Humberto Gomes Vidal, E. Soriano, Arnaldo de França Caldas Júnior, Marcus Vitor Diniz de Carvalho, Luiz Gutenberg Toledo de Miranda Coelho Júnior, José Durval de Lemos Lins Filho
{"title":"Cumulative Trauma Disorders among Dentists","authors":"Humberto Gomes Vidal, E. Soriano, Arnaldo de França Caldas Júnior, Marcus Vitor Diniz de Carvalho, Luiz Gutenberg Toledo de Miranda Coelho Júnior, José Durval de Lemos Lins Filho","doi":"10.3109/10582452.2014.907849","DOIUrl":"https://doi.org/10.3109/10582452.2014.907849","url":null,"abstract":"Abstract Objectives: The aim of this study was to investigate the cumulative trauma disorders [CTD] among public health dentists according to sex, age, working time, specialty, workload, and physical activity, identifying the frequency, intensity, and limitations caused by CTD in their professional practice. Methods: A cross-sectional study was carried out with 150 dentists in public health units. Subjects were classified according to socioeconomic and demographic levels, the presence or absence of CTD, and type of working process. The Portuguese version of the Nordic Musculoskeletal Questionnaire was used to evaluate these variables. The statistical analysis was performed using the SPSS software. The chi-square and Fisher's exact tests were used to evaluate the association between variables, with a confidence interval set at 95% and a significance level at 5%. Results: Most subjects interviewed were female [79.3%] with an average of 20 years of professional experience [46.0%]. Despite 92% of respondents showing symptoms of musculoskeletal disorders, only 20% were diagnosed with CTD. Conclusions: The presence of CTD in the studied sample was high. The large number of dentists with the symptoms compared to the low number of dentists properly diagnosed is suggestive of underreporting and explains why governmental statistics do not have this data.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"193 - 198"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.907849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Back Pain from Spinal Tuberculosis","authors":"P. Akpınar, A. Içağasioğlu, M. Cihangiroglu","doi":"10.3109/10582452.2014.883016","DOIUrl":"https://doi.org/10.3109/10582452.2014.883016","url":null,"abstract":"Abstract Background: Spinal tuberculosis is an uncommon disease but still occurs widely. Findings: We describe a 56-year-old woman presenting with a severe backache. She was diagnosed with osteoporosis and a lumbar disc herniation two months ago, but tuberculosis had not been diagnosed before. We reviewed the relevant literature and emphasized the impact of early diagnosis of spinal tuberculosis. Conclusions: The onset of tuberculous spondylitis is insidious in nature, with various clinical presentations. Lack of specific symptoms causes delays in diagnosis. Its diagnosis may be delayed because tuberculosis is not considered in the differential diagnosis. In cases with severe back pain, spinal tuberculosis must be included in the differential diagnosis.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"13 1","pages":"206 - 209"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Bot, S. Becker, H. Bruijnzeel, M. Mulders, D. Ring, A. Vranceanu
{"title":"Creation of the Abbreviated Measures of the Pain Catastrophizing Scale and the Short Health Anxiety Inventory: The PCS-4 and SHAI-5","authors":"A. Bot, S. Becker, H. Bruijnzeel, M. Mulders, D. Ring, A. Vranceanu","doi":"10.3109/10582452.2014.883020","DOIUrl":"https://doi.org/10.3109/10582452.2014.883020","url":null,"abstract":"Abstract Objective: In patients with arm and upper extremity illness, pain catastrophizing and health anxiety are important factors in disability, pain and patient satisfaction. The aim of this study was to develop a shorter version of the 13-item Pain Catastrophizing Scale [PCS] and 18-item Short Health Anxiety Inventory [SHAI]. Methods: One hundred and sixty-four patients [54% women, mean age of 51 years] with a variety of upper extremity diagnoses enrolled in this study. Patients completed the PCS, the SHAI, the Disabilities of Arm Shoulder and Hand questionnaire [DASH] for disability, the Patient Health Questionnaire-9 [PHQ-9] for depressive symptoms and a scale to measure pain. Inter-correlation analyses were conducted on each of the subscales of the PCS and the SHAI and questions were selected based on the magnitude of their inter-item correlation. Results: Questions 3, 6, 8 and 11 remained in the PCS-4 and showed good internal consistency [α = 0.86] and correlated highly with the original PCS [r = 0.96]. Questions 2, 3, 12, 15 and 17 were chosen for the SHAI-5. The SHAI-5 had α = 0.67 and had a correlation or r = 0.87 with the SHAI-18. Both the SHAI-5 and PCS-4 had equal correlations with DASH, PHQ and pain as the original questionnaires. Conclusions: We found that the PCS-4 and SHAI-5 were comparable to the original questionnaires, but further studies should be conducted in order to confirm our findings. This study provides preliminary evidence that the PCS-4 and SHAI-5 could be used to screen for health anxiety and pain catastrophizing in busy orthopedic settings. Level of Evidence: Diagnostic Level II","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"24 1","pages":"145 - 151"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burhan Baykara, B. Dilek, K. Nas, Ali Ulu, I. Batmaz, M. Caglayan, R. Çevik
{"title":"Vitamin D Levels and Related Factors in Patients with Chronic Nonspecific Low Back Pain","authors":"Burhan Baykara, B. Dilek, K. Nas, Ali Ulu, I. Batmaz, M. Caglayan, R. Çevik","doi":"10.3109/10582452.2014.883025","DOIUrl":"https://doi.org/10.3109/10582452.2014.883025","url":null,"abstract":"Abstract Objectives: To evaluate the 25-hydroxy vitamin D3 [25OHD3] levels and the associated factors in patients with chronic nonspecific low back pain [LBP] in our region. Methods: Sixty patients diagnosed with chronic nonspecific LBP and a control group of 30 healthy subjects were enrolled. The demographic characteristics were recorded and the serum 25OHD3 level was measured. The severity of the LBP was measured with a visual analog scale. Milk and dairy product consumption, fish consumption, dressing style, exposure to the sunlight, and physical activity levels of the individuals in each group were recorded. The quality of life was evaluated with the Short Form 36. Depression status was evaluated through the Beck Depression Inventory. The Oswestry Disability Scale was used for the functional assessment of the patient group. Results: The mean age of the patients was 30.58 ± 7.78 years and control group was 30.97 ± 6.70 years. The sun exposure and fish consumption were significantly higher in the control group. The scores from all the dimensions of the Short Form 36 [except for the mental health parameter] and Beck Depression Inventory were significantly lower in the patient group. The 25OHD3 level was also significantly lower in the patient group. According to the Oswestry Disability Scale, the daily life of the patients was observed to be limited due to LBP. Conclusions: In the patients with chronic LBP [CLBP], 25OHD3 level is lower than the healthy controls. In CLBP, increasing incidence of depression, deterioration in the quality of life, and serious functional impairment are observed. Vitamin D levels should be evaluated and any deficiency should be treated in patients with CLBP.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"160 - 169"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Abdel-aziem, A. Draz, Kadrya H. Battecha, D. Mosaad
{"title":"Effect of Ultrasound Combined with Conventional Therapy on Neck Pain, Function, and Disability in Patients with Cervical Spondylosis: A Randomized Placebo-Controlled Trial","authors":"A. Abdel-aziem, A. Draz, Kadrya H. Battecha, D. Mosaad","doi":"10.3109/10582452.2014.907853","DOIUrl":"https://doi.org/10.3109/10582452.2014.907853","url":null,"abstract":"Abstract Objective: The purpose of this study was to evaluate the effect of continuous ultrasound [US] compared with placebo US combined with conventional physiotherapy program for patients with cervical spondylosis. Methods: This was a randomized placebo-controlled trial. Patients, diagnosed with cervical spondylosis, were randomly assigned to one of two groups in an orthopedic physical therapy clinic: a group that received electrotherapy, exercise, hot packs, and therapeutic US [True US group] and a group that received electrotherapy, exercise, hot packs, and sham US [Sham US group]. Patients were treated, on average, three times per week for 4 weeks. Outcome measurements were collected at baseline and after 4 weeks using the Numeric Pain Rating Scale, Patient-Specific Functional Scale, and Neck Disability Index. Results: Analysis of variance showed that both groups had improved regarding Numeric Pain Rating Scale, Patient-Specific Functional Scale, and Neck Disability Index [p < 0.05]. There was no significant difference between both groups for pretest and post-test values [p > 0.05] for all measures. Conclusions: The addition of US to conventional physiotherapy program of electrotherapy, exercise, and hot packs yields no additional benefit to neck pain, function, or disability in patients with cervical spondylosis.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"199 - 205"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.907853","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systematic Review on the Efficacy of Topical Arnica montana for the Treatment of Pain, Swelling and Bruises","authors":"N. Brito, P. Knipschild, Jorge Doreste-Alonso","doi":"10.3109/10582452.2014.883012","DOIUrl":"https://doi.org/10.3109/10582452.2014.883012","url":null,"abstract":"Abstract Background: Arnica montana has been used as a remedy for centuries, and is common today for the treatment of pain, swelling and bruises. However its efficacy remains controversial. The authors systematically review the literature on the efficacy of A. montana applied topically. Literature searches of the main electronic databases on topical Arnica were performed. Also relevant experts and the herbal industry were consulted. Data was analyzed and the methodological quality assessed. Findings: Eleven controlled trials were found, five in volunteers and six in patients. Heterogeneity in the health conditions, Arnica dosage, co-interventions, and effects measurements was high, and many studies had important methodological flaws. Often, the number of participants was small and there were potential risks for bias. We identified a trend to better quality as the studies were more recent. Even the better studies showed at most a modest effect. Conclusion: The efficacy of Arnica in doses of 10% and below is not supported by the available evidence. More research is needed to determine if higher doses would be effective and remain safe.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"216 - 223"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of Low Back Pain: Non-Working Women in Kanpur City, India","authors":"G. Gupta, D. Tiwari","doi":"10.3109/10582452.2014.883015","DOIUrl":"https://doi.org/10.3109/10582452.2014.883015","url":null,"abstract":"Abstract Objectives: In the Indian social structure, as in many other countries and regions across the globe, housewives form the nucleus of their family. They have a nonstop hectic full day assignment in the home, and yet their contribution has neither been adequately acknowledged, nor has it received due attention of researchers. The aim and objective of this study is to determine the prevalence of Low Back Pain (LBP) in non-working women of Kanpur city. Also, an attempt has been made to find the amount of social burden and its impact on LBP present in housewives of Kanpur city. Method: A sample of 300 non-working women of Kanpur city, aged 25 to 70 years, was selected. The Nordic Musculoskeletal Questionnaire, Oswestry Disability Index, and Zarit Burden Interview measuring musculoskeletal discomfort, low back disability and social burden respectively were given to all the women. Results: Descriptive analysis data reveal the recent episode of LBP were present in 93% of the women, 82% had chronic LBP and 71% of women reported restriction in their normal activity of daily living due to their pain in last 12 months. The Oswestry Disability Index data revealed that more than 55% of women reported moderate disability due to pain. Correlation analysis showed that disability due to LBP has a significant correlation with social burden. Conclusion: The findings of the present study revealed alarming information regarding the prevalence of LBP in housewives of Kanpur city. Due to its significant correlation with disability and social burden, LBP plays a crucial role in the overall health status of housewives.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"1 1","pages":"133 - 138"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myofascial Pain in War Veterans with Post-Traumatic Stress Disorder","authors":"B. Vidaković, J. Grgurević, Z. Sonicki","doi":"10.3109/10582452.2014.883029","DOIUrl":"https://doi.org/10.3109/10582452.2014.883029","url":null,"abstract":"Abstract Objectives: This study is aimed to investigate occurrence of myofascial pain syndrome in a group of Croatian war veterans suffering from post-traumatic stress disorder [PTSD] and to compare them with a healthy normal control [HNC] group, and to describe the most frequent locations of trigger points in the head and neck region. Methods: A total of 202 male subjects participated in the examination. They were divided into a group of war veterans suffering from a PTSD and an HNC group. The first group consisted of 101 war veterans with PTSD [mean age = 47.22 years, range = 33–73 years]; the HNC group consisted of 101 subjects [mean age = 46.72 years, range = 34–61 years] who did not participate in the War of Independence. Results: The PTSD group revealed a higher prevalence of headaches [p < 0.001], cervical spine problems [p < 0.001], jaw clicking and popping [p = 0.032], teeth grinding or clenching during the day [p < 0.001], teeth grinding or clenching while sleeping [p < 0.001], jaw ache in the morning [p < 0.001], jaw problems while chewing [p < 0.001], parafunctions [p < 0.001], muscle stiffness [p < 0.001], and trigger points [p < 0.001] than the HNC group. Conclusion: The frequency of myofascial pain among war veterans with PTSD is significantly higher than in the HNC group. Myofascial pain must be considered among patients with PTSD, and if diagnosed must be treated in order to improve primary therapy of PTSD, and to improve quality of life of the patients.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"182 - 186"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69500244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bone Marrow Edema – An Unusual Cause of Ankle Pain","authors":"F. Anwar, A. Al-khayer","doi":"10.3109/10582452.2014.883018","DOIUrl":"https://doi.org/10.3109/10582452.2014.883018","url":null,"abstract":"Abstract Background: Bone marrow edema is very rare in the talus and can cause diagnostic dilemma when present with pain, with or without any history of injury. Findings: We present a case of bone marrow edema of the talus with pain almost 18 months following an inversion injury to the ankle. The pain was managed successfully with a multidisciplinary approach. Conclusion: Although rare, bone marrow edema of the talus can lead to significant restriction in activity and participation.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"210 - 212"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Batmaz, B. Dilek, M. Sarıyıldız, S. Erbatur, Y. Bez, L. Yazmalar, M. Bozkurt, R. Çevik
{"title":"Depressive and Anxious Temperaments in Patients with Complex Regional Pain Syndrome Secondary to Tendon Injury","authors":"I. Batmaz, B. Dilek, M. Sarıyıldız, S. Erbatur, Y. Bez, L. Yazmalar, M. Bozkurt, R. Çevik","doi":"10.3109/10582452.2014.883019","DOIUrl":"https://doi.org/10.3109/10582452.2014.883019","url":null,"abstract":"Abstract Objective: To determine the affective temperaments and somatoform amplification of the symptoms and its relation with the complex regional pain syndrome [CRPS] in patients who had tendon injuries of the forearm and hand. Methods: Sixty-seven patients [60 males, 7 females] with a forearm or hand tendon injury were enrolled in the present study. The patients were divided into two groups: CRPS and non-CRPS. The patients’ pain levels within the last 48 hours were assessed using the visual analog scale [VAS]. The temperament of the patients was evaluated using the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto questionnaire [TEMPS-A]. Their anxiety levels were evaluated with the help of the State-Trait Anxiety Inventory [STAI]. The depression assessment was performed using the Beck Depression Inventory [BDI]. The Somato sensory Amplification Scale [SSAS] was employed for the evaluation of the somatoform disorders. Results: The mean age of the patients was 26.21 ± 8.01 years [age range: 18 to 57 years]. Among the patients 24 [35.8%] had developed CRPS. When the patients with and without CRPS were compared in terms of their psychological scores, the STAI-II and BDI scores were observed to be significantly deteriorated in the CRPS group in comparison to the non-CRPS group [p < 0.05]. Among the TEMPS-A subtypes, anxious [16.7%] and depressive [41.7%] temperaments were more dominant in the CRPS group and the ratio was significantly more deteriorated than the non-CRPS group [p < 0.05]. No significant difference was observed between the groups regarding the SSAS scores [p > 0.05]. Conclusion: The present study is the first one evaluating the affective temperaments of CRPS patients with tendon injury, and the main findings point out that depressive and anxious temperaments are the most common dominant affective temperaments among our patients.","PeriodicalId":50121,"journal":{"name":"Journal of Musculoskeletal Pain","volume":"22 1","pages":"139 - 144"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/10582452.2014.883019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69499988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}