Musculoskeletal Science and Practice最新文献

{"title":"Assessment of joint position sense in active and passive modes with various elbow flexion angles and movement speeds using an isokinetic dynamometer","authors":"Yi-Jung Tsai ,&nbsp;Ting-Chien Tsai ,&nbsp;Tzu-Chun Chung ,&nbsp;Chih-Kun Hsiao ,&nbsp;Yuan-Kun Tu","doi":"10.1016/j.msksp.2024.103153","DOIUrl":"10.1016/j.msksp.2024.103153","url":null,"abstract":"<div><h3>Background</h3><p>Joint position sense is the ability to detect body segment position in space and is commonly used to represent proprioceptive performance. The isokinetic dynamometer is frequently used to evaluate elbow joint position sense during active and passive reproduction tasks with various testing protocols. However, few studies have reported the performance of joint position sense under different testing conditions.</p></div><div><h3>Objective</h3><p>To compare elbow joint position sense between active and passive reproduction tasks under different matching speeds and reference targets.</p></div><div><h3>Design</h3><p>A cross-sectional study.</p></div><div><h3>Methods</h3><p>Twenty participants without a history of upper-extremity surgery or neuromuscular diseases that affect the joint position sense of the elbow. Active and passive ipsilateral matching tasks were performed at four movement speeds (0.5°/s, 1°/s, 2°/s, and 4°/s) and three reference targets (elbow flexion at 0°–15°, 45°–60°, and 75°–90°), using an isokinetic dynamometer. The absolute and variable errors of each condition were calculated for comparison.</p></div><div><h3>Results</h3><p>In active matching task with elbow flexion of 0°–15°, the absolute error at 0.5°/s was significantly larger than that at 2°/s and 4°/s, while the variable error at 1°/s was significantly larger than that at 2°/s. However, no differences were found at elbow flexion angles of 45°–60° and 75°–90°. Larger absolute errors were found at 4°/s with three testing angles in passive matching task.</p></div><div><h3>Conclusions</h3><p>This study compared the joint position sense errors under various testing conditions in the active and passive reproduction tasks. The movement speeds and target position effects should be considered during evaluation.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103153"},"PeriodicalIF":2.2,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical therapists’ perceptions and attitudes towards artificial intelligence in healthcare and rehabilitation: A qualitative study","authors":"Lama Shawli ,&nbsp;Mashael Alsobhi ,&nbsp;Mohamed Faisal Chevidikunnan ,&nbsp;Sheeba Rosewilliam ,&nbsp;Reem Basuodan ,&nbsp;Fayaz Khan","doi":"10.1016/j.msksp.2024.103152","DOIUrl":"10.1016/j.msksp.2024.103152","url":null,"abstract":"<div><h3>Background</h3><p>Artificial intelligence (AI) is being introduced to rehabilitation practices, and it can optimize the patient's outcome through their ability to design personalized care strategies and interventions.</p></div><div><h3>Objectives</h3><p>To understand the attitudes and perceptions of physical therapy professionals on the use of AI in rehabilitation in regard to treatment planning, diagnosis, outcome prediction, and advantages and disadvantages<strong>.</strong></p></div><div><h3>Design and Methods</h3><p>This paper followed an exploratory, qualitative research design. Semi-structured, one-to-one interviews were conducted with participants of different experience levels and specialties in physical therapy. Results were evaluated using thematic analysis.</p></div><div><h3>Results</h3><p>Four themes were identified: (i) perceptions of AI and its applications in healthcare services, (ii) impact on the workforce (iii) considerations around implementing AI within rehabilitation and (iv) AI, and the fast-approaching future. Participants shared views on the potential impact of AI on rehabilitation practices, such as aiding the decision-making process, saving time and effort of both the therapist and patients. Participants have stressed on potential pitfalls that still need to be considered, such as patient data privacy, potential loss of patient-healthcare practitioner relationship, ethical concerns regarding overreliance on these applications and how that might hinder effective patient care.</p></div><div><h3>Conclusion</h3><p>The findings add to the literature about physical therapists' understanding regarding the use of AI in patient care. Several concerns were raised to the adoption of AI, including concerns about patient privacy, and ethical concerns. Based on the study findings, researchers emphasize the importance of establishing guidelines when incorporating AI in rehabilitation to improve the therapist's knowledge and skills.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103152"},"PeriodicalIF":2.2,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Words matter: Effects of instructional cues on pressure pain threshold values in healthy people","authors":"David W. Evans ,&nbsp;Emily Mear ,&nbsp;Bradley S. Neal ,&nbsp;Sally Waterworth ,&nbsp;Bernard X.W. Liew","doi":"10.1016/j.msksp.2024.103150","DOIUrl":"10.1016/j.msksp.2024.103150","url":null,"abstract":"<div><h3>Background</h3><p>Pressure pain threshold (PPT) measurements require standardised verbal instructional cues to ensure that the increasing pressure is stopped at the correct time consistently. This study aimed to compare how PPT values and their test-retest reliability were affected by different instructional cues.</p></div><div><h3>Methods</h3><p>At two separate sessions, two PPT measurements were taken at the anterior knee for each of four different instructional cues: the cue of the German Neuropathic Research Network instructions (‘DFNS’), the point where pressure first feels uncomfortable (‘Uncomfortable’), 3/10 on the numerical pain rating scale (‘3NPRS’), and where pain relates to an image from the pictorial-enhanced NPRS scale (‘Pictorial’). Linear mixed modeling was used to quantify differences between pairs of instructional cues. Test-retest reliability was estimated using intraclass correlation coefficients (ICC[2,1] and ICC[2,k]).</p></div><div><h3>Results</h3><p>Twenty participants were recruited. The cue resulting in greatest PPT value was DFNS (394.32 kPa, 95%CI [286.32 to 543.06]), followed by Pictorial (342.49 kPa, 95%CI [248.68 to 471.68]), then Uncomfortable (311.85 kPa, 95%CI [226.43 to 429.48]), and lastly 3NPRS (289.78 kPa, 95%CI [210.41 to 399.09]). Five of six pairwise contrasts were statistically significant. Regardless of the cues, the point estimates of ICC (2,1) ranged from 0.80 to 0.86, and the ICC (2,k) values ranged from 0.89 to 0.93. No statistically significant differences were found between any pairwise contrasts of reliability indices.</p></div><div><h3>Conclusion</h3><p>Words matter when instructing people when to stop testing in pressure algometry. Clinicians should use the same instructional cue when assessing pain thresholds to ensure reliability.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103150"},"PeriodicalIF":2.2,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002455/pdfft?md5=f8785fe971ebdfd950cb5f555de73a37&pid=1-s2.0-S2468781224002455-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Item generation for a new patient-reported outcome measure: The non-traumatic anterior knee pain (AKP)-YOUTH scale","authors":"Marie Germund Nielsen ,&nbsp;Kristian Damgaard Lyng ,&nbsp;Sinead Holden ,&nbsp;Simon Kristoffer Johansen ,&nbsp;Marinus Winters ,&nbsp;Michael Skovdal Rathleff","doi":"10.1016/j.msksp.2024.103151","DOIUrl":"10.1016/j.msksp.2024.103151","url":null,"abstract":"<div><h3>Background</h3><p>Non-traumatic anterior knee pain affects one in every five adolescents. Despite the commonality of the condition, there are no patient-reported outcome measures developed specifically for this population. The aim of this study was to identify domains and develop a preliminary item bank for adolescents with non-traumatic anterior knee pain.</p></div><div><h3>Participants</h3><p>Twenty-one adolescents with anterior knee pain participated in semi-structured interviews which explored their experience of living with knee pain. Following thematic analysis, we generated an item bank based on the domains which emerged from the impact their knee pain had on their daily life. Ten clinical experts provided input on the preliminary item bank via an online survey. Cognitive interviews were conducted using the think-aloud approach with ten adolescents to evaluate the comprehensibility and face validity of the items.</p></div><div><h3>Results</h3><p>From the interviews we identified four overarching domains where adolescents were impacted by their knee pain: knee symptoms, limitations in physical activity/sport, limitations in social activities, and emotional impact of pain. Eighteen items were initially developed and expanded to 23 following clinical expert input. The cognitive interviews with adolescents demonstrated that the items were comprehensive, understandable, and relevant for adolescents.</p></div><div><h3>Conclusion</h3><p>This study developed an item bank of 23 items. These spanned four domains of impact for adolescents with anterior knee pain. The items had good face validity and were deemed relevant and understandable for adolescents with knee pain. Further steps are needed to validate and reduce the items for the non-traumatic anterior knee pain (AKP)-YOUTH scale.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103151"},"PeriodicalIF":2.2,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002467/pdfft?md5=0eb4b9bf4e6b4ecfc6a7794b7e4e925d&pid=1-s2.0-S2468781224002467-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141786224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An 8-week physiotherapist-led return to sport group program after anterior cruciate ligament reconstruction improves measures of physical and psychological function: A case series","authors":"Adam Walker ,&nbsp;Larissa Sattler ,&nbsp;Samuel Heyward ,&nbsp;Jordan Tedesco ,&nbsp;Zachariah Jones ,&nbsp;Corey D'Lima ,&nbsp;Caroline Higham ,&nbsp;Sophie Cuthbert ,&nbsp;Wayne Hing","doi":"10.1016/j.msksp.2024.103149","DOIUrl":"10.1016/j.msksp.2024.103149","url":null,"abstract":"<div><h3>Background</h3><p>Low return to competitive sport, high reinjury rates and long-term functional impairment of anterior cruciate ligament reconstruction (ACLR) present significant challenges for patients. A program that facilitates a safe return to sport (RTS) following ACLR could potentially improve outcomes.</p></div><div><h3>Study design</h3><p>Case Series.</p></div><div><h3>Methods</h3><p>Sixty participants (median 20-years-old (13–36), 43 males, 18 females, median 7.5 months (4–25) post-ACLR) completed an eight-week exercise program. A battery of physical tests and patient-reported outcome measures were assessed pre and post-program. The number of participants passing RTS criteria was evaluated, and RTS rates were determined. The correlation between the ACL-RSI and measures of physical function was explored.</p></div><div><h3>Results</h3><p>Improvements in all isometric strength, hop tests, running T-test, and patient reported outcome measures were seen post-program. Five (8%) participants successfully passed all RTS criteria and eighty-five percent of participants returned to their previous level of sport. The ACL-RSI and the IKDC showed correlation across all time points (pre rs = 0.49; post rs = 0.40; change r = 0.40).</p></div><div><h3>Conclusions</h3><p>Our study demonstrated improvements in all RTS criteria tests upon completing the 8-week rehabilitation program; however, few participants (8%) passed all RTS criteria. Psychological readiness is more closely related to patient-reported function than functional tests.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103149"},"PeriodicalIF":2.2,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of the stretching program in male volleyball players with posterior shoulder tightness","authors":"Seda Bicici Ulusahin ,&nbsp;Irem Duzgun ,&nbsp;Mustafa Ugurlu ,&nbsp;Levent Ozcakar","doi":"10.1016/j.msksp.2024.103148","DOIUrl":"10.1016/j.msksp.2024.103148","url":null,"abstract":"<div><h3>Background</h3><p>Stretching programs are often used to improve muscle stiffness and thereby posterior shoulder tightness (PST); however, knowledge about their effects on the viscoelastic properties of muscles and performance is limited.</p></div><div><h3>Objective</h3><p>The aim of this study was to investigate the effects of a six-week stretching program on the viscoelastic properties of posterior shoulder muscles, shoulder functional performance and range of motion in volleyball players with PST.</p></div><div><h3>Study design</h3><p>A Randomized Controlled Trial.</p></div><div><h3>Level of evidence</h3><p>Level II.</p></div><div><h3>Methods</h3><p>The study was conducted in 34 male (aged 19–26) professional volleyball players with PST. They were randomly assigned to stretching and control groups. A stretching routine (combining sleeper stretch and cross body stretch exercises) was performed in the stretching group for six weeks. Measurements were taken during the first assessment and six weeks after the initiation of stretching for the following: shoulder external/internal rotation range of motion, spike velocity, single arm seated shot-put test, and infraspinatus– posterior deltoid muscle stiffness (by shear wave elastography).</p></div><div><h3>Results</h3><p>While the stretching group had statistically better results regarding increased shoulder internal rotation (p &lt; 0.01), spike velocity (p = 0.02) and seated single arm shot put distance (p &lt; 0.01), stretching did not have any effect on tissue stiffness.</p></div><div><h3>Conclusions</h3><p>A 6-week program of sleeper stretch, and cross body stretch exercises improved shoulder internal rotation and functional performance. A clinically meaningful change in muscle mechanical properties cannot be detected after a 6-week stretching program.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103148"},"PeriodicalIF":2.2,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of cervical contralateral lateral flexion on the median nerve and fascia at the wrist – Cadaveric study","authors":"Albert Pérez-Bellmunt ,&nbsp;Carlos López-de-Celis ,&nbsp;Elena Estébanez-de-Miguel ,&nbsp;Jorge Pérez-Rey ,&nbsp;Michael Shacklock ,&nbsp;Sara Ortiz-Miguel ,&nbsp;Elena Bueno-Gracia","doi":"10.1016/j.msksp.2024.103146","DOIUrl":"10.1016/j.msksp.2024.103146","url":null,"abstract":"<div><h3>Background</h3><p>Neurodynamic tests are an essential aspect of the physical examination of the patient when suspicion of neural involvement exists. A manoeuvre that is hypothesised to move nerves differentially relative to other structures (structural differentiation) has been proposed as a necessary part of neurodynamic testing for differential diagnosis. However, although the specificity of structural differentiation for peripheral nerve over muscle has been demonstrated in some body regions, no study has tested specificity of nerve movement relative to fascia.</p></div><div><h3>Objectives</h3><p>The aim of this study was to measure the effect of the cervical contralateral lateral flexion (CCLF) as an structural differentiation manoeuvre for the median nerve compared to fascia (superficial and deep) at the wrist during the upper limb neurodynamic test 1 (ULNT1).</p></div><div><h3>Design</h3><p>A cross-sectional study was performed in 5 fresh frozen cadavers.</p></div><div><h3>Methods</h3><p>Excursion and strain in the fascia (superficial and deep) and the median nerve were measured at the wrist with structural differentiation during the ULNT1. KINOVEA software was used to measure kinematic parameters.</p></div><div><h3>Results</h3><p>CCLF resulted in significant proximal excursion in the median nerve (p &lt; 0.001*) but not in the strain. CCLF neither produced changes in strain nor excursion in the superficial and deep fascia (p &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>This study showed that CCLF produced significant differential excursion in the median nerve at the wrist compared to the local superficial and deep fascia during the ULNT1. The data support CCLF in mechanical differentiation between nerve and fascia in this area in diagnosis of local sources of wrist pain.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103146"},"PeriodicalIF":2.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002418/pdfft?md5=f727ee385bd5a84c71e05cad1b45b22a&pid=1-s2.0-S2468781224002418-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central sensitization-related symptoms and their relationship to disability in prevalent chronic musculoskeletal pain: A cross-sectional study","authors":"Feyza Nur Yücel ,&nbsp;Canan Sanal-Toprak","doi":"10.1016/j.msksp.2024.103147","DOIUrl":"10.1016/j.msksp.2024.103147","url":null,"abstract":"<div><h3>Background</h3><p>Central sensitization (CS) has an important role in chronic musculoskeletal (MSK) pain, which is one of the leading causes of disability worldwide.</p></div><div><h3>Objectives</h3><p>To investigate the relationship between CS-related symptoms and disability in chronic MSK pain.</p></div><div><h3>Design</h3><p>Multi-center cross-sectional survey.</p></div><div><h3>Methods</h3><p>Demographic and clinical variables including location, duration, and severity of pain were recorded. In the examination of disability, Istanbul Low Back Pain Disability Index for low back pain, Neck Pain and Disability Scale for neck pain, Quick Disability of the Arm, Shoulder, and Hand for shoulder/upper extremity pain, and Knee Injury and Osteoarthritis Outcome Score for knee pain were used. CS-related symptoms were investigated via the central sensitization inventory (CSI). Based on CSI scores, patient data were compared using the T test and an ANOVA. The association between CSI and selected variables was investigated using Pearson correlation and multivariate regression analysis.</p></div><div><h3>Results</h3><p>The mean CSI score of five hundred participants was 40.46 (SD: 15.87). Patients with CSI≥40 were found to have higher levels of pain and disability and a poorer quality of life (p &lt; 0.05). In ANOVA, significant differences between groups were observed in CS severity levels for VAS, symptom duration, and all clinical scores (p &lt; 0.01). In the multivariate regression analysis, CSI and VAS scores were found to be related to disability in all pain groups, while pain duration was effective only in the change of knee disability.</p></div><div><h3>Conclusion</h3><p>CS-related symptoms, which are related to increased pain and disability, should be closely monitored in patients with chronic MSK pain.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103147"},"PeriodicalIF":2.2,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The quality of reporting in randomized controlled trials investigating exercise for individuals with whiplash-associated disorders; a systematic review","authors":"Andrea Colombi ,&nbsp;Silvia Vedani ,&nbsp;Antonello Viceconti ,&nbsp;Claire Stapleton","doi":"10.1016/j.msksp.2024.103145","DOIUrl":"10.1016/j.msksp.2024.103145","url":null,"abstract":"<div><h3>Background</h3><p>Whiplash-associated disorders are a common sequela of road traffic accidents. Exercise therapy is considered an effective intervention, and it is recommended for the management of such condition. However, the application of research findings to everyday clinical practice is dependent on sufficient details being reported.</p></div><div><h3>Objectives</h3><p>To explore the quality of reporting in studies investigating the effectiveness of exercise for whiplash-associated disorders.</p></div><div><h3>Methods</h3><p>A literature search was conducted to identify studies testing the effectiveness of exercise for whiplash-associated disorders. Two reporting checklists were used to evaluate reporting completeness. The median positive scores for each study and overall percentage of positive scores for each item were calculated. Percentage agreement and the Cohen's Kappa coefficient were calculated.</p></div><div><h3>Results</h3><p>Twenty-one studies were included. According to the Template for Intervention Description and Replication checklist, items were reported appropriately with a median of 29% (range 0–95%, IQR 40.5). The median number of adequately reported items per study was 5 (range 1–10, IQR 3). For the Consensus on Exercise Reporting Template checklist, items were reported appropriately with a median of 29% (range 0–57%, IQR 29). The median number of adequately reported items per study was 4 (range 0–16, IQR 8). Percentage agreement ranged from 57% to 100% while Cohen's Kappa from −0.17 to 1.00.</p></div><div><h3>Conclusions</h3><p>The study reveals significant gaps in the quality of reporting in studies investigating exercise for whiplash-associated disorders as both checklists showed a median reporting adequacy of only 29%. Overall, the inter-rater agreement for both checklists was acceptable.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103145"},"PeriodicalIF":2.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and outcomes of patients with low back pain with and without radiating leg pain following the GLA:D back program","authors":"A Khoshal Khorami ,&nbsp;Alessandro Chiarotto ,&nbsp;Alice Kongsted ,&nbsp;Jan Hartvigsen ,&nbsp;Bart W. Koes","doi":"10.1016/j.msksp.2024.103144","DOIUrl":"10.1016/j.msksp.2024.103144","url":null,"abstract":"<div><h3>Background</h3><p>Some patients with low back pain (LBP) also report radiating leg pain which is a prognostic factor for poorer clinical outcomes. We aimed: 1) to compare the baseline characteristics of patients with LBP with - (LBP + leg pain) and without radiating leg pain (LBP - alone); 2) to investigate whether patients with LBP + leg pain show similar post-treatment outcomes as compared to LBP – alone, after participation in an exercise and patient education program, i.e. the GLA:D Back program.</p></div><div><h3>Methods</h3><p>The patient sample included 3508 patients in the GLA:D Back program between March 2018 and August 2022. The outcomes were mean changes in LBP intensity, back-related activity limitation, self-efficacy and fear of movement measured from baseline to 3, 6 and 12 months. Baseline characteristics were compared with descriptive statistics, and linear mixed models were used to estimate group differences in changes from baseline to 3-, 6- and 12 months.</p></div><div><h3>Results</h3><p>1915 (55%) of the patients were in the group LBP- alone and 1593 (45%) in the LBP + leg pain. The LBP + leg pain group displayed higher STarT back classification (greater risk of chronicity) compared to the LBP–alone. The LBP + leg pain group showed almost similar improvements in all outcomes compared to LBP – alone after the GLA:D Back program.</p></div><div><h3>Conclusion</h3><p>In long-lasting (chronic) LBP patients, the LBP + leg pain group improved to the same extent as LBP - alone regarding LBP intensity, disability, and fear of movement following an exercise and patient education program, GLA:D Back.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"73 ","pages":"Article 103144"},"PeriodicalIF":2.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246878122400239X/pdfft?md5=9e7596a30db8c7333123062bb85784be&pid=1-s2.0-S246878122400239X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}