Musculoskeletal Science and Practice最新文献

{"title":"Precision of trunk movement in people with chronic low back pain","authors":"Meta H. Wildenbeest ,&nbsp;Maarten R. Prins ,&nbsp;Lammert A. Vos ,&nbsp;Henri Kiers ,&nbsp;Matthijs Tuijt ,&nbsp;Jaap H. van Dieën","doi":"10.1016/j.msksp.2024.103165","DOIUrl":"10.1016/j.msksp.2024.103165","url":null,"abstract":"<div><h3>Background</h3><p>Motor control exercise is commonly applied in people with chronic low back pain (CLBP), but possibly not all people with CLBP have motor control impairments. We suggest movement precision as measure to identify motor control impairments. Movement precision has been operationalized as trunk movement variability (TMV) and as trunk tracking error(s) (TTE). <em>Objectives</em>: To compare the known-group validity and the responsiveness of TMV and TTE.</p></div><div><h3>Design</h3><p>We used a case-control comparison (Healthy controls (n = 30) vs CLBP (n = 60)) to assess the known-group validity. A cohort study, (measurements in week 3 and week 12 of treatment), was used to assess responsiveness.</p></div><div><h3>Methods</h3><p>TMV (temporal (CyclSD) and spatial (MeanSD)) was analyzed during standing, repetitive flexion and rotation tasks (35x). TTE was measured during movement target tracking tasks, again in flexion and rotation. Participants with CLBP followed a multidisciplinary intervention and both measures were assessed in week 3 and week 12 of treatment. 2-way MANOVA and 2-way ANOVA were used to assess the effect of Group (CLBP vs healthy controls) and direction (flexion vs rotation) on TMV and TTE. For responsiveness, 2-way MANOVA and 2-way ANOVA were used to assess the effect of treatment and direction on both measures.</p></div><div><h3>Findings</h3><p>At baseline, TMV was not different between groups, while TTE was higher in the people with CLBP (p = 0.005, n_p² = 0.09). Treatment strongly decreased temporal TMV (p = 0.025, n_p² = 0.33) and TTE (p &lt; 0.001, n_p² = 0.844).</p></div><div><h3>Conclusions</h3><p>These results demonstrate that TTE is more sensitive to CLBP and more responsive to treatment than TMV.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103165"},"PeriodicalIF":2.2,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002601/pdfft?md5=fbab7f35423821daaf5152cfd3553f82&pid=1-s2.0-S2468781224002601-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006315","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}

{"title":"Comparative effectiveness of Maitland Spinal Mobilization versus myofascial techniques on pain and symptom severity in women with Fibromyalgia syndrome: A quasi-randomized clinical trial with 3-month follow up","authors":"Elena Cabezas-Yagüe ,&nbsp;Oliver Martínez-Pozas ,&nbsp;Rodrigo Gozalo-Pascual ,&nbsp;Elisa Muñoz Blanco ,&nbsp;Raquel Lopez Paños ,&nbsp;Laura Jiménez-Ortega ,&nbsp;Juan Nicolás Cuenca-Zaldívar ,&nbsp;Eleuterio A. Sánchez Romero","doi":"10.1016/j.msksp.2024.103160","DOIUrl":"10.1016/j.msksp.2024.103160","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this experimental study was to determine which manual therapy approach is more effective in addressing health status by improving symptoms (sensory, cognitive, emotional, and social) in patients with fibromyalgia.</p></div><div><h3>Material and methods</h3><p>A quasi-randomized clinical trial with 3-month follow-up was conducted in 52 female patients (age 52.5 ± 8.1 years) affected by rheumatologist-diagnosed Fibromyalgia and evaluated at the Asociación de Fibromialgia y Síndrome de Fatiga Crónica (AFINSYFACRO) in Móstoles and AFIBROM, Madrid, Spain. Two manual therapy approaches were applied: the myofascial technique approach (MTA) and Maitland Mobilization Approach (MMA). The study examined the following outcomes: Widespread Pain, Symptom Severity, Impact on Quality of Life, Perceived Pain, Sensitization-Associated Pain, Sleep Quality, Physical Activity, and Psychological, Cognitive, and Emotional Factors. Patient Satisfaction was also assessed.</p></div><div><h3>Results</h3><p>No significant differences were found between groups over time for most variables. However, the MTA group showed significant improvements in pain intensity, central sensitization, general health, sleep quality, and anxiety compared with the MMA group.</p></div><div><h3>Conclusions</h3><p>Despite the lack of between-group differences in all variables over time, MTA may be useful in the treatment of fibromyalgia, reducing pain, central sensitization, and negative emotional symptoms, as well as improving general health and sleep quality. Due to problems during the study, randomization was abandoned. This problem becomes a virtue by taking advantage of the situation to apply statistical compensation methods, which will serve as a guide for future research that suffers from this problem. We suggest the inclusion of longer follow-up periods in future studies.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103160"},"PeriodicalIF":2.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002558/pdfft?md5=88eb4d32bf7cb6f6e103ad26c111b5a7&pid=1-s2.0-S2468781224002558-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142050246","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}

{"title":"The prevalence of cervical contribution in patients reporting shoulder pain. An observational study","authors":"Alberto Roldán-Ruiz ,&nbsp;Javier Bailón-Cerezo ,&nbsp;Deborah Falla ,&nbsp;María Torres-Lacomba","doi":"10.1016/j.msksp.2024.103158","DOIUrl":"10.1016/j.msksp.2024.103158","url":null,"abstract":"<div><h3>Background</h3><p>Shoulder pain is the third most common musculoskeletal disorder yet diagnosis remains challenging. In some cases, shoulder symptoms can be partially attributed to a cervical origin.</p></div><div><h3>Objectives</h3><p>To estimate the prevalence of cervical contribution in patients presenting with shoulder pain. To determine symptom reproduction and symptom modification (i.e., pain intensity and pain location) after cervical spine screening (CSS) and compare these changes between patients with and without cervical contribution.</p></div><div><h3>Design</h3><p>Observational study.</p></div><div><h3>Method</h3><p>Sixty patients were included. Cervical contribution was present if a ≥30.0% change in shoulder pain intensity on active movement was recorded after CSS. The CSS consisted of several tests and shoulder symptom modification or reproduction was noted. The presence of a centralization phenomenon was also noted and was considered to be present if the location of pain diminished from more distal areas after the CSS.</p></div><div><h3>Results</h3><p>A 50.0% prevalence of cervical contribution (CI95% 37,35–62,65) was found. Cervical contribution was more likely in those that demonstrated centralization of their pain after the CSS (p = 0.002) and those that had a history of previous neck pain (p = 0.007). Symptom reproduction occurred for 23 out of the 60 participants (38.3%), being present in 18 of those with cervical contribution (60.0%). After the CSS, a statistically significant decrease of shoulder pain intensity was found for those classified as having cervical contribution (p &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>Cervical contribution is prevalent in 50% of patients presenting with shoulder pain; this was evidenced as shoulder symptom modification and, to a lesser extent, symptom reproduction following a CSS.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103158"},"PeriodicalIF":2.2,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908485","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}

{"title":"Development of an aid to detect adults acetabular hip dysplasia (the ALPHA alert): A mixed methods study","authors":"Elizabeth M. Evans,&nbsp;Shea Palmer,&nbsp;Tina Gambling,&nbsp;Valerie Sparkes,&nbsp;Davina Allen","doi":"10.1016/j.msksp.2024.103157","DOIUrl":"10.1016/j.msksp.2024.103157","url":null,"abstract":"<div><h3>Objectives</h3><p>To identify the signs and symptoms that people living with acetabular hip dysplasia (AHD) describe and to provide an aid for translating the findings into practice.</p></div><div><h3>Methods</h3><p>A three-phased mixed methods study. Phase 1 employed an open-question online survey that enabled people with AHD (aged ≥16 years) to describe features associated with their condition. Responses were thematically analysed. A Phase 2 survey used these themes to establish how common those features were. Phase 3 created a mnemonic that prompts clinicians to suspect AHD.</p></div><div><h3>Results</h3><p>Ninety-eight respondents completed Phase 1 and sixty-two completed Phase 2. From the responses, five themes were identified: Demographic and Diagnostic Profile; Characteristics of Posture and Gait; Pain; Childhood Hip and Family History; and Hip Joint Characteristics. Within these themes, 19 common signs and symptoms were reported, represented by the ALPHA mnemonic. ALPHA describes a young age at onset of problems (<strong>A</strong>ge), a limp (<strong>L</strong>imp), progressing pain (<strong>P</strong>ain), a history of childhood and family hip anomalies (<strong>H</strong>istory) as well as hip joint hypermobility and instability (<strong>A</strong>rticulation).</p></div><div><h3>Conclusion</h3><p>The findings extend current understanding of AHD indicators. ALPHA alerts clinicians to suspect a diagnosis of AHD. ALPHA may facilitate timelier referral of patients for diagnostic X-Ray and appropriate treatment. Future studies should evaluate its clinical utility.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103157"},"PeriodicalIF":2.2,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903658","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}

{"title":"Feasibility of interdisciplinary evaluation in non-arthritic hip pain: A randomized trial","authors":"Sarah Depp ,&nbsp;Lindsey Brown ,&nbsp;Catherine Quatman-Yates ,&nbsp;Randi Foraker ,&nbsp;Emily S. Patterson ,&nbsp;W. Kelton Vasileff ,&nbsp;Stephanie Di Stasi","doi":"10.1016/j.msksp.2024.103154","DOIUrl":"10.1016/j.msksp.2024.103154","url":null,"abstract":"<div><h3>Background</h3><p>Physical therapy and orthopaedic surgery are two common treatments for non-arthritic hip pain. Interdisciplinary evaluation across these disciplines may produce a more supportive treatment-planning process; however, the feasibility of such an evaluation remains unknown.</p></div><div><h3>Hypothesis Objective</h3><p>To assess the feasibility of an interdisciplinary evaluation with an orthopaedic surgeon and physical therapist for non-arthritic hip pain.</p></div><div><h3>Study design</h3><p>Observational feasibility study of a randomized controlled trial.</p></div><div><h3>Methods</h3><p>Participants were randomized to an interdisciplinary (surgeon + physical therapist) or standard (surgeon) evaluation in a hip preservation clinic. Recruitment rate was recorded. Retention rate was calculated for all variables of interest. Enrollment and refusal reasons were recorded as patient quotes and categorized by a single grader. Time spent in clinic was compared across groups using Mann Whitney U tests (P ≤ 0.05). Study clinicians were interviewed, and responses were categorized based on pre-determined themes.</p></div><div><h3>Results</h3><p>Eighty-one percent of eligible patients enrolled over a 15-month recruitment period. Willingness(n = 16), urgency to resolve pain(n = 10), financial compensation(n = 1), interest in research(n = 42), physical therapy(n = 6), or multiple-provider care(n = 15) were participants’ enrollment reasons; reason was not recorded for 22 participants. Time(n = 11), preference for single-provider care(n = 6), current physical therapy treatment(n = 1), and disinterest in physical therapy(n = 7) or research(n = 2) were refusal reasons of patients who did not enroll. Retention for primary variables of interest was 100% in both groups. Participants spent, on average, 23.5 min more time in clinic for the interdisciplinary evaluation compared to the standard (P &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>An interdisciplinary evaluation for patients with non-arthritic hip pain that included a physical therapist and orthopaedic surgeon in a hip preservation clinic was feasible and may better inform the treatment planning process.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103154"},"PeriodicalIF":2.2,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002492/pdfft?md5=80371b8cca4cb6ccd5f8fe4474b1720a&pid=1-s2.0-S2468781224002492-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908484","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}

{"title":"Assessment of joint position sense in active and passive modes with various elbow flexion angles and movement speeds using an isokinetic dynamometer","authors":"Yi-Jung Tsai ,&nbsp;Ting-Chien Tsai ,&nbsp;Tzu-Chun Chung ,&nbsp;Chih-Kun Hsiao ,&nbsp;Yuan-Kun Tu","doi":"10.1016/j.msksp.2024.103153","DOIUrl":"10.1016/j.msksp.2024.103153","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Objective</h3><p>To compare elbow joint position sense between active and passive reproduction tasks under different matching speeds and reference targets.</p></div><div><h3>Design</h3><p>A cross-sectional study.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103153"},"PeriodicalIF":2.2,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839763","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}

{"title":"Physical therapists’ perceptions and attitudes towards artificial intelligence in healthcare and rehabilitation: A qualitative study","authors":"Lama Shawli ,&nbsp;Mashael Alsobhi ,&nbsp;Mohamed Faisal Chevidikunnan ,&nbsp;Sheeba Rosewilliam ,&nbsp;Reem Basuodan ,&nbsp;Fayaz Khan","doi":"10.1016/j.msksp.2024.103152","DOIUrl":"10.1016/j.msksp.2024.103152","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Objectives</h3><p>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<strong>.</strong></p></div><div><h3>Design and Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103152"},"PeriodicalIF":2.2,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782550","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}

{"title":"Words matter: Effects of instructional cues on pressure pain threshold values in healthy people","authors":"David W. Evans ,&nbsp;Emily Mear ,&nbsp;Bradley S. Neal ,&nbsp;Sally Waterworth ,&nbsp;Bernard X.W. Liew","doi":"10.1016/j.msksp.2024.103150","DOIUrl":"10.1016/j.msksp.2024.103150","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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]).</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103150"},"PeriodicalIF":2.2,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002455/pdfft?md5=f8785fe971ebdfd950cb5f555de73a37&pid=1-s2.0-S2468781224002455-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782551","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}

{"title":"Item generation for a new patient-reported outcome measure: The non-traumatic anterior knee pain (AKP)-YOUTH scale","authors":"Marie Germund Nielsen ,&nbsp;Kristian Damgaard Lyng ,&nbsp;Sinead Holden ,&nbsp;Simon Kristoffer Johansen ,&nbsp;Marinus Winters ,&nbsp;Michael Skovdal Rathleff","doi":"10.1016/j.msksp.2024.103151","DOIUrl":"10.1016/j.msksp.2024.103151","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Participants</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103151"},"PeriodicalIF":2.2,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002467/pdfft?md5=0eb4b9bf4e6b4ecfc6a7794b7e4e925d&pid=1-s2.0-S2468781224002467-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141786224","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}

{"title":"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","authors":"Adam Walker ,&nbsp;Larissa Sattler ,&nbsp;Samuel Heyward ,&nbsp;Jordan Tedesco ,&nbsp;Zachariah Jones ,&nbsp;Corey D'Lima ,&nbsp;Caroline Higham ,&nbsp;Sophie Cuthbert ,&nbsp;Wayne Hing","doi":"10.1016/j.msksp.2024.103149","DOIUrl":"10.1016/j.msksp.2024.103149","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Study design</h3><p>Case Series.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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).</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103149"},"PeriodicalIF":2.2,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762948","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}