Musculoskeletal Science and Practice最新文献

{"title":"A seventeen-year, population-based study to identify dynamic patterns of interfering neck pain and its burden in South Korea","authors":"Miran Goo ,&nbsp;Deokhoon Jun","doi":"10.1016/j.msksp.2024.103236","DOIUrl":"10.1016/j.msksp.2024.103236","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study were to introduce a profile of a nationwide cohort for patients with neck pain and to identify the patterns of recurrent neck pain over time.</div></div><div><h3>Methods</h3><div>Health insurance data for 1,127,323 patients (43.5 ± 11.5 years, 60.8% females) with neck pain in 2010 were extracted from the National Health Information Database of South Korea. Data on the duration and frequency of neck pain and the number of healthcare visits recorded between 2002 and 2018 were screened and used for descriptive analysis.</div></div><div><h3>Results</h3><div>During the study period, patients experienced 4.1 episodes of neck pain, and 74% of patients experienced multiple episodes. The duration of one episode was 12.1 ± 35.7 days. Following each episode, more than 73% of patients experienced a subsequent episode of neck pain. As patients experienced more episodes, the recurrence rate increased gradually from 73% to 80%, and subsequent episodes occurred in a shorter time and lasted longer with a higher number of healthcare visits, compared to a preceding episode.</div></div><div><h3>Conclusion</h3><div>The study highlighted the dynamic pattern of interfering neck pain, with episodes occurring more frequently and lasting longer over time. Early intensive management with a long-term follow-up is recommended to prevent a dynamic pattern of interfering neck pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103236"},"PeriodicalIF":2.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723894","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":"Effectiveness of mobilization with movement on conditioned pain modulation, mechanical hyperalgesia, and pain intensity in adults with chronic low back pain: A randomized controlled trial.","authors":"Oliver Martínez Pozas, Juan Nicolás Cuenca-Zaldívar, M Elena González-Alvarez, Francisco José Selva Sarzo, Hector Beltran-Alacreu, Josué Fernández Carnero, Eleuterio A Sánchez Romero","doi":"10.1016/j.msksp.2024.103220","DOIUrl":"https://doi.org/10.1016/j.msksp.2024.103220","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanisms, as evaluated through conditioned pain modulation paradigms. Although mobilization with movement has demonstrated enhancements in conditioned pain modulation among patients with conditions such as knee osteoarthritis, its efficacy in chronic low back pain patients has yet to be established.</p><p><strong>Objectives: </strong>To investigate the effects of mobilization with movement compared to sham mobilization in conditioned pain modulation, mechanical hyperalgesia, and pain intensity in chronic low back pain patients.</p><p><strong>Design: </strong>Randomized controlled trial following CONSORT and TIDieR guidelines.</p><p><strong>Method: </strong>Fifty-eight patients with chronic low back pain (mean age 48.77 ± 13.92 years) were randomized into the experimental group, which received real mobilization with movement (n = 29), or the sham mobilization with movement group (n = 29). Only one intervention was performed. Patients were assessed before and after intervention. Conditioned pain modulation, mechanical hyperalgesia and pain intensity were assessed.</p><p><strong>Results: </strong>Mobilization with movement resulted in no statistically significant differences compared to sham mobilization for conditioned pain modulation (post-treatment difference: 0.023 [-0.299, 0.345], p = 0.158), mechanical hyperalgesia (post-treatment difference: -0.198 [-0.505, 0.109], p = 0.207), or movement-related pain intensity (post-treatment difference: 0.548 [-0.068, 1.236], p = 0.079) improvements post-intervention. Effect sizes were small for conditioned pain modulation (r = 0.126), mechanical hyperalgesia (r = 0.101), and pain intensity (r = 0.208).</p><p><strong>Conclusions: </strong>Mobilization with movement resulted in no significant differences compared to sham mobilization with movement after one intervention for conditioned pain modulation, mechanical hyperalgesia or pain intensity, with small effect sizes. However, the findings should be interpreted with caution due to absence of screening for appropriately eligible patients.</p>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"103220"},"PeriodicalIF":2.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142793105","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":"Machine learning for classifying chronic ankle instability based on ankle strength, range of motion, postural control and anatomical deformities in delivery service workers with a history of lateral ankle sprains","authors":"Ui-jae Hwang ,&nbsp;Oh-yun Kwon ,&nbsp;Jun-hee Kim ,&nbsp;Gyeong-tae Gwak","doi":"10.1016/j.msksp.2024.103230","DOIUrl":"10.1016/j.msksp.2024.103230","url":null,"abstract":"<div><h3>Objective</h3><div>Chronic ankle instability (CAI) frequently develops as a result of lateral ankle sprains (LAS) in delivery service workers (DSWs). Identifying risk factors for CAI is crucial for implementing targeted interventions. This study aimed to develop machine learning (ML) models for classifying CAI in DSWs with a history of LAS (DSWsLAS) and to identify key contributory factors.</div></div><div><h3>Design</h3><div>Exploratory, cross-sectional design.</div></div><div><h3>Setting</h3><div>and participants: A total of 121 DSWsLAS were screened for eligibility among 289 DSWs.</div></div><div><h3>Methods</h3><div>A total of 121 DSWsLAS were assessed for demographic characteristics, including ankle strength, range of motion, postural control, and anatomical deformities. Seven ML algorithms were trained and tested for classifying CAI. Principal component analysis (PCA) was used for feature extraction, and feature permutation importance (FPI) and Shapley additive explanations (SHAP) were employed to identify influential features.</div></div><div><h3>Main outcome measures</h3><div>Model performances were assessed using area under the curve (AUC). To interpret the classifications, we used FPI and SHAP values.</div></div><div><h3>Results</h3><div>PCA derived 7 principal components (PCs) accounting for 83.5% of the total variation in the data. The support vector machine (SVM) algorithm achieved the highest classifying performance (AUC = 0.817) among the ML models. FPI and SHAP revealed that PC1, PC2, PC5, and PC7 were the most influential features for classifying CAI in DSWsLAS.</div></div><div><h3>Conclusions</h3><div>The SVM algorithm, utilizing PCA-derived factors related to body mass index and ankle muscle strength demonstrated high classifying performance for diagnosis of CAI in DSWsLAS, emphasizing the importance of considering multiple contributory factors in the prevention and management of this condition.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103230"},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696248","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 Neuroplastic Outcomes from Impaired Sensory Expectations (NOISE) hypothesis: How ACL dysfunction impacts sensory perception and knee stability","authors":"Amber J. Schnittjer ,&nbsp;Janet E. Simon ,&nbsp;Tyler T. Whittier ,&nbsp;Dustin R. Grooms","doi":"10.1016/j.msksp.2024.103222","DOIUrl":"10.1016/j.msksp.2024.103222","url":null,"abstract":"<div><h3>Background</h3><div>The anterior cruciate ligament (ACL) is integral to maintaining knee joint stability but is susceptible to rupture during physical activity. Despite surgical restoration of passive or mechanical stability, patients struggle to regain strength and prior level of function. Recent efforts have focused on understanding how ACL-related changes in the nervous system contribute to deficits in sensorimotor control following injury and reconstruction. We hypothesize that these challenges are partially due to an increase in sensorimotor uncertainty, a state that reduces the precision of movement control.</div></div><div><h3>Objectives</h3><div>This review proposes the ACL NOISE (Neuroplastic Outcomes from Impaired Sensory Expectations) hypothesis, reframing current literature to provide a case that increased sensory noise following ACL injury and reconstruction disrupts sensory predictions, which are anticipations of immediate sensory outcomes or motor commands. This disruption in sensory predictions may contribute to altered neurophysiology, such as cross-modal brain activity, and other persistent clinical deficits.</div></div><div><h3>Design</h3><div>Narrative review</div></div><div><h3>Results/findings</h3><div>Following ACL injury and reconstruction, the knee and nervous system experience various neurophysiological alterations to overcome elevated sensory uncertainty and inaccurate sensory predictions, contributing to persistent motor deficits.</div></div><div><h3>Conclusions</h3><div>We provide a theoretical case based on compelling evidence that suggests prolonged impairment after ACL injury may be secondary to uncertainty in knee sensory perception. Future research should consider testing the NOISE hypothesis by creating a paradigm that examines dynamic joint stability in response to unexpected perturbations. This approach would help assess motor coordination errors and drive the development of clinical strategies aimed at reducing sensory uncertainty following ACL reconstruction.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103222"},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703299","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":"Median nerve stiffness with three movement sequences of the upper limb neurodynamic test 1: An ultrasound shear-wave elastography study","authors":"Gianluca Ciuffreda ,&nbsp;Elena Estébanez-de-Miguel ,&nbsp;Isabel Albarova-Corral ,&nbsp;Miguel Malo-Urriés ,&nbsp;Michael Shacklock ,&nbsp;Alberto Montaner-Cuello ,&nbsp;Elena Bueno-Gracia","doi":"10.1016/j.msksp.2024.103221","DOIUrl":"10.1016/j.msksp.2024.103221","url":null,"abstract":"<div><h3>Background</h3><div>During the Upper Limb Neurodynamic Test 1 (ULNT1) joint movement order can be varied to improve its diagnostic accuracy. However, nerve behavior with neurodynamic sequences still requires in vivo research.</div></div><div><h3>Objective</h3><div>To quantify differences in median nerve (MN) stiffness measuring shear-wave velocity (SWV) with ultrasound elastography during three sequences of the ULNT1.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>MN SWV was measured in 35 asymptomatic subjects at the wrist and elbow at the initial and final position (P1) of the standard (ULNT1-STD), proximal-to-distal (ULNT1-PROX) and distal-to-proximal (ULNT1-DIST) sequences of the ULNT1.</div></div><div><h3>Results</h3><div>Significantly different increases at P1 in nerve stiffness occurred between sequences and locations (p &lt; 0.001). At the wrist, the ULNT1-PROX produced the smallest increase (44.32% ± 44.06, SWV: 4.49 ± 0.95 m/s), the ULNT1-STD produced a larger increase (82.13% ± 45.36, SWV: 5.67 ± 0.79 m/s, p &lt; 0.001) and the ULNT1-DIST produced the largest (92.90% ± 55.37, SWV: 5.97 ± 0.79 m/s, p &lt; 0.001). Differences between the ULNT1-DIST and ULNT1-STD did not reach significance.</div><div>At the elbow, the ULNT1-PROX showed a 119.92% ± 53.51 increase (SWV: 4.08 ± 0.84 m/s), the ULNT1-DIST a 134.84% ± 53.83 (SWV: 4.34 ± 0.77 m/s), and the ULNT1-STD a 113.30% ± 59.28 (SWV: 3.98 ± 1.04 m/s). No significant differences were found among the sequences.</div></div><div><h3>Conclusion</h3><div>The ULNT1-STD and ULNT1-DIST showed greater increases at MN stiffness at the wrist compared to the ULNT1-PROX. This supports a basis for future investigation of the mechanisms of neurodynamic testing in which emphasizing anatomical locations for improving diagnostic efficacy might be applied.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103221"},"PeriodicalIF":2.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693529","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":"Hip joint kinematic assessment in chronic non-specific low back pain patients. A Delphi study","authors":"Maya Abady Avman,&nbsp;Peter G. Osmotherly,&nbsp;Suzanne J. Snodgrass","doi":"10.1016/j.msksp.2024.103215","DOIUrl":"10.1016/j.msksp.2024.103215","url":null,"abstract":"<div><h3>Background</h3><div>Chronic nonspecific low back pain (CNSLBP) has been associated with movement impairment (MI) of the hip joint. However, evidence supporting this is inconsistent.</div><div>Agreement from experts may provide rationale and recommendations for the assessment of the hip joint in the management of CNSLBP patients.</div></div><div><h3>Objective</h3><div>Gain expert consensus on whether hip MIs are related to CNSLBP, whether they should be assessed and which movement types and directions they recommend.</div></div><div><h3>Methods</h3><div>Through a three-round e-Delphi process, international experts in the field rated levels of agreement for generated themes pertaining to assessing proposed hip joint MI in individuals with CNSLBP and underlying rationales. Consensus was defined a priori as ≥75% ratings on Likert scales with an IQR≤ 1.</div></div><div><h3>Results</h3><div>International expert panel consisted of a mix of researchers and clinicians with the majority involved in both. Response for round I was 27, round 2 was 21 and round III was 26 individuals.</div><div>Consensus was achieved for the association of active and passive hip joint MI in CNSLBP and their assessment. 100% agreement was achieved for the rationale regarding compensatory movement of the lumbar spine, and the assessment of passive hip movements, in particular extension. Consensus was also achieved for assessing hip passive flexion, extension, rotations, and abduction, active flexion, extension, and abduction. No agreement was attained regarding passive accessory movement.</div></div><div><h3>Conclusion</h3><div>The assessment of active and passive hip joint MI is regarded by experts as appropriate and informative in the management of and research pertaining to CNSLBP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103215"},"PeriodicalIF":2.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746084","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":"The efficacy of high load-volume exercise versus low load-volume exercise for rotator cuff tendinopathy: A pilot and feasibility trial","authors":"Josh Naunton ,&nbsp;Dawson Kidgell ,&nbsp;Kim Bennell ,&nbsp;Terry Haines ,&nbsp;Peter Malliaras","doi":"10.1016/j.msksp.2024.103218","DOIUrl":"10.1016/j.msksp.2024.103218","url":null,"abstract":"<div><h3>Background</h3><div>The most effective exercise variables for rotator cuff tendinopathy are unknown.</div></div><div><h3>Objective</h3><div>Determine feasibility of a fully powered trial comparing high load-volume versus low load-volume exercise for adults with rotator cuff tendinopathy.</div></div><div><h3>Design</h3><div>Two arm, multi-centre pilot and feasibility randomised controlled trial.</div></div><div><h3>Methods</h3><div>Participants aged over 18 were recruited via social media and randomised into 12 weeks of either high load-volume exercise (i.e. with dumbbell resistance) or low load-volume exercise (i.e. without added resistance). Feasibility outcomes were rates of recruitment, retention, questionnaire completion, adverse events and adherence to prescribed exercise.</div></div><div><h3>Results</h3><div>Fifteen participants were randomised to high load-volume and 16 to low load-volume (18/31 were female). Retention rate was 84% at 6 weeks, and 81% at 12 and 26 weeks. Five participants withdrew and one participant was lost to follow up. Questionnaire completion rate was 78%. Adherence to the prescribed exercise sets was 77%. Recruitment, conversion and retention rates were above the pre-defined success criterion. There were no serious adverse events.</div></div><div><h3>Conclusion</h3><div>A fully powered multi-centre randomised trial is feasible with minor amendments addressing exercise adherence and questionnaire response rate. Future trials should utilise outcomes that consider participants baseline physical activity levels and adequately measure pain disparate from performance.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103218"},"PeriodicalIF":2.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703298","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":"The state of the science for potential contributors to musculoskeletal injury following concussion: Mechanisms, gaps, and clinical considerations","authors":"Landon B. Lempke ,&nbsp;Robert C. Lynall","doi":"10.1016/j.msksp.2024.103219","DOIUrl":"10.1016/j.msksp.2024.103219","url":null,"abstract":"<div><div>Concussion is a common mild traumatic brain injury affecting athletic, military, and general populations. While unrestricted medical clearance often occurs within 1-month, emerging evidence indicates prolonged sensorimotor control deficiencies and greater musculoskeletal injury risk after a concussion. Various theoretical frameworks and original studies indicate potential neurophysiological alterations affecting sensory input, sensorimotor integration, and neuromotor output, though the exact mechanisms remain unclear. This commentary aims to briefly review the literature on contributors to sensory and neuromotor deficiencies potentially related to musculoskeletal injury risk, recommend future research avenues to better understand these factors, and highlight current and future clinical applications.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"75 ","pages":"Article 103219"},"PeriodicalIF":2.2,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658254","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":"Letter to the Editor concerning Büyükturan et al. (2024)","authors":"Allan Abbott,&nbsp;Henrik Hedevik,&nbsp;Elias Diarbakerli","doi":"10.1016/j.msksp.2024.103211","DOIUrl":"10.1016/j.msksp.2024.103211","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103211"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632737","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":"Determining people's attitudes and motivation towards their health in patients with low back pain using the Health Styles questionnaire. A test of feasibility and validity","authors":"G Davies ,&nbsp;P.C. Goodwin","doi":"10.1016/j.msksp.2024.103213","DOIUrl":"10.1016/j.msksp.2024.103213","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103213"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640331","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}