task. Further research is required to determine if these deficits also impact patients with clinical knee pain.

背景关节位置感（JPS）在膝关节功能中发挥着重要作用。尽管疼痛可能对本体感觉系统产生影响，但实验性肌肉疼痛对膝关节JPS的影响尚未得到研究。方法在26名健康的运动型成年人的内侧阔肌注射5.8%无菌高渗盐水前后对膝关节JPS进行测量。使用等动测力计在15°、45°和60°目标角度下，通过被动/主动重新定位范例对膝关节JPS进行评估。计算了绝对和相对角度误差。结果在实验诱导疼痛后，所有三个角度的绝对角度误差都有所增加。在 45° (p = 0.003, d = 0.6) 和 15° (p = 0.047, d = 0.4) 时，这种差异具有统计学意义，但在 60° (p = 0.064, d = 0.4) 时，这种差异不具有统计学意义。相对误差在 45°（p = 0.272，d = 0.2）、15°（p = 0.483，d = 0.1）或 60°（p = 0.091，d = 0.3）时未显示出方向偏差。变异系数分析表明，在疼痛干预后，60°（p = 0.002，d = 0.7）和 15°（p = 0.031，d = 0.4）角度的变异性在统计学上显著降低。要确定这些缺陷是否也会影响临床膝关节疼痛患者，还需要进一步的研究。

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引用次数: 0

The Patient Specific Functional Scale - Brazil as an instrument for the functional assessment of patients with chronic non-specific low back pain: Construct validity (hypothesis testing and structural validity) and test-retest reliability 患者特定功能量表--巴西，作为慢性非特异性腰背痛患者功能评估的工具：结构效度（假设检验和结构效度）和重复测试可靠性

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-17 DOI: 10.1016/j.msksp.2024.103190

Milton Ricardo de Medeiros Fernandes , Rafael Inacio Barbosa , Lais Mara Siqueira das Neves , Heloyse Uliam Kuriki , Alexandre Marcio Marcolino

The objective was to assess the validity and reliability of the Patient-Specific Functional Scale-Brazil (PSFS-B) in patients with non-specific chronic low back pain. A methodological study was conducted, and 101 volunteers with chronic non-specific low back pain were interviewed and asked to complete the PSFS-B questionnaire and the Oswestry Disability Index-Brazil 2.0 reference questionnaire. The Oswestry Disability Index-Brazil 2.0 is a standardized tool used to assess functional disability of the lumbar spine. A new assessment (follow-up) was conducted one week later using the same instruments. The COSMIN checklist was utilized as a guide. Two questionnaires were employed to assess patients: the Patient-Specific Functional Scale-Brazil (PSFS-Br) and the Oswestry Disability Index-Brazil 2.0 (ODI-Br). Data were analyzed to assess construct validity (hypothesis testing and structural validity), internal consistency, and test-retest reliability. The statistical methods employed included Pearson's correlation coefficient, confirmatory factorial analysis, Cronbach's alpha, and intraclass correlation coefficient. The results of the Patient-Specific Functional Scale-Brazil demonstrated a moderate negative correlation with the ODI-Br in hypothesis testing (r = −0.691 and r = −0.754) and in structural validity (Comparative Fit Index (0.986), Tucker-Lewis Index (0.958), Root Mean Square Error of Approximation (0.194), and Standardized Root Mean Square Residual (0.134). Furthermore, the instrument demonstrated excellent internal consistency (α = 0.951) and test-retest reliability (intraclass correlation coefficient = 0.978), and was additionally validated by the Bland-Altman plot (0.125). In conclusion, the Patient-Specific Functional Scale-Brazil is a valid and reliable tool for the evaluation and follow-up of patients with non-specific chronic low back pain.

目的是评估巴西患者特异性功能量表（PSFS-B）在非特异性慢性腰背痛患者中的有效性和可靠性。研究人员对 101 名患有慢性非特异性腰背痛的志愿者进行了访谈，并要求他们填写 PSFS-B 问卷和 Oswestry Disability Index-Brazil 2.0 参考问卷。Oswestry Disability Index-Brazil 2.0 是用于评估腰椎功能性残疾的标准化工具。一周后使用相同的工具进行新的评估（随访）。COSMIN 检查表被用作指南。评估患者时使用了两份问卷：巴西患者特定功能量表（PSFS-Br）和巴西奥斯韦特里残疾指数 2.0（ODI-Br）。对数据进行了分析，以评估构建有效性（假设检验和结构有效性）、内部一致性和测试-再测可靠性。采用的统计方法包括皮尔逊相关系数、确证因子分析、克朗巴赫α和类内相关系数。在假设检验（r = -0.691 和 r = -0.754）和结构效度（比较拟合指数（0.986）、塔克-刘易斯指数（0.958）、近似均方根误差（0.194）和标准化均方根残差（0.134））方面，巴西患者特定功能量表与 ODI-Br 的结果呈中度负相关。此外，该工具还表现出极佳的内部一致性（α = 0.951）和测试-再测试可靠性（类内相关系数 = 0.978），并通过布兰德-阿尔特曼图（0.125）得到进一步验证。总之，巴西患者特异性功能量表是评估和随访非特异性慢性腰背痛患者的有效而可靠的工具。

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引用次数: 0

The association between insomnia and musculoskeletal problems in employees of an automotive company in Tehran, Iran 伊朗德黑兰一家汽车公司员工失眠与肌肉骨骼问题之间的关系

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-16 DOI: 10.1016/j.msksp.2024.103189

Shima Jamialahmadi , Zahra Banafsheh Alemohammad , Seyed Akbar Sharifian , Ramin Mehrdad

Objectives

The purpose of this study was to examine the association between insomnia and the number of pain areas among employees of an automotive company. Secondary aim was to examine the association between depression, anxiety, and stress, and musculoskeletal pain independent of insomnia.

Material and methods

We performed a cross-sectional study conducted in an automobile manufacturing factory. To collect data, we used the Nordic Musculoskeletal Questionnaire, ISI (Insomnia Severity Index), and DASS-21 (Depression, Anxiety, and Stress Scale). The univariate and multiple association analyses were performed using ordinal logistic regression adjusted for gender, age, industrial/non-industrial, sport activity, pack year, educational level, years of employment, anxiety, stress, and depression.

Result

In individuals with insomnia, the lower back was the most common area where pain was reported (59.5%). In all areas, pain symptoms were significantly more prevalent in individuals with insomnia compared to those without insomnia. Insomnia was associated with having pain with an increased odds of number of pain sites (odds ratio [OR] 2.81,95%CI 2.34–3.39). In ordinal logistic regression, there was an association between insomnia and pain, independent of the effects of depression, anxiety, and stress (OR 2.21,95%CI 1.52–3.23).

Discussion

Insomnia was associated with pain in all regions of the body and a higher prevalence of pain in multiple areas. The insomnia-pain association was independent of depression, anxiety, and stress.

本研究的目的是调查一家汽车公司员工失眠与疼痛部位数量之间的关系。材料和方法我们在一家汽车制造厂进行了一项横断面研究。为了收集数据，我们使用了北欧肌肉骨骼问卷、ISI（失眠严重程度指数）和 DASS-21（抑郁、焦虑和压力量表）。在对性别、年龄、工业/非工业、体育活动、包年、教育程度、工作年限、焦虑、压力和抑郁进行调整后，使用序数逻辑回归法进行了单变量和多重关联分析。结果在失眠患者中，下背部是最常见的疼痛部位（59.5%）。在所有部位中，失眠患者的疼痛症状明显多于无失眠者。失眠与疼痛的相关性与疼痛部位数量的几率增加有关（几率比 [OR] 2.81，95%CI 2.34-3.39）。在顺序逻辑回归中，失眠与疼痛之间存在关联，不受抑郁、焦虑和压力的影响（OR 2.21，95%CI 1.52-3.23）。失眠与疼痛的关系与抑郁、焦虑和压力无关。

{"title":"The association between insomnia and musculoskeletal problems in employees of an automotive company in Tehran, Iran","authors":"Shima Jamialahmadi , Zahra Banafsheh Alemohammad , Seyed Akbar Sharifian , Ramin Mehrdad","doi":"10.1016/j.msksp.2024.103189","DOIUrl":"10.1016/j.msksp.2024.103189","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study was to examine the association between insomnia and the number of pain areas among employees of an automotive company. Secondary aim was to examine the association between depression, anxiety, and stress, and musculoskeletal pain independent of insomnia.</p></div><div><h3>Material and methods</h3><p>We performed a cross-sectional study conducted in an automobile manufacturing factory. To collect data, we used the Nordic Musculoskeletal Questionnaire, ISI (Insomnia Severity Index), and DASS-21 (Depression, Anxiety, and Stress Scale). The univariate and multiple association analyses were performed using ordinal logistic regression adjusted for gender, age, industrial/non-industrial, sport activity, pack year, educational level, years of employment, anxiety, stress, and depression.</p></div><div><h3>Result</h3><p>In individuals with insomnia, the lower back was the most common area where pain was reported (59.5%). In all areas, pain symptoms were significantly more prevalent in individuals with insomnia compared to those without insomnia. Insomnia was associated with having pain with an increased odds of number of pain sites (odds ratio [OR] 2.81,95%CI 2.34–3.39). In ordinal logistic regression, there was an association between insomnia and pain, independent of the effects of depression, anxiety, and stress (OR 2.21,95%CI 1.52–3.23).</p></div><div><h3>Discussion</h3><p>Insomnia was associated with pain in all regions of the body and a higher prevalence of pain in multiple areas. The insomnia-pain association was independent of depression, anxiety, and stress.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103189"},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142273978","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

Clinical recognition of the role of the cervical spine in signs and symptoms of altered sensorimotor control 临床认识颈椎在感觉运动控制改变的体征和症状中的作用

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-16 DOI: 10.1016/j.msksp.2024.103187

Julia Treleaven

Together with visual and vestibular input the cervical spine is vital for sensorimotor control of head and eye movement control, general body postural stability adjustments and co-ordination.

Altered cervical input in persons with neck disorders can lead to signs and symptoms of impaired sensorimotor control across and within several domains. Clinical assessment for differential diagnosis and to direct management of cervical related altered sensorimotor control is clearly required in many patients. This applies not only to patients with neck disorders but also in patients with, for example vestibular disorders or concussion, presenting with signs and symptoms of altered sensorimotor control where the cervical spine may have a role to play.

This paper explores the research and current knowledge in relation to clinical measures of cervical related sensorimotor control. The feasibility, responsiveness, comparison to gold standards and potential of clinical measures of cervical related sensorimotor control to assist in differential diagnosis are considered where relevant. Future research directions should examine the full complement of psychometric properties of tests and consideration of any relationships of these measures to pain, dizziness, trauma and functional implications. Development of other measures as well as use in assessing response post management are also important directions.

These clinical measures, along with a skilled interview and cervical musculoskeletal examination will enable clinicians to recognise and manage impaired cervical sensorimotor control in patients with neck disorders as well as determine the role of the cervical spine in many patients presenting with signs and symptoms of altered sensorimotor control.

颈椎与视觉和前庭输入一起，对于头部和眼部运动控制、全身姿势稳定性调整和协调等感官运动控制至关重要。颈部疾病患者的颈椎输入改变可导致多个领域内感官运动控制受损的体征和症状。许多患者显然需要进行临床评估，以进行鉴别诊断，并指导治疗与颈椎相关的感觉运动控制改变。这不仅适用于颈部疾病患者，也适用于前庭功能障碍或脑震荡等患者，这些患者会出现感觉运动控制改变的体征和症状，而颈椎可能在其中发挥了作用。本文探讨了与颈椎相关的感觉运动控制临床测量方法的可行性、响应性、与黄金标准的比较以及协助鉴别诊断的潜力。未来的研究方向应检查测试的全部心理测量特性，并考虑这些测量与疼痛、头晕、外伤和功能影响之间的关系。这些临床测量方法以及熟练的访谈和颈部肌肉骨骼检查将使临床医生能够识别和处理颈部疾病患者受损的颈部感觉运动控制能力，并确定颈椎在许多出现感觉运动控制能力改变的体征和症状的患者中的作用。

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引用次数: 0

Morphological and mechanical properties of cervical muscles in fibromyalgia with migraine: A case-control study 纤维肌痛伴偏头痛患者颈部肌肉的形态和机械特性：病例对照研究

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice

Pub Date : 2024-09-14 DOI: 10.1016/j.msksp.2024.103185

Mehtap Balaban , Seyda Toprak Celenay , Nida Lalecan , Selcuk Akan , Derya Ozer Kaya

Background

The precise manner in which morphological and mechanical properties of cervical muscles in patients with fibromyalgia and migraine are affected remains unclear.

Objectives

The objective of this study was to compare the morphological and mechanical properties of cervical muscles in individuals diagnosed with fibromyalgia who also experience migraine headaches with those who do not.

Methods

The study included two groups of fibromyalgia patients: one with migraine (n = 18, age = 44.7 ± 7.5 years, body mass index = 28.7 ± 6.9 kg/m²) and one without migraine (n = 21, age = 42.6 ± 9.5 years, body mass index = 25.1 ± 4.4 kg/m²). Body pain intensity related to fibromyalgia and migraine attack severity were evaluated with a Visual Analog Scale (VAS). The cervical muscle morphological and mechanical properties, including thickness, cross-sectional area (CSA), and stiffness, were measured using ultrasound imaging.

Results

It was found that there was a greater decrease in longus colli muscle CSA scores (p = 0.004) and a greater increase in upper trapezius muscle stiffness scores (p = 0.013) in the fibromyalgia + migraine group compared to the fibromyalgia group. No statistically significant differences were observed in trapezius muscle thickness (p = 0.261), sternocleidomastoid muscle thickness (p = 0.874), multifidus CSA (p = 0.963), or sternocleidomastoid muscle stiffness (p = 0.642) between the two groups.

Conclusion

Patients with fibromyalgia and migraine exhibited diminished longus colli muscle CSA and heightened upper trapezius muscle stiffness compared to those with fibromyalgia but no migraine. It should be considered that migraine comorbidity in fibromyalgia may negatively affect cervical muscle morphological and mechanical properties.

背景纤维肌痛和偏头痛患者颈部肌肉的形态和机械特性受影响的确切方式仍不清楚。目的本研究的目的是比较被诊断为纤维肌痛并伴有偏头痛的患者与未被诊断为纤维肌痛并伴有偏头痛的患者颈部肌肉的形态和机械特性。方法该研究包括两组纤维肌痛患者：一组有偏头痛（n = 18，年龄 = 44.7 ± 7.5 岁，体重指数 = 28.7 ± 6.9 kg/m2），另一组无偏头痛（n = 21，年龄 = 42.6 ± 9.5 岁，体重指数 = 25.1 ± 4.4 kg/m2）。采用视觉模拟量表（VAS）评估与纤维肌痛和偏头痛发作严重程度相关的身体疼痛强度。结果发现，与纤维肌痛组相比，纤维肌痛+偏头痛组的副长肌CSA评分下降幅度更大（p = 0.004），斜方肌上端的肌肉僵硬度评分增加幅度更大（p = 0.013）。两组患者在斜方肌厚度（p = 0.261）、胸锁乳突肌厚度（p = 0.874）、多裂肌CSA（p = 0.963）或胸锁乳突肌僵硬度（p = 0.642）方面均无统计学差异。结论与患有纤维肌痛但无偏头痛的患者相比，患有纤维肌痛并伴有偏头痛的患者表现出背长肌CSA减小、斜方肌上部肌肉僵硬度增高。应考虑到纤维肌痛合并偏头痛可能会对颈部肌肉的形态和机械特性产生负面影响。

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引用次数: 0