Musculoskeletal Science and Practice
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Ajouter le résultat dans votre panierLevel of knowledge on conservative management of adolescent idiopathic scoliosis among undergraduate students in healthcare / Chantal Doucet ; Philippe Rousseau ; Isabelle Pagé in Musculoskeletal Science and Practice, Vol. 61 (October 2022)
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 ; 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 ; 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 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 ; 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
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102515[article]
Titre : The influence of hip flexion mobility and lumbar spine extensor strength on lumbar spine flexion during a squat lift Type de document : Article Auteurs : Christopher S. Patterson ; Everett Lohman ; Skulpan Asavasopon ; Robert Dudley ; Lida Gharibvand ; Christopher M. Powers Année de publication : 2022 Article en page(s) : 102501 Note générale : https://doi.org/10.1016/j.msksp.2021.102501 Langues : Anglais (eng) Descripteurs : HE Vinci
Hanche ; Mobilité ; Phénomènes biomécaniques ; Vertèbres lombalesRésumé : Study design Cross-sectional; Controlled laboratory study. Objective To examine the associations among available hip flexion motion, lumbar extensor strength and peak lumbar flexion during a squat lift task. Summary of background data Lumbar spine flexion during lifting can result in increased strain on spinal structures. Although decreased available hip flexion motion and reduced strength of the lumbar extensor muscles has been proposed to contribute to greater lumbar flexion during lifting, direct relationships have not been explored. Methods Fifty healthy young adults participated (23 males and 27 females). Strength of the lumbar extensors was measured using a motor-driven dynamometer. Available hip flexion was assessed using 3D motion capture. Peak lumbar spine flexion and hip flexion were quantified during the descent phase of the squat lifting task. Results There was a significant negative association between available hip flexion and peak lumbar spine flexion during squat lifting in females (r?=??0.407, p?=?0.035) but not males (r?=??0.341, p?=?0.120). Similarly, peak lumbar spine flexion was negatively associated with lumbar extensor strength in females (r?=??0.398, p?=?0.040) but not males (r?=??0.310, p?=?0.161). During the squat lift, peak hip motion was positively associated with available hip flexion for both males and females combined (r?=?0.774, p?0.001). Conclusion Females with less available hip flexion and lower lumbar extensor strength exhibit greater lumbar flexion when performing a lifting task. Clinicians should be aware of the potential contributions of such impairments when instructing patients into various lifting strategies. 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=293134
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102501[article]
Titre : Clinicians' experience of the diagnosis and management of patellofemoral pain : a qualitative exploration Type de document : Article Auteurs : Amy Jessica Curran ; Bradley Stephen Neal ; Philip Barber ; Clare Bartholomew ; Dylan Morrissey ; Simon David Lack Année de publication : 2022 Article en page(s) : 102530 Note générale : https://doi.org/10.1016/j.msksp.2022.102530 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Expériences ; Ligament croisé antérieur ; Management ; Personnel de santé ; ThérapeutiqueRésumé : Background Patellofemoral pain (PFP) is common and has a poor long-term prognosis. There is a lack of clarity about the clinical reasoning of recognised inter-disciplinary experts in the published literature. Objectives To help identify best practice by exploring the clinical reasoning of a range of inter-disciplinary experts that regularly diagnose and treat PFP. Design Qualitative study with semi-structured interviews. Method Recruitment resulted in a convenience sample for semi-structured interview, which were recorded and transcribed verbatim. Data were analysed until theoretical saturation, as determined by multiple investigators. Findings Interviews with 19 clinical experts (15 men, 4 women; mean experience 18.6 years??+?8.6) from four broad professions yielded four themes. Firstly, the assessment and diagnosis process should include a thorough history and examination to rule in PFP. Secondly, information provision should aim to increase patients? understanding, aid in controlling symptoms, and facilitate behaviour change. Thirdly, active rehabilitation, which was a salient theme and included advocacy of combined hip and knee exercise that is adapted to the individual. Finally, treatment adjuncts, which can be used selectively to modify symptoms, may include running retraining, taping, or foot orthoses. Conclusions PFP should be diagnosed clinically, and tailored treatment programmes should be prescribed for people with PFP. Exercise was considered the most effective treatment and underlying psychological factors should be addressed to improve prognosis. 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=293135
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102530[article]
Titre : Pressure pain threshold mappings of the infraspinatus muscle in chronic unilateral shoulder pain patients do not reflect generalized hypersensitivity Type de document : Article Auteurs : Leonardo Intelangelo ; Diego Bordachar ; Cristian Mendoza ; Ignacio Lassaga ; Alexandre Carvalho Barbosa ; José Biurrun Manresa ; Christian Mista Année de publication : 2022 Article en page(s) : 102495 Note générale : https://doi.org/10.1016/j.msksp.2021.102495 Langues : Anglais (eng) Descripteurs : HE Vinci
Coiffe des rotateurs ; Douleur chronique ; Epaule ; HypersensibilitéRésumé : Objectives Increased mechanical sensitivity has been observed on the unaffected side in chronic pain conditions, suggesting generalized or widespread hypersensitivity. However, this cannot be considered as a universal response since this hypersensitivity is inconsistent across muscle pain pathologies. The aim of this study was to assess generalized hypersensitivity in chronic unilateral shoulder pain, using pressure pain threshold (PPT) mappings of the infraspinatus muscle. The proposed evaluation is based on the assessment of PPT on a limited subset of sites, reducing potential habituation or sensitization effects. Methods Twenty-nine patients with unilateral shoulder pain (USP) and twenty-seven healthy volunteers were recruited. PPT was assessed using a manual pressure algometer. Six sites distributed over the infraspinatus muscle were assessed, and three repetitions were performed at each site. Mappings were derived using two-dimensional interpolation. Results Lower PPT values were found in the symptomatic side in comparison with the asymptomatic side at all assessment sites (estimated difference: 1.42??+?0.10 kgf/cm2, p?0.001), but there were no differences among the asymptomatic side of USP patients and any of the sides in healthy volunteers (largest estimated difference: 0.17??+?0.28 kgf/cm2, p?=?0.927). Furthermore, the medial region of the infraspinatus muscle showed higher mechanical sensitivity in both healthy volunteers and USP patients. Conclusions These results suggest that USP does not induce generalized hypersensitivity, in contrast with previously reported findings. Physiotherapists could take these results into account for the assessment and treatment of patients with USP. 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=293136
in Musculoskeletal Science and Practice > Vol. 58 (April 2022) . - 102495[article]
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Titre : Impact of an interactive workshop on specialist physiotherapists' practice when implementing a new clinical care pathway for people with musculoskeletal conditions Type de document : Article Auteurs : Kwangil Kang ; Kerrie Evans ; Milena Simic ; Paulo Ferreira ; Aila Nica Bandong ; Sonia Coates ; Darren Beales ; Trudy Rebbeck Année de publication : 2022 Article en page(s) : 102466 Note générale : https://doi.org/10.1016/j.msksp.2021.102466 Langues : Français (fre) Descripteurs : HE Vinci
Maladies ostéomusculaires ; Spécialisation ; Techniques de physiothérapieRésumé : Background A new pathway of care proposes early comprehensive assessment and targeted management by specialist musculoskeletal clinicians for people with musculoskeletal conditions at risk of poor outcomes. Adoption of this care pathway is likely to be influenced by beliefs and behaviours of specialist musculoskeletal clinicians. Objective To evaluate the effect of an interactive educational workshop about the proposed clinical care pathway on knowledge, beliefs and practice of specialist musculoskeletal physiotherapists. Design Mixed methods. Methods Fifty specialist musculoskeletal physiotherapists participated in a 2-day interactive educational workshop. Knowledge, beliefs and clinical practice behaviours were assessed immediately before the workshop and 3 months? later using surveys. Results Knowledge about key guideline messages improved and were maintained at follow-up. Most participants agreed to provide more targeted interventions to patients at risk of poor outcome (92%, 95% CI: 81%?98%) and utilise prognostic screening tools (84%, 95% CI: 71 to 93). However, only 56% (95% CI: 39%?68%) of participants believed implementing a shared care pathway was easy. At follow-up, participants? beliefs were more aligned with the proposed care pathway (i.e., shared care: 83%, 95% CI: 68%?93%). With respect to clinical practice, there were 16% more referrals back to the primary physiotherapist at 3 months than before the workshop. Barriers (practitioner, patient and system factors) to implementation of the care pathway were discussed. Conclusion An interactive educational workshop influenced specialist musculoskeletal physiotherapists? knowledge, beliefs and clinical practice, but barriers need to be overcome to facilitate widespread implementation. 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=290111
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102466[article]
Titre : Exploring the relationship between meaningful conditioned pain modulation and stress system reactivity in healthy adults following exposure to the cold pressor task Type de document : Article Auteurs : Michael J. Lukacs ; C.W James Melling ; David M. Walton Année de publication : 2022 Article en page(s) : 102489 Note générale : https://doi.org/10.1016/j.msksp.2021.102489 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Hormones corticosurrénaliennes ; Marqueurs biologiques ; Mesure de la douleur ; Sensibilité et spécificitéRésumé : Background The sympathetic nervous system (SNS) and hypothalamic-pituitary-adrenal (HPA) axis have been implicated in conditioned pain modulation (CPM). As there has recently been a push to identify meaningful CPM responses based on + 2 SEM of the test stimulus, we sought to evaluate if meaningful CPM had relationships with both SNS and HPA axis reactivity. Methods 50 university-aged healthy participants (25 males, 25 females) underwent evaluation of pressure pain detection threshold (PPDT), conditioned pain modulation (CPM), galvanic skin response (GSR) and salivary cortisol before and after a cold pressor test (CPT). Meaningful CPM was evaluated based on change +2 SEM of baseline PPDT to classify participants as experiencing inhibition of pain, facilitation, or non-response. Results As a group, there were no significant changes in PPDT or salivary cortisol after exposure to noxious cold. GSR was significantly elevated from baseline values during the CPT, and 10 min after (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=290112
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102489[article]
Titre : Reliability of a self-administrated musculoskeletal questionnaire : The fourth Trondelag health study Type de document : Article Auteurs : Astri Grøtan Dahl ; Sara Havang ; Knut Hagen Année de publication : 2022 Article en page(s) : 102496 Note générale : https://doi.org/10.1016/j.msksp.2021.102496 Langues : Anglais (eng) Descripteurs : HE Vinci
Autoadministration ; Épidémiologie ; Maladie chronique ; PrévalenceRésumé : Background The reliability of the Nordic Musculoskeletal Questionnaire (NMQ) has not been evaluated in an unselected general population. The aim of this population-based follow-up study was to estimate the reliability between a self-administered NMQ-based questionnaire and a face-to-face interview performed approximately two months later. To interpret the results, we assessed the 1-year prevalence of various pain musculoskeletal pain locations. Methods A random sample of 1201 participants in the fourth wave of the Trøndelag Health Survey were invited to a follow-up interview focusing on sleep and pain. A total of 232 (19%) participated a semi-structured interview, and the agreement with the corresponding answers in the musculoskeletal questionnaire in HUNT4 were evaluated by Cohen's kappa statistics with 95% confidence interval (CI). The 1-year prevalence of the various pain sites was stratified by age and gender. Results The reliability was good for chronic musculoskeletal pain (CMSP), chronic widespread musculoskeletal pain (CWMSP) and pain in hip and knee (kappa values between 0.63 and 0.68). Moderate kappa values between 0.51 and 0.60 were found for pain in the neck, shoulder, elbow, wrist/hand, upper back, lower back, calf, ankle/feet, and ?7 pain sites. The 1-year prevalence was 54.3% for CMSP and 17.2 for CWMSP, substantially higher for women and among those aged 50 years or more. Conclusion In this population-based study the reliability between interview and questionnaire was good to moderate for most pain locations. In particular, the self-administered musculoskeletal questionnaire seems to be a useful tool in identifying individuals with CMSP, CWMSP, and pain in hip and knee. 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=290113
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102496[article]
Titre : Supporting new graduate physiotherapists in their first year of private practice with a structured professional development program : a qualitative study Type de document : Article Auteurs : L. Chipchase ; A. Papinniemi ; H. Dafny ; T. Levy ; K. Evans Année de publication : 2022 Article en page(s) : 102498 Note générale : https://doi.org/10.1016/j.msksp.2021.102498 Langues : Anglais (eng) Descripteurs : HE Vinci
Diplôme ; Kinésithérapie et physiothérapie ; Pratique professionnelle privée ; Techniques de physiothérapieRésumé : Background The transition from physiotherapy student to working in private practice has been identified as challenging. However, very little is known about whether structured professional development programs impact on this transition. Objectives To describe new graduates? perceptions of a structured professional development program, termed the Recent Graduate Program (RGP), designed to support their transition into physiotherapy private practice. Design Qualitative analysis of data from a one-year longitudinal mixed methods study. Method A total of 72 interviews were conducted over a one-year period with 20 new graduates from 19 private practices within one publicly listed allied health organisation. Semi-structured interviews were conducted before commencing work and at three, nine and 12 months. Interviews were recorded and transcribed verbatim prior to a conventional content analysis that aimed to acquire direct information from new graduates without imposing preconceived categories or theoretical perspectives. Findings New graduates reported that the RGP supported their growth as a practitioner and facilitated their learning, particularly when complemented by the experiential learning from client interactions. The RGP met their expectations with the formal education program and regular mentoring sessions highly valued. Informal support from peers and senior clinicians, while not part of the RGP, was also perceived to facilitate their growth and confidence as a physiotherapist. Conclusions This study demonstrates that the provision of a structured transition program by a private practice employer was perceived by new graduates to facilitate their learning, confidence and self-efficacy. The RGP provides a useful model by which other practices may support new graduates. 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=290114
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102498[article]
Titre : Patient-centered care in musculoskeletal practice : key elements to support clinicians to focus on the person 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) : 102434 Note générale : https://doi.org/10.1016/j.msksp.2021.102434 Langues : Anglais (eng) Descripteurs : HE Vinci
Auto-évaluation diagnostique ; Prise de décision ; Soins centrés sur le patient ; Techniques de physiothérapieRésumé : Musculoskeletal rehabilitation, including physiotherapy, needs to move towards a broader biopsychosocial understanding of musculoskeletal conditions and the delivery of high-value care for people with persistent pain conditions, in which a patient-centered approach is a key feature. However, it has been reported that clinicians experience difficulties with integrating patient-centered care principles into their clinical practice. Based on a focused symposium about patient-centered care for patients with musculoskeletal conditions, held during the online 2021 World Physiotherapy Congress, the purpose of this article is to share key elements of the content of this symposium with a wider audience, aimed at enabling clinicians to enhance patient-centeredness in their current practice. These key elements include establishing meaningful connections, deciding together and self-management support. Moreover, challenges on patient-centered care in low/middle income countries will be discussed and recommendations to implement patient-centered care in clinical practice will be provided. 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=290115
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102434[article]
Titre : Masterclass: Hypermobility and hypermobility related disorders Type de document : Article Auteurs : J.V. Simmonds Année de publication : 2022 Article en page(s) : 102465 Note générale : https://doi.org/10.1016/j.msksp.2021.102465 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulations ; Syndrome d'Ehlers-Danlos type 3Mots-clés : Hypermobilité Hypermobilité articulaire localisée Résumé : Introduction Hypermobile joints display a range of movement that is considered excessive, taking into consideration the age, gender and ethnic background of the individual. Joint hypermobility may present in a single joint, a few joints or in multiple joints and may be congenital or acquired with training, disease or injury. Hypermobile joints may be asymptomatic or may be associated with pain, fatigue, multisystemic complaints and significant disability. Furthermore, joint hypermobility may be a sign of an underlying hereditary disorder of connective tissue. Purpose This masterclass aims to provides a state-of-the-art review of the aetiology, epidemiology, clinical presentation, assessment and management of joint hypermobility and hypermobility related disorders using an evidence based and biopsychosocial approach. The new framework for classifying the spectrum of joint hypermobility disorders along with new diagnostic criteria for the hypermobile Ehlers Danlos syndrome, published by an international consortium of clinical experts and researchers in 2017 is integrated into the paper. Implications for practice People with joint hypermobility related disorders present to healthcare professionals with a wide range of symptoms which extend beyond the musculoskeletal system. Early recognition and treatment are key to effective management. A biopsychosocial and patient empowerment approach to functional restoration 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=290116
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102465[article]
Titre : Severity of persistent pain and disability can accurately screen for presence of pain catastrophizing and fear of performing wrist movements in individuals with distal radius fracture Type de document : Article Auteurs : Mohammad Mahdavi ; Maryam Farzad ; Saurabh P. Mehta ; Joy C. MacDermid ; Mohsen Vahedi ; Seyed Ali Hosseini ; Erfan Shafiee ; Amir Reza Farhoud Année de publication : 2022 Article en page(s) : 102474 Note générale : https://doi.org/10.1016/j.msksp.2021.102474 Langues : Anglais (eng) Descripteurs : HE Vinci
Catastrophisation ; Douleur ; Fractures du radius ; Personnes handicapées ; PsychologieRésumé : Background The evidence indicating presence of psychological factors concerns in individuals who report persistent residual pain and disability over a longer term after distal radius fractures (DRF) is emerging but requires further inquiry. Objectives To examine the associations of persistent wrist pain and disability at 6-months after DRF with the presence of psychological factors. Methods Eighty-five patients with DRF were evaluated for wrist pain and disability with subscales of Patient-rated wrist evaluation (PRWE), 6-months after the fracture. The associations of wrist pain and disability with these psychological factors at 6-months after DRF were examined using multivariable logistic regression models. The ability of PRWE scores at 6-months after DRF to accurately classify individuals with and without these psychological factors was examined using the area under the receiver operating characteristic curve (AUC). Results Higher PRWE-P scores were significantly associated with worse pain catastrophizing, having emotional distress, and fear of performing wrist movements. In addition, higher PRWE-F scores were also highly associated with worse pain catastrophizing, having emotional distress, and fear of performing wrist movements. The PRWE-P or PRWE-F Scores of ?18/50 showed the best combination of sensitivity and specificity in identifying individuals with pain catastrophizing, emotional distress, and fear of performing wrist movements at 6-months after DRF (AUC values of ?0.88). Conclusion The novel finding of this study is that scores of ?18/50 PRWE-P or PRWEF can be used to screen for the presence of these psychological factors. 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=290117
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102474[article]
Titre : Patient experience of the diagnosis and management of patellofemoral pain : A qualitative exploration Type de document : Article Auteurs : Philip Barber ; Simon David Lack ; Clare Bartholomew ; Amy Jessica Curran ; Catherine Minns Lowe ; Dylan Morrissey ; Bradley Stephen Neal Année de publication : 2022 Article en page(s) : 102473 Note générale : https://doi.org/10.1016/j.msksp.2021.102473 Langues : Anglais (eng) Descripteurs : HE Vinci
Education ; Gestion des soins aux patients ; Management ; ThérapeutiqueRésumé : Background Patellofemoral pain (PFP) is common and long-term treatment outcomes are unsatisfactory. Qualitative exploration of diagnosis and management from the perspective of people with PFP is lacking. Objectives To inform care and improve intervention delivery by exploring the experience of people with PFP regarding diagnosis and management. Design Qualitative study with semi-structured interviews. Method Online recruiting yielded a convenience sample of participants with PFP for semi-structured interview. Interviews were recorded, transcribed verbatim, and analysed using thematic analysis until theoretical saturation by multiple investigators to determine themes and sub-themes. Results 12 participants were interviewed, with three themes identified; the value of diagnosis, the need for tailored (individualised) care, and the role of education. Participants viewed receiving a diagnosis as essential to guide management, yet one was rarely provided, causing uncertainty about pain mechanisms; ?it's nice to be told what it is that's wrong?. Interventions needed to be tailored to the individual as not all participants responded in the same way to treatment(s) or had the same needs; ?everyone copes and reacts differently?. Finally, participants viewed education as essential to empower them to understand and manage the condition; ?if I'd have been given more information, I think I'd know how to deal with it more?. Conclusions The overarching narrative from three themes was a desire for clearly communicated personalised care that meets individual needs. People with PFP desire a diagnosis to explain their pain, tailored interventions, and appropriate education to optimise their experience and 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=290118
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102473[article]
Titre : Cervical musculoskeletal and sensorimotor impairments 4 weeks to 6 months following mild traumatic brain injury : An observational cohort study Type de document : Article Auteurs : O. Galea ; S. O'Leary ; J. Treleaven Année de publication : 2022 Article en page(s) : 102490 Note générale : https://doi.org/10.1016/j.msksp.2021.102490 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Cou ; Douleur ; Lésions traumatiques de l'encéphale ; Techniques de physiothérapieRésumé : Background Clinically relevant scores of neck disability have been observed in adults post mild traumatic brain injury (mTBI), even in those who initially report to be recovered. Potentially cervical musculoskeletal and/or cervical sensorimotor impairments may underlie these persistent symptoms post mTBI. Objective To determine whether cervical impairments exist beyond expected recovery times following concussion compared to healthy controls (HC). Study design Observational cohort study. Methods Participants aged 18?60 years consisting of 39 HC, and 72 individuals, 4 weeks to 6 months post mTBI of which 35 considered themselves asymptomatic (Asymp), and 37 symptomatic (Symp). Cervical outcome measures included range and velocity of motion, flexor muscle endurance, presence of at least one dysfunctional cervical joint, joint position error -neutral and torsion, movement accuracy, smooth pursuit neck torsion test (SPNT) and balance. Results Individuals in the Symp mTBI group demonstrated significantly reduced: flexion and rotation range, rotation velocity, flexor endurance and movement accuracy as well as increased postural sway and a higher percentage had positive cervical joint dysfunction (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=290119
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102490[article]
Titre : Greek physiotherapists' contemporary knowledge and practice for lateral elbow tendinopathy : an online survey Type de document : Article Auteurs : Panagiotis Samaras ; Stefanos Karanasios ; Dimitrios Stasinopoulos ; George Gioftsos Année de publication : 2022 Article en page(s) : 102502 Note générale : https://doi.org/10.1016/j.msksp.2022.102502 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquête ; Pratique professionnelle ; Techniques de physiothérapie ; TendinopathieRésumé : Objectives To investigate physiotherapists' current knowledge and practice in the management of patients with lateral elbow tendinopathy, to explore associations between the participants? education and management preferences and to identify potential evidence-to-practice gaps by making comparisons with recent research recommendations. Design An on-line cross-sectional survey. Subjects Registered physiotherapists working in Greece with previous experience in the management of lateral elbow tendinopathy. Results Three hundred and seventy eight responses met the inclusion criteria. Most responders (70.4%?91.5%) use pain provocation tests for the diagnosis of the condition, while a limited proportion uses patient rated outcome measures (6.9%?13%). Supervised exercise is the mainstay of rehabilitation (92.6%), followed by adjunctive research recommended treatment techniques such as manual therapy (72%) and advice (59.5%). Up to 83.6% of participants use adjunctive treatment techniques that are not recommended or without research recommendation (such as electrophysical agents, ice etc.). Physiotherapists with post-graduate education in musculoskeletal physiotherapy are almost three times more likely to choose only research recommended treatment approaches. There is a lack of consensus in an optimal exercise programme (type, volume, duration etc.) in patients with lateral elbow tendinopathy. Conclusion Despite research recommendations a limited use of patient rated outcome measures in lateral elbow tendinopathy is recorded. Supervised exercise is the first line treatment option for most physiotherapists, although the optimal application is still unclear. A large proportion of physiotherapists apply adjunctive treatment techniques that are either ineffective or poorly researched suggesting a substantial evidence-to-practice gap. Better access to knowledge, organisational and peer-support can potentially help to bridge this gap. 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=290120
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102502[article]
Titre : Six weeks of resistance training (plus advice) vs advice only in hand osteoarthritis : A single-blind, randomised, controlled feasibility trial Type de document : Article Auteurs : N. Magni ; P. McNair ; D. Rice Année de publication : 2022 Article en page(s) : 102491 Note générale : https://doi.org/10.1016/j.msksp.2021.102491 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrite ; Circulation sanguine ; Douleur ; Entraînement en résistance ; Main ; Thérapie par restriction de la circulation sanguineRésumé : Background People with hand osteoarthritis (OA) may benefit from resistance training interventions. To date the feasibility of a such interventions for symptomatic hand OA, as per international guidelines, is unknown. Objective Determine the feasibility of a clinical trial comparing resistance training to an advice only control group in people with symptomatic hand OA. Design Single-blind, randomised, controlled feasibility study. Methods The American College of Rheumatology criteria for hand OA were utilised for inclusion. Participants were randomly allocated (1:1:1) to advice and blood flow restriction training (BFRT), advice and traditional high intensity training (HIT), or advice only (control). Participants receiving BFRT and HIT underwent supervised hand exercises three times a week for six weeks. Feasibility measures included recruitment rate, adherence, exercise induced pain, training acceptability, pain flares, and adverse events. Number of treatment responders, pain, grip strength, and hand function were also recorded. Results In total, 191 participants were screened, 59 (31%) were included. Retention rate was 89% for BFRT and 79% for HIT. Exercise did not worsen pain following training sessions, and training acceptability was equal between groups. Pain flares occurred in 1.6% (BFRT) and 4% (HIT) out of all the training sessions. There was one adverse event in the HIT group, with the participants withdrawing from the study due to pain. The number of treatment responders, and improvements in pain, were greater with BFRT and HIT. Grip and function did not improve. Conclusion A clinical trial comparing resistance training to advice for people with symptomatic hand OA is feasible. 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=290121
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102491[article]
Titre : Psychometric properties and factor structure of the Finnish version of the Health Care Providers' Pain and Impairment Relationship Scale Type de document : Article Auteurs : Jolanda Ehrström ; Reino Pöyhiä ; Jyrki Kettunen ; Nina Santavirta ; Eeva Pyörälä Année de publication : 2022 Article en page(s) : 102471 Note générale : https://doi.org/10.1016/j.msksp.2021.102471 Langues : Anglais (eng) Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Finlande ; Lombalgie ; Psychométrie ; Techniques de physiothérapieRésumé : Background Health care providers? beliefs influence the outcomes of low back pain patients care. Objectives The aim of this study was to translate and cross-culturally adapt the Health Care Providers? Pain and Impairment Relationship Scale into Finnish (HC-PAIRS-FI) and to evaluate its psychometric properties and factor structure in a sample of Finnish physiotherapists and physiotherapy students. Methods The translation was performed using established guidelines. Participants answered an online survey consisting of HC-PAIRS-FI and the Finnish Tampa Scale of Kinesiophobia adapted for health care providers (TSK?HC?FI). Internal consistency was assessed using Cronbach's alpha. Intraclass correlation coefficient (ICC) was used to determine test-retest reliability. A second round of analysis, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was performed as the fit indices of the initial CFA were not satisfactory. Results A sample of 202 physiotherapists and 97 physiotherapy students completed the survey. The second round of analysis EFA and CFA, conducted on a randomly split subsample, revealed and confirmed a three-factor, 11-item HC-PAIRS-FI scale with satisfactory model fit indices. Cronbach's alpha 0.79 and ICC = 0.82 (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=290122
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102471[article]
Titre : Influence of education level on the effectiveness of pain neuroscience education : A secondary analysis of a randomized controlled trial Type de document : Article Auteurs : Thomas Bilterys ; Jeroen Kregel ; Jo Nijs ; Mira Meeus ; Lieven Andre G. Danneels ; Barbara Cagnie ; Eveline Van Looveren ; Anneleen Malfliet Année de publication : 2022 Article en page(s) : 102494 Note générale : https://doi.org/10.1016/j.msksp.2021.102494 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Douleur ; Kinésithérapie (spécialité) ; Lombalgie ; Techniques de physiothérapieRésumé : Background Current evidence supports the use of pain neuroscience education (PNE) in several chronic pain populations. However, the effects of PNE at group level are rather small and little is known about the influence of personal factors (e.g. level of education [LoE]). Objective To examine whether the effectiveness of PNE differs in chronic spinal pain (CSP) patients with high LOE (at least a Bachelor's degree) versus lower educated patients. Method A total of 120 Belgian CSP patients were randomly assigned to the experimental (PNE) or control group (biomedical-focused neck/back school). Participants within each group were further subcategorized based on highest achieved LoE. ANOVA and Bonferroni post-hoc analyses were used to evaluate differences in effectiveness of the interventions between higher and lower educated participants. Results No differences between higher and lower educated participants were identified for pain-related disability. Significant interactions (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=290123
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102494[article]
Titre : Cross-cultural translation, validity, and reliability of the Turkish version of the Back Pain Attitudes Questionnaire Type de document : Article Auteurs : Hilal Ata Tay ; Bahar Özgül ; Ben Darlow ; Zübeyir Sarı Année de publication : 2022 Article en page(s) : 102472 Note générale : https://doi.org/10.1016/j.msksp.2021.102472 Langues : Anglais (eng) Descripteurs : HE Vinci
Attitude envers la santé ; Enquêtes et questionnaires ; Lombalgie ; TurquieRésumé : Background As the Back Pain Attitudes Questionnaire (Back-PAQ), a validated instrument, could be performed to evaluate biopsychosocial dimensions of back pain, it has not been translated and adapted for Turkish population. Objectives It was aimed to translate and cross-culturally adapt the Back-PAQ (versions of 34-item, 20-item, and 10-item) into Turkish language and analyse the validity and reliability of the Back-PAQ-Turkish version (Back-PAQ-Tr). Study design Study of diagnostic accuracy/assessment scale. Methods The translation and cross-cultural adaptation process were carried out in several steps according to international best-practice guidelines. 173 participants with back pain were recruited. Turkish version of the Tampa Scale of Kinesiophobia (TSK-Tr) and Fear Avoidance Beliefs Questionnaire (FABQ-Tr) were used to investigate the convergent validity. Results Internal consistency of the Back-PAQ-Tr, Back-PAQ-Tr-20, and Back-PAQ-Tr-10 were 0.82, 0.78 and 0.68, respectively. Test-retest reliability was excellent for Back-PAQ-Tr (ICC = 0.95) and Back-PAQ-Tr-20 (ICC = 0.95), but weak for Back-PAQ-Tr-10 (ICC = 0.50). A weak correlation was found between all versions of Back-PAQ-Tr and TSK-Tr & FABQ-Tr, except for the moderate correlation between Back-PAQ-Tr-10 and TSK-Tr (r = ?0.51) & the physical activity score of FABQ-Tr (r = ?0.51). Back-PAQ-Tr, Back-PAQ-Tr-20, and Back-PAQ-Tr-10 accounted for 66.2%, 60.5%, and 78.2% of the variance in the data set, respectively. Conclusion The versions of 34-item and 20-item Back-PAQ-Tr are reliable and valid questionnaire to assess Turkish populations' attitudes and beliefs regarding back pain. Since the reliability of the 10-item version was determined to be quite low, we particularly recommend the use of the versions of Back-PAQ-Tr and Back-PAQ-Tr-20. 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=290124
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102472[article]
Titre : Effect of low-level laser therapy on pain and disability in patients with plantar fasciitis : A systematic review and meta-analysis Type de document : Article Auteurs : Janice S. Guimarães ; Fabio L. Arcanjo ; Gustavo Leporace ; Leonardo F. Metsavaht ; Cristiano Sena ; Marcus V.M.G. Moreno ; Tulio E. Marçal Vieira ; Mansueto Gomes-Neto Année de publication : 2022 Article en page(s) : 102478 Note générale : https://doi.org/10.1016/j.msksp.2021.102478 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Fasciite plantaire ; Personnes handicapées ; Thérapie laserRésumé : Objective We performed a systematic review to investigate the effects of low-level laser therapy (LLLT) on pain and disability in patients with plantar fasciitis (PF). Methods We searched Pubmed, PEDro database, Scielo, and Cochrane Central for randomized controlled trials that evaluated the effects of LLLT for patients with PF. The methodological aspects of the studies included were scored using the PEDro scale. Three comparisons were made: LLLT compared with placebo, LLLT combined with conventional rehabilitation (CR) compared with CR and LLLT compared with extracorporeal shock wave therapy. Results Fourteen studies (817 patients) met the study criteria. Compared to the placebo group, LLLT improved pain (MD, ?2.3; 95% CI: 2.6 to ?2, I2 = 0%; 4 studies, N = 234: moderate-quality evidence) in the short term (0?6 weeks). No significant difference in short-term disability was found for participants in the LLLT group compared to the placebo group. Compared to the CR group, LLLT combined with CR improved pain (MD, ?2.0; 95% CI: 2.9 to ?1.1, I2 = 0%; 2 studies, N = 90: moderate-quality evidence) in the short term (0?6 weeks). Compared to extracorporeal shock wave therapy, LLLT did not significantly reduce pain intensity in the short term (MD, 0.5; 95% CI: 2.0 to 2.9, I2 = 96%; 4 studies, N = 175: low-quality evidence). Conclusions LLLT may improve pain in the short term and can be considered as a component of care of patients with PF. However, this superiority disappeared compared to extracorporeal shock wave therapy. Level of evidence Therapeutic level I 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=290125
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102478[article]
Titre : Sensorimotor system changes in adolescent rugby players post-concussion : a prospective investigation from the subacute period through to return-to-sport Type de document : Article Auteurs : Felix T. Leung ; M. Dilani Mendis ; Melinda M. Franettovich Smith ; Ann Rahmann ; Julia Treleaven ; Julie A. Hides Année de publication : 2022 Article en page(s) : 102492 Note générale : https://doi.org/10.1016/j.msksp.2021.102492 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Cervicalgie ; Équilibre postural ; Maladies vestibulaires ; RugbyRésumé : Background The pathophysiology of concussion is complex. Altered sensorimotor function post-concussion may contribute to the wide range of symptoms and impairments reported. There is currently limited evidence documenting changes in sensorimotor function during the recovery period. The aim of this study was to investigate the effect of concussion on the sensorimotor system in adolescents post-concussion using a multifaceted approach. Study design Prospective nested case-control study. Methods A total of 285 male adolescent rugby players underwent assessment of sensorimotor function during preseason. Players who sustained a concussion during the season and control players, matched for age and playing position, were assessed in the subacute period (3?5 days) and after return-to-sport (3 weeks). Tests of sensorimotor function included balance, cervical spine and vestibulo-ocular function, and measurement of the size and contraction of lumbopelvic muscles (ultrasound imaging). Results Twenty-three players (8%) sustained a concussion. Of these, 20 players were assessed during the subacute period and 17 players following return-to-sport. The prevalence of vestibulo-ocular dysfunction increased from 38.9% to 72.2% during the subacute period and dysfunction was present in 83.3% of players after return-to-sport (p = 0.01). Changes in lumbar multifidus muscle size (p = 0.002) and thickness (p = 0.05) at the L5 vertebral level were observed. No statistically significant changes in balance, cervical spine proprioception, or contraction of lumbopelvic muscles were found (p > 0.05). Conclusion Changes in sensorimotor function were observed in the subacute period post-concussion, with some persisting after return-to-sport. Using symptom-based criteria for return-to-sport may not adequately reflect the sequelae of concussion on the sensorimotor system. 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=290126
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102492[article]
Titre : The inter-rater reliability of clinical observation of prone hip extension and association between aberrant movement and chronic low back pain Type de document : Article Auteurs : Sasithorn Kong-Oun ; Wallika Prasertkul ; Pattamaporn Fungkiatphaiboon ; Peemongkon Wattananon Année de publication : 2022 Article en page(s) : 102476 Note générale : https://doi.org/10.1016/j.msksp.2021.102476 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Hanche ; Lombalgie ; Observation cliniqueRésumé : Background Clinical observation of aberrant movement patterns during prone hip extension (PHE) is commonly used in clinical practice to identify patients with low back pain. It could be clinically useful to identify individuals with chronic low back pain during remission (CLBPremission) to provide proactive intervention to prevent exacerbation of low back symptoms. Objectives This study aimed to establish inter-rater reliability of clinical observation of PHE and association between aberrant movement pattern and CLBPremission. Design A cross-sectional study. Method Twenty-six participants with CLBPremission and 18 participants without history of low back pain (NoLBP) performed 3 repetitions of active PHE, while 2 examiners concurrently observed and independently rated the movements as ?presence? or ?absence? of aberrant movement. Kappa statistics were used to establish inter-rater reliability based on rating data from 2 examiners, while chi-square tests were used to determine the association between aberrant movement and CLBPremission based on ratings (presence and absence) and known groups (CLBPremission and NoLBP). Results Kappa values ranged from fair to moderate (Kappa = 0.36?0.58). Result also demonstrated a significant association (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=290127
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102476[article]
Titre : Physiotherapists' knowledge, attitude and practice behavior to prevent chronification in patients with non-specific, non-traumatic, acute- and subacute neck pain : A qualitative study Type de document : Article Auteurs : M.J. Verwoerd ; H. Wittink ; M.E.J.B. Goossens ; F. Maissan ; R.J.E.M. Smeets Année de publication : 2022 Article en page(s) : 102493 Note générale : https://doi.org/10.1016/j.msksp.2021.102493 Langues : Anglais (eng) Descripteurs : HE Vinci
Connaissances, attitudes et pratiques en santé ; Cou ; Douleur ; Pratique professionnelle ; Techniques de physiothérapieRésumé : Background The purpose of this study was to explore physiotherapists' knowledge, attitude, and practice behavior in assessing and managing patients with non-specific, non-traumatic, acute- and subacute neck pain, with a focus on prognostic factors for chronification. Method A qualitative study using in-depth semi-structured interviews was conducted with 13 physiotherapists working in primary care. A purposive sampling method served to seek the broadest perspectives. The knowledge-attitude and practice framework was used as an analytic lens throughout the process. Textual data were analyzed using qualitative content analysis with an inductive approach and constant comparison. Results Seven main themes emerged from the data; physiotherapists self-estimated knowledge and attitude, role clarity, therapeutic relationship, internal- and external barriers to practice behavior, physiotherapists? practice behaviors, and self-reflection. These findings are presented in an adjusted knowledge-attitude and practice behavior framework. Conclusion A complex relationship was found between a physiotherapist's knowledge about, attitude, and practice behavior concerning the diagnostic process and interventions for non-specific, non-traumatic, acute, and subacute neck pain. Overall, physiotherapists used a biopsychosocial view of patients with non-specific neck pain. Physiotherapists' practice behaviors was influenced by individual attitudes towards their professional role and therapeutic relationship with the patient, and individual knowledge and skills, personal routines and habits, the feeling of powerlessness to modify patients' external factors, and patients' lack of willingness to a biopsychosocial approach influenced physiotherapists' clinical decisions. In addition, we found self-reflection to have an essential role in developing self-estimated knowledge and change in attitude towards their therapeutic role and therapist-patient relationship. 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=290128
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102493[article]
Titre : Cross-cultural validation of the Oxford Elbow Score and Mayo Elbow Performance Score in Greek Type de document : Article Auteurs : Magdalene Giannaka ; Andreas Andrigiannakis ; Zacharias Dimitriadis ; Emmanouil Fandridis ; Eleni Kapreli ; Nikolaos Strimpakos Année de publication : 2022 Article en page(s) : 102499 Note générale : https://doi.org/10.1016/j.msksp.2021.102499 Langues : Anglais (eng) Descripteurs : HE Vinci
Coude ; Etudes de validationRésumé : Background Oxford Elbow Score (OES) and Mayo Elbow Performance Score (MEPS) are two of the most commonly used instruments for the functional assessment of elbow joint. The aim of this study was to cross-culturally validate the OES and MEPS into Greek language and examine their convergent validity, internal consistency, test-retest reliability and floor and ceiling effects. Methods The two instruments were translated into Greek with the back translation method. Their final Greek versions (OES-GR and MEPS-GR) were completed by 40 patients with elbow disorders. The patients completed also the Greek version of the Disabilities of the Arm Shoulder and Hand (DASH-GR). The patients re-completed the OES-GR after 24 h. Results The OES-GR was found to have good internal consistency (Cronbach's ? = 0.85, 95%CI = 0.74?0.92), in contrast to the MEPS-GR (Cronbach's ? = 0.47, 95%CI = 0.15?0.70). Both instruments were found to have good convergent validity with the DASH-GR (for MEPS-GR rs = ?0.64, 95% CI -0.79 to ?0.41; for OES-GR rs = ?0.84, 95%CI = ?0.91 to ?0.72). Good was also the convergent validity of the OES-GR with the MEPS-GR (rs = 0.71, 95%CI = 0.51 to 0.84). The test-retest reliability for each domain of the OES-GR was found good to excellent (total score ICC = 0.91, 95%CI = 0.83?0.95; pain ICC = 0.90, 95%CI = 0.81?0.95; function ICC = 0.81, 95%CI = 0.68?0.90; social-psychological ICC = 0.91, 95%CI = 0.84?0.95). Conclusion The findings about the internal consistency, test-retest reliability, convergent validity and ceiling/floor effects of the OES-GR suggest that it is a quite valid and reliable instrument which can be used with confidence in Greek patients with elbow disorders. Level of evidence N/A 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=290129
in Musculoskeletal Science and Practice > Vol. 57 (February 2022) . - 102499[article]
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Titre : Localised manual therapy treatment has a preferential effect on the kinematics of the targeted motion segment Type de document : Article Auteurs : Neil Tuttle ; Kerrie Evans ; Clarice Sperotto dos Santos Rocha Année de publication : 2021 Article en page(s) : 102457 Note générale : https://doi.org/10.1016/j.msksp.2021.102457 Langues : Anglais (eng) Descripteurs : HE Vinci
Amplitude articulaire ; Appareil locomoteur ; Articulations ; Palpation ; TropismeRésumé : Aim: An observational cohort study to determine whether localised manual therapy results in a preferential increase in mobility of the targeted motion segment. Method: Eighteen participants with mechanical neck pain had three MRIs of their cervical spine. The first two were taken prior to treatment in neutral and at the end of active rotation in their more limited rotation. Participants received localised manual therapy targeting a motion segment deemed to be relevant to their presentation until either their range increased by > 10° or 8 min, whichever came first. A third MRI was performed immediately after treatment with their head in the same rotated position as pre-treatment. In the images, each vertebra was segmented using a semi-automated process. Movement between neutral and rotated positions was calculated as Euler angles and distance of facet translations for each motion segment. Results: Rotation and lateral flexion at the targeted location increased by 40% (mean 0.86° (CI: 0.24–1.48) and 15% (mean 0.52° (CI: 0.17–1.21) respectively with only the CIs for rotation not containing zero. The mean changes for the non-targeted locations were less than 0.1° for each axis and all CIs contained zero. Facet translations at the targeted location increased by 25% (0.419 mm) and decreased by >4% (>0.01 mm) at the untreated locations but the wide CIs both contained zero. Conclusion: Localised manual therapy seems to have a preferential effect on mobility of the targeted motion segment. The findings support considering segmental dysfunction in clinical reasoning and the use of specifically targeted manual therapy interventions. 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=287478
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102457[article]
Titre : Translation, cross-cultural adaptation and validation of the Upper Limb Functional Index (ULFI) into Brazilian Portuguese in patients with chronic upper limb musculoskeletal disorders Type de document : Article Auteurs : Henrique Yuji Takahasi ; Cid André Fidelis-de-Paula-Gomes ; Charles Philip Gabel ; Almir Vieira Dibai-filho Année de publication : 2021 Article en page(s) : 102452 Note générale : https://doi.org/10.1016/j.msksp.2021.102452 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse ; Etudes de validation ; Évaluation des résultats des patients ; Membre supérieur ; Mesures des résultats rapportés par les patients (PROM)Résumé : Objective The purpose of this study was to translate, cross-culturally adapt, and validate the Upper Limb Functional Index (ULFI) into Brazilian Portuguese (ULFI-Br). Methods The translation and cross-cultural adaptation of the ULFI was performed according to international recommendations. The ULFI-Br was applied to 190 patients with chronic upper limb musculoskeletal disorders to verify structural validity. The QuickDASH, the SF-36 and a Numerical Pain Scale (NPS) were completed by 180 patients to assess construct validity using the Spearman correlation (?). The internal structure of the ULFI-Br was evaluated by exploratory and confirmatory factor analysis with fit indices chi-square/degrees of freedom (DF), Root Mean Square Error of Approximation (RMSEA), Comparative Fit Index (CFI) and Tucker Lewis Index (TLI). A subsample of 51 patients was used to assess test-retest reliability using the intra-class correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change at the 90th percentile (MDC90). Internal consistency was assessed by Cronbach's alpha (?). Floor and ceiling effects were also assessed. Results Factor analysis identified an uni-dimensional structure with acceptable fit indices (RMSEA = 0.063, CFI = 0.918, TLI = 0.910). The ULFI-Br showed excellent reliability (ICC = 0.909) and adequate internal consistency (? = 0.897). The SEM was 6.11% and the MDC90 was 14.26%. The ULFI-Br demonstrated high correlation with the QuickDASH (? = ?0.721), and moderate to low correlation with other questionnaires. There were no floor or ceiling effects. Conclusion The ULFI-Br showed adequate measurement properties in patients with chronic upper limb musculoskeletal disorders indicating its suitability for use as a measure of upper limb functional status in Brazil. 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=287479
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102452[article]
Titre : Common reported barriers and facilitators for self-management in adults with chronic musculoskeletal pain : A systematic review of qualitative studies Type de document : Article Auteurs : Alison Spink ; Ilona Wagner ; Paul Orrock Année de publication : 2021 Article en page(s) : 102433 Note générale : https://doi.org/10.1016/j.msksp.2021.102433 Langues : Anglais (eng) Descripteurs : HE Vinci
Autocontrôle ; Autosoins ; Douleur chronique ; Douleur musculosquelettique ; Gestion de la douleurRésumé : Background Self-management strategies are considered a necessary component of chronic musculoskeletal pain management to address ongoing symptoms and challenges. However uptake of self-management can be impeded by a number of factors. Objectives The aim of this study was to explore common impeding and facilitating factors of self-management strategies from the patient perspective. Methods An electronic search was performed between 2009 to May 2020 for the following databases: MEDLINE, AMED, PsychINFO, Cochrane Library, PubMed, CINAHL, PEDro, and Google Scholar. The search terms included peer-reviewed qualitative or mixed-method studies investigating the perspective of chronic musculoskeletal pain patients in regards to the use of self-management strategies. Study rigor and bias was assessed using the CASP (Critical Appraisal Skills Programme) questionnaire specific to qualitative studies. Qualitative data was coded using a three-stage thematic synthesis process. Confidence in findings was assessed using CERQual (The Confidence in the Evidence from Review of Qualitative Research). Results Twenty-seven studies were included with 487 participants. Six major themes were identified and divided into external and internal influencing factors. The external influencing factors were made up of the following three themes: health care practitioner role, supportive environment, accessibility. While the three internal influencing themes were: physical factors, knowledge and understanding, and psychological factors. Conclusion Learning to self-manage for patients in chronic pain required ongoing support either from healthcare practitioners or from social circles. To further assist the self-management process practitioners can improve self-efficacy through increasing patient knowledge of chronic pain, utilising goal setting and finding ways an individual can access ongoing support, either from the practitioner or through group programs. 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=287480
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102433[article]
Titre : Reliability, validity and responsiveness of the Step Up and Down (StUD) test for individuals with symptomatic knee osteoarthritis Type de document : Article Auteurs : Gabriel Peixoto Leão Almeida ; Isabel Oliveira Monteiro ; Raíssa Grazielle de Oliveira Dantas ; Maria Larissa Azevedo Tavares ; Pedro Olavo de Paula Lima Année de publication : 2021 Article en page(s) : 102454 Note générale : https://doi.org/10.1016/j.msksp.2021.102454 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrite ; Etudes de validation ; Genou ; Montée d'escalier ; Reproductibilité des résultatsRésumé : Background
Stair climbing test (SCT) has been suggested as the first task affected in individuals with symptomatic knee osteoarthritis (KOA). However, there are environmental barriers for the execution of the 9- to 12-step SCT. Thus, we developed a feasible one-step SCT that could be completed in 15s.
Objective
To check the clinimetric properties of the 15s Step Up and Down (StUD) test in individuals with KOA.
Design
Prospective validity study.
Method
Eighty-two individuals with KOA participated in this study. The test-retest reliability of the StUD test was measured with a 1-week interval. The construct validity and responsiveness were assessed by testing predefined hypotheses. For this, the 30s Chair Stand Test (30CS), Timed Up and Go Test (TUG), quadriceps strength, Knee Injury and Osteoarthritis Outcome Score (KOOS), and Lequesne Algofunctional Index were used as comparator instruments.
Results
The StUD test presented good test-retest reliability (ICC = 0.87; 95% CI = 0.79–0.91) and showed a moderate to good correlation with the 30CS (r = 0.65), TUG (r = −0.56), and quadriceps strength (r = 0.41). We found a higher correlation between the StUD test and the performance-based tests than the patient-reported outcome measures. The StUD test was responsive, with five out of the six (83.3%) hypotheses confirmed.
Conclusion
StUD test showed good reliability, adequate validity and responsiveness. Our findings suggest that StUD is a useful performance-based test for individuals 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=287481
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102454[article]
Titre : Experiences, barriers and needs of physiotherapists with regard to providing self-management support to people with low back pain : A qualitative study Type de document : Article Auteurs : Charlotte van den Heuvel ; Jorn van der Horst ; Eva Winkelhorst ; Eefje Roelofsen ; Nathan Hutting Année de publication : 2021 Article en page(s) : 102462 Note générale : https://doi.org/10.1016/j.msksp.2021.102462 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Lombalgie ; Techniques de physiothérapieRésumé : Background A person-centred, biopsychosocial approach focused on self-management and a healthy lifestyle is recommended for managing non-specific low back pain (LBP). Objective What are the experiences of physiotherapists with regard to providing self-management support to people with non-specific LBP? Design Exploratory qualitative. Methods Fourteen semi-structured interviews were conducted with physiotherapists in the Netherlands using a semi-structured and pilot tested interview guide. Data were analysed using inductive thematic analysis. Results Physiotherapists believe that self-management has added value in the management of people with non-specific LBP. Motivational interviewing, providing advice and exercise were most frequently used to facilitate behaviour change aimed at enhancing patients’ self-management. Support regarding self-management skills was not frequently mentioned. Physiotherapists are not fully aware of and do not fully integrate support with regard to important self-management skills. The most important barrier participants experienced with regard to integrating self-management was patient expectations. Another important barrier was addressing psychosocial factors. Most participants expressed a need to better integrate self-management support in their treatment. They explained that they needed more knowledge (courses, knowledge clips), opportunities to exchange experiences (peer review group) and tools for patients (app). Conclusions Physiotherapists do not fully integrate support with regard to important self-management skills in people with non-specific LBP. We recommend that physiotherapists address the identified barriers and needs and better include self-management support in their treatment of people with non-specific LBP. We recommend important stakeholders to collectively work on diminishing barriers to integrating self-management support. 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=287482
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102462[article]
Titre : Patients’ use of physical therapy for lower back pain : A qualitative study Type de document : Article Auteurs : Jason A. Sharpe ; Anne Thackeray ; Julie M. Fritz ; Brook I. Martin ; John Magel ; Megan E. Vanneman Année de publication : 2021 Article en page(s) : 102468 Note générale : https://doi.org/10.1016/j.msksp.2021.102468 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Lombalgie ; Perception ; Préférence des patientsRésumé : Objective The purpose of this study was to identify factors that influence a patient's decision to use physical therapy (PT) services for a low back pain (LBP) complaint. Methods Semi-structured qualitative phone interviews were conducted with patients who were offered an early outpatient PT visit secondary to patients’ primary appointment for LBP with a non-operative sports medicine specialist physician. Interviews were recorded, transcribed, and analyzed to identify themes using an iterative process. Results Forty participants were interviewed; 20 accepted early PT services, and 20 did not. Patients' decisions were influenced by perceived provider training, costs, doctor recommendations, wait times, symptoms, and a desire for a diagnosis. Patients preferred the care of non-operative sports medicine doctors over physical therapists for LBP due to their beliefs that favored doctors’ diagnosis and management of LBP. Patients perceived exercise as an effective treatment for back pain. Physical therapists were viewed as an adjunct service, despite positive comments about PT and the belief that exercise is one of the most effective treatments for LBP. Conclusion Barriers including costs, patient preferences, and knowledge about physical therapists limited patients' use of PT. Value-based care strategies aimed at improving the management of LBP increasingly promote the early use of PT. For these strategies to be effective, it is critical that patient perceptions and the influence of barriers on PT use are further understood. This study highlights the need to promote confidence in physical therapists’ expertise in the management and diagnosis of lower back 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=287483
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102468[article]
Titre : Decreasing thoracic hyperkyphosis – Which treatments are most effective? : A systematic literature review and meta-analysis Type de document : Article Auteurs : Hazel J. Jenkins ; Aron S. Downie ; Matthew Fernandez ; Mark J. Hancock Année de publication : 2021 Article en page(s) : 102438 Note générale : https://doi.org/10.1016/j.msksp.2021.102438 Langues : Anglais (eng) Descripteurs : HE Vinci
Cyphose ; Posture ; ThérapeutiqueRésumé : Background A variety of treatments aim to reduce thoracic hyperkyphosis in adults, thereby improving posture and reducing possible complications. Objective To investigate the effectiveness of treatments to reduce thoracic hyperkyphosis. Design Systematic review and meta-analysis. Methods MEDLINE, EMBASE, CINAHL, and CENTRAL were searched from inception to March 2021. Two authors independently selected randomised controlled trials assessing the effectiveness of treatments to reduce thoracic hyperkyphosis in adults. Raw data on mean change in thoracic kyphosis were extracted and standardised mean differences (SMD) calculated. Meta-analysis was performed on studies homogenous for study population and intervention. Strength of evidence was assessed using GRADE. Results Twenty-eight studies were included, with five meta-analyses performed. Low to moderate-quality evidence found structured exercise programs of three-months duration or less effective in reducing thoracic hyperkyphosis in younger (SMD -2.8; 95%CI -4.3 to ?1.3) and older populations (SMD -0.3; 95%CI -0.6 to 0.0). Low-quality evidence found bracing for three months or more effective in older participants (SMD -1.0, 95%CI -1.3 to ?0.7). A single study demonstrated the effectiveness of multimodal care in younger participants. The available evidence suggests multimodal care, structured exercise programs over three months duration, and taping in older adults, and biofeedback and muscle stimulation in younger adults, are ineffective in reducing thoracic hyperkyphosis. Conclusion Low to moderate-quality evidence indicates that structured exercise programs are effective to reduce thoracic hyperkyphosis. Low-quality evidence indicates that bracing is effective to reduce thoracic hyperkphosis in older adults. 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=287484
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102438[article]
Titre : Only one fifth of young Australian adults have beliefs about medical imaging for low back pain that align with current evidence : A cross-sectional study Type de document : Article Auteurs : Darren Beales ; Peter Kent ; Magnus B. Birkrem ; Cheuk Man Chow ; Lap Kiu Li ; Rui Ling Joleen Tan ; Michelle Kendell ; Leon Straker ; Peter O' Sullivan ; Anne Smith Année de publication : 2021 Article en page(s) : 102460 Note générale : https://doi.org/10.1016/j.msksp.2021.102460 Langues : Anglais (eng) Descripteurs : HE Vinci
Croyance ; Imagerie diagnostique ; LombalgieMots-clés : The Raine Study Résumé : Background Patients’ perceptions/expectations may be a factor behind medical imaging referral rates. Few studies have investigated the beliefs that might drive expectations of medical imaging. Objectives This study examined whether beliefs of young Australian adults with and without impactful low back pain (LBP) concerning medical scans for LBP align with current evidence. It also investigated if these beliefs were associated with clinical factors (history of impactful LBP, history of previous medical scans, LBP-related disability and the presence of leg pain) or sociodemographic factors (sex, education, income). Design Cross-sectional observational study. Methods 78 participants from the Raine Study with a history of impactful LBP and 85 participants with no history of impactful LBP completed a study-specific questionnaire with five statements concerning beliefs about medical imaging for LBP. All statements were not aligned with current evidence about the use of medical imaging in LBP management. Results Only 15–21% (n = 24–34) of the participants held beliefs that were aligned with current evidence. Participants with a university education had slightly more aligned beliefs compared to those whose highest education was completing secondary school. There was no difference in the beliefs of participants based on their history of impactful LBP, or other clinical or sociodemographic factors. Conclusion As beliefs are likely to drive care-seeking behavior, it is notable that most participants’ views about the role of medical imaging for LBP were not aligned with current evidence. Therefore, this suggests a need for community education, especially for those with lower education. 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=287485
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102460[article]
Titre : Telehealth e-mentoring in postgraduate musculoskeletal physiotherapy education : A mixed methods case study Type de document : Article Auteurs : Nicola R. Heneghan ; Jenna Jagodzinska ; Isaak Tyros ; Wendy Johnson ; Madeleine Nazareth ; Euson Yeung ; Jackie Sadi ; Heather Gillis ; Alison Rushton Année de publication : 2021 Article en page(s) : 102448 Note générale : https://doi.org/10.1016/j.msksp.2021.102448 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur musculosquelettique ; Kinésithérapie et physiothérapie ; Mentorat ; TélémédecineRésumé : Background Educational standards of advanced musculoskeletal physiotherapy include mentored clinical practice. Whilst traditionally delivered face-to-face, telehealth e-mentoring affords a distinctive andragogy to facilitate mentee development. Objective To understand the experiences and outcomes of stakeholders participating in musculoskeletal physiotherapy telehealth e-mentoring. Design A case study design with sequential mixed methods (quantitative patient outcome data and qualitative interviews and a focus group) of a 20-week e-mentored telehealth physiotherapy service. Methods Data collection comprised 1) Patient experiences and measures of musculoskeletal health 2) Mentee semi-structured interviews 3) Mentor focus group. Data analysis included descriptive statistics (median and IQR) and the Framework Method for qualitative and quantitative data respectively. An exploratory bidirectional approach supported data integration across all participants. Results Participants included patients (n = 90), mentees (n = 10) and mentors (n = 6). Patients reported improvements (>MCID) in MSK-HQ and Patient Specific Functional Scale, with high scores for Consultation and Relational Empathy and Patient Enablement Instruments. Main themes were a) social learning b) advanced professional practice c) learner experience and d) limitations of telehealth for mentees, and for mentors a) preparedness b) journey of development and c) challenges. Participant data integration resulted in 4 main themes 1) energising/positive experience 2) communications skills valued 3) perceptions of telehealth 4) upskilling required. Conclusions Telehealth e-mentoring is a valuable alternative to face-to-face mentored physiotherapy practice to support development in advanced musculoskeletal physiotherapy practice. Findings indicate that technical and professional skills are required, high levels of communication skills were valued, there is a need for reconceptualisation of musculoskeletal physiotherapeutic interventions. 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=287486
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102448[article]
Titre : “Doing our best for patient safety” : An international and interprofessional qualitative study with spinal manipulative therapy providers in community-based settings Type de document : Article Auteurs : Martha Funabashi ; Michelle M. Holmes ; Katherine A. Pohlman ; Stacie Salsbury ; Maeve O'Beirne ; Sunita Vohra ; Silvano Mior Année de publication : 2021 Article en page(s) : 102470 Note générale : https://doi.org/10.1016/j.msksp.2021.102470 Langues : Anglais (eng) Descripteurs : HE Vinci
Manipulation vertébrale ; Perception ; Recherche qualitative ; Sécurité des patientsRésumé : Background Patient safety research is expanding from hospitals to community-based healthcare settings. Knowledge gaps persist among manual therapy professions that may impede patient safety initiatives within musculoskeletal care settings. Objectives To describe perceptions of patient safety among chiropractors and physiotherapists who provide spinal manipulation therapy (SMT). Design Qualitative descriptive study. Method Cross-sectional data were collected using the SafetyNET Survey to Support Quality Improvement. SMT providers (n = 705) in 3 countries completed surveys, with 84 providing written responses to an open-ended question about patient safety. Qualitative thematic analysis described providers’ perceptions about patient safety within their practice. Results SMT providers’ perceptions were influenced by professional, patient, and practice setting factors. Five themes and 10 supporting categories were developed. Doing Our Best for Patient Safety concerned Avoiding Mistakes and Prioritizing Safety. Putting Patients First focused on Developing Relationships and Individualizing Care. Working and Learning Together advocated for Interprofessional Communication and Collaborative Learning. Organizing Practice Processes emphasized Standardizing Procedures and Benchmarking Progress. Considering Practitioner Identity highlighted how Recognizing Difference among SMT providers and Challenging Fears of other healthcare professionals and patients about SMT were important for enhancing patient safety. Conclusion Findings align with World Health Organization guiding principles that the nature of healthcare settings influence patient safety strategies. Most responses focused on individual strategies to prevent adverse events. However, this approach may overlook the benefits of identifying and documenting adverse events, setting time to discuss adverse events with clinic members, standardizing clinical practices, and building transparent patient safety cultures across healthcare professions and settings. 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=287487
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102470[article]
Titre : A scoping review: Investigating the extent and legal process of cauda equina syndrome claims for UK physiotherapists Type de document : Article Auteurs : Rachel L. Leech ; James Selfe ; Suzanne Ball ; Susan Greenhalgh ; Gareth Hogan ; Janene Holway ; Emma Willis ; Gillian Yeowell Année de publication : 2021 Article en page(s) : 102458 Note générale : https://doi.org/10.1016/j.msksp.2021.102458 Langues : Anglais (eng) Descripteurs : HE Vinci
Désaccords et litiges ; Législation ; Syndrome de la queue de cheval ; Techniques de physiothérapieRésumé : Introduction Cauda Equina Syndrome (CES) is a condition where early identification and treatment is crucial to avoid potentially life changing devastating effects. This paper reviews the extent and process of CES litigation amongst UK physiotherapists. Methods A well-established framework by Arksey and O'Malley was followed when completing the current scoping review. Records were identified via a comprehensive search of three databases as well as website and grey literature searching. Data was extracted and a descriptive analysis and thematic summary were formed. Results and discussion A total of N = 1639 records were identified, following removal of duplicates and screening of titles and abstracts N = 211 full text records were screened and N = 39 were included for full analysis. Conclusions This study is the first to investigate the extent and process of CES litigation for physiotherapists in the UK. Our data suggest that between 2009 and 2021 there were 15 CES claims recorded against physiotherapists which is 0.7% of all CES claims recorded in the UK. In terms of the legal process for CES claims, there is currently limited information for physiotherapists and what steps they would need to take once they receive notification they are being sued. Registration The current paper is registered with OSF registries (DOI 10.17605/OSF.IO/6FCXN). 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=287488
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102458[article]
Titre : Criterion validation and interpretability of the Single Assessment Numerical Evaluation (SANE) of self-reported recovery in patients with neck pain Type de document : Article Auteurs : Bryan O'Halloran ; Chad E. Cook ; Elizabeth Oakley Année de publication : 2021 Article en page(s) : 102467 Note générale : https://doi.org/10.1016/j.msksp.2021.102467 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Evaluation ; Mesures des résultats rapportés par les patients (PROM)Résumé : Background The SANE is a PROM of recovery, which may assist clinicians in clinical decision-making and discharge planning. The psychometric measurement properties of the SANE have yet to be determined for neck pain. Objectives Threefold objectives included: 1)determine the numerical threshold for the SANE at which patients with neck pain determine their symptoms are acceptable; 2)determine the association between scores for the NDI and VAS, with the SANE; 3)determine the average number of visits, costs and value associated with the management of neck pain. Design Longitudinal repeated measures cohort design. Methods Threshold measures for self-reported recovery with the SANE anchored to the PASS were examined using ROC. PCC determined the relationship between the VAS/pain and NDI raw/percentage change scores and the SANE at discharge. Descriptive statistics were used for number of visits and cost. Value was calculated as the proportion of change on the NDI and VAS/$100 US dollars spent. Results 57 subjects completed full observation. ROC analysis indicates a threshold value of 82.5%(Sn = 56.0, Sp = 85.7,+LR = 1.68,-LR = 0.29) on the SANE with an AUC of 0.820(95%CI = 0.638, 1.00). A weak correlation was found between raw NDI(r = 0.39 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=287489
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102467[article]
Titre : Effects of dry needling on mechanical and contractile properties of the upper trapezius with latent myofascial trigger points : A randomized controlled trial Type de document : Article Auteurs : J. Sánchez-Infante ; A. Bravo-Sánchez ; F. Jiménez ; J. Abián-Vicén Année de publication : 2021 Article en page(s) : 102456 Note générale : https://doi.org/10.1016/j.msksp.2021.102456 Langues : Anglais (eng) Descripteurs : HE Vinci
Aptitudes motrices ; Douleur ; Dystrophie myotonique ; Points de déclenchement ; Puncture kinésithérapique par aiguille sèche ; Syndromes de la douleur myofascialeRésumé : Background Latent trigger point (LTrP) can cause motor dysfunction and disturb normal patterns of motor recruitment. Objective To analyze the effects of DN in the upper trapezius (UT) LTrP on pain and the mechanical and contractile properties of the muscle. Design A randomized, double-blinded, parallel-group-trial. Methods Fifty healthy volunteers with LTrPs in the UT were randomly divided into a DN-group (n = 26) and a Sham-DN-group (n = 24) and received one session of DN or placebo treatment. Mechanical and contractile properties of the muscle and pressure pain perception (PPP) were evaluated before treatment and in a 30min, 24 h and 72 h follow-up after treatment. Results In the mechanical properties, the DN-group showed lower values than the Sham-DN-group for dynamic stiffness at 72 h (p = 0.04). The DN-group showed lower values for dynamic stiffness at 72 h from baseline (278.74 ± 38.40 to 261.54 ± 33.64 N/m; p = 0.01) and for tone at 72 h from 30min (16.62 ± 1.27 to 15.88 ± 1.31 Hz; p = 0.01). In the contractile properties, the DN-group showed higher values for maximal radial displacement (Dm) of the muscle belly at 72 h from baseline (5.38 ± 1.67 to 6.13 ± 1.70 mm; p = 0.04), higher values for contraction time at 30min (28.53 ± 8.80 s; p = 0.03) and lower ones at 72 h (24.74 ± 4.36 s; p = 0.04) from baseline (26.97 ± 6.63 s). The DN-group showed a decrease of PPP from baseline to 72 h after treatment (5.16 ± 1.33 to 4.02 ± 0.97 mm; 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=287490
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102456[article]
Titre : The Dental stick test - Useful to reveal intra-articular conditions in persons with temporomandibular disorder? Type de document : Article Auteurs : Elisabeth Heggem Julsvoll ; Hilde Stendal Robinson Année de publication : 2021 Article en page(s) : 102435 Note générale : https://doi.org/10.1016/j.msksp.2021.102435 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulation temporomandibulaire ; Dent ; Examen clinique ; Troubles de l'articulation temporomandibulaireRésumé : Background There is a need for clinical tests that can reveal intra-articular conditions in the temporomandibular joint to be able to give proper treatment. The Dental stick test, where participants bite with their molars on a wooden stick, is a pain provocation test for the temporomandibular joint. Objective The purpose of this study was to explore if the Dental stick test can be used to reveal intra-articular conditions in the temporomandibular joint in persons with long-lasting painful disorders. Design Cross-sectional. Materials and methods Forty persons with pain in one or both temporomandibular areas were examined using the Dental stick test. The participants were between 18 and 70 years, and had 65 symptomatic joints. Sensitivity, specificity, false positive and false negative responses, and area under the curve were calculated for the Dental stick test with MRI and/or CT as reference standards. The phi-correlation coefficient (phi) was used to measure the correlation between the Dental stick test and intra-articular findings. Results The sensitivity and specificity for the Dental stick test, revealing intra-articular findings, were 0.62 and1.0 respectively. False positive and false negative responses were 0 and 0.41 respectively, and the area under the curve 81% with 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=287491
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102435[article]
Titre : The effects of active break and postural shift interventions on recovery from and recurrence of neck and low back pain in office workers : A 3-arm cluster-randomized controlled trial Type de document : Article Auteurs : Nipaporn Akkarakittichoke ; Pooriput Waongenngarm ; Prawit Janwantanakul Année de publication : 2021 Article en page(s) : 102451 Note générale : https://doi.org/10.1016/j.msksp.2021.102451 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Douleur musculosquelettique ; Exercice physique ; Lombalgie ; Maladies ostéomusculaires ; Mode de vie sédentaire ; Ordinateurs ; Posture ; TravailleurRésumé : Objectives To investigate the efficacy of active break and postural shift interventions aimed to reduce sitting discomfort on recovery duration and recurrence of neck and low back pain among high-risk office workers. Methods A 3-arm cluster-randomized controlled trial with 12-month follow-up was conducted in 193 healthy but high-risk office workers. Participants in the intervention groups received custom-designed apparatus to facilitate either active breaks or postural shifts to reduce sitting discomfort at work. Participants in a control group received a placebo seat pad. Incidence of neck and low back pain with pain intensity and disability level was recorded monthly. Main outcome measures were recovery time and recurrent rate of neck and low back pain. Analyses were performed using log rank test and Cox proportional hazard models. Results Median time to recovery in those receiving active break and postural shift interventions (1 month) was significantly shorter than those in the control group (2 months). Neck and low back pain recurrent rates for the active break, postural shift, and control groups were 21%, 18%, and 44%, respectively. Hazard rate (HR) ratios after adjusting for biopsychosocial factors indicated a protective effect of active break and postural shift interventions for neck and low back pain recurrence (HRadj 0.22, 95% CI 0.06–0.83 for active breaks and HRadj 0.35, 95% CI 0.16–0.77 for postural shift). Conclusion Active break and postural shift interventions shortened recovery time and reduced recurrence of neck and low back pain among high-risk office workers. 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=287492
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102451[article]
Titre : Measurement properties of the Nepali version of the Quick-DASH in patients with shoulder pain Type de document : Article Auteurs : Sudarshan KC ; Saurab Sharma ; Karen Ginn ; Darren Reed Année de publication : 2021 Article en page(s) : 102437 Note générale : https://doi.org/10.1016/j.msksp.2021.102437 Langues : Anglais (eng) Descripteurs : HE Vinci
Anthropométrie ; Approche clinique ; ScapulalgieRésumé : Purpose To examine the measurement properties of the Nepali version of the Quick-Disabilities of the Arm, Shoulder and Hand (QuickDASH-NP). Materials and methods The Nepali DASH and Shoulder Pain and Disability Index (SPADI) were completed at baseline assessment, and again at follow-up with the Nepali Global Rating of Change (GROC-NP) score. The 11 items of the QuickDASH-NP were extracted from the DASH and tested for confirmatory factory analysis (CFA), exploratory factor analysis (EFA), internal consistency (?), item-total correlation (ITC), test-retest reliability (ICC), measurement errors, hypothesis testing (correlation with DASH and SPADI) and responsiveness (effect size-ES, standardised response mean-SRM). Results A total of 156 participants completed questionnaires at baseline and 121 at follow-up with all questionnaires valid (no participant leaving more than one question blank). CFA suggested a poor fit for the single-factor model. The EFA demonstrated two factors with acceptable internal consistency (? = 0.79 and 0.75) for each factor. The test-retest reliability was excellent (ICC = 0.94; 95%CI:0.92–0.98), correlation was positive and very strong with the DASH-NP (r = 0.96) and strong with the SPADI-NP (r = 0.81). The Standard Error of Measurement was 2.83 and Smallest Detectable Change 7.84/100. The ES and SRM were moderate to high. Conclusions The QuickDASH-NP is reliable, valid, and able to detect change in shoulder symptoms among Nepali participants. It offers a short, easy to complete self-reporting tool for clinical use and 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=287493
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102437[article]
Titre : The effects of muscle fatigue on scapulothoracic joint position sense and neuromuscular performance Type de document : Article Auteurs : Guo-Fong Luo ; Chia-Ming Chang ; Yi-Fen Shih Année de publication : 2021 Article en page(s) : 102461 Note générale : https://doi.org/10.1016/j.msksp.2021.102461 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Proprioception ; Scapula ; Scapulalgie ; Troubles neurocognitifsRésumé : Background Fatigue of the scapular musculature might affect the sensorimotor system and neuromuscular control and therefore impair the dynamic alignment of the scapula. The purpose of this study was to investigate the effects of scapular muscle fatigue on joint position sense and the neuromuscular performance of the scapulothoracic joint. Methods Thirty healthy subjects were recruited. The joint position sense (measured as reposition errors during the scapular elevation and protraction task) of the scapulothoracic joint and scapular kinematics and muscle activation (% of maximum voluntary isometric contraction) during scaption, shoulder elevation in the scapular plane, before and after the fatigue task (modified push-up) were measured. The repeated measures analysis of variance (ANOVA) was used to assess the effects of fatigue on scapular reposition error and neuromuscular control. Results Although joint reposition sense did not change after fatigue, muscle activation of the serratus anterior increased significantly (18.5%–26.3%, p?=?0.006, elevation task; 15.2%–27.4%, p?=?0.037, protraction task). At 120° scaption, the scapula showed a decreased posterior tilt (13.8°–10.3°, p?0.001), increased protraction (10.2°–13.3°, p?=?0.004) and lateral rotation (52.8°–54.4°, p?=?0.005). Muscle activation of the serratus anterior increased (65.9%–84.6%, p?=?0.002) during 90°–120°scaption. Conclusion Scapular muscle fatigue did not alter the scapulothoracic joint position sense, but increased serratus anterior activation and resulted in a more anteriorly tilted, protracted, and laterally rotated scapula during scaption. Whether or not these fatigue-related changes are linked to the development of shoulder problems needs to be investigated further. 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=287494
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102461[article]
Titre : Ultrasound imaging of quadriceps muscle in patients with knee osteoarthritis : The test-retest and inter-rater reliability and concurrent validity of echo intensity measurementTthe test-retest and inter-rater reliability and concurrent validity of echo intensity measurement Type de document : Article Auteurs : Merve Karapinar ; Veysel Atilla Ayyildiz ; Meriç Ünal ; Tüzün Firat Année de publication : 2021 Article en page(s) : 102453 Note générale : https://doi.org/10.1016/j.msksp.2021.102453 Langues : Anglais (eng) Descripteurs : HE Vinci
Etudes de validation ; Gonarthrose ; Imagerie interventionnelle par résonance magnétiqueRésumé : Background Echo intensity(EI) on ultrasonography images of skeletal muscle reflects muscle composition. Objectives The primary aim of the study was to investigate the inter-rater and test-retest reliability of EI using grayscale histogram analysis of the cross-sectional area of quadriceps femoris(QF) muscle in patients with knee osteoarthritis(KOA). The secondary aim of the study was to determine the concurrent validity of the Free Hand Tool(FHT) when compared to Rectangular Marquee Tool(RMT) for calculating the region of interest(ROI) in ImageJ. Methods This study included thirty patients with KOA. Echogenicity of the QF muscle were performed by two different raters. The reliability analysis was applied using intraclass correlation coefficient(ICC), standard error of measurement(SEM) and coefficient of variation(CV). Spearman rank correlation coefficients were calculated for assessing concurrent validity of the FHT to RMT. The Bland–Altman plots was used to show disagreement between tools. Wilcoxon signed-rank test was used for differences in assessments between test/retest sessions, raters, tools. Results The inter-rater and test-retest reliability of the EI using FHT and RMT was found to be excellent (ICCFHT = 0.91–0.95, 0.98–0.99, ICCRMT = 0.91–0.98, 0.91–0.99,respectively). Bland–Altman analysis demonstrated a slight bias when region ROI calculations were collected from RMT or FHT (bias ranging from 2.75 to?2.40 a. u). There were no significant differences between test/retest sessions, raters and tools(p > 0.05). Spearman correlation coefficient showed excellent correlation between tools used for echogenicity assessment of QF muscle(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=287495
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102453[article]
Titre : Are manual therapy or booster sessions worthwhile in addition to exercise therapy for knee osteoarthritis : Economic evaluation and 2-year follow-up of a randomized controlled trial Type de document : Article Auteurs : Yana Pryymachenko ; Ross Wilson ; Saurab Sharma ; Anupa Pathak ; J. Haxby Abbott Année de publication : 2021 Article en page(s) : 102439 Note générale : https://doi.org/10.1016/j.msksp.2021.102439 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse coût-bénéfice ; Arthrose ; Articulation du genou ; Exercice physique ; Kinésithérapie (spécialité) ; Traitement par les exercices physiquesRésumé : Background Exercise therapy is known to be an effective intervention for patients with osteoarthritis, however the evidence is limited as to whether adding manual therapy or booster sessions are cost-effective strategies to extend the duration of benefits. Objective To investigate the cost-effectiveness, at 2-year follow-up, of adding manual therapy and/or booster sessions to exercise therapy. Design 2-by-2 factorial randomized controlled trial. Methods Participants with knee osteoarthritis were randomly allocated (1:1:1:1) to: exercise therapy delivered in consecutive sessions within 9 weeks (control group), exercise therapy distributed over 1 year using booster sessions, exercise therapy plus manual therapy delivered within 9 weeks, and exercise therapy plus manual therapy with booster sessions. The primary outcome was incremental cost-effectiveness from health system and societal perspectives interpreted as incremental net monetary benefit (INMB). Results Of 75 participants, 66 (88 %) were retained at 1-year and 40 (53 %) at 2-year follow-up. All three interventions were cost-effective from both the health system and societal perspectives (INMBs, at 0.5 × GDP/capita willingness to pay (WTP) threshold: $3278 (95%CI -3244 to 9800) and $3904 (95%CI -2823 to 10,632) respectively for booster sessions; $2941 (95%CI -3686 to 9568) and $2618 (95%CI -4005 to 9241) for manual therapy; $270 (95%CI -6139 to 6679) and $404 (95%CI -6097 to 6905) for manual therapy with booster sessions). Conclusion Manual therapy or booster sessions in addition to exercise therapy are cost-effective at 2-year follow-up. The evidence did not support combining both booster sessions and manual therapy in addition to exercise therapy. 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=287496
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102439[article]
Titre : Musculoskeletal case-mix adjustment in a UK primary/community care cohort : testing musculoskeletal models to make recommendations in this setting Type de document : Article Auteurs : R. Burgess ; M. Lewis ; J. C. Hill Année de publication : 2021 Article en page(s) : 102455 Note générale : https://doi.org/10.1016/j.msksp.2021.102455 Langues : Anglais (eng) Descripteurs : HE Vinci
Ajustement du risque ; Évaluation de résultat (soins) ; Référenciation ; Royaume-UniRésumé : Benchmarking musculoskeletal (MSK) services is limited by the need to adjust for differences in patient characteristics/case-mix. Without this providers and services cannot be usefully compared. This paper investigates the predictive ability of case-mix adjustment models in a primary/community care cohort. Objectives To investigate the predictive ability of two existing MSK case-mix adjustment models and compare to the predictive ability of an evidence informed and statistically informed model. Method A secondary analysis of the ‘Subgrouping for Targeted Treatment in Musculoskeletal Conditions’ cluster randomised controlled trial data (n = 1211). Stepwise linear regression models were built and compared using available baseline variables. The MSK-HQ was used as the primary functional status outcome. Results Two existing models were compared (UK National PROMs Model, US FOTO Model) using available variables. Of these models the modified US FOTO model showed the best predictive ability in this cohort predicting 44% of the variation in MSK-HQ outcome, the modified UK National PROMs model predicted 41%. A newly developed evidence informed model (Keele Model 1) performed no better than the existing models, and a statistically informed model (Keele Model 2) gave only an additional 2% increase in model power compared to the modified US FOTO model. Conclusion All models showed strong predictive ability. The modified US FOTO model looks to be best suited to the UK primary/community care cohort of the existing models. This model performed so well that we recommend that this model is used in a UK setting moving forwards rather than development of an alternative UK model. 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=287497
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102455[article]
Titre : Two-point discrimination and judgment of laterality in individuals with chronic unilateral non-traumatic shoulder pain Type de document : Article Auteurs : Marilia Caseiro ; Felipe José Jandre dos Reis ; Amanda Matias Barbosa ; Marco Barbero ; Deborah Falla ; Anamaria Siriani de Oliveira Année de publication : 2021 Article en page(s) : 102447 Note générale : https://doi.org/10.1016/j.msksp.2021.102447 Langues : Anglais (eng) Descripteurs : HE Vinci
Discrimination ; Epaule ; Maladie chronique ; Perception vibrotactile ; Schéma corporelRésumé : Background Cortical representation of the painful body region may be disrupted in several chronic pain conditions. The two-point discrimination test (TPDT) and the Left/Right Judgement Task (LRJT) have been used to identify changes in the cortical body schema in several chronic pain conditions. However, it is unclear if these changes are present for all chronic pain mechanisms. Objectives To investigate the integrity of the body schema of the painful shoulder in patients with chronic unilateral nociceptive shoulder pain. Methods The sample consisted of 52 individuals with chronic unilateral nociceptive shoulder pain. The TPDT was measured over the anterosuperior and lateral regions of both shoulders using a staircase method. Participants also performed judgment tests of shoulder and foot laterality. The comparison of the TPDT and LRJT was performed using the linear regression model with mixed effects. Results There was no difference in TPDT in the anterosuperior and lateral regions when comparing the symptomatic and asymptomatic shoulders. There was no difference in the LRJT accuracy and response time between the symptomatic and asymptomatic shoulders. No differences were observed when comparing LRJT variables from symptomatic shoulder and foot. Conclusion Therefore, results do not provide clear evidence of altered body schema in chronic nociceptive unilateral shoulder pain. This suggest that alterations in body representations may depend on the primary pain mechanism. 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=287498
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102447[article]
Titre : Investigation of balance performance under different sensory and dual-task conditions in patients with chronic neck pain Type de document : Article Auteurs : Muge Kirmizi ; Gamze Yalcinkaya ; Yesim Salik Sengul ; Orhan Kalemci ; Salih Angin Année de publication : 2021 Article en page(s) : 102449 Note générale : https://doi.org/10.1016/j.msksp.2021.102449 Langues : Anglais (eng) Descripteurs : HE Vinci
Ajustement postural ; Cou ; Douleur chronique ; Équilibre postural ; Troubles somatosensorielsRésumé : Background Most studies suggest that people with chronic neck pain (CNP) have decreased balance abilities. However, balance performance during performing concurrent tasks is not clarified. Objectives To investigate balance performance under different sensory and dual-task conditions in people with and without CNP. Method Twenty-two women with CNP and twenty-two asymptomatic women were tested using the Biodex Stability System. Overall stability index (OSI), anterior/posterior stability index (APSI), medial/lateral stability index (MLSI) were obtained in two sessions: eyes-open and eyes-closed. Both sessions consisted of four conditions: quiet standing, rotating head, counting backward, standing on foam. Higher index scores mean poorer balance. Design Case-Control study. Results A mixed factorial ANOVA (2 × 8 design) showed that there was a main effect of CNP on OSI, APSI, and MLSI (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=287499
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102449[article]
Titre : Cross-cultural adaptation, validation and psychometric evaluation of the attitudes to back pain scale in musculoskeletal practitioners : Hebrew version Type de document : Article Auteurs : Yaniv Nudelman ; Tamar Pincus ; Anat Shashua ; Noa Ben Ami Année de publication : 2021 Article en page(s) : 102463 Note générale : https://doi.org/10.1016/j.msksp.2021.102463 Langues : Anglais (eng) Descripteurs : HE Vinci
Dorsalgie ; Lombalgie ; Maladies ostéomusculaires ; Psychométrie ; Techniques de physiothérapieMots-clés : ABS-mp Résumé : Background Research suggests that clinician's attitudes and beliefs towards low back pain (LBP) management may affect their patients' treatment course and outcomes. Attitudes to Back pain Scale in musculoskeletal practitioners (ABS-mp) is a questionnaire developed to assess musculoskeletal clinicians' attitudes and beliefs regarding LBP. Objective This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Hebrew version of the ABS-mp questionnaire. Design Cross-sectional study with nested prospective sub-sample. Methods The translation was performed in several steps following the cross-cultural adaptation process. Test-retest and internal consistency reliability of the scales were evaluated along with convergent validity exploration between the ABS-mp and the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS). A convenience sample of 177 physical therapists were requested to participate in the study, out of which 132 have completed the survey, providing a 74% participation rate. Results The forward-backward translation process revealed minor discrepancies that were addressed by the expert panel. The test-retest reliability of the Hebrew ABS-mp was excellent (ICC = 0.906). Five items were found to be irrelevant for the Israeli physiotherapy health settings and were omitted. For internal consistency, the average inter-item correlation reached appropriate values for the Psychological, Biomedical, Re-activation, and Limitation on Sessions subscales (0.437, 0.265, 0.341, 0.197, respectively). For convergent validity, the ABS-mp's Biomedical subscale and the HC-PAIRS's total score were moderately correlated (0.535). Conclusions The Hebrew version of the ABS-mp has been validated and has demonstrated excellent test-retest reliability, good convergent validity and acceptable internal consistency. 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=287500
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102463[article]
Titre : What is the effect of low back pain self-management interventions with exercise components added? : A systematic review with meta-analysis Type de document : Article Auteurs : Akushla P.S. Rathnayake ; V. Sparkes ; L. Sheeran Année de publication : 2021 Article en page(s) : 102469 Note générale : https://doi.org/10.1016/j.msksp.2021.102469 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Lombalgie ; Traitement par les exercices physiquesMots-clés : Low back pain Self-management Self-management interventions Exercise Résumé : Background Best practice guidelines endorse self-management and exercise in chronic low back pain (CLBP) management. The majority of existing self-management interventions (SMIs) do not include exercise components, and the effect of SMIs with exercises on CLBP and disability remains unclear. Objectives To systematically review the evidence for the effect of SMIs with an exercise component added, on pain and disability in people with CLBP. Design Systematic review with meta-analysis. Method An electronic search of randomized controlled trials (RCTs) with SMIs with exercises was performed in 5 databases. Standardised Mean Difference (SMD) and 95% confidence interval (CI) were calculated using a random-effects model for meta-analysis at short-term, intermediate, and long-term follow-up points. The level of evidence was synthesized using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results 09 RCTs were included in the review and the GRADE quality assessment revealed low-quality evidence for all meta-analyses across 3 follow-up points. Effect sizes (ESs) for pain were ?0.28, ?0.36 and ?0.21 for short-term, intermediate, and long-term respectively, and ?0.30, ?0.25 and ?0.20 for short-term, intermediate, and long-term for disability, respectively. 6 out of 09 studies included tailored exercise programmes and exercise components differed widely in their content and delivery. Conclusions There is low-quality evidence that SMIs with exercises added have moderately positive effects on pain and disability in patients with CLBP compared to control interventions involving usual care, typically consisting of access to medication, exercise, advice, education, and manual therapy. 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=287501
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102469[article]
Titre : Patient perspectives on participation in exercise-based rehabilitation for Achilles tendinopathy : A qualitative study Type de document : Article Auteurs : Adrian Mallows ; John Head ; Tom Goom ; Peter Malliaras ; Seth O'Neill ; Benjamin Smith Année de publication : 2021 Article en page(s) : 102450 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Perspective ; Recherche qualitative ; Tendon calcanéenRésumé : Background Achilles tendinopathy (AT) is common, and can be traumatic or insidious in onset and short-lasting or persistent in nature. Factors influencing the experience of pain are poorly understood; little is known about mechanisms driving pain and the response (or lack of) to rehabilitation. Despite this, there is a growing body of evidence supporting the use of exercise to manage AT. Interestingly, variation in exercise approach does not appear to significantly impact outcome. Patients’ perceptions of factors related to rehabilitation that may influence outcome could provide a valuable addition to help guide future research and practice. Objectives The aim of this study is to gain an insight into patients’ experiences of participating in an exercise-based rehabilitation programme for AT. Method A qualitative interpretive description design. Data generated from semi-structured interviews were analysed thematically using the guidelines set out by Braun and Clarke. Findings This is the first study to use a qualitative method of inquiry to gain data on the experiences of people undertaking exercise-based rehabilitation for AT. The four major themes that were identified from the data were: (1) ‘understanding the impact’ (2) ‘expectations’ (3) ‘what matters’ and (4) ‘the burden of exercise’. Conclusions Given the uncertainty surrounding the mechanisms of effect of our treatments, the insights provide a platform from which researchers and clinicians can consider further in the management of people with Achilles tendinopathy. Specifically, it has highlighted that patients value a flexible, supportive approach embracing the biopsychosocial impact of AT on the individual. 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=287502
in Musculoskeletal Science and Practice > Vol. 56 (December 2021) . - 102450[article]
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Titre : Soft-collar use in rehabilitation of whiplash-associated disorders - A systematic review and meta-analysis Type de document : Article Auteurs : Steffan W. Christensen ; Michael Bo Rasmussen ; Christoffer Lund Jespersen ; Michele Sterling ; Søren Thorgaard Skou Année de publication : 2021 Article en page(s) : p. 1-10 Note générale : doi:doi.org/10.1016/j.msksp.2021.102426 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Traumatismes cervicaux en coup de fouetRésumé : Background:
Active rehabilitation of Whiplash Associated Disorders (WAD) is favoured over passive modalities such as soft-collars. However, the effectiveness of soft-collar use remains unclear.
Objective:
To investigate the effectiveness of soft-collar use on pain and disability in WAD.
Design:
Systematic review.
Method:
Databases (AMED, CINAHL Complete, Cochrane Library, Embase, Medline, PEDro, PsycINFO, PubMed, SPORTDiscus) were searched for guidelines, reviews and RCTs on soft-collar use as part of WAD treatment. Reference lists of reviews and guidelines were screened for additional RCTs. Study quality was rated using the PEDro-scale and overall quality of evidence with GRADE.
Results:
Four RCTs (n = 409) of fair-good quality (PEDro-scores) were included with three using a soft collar in addition to other conservative treatment while one study compared soft-collar use to act-as-usual. All studies found that an active or act-as-usual approach was more effective in reducing pain intensity compared to soft-collar use, confirmed by meta-analysis (two RCTs with data: SMD of −0.80 (−1.20, −0.41)). No studies reported disability outcomes while contrasting results were found between groups regarding total cervical range of motion (two RCTs with data: SMD of 0.16 (−0.21, 0.54)) or rotation (two RCTs with data: SMD of 0.54 (−0.19, 1.27)). Overall quality of the evidence was low to very low.
Conclusion:
All four RCTs favoured an active approach/act-as-usual over soft-collar treatment. However, due to methodological concerns and low certainty of evidence, future studies investigating soft collar use in combination with an active rehabilitation strategy for acute/subacute WAD are needed.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=272206
in Musculoskeletal Science and Practice > Vol. 55 (October 2021) . - p. 1-10[article]
Titre : A service evaluation specifying the active components of a functional restorative programme to promote management of persistent non-specific low back pain Type de document : Article Auteurs : Danica Kennedy ; Amy Thomas ; Toni Hoefkens ; Caroline Limbert ; Catherine Heidi Seage Année de publication : 2021 Article en page(s) : p. 1-9 Note générale : doi:10.1016/j.msksp.2021.102404 Langues : Anglais (eng) Descripteurs : HE Vinci
Classification ; LombalgieMots-clés : Changement de comportement Intervention de restauration fonctionnelle Programme combiné physique et psychologique Résumé : Background:
Functional Restorative Programmes (FRP) for persistent non-specific lower back pain have been shown to be effective, but they often lack sufficient detailed reporting of the intervention components to allow for accurate replication.
Objectives:
This study used the Behaviour Change Technique Taxonomy (v1) (BCTi) [1] to identify the main components of one such programme and interviewed patients to identify the most effective programme components and areas for improvement.
Design:
A mixed methods design was used.
Methods:
Intervention data were coded using the BCT Taxonomy (v1) to identify the BCTs utilised. Following this, semi-structured interviews with nine patients evaluated the BCTs included using thematic analysis and identified possible techniques for inclusion in future developments of the programme.
Results:
Forty-one different BCTs were identified in the coding phase with frequency of occurrence in the programme ranging from forty-nine to one. Four main themes emerged from the interviews: Social Support, Shaping Knowledge, Repetition and Substitution and Changes in Mindset.
Conclusion:
The results of this study identify the key ingredients in a programme for persistent, non-specific lower back pain, which facilitates the replication of this intervention and identified areas patients appreciated most as well as areas for improvement.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=272208
in Musculoskeletal Science and Practice > Vol. 55 (October 2021) . - p. 1-9[article]
Titre : The advice given by physiotherapists to people with back pain in primary care Type de document : Article Auteurs : Lisa Osborn-Jenkins ; Lisa Roberts Année de publication : 2021 Article en page(s) : p. 1-8 Note générale : doi:10.1016/j.msksp.2021.102403 Langues : Anglais (eng) Descripteurs : HE Vinci
Gestion de soi ; Lombalgie ; Techniques de physiothérapieRésumé : Background:
Back pain guidelines endorse giving advice to enable people to self-manage and continue normal activities. Little is known however, about the content of advice that clinicians give and this project aimed to identify the advice given by clinicians to patients with back pain at their initial consultation.
Methods:
A secondary analysis was conducted with 25 audio-recordings and transcriptions of consultations between patients with back pain and physiotherapists in a primary care outpatients department. Using a Framework approach, the data were coded and analysed to identify the content of advice given and mode of delivery.
Results:
The mean duration of consultation was 38 min 59 s (range 26:21–53:16). Advice was given in 88% (n = 22/25) of consultations and 96% included additional exercise instruction. Cognitive reassurance was evident, focussing on getting people confident to ‘move your back’ despite pain and encouraging active lifestyle changes. Beyond reassurance and discussion to enhance confidence, the key topics of advice given were: activity promotion; postural changes; practical self-help advice regarding ways to sit; pain-management advice including medication and using heat. Gaps were identified in the advice given, most notably there was a lack of specificity relating to the frequency and duration of recommended tasks and activities.
Conclusions:
Advice and reassurance are integral to enabling people to self-manage their back pain. It is important to avoid contradictory and unhelpful messages. Despite its importance, little is known about the advice offered by clinicians during initial back pain consultations highlighting the need for guidance to be patient-centred and tailored.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=272211
in Musculoskeletal Science and Practice > Vol. 55 (October 2021) . - p. 1-8[article]
Titre : Lumbar movement control in non-specific chronic low back pain: Evaluation of a direction-specific battery of tests using item response theory Type de document : Article Auteurs : Elisabeth Adelt ; Thomas Schoettker-Koeniger ; Kerstin Luedtke ; Toby Hall ; Axel Schafer Année de publication : 2021 Article en page(s) : p. 1-7 Note générale : doi:10.1016/j.msksp.2021.102406 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Douleur chronique ; Lombalgie ; Mouvement du corpsRésumé : Question:
What tests are most useful to identify poor lumbar movement control (LMC) and what are the dimensional and psychometric properties of these tests?
Design:
Multicenter, cross-sectional cohort study.
Participants:
Adults with non-specific chronic low back pain (NSCLBP).
Methods:
A literature review was conducted to identify LMC tests with good reliability (0.61) and their dimensionality was examined. Based on item response theory, psychometric properties of individual items and the entire battery of LMC tests were determined.
Results:
277 participants with NSCLBP were included and tested by 21 physiotherapists in 19 clinics in Germany and Austria. 15 tests for LMC were assessed. The battery of LMC tests showed a direction-specific structure representing extension, flexion and rotation/lateral flexion control, for which unidimensionality and local independence were confirmed (eigenvalue >1; factor loading >0.4, Yen's Q3 Conclusions:
A battery of LMC tests is proposed as the most appropriate to examine individuals with precise to poor LMC. Each direction of LMC should be examined separately. Tests can be sorted according to test difficulty, so that only three tests are initially required to screen for poor LMC.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=272213
in Musculoskeletal Science and Practice > Vol. 55 (October 2021) . - p. 1-7[article]
Titre : Are patient reported outcome measures (PROMs) useful in low back pain? Experiences of physiotherapists in primary health care in Sweden Type de document : Article Auteurs : Eva Rasmussen-Barr ; Cecilia Lindqvist ; Sara Osthols ; Carina Bostrom Année de publication : 2021 Article en page(s) : p. 1-8 Note générale : doi:10.1016/j.msksp.2021.102414 Langues : Anglais (eng) Descripteurs : HE Vinci
Dorsalgie ; Enquêtes et questionnaires ; Evaluation ; RéadaptationRésumé : Background:
Physiotherapists in primary health care are required to use patient reported outcome measures (PROMs) to manage patients with low back pain (LBP).
Objective:
Our aim was to explore and describe how physiotherapists in primary care managing patients with LBP, experience the use of PROMs with a focus on facilitating and hindering factors.
Methods:
We undertook a qualitative study with semi-structured interviews. Fifteen physiotherapists (9 female and 6 male) were included. The interviews were audio-recorded and transcribed verbatim and analysed by inductive manifest content analysis.
Results:
Our findings resulted in eight main categories: PROMs give structure and increase patient involvement; Patients' motivations to use PROMs; Time and the physiotherapist's clinical priorities; Physiotherapists' routines steer their use of PROMs; Physiotherapists' competences in using PROMs; Organizations and managers steer the use of PROMs; Prerequisites for future use of PROMs; Using PROMs develops the physiotherapy profession.
Conclusion:
Our findings show that using PROMs gives structure and increases patient involvement, but the patient's motivation to use PROMs needs to be taken into consideration. Time and routines influence the use of PROMs and these factors depend on organizational and managerial levels. Using PROMs is believed to help develop the physiotherapy profession. Prerequisites for future use, such as digitalization and increased competence, need to be fulfilled. Future studies should focus on increasing physiotherapists' knowledge about relevant PROMs, and study implementation in clinical practice, thereby improving the physiotherapy profession's quality 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=272216
in Musculoskeletal Science and Practice > Vol. 55 (October 2021) . - p. 1-8[article]
Titre : The effects of combined sternocleidomastoid muscle stretching and massage on pain, disability, endurance, kinesiophobia, and range of motion in individuals with chronic neck pain: A randomized, single-blind study Type de document : Article Auteurs : Buket Buyukturan ; Senem Sas ; Caner Kararti ; Oznur Buyukturan Année de publication : 2021 Article en page(s) : p. 1-8 Note générale : doi:10.1016/j.msksp.2021.102417 Langues : Anglais (eng) Descripteurs : HE Vinci
Cervicalgie ; Exercices d'étirement musculaire ; MassageMots-clés : Muscle sterno-cléido-mastoïdien Résumé : Background:
The effect of interventions to the Sternocleidomastoid (SCM)-muscle, as an important element of neck movement which is overactive in individuals with chronic neck pain (CNP), are unknown.
Objective:
The aim of the current study is to investigate the effects of SCM stretching and massage on pain, range of motion (ROM), endurance, disability, and kinesiophobia in individuals with CNP.
Methods:
In this study, individuals with CNP were randomized 1:1 to parallel SCM-Group (n = 30) or control group (CG) (n = 30). Conventional physiotherapy was applied to CG. In addition to the same interventions applied to the CG, classical massage and stretching exercises were applied to the SCM-muscle in the SCM-Group. Treatment sessions were administered three times each week for a total of 5 weeks. Pain, endurance, ROM, disability, and kinesiophobia were evaluated. Both prior to and immediately following the treatments. Mixed-model repeated measured ANOVAs were then employed to determine if a group*time interaction existed on the effects of the treatment on each outcome variable for each group as the between-subjects variable and time as the within-subjects variables.
Results:
Improvements in pain, disability, ROM(extension, left-lateral flexion, and right/left-rotation), and endurance were found to be greater in the SCM-Group compared to the CG (p 0.05).
Conclusion:
Stretching exercises and massage applied to the SCM-muscle, together with conventional physiotherapy, can reduce pain and disability, and increase ROM and endurance in individuals with CNP. This treatment may therefore be considered for use as an alternative method in treating CNP.
The study was registered in ClinicalTrials.gov (NCT04345042).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=272218
in Musculoskeletal Science and Practice > Vol. 55 (October 2021) . - p. 1-8[article]
Titre : Pain-related fear phenotypes are associated with function of the upper limbs in individuals with shoulder pain Type de document : Article Auteurs : Danilo Harudy Kamonseki ; Henrique Pott-Junior ; Melina N. Haik ; Lucas Araújo de Almeida ; Paula Rezende Camargo<