Journal of Back and Musculoskeletal Rehabilitation最新文献

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Mechanical correction in kinesiology and mulligan taping: A comparative study on scapular dyskinesis in computer users. 运动学机械矫正与mulligan胶带:电脑使用者肩胛骨运动障碍的比较研究。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-29 DOI: 10.1177/10538127251323952
Shahab Khaki, Roya Ravanbod, Mohammed N Ashtiani
{"title":"Mechanical correction in kinesiology and mulligan taping: A comparative study on scapular dyskinesis in computer users.","authors":"Shahab Khaki, Roya Ravanbod, Mohammed N Ashtiani","doi":"10.1177/10538127251323952","DOIUrl":"https://doi.org/10.1177/10538127251323952","url":null,"abstract":"<p><p>BackgroundPoor scapular resting position and abnormal motion with the lack of proper muscle performance contribute to the development of shoulder dysfunction and pain. Various taping methods was proven to stabilize the scapula in a retracted position and facilitate proper scapular motion.ObjectivesTo compare the effects of mechanical correction of kinesiology tape (KT) and mulligan tape (MuT) methods on electromyographic activity (EMG) and kinematics of scapulothoracic (ST) and kinetics of glenohumeral (GH) joints in computer users affected with scapular dyskinesis (SD).MethodsThis study is a single-blinded randomized placebo-controlled clinical trial study with convenience sampling. Thirty-six male computer users with SD were randomized in three groups of KT, MuT, and placebo tape (PT). A two-session evaluation, in each session two times, with a 72-h interval was done. The outcome measures of the EMG were peak root mean square (PRMS) and RMS activity of upper trapezius (UT), middle trapezius (MT), lower trapezius (LT), deltoid (Del), and serratus anterior (SA) muscles during typing and 120° of scaption tasks. Anterior tipping, upward rotation, and internal rotation of the scapula were also recorded using a motion capture system and processed using custom code written in Matlab (R2015b; Mathworks, Inc., Natick, MA).ResultsIn MuT, PRMS and RMS of UT and MT; PRMS of SA in 120° scaption; and RMS of MT in typing position increased significantly (p < 0.05). In KT, SA RMS in 120° scaption increased and internal and upward rotation of scapula in typing position decreased significantly (p < 0.05).ConclusionMulligan tape showed a better effect on increasing EMG activity of the muscles which have a controlling role in SD correction and KT had a better impact on decreasing scapula internal rotation which is typically impaired in SD.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323952"},"PeriodicalIF":1.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of pain trajectory and sex in predicting postoperative neck pain in patients after cervical spine surgery: A retrospective cohort study. 疼痛轨迹和性别在预测颈椎术后患者颈部疼痛中的作用:一项回顾性队列研究。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251328935
Yu Kondo, Daisuke Higuchi, Keita Tsushima, Yuzo Ashida, Takahiro Miki, Yuta Watanabe, Tsuneo Takebayashi
{"title":"The role of pain trajectory and sex in predicting postoperative neck pain in patients after cervical spine surgery: A retrospective cohort study.","authors":"Yu Kondo, Daisuke Higuchi, Keita Tsushima, Yuzo Ashida, Takahiro Miki, Yuta Watanabe, Tsuneo Takebayashi","doi":"10.1177/10538127251328935","DOIUrl":"https://doi.org/10.1177/10538127251328935","url":null,"abstract":"<p><p>BackgroundPostoperative neck pain is common after cervical spine surgery, with potential progression to chronic pain.ObjectiveTo assess the role of pain trajectory in predicting postoperative neck pain following cervical spine surgery and to discern sex-based differences in this relationship.MethodsA retrospective study was conducted on 133 patients (mean age:64.1 ± 11.9 years; 86 males, 47 females) undergoing cervical spine surgery. Pain trajectory, defined by Numerical Rating Scale scores on postoperative days 1, 3, 5, and 7, was analyzed using hierarchical multiple regression to evaluate its predictive value for neck pain at two weeks, with sex as a moderator.ResultsSex (B = 0.613; p < .05), slope (B = 1.528; p < .01), and intercept (B = 0.410; p < .01) were significant predictors. Pain trajectory had a stronger association with neck pain in females (B = 2.283; p < .01) than in males (B = 0.772; p = .03).ConclusionPain trajectory is a predictor of postoperative neck pain and highlights sex-based differences. Incorporating pain trajectory monitoring into clinical practice can enable the early identification of patients at higher risk for poor pain outcomes, facilitating more targeted and effective interventions.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251328935"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of sling location and knee posture on gluteus maximus, biceps femoris, and multifidus activity during sling bridge in subjects with non-specific lower back pain. 吊带位置和膝关节姿势对非特异性下背部疼痛患者吊带桥期间臀大肌、股二头肌和多裂肌活动的影响。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251326909
Su-Yeon Bae, Tae-Hyeong Kim, In-Cheol Jeon
{"title":"Effects of sling location and knee posture on gluteus maximus, biceps femoris, and multifidus activity during sling bridge in subjects with non-specific lower back pain.","authors":"Su-Yeon Bae, Tae-Hyeong Kim, In-Cheol Jeon","doi":"10.1177/10538127251326909","DOIUrl":"https://doi.org/10.1177/10538127251326909","url":null,"abstract":"<p><p>BackgroundSling bridge exercise is an important exercise for closed-chain strength training used in clinical settings. Sufficient strengths of the various hip muscles are needed for accurate movement of the hip joint.ObjectiveTo compare the difference in the electromyographic activities of the gluteus maximus (GM), GM/biceps femoris (BF), and the rating of perceived exertion (RPE), the visual analogue scale (VAS) in individuals with non-specific lower back pain (NSLBP) among four different sling-bridge exercises.MethodsTwenty NSLBP participants were included. They were asked to perform different sling-bridge exercises as follows: (1) Sling on the heel with knee extension; HKE, (2) Sling on the heel with knee flexion; HKF, (3) Sling on the knee with knee extension; KKE, (4) Sling on the knee with knee flexion; KKF] in random order. GM, BF, and MF muscle activities were measured by surface electromyography during the exercises. One-way repeated analysis of variance and Bonferroni post hoc test were used to compare normalized muscle activities. The significance level was set at α = 0.01.ResultsThe muscle activity of GM and the ratio of GM/BF muscle activity were significantly different among four different conditions (HKE, HKF, KKE, KKF) (adjusted p-value; P<sub>adj</sub> < 0.01). The muscle activity of GM was higher during the KKF sling-bridge exercise than the HKE, HKF, and KKE sling-bridge exercises (P<sub>adj</sub> < 0.01). The ratio of GM/BF muscle activity during the KKF sling bridge exercise was higher than the HKE, HKF, and KKE sling-bridge exercises (P<sub>adj</sub> < 0.01). In contrast, the visual analogue scale (VAS) and rating of perceived exertion (RPE) during the KKF sling-bridge exercise were smaller than the HKE, HKF, and KKE sling-bridge exercises (P<sub>adj</sub> < 0.01).ConclusionKKF sling-bridge exercise can be recommended to selectively facilitate the muscle activity of GM and improve the ratio of GM/BF muscle activity without an increase in VAS and RPE in individuals with NSLBP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251326909"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of gluteus maximus subdivisions, erector spinae, and biceps femoris activities and lumbopelvic motion during various prone hip exercises. 臀大肌分支、竖脊肌、股二头肌活动和各种俯卧髋关节运动中腰骨盆运动的比较。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251323114
Sun-Shil Shin, Won-Gyu Yoo
{"title":"Comparison of gluteus maximus subdivisions, erector spinae, and biceps femoris activities and lumbopelvic motion during various prone hip exercises.","authors":"Sun-Shil Shin, Won-Gyu Yoo","doi":"10.1177/10538127251323114","DOIUrl":"https://doi.org/10.1177/10538127251323114","url":null,"abstract":"<p><p>BackgroundPrevious studies have reported that the gluteus maximus (GMax) consists of two distinct functional portions: the upper or superficial portion (GMU) and the lower or deep portion (GML). However, there is a lack of current literature providing recommendations for effective functional exercises that specifically target each subdivision of the GMax.ObjectiveTo investigate differences in GMax subdivisions, erector spinae (ES), and biceps femoris (BF) electromyographic (EMG) activity and lumbopelvic motion during five prone hip extension (PHE) exercises.MethodsThis cross-sectional study recruited 38 asymptomatic young adults. Participants performed five PHE exercises: PHE with knee extension (PHEKE), PHE with 90° knee flexion (PHRKF) and hip abduction 0° (PHEKFA0), 15° (PHEKFA15), 30° (PHEKFA30), and PHEKF with trunk support on the table (PHEKFTS). Surface EMG signals were recorded from GMU, GML, ES, and BF on the dominant side and the angles of pelvic were measured during the exercises, which involved an abdominal drawing-in maneuver. Differences in EMG amplitude and pelvic motion among the five conditions were analyzed using one-way repeated measures analysis of variance (ANOVA). For significant main effects, pairwise comparisons were conducted with Bonferroni correction to identify specific differences between conditions (0.05/10). The level of statistical significance was set at p <0.005.ResultsGMU and GML EMG amplitudes showed similar trends across the five PHE exercises. The highest EMG amplitudes for GMU and GML were observed in the PHEKFTS exercise. Additionally, the GMU and GML EMG amplitudes were significantly greater in PHEKFA30 compared to PHEKFA15 and PHEKFA0 (p < 0.005). Muscle activation of ES was significantly higher in PHEKFA30 compared to PHEKE exercises showed significant differences (p < 0.005). Muscle activation of BF and BF/Gmax ratio were significantly higher in PHEKE compared to all other PHE exercises (p < 0.005).ConclusionClinically, PHEKFA30 is recommended for effectively activating GMU and GML while minimizing compensation from BF, and managing lumbopelvic motions. For advanced GMax rehabilitation, PHEKFTS is suggested due to its favourable ratio of ES to GMax.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323114"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patientś experiences of everyday life before and after cervical spine surgery. 颈椎手术前后患者的日常生活体验。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251323375
Jane Tiede Barsballe, Lisa Gregersen Oestergaard, Maurits van Tulder, Louise Moeldrup Nielsen
{"title":"Patientś experiences of everyday life before and after cervical spine surgery.","authors":"Jane Tiede Barsballe, Lisa Gregersen Oestergaard, Maurits van Tulder, Louise Moeldrup Nielsen","doi":"10.1177/10538127251323375","DOIUrl":"https://doi.org/10.1177/10538127251323375","url":null,"abstract":"<p><p>BackgroundNeck pain is a common musculoskeletal disorder. Although surgery reduces symptoms, some patients still report significant pain and disabilities postoperatively. A deeper understanding of patients' experiences is needed to plan coherent rehabilitation.ObjectiveTo explore how patients undergoing cervical spine surgery experience their everyday life pre- and post-operatively.MethodsA qualitative study with a descriptive approach. Nine patients who had recently undergone cervical spine surgery were interviewed. Systematic text condensation was used in the analysis.ResultsFive themes emerged: \"Neck pain has an extensive impact\", \"Surgery gives expectations of a life again\", \"Handling the situation\", \"After surgery, it´s in the back of your mind\" and \"Uncertainty abounds\". Patients living with neck pain experience a high impact on physical, mental and social aspects. Acceptance, support and planning are important to deal with the situation. Postoperatively, patients experience a fear of doing something wrong making them refrain from activities.ConclusionLiving with neck pain seems to have an extensive impact on physical, mental and social aspects of everyday life. Although patients have positive expectations, uncertainty concerning physical abilities is a mental challenge. This indicates that the rehabilitation process should target efficient utilization of mental, social and physical resources.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251323375"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of modified hip airplane exercise on gluteal muscle activation in healthy individuals. 改良髋关节飞机运动对健康人臀部肌肉激活的影响。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251322857
Jae Keun Song, Won-Gyu Yoo
{"title":"Effects of modified hip airplane exercise on gluteal muscle activation in healthy individuals.","authors":"Jae Keun Song, Won-Gyu Yoo","doi":"10.1177/10538127251322857","DOIUrl":"https://doi.org/10.1177/10538127251322857","url":null,"abstract":"<p><p>BackgroundPrevious studies have investigated traditional gluteal strengthening exercises, such as single-leg squats and pelvic drops, research on gluteal muscle activation during the hip airplane exercise remains limited. Moreover, the traditional hip airplane exercise requires a high degree of motor control, making it a challenging and advanced movement.ObjectiveTo compare muscle activation during the hip airplane exercise, the modified hip airplane exercise, and traditional gluteal exercises, including the single-leg squat and pelvic dropMethodsTwenty healthy adult males participated in the study. Electromyography (EMG) activity of the gluteus maximus (Gmax), gluteus medius (Gmed), and tensor fasciae latae (TFL) was measured during all four exercises using a wireless surface EMG system.ResultsGmax activity was significantly higher during the single-leg squat than during the other exercises (p < 0.05). Gmed activity was significantly higher during the modified and original hip airplane exercise compared to the other traditional gluteal exercises (p < 0.05). TFL activity was highest during the pelvic drop exercise but significantly lower during the modified hip airplane exercise than in the other exercises (p < 0.05). Furthermore, the Gmed/TFL ratio was significantly higher in the modified hip airplane exercise than in the other exercises (p < 0.05). No significant differences were observed in Gmax or Gmed activation between the hip airplane and modified hip airplane exercises.ConclusionThese findings suggest that the modified hip airplane exercise is more effective at activating the Gmed while minimizing TFL activity compared to the hip airplane exercise and traditional gluteal exercises. Therefore, the modified hip airplane exercise is useful for strengthening the gluteal muscles, which may help prevent various lower extremity musculoskeletal disorders.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251322857"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How does pes planus affect jumping performance and balance ability? 平足是如何影响跳跃表现和平衡能力的?
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251324728
Rigina Rakhmatova, Mehmet Miçooğulları, Mehmet Ismet Tok
{"title":"How does pes planus affect jumping performance and balance ability?","authors":"Rigina Rakhmatova, Mehmet Miçooğulları, Mehmet Ismet Tok","doi":"10.1177/10538127251324728","DOIUrl":"https://doi.org/10.1177/10538127251324728","url":null,"abstract":"<p><p>BackgroundPes planus is characterized by the flattening of the medial longitudinal arch of the foot, which can alter the biomechanics of the lower extremities and affect overall athletic performance. This randomized double-blinded controlled study was designed to investigate the effects of pes planus on jumping and balance performance.MethodsOne hundred thirty-one participants were assigned to the pes planus group (n = 66) and the control group (n = 65). Foot posture index (FPI) was used to determine pes planus. The vertical jump was measured by the VertiMetric device; horizontal jump performance by using the single leg hop test. Y Balance Test (YBT) was used to evaluate dynamic balance. The Mann-Whitney U test has been used for comparison of the groups and the alpha level is set at 0.05.ResultsVertical jump results of the pes planus group have been found statistically lower compared to the control group (p < 0.05). However, there were no statistically significant differences in the horizontal jump and YBT measurements between groups (p > 0.05). A weak negative correlation was found between the vertical jump distance and FPI scores (p < 0.05). There was a significant weak positive relationship between the FPI scores and anterior parameter of YBT in both sides (p < 0.05) and there were no statistically significant correlations between the posteromedial and posterolateral parameters in both sides (p > 0.05).ConclusionPes planus is associated with the only anterior reach of YBT, and vertical jumping performance; therefore, it is recommended to include strengthening and correction exercises for pes planus to improve vertical jumping performance and reduce risk of injuries.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251324728"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical therapists' perspectives and clinical practice on assessment, rehabilitation, and return to sport criteria after anterior cruciate ligament injury and reconstruction in Saudi Arabia. 物理治疗师的观点和临床实践评估,康复,并恢复运动标准后,前交叉韧带损伤和重建在沙特阿拉伯。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-28 DOI: 10.1177/10538127251329009
Dina Mushari, Afaf Am Shaheen
{"title":"Physical therapists' perspectives and clinical practice on assessment, rehabilitation, and return to sport criteria after anterior cruciate ligament injury and reconstruction in Saudi Arabia.","authors":"Dina Mushari, Afaf Am Shaheen","doi":"10.1177/10538127251329009","DOIUrl":"https://doi.org/10.1177/10538127251329009","url":null,"abstract":"<p><p>Background and objectivesTo explore the physical therapists' (PTs) perspectives and clinical practice on assessment, rehabilitation, and return to sports (RTS) criteria and to investigate their associations with gender, level of educational qualification, years of clinical experience, and the number of individuals treated after ACL injury and reconstruction (ACLR) in Saudi Arabia (SA).MethodsThis descriptive cross-sectional study surveyed 206 participants through an online survey covering demographics, ACLR rehabilitation importance, clinical measurements, practice, progression criteria, return to running, and RTS.ResultsMost PTs (84.9%) see an individual post-ACLR for the first time within the first week. About 24.8% of PTs preferred starting open kinetic chain (OKC) exercises one to seven days immediately post-ACLR. The timing of returning to running post-ACLR is variable among participants. Between six to nine months, 39.8% of PTs allowed an individual post-ACLR to RTS. Over 40% of participants did not use patient-reported outcome measures (PROMs) to clear an individual post-ACLR to RTS or evaluate psychological readiness. About 76.2% recommended an ACL injury prevention program at discharge.ConclusionMost PTs in SA inconsistently follow evidence-based ACLR rehabilitation practices. Education and training programs are needed to bridge the evidence-to-practice gap in post-ACLR care.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251329009"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating shoulder pain and disability index (SPADI) outcomes post-rotator cuff repair: Minimal clinically important difference (MCID), patient acceptable symptom state (PASS) and substantial clinical benefit (SCB) analysis. 评估肩袖修复后肩痛和残疾指数(SPADI)结果:最小临床重要差异(MCID)、患者可接受症状状态(PASS)和实质性临床获益(SCB)分析。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-26 DOI: 10.1177/10538127251320504
Giuseppe Salvatore, Umile Giuseppe Longo, Sergio De Salvatore, Vincenzo Candela, Ilaria Piergentili, Benedetta Bandini, Alberto Lalli, Margaux D'Hooghe, Alessandro de Sire, Vincenzo Denaro
{"title":"Evaluating shoulder pain and disability index (SPADI) outcomes post-rotator cuff repair: Minimal clinically important difference (MCID), patient acceptable symptom state (PASS) and substantial clinical benefit (SCB) analysis.","authors":"Giuseppe Salvatore, Umile Giuseppe Longo, Sergio De Salvatore, Vincenzo Candela, Ilaria Piergentili, Benedetta Bandini, Alberto Lalli, Margaux D'Hooghe, Alessandro de Sire, Vincenzo Denaro","doi":"10.1177/10538127251320504","DOIUrl":"https://doi.org/10.1177/10538127251320504","url":null,"abstract":"<p><p>BackgroundThe Shoulder Pain and Disability Index (SPADI) is one of the most widely used Patient Reported Outcome Measures designed to assess the severity of pain and disability in patients with shoulder conditions.ObjectiveThe aim of the study is to define the clinically significant outcomes of the Minimum Clinically Important Difference (MCID), Substantial Clinical Benefit (SCB) and Patient Acceptable Symptom State (PASS) for the SPADI scores after Rotator Cuff Repair (RCR).MethodsThe present study takes into account patients undergone RCR with a 6-month follow-up. The MCID, PASS and SCB of the SPADI score were evaluated using both distribution and anchor approaches.ResultsFifty-nine patients (mean aged 60.3 ± 13.1 years) who had undergone RCR in a single surgical center were retrospectively included. The MCID cutoff of the SPADI total score after RCR from the initial evaluation to 6 months post-operatively was 17 (95% CI:13.6,20.4). The outcome measures for the MCID and SCB values of the SPADI pain score were 26 (95% CI:22.3,29.7) and 37 (95% CI:33.4,40.6), respectively. The MCID threshold of the SPADI disability score was 21.9 (95% CI:18.7,25.1). A value of at least 76.9 (95% CI:73.4,80.4), 75 (95% CI:71.6,78.4), and 78.1 (95% CI:74.6,81.6) for SPADI total, pain, and disability dimensions, represented the PASS.ConclusionsThe study shows significant improvements in SPADI scores after RCR, suggesting that could lead to meaningful pain relief and functional recovery. The findings indicate that a post-operative SPADI total score of at least 76.9 correlates with patient satisfaction regarding shoulder health.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251320504"},"PeriodicalIF":1.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparisons of test-retest reliability of infraspinatus strength during wiper exercise with and without external fixation in individuals of scapular dyskinesis. 肩胛骨运动障碍患者在有和没有外固定物的雨刷运动中棘下肌力量的重测可靠性比较。
IF 1.4 4区 医学
Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-03-25 DOI: 10.1177/10538127251318942
Eun-Chong Kim, Min-Young Hwang, Hyun-Min Shin, Su-Yeon Bae, Su-Yeon Cho, In-Cheol Jeon
{"title":"Comparisons of test-retest reliability of infraspinatus strength during wiper exercise with and without external fixation in individuals of scapular dyskinesis.","authors":"Eun-Chong Kim, Min-Young Hwang, Hyun-Min Shin, Su-Yeon Bae, Su-Yeon Cho, In-Cheol Jeon","doi":"10.1177/10538127251318942","DOIUrl":"https://doi.org/10.1177/10538127251318942","url":null,"abstract":"<p><p>BackgroundThe wiper exercise in a side-lying position is commonly used in clinical settings to assess the strength of the infraspinatus muscle. In addition, a reliable test of infraspinatus strength is important for individuals with scapular dyskinesis.ObjectiveThe purpose is to compare the test-retest reliability of infraspinatus strength during the wiper exercise with and without external fixations in individuals with scapular dyskinesis.MethodsThirty individuals with scapular dyskinesis participated. A dynamometer was utilized to measure the strength of the infraspinatus during the wiper exercise with and without external fixation applied to the posterior superior iliac spine (PSIS) and spinous process of a fourth thoracic vertebra (T4). The intra-class correlation coefficients (ICC 3,1) were used to compare the reliability of infraspinatus strength measurement.ResultsThe reliability for infraspinatus strength measurement was higher with external fixation than without external fixation. The ICC value during wiper exercise with external fixation was 0.99 (95% confidence interval: 0.96-0.99; P < 0.01), and the average strength was 7.35 ± 2.2 kg. In contrast, the ICC value during wiper exercise without external fixation was 0.79 (95% confidence interval: 0.49-0.93; P < 0.01), and the average strength was 5.86 ± 1.45 kg.ConclusionIn individuals with scapular dyskinesis, the infraspinatus strength measurement during the wiper exercise with external fixation is recommended to improve the test-retest reliability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251318942"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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