Musculoskeletal Science and Practice
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Paru le : 01/12/2022
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Ajouter le résultat dans votre panierExperiences and needs of physiotherapists and exercise therapists regarding the management of working people with complaints of the arm, neck and shoulder (CANS): A focus group study / Jaap J. Brunnekreef ; Anita Feleus ; Harald S. Miedema ; J. Bart Staal ; Nathan Hutting in Musculoskeletal Science and Practice, Vol. 62 (December 2022)
Titre : Experiences and needs of physiotherapists and exercise therapists regarding the management of working people with complaints of the arm, neck and shoulder (CANS): A focus group study Type de document : Article Auteurs : Jaap J. Brunnekreef ; Anita Feleus ; Harald S. Miedema ; J. Bart Staal ; Nathan Hutting Année de publication : 2022 Article en page(s) : 102644 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Bras ; Cou ; Epaule ; Groupes de discussion ; Plaies et blessures ; Techniques de physiothérapie ; Traitement par les exercices physiquesRésumé : Background Non-traumatic complaints of the arm, neck and/or shoulder (CANS) are difficult-to-treat musculoskeletal conditions. CANS treatment has varying degrees of success, particularly in the working population. Objectives To evaluate the experiences and needs of physiotherapists (PTs) and exercise therapists (ETs) regarding the treatment of working patients with CANS. Design An exploratory qualitative focus group study was conducted. Method Qualitative data were collected from 27 therapists who were purposefully recruited for their broad range of experience and qualifications. The data was analysed using thematic analysis. Results Both PTs and ETs assess CANS extensively by exploring their patients' psychosocial factors, work-related factors, illness beliefs, and working conditions. Therapists apply hands-off treatment interventions, such as coaching the patient to make behavioural changes and providing self-management support. However, therapists experience many difficulties in these areas, resulting in a need to learn more about coaching techniques for behavioural change, engaging in meaningful conversations about the patient's perspective, supporting patients in building a strong social network in the workplace, and creating a professional network for collaboration. Conclusions The treatment of working people with CANS is difficult for PTs and ETs. Therapists express a need to learn more about supporting self-management, applying coaching techniques and engaging in meaningful conversations. Moreover, therapists indicate a need to establish a professional multidisciplinary network to support collaborations with other disciplines to treat working patients with CANS. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300437
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102644[article]
Titre : Delegation of workload from musculoskeletal physiotherapists to physiotherapy assistants/support workers: A UK online survey Type de document : Article Auteurs : P. Sarigiovannis ; N.E. Foster ; S. Jowett ; B. Saunders Année de publication : 2022 Article en page(s) : 102631 Langues : Anglais (eng) Descripteurs : HE Vinci
Charge de travail ; Compétence ; Enquête ; Royaume-Uni ; Techniques de physiothérapie ; ThérapeutesRésumé : Purpose There are approximately 9000 physiotherapy assistants/support workers in the UK. Many of them work in NHS physiotherapy outpatient services treating patients with musculoskeletal conditions, but their role(s) are relatively undefined and as such there is considerable variation in the duties and tasks they undertake. This study aimed to explore current practice of UK musculoskeletal physiotherapists in relation to delegation to physiotherapy assistants/support workers. Methods An online cross-sectional descriptive survey was designed and collected data on delegation practice and training in delegation. The survey was piloted with 10 physiotherapists. The final questionnaire was distributed via the interactive Chartered Society of Physiotherapy's website and the authors' professional networks via Twitter. Responses were collected over a five-week-period from October to November 2020. Results Of 302 survey responses, 232 were analysed (46 incomplete, 24 ineligible). The majority of respondents (66.3%, 154/232) had worked as physiotherapists for over 10 years. Most respondents indicated they had neither formal training (84%, 195/232) nor informal training (60.3%, 140/232) regarding how to delegate tasks. The clinical tasks most commonly delegated by physiotherapists were supervision of exercises (81.0%, 188/232) and walking aid provision (78.5%, 182/232) whereas the least delegated clinical task was the application of electrotherapy (19.8%, 46/232). Conclusion These survey results provide evidence for the need to improve training in delegation for both physiotherapists and physiotherapy assistants, and to ensure clearer delegation processes to facilitate good delegation practice in the musculoskeletal setting. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300438
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102631[article]
Titre : Flexion-rotation test and C0?C2 axial rotation test. Are they equally reliable for novice clinicians? Type de document : Article Auteurs : Ignacio Elizagaray-García ; Laura Perez-Garcia ; Ricardo Párraga-Delgado ; Fernando Javier-Valverde ; Kerstin Luedtke ; Alfonso Gil-Martínez Année de publication : 2022 Article en page(s) : 102625 Langues : Anglais (eng) Mots-clés : The C0?C2 axial rotation test Upper cervical spine Flexion-rotation test Reliability Agreement Résumé : Objective To analyse the inter- and intra-examiner reliability for the neck flexion-rotation test and the C0?C2 axial rotation test when applied in asymptomatic subjects by two novice physiotherapists. Design Repeated measures reliability study design. The study was approved by the Research Ethics Committee of [X], in compliance with the Declaration of Helsinki (CSEULS-PI: 004/2020). Methods 32 asymptomatic adults were included, recruited by convenience sampling. Two sessions were scheduled for each subject, with an intersession break of 30 min. Two inexperienced raters blinded to their own previous and peer results performed three movements to both sides using the flexion-rotation test and the C0?C2 axial rotation test in randomised order of rater, test and direction. A third researcher collected the data measured by inertial sensors and displayed to the Pro Motion Capture software. Results Both raters showed good-excellent intra-examiner reliability (ICC(2,3) ranging from 0.88 to 0.94) and moderate to good inter-examiner reliability (ICC(2,3) ranging from 0.58 to 0.86) to measure the rotation ROM with the FRT. The C0?C2 axial rotation test resulted in poor to moderate intra-examiner reliability (ICC(2,3) ranging from 0.33 to 0.74) and poor inter-examiner reliability using (ICC(2,3) ranging from 0.16 to 0.37). Conclusion Although performed by novice raters, the FRT showed good to excellent intra and inter-examiner reliability. Results for the C0?C2 axial rotation test were less reliable. We suggest that novice physiotherapists use the FRT instead of the C0?C2 axial rotation test in order to determine C1?C2 dysfunction. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300439
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102625[article]
Titre : Avoiding nocebo and other undesirable effects in chiropractic, osteopathy and physiotherapy: An invitation to reflect Type de document : Article Auteurs : David Hohenschurz-Schmidt ; Oliver P. Thomson ; Giacomo Rossettini ; Maxi Miciak ; Dave Newell ; Lisa Roberts ; Lene Vase ; Jerry Draper-Rodi Année de publication : 2022 Article en page(s) : 102677 Langues : Anglais (eng) Mots-clés : Nocebo Adverse events Physiotherapy Manual Therapy Résumé : Introduction While the placebo effect is increasingly recognised as a contributor to treatment effects in clinical practice, the nocebo and other undesirable effects are less well explored and likely underestimated. In the chiropractic, osteopathy and physiotherapy professions, some aspects of historical models of care may arguably increase the risk of nocebo effects. Purpose In this masterclass article, clinicians, researchers, and educators are invited to reflect on such possibilities, in an attempt to stimulate research and raise awareness for the mitigation of such undesirable effects. Implications This masterclass briefly introduces the nocebo effect and its underlying mechanisms. It then traces the historical development of chiropractic, osteopathy, and physiotherapy, arguing that there was and continues to be an excessive focus on the patient's body. Next, aspects of clinical practice, including communication, the therapeutic relationship, clinical rituals, and the wider social and economic context of practice are examined for their potential to generate nocebo and other undesirable effects. To aid reflection, a model to reflect on clinical practice and individual professions through the ?prism? of nocebo and other undesirable effects is introduced and illustrated. Finally, steps are proposed for how researchers, educators, and practitioners can maximise positive and minimise negative clinical context. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300440
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102677[article]
Titre : Factors influencing of quality of life in adolescent idiopathic scoliosis Type de document : Article Auteurs : Mehmet Hanifi Kaya ; Fatih Erbahçeci ; Halil Alkan ; Hikmet Kocaman ; Buket Buyukturan ; Mehmet Canl? ; Oznur Buyukturan Année de publication : 2022 Article en page(s) : 102628 Langues : Anglais (eng) Mots-clés : Adolescent idiopathic scoliosis Scoliosis severity Quality of life Depression level Perception of scoliosis Résumé : Background Adolescent idiopathic scoliosis (AIS) is the lateral and horizontal deformity of the vertebral column which occurs idiopathically during adolescence. The aim of this study is to identify independent predictors of quality of life in AIS patients. Methods In total, 31 adolescent patients diagnosed with AIS aged between 10 and 18 years old were included in the study. The scoliosis severity was determined for each patient according to the Cobb method, and their scoliosis perception using the Walter Reed Visual Assessment Scale, a pain assessment was conducted based on the Visual Analog Scale, quality of life using the Scoliosis Research Society-22 questionnaire, and depression level according to the Children's Depression Scale. Multiple Linear Regression analysis was then performed in order to determine the independent determinants of health-related quality of life. Findings According to the Linear Regression analysis results, children's depression scale, walter reed visual assessment scale, cobb, and anterior trunk rotation explained 52.7% of the variance as independent determinants of SRS-22. Interpretation The study examined the determinants affecting the quality of life in AIS patients. The results of the study showed that scoliosis severity, perception of cosmetic deformity, degree of rotation, and depression level to be predictors of quality of life in AIS patients. ?This trail registered with NCT05242601.? Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300441
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102628[article]
Titre : Perceived pain and disability but not fear of movement are associated with altered cervical kinematics in people with acute neck pain following a whiplash injury Type de document : Article Auteurs : Ahmed Alalawi ; Alejandro Luque-Suarez ; Manuel Fernandez-Sanchez ; Ruben Tejada-Villalba ; Rafael Navarro-Martin ; Valter Devecchi ; Alessio Gallina ; Deborah Falla Année de publication : 2022 Article en page(s) : 102633 Langues : Anglais (eng) Mots-clés : Whiplash Neck pain Kinematics Smoothness Velocity Movement analysis Résumé : Objectives To determine if measures of cervical kinematics are altered in people with acute whiplash associated disorders (WAD) and secondarily, to examine whether kinematic variables are associated with self-reported outcomes. Methods We recruited people with acute WAD within 15 days after a motor vehicle collision and asymptomatic control participants. All participants performed active neck movements at a self-determined velocity. Maximal range of motion (ROM), peak and mean velocity of movement, smoothness of movement, and cervical joint position error were assessed. Moreover, self-reported measures of perceived pain and disability, pain catastrophising, and fear of movement were obtained. Results Sixty people participated: 18 with acute WAD (mean age [SD] 38.7 [12.0]) and 42 as asymptomatic controls (mean age [SD] 38.4 [10.2]). Participants with acute WAD showed significantly decreased ROM in all movement directions (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300442
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102633[article]
Titre : Doing things you never imagined: Professional and ethical issues in the U.S. outpatient physical therapy setting during the COVID-19 pandemic Type de document : Article Auteurs : Rebecca Edgeworth Ditwiler ; Laura Lee Swisher ; Dustin Dean Hardwick Année de publication : 2022 Article en page(s) : 102684 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19Mots-clés : Ethics Professionalism Professional issues Outpatient Physical therapy Musculoskeletal Résumé : Objective Despite being the most prevalent physical therapy practice setting in the United States, no literature to date has examined the professional and ethical issues faced by outpatient physical therapists during the COVID-19 pandemic. The purpose of this study was to explore professional and ethical issues experienced by outpatient physical therapists in the United States during the COVID-19 pandemic. Design An explorative semi-structured interview study using reflexive thematic analysis Methods Virtual semi-structured interviews explored physical therapists? experiences during COVID-19 in the OP setting. Data was analyzed using reflexive thematic analysis as described by Braun and Clarke. Results Respondents worked predominantly with patients with orthopaedic impairments. Six primary themes and associated subthemes were identified: 1) Disruption of routine professional and personal life. 2) Negative impacts on health and wellbeing (physical, mental, and social). 3) Barriers to relationships, communication, and providing quality care. 4) Telehealth as a safe option to increase access with opportunities and challenges. 5) Discomfort practicing in an environment of misinformation, mistrust, and divisiveness. 6) New & pre-existing ethical issues in the COVID-19 context. Conclusions Results of this study indicate that physical therapists in the outpatient setting wrestled with critical questions regarding outpatient physical therapy practice during the COVID-19 pandemic: the role of touch in professional identity, challenges to the therapeutic alliance, effect of productivity and fiscal expectations and whether outpatient physical therapy is essential during public emergencies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300443
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102684[article]
Titre : Patient perspectives of care pathways for people with low back pain: A qualitative study Type de document : Article Auteurs : Eileen M. Boyle ; Robyn E. Fary ; Samantha Lee ; Anton Mikhailov ; Kerrie Evans ; Trudy Rebbeck ; Darren J. Beales Année de publication : 2022 Article en page(s) : 102657 Langues : Anglais (eng) Mots-clés : Clinical pathway Community care Patient experience Back pain Résumé : Background Low back pain (LBP) care pathways aim to enhance health outcomes through patient-clinician mutual decision-making and care coordination. However, challenges to successful translation into practice include patients' understanding, expectation, and acceptance of treatment and management strategies for LBP. This study explored patients? perspectives and/or experience of care pathways and their involvement in decision-making in primary care. Methods A qualitative descriptive design was adopted. Semi-structured interviews were conducted with 14 participants with LBP recruited from the community. Inductive thematic analysis of the qualitative data was conducted within the design framework to enable a systematic comparison of experiences across participants and within individual cases. Results Five themes described participant perspectives and understanding of care pathways: i) care pathways can guide decision-making; ii) familiarity with no and/or stepped care pathway, but preference for matched or blend of care pathways; iii) engaging in shared decision-making; iv) patient-related barriers to implementation; v) patient-related facilitators to implementation. Conclusions Participants felt that existing care pathways did not meet their needs when pain persisted. Participants preferred matched or hybrid care pathways and suggested that implementation of such pathways should focus on addressing an individual's needs. Adopting a holistic approach, and clarity in shared decision-making, were deemed crucial for effective implementation of LBP pathways in practice. Consumer (patient) engagement in the design of LBP care pathways is recommended. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300444
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102657[article]
Titre : Is the left/right judgment task performance altered in unilateral carpal tunnel syndrome: And associated with symptom severity? Type de document : Article Auteurs : Seniz Akcay ; Asli Koskderelioglu ; Bugra Ince ; Fikriye Elif Saka ; Neslihan Eskut ; Altinay Goksel Karatepe Année de publication : 2022 Article en page(s) : 102641 Langues : Anglais (eng) Descripteurs : HE Vinci
PainMots-clés : Carpal Tunnel Syndrome Laterality Recognition Résumé : Background Left/right judgment task performance (LRJT) is impaired in severe neuropathic pain conditions. However, comparison of LRJT performance in patients with carpal tunnel syndrome (CTS) with a control group with similar cognitive functions has not been investigated. Objective The aim of the study was to compare the LRJT performance of CTS patients with healthy controls and the unaffected side. Methods Seventy-five CTS patients with dominant, right-hand involvement and 75 control subjects were included in the study. The Recognize® tablet application was used for LRJT performance. Tactile acuity (Two-point discrimination) and handgrip strength; pain severity (Visual Analog Scale) and neuropathic component of pain (Pain Detect Questionnaire); symptom severity and functional impact of CTS (Boston CTS Assessment Test) were evaluated. Mixed-design ANOVAs and correlation analyses were used for data analysis. Design Cross-sectional study. Results Analysis of variance showed that there was no significant effect of side (affected versus unaffected) or group (CTS versus control group) on recognition accuracy or time. Significant group*site interactions were found for the two-point discrimination F (1,148) = 6.388, p = 0.013; and for handgrip strength F (1,148) = 17.552, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300445
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102641[article]
Titre : The validity of the cervical rotation lateral flexion test in predicting benefit after manipulation treatment to the first and second rib Type de document : Article Auteurs : Shane L. Koppenhaver ; Tracy Morel ; Garry Dredge ; Michele Baeder ; Brian A. Young ; Evan J. Petersen ; César Fernández-de-las-Peñas ; Norman Gill Année de publication : 2022 Article en page(s) : 102629 Langues : Anglais (eng) Mots-clés : Neck pain Diagnostic test Thrust manipulation Validity Résumé : Study design Prospective cohort study. Background The cervical rotation lateral flexion (CRLF) test is frequently used in clinical practice to determine whether a thrust manipulation targeting the first rib should be performed. Objectives To evaluate the predictive validity of the CRLF test and manual examination in determining whether patients with neck pain are likely to benefit from manipulative treatment to the first and second rib. Methods A physical examination incorporating the CRLF test was performed on 50 participants with neck pain followed by manipulation treatment to the first and second ribs. Clinical improvement was assessed immediately and one week after treatment. Participants who experienced at least a 30% improvement in their Neck Disability Index (NDI) score were considered ?improved.? Predictive validity was assessed by calculating sensitivity, specificity, and negative and positive likelihood ratios. Results Neither the CRLF test nor manual examination were predictive of clinical improvement after manipulative treatment to the first and second rib. However, being male, of older age, and exhibiting T1 and/or T2 restricted end-feel were associated with improved neck related-disability at one-week follow-up. Conclusion The CRLF test does not appear to be helpful in determining whether patients with neck pain are likely to benefit from manipulative treatment to the first and second rib. Other factors from the history and clinical examination may be more helpful when selecting manipulative treatment including age and gender and possibly the presence of T1/T2 restricted end-feel. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300446
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102629[article]
Titre : Incidence of cervical kyphosis and cervical posterior translation in neck pain associated with radiological evidence of degenerative disc disease Type de document : Article Auteurs : Makoto Takahashi ; Koji Iwamoto ; Kazuhide Tomita ; Takeshi Igawa ; Yukio Miyauchi Année de publication : 2022 Article en page(s) : 102637 Langues : Anglais (eng) Mots-clés : Neck pain Cervical kyphosis Straight-line index Cervical posterior translation index Résumé : Background Cervical kyphosis mechanically influences the intervertebral discs, which may lead to neck, shoulder, and scapular pain. Objectives To investigate the incidence of cervical kyphosis and posterior displacement of cervical vertebrae (cervical posterior translation index) in patients with radiologically evident degenerative disc disease. Design Retrospective-cohort study. Methods Ninety-five patients with radiologically evident degenerative disc disease were recruited at our clinic from 2015 to 2019. Radiography images were used to analyze the straight-line index in each patient in the upright posture. The straight-line index was calculated by drawing a reference line connecting the posterior inferior edges of C2 to C7 and normalizing the addition of the distances from the posterior inferior edges of C3, C4, C5, and C6 to the reference line, respectively. Straight-line index Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300447
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102637[article]
Titre : Translation, cross-cultural adaptation and validation of the Argentine version of the Pain Catastrophizing Scale in patients with chronic low back pain Type de document : Article Auteurs : Federico Mignone ; Melina Calvo Delfino ; Juan Cruz Porollan ; Camila Macarena Graef ; Matias De la Rúa ; Santiago Soliño ; Gabriel Novoa ; Sandra Salzberg ; Ignacio Agustín Raguzzi ; Guadalupe De Ilzarbe ; Constanza Rubiera Vicente ; Juan Sebastian Vera Amor ; Tomás Vuoto ; Andrés Pierobon Année de publication : 2022 Article en page(s) : 102617 Langues : Anglais (eng) Mots-clés : Chronic low back pain Catastrophizing Patient reported outcome measures Validation studies Résumé : Introduction Low back pain (LBP) is the leading cause of years lived with disability worldwide. Higher levels of catastrophizing were found in patients with LBP and this variable is associated with self-reported disability. The Pain Catastrophizing Scale (PCS) is a self-report questionnaire that assesses catastrophizing in the presence of pain. Currently, an Argentine version of the PCS is not available. Objective To translate and cross-culturally adapt the PCS into Argentine Spanish and test the psychometric properties of the new version with chronic LBP patients. Study design Study of diagnostic accuracy/assessment scale. Methods The study was carried out in three consecutive phases following the COSMIN guidelines: translation, cross-cultural adaptation and validation. We included Argentine residents over 18 years with chronic LBP. We used the PCS and the Global rating of change (GROC) to assess the psychometric properties. Results No difficulties were present in the translation processes and the PCS-Arg was developed. The alfa Cronbach coefficient was 0.89. The standard error of measurement and the minimal detectable change were 5.4 and 15.1 points, respectively. In the explanatory factorial analysis 3 components were identified. For the construct validity, the correlation between the PCS-Arg and disability and pain were r = 0.35 and rho = 0.04, respectively. The mean PCS score was 29.9. The lowest and highest scores were 3 and 52 points, therefore, no roof or ceiling effects of the total score were observed. Conclusion The PCS-Arg is a viable, reliable and valid tool for the assessment of catastrophizing in patients with chronic LBP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300448
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102617[article]
Titre : Comparison of time-dependent resistance isometric exercise and active range of motion exercise in alleviating the sensitization of postoperative axial pain after cervical laminoplasty Type de document : Article Auteurs : Cong Nie ; Kaiwen Chen ; Y.U. Zhu ; Huan Song ; Feizhou Lyu ; Jianyuan Jiang ; Xinlei Xia ; Chaojun Zheng Année de publication : 2022 Article en page(s) : 102669 Langues : Anglais (eng) Mots-clés : Postoperative axial pain Pain sensitization Resistance isometric exercise Quantitative sensory testing Cervical paraspinal muscles Résumé : Background Postoperative axial pain (PAP) is a significant complication after cervical laminoplasty. Objective To investigate pain sensitization in PAP patients and effects of time-dependent resistance isometric exercise compared to active range-of-motion exercise on PAP. Study design Retrospective cohort analysis. Methods 211 patients undergoing postoperative 12-week exercises were evaluated for pressure pain threshold (PPT), temporal summation (TS) and both cross-sectional area and fatty infiltration of paraspinal muscles preoperatively and 3 months postoperatively. There patients underwent Numeric rating pain scale (NRS) and neck disability index (NDI) 3 and 6 months postoperatively. Results At postoperative 3-month assessments, fewer patients undergoing isometric exercise showed PAP compared to range-of-motion exercise group (14/98 vs. 34/113; P = 0.006), and pain-related assessments in the former were lower than the latter (NRS at rest: 0.3 + 0.8 vs. 0.7 + 1.4, P = 0.014; NRS with movements: 0.4 + 1.0 vs. 1.0 + 1.7, P = 0.015; NDI: 2.4 + 6.3 vs. 6.7 + 10.9, P = 0.002). Postoperative cross-sectional area was smaller in isometric exercise group (603.5 + 190.2) than in range-of-motion exercise group (678.7 + 215.5) (P = 0.033), and the former showed higher local-area PPT and lower TS than the latter (PPT: 3.9 + 1.8 vs. 3.1 + 1.6, P = 0.002; TS: 1.8 + 0.9 vs. 2.2 + 1.0, P = 0.003). PAP patients showed lower local-area PPT and greater TS than those without PAP in both isometric (PPT: 2.8 + 0.7 vs. 4.0 + 1.9, P = 0.019; TS: 2.4 + 0.6 vs. 1.7 + 0.9, P = 0.011) and range-of-motion (PPT: 2.2 + 0.9 vs. 3.6 + 1.7, P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300449
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102669[article]
Titre : Effects of core stability on shoulder and spine kinematics during upper limb elevation: A sex-specific analysis Type de document : Article Auteurs : Masahiro Kuniki ; Yoshitaka Iwamoto ; Nobuhiro Kito Année de publication : 2022 Article en page(s) : 102621 Langues : Anglais (eng) Mots-clés : Shoulder Spine Core stability Kinematics Résumé : Background Upper limb elevation begins with core stabilization, but the effects of core stability on shoulder and spine kinematics are unknown. Sex differences also exist in shoulder kinematics and core stability. Objective To clarify the effects of core stability on shoulder and spine kinematics during upper limb elevation by taking sex into account. Design Cross-sectional. Methods The Sahrmann Core Stability Test, lumbar spine motor control test battery, and Y Balance Test (lower and upper quarters) were performed in 50 healthy young adults. For each test, a principal component (PC) analysis was conducted according to sex; the overall core stability score was calculated. The top and bottom third of the PC scores were defined as high and low score groups, respectively (each group: nine males and eight females). Shoulder and spine kinematics during upper limb elevation were compared separately for males and females. Results Spinal extension was greater in the low score group by a maximum of 1.9° in males (P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300450
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102621[article]
Titre : A service evaluation of the management of patients with suspected cauda equina syndrome from an outpatient physiotherapy service in the United Kingdom Type de document : Article Auteurs : Claire Paling ; Nathan Hutting ; Kate Devoto ; Javier Galdeano ; Kate Josling ; Lucy Goodway Année de publication : 2022 Article en page(s) : 102673 Langues : Anglais (eng) Mots-clés : Cauda equina syndrome Physiotherapy Spine Orthopaedics Perianal sensation Résumé : Background The expanding scope of physiotherapists worldwide has come with an increased responsibility to identify serious pathologies such as fracture, infection, tumour and cauda equina syndrome (CES). Guidelines recommend a low threshold for emergency MRI to avoid the potentially devastating consequences of CES, but a balanced approach is required to prevent excessive strain on emergency resources. Aim To evaluate the management of patients presenting to an outpatient physiotherapy service with suspected cauda equina syndrome. Design Service evaluation with an embedded case series of patients with radiological CES. Method The records of patients who were identified by their outpatient physiotherapists as having suspected CES (n-231) over a 27-month period were included. Data was extracted from patients? medical records by a team of Advanced Clinical Practitioners (ACPs). The lead author further analysed the records of patients with clinical and radiological CES, in order to present the embedded case series. Results In 79% of cases, it was decided that emergency referral was not required. The remaining 21% of patients were referred to the emergency department and 49% of these had an emergency MRI. In the case series of seven patients with cauda equina compression on MRI, four patients had a disc bulge and underwent emergency surgery. One patient had non-emergency surgery for a disc bulge combined with anterolisthesis and scoliosis. Two patients had stenosis and decided against surgical intervention. Conclusions Findings from this service evaluation suggest support for the use of safety netting and an effective communication chain to facilitate effective management of patients with suspected CES. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300451
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102673[article]
Titre : Structural validity and internal consistency of the Shoulder Pain and Disability Index in Turkish patients with rotator cuff disease: A proposal of a new version Type de document : Article Auteurs : Ertan ?ahino?lu ; Bayram Unver ; Kamil Yamak Année de publication : 2022 Article en page(s) : 102676 Langues : Anglais (eng) Mots-clés : Shoulder Rotator cuff Patient reported outcome measures Psychometrics Factor analysis Principal component analysis Résumé : Background The Shoulder Pain and Disability Index (SPADI) is a widely used patient-reported outcome questionnaire in patients with shoulder diseases; however, the structural validity and the internal consistency of the Turkish SPADI is unclear in rotator cuff disease. Objective To assess the internal structure of the Turkish SPADI in patients with rotator cuff disease. Methods A total of 109 patients with unilateral rotator cuff disease were assessed. The COnsensus-based Standards for the selection of health Measurement INstruments checklist was used for the methodological design of the study. A confirmatory factor analysis was performed, and the model fit was assessed by using the comparative fit index (CFI), the Tucker-Lewis index (TLI), the root mean square error of approximation (RMSEA), and the standardized root mean square residual (SRMR). The factor structure was examined with a principal component analysis. The internal consistency was assessed using Cronbach's alpha. Results The validity of the two subscales was not confirmed. The principal component analysis showed the Turkish SPADI consisted of one factor, and the one-factor model of the Turkish SPADI also was not confirmed. When two items were deleted, the one-factor model of the new version of the Turkish SPADI had a better fit (CFI = 0.978, TLI = 0.971, RMSEA = 0.058, SRMR = 0.043). The internal consistency of the new version of the Turkish SPADI was high (Cronbach's alpha = 0.92, 95% CI = 0.90?0.94). Conclusions We suggest that the modified version of the Turkish SPADI should be used for patients with rotator cuff disease. The total score of the modified version should be considered. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300452
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102676[article]
Titre : Do rehabilitation patients with chronic low back pain meet World Health Organisation's recommended physical activity levels? Type de document : Article Auteurs : Michiel F. Reneman ; Jone Ansuategui Echeita ; Klaske van Kammen ; Henrika R. Schiphorst Preuper ; Rienk Dekker ; Claudine J.C. Lamoth Année de publication : 2022 Article en page(s) : 102618 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physiqueMots-clés : Accelerometery Chronic low back pain Résumé : Purpose Primary: to analyse the time that patients with chronic low back pain (CLBP) admitted to pain rehabilitation spent on moderate to vigorous physical activity (MVPA) and compare this to the WHO recommendations. Secondary: to explore factors that might differentiate between those who do and do not meet the recommendations. Materials and methods A Cross-sectional study embedded in secondary interdisciplinary rehabilitation of adults with CLBP. PA was measured with a tri-axial accelerometer for 1 week during admission phase. Time spent in each PA level was calculated. MVPA was also analysed in ?10 min bouts. Results Complete datasets of 4?6 days recorded accelerometery of n = 46 patients were analysed. Time spent in MVPA was on average 6.0% per day. MVPA per day in ?10-min bouts occurred on average 0.8 times per day (sd = 0.9; min-max 0?4). Percentage of patients meeting the recommended level of MVPA was 21.7% (10/46) and 84.8% (39/46) for the 2010 and 2020 recommendations, respectively. Most demographic and clinical variables did not seem to differentiate between those who met the WHO recommendations, and those who did not. Conclusion The minority of the patients (22%) met the WHO recommended MVPA level of 2010. The more lenient recommendation of 2020 was met by 85%. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300453
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102618[article]
Titre : Cross-cultural adaptation, reliability, and validity of the Persian version of the Lower Limb Functional Index Type de document : Article Auteurs : Noushin khalilian-Ekrami ; Bahram Amirshakeri ; Tabassom Ghanavati ; Hamid Reza Mokhtarinia ; Charles Philip Gabel Année de publication : 2022 Article en page(s) : 102626 Langues : Anglais (eng) Mots-clés : Lower limb Persian Patient reported outcomes Psychometric Factor analysis Résumé : Background the Lower Limb Functional Index (LLFI) is a regional patient reported outcome measure (PROM) for evaluation of lower limb musculoskeletal functional status. No Persian-language (LLFI-Pr) version is available. Objectives LLFI translation and cross-cultural adaptation to Persian and psychometric property evaluation. Study design prospective diagnostic assessment. Methods to establish the LLFI-Pr face and content validity, double forward-backward translation protocols were used plus cognitive interviews and the ?content validity index'(CVI). Psychometric properties were determined from a convenience sample (n = 307, age 47.18 + 11.52 years, female = 58.3%) that concurrently completed the LLFI-Pr and Persian Lower Extremity Functional Scale (LEFS-Pr). Test-retest reliability (ICC2,1, sub-sample, n = 64) was determined during a non-intervention period of 3?7 days. Internal consistency used Cronbach's Alpha (?), error used MDC90/95 from the SEM, and construct validity used Pearson's r between the LLFI-Pr and LEFS-Pr. Construct validity used exploratory factor analysis (EFA, suppression = 0.30) with non-Gaussian distribution protocols. Results psychometric properties were high for test-retest reliability (ICC2,1 = 0.90) and internal consistency (? = 0.77), moderate for construct validity (r = 0.63), with no floor or ceiling effects, error found SEM = 1.60, MDC90 = 3.7% and MDC95 = 4.42%. A two-factor (EFA) structure (total-variance = 22.01%), that consequently cannot be summated, was determined where five-items failed consistent factor-loading leaving a 20-item version with a high original-LLFI total-equivalency (r = 0.97). However, the general/region-specific item-ratio reduced from the recognized 60/40 ratio to 50/50. Conclusion the 20-item LLFI-Pr is a valid two-factor solution with sound psychometric properties for research and clinical Persian-language populations with lower limb disorders. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300454
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102626[article]
Titre : The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis: A cross-sectional study Type de document : Article Auteurs : Frederik Foldager ; Peter Bo Jørgensen ; Lisa Urup Tønning ; Emil Toft Petersen ; Stig Storgaard Jakobsen ; Dovydas Vainorius ; Morten Homilius ; Torben Bæk Hansen ; Maiken Stilling ; Inger Mechlenburg Année de publication : 2022 Article en page(s) : 102678 Langues : Anglais (eng) Mots-clés : Hip osteoarthritis [MeSH] Hip and groin pain Leg extension power Physical activity [MeSH] Functional performance [MeSH] Résumé : Background Patients with unilateral hip osteoarthritis appear to have between-leg differences in leg extension power (LEP). The Nottingham Leg Extensor Power Rig provides reliable and valid results but requires sensitive equipment. It would be relevant to identify measures closely associated with this test. Objective (i) To investigate if LEP is lower in the affected leg compared to the non-affected leg. Furthermore, to investigate the associations between LEP and the measures: (ii) Functional performance, (iii) accelerometer-based measurement of physical activity and (iv) patient-reported outcome measures (PROM). Design Cross-sectional study including 60 patients (30 men, 30 women) with hip osteoarthritis scheduled for hip replacement. Method The counter movement jump and 10-m sprint tests were used to determine functional performance, accelerometer-sensors were used to determine physical activity and the Copenhagen Hip and Groin Outcome Score (HAGOS) was used to determine PROM. Results (i) LEP in the affected leg corresponded to 79% [95% CI 74%; 85%] of the non-affected leg, (ii) LEP was positively associated with functional performance tests (? 0.63 to 0.78, p 0.05) and (iv) positively associated with the six HAGOS subscales (? 0.25 to 0.54, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300455
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102678[article]
Titre : Predictors of pain reduction following a program of manual therapies for patients with temporomandibular disorders: A prospective observational study Type de document : Article Auteurs : Giacomo Asquini ; Valter Devecchi ; Giulia Borromeo ; Domenico Viscuso ; Federico Morato ; Matteo Locatelli ; Deborah Falla Année de publication : 2022 Article en page(s) : 102634 Langues : Anglais (eng) Descripteurs : HE Vinci
Pain ; Technique divinatoireMots-clés : Temporomandibular disorders Physiotherapy Manual therapy Résumé : Background Clinical guidelines recommend conservative treatment for the management of temporomandibular disorders (TMD), and manual therapy (MT) is commonly applied to reduce pain and improve function. Objectives To identify predictors of pain reduction and functional improvement following a program of manual therapies (MTP) in patients with TMD and develop a first screening tool that could be used in clinical practice to facilitate decision-making. Design A cohort of 102 adults with a diagnosis of TMD were treated with four weekly sessions within a MTP applied to craniomandibular structures. Candidate predictors were demographic variables, general health variables, psychosocial features, TMD characteristics and related clinical tests. A reduction of pain intensity by at least 30% after the MTP was considered a good outcome. Logistic regression was adopted to develop the predictive model and its performance was assessed considering the explained variance, calibration, and discrimination. Internal validation of the prediction models was further evaluated in 500 bootstrapped samples. Results Patients experiencing pain intensity greater than 2/10 during mouth opening, positive expectations of outcome following a MTP, pain localized in the craniocervical region, and a low Central Sensitization Inventory score obtained a good outcome following the MTP. Predictive performance of the identified physical and psychological variables was characterized by high explained variance (R2 = 58%) and discrimination (AUC = 89%) after internal validation. A preliminary screening clinical tool was developed and presented as a nomogram. Conclusions The high discrimination of the prediction model revealed promising findings, although these need to be externally validated in future research. Trial registration number NCT03990662. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300456
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102634[article]
Titre : Inter-rater reliability, discriminatory and predictive validity of neck movement control tests in office workers with headache and/or neck pain Type de document : Article Auteurs : Markus J. Ernst ; Sandro Klaus ; Kerstin Lüdtke ; Alessio Gallina ; Deborah Falla ; Andrea M. Aegerter ; Marco Barbero ; Beatrice Brunner ; Jon Cornwall ; Yara Da Cruz Pereira ; Manja E. Deforth ; Oliver Distler ; Julia Dratva ; Holger Dressel ; Tobias Egli ; Achim Elfering ; Markus J. Ernst ; Irene Etzer-Hofer ; Deborah Falla ; Michelle Gisler ; Michelle Haas ; Venerina Johnston ; Sandro Klaus ; Gina M. Kobelt ; Kerstin Lüdtke ; Hannu Luomajoki ; Markus Melloh ; Corinne Nicoletti ; Seraina Niggli ; Achim Nüssle ; Salome Richard ; Nadine Sax ; Katja Schülke ; Gisela Sjøgaard ; Lukas Staub ; Thomas Volken ; Thomas Zweig Année de publication : 2022 Article en page(s) : 102685 Langues : Anglais (eng) Mots-clés : Headache Neck pain Office work Movement control Reliability Validity Résumé : Background Movement control tests (MCTs) are clinical tests to evaluate impairment of movement and associated neuromuscular control and are commonly used to evaluate people with neck pain or headache conditions. The aim of this study was to establish inter-rater reliability as well as discriminatory and predictive validity for seven MCTs of the upper (UCS) and lower cervical spine (LCS) in office workers with headache or neck pain. Methods Seven MCTs of the UCS (3) and LCS (4) were performed at baseline on 140 office workers which were included in a cluster randomized controlled trial. The occurrences of headache and neck pain were established at baseline (discriminatory validity) and at a 15-month follow-up (predictive validity). Inter-rater-reliability was established in a separate cross-sectional study. Results MCTs showed slight to almost perfect inter-rater reliability but limited discriminatory (baseline) and limited to small predictive validity (15-month follow up) for different subgroups of office workers with headache and/or neck pain. MCTs of the UCS showed limited discriminatory validity, especially for rotation in participants with headache and neck pain compared to those with headache only (Negative Likelihood-ratio: 0.82, 95% CI: 0.69?0.98). Participants with neck pain only and ?1/4 positive MCTs for the sagittal plane had an increased risk for future neck pain (Relative risk: 3.33, 95% CI: 1.05-10.56). Discussion MCTs of the UCS and LCS are reliable but have only limited to small validity to predict future headache events in office workers. Insufficient sagittal plane movement control may predict neck pain relapses in the future. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300457
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102685[article]
Titre : The effects of pain relief on proprioception and muscle strength for tibial plateau fractures: A randomized controlled trial Type de document : Article Auteurs : Yu Wu ; Jingjie Zhou ; Feilong Zhu ; Ming Zhang ; Wei Chen Année de publication : 2022 Article en page(s) : 102658 Langues : Anglais (eng) Descripteurs : HE Vinci
FractureMots-clés : Transcutaneous electrical nervestimulation Proprioceptive neuromuscular facilitation Knee Résumé : Objectives To investigate the effect of transcutaneous electrical acupoint stimulation (TEAS) combined with proprioceptive neuromuscular facilitation (PNF) on postural stability, muscle strength and pain in patients with tibial plateau fracture. Method A 3-arm randomized controlled trial was conducted in 60 patients with tibial plateau fracture. Participants received one of the following interventions: standard treatment (ST group, n = 20), ST + PNF training (ST + PNF group, n = 20), ST + PNF training + TEAS intervention (ST + PNF + TEAS group, n = 20). All treatments lasted for six weeks. Participants? postural stability, muscle strength and pain were evaluated at baseline, after 3 and 6 weeks of intervention. Results After 3 weeks of intervention, Between-group comparisons showed that both the ST + PNF group and ST + PNF + TEAS group showed significantly greater performance than the ST group in the postural stability measure (P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300458
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102658[article]
Titre : An investigation of body awareness, fatigue, physical fitness, and musculoskeletal problems in young adults with hypermobility spectrum disorder Type de document : Article Auteurs : Kamile Uzun Akkaya ; Mustafa Burak ; Sinem Erturan ; Ramazan Yildiz ; Ayse Yildiz ; Bulent Elbasan Année de publication : 2022 Article en page(s) : 102642 Langues : Anglais (eng) Descripteurs : HE Vinci
PainMots-clés : Body awareness Joint hypermobility Physical fitness Résumé : Background and objectives Hypermobility Spectrum Disorder (HSD) is associated with excessive joint range of motion and the presence of musculoskeletal symptoms. The objective of this study was to examine body awareness, physical fitness parameters, fatigue levels, and musculoskeletal disorders in young adults with HSD and compare them with those without HSD. Methods Young individuals in the age range of 18?24 years were included in the study. Joint hypermobility of individuals was determined by the Beighton Score. Evaluations were made using the Body Awareness Questionnaire, the Fatigue Severity Scale, the Eurofit Physical Fitness Test Battery, and the Cornell Musculoskeletal Discomfort Questionnaire. Results A total of 94 healthy individuals (74 females, 20 males, mean age 21.44 years, SD + 1.19 years), 47 with HSD and 47 without HSD, were included in the study. It was concluded that body awareness and fatigue levels were similar in two groups (p > 0.05). When physical fitness parameters were examined, there was a significant difference between the two groups in Sit and Reach test and the dominant side grip strength (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300459
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102642[article]
Titre : The role of progressive, therapeutic exercise in the management of upper limb tendinopathies: A systematic review and meta-analysis Type de document : Article Auteurs : Miguel Ortega-Castillo ; Antonio Cuesta-Vargas ; Antonio Luque-Teba ; Manuel Trinidad-Fernández Année de publication : 2022 Article en page(s) : 102645 Langues : Anglais (eng) Mots-clés : Tendinopathy Upper limb Shoulder Progressive loading Exercise Résumé : Background Among upper limb tendinopathies, rotator cuff-related shoulder pain and lateral elbow tendinopathy are the most representative disorders. Therapeutic exercise arises as an effective approach, but there is no consensus about the optimal progression criteria. Objective To compare progression criteria and effectiveness of isolated, progressive exercises in the management of upper limb tendinopathies. Additionally, to perform a meta-analysis of pain/function for the selected programs. Design Systematic Review and Meta-Analysis. Method Database search of randomized-controlled-trials including progressive exercise was conducted in PubMed and Scopus until October 2020. Meta-analysis? inclusion criteria were: no data duplicity; 3-months follow-up; comparison between any type of progressive exercise program. Risk of bias was assessed with PEDro score, and level of evidence followed GRADE guidelines. Effect size was calculated with Cohen's d. Results Eleven studies were included. GRADE revealed low-quality evidence for meta-analysis of pain during activity (d = 0.29) and function (d = 0.33) at 3 months. Progression criteria were categorised into two divisions, being pain the central concept. Pain (rest/activity/night) and function improved significantly within-group, but between-group changes were heterogeneous. Meta-analysis regarding pain showed good homogeneity with significant, moderate effects (I2 = 20%; p = 0.005; mean d = 0.29); function yielded important heterogeneity with non-significant, moderate effects (I2 = 81%; p = 0.17; mean d = 0.33). Conclusions Pain was the most frequent benchmark when modulating and progressing the exercises, although other criteria were found such as fatigue or self-perceived ability. Progressive exercise seems effective to manage upper limb tendinopathies, but the superiority of a progression criterion against others remains unclear. Low-quality evidence supported progressive exercise with eccentric components in adding a significant and moderate effect on pain/function at short-term. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300460
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102645[article]
Titre : The functional lumbar index: Validation of a novel clinical assessment tool for individuals with low back pain Type de document : Article Auteurs : Sean Harris ; Toni Roddey ; Tamara Shelton ; Lane Bailey ; Wayne Brewer ; Jennifer Ellison ; Wanyi Wang ; Peggy Gleeson Année de publication : 2022 Article en page(s) : 102666 Langues : Anglais (eng) Mots-clés : Physical performance tests Lower back Exercise testing Résumé : Study design Retrospective Diagnostic Cohort Study. Level of evidence Level 3b. Objectives To examine the concurrent and predictive validity of a novel clinical assessment tool, the Functional Lumbar Index (FLI). Background Lumbar surgeries have increased exponentially in the past decade, adding to healthcare costs without improving outcomes. Limitations in clinicians? abilities to identify those individuals who are most likely to benefit from surgery may be enhanced with an effective physical assessment tool. Methods The FLI was assessed on 291 individuals (179 conservative and 113 pre-surgical) seeking care for low-back pain (LBP) over a 2.5-year period. The FLI consists of several physical performance tests (PPT) with a novel criterion-based scoring system. Pearson correlations and Poisson regression analysis were used to establish concurrent and predictive validity at alpha = 0.05. Results The subscale FLI components showed good to excellent inter-rater reliability with intraclass correlation coefficient values as follows: front plank = .993, right side plank = .824, left side plank .861, Sorensen = 0.836, overhead squat = 0.937. A statistically significant, moderate negative correlation was observed between FLI and modified Oswestry Disability Index (r = ?0.540, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300461
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102666[article]
Titre : Pain-side related difference in cross-sectional area of the longus colli muscle and its relationship with standing balance in persons with non-specific neck pain Type de document : Article Auteurs : Jirasin Thongton ; Sompong Sriburee ; Munlika Sremakaew ; Sureeporn Uthaikhup Année de publication : 2022 Article en page(s) : 102638 Langues : Anglais (eng) Descripteurs : HE Vinci
BalanceMots-clés : Cross-sectional area Neck pain Longus colli Résumé : Background Longus colli muscle has a significant role in postural control. A reduction of longus colli cross-sectional area (CSA) has been demonstrated in neck pain patients. However, pain-side related difference and its relationship with clinical features and standing balance remain unclear. Objective To investigate side-to-side difference in the longus colli CSA and to determine the relationships of the CSA with clinical characteristics and standing balance in neck pain patients. Study design Cross-sectional study. Materials and methods Fifty participants with chronic non-specific neck pain (20 unilateral and 30 bilateral) were recruited. CSA of the longus colli muscle was measured using ultrasound imaging. Balance was measured using a force platform during a narrow stance with eyes open, eyes closed, and neck torsion (left and right). Balance outcomes were sway area and displacement in anterior-posterior (AP) and medial-lateral (ML) directions. Clinical characteristics were neck pain intensity, disability, and duration. Results The longus colli CSA was reduced on the painful side in patients with unilateral neck pain (p 0.05). Conclusion The longus colli CSA was reduced on the painful side of neck pain. The reduced CSA was correlated with impaired standing balance, but not with clinical characteristics of neck pain. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300462
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102638[article]
Titre : ?You have (rotator cuff related) shoulder pain, and to treat it, I recommend exercise.? A scoping review of the possible mechanisms underpinning exercise therapy Type de document : Article Auteurs : Jared K. Powell ; Ben Schram ; Jeremy Lewis ; Wayne Hing Année de publication : 2022 Article en page(s) : 102646 Langues : Anglais (eng) Résumé : Background Exercise is considered to be both essential and at the forefront of the management of rotator cuff-related shoulder pain (RCRSP). Despite this, many fail to substantially improve with exercise-based treatment. Hence, expanding the current knowledge about the possible mechanisms of exercise for RCRSP is critical. Objective To synthesise the range of mechanisms proposed for exercise in people with RCRSP. Design Scoping review Methods A systematic search of the Physiotherapy Evidence Database (PEDro) was conducted from inception to July 3, 2022. Two reviewers conducted the search and screening process and one reviewer extracted the data from each study. Randomised clinical trials using exercise for the management of RCRSP of any duration were included. The PEDro search terms used were ?fitness training?, ?strength training?, ?stretching, mobilisation, manipulation, massage?, ?upper arm, shoulder, or shoulder girdle?, ?pain?, and ?musculoskeletal?. Data were analysed using quantitative and qualitative approaches. Results 626 studies were identified and 110 were included in the review. Thirty-two unique mechanisms of exercise were suggested by clinical trialists, from which 4 themes emerged: 1) neuromuscular 2) tissue factors 3) neuro-endocrine-immune 4) psychological. Neuromuscular mechanisms were proposed most often (n = 156, 77%). Overall, biomedical mechanisms of exercise were proposed in 95% of cases. Conclusions The causal explanation for the beneficial effect of exercise for RCRSP in clinical research is dominated by biomedical mechanisms, despite a lack of supporting evidence. Future research should consider testing the mechanisms identified in this review using mediation analysis to progress knowledge on how exercise might work for RCRSP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300463
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102646[article]
Titre : Lumbar multifidus thickness changes during active leg raising with ultrasound imaging can detect patients with chronic non-specific low back pain Type de document : Article Auteurs : Gustavo Plaza-Manzano ; César Fernández-de-las-Peñas ; Joshua A. Cleland ; Rubén Conde-Lima ; Marcos J. Navarro-Santana ; Juan Antonio Valera-Calero ; Ibai López-de-Uralde-Villanueva Année de publication : 2022 Article en page(s) : 102670 Langues : Anglais (eng) Mots-clés : Ultrasound imaging Low back pain Lumbar multifidus Lumbar spine Diagnostic accuracy Résumé : Background Altered lumbar multifidus (LM) activation has been found in populations with non-specific chronic low back pain (NSCLBP). Objective: To detect differences in LM muscle thickness at rest and during active manoeuvres between patients with NSCLBP and pain-free controls and to analyze the ability of LM thickness change during the active straight leg raise (ASLR) with rehabilitative ultrasound imaging to detect patients with NSCLBP. Design Cross-sectional observational study. Methods Seventy volunteers (50% patients NSCLBP) were recruited. 18 B-mode images of LM at L4-L5 or L5-S1 level selecting the most symptomatic level (both sides, six at rest and three during ASLR) were collected by a blinded assessor. Differences between patients and controls in LM muscle thickness at rest, during ASLR (holding 3sec), and 5 s after ASLR were calculated. In addition, discriminant validity was evaluated by calculating the area under the receiver operating characteristic curve (ROC), sensitivity, specificity and positive and negative likelihood ratio. Results Significant LM thickness change differences during ASLR were found within and between groups: bilaterally, LM thickness change during ASLR was significantly higher in healthy controls than in NSCLBP patients. Ipsilateral LM muscle thickness change was sensitive to detect individuals with NSCLBP (ROC = 0.79?0.80). Conclusion Pain-free individuals exhibited significantly greater LM thickness changes bilaterally during the ASLR compared to patients with NSCLBP. LM thickness change during the ASLR has good validity for discriminating patients with NSCLBP. Further studies should assess benefits of LM training programs in the management of these patients. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300464
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102670[article]
Titre : Correlation between thoracic kyphosis and dry needle length required to reach the pleural space needling the upper trapezius: A cadaveric fluoroscopic assessment Type de document : Article Auteurs : Gary A. Kearns ; Micah Lierly ; Robert H. Posteraro ; Kerry K. Gilbert Année de publication : 2022 Article en page(s) : 102622 Langues : Anglais (eng) Descripteurs : HE Vinci
PneumothoraxMots-clés : Dry needle Risk Upper trapezius Résumé : Background It is unknown whether greater prone thoracic kyphosis increases pneumothorax risk during upper trapezius dry needling. Objectives To fluoroscopically assess for a correlation between prone thoracic kyphosis and needle length required to reach the pleural space dry needling the upper trapezius in prone. Design Cadaveric study. Methods Prone thoracic kyphosis was assessed using dual bubble inclinometers. A 30 mm dry needle was inserted into the midsubstance of the upper trapezius perpendicular to the thoracic kyphosis. A single C-arm fluoroscopic image was obtained. This procedure was repeated with 40, 50, and 60 mm needles. Images were independently viewed by a radiologist to make a binary decision (yes vs. no) whether the needle had potentially broached the pleural space. Results Fifteen cadaveric specimens with a mean age of 74.9 + 9.7 and mean kyphosis of 21.5° +7.7 were used. A 30 mm needle never reached the pleural space. The pleural space was potentially broached on one, four and six occasions by the 40, 50, and 60 mm needle respectively. The correlation between needle depth penetration and kyphosis was not significant (r = 0.03, p = 0.93). Longer needles (50 and 60 mm) were significantly (p = 0.0049) more likely to reach the pleural space than shorter needles (30 and 40 mm). Conclusion Thoracic kyphosis was not correlated with needle length required to reach the pleural space. Clinicians may consider selecting shorter needles ( Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300465
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102622[article]
Titre : Clinical decision making in physical therapy ? Exploring the ?heuristic? in clinical practice Type de document : Article Auteurs : Zachary Walston ; Dale F. Whelehan ; Noreen O'Shea Année de publication : 2022 Article en page(s) : 102674 Langues : Anglais (eng) Mots-clés : Cognitive bias Decision making Professional practice Heuristic Physical therapy Résumé : Clinical decision-making (CDM) plays an integral role in the work of a physical therapist and has ramifications for patient outcomes and experience. Rational decision-making ? acting in a manner that helps us achieve our goals ? is influenced by cognitive, emotional, and social variables. The dual process theory helps us understand how clinicians make what they perceive to be rational decisions. Within dual process is the use of cognitive decisional shortcuts, commonly referred to as ?heuristics,? which are either developed through experience or the use of fast and frugal trees (FFT). The use of heuristics in physical therapy practice has yet to be explored. This paper aims to describe this subset of physical therapy decision-making and to identify the typical cognitive biases - the error in heuristic-driven decision making - inherent in this style of reasoning. Common heuristics and their related biases are described and illustrated with vignettes, including the anchoring, availability, confirmatory, and representative heuristics. The authors conclude by proposing interventions to optimize physical therapists' awareness of their use of heuristics in clinical decision-making and to identify and minimize the influence of potential bias. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300466
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102674[article]
Titre : Physiotherapists have some hesitations and unmet needs regarding delivery of exercise programs for low back pain prevention in adults: A qualitative interview study Type de document : Article Auteurs : Julie Ayre ; Hazel Jenkins ; Kirsten J. McCaffery ; Christopher G. Maher ; Mark J. Hancock Année de publication : 2022 Article en page(s) : 102630 Langues : Anglais (eng) Descripteurs : HE Vinci
PréventionMots-clés : Exercise therapy Low back pain Physical therapists Physical therapy modalities Secondary Résumé : Background Although there is some qualitative research on physiotherapists? experiences of delivering low back pain treatment, we do not know the extent that these findings apply to low back pain prevention. Objective To explore physiotherapists? understanding, attitudes and experiences related to delivering low back pain prevention programs. Design Qualitative interview study. Method Interviews from 25 Australian physiotherapists (56% female; 44% male) were analysed using framework thematic analysis. Results Theme 1 explored physiotherapists' hesitancy about ?low back pain prevention,? raising concerns this term might inadvertently entrench unhelpful beliefs. They preferred language about minimising the risk and impact of recurrences, and promoting an active lifestyle. Theme 2 emphasised that as pain receded, engaging patients could be challenging. Some discussed that person-centred care and individualised programs helped overcome this challenge. Several wanted more training in counselling skills, and more consistent external messaging about low back pain prevention. Theme 3 highlighted uncertainty about delivering high-value prevention care. Some perceived the programs as potentially placing unnecessary financial burden on some patients. Many physiotherapists were uncertain about how to support patients when they weren't in pain (i.e., remission) and wanted training in tailored exercise prescription. Conclusions Many of the physiotherapists had some hesitations and unmet needs regarding delivery of exercise programs for secondary prevention of low back pain. Clinicians may find it useful to ask patients directly about their interest in prevention programs and work with interested patients to develop tailored, progressive programs that continue to be motivating, even during periods when there is no pain. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300467
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102630[article]
Titre : Reference values, minimum repetitions for stable measures, and test-retest reliability in the torsion and conventional cervical joint position sense tests in asymptomatic individuals Type de document : Article Auteurs : Ibai López-de-Uralde-Villanueva ; Adriana García-Alonso ; David García-Herranz ; César Fernández-de-las-Peñas ; Gustavo Plaza-Manzano ; Tamara Del Corral ; Julia Treleaven Année de publication : 2022 Article en page(s) : 102681 Langues : Anglais (eng) Descripteurs : HE Vinci
ProprioceptionMots-clés : Joint position error Cervical spine Neck torsion Reproducibility of results Reference values Résumé : Objective To determine reference values, including the appropriate number of repetitions, and test-retest reliability of the torsion and conventional cervical joint position sense (JPS) tests. Methods Phase 1) Cross-sectional design to determine reference values and the appropriate number of repetitions; Phase 2) repeated-measures concordance design (test-retest reliability). Sixty-eight healthy participants performed 10 repetitions of randomized rotation left and right for both cervical JPS tests using a laser projected onto a target. Thirty participants returned for the same evaluation process one week later. Results The age-stratified reference values for the torsion JPS test showed greater absolute error as age increased. Stable levels of performance were obtained with 6?7 repetitions for both tests. Moderate to good reliability was found with 7 or more repetitions for left rotation [Torsion JPS test, Intraclass Correlation Coefficient (ICC; 95% CI) = 0.85 (0.68?0.93); Conventional JPS test, ICC = 0.78 (0.53?0.89)], and 6?7 or more repetitions for right rotation [Torsion JPS test, 6 repetitions, ICC = 0.79 (0.56?0.90); Conventional JPS test, 7 repetitions, ICC = 0.82 (0.61?0.91)]. Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC) stabilized at 7 repetitions in both tests [Torsion JPS test (SEM ? 1.0°; MDC90 ? 2.4°; MDC95 ? 2.9°); Conventional JPS test (SEM ? 1.2°; MDC90 ? 2.8°; MDC95 ? 3.3°)]. Conclusions The reference values generated for the torsion JPS test may help identify the presence of impairments cervical proprioception. At least 7 repetitions optimize stability, reliability and responsiveness in the torsion and conventional cervical JPS tests. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300468
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102681[article]
Titre : Implementation of the International IFOMPT Cervical Framework: A survey among educational programmes Type de document : Article Auteurs : Nathan Hutting ; Rik Kranenburg ; Alan Taylor ; Wilfred Wilbrink ; Roger Kerry ; Firas Mourad Année de publication : 2022 Article en page(s) : 102619 Langues : Anglais (eng) Descripteurs : HE Vinci
MobilisationMots-clés : Orthopaedic manual therapy Manipulation Examination Cervical spine Résumé : Background Orthopaedic Manual Therapy (OMT) is a specialized area of physiotherapy for the management of neuromusculoskeletal conditions. Although rare, adverse events after OMT are reported in literature. In 2020, the International Framework for Examination of the Cervical Region for potential of vascular pathologies of the neck prior to OMT Intervention was presented. Objective To evaluate the knowledge and implementation status of OMT educational programmes regarding the 2020 International IFOMPT Cervical Framework. Methods An international survey with closed- and open-ended questions was conducted among all IFOMPT educational programmes using an online survey. Formal informed consent was requested at the beginning of the survey and all data were collected anonymously. Results Thirty-nine educational programmes filled in the survey. Twenty-four programmes (61.5%) had already implemented the new Framework. Four programmes (10.3%) answered that they will not implement the new Framework in their educational programme. Positional testing will be kept in about 54% of the programmes. Craniovertebral ligament testing will be kept in about 90% of the programmes. A considerable number of educational programmes still teach end range manipulations in the middle and lower cervical spine (33.3%) and upper cervical spine (25.5%). Conclusions The dissemination and implementation of the International IFOMPT Cervical Framework among educational programmes has been successful. However, although positional testing and craniovertebral ligament testing are excluded from the Framework, most educational programmes will keep these tests in their curriculum, which raises some concern regarding the success and impact of international consensus frameworks. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300469
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102619[article]
Titre : Abdominal wall tension increases using Dynamic Neuromuscular Stabilization principles in different postural positions Type de document : Article Auteurs : Katerina Madle ; Petr Svoboda ; Martin Stribrny ; Jakub Novak ; Pavel Kolar ; Andrew Busch ; Alena Kobesova ; Petr Bitnar Année de publication : 2022 Article en page(s) : 102655 Langues : Anglais (eng) Mots-clés : Postural stabilization Intra-abdominal pressure Abdominal wall tension Pressure sensors Dynamic neuromuscular stabilization Résumé : Background Intra-abdominal pressure (IAP) is an important mechanism stabilizing the spine and trunk. IAP regulation depends on the coordination of abdominal muscles, diaphragm and pelvic floor muscles. Objective To determine the differences in abdominal wall tension (AWT) of various postural positions, first without any correction, then after verbal and manual instructions according to Dynamic Neuromuscular Stabilization (DNS) principles. Methods In a cross-sectional observational study, thirty healthy individuals (mean age = 22.73 + 1.91 years) were fitted with two Ohmbelt sensors contralaterally above the inguinal ligament and in the upper lumbar triangle. AWT was measured during five postural positions: sitting, supine with legs raised, squat, bear and hang position. First, spontaneous AWT was measured, then again after manual and verbal instructions following DNS principles. Results AWT increased significantly with DNS instructions compared to spontaneous activation. Both sensors recorded significant increases (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300470
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102655[article]
Titre : The effectiveness of group education in people over 50 years old with knee pain: A systematic review and meta-analysis of randomized control trials Type de document : Article Auteurs : Kazuaki Hamada ; Hiroyuki Tamura ; Kenta Hirohama ; Tsubasa Mitsutake ; Takeshi Imura ; Shigeharu Tanaka ; Ryo Tanaka Année de publication : 2022 Article en page(s) : 102627 Langues : Anglais (eng) Mots-clés : Group education Knee pain Meta-analysis Résumé : Background International guidelines recommend educational intervention to treat knee osteoarthritis. However, they do not specify the type of intervention and the effectiveness of group educational intervention for knee pain is unclear. Objectives We aimed to examine the effectiveness of group educational interventions for people over 50 years old with knee pain compared with a control group. Design A systematic review and meta-analysis of randomized controlled trials (RCTs). Method We searched Medline, Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database, and Cumulative Index to Nursing and Allied Health Literature and screened for RCTs involving participants over 50 years old that reported the effects of group education on knee pain. We performed meta-analyses and evaluated the methodological quality and evidence quality using the Physiotherapy Evidence Database scale and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system, respectively. Results The search retrieved 1,177 studies. Seven RCTs were ultimately included, four of which were subjected to meta-analysis, showing standardized mean differences of ?0.22 (95% confidence interval [CI]: ?0.42 to ?0.02, n = 423; I2 = 0% GRADE: low). All studies included in the meta-analysis involved exercise without individualized instruction in addition to group educational intervention. Conclusions Group education, when delivered in addition to exercises, significantly reduces knee pain in people over 50 years old. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300471
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102627[article]
Titre : Effects of a single exercise session on pain intensity in adults with chronic pain: a systematic review and meta-analysis Type de document : Article Auteurs : Brishna Shah ; Michael A. Wewege ; Yannick L. Gilanyi ; Briana K. Clifford ; Jack J. Devonshire ; James H. McAuley ; Matthew D. Jones Année de publication : 2022 Article en page(s) : 102679 Langues : Anglais (eng) Mots-clés : Analgesia Exercise Meta-analysis Musculoskeletal pain Chronic pain Résumé : Background Chronic pain is prevalent amongst society, making it necessary to find strategies to manage chronic pain. Regular exercise is efficacious; however, pain is a barrier to initiating exercise. A single exercise session is also believed to acutely reduce pain, however, the evidence for this is less robust. Objectives This systematic review and meta-analysis aimed to identify the effect of a single exercise session on pain intensity in adults with chronic pain. Methods We searched eight databases and trial registries to identify randomised controlled trials evaluating the effect of a single exercise session on pain intensity in adults with chronic pain compared to a non-exercise control. Literature screening, data extraction, risk of bias (Cochrane 2.0) and quality assessment (GRADE) were conducted independently and in duplicate. Random-effects meta-analyses were performed using the metafor package in R. Results We included 17 trials (46 study arms with 664 adults [44% female]). There were no significant differences in pain intensity (mean difference on a 0-10 scale) immediately post-exercise ?0.02 (95% CI = ?0.06, 0.62; I2 = 77.1%) or up to 45-min post-exercise ?0.17 (95% CI = ?0.49, 0.16; I2 = 34.2%). All trials were at high risk of bias and the overall confidence in these findings was very low. Conclusion A single exercise session did not reduce pain intensity up to 1-h post-exercise. Notably, increases in pain were not observed either, suggesting that while pain can be a barrier to initiating exercise, clinicians can educate patients on the unlikelihood of exercise acutely increasing pain intensity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300472
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102679[article]
Titre : Person-centered care for musculoskeletal pain: Putting principles into practice Type de document : Article Auteurs : Nathan Hutting ; J.P. Caneiro ; Otieno Martin Ong'wen ; Maxi Miciak ; Lisa Roberts Année de publication : 2022 Article en page(s) : 102663 Langues : Anglais (eng) Mots-clés : Patient-centered care Person-centered care Self-management Shared decision making Therapeutic relationship Musculoskeletal conditions Résumé : Person-centered care specifically focuses on the whole person and is an important component of contemporary care for people with musculoskeletal pain conditions. Evidence suggests however, that some clinicians experience difficulties with integrating person-centered care principles into their clinical practice. Therefore, the purpose of this masterclass is to provide a framework that enables clinicians to incorporate person-centered principles in their management of people with musculoskeletal pain conditions. To support clinicians in overcoming some of the reported obstacles, we provide practical recommendations aimed at putting principles of person-centered care into practice. The framework supporting clinicians' delivery of person-centered care in practice consists of three key-principles: A) a biopsychosocial understanding of the person's experience; B) person-focused communication; and C) supported self-management. The framework includes three phases: 1) identification and goal setting, 2) coaching to self-management, and 3) evaluation. Building a therapeutic relationship underpins these phases and is an overarching element that weaves through the key-principles and phases of the framework. We use a clinical case to illustrate the practical implementation of these recommendations. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300473
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102663[article]
Titre : Plantarflexor neuromuscular performance in Insertional Achilles tendinopathy Type de document : Article Auteurs : Liam Crowley ; Patrick Vallance ; Ross Clark ; Luke Perraton ; Alessandro Garofolini ; Peter Malliaras Année de publication : 2022 Article en page(s) : 102671 Langues : Anglais (eng) Mots-clés : Achilles tendinopathy Plantarflexor strength Rate of force development Force steadiness Résumé : Background Insertional Achilles tendinopathy (IAT) is a common and painful musculoskeletal condition. The management of IAT commonly involves strengthening of the plantarflexors, although there is currently a paucity of research investigating plantarflexor neuromuscular performance specific to people with IAT. Objectives To compare plantarflexor neuromuscular performance between men with IAT and controls, and to investigate the relationship between plantarflexor neuromuscular performance and patient reported outcome measures for men with IAT. Design Case control. Method 34 men with IAT (age 43.7 years [SD 10.02], weight 89.6 kg [16.3]) were matched with 34 healthy men (age 42.8 years [SD 8.9], weight 87.2 kg [9.7]). Participants underwent a plantarflexion maximal voluntary isometric contraction (MVIC) task, and a target force matching task. Neuromuscular variables from these tasks include; MVIC, rate of torque development (RTD), electromechanical delay (EMD), and muscle force steadiness. Participants also completed questionnaires regarding; pain and function, and psychological factors. Results The IAT group had reduced MVIC (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300474
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102671[article]
Titre : Is low intensity exercise sufficient to induce exercise-induced pain threshold modulation in people with persistent pain? Type de document : Article Auteurs : Niamh Moloney ; Martin Rabey ; Julia Hush ; Duncan Sanders ; Tumelo Dube ; Anna Marcuzzi Année de publication : 2022 Article en page(s) : 102643 Langues : Anglais (eng) Résumé : Objectives We investigated whether a 12-min walk test (12MWT) yielded exercise-induced pain threshold modulation (EIPM) within people with persistent pain and whether baseline self-report and pain sensitivity measures differed according to these responses. Design Cross-sectional study. Methods Two cohorts (tertiary/community) (n = 88) with persistent pain underwent pressure pain threshold (PPT) testing before and after a 12MWT to determine exercise-induced pain threshold modulation responses. Baseline self-report (pain severity, pain distribution, psychological distress, sleep) and baseline widespread pain sensitivity (WPS) (high/low) were recorded. Within and between-group differences were analysed using paired t-tests and repeated measure analyses of covariance. Individual EIPM responses were categorised as hyperalgesic, no change and hypoalgesic responses. Differences in baseline self-report and pain sensitivity measures between EIPM categories were investigated. Results No significant within- or between-group differences in PPT following the 12MWT were detected (p > 0.05). Individual responses showed that up to 30% of the community and 44% of the tertiary cohort demonstrated >20% change in PPT (in either direction). Significant differences were shown in pain distribution (p = 0.002) and baseline WPS (p = 0.001) between people with hyperalgesic, no change, hypoalgesic responses. People with 4?5 pain regions were more likely hyperalgesic (?2 = 9.0, p = 0.003); people with low baseline WPS were more likely to demonstrate no change (p = 0.002). Conclusion Low or self-selected intensity exercise was insufficient to induce exercise-induced pain modulation at group level. Individual responses were variable with pain distribution and baseline WPS differing between responses. Future research could evaluate responses and associated factors in larger samples with high baseline pain sensitivity specifically. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300475
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102643[article]
Titre : A systematic review of N-of-1 trials and single case experimental designs in physiotherapy for musculoskeletal conditions Type de document : Article Auteurs : J. Nikles ; K. Evans ; A. Hams ; M. Sterling Année de publication : 2022 Article en page(s) : 102639 Langues : Anglais (eng) Mots-clés : Musculoskeletal Physiotherapy Single case experimental design N-of-1 trials Systematic review Single person Physical therapy Résumé : Background Single Case Experimental Designs (SCEDs) are especially useful for small heterogeneous samples. Their role in evaluation of physiotherapy interventions for musculoskeletal conditions has not been systematically reviewed. Objectives Systematically review use, purpose, and outcomes of SCEDs for physiotherapy interventions for musculoskeletal conditions. Data sources Electronic databases and grey literature, searched using pre-defined terms. Study selection or eligibility criteria Studies of human participants enrolled in eligible SCEDs (individual or a series). Study appraisal and synthesis methods We extracted study characteristics, analytic methods and results, synthesising these descriptively. We used RoBiN-T scale to assess risk of bias. Results We included 19 SCEDs comprising 92 participants, with wide variability in design, methodology, analysis and in conditions and interventions evaluated. 95% of participants responded favourably to the tested intervention. Overall risk of bias was high, due to poor internal validity, especially regarding randomisation, blinding, inter-rater agreement and measurement of treatment adherence. Visual analysis alone was performed in 55% of studies. Assessment of provider and participant satisfaction was limited. Conclusions and implications of key findings: SCEDs may be well-suited to evaluation of physiotherapy interventions for musculoskeletal conditions, but the risk of bias in studies to date is high. Following SCED guidelines to minimize the risk of bias and maximise clinical usefulness is recommended. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300476
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102639[article]
Titre : Are people good prognosticators of their own pain? An exploration of the relationship between sex-specific pain beliefs and clinical pain evaluation Type de document : Article Auteurs : Lauren N. Straatman ; Michael J. Lukacs ; Joshua Y. Lee ; Maryam Ghodrati ; Emily A. Lalone ; David M. Walton Année de publication : 2022 Article en page(s) : 102667 Langues : Anglais (eng) Mots-clés : Clinical pain evaluation Sex-specific pain beliefs Predictive ability GREP Self-rated pain Résumé : Background Under-explored to date are the interacting influences of patient sex on multi-modal evaluation techniques that tap different domains of the pain experience. Objectives The primary aim of Study 1 was to explore the accuracy of sex-specific personal pain beliefs in relation to quantitative pain indicators within sexes, and the secondary objective was to compare the accuracy of sex-specific personal pain beliefs in relation to quantitative pain indicators between sexes. The primary objective of Study 2 was to explore the accuracy of sex-specific personal pain beliefs and self-rated pain severity within sexes, and the secondary objective was to compare sex-specific personal pain beliefs and pain severity ratings between sexes. Methods A cross-sectional analysis on two datasets was performed (Study 1, n = 50; Study 2, n = 111). For both studies, independent samples t-tests were used to identify differences in clinical pain evaluations based on sex-specific pain beliefs. Receiver Operating Characteristic (ROC) curves were used to compare the predictive accuracy of males and females clinical pain evaluations based on their ability to handle pain. Results There were no statistically significant differences in clinical pain evaluations based on self-rated pain beliefs in either study. In Study 2, males were descriptively more accurate predictors of their clinical pain evaluations than were females, though none of the between sex comparisons were statistically significant. Conclusion This work highlights the importance of considering all available clinical pain evaluations as one technique is unlikely to represent the patients pain experience. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300477
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102667[article]
Titre : Self-management behaviour after a physiotherapist guided blended self-management intervention in patients with chronic low back pain: A qualitative study Type de document : Article Auteurs : J.P.J. Achten ; S. Mooren-van der Meer ; M.F. Pisters ; C. Veenhof ; T. Koppenaal ; C.J.J. Kloek Année de publication : 2022 Article en page(s) : 102675 Langues : Anglais (eng) Mots-clés : Low back pain Chronic low back pain Self-management Self care Physiotherapy Telemedicine Résumé : Background Self-management support is considered an important component in the physiotherapeutic treatment of people with chronic low back pain. The stratified blended physiotherapy intervention e-Exercise Low Back Pain is an example of a self-management intervention. More insight may contribute to improving blended interventions to stimulate self-management after treatment and thus hopefully prevent chronicity and/or relapses in patients with chronic low back pain. Objectives The aim of this study was to gain an in-depth understanding of the self-management behaviour after a physiotherapist guided blended self-management intervention in people with chronic low back pain. Design A qualitative study with semi-structured interviews nested within a randomized controlled trial on the (cost-)effectiveness of e-Exercise Low Back Pain was conducted. Method Thematic analysis was used to analyse the transcriptions. A hybrid process of both deductive and inductive approaches was used. Results After 12 interviews, data saturation was reached. Analysis of the data yielded six themes related to self-management behaviour: illness beliefs, coping, cognitions, social support and resource utilization, physiotherapeutic involvement and motivation. Conclusions In our study the majority of the participants seemed to show adequate self-management behaviour when experiencing low back pain. Most participants first try to gain control over their low back pain themselves when experiencing a relapse before contacting the physiotherapist. Participants struggle in continuing health behaviour in pain free periods between relapses of low back pain. Physiotherapists are recommended to encourage long-term behaviour change. Additionally, better facilitation by the physiotherapist or additional functionalities in the app to stimulate social support might have a useful contribution. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300478
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102675[article]
Titre : Neglect-like symptoms and their relationships with other clinical features in people with hand osteoarthritis: An exploratory study Type de document : Article Auteurs : N. Magni ; J. Collier ; D. Rice ; P. McNair Année de publication : 2022 Article en page(s) : 102662 Langues : Anglais (eng) Mots-clés : Chronic pain Musculoskeletal pain Hand osteoarthritis Body schema Neglect-like symptoms Résumé : Background Symptomatic hand osteoarthritis (OA) is a debilitating condition. Body schema impairments such as neglect-like symptoms have been previously reported in people with symptomatic hand OA, however, little is known about their clinical importance, or relationships with other clinical features. Objectives The aim of this cross-sectional study was to assess the prevalence of neglect-like symptoms in painful hand OA and their association with measures of depression, pain catastrophising, sleep quality, function, pain interference and pain duration whilst controlling for important covariates. Design Secondary analysis of cross-sectional study. Methods Logistic regression with age, sex, and worst pain intensity as covariates were utilised to assess differences between participants with and without neglect-like symptoms. Results A total of 121 participants were recruited. Sixty-one percent of participants presented with neglect-like symptoms. Participants with longer pain duration had greater odds of presenting with neglect-like symptoms (OR: 1.10 95%CI: 1.01 to 1.19; p = 0.012). No difference was observed for depression, pain catastrophising, sleep quality, function, or pain interference. Conclusions A large proportion of participants with symptomatic hand OA reported neglect-like symptoms, the presence of which was associated with longer pain duration. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300479
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102662[article]
Titre : Cross-sectional analysis of generational differences in pain attitudes and beliefs of patients receiving physical therapy care in outpatient clinics Type de document : Article Auteurs : Kory J. Zimney ; Adriaan Louw ; Chris Roosa ; Nicholas Maiers ; Kimberly Sumner ; Terry Cox Année de publication : 2022 Article en page(s) : 102682 Langues : Anglais (eng) Descripteurs : HE Vinci
PainMots-clés : Generations Attitudes Beliefs Résumé : Background Musculoskeletal pain is a common reason to seek outpatient physical therapy care. Generational differences regarding attitudes and beliefs have been found in many areas, but it has not been explored regarding pain. Objectives This study aimed to examine generational differences in attitudes and beliefs regarding pain and the potential differences between beneficial and non-beneficial treatment options in patients receiving care in outpatient physical therapy clinics. Design Cross-sectional descriptive survey. Method A survey was developed to explore attitudes, beliefs, and treatment preferences. The survey was emailed out to past and current physical therapy patients as part of the customer satisfaction survey over a four-month period. Results/findings 2260 surveys were completed during the collection period. Generational differences were found between the different generational groups. Younger generations were more in line with current pain neuroscience, understanding that pain is normal and part of the survival mechanism and less likely to believe that pain meant something wrong with one's tissues. Younger generations also reported more agreeance to the ability to cope without medication. However, significant variations existed in treatment choices that were most beneficial and least beneficial between respondents. Conclusion Generational differences do exist in some areas of pain attitudes and beliefs. Less variation was noted in treatment options between generations, but there were significant variations within all patient respondents. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300480
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102682[article]
Titre : The association between number of shoulder diagnoses and positive clinical tests with self-reported function and pain: A cross-sectional study of patients with hypermobile joints and shoulder complaints Type de document : Article Auteurs : Frederik Kjærbæk ; Birgit Juul-Kristensen ; Søren T. Skou ; Jens Søndergaard ; Eleanor Boyle ; Karen Søgaard ; Behnam Liaghat Année de publication : 2022 Article en page(s) : 102624 Langues : Anglais (eng) Résumé : Background Patients with hypermobility spectrum disorder (HSD) and shoulder complaints may suffer from symptoms related to shoulder instability, laxity, and hypermobility. It is currently unknown whether having a more complex clinical status with several diagnoses (i.e., anterior instability (AI), multidirectional instability (MDI), and/or symptomatic localised shoulder hypermobility (LSH), relates to higher functional impairments and pain. Objectives To investigate the associations between either ?1, 2, or 3 clinical shoulder diagnoses (AI, MDI, and LSH) or the number (0?10) of positive clinical shoulder tests with shoulder function using the western Ontario shoulder instability index (WOSI, 0?2100, 0 = best) and pain intensity using numerical pain rating scale (NPRS, 0?10, 10 = worse). Design Exploratory cross-sectional study. Method From a randomised controlled trial, baseline data from 100 participants with HSD and shoulder complaints for at least three months were included. Associations were investigated using linear regression models, adjusted for age, sex, body mass index, and hand dominance. Results Compared with having ?1 diagnosis, neither participants with two (WOSI 76.9, 95% CI -136.3, 290.0; NPRS 0.3, 95% CI -0.9, 1.5) nor three (WOSI 35.5, 95% CI -178.5, 249.6; NPRS 0.1, 95% CI -1.1, 1.3) clinical shoulder diagnoses had significantly worse shoulder function or pain. Likewise, the number of positive clinical shoulder tests was not associated with function (WOSI -20.8 95%CI (?55.3, 13.7)) or pain (NPRS -0.1 95%CI (?0.2, 0.1)). Conclusions In participants with HSD and shoulder complaints, having more additional shoulder diagnoses or increased number of positive shoulder tests were not related to functional impairments or pain intensities. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300481
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102624[article]
Titre : Describing characteristics clinicians believe predictive of patient reported outcomes after adult's ankle fracture ? A modified Delphi study Type de document : Article Auteurs : Billy H.T. Chan ; David A. Snowdon ; Cylie M. Williams Année de publication : 2022 Article en page(s) : 102632 Langues : Anglais (eng) Descripteurs : HE Vinci
FractureMots-clés : Ankle Predictive characteristics Patient reported outcome Orthopaedic Delphi Résumé : Background Despite explanatory studies have identified a wide range of modifiable and non-modifiable characteristics, uncertainty persists as to what characteristics are predictive of patient reported outcome following ankle fracture in adults, therefore hindering the selection of candidate variables in prognostic models without compromising the accuracy. Objective To establish consensus-based characteristics which clinicians believe are predictive of patient reported outcomes following ankle fracture. Design Three-round online modified Delphi survey. Methods In Round 1, participants provided responses to open-ended questions, as to what characteristics within the first eight weeks following ankle fracture are predictive of short- (2 years) patient reported outcome. Rounds 2 and 3 presented consensus and gathered agreement on statements. Results Twenty participants answered the open-ended questions, including 13 physiotherapists and seven orthopaedic/trauma surgeons. Participants reached consensus for fracture characteristics and agreement for age, recovery of signs and symptoms, fracture management complexity, medical comorbidities, mental health status and patient journey at the short-term timepoint; agreement for age, engagement in recovery process, recovery of signs and symptoms, fracture characteristics, medical comorbidities and socioeconomic status at the medium-term timepoint; agreement for engagement in recovery process, fracture characteristics and medical comorbidities at the long-term timepoint. Conclusion Clinicians believed in certain modifiable and non-modifiable characteristics predictive of patient reported outcome following ankle fracture. Our findings may provide insights about characteristics which can be selected in prognostic model development and future explanatory studies, allowing targeting adults at risk of developing long-standing symptoms and disability. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300482
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102632[article]
Titre : 3D measurement of clavicular and scapular orientations: The association with clinical characteristics and responsiveness to scapular repositioning in patients with neck pain Type de document : Article Auteurs : Nipaporn Wannaprom ; Gwendolen Jull ; Julia Treleaven ; Martin B. Warner ; Teerawat Kamnardsiri ; Sureeporn Uthaikhup Année de publication : 2022 Article en page(s) : 102656 Langues : Anglais (eng) Descripteurs : HE Vinci
Posture ; ScapulaMots-clés : Clavicle Cluster analysis Neck pain Résumé : Background Clavicular and scapular orientations vary between neck pain patients as do clinical features and responses (changes in pain and rotation range) to scapular repositioning. Associations between these factors are unknown. Objectives To identify subgroups of neck pain patients based on three-dimensional (3D) measures of clavicular and scapular orientations and differences between subgroups in clinical characteristics and responses to scapular repositioning. Design Cross-sectional study. Methods Eligible participants were recruited as part of a larger study. The 3D clavicular and scapular orientations were analyzed on the more painful side of the neck using a hierarchical cluster analysis. Clinical characteristics were neck pain location, intensity, duration, disability and presence of headache. Responses to scapular repositioning were classified as ?yes and no?. Results Fifty-eight participants (29 responsive; 29 non-responsive to scapular repositioning) participated in the study. Analysis identified two distinct subgroups: subgroup1 had greater clavicular retraction and scapular downward rotation (n = 26) and subgroup2 had greater clavicular elevation and scapular internal rotation and anterior tilt (n = 32). Headache and dominant pain in the upper neck were more frequent in subgroup 1 while dominant pain in the lower neck was frequent in subgroup 2 (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300483
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102656[article]
Titre : Cervicogenic headache, an easy diagnosis? A systematic review and meta-analysis of diagnostic studies Type de document : Article Auteurs : Anthony Demont ; Simon Lafrance ; Leïla Benaissa ; Jérôme Mawet Année de publication : 2022 Article en page(s) : 102640 Langues : Anglais (eng) Mots-clés : 1- Differential diagnosis 2- Headache disorders Secondary 3- Cervicogenic headache 4- Physical examination 5- Sensitivity and specificity Résumé : Background The diagnosis of cervicogenic headache (CGH) remains a challenge for clinicians as the diagnostic value of detailed history and clinical findings remains unclear. Objectives To update and evaluate available evidence of the prevalence and the diagnostic accuracy of the detailed history and clinical findings for CGH in adults with headache. Design Systematic review with meta-analysis. Methods CINAHL, Cochrane Central, Embase, PEDro and PubMed were searched for studies before March 2022 that reported detailed history and/or clinical findings related to the diagnosis of cervicogenic headache. Study selection, risk of bias assessment (QUADAS-2 and PROBAST), and data extraction were performed. Meta-analyses for the cervical flexion-rotation test (CFRT) was performed. Certainty of the evidence was assessed with the GRADE approach. Results Eleven studies were included. Moderate certainty evidence indicated that the CFRT differentiated CGH from lower cervical facet-induced headache, migraine, concomitant headaches or asymptomatic subjects (Se 83.0% [95%CI:70.0%?92.0%]; Sp 83.0% [95%CI:71.0%?91.0%]; positive LR 5.0 [95%CI:2.6?9.5]; negative LR 0.2 [95%CI:0.1?0.4]; n = 4 studies; n = 182 participants). Several diagnostic classifications and test clusters based on headache history and clinical findings can be useful, despite uncertain accuracy, in formulating the diagnosis of CGH. Conclusion Evidence support to undertake an evaluation of headache history and signs and symptoms and a physical examination of the patient neck to diagnose CGH. During the physical examination, a positive or negative CFRT probably has a small to moderate effect on the probability of a patient having a CGH. The diagnostic value of the other findings remains unclear. Trial registration #CRD42020201772. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300484
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102640[article]
Titre : Development of a prediction model to determine responders to conservative treatment in people with symptomatic hand osteoarthritis: A secondary analysis of a single-centre, randomised feasibility trial Type de document : Article Auteurs : N. Magni ; D. Rice ; P. McNair Année de publication : 2022 Article en page(s) : 102659 Langues : Anglais (eng) Mots-clés : Hand OA Exercise Prediction model Treatment responders Resistance training Persistent pain Résumé : Background Conservative treatments are beneficial for people with hand osteoarthritis (OA). Objective It was the purpose of this study to develop and internally validate both a basic model and a more complex model that could predict responders to conservative treatments in people with hand OA. Design This was a secondary analysis of a single-centre, randomised feasibility study. Methods Fifty-nine participants (34 responders) with hand osteoarthritis were recruited from the general population. Participants were randomised to receive either advice alone, or advice in combination with blood flow restriction training (BFRT), or traditional high intensity training (HIT). Participants underwent supervised hand exercises three times per week for six weeks. The OMERACT-OARSI criteria were utilised to determine responders vs non responders to treatment at the end of six weeks. A basic logistic regression model (treatment type, expectations, adherence) and a more complex logistic regression model (basic model variables plus pain catastrophising and neuropathic pain features) were created. Discrimination ability, and calibration were assessed. Internal model validation through bootstrapping (200 repetitions) was utilised to calculate the prediction model optimism. Results The results showed that the basic model presented with acceptable discrimination (optimism corrected c-statistic: 0.72, 95% CI 0.71?0.73) and calibration (slope = 1.41; intercept = 0.68). The more complex model had better discrimination but poorer calibration. Conclusion A prediction tool was created to provide an individualised estimate of treatment response in people with hand OA. Future studies will need to validate this model in other groups of patients. Trial registration https://www.anzctr.org.au/- ACTRN12617001270303. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300485
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102659[article]
Titre : Beyond pain in the brain: A clinician's guide to interpreting the spinal cord's role in the pain experience Type de document : Article Auteurs : Sarah M Margerison ; Kelly P Westlake ; David A Seminowicz Année de publication : 2022 Article en page(s) : 102664 Langues : Anglais (eng) Descripteurs : HE Vinci
NociceptionMots-clés : Chronic pain Spinal cord Central sensitization Neurophysiology Résumé : Introduction Physical therapy practice has greatly improved in providing a biopsychosocial approach when considering persistent pain. However, the spinal cord is often overlooked as a structure with an important role in modulating nociceptive information. Purpose This article highlights the role of the dorsal horn (DH) in nociceptive processing and its impact on persistent pain conditions as they appear clinically. Key processes occurring in the spinal cord are described, including cellular changes and local spinal network responses to nociceptive stimuli. Additionally, associated clinical symptoms are discussed and some aspects of physical therapy evaluation are challenged based on the mechanisms of nociceptive processing presented in this commentary. Implications The spinal cord is an active participant in nociceptive processing, directly impacting the intensity, spread, and recurrence of pain, including within the context of central sensitization. Changes in the behavior of DH neurons are possible with sufficient stimulation and may occur after injury. Additionally, spinal cord activation patterns may lead to bilateral symptoms given adequate strength and duration despite a single peripheral driver. Viewing the spinal cord as a dynamic structure capable of up or down regulating its response to stimuli gives the clinician a better understanding of the nervous system's complex response to prolonged nociceptive input. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300486
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102664[article]
Titre : Virtual reality and motor control exercises to treat chronic neck pain: A randomized controlled trial Type de document : Article Auteurs : Hatice Cetin ; Nezire Kose ; Halil Kamil Oge Année de publication : 2022 Article en page(s) : 102636 Langues : Anglais (eng) Descripteurs : HE Vinci
ProprioceptionMots-clés : Neck pain Virtual reality Pain threshold Exercise Anxiety Quality of life Résumé : Aim To compare the effects of virtual reality (VR) and motor control (MC) exercises. Methods Forty-one participants with chronic neck pain (CNP) were randomized into the VR or MC group. Both groups performed 18 sessions over 6 weeks. The primary outcomes were pain intensity (visual analogue scale), pain pressure thresholds (PPTs), joint position sense error (JPSE), and muscle performance. The secondary outcomes were the Profile Fitness Mapping Questionnaire (ProFitMap-Neck), Hospital Anxiety-Depression Scale (HADS), and quality of life (SF-36). Data were analysed using T-Tests, and Fisher's Exact Test. Mean (standard deviation), median (interquartile range), effect size and %95 confidence interval (CI) were reported. Results The results of Independent T-Tests showed that VR was advantageous in terms of PPTs of the C1/C2 and C5/C6 articular pillar bilaterally and large effect size (Cohen's d > 0.8, p 0.08; mean difference changes between ?2.91 and ?1.24, %95 CI -4.47 to 0.80) and functional limitation (ProFitMap-Neck) (Cohen's d = 0.7, mean difference 8.27, %95 CI 0.20 to 16.35). The results of T-Tests demonstrated that neither intervention was superior in terms of pain intensity, muscle performance, symptoms (ProFitMap-Neck), HADS, or SF-36 (Cohen's d Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300487
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102636[article]
Titre : Differences in balance control despite self-reported resolution of pregnancy-related pelvic girdle pain. A cross-sectional study Type de document : Article Auteurs : Esther van Benten ; Michel W. Coppieters ; Jan J.M. Pool ; Annelies L. Pool-Goudzwaard Année de publication : 2022 Article en page(s) : 102620 Langues : Anglais (eng) Descripteurs : HE Vinci
RéadaptationMots-clés : Women's health Pregnancy Postpartum Musculoskeletal Résumé : Background Motor control patterns are altered when women with pregnancy-related pelvic girdle pain (PGP) experience pain. In low back pain, these adaptations can persist after recovery. Objectives This study aimed to assess balance control in postpartum women with and without a history of PGP during pregnancy. Design Cross-sectional study. Method Eighteen postpartum women who reported to be recovered from PGP, and twelve postpartum women without a history of PGP during pregnancy performed two clinical tests: the single leg stance and active straight leg raise test. Primary outcomes were ground reaction forces measured with a force platform. Results Multiple linear regression analyses showed smaller lateral displacement (? = ?11cm; 95%CI: 19 to ?3; p = 0.008) and lower displacement velocity of the Centre of Pressure (COP) (Ratio of Geometric Means (RGM) 0.76; 95%CI: 0.59 to 0.99; p = 0.043) during single leg stance in the participants with a history of PGP compared to participants without a history of PGP. Push-off force (? = ?4.8 N; 95%CI: 22.0 to 12.5; p = 0.57) and asymmetry of push-off force (RGM 1.77; 95%CI: 0.62 to 5.04; p = 0.27) did not differ between groups. During the active straight leg raise test, no differences in lateral displacement (? = 3 cm; 95%CI: 3 to 8; p = 0.30) and COP displacement velocity (RGM 1.03; 95%CI: 0.70 to 1.52; p = 0.87) were observed. Conclusions Although the women with a history of PGP considered themselves recovered, their balance control during single leg stance was poorer compared to those without a history of PGP. No differences were found during the active straight leg raise test. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=300488
in Musculoskeletal Science and Practice > Vol. 62 (December 2022) . - 102620[article]
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Titre : Level of knowledge on conservative management of adolescent idiopathic scoliosis among undergraduate students in healthcare : A scoping review Type de document : Article Auteurs : Chantal Doucet ; Philippe Rousseau ; Isabelle Pagé Année de publication : 2022 Article en page(s) : p. 102595 Note générale : https://doi.org/10.1016/j.msksp.2022.102595 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Enquêtes et questionnaires ; Étudiants ; Personnel de santé ; ScolioseRésumé : Background Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional deformity of the spine associated with pain and aesthetic changes. Various health care professionals may be led to evaluate and/or manage adolescents presenting AIS. There is no compiling of the studies evaluating the level of knowledge on AIS conservative management among undergraduate students in healthcare. Objective To identify and map the current studies evaluating the level of knowledge of health profession students on AIS conservative management. Design Scoping review. Methods The search strategy was conducted in Scopus database. Three concepts were included: ?Adolescent idiopathic scoliosis?, ?Knowledge? and ?Undergraduate students studying in a healthcare field?. Studies identification included (1) duplicates removing, (2) title and abstract screening, and (3) full-text screening. The quality of the included studies was assessed. Studies? characteristics were extracted, and results were summarized. Results Searches yielded the identification of 245 citations. After duplicates removal and abstract screening, three full-text articles were identified. Following full-text review, two full-text articles were finally included. Both studies evaluated students in physiotherapy, but using distinct questionnaires. Both studies reported an unsatisfactory level of knowledge. Conclusion Knowledge of future health professionals about the conservative management of AIS has been barely evaluated. Therefore, no conclusion can be drawn regarding the level of knowledge of undergraduate health professions? students on AIS conservative management. The development a standardized questionnaire to adequately assess this knowledge across institutions and professions is required. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297318
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102595[article]
Titre : Physiotherapists could detect changes of 12 degrees or more in single-plane movement when observing forward bending, squat or hand-over-head : A cross-sectional experiment Type de document : Article Auteurs : Emily Abbott ; Amity Campbell ; Emma Wise ; Stephen J. Tidman ; Brendan S. Lay ; Peter Kent Année de publication : 2022 Article en page(s) : p. 102594 Note générale : https://doi.org/10.1016/j.msksp.2022.102594 Langues : Anglais (eng) Descripteurs : HE Vinci
Amplitude articulaire ; Évaluation de résultat (soins) ; Kinésithérapie et physiothérapie ; Mouvement du corps ; Techniques de physiothérapieRésumé : Background The visual accuracy of physiotherapists to detect changes in dynamic joint angles is currently unknown. Objective To investigate (i) the smallest detectable change in movement that physiotherapists could visually observe, and (ii) whether visual accuracy was associated with the functional activity observed or characteristics of the physiotherapist. Methods Thirty-four physiotherapists viewed and rated videos of squat, hand-over-head, forward bend functional activities and an artificial test condition (a reference movement followed by subsequent movements showing random differences in peak angle from 0° to 15°, so 18 sets of paired videos per functional activity). They rated each range of movement (same/more/less) relative to the reference movement, while their visual tracking was continuously monitored. Accuracy was calculated (multilevel regression) using two thresholds ? two correct out of three viewings (2/3) and three correct out of three viewings (3/3). Results More than 80% of physiotherapists were able to detect 9° difference using the 2/3 threshold and 12° using the 3/3 threshold. There was no association (p > 0.05) between visual accuracy and experience, sex, or movement type, except when viewing shoulder abduction compared with knee flexion using the 3/3 threshold. The only association between accuracy and visual tracking characteristics was for assessing lumbar flexion, where use of more visual fixation areas and a shorter fixation time per area were more accurate. Conclusion Physiotherapists were consistently accurate at detecting changes of ?12° in single-plane, low-speed functional activities. Visual accuracy was not explained by experience or sex, and rarely associated with functional activity type or visual fixation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297319
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102594[article]
Titre : Assessing shoulder disability in orthopaedic specialist care : Introducing the Copenhagen Shoulder Abduction Rating (C-SAR) Type de document : Article Auteurs : Mikkel Bek Clausen ; Adam Witten ; Karl Bang Christensen ; Mette Kreutzfeldt Zebis ; Morten Foverskov ; Ann Cools ; Per Hölmich ; Kristian Thorborg Année de publication : 2022 Article en page(s) : p. 102593 Note générale : https://doi.org/10.1016/j.msksp.2022.102593 Langues : Anglais (eng) Descripteurs : HE Vinci
Epaule ; Kinésithérapie (spécialité) ; Lésions de l'épaule ; OrthopédieRésumé : Background Differences in shoulder-disability among common shoulder-disorders in orthopaedic specialist care is unknown. Furthermore, rating of shoulder-disability using patient-reported outcomes is time-consuming, and a faster approach is needed. Objectives First, compare shoulder-disability among common shoulder-disorders. Secondly, rate shoulder-disability according to the new and quick Copenhagen Shoulder Abduction Rating (C-SAR) and investigate criterion validity of C-SAR. Methods Cross-sectional study including 325 consecutive patients with shoulder-disorders in orthopaedic specialist care. We assessed shoulder abduction range-of-motion and pain during testing (NRS:0-10), and shoulder-disability using Shoulder Pain and Disability Index (SPADI) subscales. Patients were sub-grouped using C-SAR, which is based on shoulder abduction range-of-motion and pain during testing: Severe (range-of-motion ?90°), Medium (range-of-motion >90°, NRS:>5), Mild (range-of-motion >90°, NRS:?5). Shoulder-disability was compared among diagnostic categories and C-SAR subgroups using ANCOVA-models. Results Most patients were diagnosed with either subacromial impingement (n = 211) or full-thickness/complete rotator-cuff tear (n = 18), but adhesive capsulitis (n = 22) was the diagnostic category related to worst SPADI scores. Data for C-SAR subgrouping were available from 187/229 (82%) patients with rotator-cuff related disorders (subacromial impingement or rotator-cuff tears). C-SAR subgrouping was not feasible for patient with adhesive capsulitis or glenohumeral injury. Differences in shoulder-disability between Mild (n = 67) and Medium (n = 56) C-SAR subgroups were large for both SPADI-subscales (ES: 1.0, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297320
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102593[article]
Titre : An exploration of low back pain beliefs in a Northern America based general population Type de document : Article Auteurs : B. Michael Ray ; Alex Kovaleski ; Kyle J. Kelleran ; Peter Stilwell ; Austin Baraki ; Sabrina Coninx ; James E. Eubanks Année de publication : 2022 Article en page(s) : p. 102591 Note générale : https://doi.org/10.1016/j.msksp.2022.102591 Langues : Anglais (eng) Descripteurs : HE Vinci
Amérique du Nord ; croyance populaire ; Education ; Lombalgie ; Pratique cliniqueRésumé : Background Prior research has demonstrated that people across different populations hold beliefs about low back pain (LBP) that are inconsistent with current evidence. Qualitative research is needed to explore current LBP beliefs in Northern America (NA). Objectives We conducted a primarily qualitative cross-sectional online survey to assess LBP beliefs in a NA population (USA and Canada). Methods Participants were recruited online using social media advertisements targeting individuals in NA over the age of 18 with English speaking and reading comprehension. Participants answered questions regarding the cause of LBP, reasons for reoccurrence or persistence of LBP, and sources of these beliefs. Responses were analyzed using conventional (inductive) content analysis. Results/findings 62 participants were included with a mean age of 47.6 years. Most participants reported multiple causes for LBP as well as its persistence and reoccurrence, however, these were biomedically focused with minimal to no regard for psychological or environmental influences. The primary cited source of participants? beliefs was healthcare professionals. Conclusions Our findings align with prior research from other regions, demonstrating a need for updating clinical education and public messaging about the biopsychosocial nature of LBP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297321
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102591[article]
Titre : Sex-related differences in sternocleidomastoid muscle morphology in healthy young adults : A cross-sectional magnetic resonance imaging measurement study Type de document : Article Auteurs : Ben D.J. Migotto ; Sandeep Gill ; Matthew Sem ; Alison K. Macpherson ; Loriann M. Hynes Année de publication : 2022 Article en page(s) : p. 102590 Note générale : https://doi.org/10.1016/j.msksp.2022.102590 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie par résonance magnétique ; Muscles du cou ; Vertèbres cervicalesRésumé : Background Changes in sternocleidomastoid (SCM) muscle cross-sectional area (CSA) and volume may contribute to neck-related concussion symptoms and whiplash-associated disorders. Magnetic resonance imaging (MRI) data on healthy SCM morphology can provide information that may lead to targeted treatment protocols. Objectives To examine sex-related differences in MRI-based SCM CSA, SCM volume and neck area in healthy young adults, to analyze associations between measurements and participant variables and to assess inter-rater reliability for measurement quantification. Design Cross-sectional study. Methods 13 males and 14 females underwent MRI scans. Slices obtained from C3?C7 were analyzed by three raters. SCM CSA at C4, total SCM volume from C3?C7 and neck area at C4 were quantified. Measurements were calculated as absolute and normalized values by body mass. Multivariable regression was used to analyze associations between normalized measurement values and participant variables. Inter-rater reliability was determined using intraclass correlation coefficients (ICC). Results Females had significantly lower normalized overall average SCM CSA (mean difference 1.3 mm2/kg (95% CI 0.4?2.2, p = 0.006) and total SCM volume (mean difference 140.8 mm3/kg (95% CI 66.1?215.5, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297322
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102590[article]
Titre : Physiotherapists' attitudes, views, and beliefs about Choosing Wisely recommendations : A qualitative study Type de document : Article Auteurs : Priti Kharel ; Joshua R. Zadro ; Chindhu S. Sundaram ; Kirsten McCaffery ; Rachael H. Dodd ; Charlotte McLennan ; Christopher G. Maher Année de publication : 2022 Article en page(s) : p. 102610 Note générale : https://doi.org/10.1016/j.msksp.2022.102610 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Kinésithérapie et physiothérapie ; Soins à faible valeurRésumé : Objective Explore physiotherapists' attitudes, views, and beliefs towards the Australian Physiotherapy Association's (APA) Choosing Wisely recommendations. Design Qualitative interview study. Methods We conducted semi-structured interviews with physiotherapists who were registered to practise in Australia. We purposively recruited participants with different demographics, clinical backgrounds, and years of experience to achieve diversity in views and opinions. Interviews explored barriers and facilitators to adopting the APA's Choosing Wisely recommendations, and strategies to increase adoption. Interviews were recorded, transcribed verbatim and analysed thematically. Results We interviewed 19 participants (79.2% of 26 who expressed interest to be interviewed). Mean (SD) age of participants was 33.4 (11.6), mean (SD) years of experience was 10 (11.4), 90% were male (n = 17) and 53% worked in private practice (n = 10). Most participants were slightly (42.1%, n = 8) or at least moderately familiar (42.1%, n = 8) with the recommendations. Barriers to adopting the recommendations included 1) clinicians' beliefs, experience, and knowledge, 2) patients' clinical presentation, their beliefs, and expectations, 3) workplace demands and culture, and 4) vague and restrictive language, and lack of awareness. Facilitators to adopting the recommendations included 1) physiotherapists? beliefs and practise patterns, 2) organisational support, and 3) clear and appropriate recommendations. Suggested strategies to increase adoption of the recommendations were 1) interventions targeting clinicians, 2) amendments to the recommendations and 3) increased awareness and access to the recommendations. Conclusion These findings will inform the development and dissemination of future Choosing Wisely recommendations, and development of strategies to replace low-value physiotherapy with high-value physiotherapy. Level of evidence IV. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297323
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102610[article]
Titre : Identifying peripheral arterial diseases or flow limitations of the lower limb : Important aspects for cardiovascular screening for referral in physiotherapy Type de document : Article Auteurs : Daniel Feller ; Andrea Giudice ; Agostino Faletra ; Mattia Salomon ; Erasmo Galeno ; Giacomo Rossettini ; Fabrizio Brindisino ; Filippo Maselli ; Nathan Hutting ; Firas Mourad Année de publication : 2022 Article en page(s) : p. 102611 Note générale : https://doi.org/10.1016/j.msksp.2022.102611 Langues : Anglais (eng) Descripteurs : HE Vinci
Cheville ; Claudication ; Diagnostic différentiel ; Réadaptation ; SciatiqueMots-clés : Differential diagnosis Ankle brachial index Sciatica Résumé : Many conditions could potentially cause pain in the lower limbs. One of these is peripheral arterial disease (PAD). PAD is often a real challenge to be recognized for clinicians due to symptoms that commonly mimic musculoskeletal conditions. PAD is defined as a total or partial blockage of the vessels that supply blood from the heart to the periphery. Its prevalence is around 7 percent in subjects between 55 and 59, reaching almost 25% in individuals between 95 and 99 years old. The most dominant symptom of PAD is lower limb pain. Also, PAD can produce other symptoms such as discoloration, altered skin temperature, and, when arterial blood flow is insufficient to meet the metabolic demands of resting muscle or tissue, focal areas of ischemia. In our view, physical therapists should be capable of triaging for PAD in a direct access setting. Therefore, in this Professional Issue, we present the main characteristics of PAD and the physiotherapy role in its management. A supplementary step-by-step guide will provide further resources for testing PAD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297324
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102611[article]
Titre : Cervical spine characteristics differ in competitive combat athletes compared with active control participants Type de document : Article Auteurs : Daniel A. Brown ; Felix T. Leung ; Kerrie Evans ; Gary Grant ; Julie A. Hides Année de publication : 2022 Article en page(s) : p. 102614 Note générale : https://doi.org/10.1016/j.msksp.2022.102614 Langues : Anglais (eng) Descripteurs : HE Vinci
Arts martiaux ; Cou ; Douleur ; Signes et symptômesRésumé : Background Injury to the head and neck are common in combat sport athletes. Impairments of the cervical spine have been found in some athletes who participate in sports with high forces and collisions. There is a lack of research on the effects of combat sports on the cervical spine. Objective The primary study aim was to investigate differences in cervical spine characteristics between combat athletes and a similarly aged active control group. The secondary aim was to investigate the relationship between symptom-based outcome measures and characteristics of the cervical spine. Design Cross-sectional. Method 40 male adult combat sport athletes and 40 male adult control participants were recruited from 4 combat sport clubs and a university campus, Australia. Cervical spine assessments were conducted at a private physiotherapy clinic. The Neck Disability Index and the Post-Concussion Symptom Scale were used as symptom-based outcome measures. Results Combat sport athletes had a reduced range of cervical motion, but greater isometric strength and endurance compared with a control group (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297325
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102614[article]
Titre : Exercise in patients with acetabular retroversion and excessive anterior pelvic tilt : A feasibility and intervention study Type de document : Article Auteurs : Anders Falk Brekke ; Søren Overgaard ; Bo Mussmann ; Erik Poulsen ; Anders Holsgaard-Larsen Année de publication : 2022 Article en page(s) : p. 102613 Note générale : https://doi.org/10.1016/j.msksp.2022.102613 Langues : Anglais (eng) Descripteurs : HE Vinci
Conflit fémoro-acétabulaire ; Douleur ; Exercice physiqueRésumé : Background Acetabular retroversion is associated with femoroacetabular impingement syndrome (FAIS). Anterior pelvic tilt enhances risk of FAIS. Objectives To investigate feasibility and change in patient-reported symptoms of a home-based exercise intervention in patients with acetabular retroversion and excessive anterior pelvic tilt, in comparison with a prior control period. Design Prospective intervention study. Methods Patients (18?40 years) not eligible for surgery, with radiographic signs of acetabular retroversion and excessive anterior pelvic tilt were recruited. An 8-week control period was followed by an 8-week training period. The home-based intervention consisted of education and exercises for core stability, muscle strengthening and stretching for reducing anterior pelvic tilt. Feasibility assessments were dropout (?10%), adherence (?75% of sessions), exercise-related pain, and adverse events. Primary outcome was change in the Copenhagen Hip and Groin Outcome Score (HAGOS) pain-subscale. Pelvic tilt was measured by EOS scanning. Results Forty-two patients (93% female, mean age 22.2 + 4.2 years) were included. Dropout rate was 7% and satisfactory adherence was demonstrated by 85%. Exercise-related pain and adverse events were acceptable. Between-period mean change score for HAGOS-PAIN was 5.2 points (95% CI: ?0.3?10.6) and ?1.6° (95% CI: ?3.9?0.7) of anterior pelvic tilt. Patients responding positively (?10 points) (n = 10, 26%), had pre-exercise moderate pain (HAGOS-PAIN 47.5?70 points). Conclusions Current exercise intervention was feasible. However, we found no clinically relevant changes in self-reported hip-related pain or anterior pelvic tilt. Post hoc responder analysis revealed that patients with moderate pain at baseline might benefit from this exercise. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297326
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102613[article]
Titre : Hip abductor versus adductor strengthening for clinical outcomes in knee symptomatic osteoarthritis : A randomized controlled trial Type de document : Article Auteurs : Gabriel Peixoto Leão Almeida ; Isabel Oliveira Monteiro ; Maria Larissa Azevedo Tavares ; Priscila Lourinho Sales Porto ; Thamyla Rocha Albano ; Amélia Pasqual Marques Année de publication : 2022 Article en page(s) : p. 102575 Note générale : https://doi.org/10.1016/j.msksp.2022.102575 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Entraînement en résistance ; Traitement par les exercices physiquesRésumé : Background Hip adductors and abductors are weak in patients with knee osteoarthritis (KOA). However, most studies have not investigated selective adductor strengthening. Objective To compare the effects of adding selective hip abductors versus adductors strengthening to lower limb multimodal exercise program for pain, self-reported function, knee-related quality of life, medication ingested and performance-based tests in patients with symptomatic KOA. Desing Randomized controlled trial. Methods Sixty-six patients with KOA were randomly assigned to two treatment groups: hip abductor group (HABG) or hip adductor group (HADG). Both groups performed a lower limb multimodal exercise program. HABG and HADG groups added three hip abduction and three hip adduction exercises, respectively. Intensity of pain through numeric pain scale, Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales, Lequesne questionnaire, global perceived effect scale, medication ingested, performance-based tests were assessed at baseline, after 6 weeks, and 6 months. Results No significant between-group differences were found in primary outcomes: pain intensity (mean difference = ?1.15, 95%CI ?2.44 ? 0.12, P = 0.07), KOOS-pain (mean difference = 1.64, 95%CI ?6.79 ? 10.07, P = 0.70) and KOOS-function in daily living (mean difference = ?0.12, 95%CI, ?8.78 ? 8.54, P = 0.97) in 6 weeks. Groups did not differ in any secondary outcome after 6 weeks or after 6 months (P > 0.05). Conclusions There is no difference between adding hip abductors or adductors strengthening to lower limb multimodal exercise program in improving pain, self-reported function, quality of life, medication ingested and performance-based tests in patients with KOA. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297327
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102575[article]
Titre : Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears : A systematic review & meta-analysis Type de document : Article Auteurs : Kathryn Fahy ; Rose Galvin ; Jeremy Lewis ; Karen Mc Creesh Année de publication : 2022 Article en page(s) : p. 102597 Note générale : https://doi.org/10.1016/j.msksp.2022.102597 Langues : Anglais (eng) Descripteurs : HE Vinci
Chirurgie générale ; Coiffe des rotateurs ; Exercice physiqueRésumé : Questions To report the characteristics of exercise interventions and ascertain their effectiveness compared to surgery on quality of life, disability, and pain for people with large to massive rotator cuff tendon tears (L-MRCTTs). Design Systematic review with meta-analysis of randomised controlled trials (RCTs). Participants Adults with L-MRCTTs defined as; >5 cm, 2 or more tendons. Intervention Exercise as an intervention for L-MRCTTs. Outcome measures Primary: quality of life, disability, and pain. Secondary: range of motion (ROM). The Consensus on Exercise Reporting Template (CERT) was used to extract data on the individual characteristics of each exercise intervention. The Cochrane Risk of Bias Tool V2 was used to assess study quality with the certainty of evidence assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Results Five trials (n = 297 participants, average age 66.7 years, 55% male) were included in analysis. Three trials compared exercise to another non-surgical intervention and 2 trials compared exercise to surgery. At 12 months a significant improvement in pain of 0.47 (95% CI 0.07?0.88, I2 = 53%, REM) favoured the surgical group and a significant improvement in shoulder external rotation ROM of 9° (95% CI 2.16?16.22, I2 = 0%, FEM) favoured the exercise group. The median CERT score was 7/19 (range 4?12). The certainty of evidence was low or very low across all outcomes. Conclusion A paucity of high-quality research on the role of exercise in the management of L-MRCTTs exists with substantial discrepancies in the reporting of the exercise interventions in the published research. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297328
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102597[article]
Titre : Classification criteria for cervical radiculopathy : An international e-Delphi study Type de document : Article Auteurs : Kwun N. Lam ; Nicola R. Heneghan ; Jai Mistry ; Adesola O. Ojoawo ; Anneli Peolsson ; Arianne P. Verhagen ; Brigitte Tampin ; Erik Thoomes ; Gwendolen Jull ; Gwendolyne G.M. Scholten -Peeters ; Helen Slater ; Niamh Moloney ; Toby Hall ; Åsa Dedering ; Alison Rushton ; Deborah Falla Année de publication : 2022 Article en page(s) : p. 102596 Note générale : https://doi.org/10.1016/j.msksp.2022.102596 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification ; Radiculopathie ; Vertèbres cervicalesRésumé : Background Establishing a set of uniform classification criteria (CC) for cervical radiculopathy (CR) is required to aid future recruitment of homogenous populations to clinical trials. Objectives To establish expert informed consensus on CC for CR. Design A pre-defined four round e-Delphi study in accordance with the guidance on Conducting and Reporting Delphi Studies. Methods Individuals with a background in physiotherapy who had authored two or more peer-reviewed publications on CR were invited to participate. The initial round asked opinions on CC for CR. Content analysis was performed on round one output and a list of discrete items were generated forming the round two survey. In rounds two to four, participants were asked to rate the level of importance of each item on a six-point Likert scale. Data were analysed descriptively using median, interquartile range and percentage agreement. Items reaching pre-defined consensus criteria were carried forward to the next round. Items remaining after the fourth round constituted expert consensus on CC for CR. Results Twelve participants participated with one drop out. The final round identified one inclusion CC and 12 exclusion CC. The inclusion CC that remained achieved 82% agreement and was a cluster criterion consisting of radicular pain with arm pain worse than neck pain; paraesthesia or numbness and/or weakness and/or altered reflex; MRI confirmed nerve root compression compatible with clinical findings. Conclusions The CC identified can be used to inform eligibility criteria for future CR trials although caution should be practiced as consensus on measurement tools requires further investigation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297329
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102596[article]
Titre : Non-serious adverse events do not influence recovery in patients with neck pain treated with manual therapy : an observational study Type de document : Article Auteurs : Renske Peters ; Emiel van Trijffel ; Joost van Rosmalen ; Bert Mutsaers ; Annelies Pool-Goudzwaard ; Arianne Verhagen ; Bart Koes Année de publication : 2022 Article en page(s) : p. 102607 Note générale : https://doi.org/10.1016/j.msksp.2022.102607 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Douleur ; Vertèbres cervicalesRésumé : • Non-serious adverse events do not influence recovery in patients with neck pain.
• Duration of neck pain does influence recovery in patients with neck pain.
• The role of non-serious adverse events should be re-evaluated in a larger sample.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297330
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102607[article]
Titre : Video-oculographic measures of eye movement control in the smooth pursuit neck torsion test can classify idiopathic neck pain patients from healthy individuals : A datamining based diagnostic accuracy study Type de document : Article Auteurs : Ziva Majcen Rosker ; Miha Vodicar ; Eythor Kristjansson Année de publication : 2022 Article en page(s) : p. 102588 Note générale : https://doi.org/10.1016/j.msksp.2022.102588 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Douleur ; Lésions du nerf oculomoteur ; Oculomotricité ; Sensibilité et spécificitéRésumé : Background Idiopathic neck pain patients frequently experience oculomotor disfunctions with deficits in eye movement control between neutral and neck torsion position (SPNT test) being commonly investigated in clinical and research settings. Objectives The aim of the study was to determine accuracy of SPNT test in classifying idiopathic neck pain patients. Design a datamining based diagnostic accuracy study. Methods The study was conducted on a referred sample of 38 chronic neck pain patients from orthopaedic outpatient clinic and 40 healthy controls. Video-oculography was used to study gain and SPNTdiff during SPNT test under three target movement velocities and amplitudes and two different angles of neck torsion. A Naïve Bayesian predictive model was used to classify neck pain patients based on gain or SPNTdiff. Results Gain during two target movement profiles at velocities of 30°s?1 and amplitudes of 30° and 40° under 45° of neck torsion presented with highest area under the curve (0.837), specificity (92%), sensitivity (94%), highest true positive and lowest false negative predicted value. Highest area under the curve (0.760), specificity (50%), sensitivity (71%), highest true positive and lowest false negative values were observed for SPNTdiff at velocities of 30°s?1 and amplitude of 30° applying 45° of neck torsion. Conclusion SPNT test provides useful diagnostic tool for classifying neck pain patients when using single or combination of two target movement profiles. Neck torsion of 45° as opposed to 30° should be used during SPNT test when investigating patients with neck pain disorders. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297331
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102588[article]
Titre : Feasibility and acceptability of a six-month exercise and patient education intervention for patients with hip dysplasia : A mixed methods study Type de document : Article Auteurs : Julie S. Jacobsen ; Kristian Thorborg ; Dorthe Sørensen ; Stig S. Jakobsen ; Rasmus O. Nielsen ; Lisa G. Oestergaard ; Kjeld Søballe ; Inger Mechlenburg Année de publication : 2022 Article en page(s) : p. 102615 Note générale : https://doi.org/10.1016/j.msksp.2022.102615 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulations ; Hanche ; Kinésithérapie et physiothérapie ; Maladies articulaires ; Techniques de physiothérapieRésumé : Background and objectives To evaluate the feasibility and acceptability of exercise and patient education for patients with hip dysplasia not receiving surgery. Design Feasibility study. Methods The participants received exercise instruction and patient education over six months. Feasibility covered recruitment, retention, and mechanisms of change (MC). MC were measured with Hip and Groin Outcome Score (HAGOS), muscle strength tests, Y-balance test, and hop for distance test (HDT) over six months. Acceptability covered adherence, expectations, perceptions, benefits, and harms. Results Thirty of 32 were recruited (median age: 30 years); six were lost to follow-up. Twenty-four participants improved by a mean of 11 (95%CI: 5?17) HAGOS pain points, improvements in all subscales were 1?11 points. Mean hip abduction strength improved 0.2 (95%CI: 0.04?0.4) Nm/kg, similar to flexion and extension. Median Y-balance test improvements: anterior: 70 (IQR: 64?74) to 75 (IQR: 72?80) centimetres; posteromedial: 104 (IQR: 94?112) to 119 (IQR: 112?122) centimetres and posterolateral: 98 (IQR: 89?109) to 116 (IQR: 108?121) centimetres (p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297332
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102615[article]
Titre : A multi-site prospective, observational study of physiotherapist independent prescribing activity across musculoskeletal clinics in the United Kingdom Type de document : Article Auteurs : Tim Noblet ; Feroz Jadhakhan ; Andrew Bennett ; Carol McCrum ; Simon O'Shea ; Amanda Hensman- Crook ; Paul Barratt ; Paul Regan ; Lynne Ronan ; Dave Baker ; Alison Rushton Année de publication : 2022 Article en page(s) : p. 102616 Note générale : https://doi.org/10.1016/j.msksp.2022.102616 Langues : Anglais (eng) Descripteurs : HE Vinci
Approche clinique ; Maladies ostéomusculaires ; Techniques de physiothérapieRésumé : Objective To establish how advanced practice physiotherapists in the UK working in the musculoskeletal specialty are utilising their independent non-medical prescribing skills. Design Multi-site, prospective, descriptive observational study. Ethics reference No: ERN_19?0994). Method The study was conducted by seven advanced practitioners, across seven clinical sites representative of advanced musculoskeletal practice in the UK, between 1st October 2019?March 31, 2020. Advanced physiotherapy practitioner independent prescribers working in a variety of musculoskeletal specialty areas collected data across 5 contexts of musculoskeletal clinical service: first contact practice, primary care, community triage, secondary care orthopaedics, secondary care rheumatology and private practice. Quantitative data were analysed descriptively with qualitative data analysed/synthesised via thematic analysis. Results Prescribing activity data for n = 2470 patients were collected. Prescribing activity was highest for the treatment of nociceptive pain (51.3%) and inflammation (39.6%). Most prescribing activity occurred in the first 2?6 weeks (34.1%) following onset of condition. Medicines optimisation accounted for most of prescribing activity (18.1%), followed by over-the-counter medication recommendation (15.5%). De-prescribing accounted for 10.8% of all prescribing activity recorded. Qualitative data were synthesised into 4 themes: multimodal physiotherapeutic approach, joint decision making and patient choice, working with complexity, and legal and regulatory restriction. Conclusions Physiotherapist independent prescribing was used within all health sectors in conjunction with advanced skills in musculoskeletal physiotherapy as part of a multimodal physiotherapeutic approach. Prescribing activity was dictated by the clinicians' clinical reasoning and use of joint decision-making. Prescribing activity for acute back and neuropathic radicular pain was limited secondary to recent reclassification of gabapentin and pregabalin. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=297333
in Musculoskeletal Science and Practice > Vol. 61 (October 2022) . - p. 102616[article]
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Titre : Knowledge and use of the International Classification of Functioning, disability and health (ICF) and ICF Core Sets for musculoskeletal conditions among saudi physical therapists Type de document : Article Auteurs : Norah A. Almutairi ; Maha M. Almarwani Année de publication : 2022 Article en page(s) : 102573 Note générale : https://doi.org/10.1016/j.msksp.2022.102573 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification internationale du fonctionnement, du handicap et de la santé (ICF) ; Kinésithérapie (spécialité) ; Maladies ostéomusculairesRésumé : Background The International Classification of Functioning, Disability, and Health (ICF) provides a coherent biopsychosocial view of health states. The ICF Core Sets were developed to facilitate and encourage the use of the ICF in clinical practice and research. Objective To examine the level of knowledge and use of the ICF and ICF Core Sets for musculoskeletal conditions among Saudi physical therapists. Design Cross-sectional study. Method We approached Saudi physical therapists (PTs) involved in managing patients with musculoskeletal conditions. Data were collected through an electronic survey consisting of multiple-choice questions related to the knowledge of the ICF, general ICF Core Sets and ICF Core Sets for musculoskeletal conditions. Results A total of 203 PTs participated in this study. Seventy percent of PTs knew about the meaning of ICF, but only 33% recognized aspects of the ICF. For the osteoarthritis (OA) ICF Core Set, 71.9% had poor knowledge, and for the low back pain (LBP) ICF Core Set, 61.8% had poor knowledge. Conclusions The Saudi PTs surveyed in this study had a good level of knowledge about the meaning of the ICF; however, this knowledge appeared to be limited when they were asked about aspects of the ICF. They had poor knowledge of musculoskeletal ICF Core Sets but seemed to be more familiar with the LBP ICF Core Set compared to the OA ICF Core Set. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295626
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - 102573[article]
Titre : Prevalence and extent of low back pain and low back-related disability in non-care-seeking working-age adults Type de document : Article Auteurs : Matthew Vraa ; Stephanie Pascoe ; Daniel Maddox ; Daniel I. Rhon ; Joshua A. Cleland ; Jodi L. Young Année de publication : 2022 Article en page(s) : p. 102572 Note générale : https://doi.org/10.1016/j.msksp.2022.102573 Langues : Anglais (eng) Descripteurs : HE Vinci
Acceptation des soins par les patients ; Comportement en matière de santé ; Douleur chronique ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM)Résumé : Objective To explore the prevalence and extent of low back pain (LBP) and low back-related disability in working-age adults not seeking care. Methods A convenience sample of 101 working-age adults not seeking care for LBP completed the Oswestry Disability Index (ODI) and Roland-Morris Disability Questionnaire (RMDQ) as measures of disability and completed questionnaires that collected information on various demographic and health-related variables. Those reporting current LBP also completed a Numeric Pain Rating Scale (NPRS). Prevalence was assessed based on a dichotomization of whether any disability or pain was reported and also as a continuous variable to assess the extent of pain and disability present for each participant. Results Of the 101 participants, 72.3% reported some level of disability (ODI mean = 7.91%, RMDQ mean = 2.63) and 46.5% reported some level of pain (NRPS mean = 3.68). Previous care-seeking for LBP was associated with increased odds of reporting disability (ODI odds ratio [OR] 7.91, 95% confidence interval [CI], 2.43 to 31.18; RMDQ OR 2.69, 95% CI, 1.05 to 7.24), as was reporting any current LBP (ODI OR 9.45, 95% CI, 3.15 to 33.21; RMDQ OR 7.03, 95% CI, 2.82 to 18.89). No other demographic or health-related variables were associated with the presence or extent of pain or disability. Conclusion Many non-care-seeking individuals reported some level of LBP and/or disability, suggesting that some level of pain and disability may be considered normal, acceptable, or manageable. One-third of individuals with no pain reported some disability. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295627
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102572[article]
Titre : Translation and cross-cultural adaptation of the Headache Screening Questionnaire into Brazilian Portuguese Type de document : Article Auteurs : Erika Plonczynski Lopes ; Ana Beatriz Oliveira ; Daniela Aparecida Godoi Gonçalves ; Hedwig Aleida van der Meer ; Corine Mirjam Visscher ; Caroline M. Speksnijder ; Letícia Bojikian Calixtre Année de publication : 2022 Article en page(s) : p. 102574 Note générale : https://doi.org/10.1016/j.msksp.2022.102574 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquêtes et questionnaires ; Migraines ; Portugais du Brésil ; TraductionRésumé : Background The Headache Screening Questionnaire (HSQ) was created and validated to enable health professionals to screen for migraine and tension-type headaches. Objectives The objective of this study was to translate and cross-culturally adapt the HSQ, creating the Brazilian version of the HSQ (HSQ-BR). Design This was a cross-sectional study. Method The Brazilian version of the HSQ was developed following the processes of translation, synthesis, back-translation, expert committee review, and pre-testing. The translation phase involved two independent translators whose mother language was Brazilian Portuguese and who also were fluent in Dutch. The back-translation phase involved two independent translators whose mother language was Dutch and who also were fluent in Portuguese. The expert committee based their decisions on semantic, idiomatic, experiential, and conceptual equivalences. To verify the comprehension of the questionnaire, 60 subjects (73.3% women) with headaches with a mean age of 32.8 + 12.0 years, participated in the pre-test phase. Results During the translation process, some terms and expressions were changed to obtain cultural equivalence to the original HSQ. The process of translation and cross-cultural adaptation of the HSQ to the Brazilian culture and Portuguese language, including its scoring algorithms for migraine and tension-type headache, was successfully concluded, as the comprehension of each item of the questionnaire was over 90% on the pre-test. Conclusion The HSQ-BR has been created. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295628
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102574[article]
Titre : Safety and effectiveness of telerehabilitation program in people with severe haemophilia in Chile : a qualitative study Type de document : Article Auteurs : Verónica Aliaga-Castillo ; Giselle Horment-Lara ; Felipe Contreras-Sepúlveda ; Carlos Cruz-Montecinos Année de publication : 2022 Article en page(s) : p. 102565 Note générale : https://doi.org/10.1016/j.msksp.2022.102565 Langues : Anglais (eng) Descripteurs : HE Vinci
Hémophilie ; Kinésithérapie (spécialité) ; Maladies articulaires ; Télémédecine ; TéléréadaptationRésumé : Introduction Little is known about how people with haemophilia (PWH) perceive and assess the usefulness, safety and effectiveness of telerehabilitation. Objective: To describe usefulness, safety, effectiveness and limitations of a telerehabilitation program applied in people with severe haemophilia implemented during the COVID-19 pandemic in Chile. Design and Methods A qualitative study was conducted based on a focus group. Four analytical categories were predefined, three of which involved elements of Donabedian's model for quality assessment in health care (structure, process and results). Results One of the most important aspects according to all of the participants is the sense of safety they experienced while being taken care of by a physiotherapist specializing in PWH rehabilitation. This facilitated trust in the professional and adherence to treatment. All participants reported improvements in their physical condition and sense of well-being. The lack of adequate equipment at home, the limited length of the sessions, the perception that the physiotherapist may not be able to perform an appropriate physical examination and the lack of direct supervision were described as disadvantages. Conclusions The findings underscored that telerehabilitation had high satisfaction among PWH. Telerehabilitation was perceived by PWH as a safe and effective intervention to improve physical condition. Telerehabilitation could be further supported and improved, and coverage could be enhanced, including rural and remote areas, which suffer from chronic inequalities in access to rehabilitation. The lack of face-to-face supervision and physical examination were perceived as the principal disadvantages. These results may help to improve telerehabilitation programs in PWH elsewhere. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295629
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102565[article]
Titre : Red flags for spinal pain in patients diagnosed with spinal infection in Nigeria : a 10-year medical records review Type de document : Article Auteurs : James Selfe ; Chidozie Mbada ; Bashir Kaka ; Adesola Odole ; Jane Ashbrook ; Mohamed Yusuf ; Nick Dobbin ; Dave Lee ; Francis Fatoye Année de publication : 2022 Article en page(s) : p. 102571 Note générale : https://doi.org/10.1016/j.msksp.2022.102571 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Maladies ostéomusculaires ; Moelle spinale ; Nigéria ; Signes et symptômes ; Techniques de physiothérapieRésumé : Background Spinal infection is a diagnostic challenge, the personal and economic consequences of misdiagnosis can be significant resulting in paralysis and instability of the spine and can ultimately be fatal. To aid identification of those at risk of spinal infection, a better understanding of the red flags for spinal infection is needed. Objective To better understand which red flags may help to identify spinal infection. Design and Methods: A 10-year medical records review of red flags for spinal infection in Nigeria, using a bespoke data extraction tool. Univariable and multivariable logistic regression was used to identify the main independent predictors of spinal pain. Results 124,913 records were reviewed, 1,645 patients were diagnosed with spinal infection. 79% of patients presented with spinal pain Univariable analysis revealed nine factors (some centres, all age groups above 16 years, co-morbidities, environmental factors, history of TB, radicular pain, pins and needles, numbness and spine tenderness.) were associated with greater odds (OR = 1.77?21.7, p Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295630
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102571[article]
Titre : When worlds collide : experiences of physiotherapists, chiropractors, and osteopaths working together Type de document : Article Auteurs : Joshua Toloui-Wallace ; Roma Forbes ; Oliver P. Thomson ; Jenny Setchell Année de publication : 2022 Article en page(s) : p. 102564 Note générale : https://doi.org/10.1016/j.msksp.2022.102564 Langues : Anglais (eng) Descripteurs : HE Vinci
Chiropraxie ; Manipulation ostéopathique ; Manipulations de l'appareil locomoteur ; Professions de santé ; Recherche qualitative ; Techniques de physiothérapieRésumé : Background In Australia, people with musculoskeletal conditions frequently seek care from chiropractors, osteopaths, and physiotherapists. Intertwined histories, distinct philosophies and practical tensions characterise relationships between these three professions, yet little is known about contact or collaboration between individual clinicians. Objectives To explore the experiences of osteopaths, physiotherapists and chiropractors who work together in the same clinic location and explore their attitudes towards each other. Methods Utilising a predominantly inductive qualitative research design, semi-structured interviews were undertaken with a total of 13 clinicians (physiotherapists [n=6], chiropractors [n=2], osteopaths [n=4], dual-qualified chiropractor and physiotherapist [n=1]) who work with at least one clinician from the other two professions. Interviews were analysed using reflexive thematic analysis. Results Data analysis produced two main themes and five sub-themes that characterised clinicians? experiences and attitudes: collaboration (collaborative practices; benefits of collaboration) and resisting tension (accepting similarities and differences to work towards shared goals; clinic culture; alignment with evidence-based practice). These findings can be understood in the context of the concepts of professional boundary-work and intergroup contact theory. Conclusions The findings from this study suggest that physiotherapists, chiropractors and osteopaths that work together in the same clinic may collaborate while simultaneously navigating blurred professional lines. These results suggest that working together in the same clinic is a meaningful form of contact, which in turn allows for collaborative practices that may reduce intergroup tension between professions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295631
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102564[article]
Titre : Who writes this stuff? Musculoskeletal information quality and authorship of popular health websites : A systematic review Type de document : Article Auteurs : Seth Peterson ; Nick Rainey ; Kirstin Weible Année de publication : 2022 Article en page(s) : p. 102563 Note générale : https://doi.org/10.1016/j.msksp.2022.102563 Langues : Anglais (eng) Descripteurs : HE Vinci
Education thérapeutique ; Information en santé des consommateurs ; Pratique factuelle (EBP) ; Psychosociologie ; Site Internet ; TélémédecineRésumé : Background Highly trafficked health websites are major sources of information, but the quality of their musculoskeletal information has not been thoroughly evaluated or their authorship characterized. Objectives To review information about common musculoskeletal conditions on highly trafficked websites and characterize their credibility, authorship, accuracy of information (as compared to treatment guidelines), and consistency with best practice recommendations. Design Systematic review. Methods We reviewed the top 15 most highly trafficked health websites, identified by web traffic data. Information about 7 common musculoskeletal conditions was identified and data extracted. Credibility was assessed using the Trust It or Trash It? tool, author backgrounds were identified, accuracy was determined by comparing webpage treatment recommendations to guidelines or systematic reviews, and consistency with best practice recommendations was assessed. Results Of 1760 webpages screened, 87 were reviewed. Less than half (44.8%, 39/87) had appropriate sources listed, but 65.5% (57/87) were updated in the previous 5 years. Journalists authored most webpages (55.2%, 48/87). Physician involvement was mostly editorial, and they often lacked expertise in musculoskeletal conditions. Information accuracy was concordant with guidelines for 49.4% (43/87) of webpages, but varied by condition. About half of best practice recommendations were followed (49.1%, 427/870). Pages were unlikely to mention psychosocial factors (16.1%, 14/87), limitations of imaging (18.4%, 16/87), or staying at work (4.6%, 4/87). Conclusions Popular health websites scored poorly for credibility, accuracy, and consistency with best practice recommendations for musculoskeletal conditions. Authorship, bias, and unsupported information are potential sources of inaccuracies that should be addressed in future by these websites. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295632
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102563[article]
Titre : The internal structure of Brazilian versions of disability questionnaires in patients with chronic low back pain : a cross-sectional study Type de document : Article Auteurs : André Pontes-Silva ; Mariana Arias Avila ; Thaise Fernanda Campos Penha ; Cid André Fidelis de Paula Gomes ; Almir Vieira Dibai-filho Année de publication : 2022 Article en page(s) : p. 102587 Note générale : https://doi.org/10.1016/j.msksp.2022.102587 Langues : Anglais (eng) Descripteurs : HE Vinci
Brésil ; Douleur chronique ; Enquêtes et questionnaires ; Lombalgie ; Maladies ostéomusculaires ; Rachis ; Reproductibilité des résultatsRésumé : Background Structural validity refers to the degree to which the scores of a questionnaire or scale are an adequate reflection of the construct to be measured. The aim of this study was to perform the analysis of the structural validity of the Roland-Morris Disability Questionnaire (RMDQ), Oswestry Disability Index (ODI), Quebec Back Pain Disability Scale (QBPDS), and Bournemouth Questionnaire (BQ) in Brazilian respondents with chronic low back pain. Methods A cross-sectional study was conducted. The sample was composed by respondents with non-specific chronic low back pain (score ?3 points on the 11-point Numerical Pain Rating Scale). The internal structure (number of domains and items) of the Brazilian versions of the RMDQ, the ODI, the QBPDS, and the BQ were analyzed by the confirmatory factor analysis. Results Two hundred and twenty-two patients were included. Most of the sample consisted of women and overweight. The RMDQ and ODI have a one-dimensional structure and acceptable values for all confirmatory factor analysis fit indices. The QBPDS with 4 domains and 20 items showed the best values of the fit indices. In addition, we did not identify an internal structure for the BQ supported by the confirmatory factor analysis. Conclusion The ODI and RMDQ present valid internal structure with 1 domain (disability). The QBPDS has a valid internal structure with 4 domains (rest, prolonged postures, ambulation/reach, and bending/carrying). The BQ does not have a well-defined internal structure. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295633
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102587[article]
Titre : Eccentric exercise improves joint flexibility in adults : a systematic review update and meta-analysis Type de document : Article Auteurs : Joanna Diong ; Peter C. Carden ; Kieran O'Sullivan ; Catherine Sherrington ; Darren S. Reed Année de publication : 2022 Article en page(s) : p. 102556 Note générale : https://doi.org/10.1016/j.msksp.2022.102556 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation ; Exercice physique ; Membre inférieur ; Membre supérieur ; MouvementRésumé : Background Eccentric exercise is thought to improve joint flexibility, but the size of the effect is not known. We aimed to quantify the overall effect of eccentric exercise on joint flexibility in adults. Design Systematic review, meta-analysis. Data sources AMED, CINAHL, MEDLINE, EMBASE, SportDiscus. Participants Adults. Intervention Eccentric exercise compared to no intervention or to a different intervention. Outcome measures Joint range of motion or muscle fascicle length. Data extraction and synthesis Descriptive data of included trials and estimates of effect sizes were extracted. Standardised mean differences (SMD) of range of motion or fascicle length outcomes were meta-analysed using random effects models. Overall quality of evidence was assessed using the GRADE scale. Results 32 trials (1122 participants, 108 lost to follow-up) were included in the systematic review. The mean (SD) PEDro score was 5.2 (1.3). Four trials reported insufficient data for meta-analysis. Data from 27 trials (911 participants, 82 lost to follow-up) were meta-analysed. Eccentric exercise improved joint flexibility in adults (pooled random effects Hedges' g SMD = 0.54, 95% CI 0.34 to 0.74). The true effect size is different across studies and 50% of the variance in observed effects is estimated to reflect variance in true effects rather than sampling error (I2 = 50%, Q = 67.6, d.f. = 34, p = 0.001). Overall quality of evidence ranged from ?low? to ?high?. Conclusion Eccentric exercise improves joint flexibility in adults. The overall standardised mean effect of eccentric exercise was moderately large, and the narrow width of the 95% confidence interval indicates the effect was estimated with good precision. Registration Open Science Foundation (https://osf.io/mkdqr); PROSPERO registration CRD42020151303. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295634
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102556[article]
Titre : Mobile health technologies for the management of spine disorders : A systematic review of mHealth applications in Brazil Type de document : Article Auteurs : Cristiano Carvalho ; Beatriz Cardinal Prando ; Lucas Ogura Dantas ; Paula Regina Mendes da Silva Serráo Année de publication : 2022 Article en page(s) : p. 102562 Note générale : https://doi.org/10.1016/j.msksp.2022.102562 Langues : Anglais (eng) Descripteurs : HE Vinci
Applications mobiles ; Brésil ; Dorsalgie ; Lombalgie ; TélémédecineRésumé : Background Spine disorders are conditions that affect a growing number of individuals, and mobile health (mHealth) applications (apps) offer potential to assist the self-management of these conditions. Objectives To perform a systematic review of the availability of mHealth apps for patients with spine disorders at Brazilian online stores and evaluate the apps in terms of engagement, user interface, experience, and quality of the information. Design Systematic review. Method A search for spine disorders mHealth apps from the Google Play Store and AppStore in Brazil was performed by two independent reviewers on June 2021. Only smartphone apps in Brazilian Portuguese directed at spine disorders that provided information about education, counseling, exercise, or monitoring of patient health were included. The quality of eligible mHealth apps was assessed using the Mobile App Rating Scale (MARS). Results Of the 2775 mHealth apps found, 10 were eligible for inclusion. All apps offered exercise programs. Three apps also offered tools to track patient-reported symptoms, nutritional orientation, or educational content in addition to the exercise program. Using MARS, the apps scored poorly in terms of quality, with an overall mean score +standard deviation of 2.75 + 0.63 on a scale of 1?5 points. Most apps scored poorly for credibility, user interface, and engagement. Conclusions The mHealth apps for spine disorders currently available in Brazil are of poor quality and limited functionality. Effective collaboration between industry and researchers is needed to develop better user-centered mHealth apps that can empower patients with these conditions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295635
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102562[article]
Titre : Specific versus non-specific exercises for the neck extensor muscles in women with chronic idiopathic neck pain : A randomized controlled trial Type de document : Article Auteurs : M. Giménez-Costa ; J. Schomacher ; C. Murillo ; T. Blanco-Hernández ; D. Falla ; E. Lluch Année de publication : 2022 Article en page(s) : p. 102561 Note générale : https://doi.org/10.1016/j.msksp.2022.102561 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Cou ; Exercice physique ; FemmesRésumé : Background Structural and functional impairments of the cervical extensor muscles have been demonstrated in people with neck pain. A global exercise approach targeting all neck extensor muscles has shown positive effects in this population. However, to date, the efficacy of exercises specifically targeting the deep neck extensors has neither been tested nor compared to global exercises for the neck extensors. Objectives To compare the effects on pain and disability of a specific lower deep neck extensors (SLDNE) versus a general neck extensor (GNE) exercise program in women with chronic idiopathic neck pain. Methods Fourty-three women with chronic idiopathic neck pain were randomly allocated to either a six-week SLDNE or a GNE exercise program. As primary outcome, neck disability was measured with the Neck Disability Index (NDI). Secondarily, pain intensity (VAS), cervical ROM, pressure pain thresholds (PPTs), cervical and thoracic posture and self-perceived benefit of treatment (GROC) were also measured. Every outcome was measured at baseline and immediately after treatment, except NDI, which was also measured at 6-months follow-up. The GROC was only assessed post-intervention. Results Both exercise programs lead to reduced neck disability immediately post-intervention (within-group mean difference [MD] = ?6.09; 95% Confidence Interval [CI]: 7.75, ?4.42 and ?4.73; 95%CI: 6.57, ?2.91 respectively) and at the 6-months follow-up (?4.47; 95%CI: 6.41, ?2.53 and ?4.74; 95%CI: 6.50, ?2.97), but with no between group differences. Similar results were found for pain intensity post-intervention, with no between group interaction (within-group MD = ?20.87 mm; 95% CI: 28.55, ?13.19 and ?18.00 mm; 95%CI: (?26.24, ?9.76) for SLDNE and GNE groups, respectively). GROC improved after both interventions without any between-group difference. Conclusions A six-week exercise program specifically targeting the lower deep neck extensors lead to comparable outcomes as a general neck extensor exercise program in women with chronic idiopathic neck pain. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295636
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102561[article]
Titre : Body perception distortions correlate with neuropathic features in Italian fibromyalgic patients : findings from a self-administered online survey Type de document : Article Auteurs : Antonello Viceconti ; Tommaso Geri ; Simone De Luca ; Filippo Maselli ; Giacomo Rossettini ; Marco Testa Année de publication : 2022 Article en page(s) : p. 102570 Note générale : https://doi.org/10.1016/j.msksp.2022.102570 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquêtes et questionnaires ; Fibromyalgie ; Image du corps ; Italie ; NevralgieRésumé : Background Recent studies found that fibromyalgia may underly neuropathic conditions affecting the peripheral nervous system. Moreover, clinical observations and preliminary reports suggest the existence of body perceptions distortions (BPD) like ?phantom" feelings of swollen hands and feet, similar to those complained by patients with other neuropathic conditions or subjected to experimental procedures affecting the peripheral nervous system. Objectives To investigate the prevalence of self-reported BPD in Italian people with fibromyalgia through an online survey administered with the help of the associations of patients distributed nationwide. Design cross-sectional study. Method A nationwide sample of 854 patients out of 1173 subjects enrolled was analyzed after the exclusion of comorbidities and incomplete answers. We additionally performed a post-hoc analysis comparing data of patients who entirely fulfilled the Fibromyalgia Research Criteria (FRC) (2011) for epidemiological studies with respect to those only partially responding to the FRC (FM-). Results Nearly 90% of subjects reported neuropathic pain, symptoms potentially indicative for small-fiber pathology, and at least 1 BPD, while 2 or more BPD was reported in 64.1% of cases. Phantom feelings of ?heaviness", ?constriction", and ?swelling" were the most frequently self-reported perceptual distortions. BPD were significant correlated with symptoms potentially indicative for small-fiber pathology, neuropathic pain, disability, painful sites, and severity of fibromyalgia (0.20-b Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295637
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102570[article]
Titre : An interexaminer agreement and reliability study on cadavers with musculoskeletal ultrasound of the shoulder performed by physiotherapists and radiologists compared with dissection Type de document : Article Auteurs : E.A.H.D. Duijn ; S. Roy van ; Y.H.J.M. Karel ; S. Provyn ; N. Pouliart Année de publication : 2022 Article en page(s) : p. 102569 Note générale : https://doi.org/10.1016/j.msksp.2022.102569 Langues : Anglais (eng) Descripteurs : HE Vinci
Coiffe des rotateurs ; Dissection ; Epaule ; Kinésithérapeutes ; Maladies ostéomusculaires ; Ondes ultrasonores ; RadiologieRésumé : Study design A cross-sectional inter-examiner agreement and reliability study on fresh frozen cadaver shoulders. Background Musculoskeletal ultrasound (MSU) is frequently used by physical therapists and radiologists to improve specific diagnosis in rotator cuff related pathology. The evaluation of the rotator cable seems to be important as stabilizing structure when cuff tears occur. Objectives To evaluate the inter-examiner agreement and reliability of MSU of the shoulder to detect rotator cuff-pathology and the involvement of the rotator cable in comparison to ?dissection?. Methods Physical therapists, a radiologist and an orthopedic surgeon (dissection) investigated 40 fresh frozen cadaver shoulders in order to detect shoulder pathology including rotator cable involvement. Examiners were blinded to each other's findings. Results We found a strong and significant agreement between the raters: PTs, the radiologist and the dissector in this cadaver study for all rotator cuff, the long head of the biceps pathologies and in detecting abnormalities of the rotator cable. The kappa value was substantial to (almost) perfect agreement for all diagnostic outcome categories. Conclusions This study shows that among a limited group of physical therapists, one radiologist and a dissector a strong level of agreement with kappa values from substantial to (almost) perfect in finding subacromial pathology. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295638
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102569[article]
Titre : Relationships between the seated single arm shot put test and Quick-DASH in patients being discharged from physical therapy Type de document : Article Auteurs : George J. Davies ; Bryan L. Riemann Année de publication : 2022 Article en page(s) : p. 102568 Note générale : https://doi.org/10.1016/j.msksp.2022.102568 Langues : Anglais (eng) Descripteurs : HE Vinci
Epaule ; Membre supérieur ; Mesures des résultats rapportés par les patients (PROM) ; Performance fonctionnelle physiqueRésumé : Background Research examining the relationship between patient reported outcomes (PRO) and upper extremity functional performance tests (UEFPT) in patients with shoulder pathology are limited. Objective To assess the relationship between the seated single arm shot put test (SSASPT) and the PRO Quick-Disabilities of Arm, Shoulder, and Hand (DASH) in patients being discharged from physical therapy after shoulder injury or surgery. Methods Six physical therapists who regularly use the SSASPT and DASH from six different clinical sites provided SSASPT scores and completed Quick-DASH forms on 75 patients being discharged from rehabilitation following shoulder injury or surgery. Patients were grouped according to whether the involved shoulder was the dominant (n = 43) or nondominant (n = 32) limb. Three separate simple linear regression models, whole cohort and two patient groups, were created to determine the magnitude of the relationships (standardized betas) and change (betas) between DASH scores and the SSASPT limb symmetry index (LSI). Results Neither whole cohort nor two groups exhibited statistically significant (P > .05) relationships between LSI and Quick-DASH scores based upon the standardized betas (?0.197?0.038). Additionally, neither the standardized betas (z = 1.49, P = .135) nor betas (z = 1.28, P = .200) were statistically different between the two groups. Conclusions The current study revealed no association between SSASPT and the Quick-DASH at discharge from physical therapy following shoulder injury or surgery. Consequently, it may be important to perform a battery of tests that include both subjective PRO and objective UEFPT tests to obtain a comprehensive perspective of the patient's functional and perceived status. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295639
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102568[article]
Titre : Exploring patients' and physiotherapists' visions on modelling treatments and optimising self-management strategies for patellofemoral pain : a future workshop approach. Type de document : Article Auteurs : Simon Kristoffer Johansen ; Liam Maclachlan ; Ramie Hillier ; Glenn Taylor ; Rebecca Mellor ; Michael Skovdal Rathleff ; Bill Vicenzino Année de publication : 2022 Article en page(s) : p. 102567 Note générale : https://doi.org/10.1016/j.msksp.2022.102567 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulation fémoropatellaire ; Autocontrôle ; Douleur ; Genou ; Intervention ; Kinésithérapie et physiothérapie ; ThérapeutiqueRésumé : Objective To identify challenges confronting patients and physiotherapists in managing patellofemoral pain by seeking their perspectives via generative activities involving critique, ideation and formulating shared visions for future treatments. Design Two Future Workshops, Reflexive Thematic Analysis. Methods We recruited 8 patients (median age 36 yrs, 4 women) who were experiencing patellofemoral pain and 10 physiotherapists (54 yrs, 8 women) who treated patients with the condition. Several vignette cases and design cards were constructed and included as tools for facilitating dialogue, throughout all three phases (each ?40 min duration) of the workshops (i.e., critique, fantasy, implementation). Participants? discussions were audio recorded, transcribed and thematically analyzed independently by four investigators until no additional themes emerged. Results/findings Four themes were identified; (i) challenges confronting patients, (ii) learning to manage patellofemoral pain (knowledge), (iii) stakeholder accountability and (iv) development/use of portable applications (apps). Some challenges and strategies were related to family and social networks, financial costs, and psychological factors. Knowledge related to the condition, mental and physical impact of pain, exercises and physical activity. The physiotherapist's role in moderating accurate information was raised, as was that of the GP and personal trainer. Visions of future treatments centered about the inclusion of flexible modes of communication and cultivating mutual accountability. Social determinants and the invisible work of patients in managing their condition was apparent. Conclusion Enacting patient centered care was sought/recommended ? requiring consideration of social contexts and flexible delivery. The physiotherapist was seen as a source of accurate information and a point of accountability. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295640
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102567[article]
Titre : Agreement between hand therapists and hand surgeons in the management of adults with closed metacarpal fractures Type de document : Article Auteurs : Jade Wong ; Lucy Chipchase ; Amitabh Gupta Année de publication : 2022 Article en page(s) : p. 102560 Note générale : https://doi.org/10.1016/j.msksp.2022.102560 Langues : Anglais (eng) Descripteurs : HE Vinci
Champ de pratique ; Ergothérapeutes ; Ergothérapie ; Fractures osseuses ; Main ; Métacarpe ; Plaies et blessures ; Techniques de physiothérapieRésumé : Background Hand therapists often work in roles which require an advanced level of experience as Advanced Scope Practitioners (ASP). However, it is not known whether clinical decisions are similar between hand therapists and surgeons when managing simple hand fractures. Objectives To determine the level of agreement between (i) a hand therapist and five hand surgeons and (ii) three hand therapists, for the management of adults with closed metacarpal fracture(s). Design A prospective, blinded, crossover inter-rater reliability study. Method Patient volunteers with closed metacarpal fracture(s) were assessed independently in the first study (n = 90) by a hand therapist and one of five hand surgeons and in the second study (n = 57) by three hand therapists in a randomised order, with each practitioner recording whether the patient participant should be managed conservatively, trialled with conservative or offered surgical treatment. The level of agreement between the hand therapist and hand surgeons was calculated using Cohen's kappa coefficient and between the three hand therapists by calculating Fleiss' Kappa. The observed agreement was also calculated as the proportion of cases for which the assessors had agreement for management. Results There was good agreement between the hand therapist and surgeons (k = 0.68; 95% CI: 0.537?0.831) and amongst the three hand therapists (k = 0.663; 95% CI: 0.554?0.773) in determining the management of adults with closed metacarpal fracture(s). Conclusions Hand therapists and surgeons make similar management decision for patients with metacarpal fractures supporting the role of hand therapists as ASP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295641
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102560[article]
Titre : Reliability of a neck strength test in schoolboy rugby players Type de document : Article Auteurs : Colm Fuller ; Éanna Falvey ; Kathryn Schneider Année de publication : 2022 Article en page(s) : p. 102566 Note générale : https://doi.org/10.1016/j.msksp.2022.102566 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Cou ; Exercice physique ; Force musculaire ; Rugby ; Vertèbres cervicalesRésumé : Background In rugby union, a bracing mechanism of the neck and trunk is normally adopted in contact situations where high linear and angular forces are produced, which may contribute to the risk for sports-related concussion (SRC). Objectives To examine the feasibility of and test-retest reliability, both inter-rater and intra-rater reliability, of a novel neck strength test in schoolboy rugby players and to summarize neck strength values for this cohort, including rugby position-specific estimates. Materials and methods 52 male schoolboy rugby union players completed the neck strength test protocol twice, eight days apart using a novel device. Results Intra-class correlation coefficients (ICCs) were good to excellent for test-retest reliability (range from 0.86 to 0.92) in all four directions. Intra-rater (ICCs range from 0.706 to 0.981) and inter-rater (ICCs range from 0.669 to 0.982) ranges were calculated. Significant differences were identified between forwards and backs for non-normalised force measures but no significant difference when normalised to bodyweight. The flexor:extensor ratio was 0.68 (SD 0.2) for forwards, 0.71 (SD 0.16) for backs and 0.67 (SD 0.16) for the cohort. Discussion & conclusion While there is limited direct evidence to support a direct link between neck strength and SRC risk at present, investigating the relationship of neck strength, stiffness and impact anticipation might be a useful direction for further research. In conclusion, we describe a portable, user-friendly and safe neck strength test with good-to-excellent test-retest reliability, and intra-, inter-rater reliability. Test-retest ICC values compare favourably to gold standard fixed-frame dynamometry and are superior to hand-held dynamometry. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295642
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102566[article]
Titre : Clinical characteristics and diagnostic aspects of cervicogenic dizziness in patients with chronic dizziness : a cross-sectional study Type de document : Article Auteurs : Charlotte De Vestel ; Luc Vereeck ; Vincent Van Rompaey ; Susan A. Reid ; Willem De Hertogh Année de publication : 2022 Article en page(s) : p. 102559 Note générale : https://doi.org/10.1016/j.msksp.2022.102559 Langues : Anglais (eng) Descripteurs : HE Vinci
Balance ; Diagnostic ; Équilibre postural ; Sensation vertigineuse ; Vertèbres cervicalesRésumé : Background and objectives Chronic dizziness can significantly affect quality of life, but identifying the underlying cause remains challenging. This study focuses on proprioceptive cervicogenic dizziness (CGD) and aims: (1) to compare clinical test results between patients with CGD, dizzy patients without CGD, and healthy controls; and (2) to evaluate the diagnostic value of the clinical tests for CGD in patients with chronic dizziness. Methods Sixty patients with chronic dizziness (18 with CGD and 42 without CGD), and 43 healthy controls underwent clinical tests evaluating neck function (mobility, proprioception, muscle function and disability), balance control, and the presence of visually induced dizziness. Data were analysed through one-way ANOVA, chi-square, independent samples t-test, and logistic regression analyses. Results Patients with CGD had significantly more neck pain-related disability (Neck Bournemouth questionnaire (NBQ), p = 0.006), but better static (Static Balance, p = 0.001) and dynamic balance (Tandem Gait, p = 0.049), compared to dizzy patients without CGD. Univariable analyses revealed that increased NBQ (OR 1.05 [1.01; 1.09], p = 0.017), Joint Position Error (JPE) after extension (OR 1.52 [1.00; 2.32], p = 0.050), and Tandem Gait scores (OR 1.09 [1.01; 1.18], p = 0.046) were individually associated with higher odds of having CGD. Their optimal cut-off level (based on the maximum Youden index) had high sensitivity but low specificity for CGD. The multivariable model, including NBQ and Tandem Gait, had fair discriminative ability (AUC = 0.74, 95% CI [0.61; 0.87]). Conclusion The combined use of the NBQ and Tandem Gait tests had the highest discriminative ability to detect CGD in patients with chronic dizziness. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295643
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102559[article]
Titre : Defensive medicine: A symptom of uncertainty? Type de document : Article Auteurs : Laura M. Finucane ; Susan M. Greenhalgh ; Christopher Mercer ; James Selfe Année de publication : 2022 Article en page(s) : p. 102558 Note générale : https://doi.org/10.1016/j.msksp.2022.102558 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie grave ; Médecine défensive ; Peur ; Raisonnement cliniqueRésumé : Defensive medicine is a well-documented phenomenon and refers to the practice of over-cautious management of patients, leading to excessive clinical activity such as over?investigation, unnecessary appointments and additional interventions. Adopting this approach is not in the best interest of patients and can lead to clinical reasoning being replaced by lists, guidelines and algorithms which do not consider the complexity of a patients presentation or the reasoning inherent in good clinical judgement. The drivers of defensive medicine are varied and include a high level of uncertainty alongside other factors including clinical experience with past cases, system pressures and patient expectations. This paper explores these drivers and considers strategies on how best to avoid a defensive medicine approach. It reinforces the need to adopt a patient centred focus and use sound clinical reasoning to support the management of patients. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295644
in Musculoskeletal Science and Practice > Vol. 60 (August 2022) . - p. 102558[article]
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Titre : Attitudinal responses to current concepts and opinions from pain neuroscience education on social media Type de document : Article Auteurs : Asaf Weisman ; Tomer Yona ; Uri Gottlieb ; Youssef Masharawi Année de publication : 2022 Article en page(s) : 102551 Note générale : https://doi.org/10.1016/j.msksp.2022.102551 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Education thérapeutique ; Métaphore ; NeurosciencesRésumé : Background Pain neuroscience education (PNE) programs have become popular among clinicians and are widely promoted through social and mainstream media. Purpose To test the hypothesis that people with persistent pain are likely to express negative attitudes to PNE statements and compare their responses to other social media user groups. Methods A total of 1319 respondents completed an online survey and were directed into four groups: persistent pain, healthcare professionals with persistent pain, pain-free healthcare professionals, and pain-free controls. The survey included ten statements of popular PNE concepts. Feedback was invited by offering seven attitudinal response categories (three positives, three negatives, and one neutral). A two-step hierarchical regression model was used to assess the likelihood of reporting negatively. Results Compared to controls, respondents from the persistent pain group were more likely to report negatively towards all statements (OR 1.6?2.16), except for two statements (#3 and #5). Healthcare professionals were less likely to report negative attitudes for 4 out of 10 statement (OR 0.35?0.58). Health care professionals living with persistent responded to most statements like the pain-free controls (besides statement #2, OR 0.59). Conclusion People living with persistent pain are more likely to express negative attitudes to PNE statements on social media, unlike healthcare professionals who were less likely to express negativity. Healthcare professionals living with persistent pain responded to most PNE statements like the pain-free control group. The study's main weaknesses include the lack of psychometric information of the questionnaire used, selection bias, small samples of the healthcare professionals and the overrepresentation of young social media users. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294582
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102551[article]
Titre : Further exploring the relationship between pressure pain thresholds and function in knee osteoarthritis Type de document : Article Auteurs : Khalid Jaber ; Michael McAuliffe ; Ashley Pedler ; Michele Sterling ; Shaun O'Leary Année de publication : 2022 Article en page(s) : 102542 Note générale : https://doi.org/10.1016/j.msksp.2022.102542 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Douleur ; Genou ; HYPERSENSIBILITE SENSORIELLE ; OsteoarthriteRésumé : Background Studies in Knee Osteoarthritis (KOA) have shown lowered Pressure Pain Threshold (PPT) values compared to healthy controls potentially signifying mechanical hypersensitivity, although the relevance of these findings to knee function remains unclear. Objective This study further explores the relationship between PPT measures and knee function (self-reported, physical) in individuals undergoing total knee arthroplasty for advanced KOA. Design Cross-sectional observational study. Methods PPT's were recorded both local to the affected knee and at a remote site (deltoid) in 79 individuals with advanced KOA. Participants also completed self-report (Knee Society Score - functional sub-score) and physical (6-min walk test distance)) measures of knee function, as well as measures of pain-related psychological distress. Hierarchical linear regression models evaluated the relationship between the measures of function (self-report and physical measures modelled separately), PPT measures (local and remote), while accounting for demographic and psychological distress measures. Results Higher knee PPT scores were independently associated with higher self-reported knee function (? 0.33, p?0.02) and higher 6-min walk test distance (? 0.41, p?0.01), although pain self-efficacy (? 0.33, p?0.01) was also a significant variable in both models. Nearly identical findings were evident for PPT's measured at the deltoid. Overall PPT's could only explain a modest portion of variance (adjusted R2?=?0.15 to 0.17) in the functional measures. Conclusions PPT measures may be limited in their capacity to distinguish the impact of peripheral and central pain mechanisms on knee function in individuals undergoing total knee arthroplasty for advanced KOA. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294583
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102542[article]
Titre : Sonographic measurement of the neck extensor muscle thickness in patients with fibromyalgia Type de document : Article Auteurs : Ömer Kuzu ; Berke Aras Année de publication : 2022 Article en page(s) : 102541 Note générale : https://doi.org/10.1016/j.msksp.2022.102541 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Douleur ; Échographie ; Fibromyalgie ; Muscles du couRésumé : Objective The aim of this cross-sectional study was to compare cervical extensor muscle thickness measurements in patients with fibromyalgia (FM) with chronic neck pain and an asymptomatic control group, and to examine the relationship between cervical extensor muscle thickness and pain, quality of life, and disability. Methods The study included 41 patients with FM and 41 asymptomatic control subjects. The thickness of the cervical extensor muscles (multifidus, semispinalis capitis, semispinalis cervicis, splenius capitis and trapezius muscles) was evaluated with ultrasonography. The severity of FM was evaluated with the Fibromyalgia Impact Questionnaire (FIQ), neck disability with the Neck Disability Index (NDI) and pain severity with a Numeric Rating Scale (NRS). Results The mean sonographic thickness values of all the neck extensor muscles were significantly decreased in the FM group compared with the control group (p?0.001). There were negative correlations between the FIQ and multifidus, splenius capitis and trapezius thickness values. NDI was significantly negatively correlated with multifidus and trapezius thickness. There was no significant correlation between neck extensor muscle thickness and age, duration of FM, and NRS scores. Conclusion This study demonstrated a decrease in cervical extensor muscle thickness in patients with FM with chronic neck pain. Cervical extensor muscle morphologies should be considered by the clinician when planning treatment in patients with FM with neck pain. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294584
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102541[article]
Titre : What do patients referred to physical therapy for a musculoskeletal condition expect? : A qualitative assessment Type de document : Article Auteurs : Josh A. Subialka ; Kristin Smith ; Joseph A. Signorino ; Jodi L. Young ; Daniel I. Rhon ; Casey Rentmeester Année de publication : 2022 Article en page(s) : 102543 Note générale : https://doi.org/10.1016/j.msksp.2022.102543 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Motivation ; Patients ; PerceptionRésumé : Background Patient expectations related to physical therapy outcomes are commonly collected through surveys and close-ended questionnaires. These methods may not optimally capture patients' expectations for physical therapy, especially in the patients' own words. Louis Gifford identified four questions attempting to guide clinicians' understanding of patients? expectations for physical therapy. However, a qualitative assessment mapping the expectations that patients have prior to starting physical therapy appears to be undocumented. Objectives The aim of this study was to determine patient expectations prior to beginning physical therapy for individuals with musculoskeletal conditions. Design Qualitative analysis with structured interviews and open-ended participant responses. Methods Twenty-five people (18 female, 7 male; mean age: 47.04 years) were interviewed prior to their initial physical therapy evaluation using a pragmatic approach rooted in phenomenology. Data were transcribed, coded, and thematized using qualitative data analysis software. Results Outcome, education, exercise, evaluation, and cause of pain were key themes expressed by participants. Participants appear to want to better understand their symptoms, how they can improve symptoms, what the clinician will do, and how long they will attend physical therapy. Many participants were not certain where physical therapy fit within their overall healthcare plan, and perceptions of manual therapy were vague. Conclusions These identified themes highlight what patients may expect from a physical therapy experience and clinicians should work to identify and satisfy each patient's individual expectations to optimize outcomes. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294585
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102543[article]
Titre : Reliability and agreement of lumbar multifidus volume and fat fraction quantification using magnetic resonance imaging Type de document : Article Auteurs : Sofie Rummens ; Saskia Bosch ; Sofie Dierckx ; Anna Vanmechelen ; Ronald Peeters ; Simon Brumagne ; Kaat Desloovere ; Koen Peers Année de publication : 2022 Article en page(s) : 102532 Note générale : https://doi.org/10.1016/j.msksp.2022.102532 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie interventionnelle par résonance magnétique ; Lombalgie ; Muscles ; Vertèbres lombalesRésumé : Introduction Magnetic resonance imaging (MRI) is the standard to quantify size and structure of lumbar muscles. Three-dimensional volumetric measures are expected to be more closely related to muscle function than two-dimensional measures such as cross-sectional area. Reliability and agreement of a standardized method should be established to enable the use of MRI to assess lumbar muscle characteristics. Objectives This study investigates the intra- and inter-processor reliability for the quantification of (1) muscle volume and (2) fat fraction based on chemical shift MRI images using axial 3D-volume measurements of the lumbar multifidus in patients with low back pain. Methods Two processors manually segmented the lumbar multifidus on the MRI scans of 18 patients with low back pain using Mevislab software following a well-defined method. Fat fraction of the segmented volume was calculated. Reliability and agreement were determined using intra-class correlation coefficients (ICC), Bland-Altman plots and calculation of the standard error of measurement (SEM) and minimal detectable change (MDC). Results Excellent ICCs were found for both intra-processor and inter-processor analysis of lumbar multifidus volume measurement, with slightly better results for the intra-processor reliability. The SEMs for volume were lower than 4.1?cm3. Excellent reliability and agreement were also found for fat fraction measures, with ICCs of 0.985-0.998 and SEMs below 0.946%. Conclusion The proposed method to quantify muscle volume and fat fraction of the lumbar multifidus on MRI was highly reliable, and can be used in further research on lumbar multifidus structure. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294586
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102532[article]
Titre : Online information about the management of anterior cruciate ligament ruptures in Australia : A content analysis Type de document : Article Auteurs : Andrew R. Gamble ; Marnee J. McKay ; Evangelos Pappas ; Michael Dale ; Mary O'Keeffe ; Giovanni Ferreira ; Kieran Richardson ; Joshua R. Zadro Année de publication : 2022 Article en page(s) : 102555 Note générale : https://doi.org/10.1016/j.msksp.2022.102555 Langues : Anglais (eng) Descripteurs : HE Vinci
Australie ; Bénéfice/risque ; Education ; Internet ; Ligament croisé antérieur ; Reconstruction du ligament croisé antérieurRésumé : Background Most people who suffer an anterior cruciate ligament (ACL) injury search for information online. Objectives Summarise the proportion of webpages on ACL rupture management that present evidence-based information. Design Content analysis. Methods We examined webpage information on ACL ruptures identified through (1) Google searches using terms synonymous with ?anterior cruciate ligament rupture? and searching ?knee surgeon? linked to each Australian capital city, and (2) websites of professional associations. The primary outcome was the proportion of webpages that suggest people can return to at least some form of sport with non-surgical management. Secondary outcomes included webpage information on return to sport with ACL reconstruction (ACLR) and non-surgical management, benefits, harms, and risk of osteoarthritis related to these options, and activity modification. Results Out of 115 webpages analysed, 48% suggested people can return to at least some form of sport with non-surgical management. Almost half of webpages suggested most people will return to some form of sport following ACLR (41%) and mentioned benefits of ACLR (43%). Fewer webpages mentioned benefits of non-surgical management (14%), approximately two in three people return to pre-injury level of sport following ACLR (4%), risk of re-injury following ACLR (23%), most people return to sport within 9 months of ACLR (27%), activity modification as a management approach (20%), and ACLR will reduce the risk of osteoarthritis (23%). Conclusion Most online information on ACL rupture management isn't aligned with the best available evidence. Inaccurate information could mislead patients' treatment choices and create unrealistic expectations for return to sport. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294587
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102555[article]
Titre : The association between empathy and the physiotherapy-patient therapeutic alliance : a cross-sectional study Type de document : Article Auteurs : Öscar Rodrìguez-Nogueira ; Raquel Leirós-Rodríiguez ; Arrate Pinto-Carral ; María José Álvarez-Álvarez ; Jaume Morera-Balaguer ; Antonio R. Moreno-Poyato Année de publication : 2022 Article en page(s) : 102557 Note générale : https://doi.org/10.1016/j.msksp.2022.102557 Langues : Anglais (eng) Descripteurs : HE Vinci
Alliance thérapeutique ; Kinésithérapie (spécialité) ; Pratique factuelle (EBP) ; Qualité des soins de santé ; Réadaptation ; Soins centrés sur le patientRésumé : Background The central component of person-centred care is in having a therapeutic realtionship. Furthermore, the empathy of the physiotherapist is one of the most important attributes in achieving a successful therapeutic alliance. Objective The aim of the research was to determine the association between the constructs of empathy and therapeutic alliance in Spanish physical therapists and the possible influence of socio-professional variables on them. Design Cross-sectional research. Methods An electronic survey including the Working Alliance Inventory-Short Form, the Interpersonal Reactivity Index and sociodemographic data with 473 Spanish physiotherapists. A descriptive, bivariate and simple lineal regression analysis was carried out. Results Work experience has a positive influence on bonding and the agreement on objectives and tasks (0.04 ?0.06; p?0.01). The perspective taking dimensions and empathic concern positively influence the agreement on achievement (0.14 ?0.19; p?0.001). Personal distress inversely influences bonding and the agreement on achievements and tasks (?0.13 ??0.09; p?0.01). Conclusions The dimensions of perspective taking and empathic concern seem to facilitate successful shared decision making in terms of treating objectives. Furthermore, the physiotherapist's personal distress acts as an obstacle to the development of the three subcomponents of the therapeutic alliance analysed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294588
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102557[article]
Titre : An analysis of publicly available National Health Service information leaflets for patients following an upper arm break Type de document : Article Auteurs : Pauline May ; Gillian Yeowell ; Louise A. Connell ; Chris Littlewood Année de publication : 2022 Article en page(s) : 102531 Note générale : https://doi.org/10.1016/j.msksp.2022.102531 Langues : Anglais (eng) Descripteurs : HE Vinci
Bras ; Compréhension ; Fracture ; Information en santé des consommateurs ; Membre supérieur ; PatientsRésumé : Background Recovery following an upper arm break can be prolonged and cause loss of independence. Appropriate information provision to empower and enable active participation in rehabilitation is vital to achieve the best clinical outcomes. Objectives To identify and analyse, through the lens of health literacy, publicly available information leaflets produced for patients following upper arm breaks in the United Kingdom National Health Service (NHS) to understand their fitness for purpose. Method An electronic search of online search engines was undertaken using search terms to identify information leaflets for upper arm breaks. Relevant leaflets were retrieved and a thematic analysis was undertaken from a health literacy perspective. To complement this, each information leaflet was also formally assessed for readability. Results Thirty-five information leaflets were analysed. Two main themes were generated: "Empowerment" and "Language Use", with subthemes of promoting recovery, readability and risk of misinterpretation. The information presented in these leaflets was often complicated and sometimes contradictory. Less than half (46%) of the information leaflets were presented at a level that would be understood by the general population. Conclusions Current information leaflets made available for patients following upper arm breaks are not fit for purpose and are written in a way that the general population would not readily understand. There is an urgent need to understand the information needs of patients and present such information in an accessible way to optimise clinical outcomes following upper arm breaks. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294589
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102531[article]
Titre : Interventions used by Brazilian physiotherapists in the rehabilitation of patellofemoral pain : A web-based survey Type de document : Article Auteurs : Giulia Keppe Pisani ; Cristiano Carvalho ; Paula Regina Mendes da Silva Serráo ; Tatiana de Oliveira Sato ; Fábio Viadanna Serráo Année de publication : 2022 Article en page(s) : 102554 Note générale : https://doi.org/10.1016/j.msksp.2022.102554 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquêtes et questionnaires ; Genou ; Pratique factuelle (EBP) ; Techniques de physiothérapieRésumé : Background No studies have evaluated whether interventions used by Brazilian physiotherapists for the treatment of patellofemoral pain (PFP) are in line with the best existing scientific evidence. Objectives Identify the interventions most commonly used by Brazilian physiotherapists for the rehabilitation of PFP and determine whether characteristics of physiotherapists and knowledge regarding evidence-based practice (EBP) influence the choice of interventions. Design Cross-sectional web-based survey. Methods Brazilian physiotherapists who treat patients with PFP participated in the study. Characteristics of the participants, information regarding EBP and interventions used in the treatment of PFP were collected through an online questionnaire. Descriptive analysis of the data was performed. Logistic regression analysis was employed to investigate associations between the interventions and both the characteristics of the physiotherapists and their knowledge regarding EBP. Results One hundred and ninety-four physiotherapists completed the questionnaire, 97.4% of whom reported using combined hip and quadriceps strengthening exercises, whereas only 25.3% reported using foot orthoses. A significant number of physiotherapists also reported using interventions that are not recommended (such as patellar mobilization, lumbar, hip and knee mobilization/manipulation and biophysical agents). Physiotherapists with a master's or doctoral degree and those who were aware of clinical practice guidelines were respectively 2.57-fold and 3.81-fold more likely to use recommended interventions. Conclusion Most Brazilian physiotherapists choose interventions that are in line with current scientific evidence. However, a significant number also use interventions that are not recommended for the treatment of PFP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294590
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102554[article]
Titre : "I don't want to be a burden" A qualitative study of the beliefs of women with chronic low back pain in relation to their painful experience Type de document : Article Auteurs : Giselle Horment-Lara ; Camila Lúttges-Sciaccaluga ; César Espinoza-Ordoñez ; Verónica Aliaga-Castillo Année de publication : 2022 Article en page(s) : 102539 Note générale : https://doi.org/10.1016/j.msksp.2022.102539 Langues : Anglais (eng) Descripteurs : HE Vinci
Croyance ; Douleur chronique ; Femmes ; Lombalgie ; Recherche qualitativeRésumé : Background Women's pain is still poorly understood. Moreover, maladaptive pain beliefs contribute to the disability associated with low back pain and play a key role in the transition from acute to chronic symptoms. Objectives To explore the beliefs of women with non-specific chronic low back pain in terms of nature of symptoms, fears associated with pain, expectations for recovery, family, social and work-related limitations, and perceived self-efficacy. Design and methods A qualitative study with an interpretative approach was undertaken. Face-to-face, semi-structured individual interviews were performed. Study participants were 10 women with non-specific chronic low back pain living in the Metropolitan Region of Chile. Thematic analysis was used to analyze the data. A deductive process was used to code the text and categorize the data. Results Participants described maladaptive beliefs about pain, leading to fearful attitudes and low expectations for recovery. These beliefs seemed to perpetuate pain and limit engagement in daily tasks and meaningful activities. Some of these beliefs were associated with information provided by healthcare professions. Despite having maladaptive beliefs, women perceived themselves as self-effective. Conclusion Women with chronic low back pain described a range of different pain beliefs across a complex categorial structure. The contents of such structure may interfere with their decisions about therapeutic options. Their beliefs were often ungrounded in scientific principles, even if the information may have been provided by healthcare providers. Physical therapists would benefit from these findings to improve communication with their patients and assess the role of beliefs in decision-making. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294591
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102539[article]
Titre : Convergent validity and sex invariant factor structure of the Movement Imagery Questionnaire-3 - Second version (MIQ-3S) : Healthy, young adult reference data Type de document : Article Auteurs : Eva V. Monsma ; Melanie J. Gregg ; Brian Seiler ; Ryan S. Sacko ; Craig R. Hall Année de publication : 2022 Article en page(s) : 102537 Note générale : https://doi.org/10.1016/j.msksp.2022.102537 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie diagnostique ; Statistiques et données numériques ; Valeurs de référenceRésumé : Aligned with the approach that established the factor structure of the Movement Imagery Questionnaire-3 (MIQ-3), this study extended the two-factor structure of the Movement Imagery Questionnaire-Revised Second version (MIQ-RS). The extension involves assessment of both internal and external visual imagery abilities along with kinesthetic imagery ability. Participants (N=396) completed the new Movement Imagery Questionnaire ? 3 Second Version (MIQ-3S) along with the Vividness of Movement Imagery Questionnaire-2 (VMIQ-2) which measure the same three imagery abilities. Alpha coefficients and between scale Spearman correlations for internal, external, and kinesthetic abilities indicated items were internally consistent (?>0.87) and established convergent validity (r?>?0.69), respectively. MIQ-3S scale means ranged from 5.56 (SD?=?1.10) to 5.98 (SD?=?0.84), with no differences by sex. The three scales were not multicolinear as intra-scale correlations ranged from 0.47 to 0.61, supporting the three abilities were related, but separate constructs. A multi-trait multimethod confirmatory factor analysis (MTMM CFA), with sex invariance, was conducted to confirm the 3-factor structure of the MIQ-3S. Results from 396 healthy male (n=200) and female (n=196) adult college-aged students (M=21.91, SD=2.37) indicated a correlated-traits correlated-uniqueness model provided the best fit to the data (CFI=0.99; SRMR=0.05; RMSEA=0.03), while displaying sex invariance. These findings provide baseline data on college-aged, healthy adult participants providing reference data to those investigating imagery abilities among injured populations and practitioners interested in tracking individuals in rehabilitation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294592
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102537[article]
Titre : Nocturnal pain in patients with rotator cuff related shoulder pain : A prospective study Type de document : Article Auteurs : Alper Mengi ; Mehmet Akif Guler Année de publication : 2022 Article en page(s) : 102536 Note générale : https://doi.org/10.1016/j.msksp.2022.102536 Langues : Anglais (eng) Descripteurs : HE Vinci
Coiffe des rotateurs ; Douleur ; Epaule ; Lésions de la coiffe des rotateurs ; Qualité de vieRésumé : Introduction Nocturnal pain is a common complaint in rotator cuff related shoulder pain (RCRSP), and there is no study in literature that has evaluated the relationship between nocturnal pain severity and other evaluation parameters in RCRSP. The objective of the study was to investigate the relationship between the severity of nighttime pain and demographic and clinical data including physical examination findings, magnetic resonance imaging (MRI) findings, disability, kinesiophobia, and quality of life scores in patients diagnosed with RCRSP. Materials and methods We assessed 61 patients (52.4% female) using the Visual Analog Scale (VAS) for nighttime and daytime, Shoulder Pain and Disability Questionnaire (SPADI), Tampa Scale of Kinesiophobia (TSK), and Short Form-36 (SF-36). Demographic and clinical data were recorded and rotator cuff specific examinations were performed and documented. RCRSP lesions were evaluated in terms of tendonitis and rupture by MRI. Results The nighttime VAS score was positively correlated with SPADI disability and total scores, and daytime VAS score, and negatively correlated with SF-36 physical function subscale. The nighttime VAS score was associated with presence of calcific tendonitis in supraspinatus, infraspinatus tendinosis, and subscapularis tendinosis. On multivariate analysis with a linear regression model, presence of subscapularis tendinosis was an independent predictor of nighttime VAS score. In shoulder clinical tests, the nighttime VAS score correlated with only Neer test positivity. Conclusions Our results suggest that there is a relationship between nocturnal pain severity and disability. Presence of subscapularis tendinosis appears to be a predictor of nocturnal pain severity. Additionally, patients with positive Neer test may experience more nocturnal pain. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294593
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102536[article]
Titre : Reliability of the straight leg raise test for suspected lumbar radicular pain : A systematic review with meta-analysis Type de document : Article Auteurs : Robert J. Nee ; Michel W. Coppieters ; Benjamin S. Boyd Année de publication : 2022 Article en page(s) : 102529 Note générale : https://doi.org/10.1016/j.msksp.2022.102529 Langues : Anglais (eng) Descripteurs : HE Vinci
Racines des nerfs spinaux ; Radiculopathie ; SciatalgieRésumé : Background The passive straight leg raise (SLR) and crossed SLR are recommended tests for lumbar radicular pain. There are no recent reviews of test reliability. Objectives To summarize SLR and crossed SLR reliability in patients with suspected lumbar radicular pain. Design Systematic review with meta-analysis. Method MEDLINE and CINAHL were searched for studies published before April 2021 that reported SLR or crossed SLR reliability in patients with low back-related leg pain. Supplemental analyses also included patients with low back pain only. Study selection, risk of bias assessment (QAREL), and data extraction were performed in duplicate. Kappa, intraclass correlation coefficients, and smallest detectable difference (SDD95) quantified reliability. Meta-analysis was performed when appropriate. Confidence in the evidence was determined by applying GRADE principles. Results/findings Fifteen studies met selection criteria. One-hundred-eighty-nine participants had low back-related leg pain. Four-hundred-thirty-nine were included in supplemental analyses. Meta-analyses showed at least fair inter-rater reliability when a positive SLR required provocation of lower extremity symptoms or pain. SLR reliability was at least moderate when testing included structural differentiation (e.g., ankle dorsiflexion). A low prevalence of positive crossed SLR tests led to wide-ranging reliability estimates. Confidence in the evidence for identifying a positive SLR or crossed SLR was moderate to very low. SDD95 values for different raters measuring SLR range of motion ranged from 13 to 20? . Conclusions Reliability data support testing SLR with structural differentiation manoeuvres. Crossed SLR reliability data are inconclusive. Measurement error likely prohibits using SLR range of motion for clinical decision-making. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294594
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102529[article]
Titre : Oculomotor performance in patients with neck pain : Does it matter which angle of neck torsion is used in smooth pursuit eye movement test and is the agreement between angles dependent on target movement amplitude and velocity? Type de document : Article Auteurs : Ziva Majcen Rosker ; Miha Vodicar ; Eythor Kristjansson Année de publication : 2022 Article en page(s) : 102535 Note générale : https://doi.org/10.1016/j.msksp.2022.102535 Langues : Anglais (eng) Descripteurs : HE Vinci
Anomalie de torsion ; Cou ; Douleur ; Oculomotricité ; ProprioceptionRésumé : Background Neck torsion manoeuvre is thought to affect eye movement control via afferent sensory drive in neck pain disorders patients. Literature reports inconsistencies regarding the angle of neck torsion most commonly used across the studies. Objectives The goal of this study was to determine the level of agreement in oculomotor performance between two most commonly used neck torsion angles during smooth pursuit neck torsion test (SPNT). Design A cross-sectional design was used in thirty-two neck pain patients and thirty-two healthy individuals. Method Gain and SPNTdiff were measured during SPNT test at 30? and 45? of neck torsion angle, at 30? , 40? and 50? of target movement amplitudes and three different target movement velocities (20? s?1, 30? s?1 and 40? s?1) using eye tracking device. Bland-Altman plots and correlation analysis were used to study the agreement between the two angles. Results Small to medium correlations and wide bias confidence intervals suggest medium level of agreement in gain or SPNTdiff between the two neck torsion angles for chronic neck pain patients, but higher in healthy individuals. Higher agreement in gain was observed at lager target movement amplitudes and at slower target movement velocities, however this trend was not observed for SPNTdiff. Conclusion Level of agreement between the two angles in SPNT test depends on the amplitude and velocity of the moving target. In cases when subjects within the same study are not able to perform 45? of neck torsion, 50? amplitude and 20? s?1 velocity of target movement are more suitable to reach higher agreement between the angles. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294595
in Musculoskeletal Science and Practice > Vol. 59 (June 2022) . - 102535[article]
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Titre : Evaluating daily physical activity and biomechanical measures using wearable technology in people with Achilles tendinopathy : a descriptive exploratory study Type de document : Article Auteurs : Sanam Tavakkoli Oskouei ; Peter Malliaras ; Keith D. Hill ; Ross Clark ; Luke Perraton Année de publication : 2022 Article en page(s) : 102534 Note générale : https://doi.org/10.1016/j.msksp.2022.102534 Langues : Anglais (eng) Descripteurs : HE Vinci
Biomécanique ; Démarche ; Dispositifs électroniques portables ; Exercice physique ; Tendinopathie ; Tendon calcanéenRésumé : Background Load management is considered an important factor for prevention and treatment of Achilles tendinopathy. However, little attention has been given to monitoring daily load objectively in this population. Objectives We aimed to explore patterns in proxies of daily load derived from a six-axis inertial measurement unit (IMU) over a one-week period and the concordance between day-to-day fluctuation in pain intensity and IMU measures. Design Descriptive exploratory study. Method Ten participants with Achilles tendinopathy (age: 53.00??+?12.37) wore an IMU on the affected ankle for one week. Participants were contacted via text message three times daily to rate their worst pain intensity. Physical activity and biomechanical measures derived from the IMU signals including daily number of steps, peak stride rate, peak shank acceleration, and peak shank angular velocity were calculated. Results The relationship between weekly worst pain and physical activity levels appeared modest; with increased steps not seeming to be linked to increased or reduced pain levels. According to the daily pain and daily IMU measures, a concordant pattern was evident in younger, highly active participants. However, in the middle-aged/older less active participants, there was either a fluctuation in pain intensity without fluctuation in the IMU measures, or a stable pattern of both pain and IMU measures. Conclusions Our exploratory study results suggest that continuous monitoring of proxies of daily load measures in parallel with pain may provide information about load management strategies in people with Achilles tendinopathy. Monitoring of these proxies may ultimately have a role in improving Achilles tendinopathy management. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293122
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102534[article]
Titre : Is scoliosis related to mastication muscle asymmetry and temporomandibular disorders? : a cross-sectional study Type de document : Article Auteurs : Ilyas Uçcar ; Sabri Batin ; Mustafa Arik ; Ahmet Payas ; Erdal Kurtoglu ; Caner Karartı ; Turgut Seber ; Serap Bulut Cobden ; Hande Tasdemir ; Erdogan Unur Année de publication : 2022 Article en page(s) : 102533 Note générale : https://doi.org/10.1016/j.msksp.2022.102533 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie diagnostique ; Imagerie par résonance magnétique ; Muscle masséter ; Scoliose ; Troubles de l'articulation temporomandibulaireRésumé : Objective Patients with adolescent idiopathic scoliosis (AIS) may face motor control problems and health disability barriers during mandibular movements and chewing. However, studies investigating the extent of these disadvantages, and possible associated factors are quite limited in patients with AIS. This study was conducted to gain a deeper perspective on the effect of AIS on temporomandibular disorders (TMD) and to contribute to the small amount of data on this subject. Methods Twenty-nine patients with AIS and 29 age- and sex-matched asymptomatic controls participated in this cross-sectional study. Cobb's method was used to measure scoliosis curves. In both groups, the volume of the masseter muscle was determined on magnetic resonance imaging, and Helkimo and Fonseca anamnestic indexes were used to evaluate temporomandibular joint (TMJ). Results Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293123
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102533[article]
Titre : Education level is a strong determinant of cognitive function as measured by MoCA in people with chronic low back pain Type de document : Article Auteurs : Muzeyyen Oz ; Aynur Demirel ; Yasemin Ozel Asliyuce ; Ozlem Ulger Année de publication : 2022 Article en page(s) : 102503 Note générale : https://doi.org/10.1016/j.msksp.2022.102503 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Douleur ; Fonctions exécutives ; LombalgieRésumé : Background Over recent years there has been increasing clinical interest in the relationship between chronic pain and cognitive function. There are very few studies on individuals with low back pain (LBP) in the literature, which has remained under-researched. Objectives This study aimed to evaluate cognitive function in individuals with chronic back pain and investigate the effects of different variables on cognition. Design Cross-sectional study. Methods In this study, 115 individuals with chronic low back pain (CLBP) participated. The sociodemographic characteristics of the individuals who participated were recorded, including age, sex, weight, height, education and pain duration. Pain intensity of the individuals was evaluated using the Visual Analog Scale, functional status was evaluated with the Oswestry Disability Index, and cognitive function was evaluated using Montreal Cognitive Assessment (MoCA). Results One hundred fifteen individuals with CLBP were recruited. The mean age was 48.4?+11.8, and the mean MoCA score was 22.9?+4.4. MoCA scores were associated with education, age, gender and pain intensity. Conclusions The findings obtained in the current study showed that individuals with CLBP had low MoCA scores and cognitive function was affected. In individuals with CLBP, cognitive function was affected depending on education level, age and intensity of pain. Assessment of the cognitive function in pain management can be useful for clinicians interested in LBP. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293124
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102503[article]
Titre : Combining clinical exams can better predict lumbar spine radiographic instability Type de document : Article Auteurs : Tahere Seyedhoseinpoor ; Mehdi Dadgoo ; Mohammad Taghipour ; Ismail Ebrahimi Takamjani ; Mohammad Ali Sanjari ; Anoshirvan Kazemnejad ; Hadi Ebrahimi ; Scott Hasson Année de publication : 2022 Article en page(s) : 102504 Note générale : https://doi.org/10.1016/j.msksp.2022.102504 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Examen clinique ; Instabilité articulaire ; Vertèbres lombalesRésumé : Background/objectives Several clinical tests have been proposed to diagnose lumbar instability, but their accuracy is still in question. The primary purpose of this study was to evaluate the diagnostic accuracy of the clinical lumbar instability tests. The secondary goal was to design a model to detect lumbar instability. Design A prospective diagnostic cross-sectional study. Method A sample of 202 patients with chronic low back pain were participated in the study. Five lumbar instability tests including Aberrant movement, Passive lumbar extension, Prone segmental instability, H and I and pheasant tests were compared to flexion/extension radiography as the gold standard for diagnosing lumbar instability using two by two tables. Multiple Logistic Regression analysis was applied to develop a model using demographic information as well as the patients? pain intensity, disability level, lumbar lordosis and the clinical tests. Results Among the five examined tests, Prone segmental instability, H and I and pheasant tests showed very small likelihood ratios and diagnostic odd's ratio. The largest values were for H and I test with the positive likelihood ratio of 1.28 (95% CI: 0.72 to 2.29) and diagnostic odd's ratio of 1.37 (95% CI: 0.66 to 2.83); the diagnostic accuracy measures were smaller for the other studied clinical tests. The model was developed using weight (t?=?1.15, p?=?0.03) and lumbar lordosis (t?=?3.04, p?=?0.00) (which showed a significant relationship with lumbar instability) and prone segmental instability test. The final model has the positive likelihood ratio of 2.07 (95% CI: 1.41 to 3.05) and diagnostic odd's ratio of 3.77 (95% CI: 2.03 to 7.01). Conclusion Each individual test had very small to no power in discriminating patients with lumbar instability. The developed model just slightly improved the accuracy of radiological instability detection. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293125
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102504[article]
Titre : Factors associated with the low back pain-related attitudes and beliefs of physical therapists Type de document : Article Auteurs : Adam Rufa ; Michelle Dolphin ; Kyle Adams ; Gary Brooks Année de publication : 2022 Article en page(s) : 102518 Note générale : https://doi.org/10.1016/j.msksp.2022.102518 Langues : Anglais (eng) Descripteurs : HE Vinci
Approche biopsychosociale ; Connaissances, attitudes et pratiques en santé ; croyance populaire ; Kinésithérapeutes ; LombalgieRésumé : Background Clinicians who believe in a strong connection between pain and disability, and who have biomedically oriented beliefs recommend less physical activity, more time off work, and promote unhelpful beliefs in patients. Understanding how these beliefs develop may assist in identifying ways to reduce unhelpful beliefs in clinicians. Objective To identify factors that are associated with the LBP-related attitudes and beliefs of US-based physical therapists. Design Cross-sectional design Method An electronic survey was sent to US-based physical therapists. Attitudes and beliefs were measured using the Health Care Providers? Pain and Impairment Relationship Scale (HC-PAIRS) and the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), pain science knowledge was measured using the Neurophysiology of Pain Questionnaire (NPQ), and professional and demographic information were collected. Results Completed surveys were obtained from 420 physical therapists. More helpful attitudes and beliefs were associated with board certification in orthopedics or sports, higher NPQ scores, and working in a hospital-based clinic. Less helpful attitudes and beliefs were associated with working in private practice and a personal history of LBP that had a minimum or significant impact on life. The factors included in this study explained 16.8% of the variability in HC-PAIRS scores (p?.001), 13% of the variability in PABS-BM scores (p?.001), and 8.3% of the variability in PABS-BPS scores (p?.001). Conclusion Several modifiable and non-modifiable factors are associated with the LBP-related attitudes and beliefs of US physical therapists. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293126
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102518[article]
Titre : Lateral bending differentiates early-stage spondylolysis from nonspecific low back pain in adolescents Type de document : Article Auteurs : Shiro Sugiura ; Yasuchika Aoki ; Takeshi Toyooka ; Tetsuo Shiga ; Oyama Takato ; Tohru Ishizaki ; Yasutaka Omori ; Akito Takata ; Yasumi Kiguchi ; Ayako Tsukioka ; Yuzuru Okamoto ; Yukio Matsushita ; Kazuhide Inage ; Seiji Ohtori ; Satoru Nishikawa Année de publication : 2022 Article en page(s) : 102526 Note générale : https://doi.org/10.1016/j.msksp.2022.102526 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Diagnostic précoce ; Imagerie par résonance magnétique ; Lombalgie ; SpondylolyseRésumé : Background Early-stage spondylolysis (ESS) is one of the common causes of acute low back pain (LBP) in adolescents. Although accurate diagnosis of ESS is important for providing appropriate treatment, differentiating ESS from other low back disorders is difficult by physical signs alone. Objectives To elucidate the most common characteristic, namely, motion-provoking LBP, in patients with ESS. Design Retrospective comparative cohort study. Method We included and categorized adolescents (n?=?112; age, Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293127
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102526[article]
Titre : Externally applied force helps reduce bowstring effect of flexors in patients with carpal tunnel release surgery Type de document : Article Auteurs : Chien-Ju Lin ; Yi-Ching Chen ; Hsiao-Feng Chieh ; I-Ming Jou ; Po-Ting Wu ; Yen-Liang Lai ; Chun-Ta Lai ; Li-Chieh Kuo ; Fong-Chin Su Année de publication : 2022 Article en page(s) : 102517 Note générale : https://doi.org/10.1016/j.msksp.2022.102517 Langues : Anglais (eng) Descripteurs : HE Vinci
Chirurgie générale ; Prévention ; Syndrome du canal carpienRésumé : Background Patients with severe carpal tunnel syndrome (CTS) undergo carpal tunnel release (CTR) surgery to alleviate pressure in the carpal tunnel. However, the subsequent lack of the transverse carpal ligament (TCL) causes the bowstring phenomenon of the flexor tendons and increases the potential incidence of trigger finger. Objective This study aimed to investigate the effects of various compressive forces on the flexor tendon and identify the appropriate force needed to mitigate the bowstring effect of those flexors. Design Cross-sectional repeated measures comparison. Method Thirteen CTS patients who underwent CTR surgery were asked to flex the middle finger while applying different external compressive forces, just contact, 4N, and 8N force, over the carpal tunnel. Images of the flexor tendon within the carpal tunnel and at the metacarpal phalangeal (MCP) joint were recorded via ultrasound. Result Results show that the compression force limited the volar migration of the flexor tendon under maximal voluntary contraction (MVC) conditions. Entrance angles between the flexor tendon and metacarpal bone also decreased as the external compressive force increased. Conclusions Findings of this study may indicate that applying compression force on the carpal tunnel is useful for CTS patients and can inhibit the volar shift of the flexor digitorum superficialis (FDS) tendon after surgery, which may further prevent trigger finger. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293128
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102517[article]
Titre : Can digital rectal examination be used to detect cauda equina compression in people presenting with acute cauda equina syndrome? : a systematic review and meta-analysis of diagnostic test accuracy studies Type de document : Article Auteurs : Julia Tabrah ; Nicky Wilson ; Dean Phillips ; Dankmar Böhning Année de publication : 2022 Article en page(s) : 102523 Note générale : https://doi.org/10.1016/j.msksp.2022.102523 Langues : Anglais (eng) Descripteurs : HE Vinci
Anus ; Diagnostic ; Syndrome de la queue de cheval ; Toucher rectalRésumé : Background Digital rectal examination (DRE) is a commonly used test to help identify people with cauda equina compression (CEC). Objective To determine the diagnostic accuracy of DRE in assessment of anal tone, squeeze, sensation and reflexes, as predictors of CEC. Design A systematic review to investigate the diagnostic accuracy of DRE to detect CEC compared with lumbar Magnetic Resonance Imaging (MRI). Method Six electronic databases were searched from inception to 6 July 2020 for studies published in English. Two assessors independently performed screening, data extraction and risk of bias assessment (QUADAS-2). Meta-analysis was performed using STATA-16. Results Six studies were included (n?=?741). The sensitivity of anal tone was low across all studies (range: 0.23 to 0.53) with moderate quality evidence against the use of DRE of anal tone. One study on anal sensation found no correlation with CEC using Kendall's tau test: p?=?0.102 and another found sensation had low test accuracy. One study identified sensitivity: 0.29 and specificity: 0.96 for anal squeeze, while another identified sensitivity: 0.38 and specificity: 0.6 for anal reflexes. Conclusion The diagnostic accuracy of DRE of anal tone to detect CEC is low and carries a high risk of false reassurance. It is therefore not recommended in any clinical setting. More research is needed to determine the diagnostic accuracy of DRE of anal squeeze, sensation and reflexes and if done the results should be interpreted with caution. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293129
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102523[article]
Titre : The Brazilian version of the Victorian Institute of Sport Assessment - Hamstring (VISA-H) Questionnaire : translation, cross-cultural adaptation and measurement properties Type de document : Article Auteurs : Pedro Olavo de Paula Lima ; Bianca Martins Lourenco ; Lucas Valentim de Freitas ; Thamiris Silva Nazareno ; Nicola Maffulli ; Rodrigo Ribeiro de Oliveira Année de publication : 2022 Article en page(s) : 102516 Note générale : https://doi.org/10.1016/j.msksp.2022.102516 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquêtes et questionnaires ; Etudes de validation ; Hanche ; Portugais du Brésil ; Tendinopathie ; Tendons des muscles ischio-jambiersRésumé : Study design Study of diagnostic accuracy/assessment scale. Background Proximal hamstring tendinopathy (PHT) usually causes disability, deep pain in the proximal insertion of the tendon, and limitations in daily life and sports practice. Scales that assess PHT pain and disability may assist practitioners in their clinical decision-making processes. Objectives To perform a translation, cross-cultural adaptation and to evaluate the measurement properties of the Victorian Institute of Sport Assessment - Hamstring (VISA-H) questionnaire for the Brazilian population. Methods The VISA-H was adapted to Brazilian Portuguese (VISA-H-Br) and applied in 2 occasions with 5?8-day intervals. The following measurement properties were evaluated: internal consistency, test?retest reliability, standard error of the measurement (SEM), smallest detectable change (SDC), structural validity, and construct validity. Ninety (n?=?90) participants (40 PHT and 50 asymptomatic participants) were evaluated using the Lower Extremity Functional Scale (LEFS) and VISA-H. PHT was diagnosed via clinical examination. Results The questionnaire was successfully translated, cross-culturally adapted, and renamed VISA-H-Br. The VISA-H-Br questionnaire demonstrated high internal consistency (Cronbach ??=?0.96), excellent test-retest reliability (ICC?=?0.90, CI 95% 0.83?0.93), and strong construct validity (rho?=?0.692, p?0.01 compared to LEFS). The SEM was 2.15 points, and the SDC was 5.96 points. No ceiling or floor effects were detected. Conclusion The Brazilian version of the VISA-H was consistent, reliable, and valid. Therefore, it may be used in clinical practice and research to assess the pain and disability of patients with PHT. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293130
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102516[article]
Titre : The temporal behaviour of migraine related neck pain does not inform on the origin of neck pain : an observational study Type de document : Article Auteurs : Zhiqi Liang ; Lucy Thomas ; Gwendolen Jull ; Julia Treleaven Année de publication : 2022 Article en page(s) : 102522 Note générale : https://doi.org/10.1016/j.msksp.2022.102522 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Douleur ; Maladies ostéomusculaires ; Migraines ; Sensibilité et spécificitéRésumé : Background Clinicians seek to identify associations between pain behaviours to understand if symptoms are related or separate conditions. This study determined whether the temporal behaviour of migraine related neck pain related to i) the presence of cervical musculoskeletal function or ii) migraine hypersensitivity. Methods Cross-sectional study of migraineurs with neck pain (n?=?110). Participants reported daily for one month via an online survey, on migraine and other headaches, neck symptoms, location of onset and self-identified triggers. Allodynia Symptom Checklist (ASC12), Pressure pain thresholds (PPTs), and presence or absence of cervical musculoskeletal dysfunction were also assessed. Results The temporal behaviours of neck pain in 92 participants (46 migraine only, 46 migraine plus another headache) were categorised as: i) ictal only (n?=?42), ii) ictal and infrequent interictal (n?=?26), iii) ictal and frequent interictal (n?=?17), and iv) undecipherable (n?=?7). Cervical musculoskeletal dysfunction was present in 43%. Temporal behaviours of neck pain were not associated with cervical musculoskeletal dysfunction (p?=?1.00 and 0.21), nor related to ASC12, PPTs, headache triggers, neck pain, nor region of symptom onset, whether migraine only or migraine and another headache was reported (p?=?0.29 to 0.97). Conclusion Individuals with migraine present with varied behaviours of neck pain in relation to the headache. As temporal behaviour is not informative, a physical examination is needed to negate or confirm a cervical source of neck pain in migraine. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293131
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102522[article]
Titre : "It's second best" : a mixed-methods evaluation of the experiences and attitudes of people with musculoskeletal pain towards physiotherapist delivered telehealth during the COVID-19 pandemic Type de document : Article Auteurs : C.J. Barton ; A.M. Ezzat ; M. Merolli ; C. M. Williams ; T. Haines ; N. Mehta ; P. Malliaras Année de publication : 2022 Article en page(s) : 102500 Note générale : https://doi.org/10.1016/j.msksp.2021.102500 Langues : Anglais (eng) Descripteurs : HE Vinci
Coronavirus ; Douleur musculosquelettique ; Kinésithérapie et physiothérapie ; Maladies ostéomusculaires ; Techniques de physiothérapie ; TélémédecineRésumé : Background Musculoskeletal physiotherapy practice rapidly adopted telehealth during the COVID-19 pandemic, providing a unique opportunity to evaluate the experiences and attitudes of people who would not usually engage with these services. Methods A sequential mixed-methods study recruited people with musculoskeletal pain conditions accessing Australian private practice physiotherapist services. Part 1 involved an online survey of telehealth services accessed, treatments and resources provided, self-reported global change in condition, and attitudes toward telehealth. Part 2 involved semi-structured interviews with a subset of survey participants, exploring experiences and attitudes towards telehealth. Quantitative data was reported descriptively. Qualitative data was evaluated using inductive thematic analysis. Results 172 participants responded to the survey, and 19 were interviewed. 95% accessed video-based telehealth, and 85% reported condition improvement. 84% agreed it was an efficient use of their time, 75% agreed it was financially viable, and 73% agreed their condition was accurately diagnosed. 62% percent believed telehealth should be less expensive than in-person services. Qualitative analysis revealed four themes (17 subthemes), including (i) telehealth had value, but generally perceived as inferior to in-person care; (ii) challenges related to assessment, diagnosis, ?hands on? treatment, observation, communication, and technology; (iii) advantages to access safe, expert, and convenient care; and (iv) importance of supportive technology, including video and supplementary resources. Conclusion Physiotherapist telehealth services provided to people with musculoskeletal pain during the pandemic was valued. However, telehealth was generally perceived as inferior to traditional in-person care, and may be best used as part of a hybrid model of care. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293132
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102500[article]
Titre : Effects of previous experience with dry needling therapy on blinding effectiveness and pain outcomes in people with neck pain : a preliminary sham-controlled study Type de document : Article Auteurs : Gracia M. Gallego-Sendarrubias ; Lennard Voogt ; José Luis Arias-Buría ; Felicity A. Braithwaite ; César Fernández-de-las-Peñas Année de publication : 2022 Article en page(s) : 102515 Note générale : https://doi.org/10.1016/j.msksp.2022.102515 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Placebo ; Points de déclenchement ; Puncture kinésithérapique par aiguille sècheRésumé : Background Participants? previous experience with an intervention may be an important variable when conducting sham-controlled trials. Objective This study explored if previous experience with dry needling (DN) influenced blinding effectiveness and pain outcomes, after the application of DN in patients with neck pain. Design A preliminary randomized, sham-controlled study. Methods Participants were randomized to receive a single session of real or sham DN. Previous experience with DN (yes/no) was recorded. Blinding effectiveness was assessed by asking participants to guess their group allocation (real/sham/not sure) 5?min post-intervention. Outcomes including pain intensity, pressure pain thresholds, and self-perceived improvement, were assessed by a blinded assessor at baseline, one- and seven-days post-intervention. Results Of 50 patients recruited, 30 had previous experience and 20 did not. Fifty-seven percent (n?=?17/30) with previous experience and 35% (n?=?7/20) without experience correctly identified their group allocation, but this difference was not significant (?2?=?2.333; P?=?0.127). No interaction between previous experience and clinical outcomes were found, except that participants with previous experience receiving real DN showed greater improvements in pain during cervical rotation than those without previous experience at one (? ?11.5?mm 95%CI -22.0 to ?1.0?mm) and seven days (? ?8.5?mm, ?16.00 to ?1.0?mm) post-intervention. Conclusions Participants with previous experience were 22% more accurate at identifying their group allocation than those without experience, but the difference was not significant. Previous experience did not influence most clinical outcomes, except for pain intensity after real DN. Future studies evaluating effects of previous experience of DN should include more detailed information of previous experience. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293133
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