Musculoskeletal Science and Practice最新文献

{"title":"A comparative analysis of lumbar paraspinal muscle morphology between two movement system impairment subgroups of chronic nonspecific low back pain","authors":"Fereshteh Rezazadeh ,&nbsp;Shahin Goharpey ,&nbsp;Nahid pirayeh ,&nbsp;Mohammad Jafar Shaterzadeh Yazdi ,&nbsp;Amin Behdarvandan ,&nbsp;Saeed Hesam","doi":"10.1016/j.msksp.2024.103208","DOIUrl":"10.1016/j.msksp.2024.103208","url":null,"abstract":"<div><h3>Background</h3><div>Based on the kinesiopathologic model, the Movement System Impairment (MSI) classification of LBP has shown that repetitive movements could contribute to pathoanatomic tissue changes. However, these changes have not been evaluated in different MSI classification subgroups of patients with LBP.</div></div><div><h3>Objective</h3><div>This study compared the grades of fatty infiltration as one of the muscle's pathologic changes in the lower lumbar paraspinal and psoas muscles between the two subgroups of patients diagnosed with MSI syndromes having opposite movement direction impairments.</div></div><div><h3>Design</h3><div>Observational cross-sectional study.</div></div><div><h3>Method</h3><div>Forty-five participants with chronic LBP were enrolled in the study, with 23 patients in the lumbar flexion-rotation (FlexRot) subgroup and 22 in the lumbar extension-rotation (ExtRot) subgroup of MSI. Magnetic resonance imaging (MRI) and the Goutallier Classification System (GCS) were used for fatty grading of lumbar paraspinal and psoas muscles. After the reliability of this grading scale was evaluated, the results were compared between the two subgroups.</div></div><div><h3>Results</h3><div>The Mann–Whitney <em>U</em> Test showed significantly higher fat infiltration of lower lumbar multifidus and erector spinae muscles in the lumbar ExtRot subgroup, with no significant difference between the two subgroups in terms of psoas muscles (P ≤ 0.05). Inter-rater reliability of GCS was acceptable to excellent, and intra-rater reliability was good to excellent.</div></div><div><h3>Conclusion</h3><div>The fatty infiltration grade of lumbar paraspinal muscles in L4-L5 and L5-S1 levels are significantly different between the two LBP subgroups of MSI that have two opposite movement direction impairments. The lumbar paraspinal muscles, which contribute to extension, have a higher grade of fat in the ExtRot subgroup, whose symptoms are aggravated by lumbar extension.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103208"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549180","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 effect of a neuromuscular-cognitive training program on postural stability, hop performance, and agility in Division-I Women's Tennis athletes: A pilot study","authors":"Ke’La H. Porter ,&nbsp;Lina Ochoa ,&nbsp;Danielle M. Torp ,&nbsp;Matthew C. Hoch","doi":"10.1016/j.msksp.2024.103214","DOIUrl":"10.1016/j.msksp.2024.103214","url":null,"abstract":"<div><h3>Background</h3><div>Situational awareness and cognitive function are often discounted in sports training programs, potentially limiting their effectiveness.</div></div><div><h3>Objective</h3><div>This research aimed to examine the effect of a six-week neuromuscular-cognitive training program on postural stability, hop performance, and agility with and without perceptual-cognitive challenge in a tennis team.</div></div><div><h3>Design</h3><div>Double baseline, quasi-experimental pretest-posttest.</div></div><div><h3>Methods</h3><div>Ten collegiate female tennis athletes volunteered to participate in this study. Participants completed two baseline testing sessions, a six-week training program, and a post-test session one week after the training program. Participants completed the neuromuscular-cognitive training twice a week for six weeks. The training integrated cognitive load (e.g., working memory and inhibitory control) during exercise (e.g., balance and shuffling). At each data collection session, subjects completed a single-limb stance on a force plate with and without an upper extremity reaction test, single-leg hop, single-leg memory hop, reactive agility, and a lower extremity reaction task. Pre-to post-intervention changes were analyzed using t-tests with corresponding Hedge's g effect sizes. Results were considered significant when p ≤ 0.05 and Hedge's g effect sizes were moderate to strong.</div></div><div><h3>Results</h3><div>Statistically significant improvements were identified for single and dual-task anteroposterior mean center of pressure velocity (g = −0.684–0.803), single-task time-to-boundary mediolateral mean minima (g = 0.921), and single and dual-task time-to-boundary anteroposterior mean minima (0.708–0.830). Additionally, significant improvements were identified in the upper extremity reaction task during the dual-task static balance (g = −0.795).</div></div><div><h3>Conclusion</h3><div>Neuromuscular-cognitive training may be beneficial in improving postural stability outcomes; however, more research is needed to develop this type of training further.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103214"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632881","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 general public as well as physiotherapists evaluate spinal flexion as dangerous regardless of their own low back pain history","authors":"Tomas Kavka ,&nbsp;Tomas Nedoma ,&nbsp;Zuzana Blahova","doi":"10.1016/j.msksp.2024.103216","DOIUrl":"10.1016/j.msksp.2024.103216","url":null,"abstract":"<div><h3>Background</h3><div>Maladaptive fear of movement in individuals with low back pain may be associated with worse clinical outcomes.</div></div><div><h3>Objective</h3><div>To explore beliefs about the perceived dangers regarding different spinal postures within the Czech Republic.</div></div><div><h3>Design</h3><div>Exploratory cross-sectional study including physiotherapists and members of the general public.</div></div><div><h3>Methods</h3><div>Self-reported perceived safety/danger of “straight” and “flexed” spinal postures regarding 1) sitting, 2) lifting of light and 3) heavy object from the floor based on three pairs of photographs was measured using numeric rating scales (0–10, safe to dangerous) without any given context and in the context of low back pain. The sum of differences between the ratings of flexed and straight postures were used to calculate Bending Safety Beliefs Thermometer (BSB_Thermometer) total score potentially ranging -60‒60 (higher values indicates evaluation of flexed spinal postures as more dangerous in comparison to straight postures).</div></div><div><h3>Results</h3><div>760 participants were included in the analysis. The mean BSB_Thermometer total score was 31.1 (SD 16.1) and higher scores were positively associated with being women (b = 14.8, 95% CI [9.9–19.8]); non-medical profession (b = 24.7, 95% CI [15.2–34.2]); age (b = 0.38, 95% CI [0.16–0.6]; and their interactions. There was no significant association with current low back pain status or history of low back pain.</div></div><div><h3>Conclusions</h3><div>On average, participants evaluated “flexed” spinal postures as significantly more dangerous when compared with “straight” spinal postures, with only subgroups of physiotherapists scoring lower than the general public. Clinically, these beliefs could be targeted by individualized education, exposure-based interventions and public campaigns; however, further research is required.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103216"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632899","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 association between neuropathic pain features and central sensitization with acute headache associated to a whiplash injury","authors":"Ernesto Anarte-Lazo ,&nbsp;Marco Barbero ,&nbsp;Carlos Bernal-Utrera ,&nbsp;Cleofas Rodriguez-Blanco ,&nbsp;Deborah Falla","doi":"10.1016/j.msksp.2024.103212","DOIUrl":"10.1016/j.msksp.2024.103212","url":null,"abstract":"<div><h3>Background</h3><div>Headache is one of the most common symptoms after a whiplash injury, although the pathophysiology remains under discussion. This study aimed to evaluate differences in neuropathic pain and central sensitization features between those who present with whiplash-associated headache (WAH) soon after a whiplash injury and those who do not.</div></div><div><h3>Methods</h3><div>This case-control study evaluated differences on the self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), Pain Detect Questionnaire (PDQ) and the Central Sensitization Inventory (CSI) between those who present with WAH in the acute phase after a whiplash injury (n = 46) and those who do not (n = 36). Moreover, the association of these variables in addition to neck pain intensity and the Neck Disability Index (NDI) score, with the presence of WAH was examined through logistic regression.</div></div><div><h3>Results</h3><div>While differences between groups were found for both neuropathic and central sensitization features, only the presence of neuropathic pain features was associated with the presence of headache, with 27 scores for the S-LANSS and 23 for the PDQ from 46 people with headache (58.6% and 50.0%, respectively). The NDI and the S-LANSS partially explained (R² = 0.68) the presence of WAH according to a logistic regression model.</div></div><div><h3>Conclusion</h3><div>Significant differences were found between people with whiplash with and without WAH when the S-LANSS, the PDQ and the CSI were assessed. S-LANSS and NDI were the variables most associated with the presence of WAH. These findings suggest that neuropathic pain features may be associated with the presence of acute WAH.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103212"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632727","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":"French translation and transcultural adaptation of the shoulder pain and disability index (SPADI)","authors":"Thomas Lathiere ,&nbsp;Noemie Chantriaux ,&nbsp;David Beard ,&nbsp;Nicolas Pinsault ,&nbsp;Leo Druart","doi":"10.1016/j.msksp.2024.103209","DOIUrl":"10.1016/j.msksp.2024.103209","url":null,"abstract":"<div><h3>Background</h3><div>A French version of the Shoulder Pain and Disability Index (SPADI) is currently unavailable for clinical and research use in French-speaking countries.</div></div><div><h3>Objectives</h3><div>To translate and transculturally adapt the Shoulder Pain And Disability Index (SPADI) from English to French language.</div></div><div><h3>Design</h3><div>Translation and transcultural adaptation of a Patient-Reported Outcome Measure.</div></div><div><h3>Methods</h3><div>Following international guidelines for translating and adapting PROMs, we carried out a seven-step process involving 15 contributors. The forward translation was performed by five independent native French speakers, while five independent native English speakers conducted the blinded back-translation. A bilingual expert committee synthesized the translations, and three healthcare professionals participated in the pre-test phase. Ten patients were involved in pre-testing to evaluate the pre-final version.</div></div><div><h3>Results</h3><div>A final French version of the SPADI was achieved after making seven adjustments across the 18 items, instructions, and examples on the Likert scale. Changes were implemented only if at least 20% of the pre-test participants suggested modifications to enhance readability or coherence. Face validity was assessed by the expert committee.</div></div><div><h3>Conclusion</h3><div>The French version of the SPADI is now available, enabling condition-specific self-assessment and quantitative follow-up of shoulder pain and function in both clinical practice and research. Although psychometric properties of this version are yet to be assessed, future studies are expected to confirm the preservation of the original tool's validity and reliability.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103209"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585226","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 observational study: Correlation between self-perceived readiness and physical performance in healthy individuals","authors":"Lina Ochoa ,&nbsp;Ke’La H. Porter ,&nbsp;Bridget M. Walsh ,&nbsp;Danielle Torp ,&nbsp;Nicholas R. Heebner ,&nbsp;Matthew C. Hoch","doi":"10.1016/j.msksp.2024.103217","DOIUrl":"10.1016/j.msksp.2024.103217","url":null,"abstract":"<div><h3>Introduction</h3><div>In complex environments, individuals need to anticipate and react to stimuli by integrating complex systems and skills. Identifying the perceptual-cognitive, physical, and health characteristics that afford effective performance is necessary for developing training and readiness strategies. Measuring readiness by establishing a relationship between the Acute Readiness Monitoring Scale (ARMS) and performance during perceptual-cognitive tasks is essential. Therefore, this study aimed to determine the relationship between self-perceived readiness, physical performance, and perceptual-cognitive performance in healthy young adults.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional design with healthy and physically active young adults (n = 35). Participants completed a measure of self-perceived readiness (the ARMS), physical performance (i.e., Vertical Jump (VJ) and Ballistic Push-Up), and perceptual-cognitive exercises (i.e., Single Leg Memory Hop (SLMH), Reactive VJ, Reactive Ballistic Push-Up, Reactive Agility Run Decide, and Upper and Lower Extremity Reaction Tests). Data was analyzed using Pearson's r (r) correlation to identify associations.</div></div><div><h3>Results</h3><div>Statistically significant moderate correlations were detected between ARMS Total and VJ (Peak Power Normalized and Flight Time) (r = 0.434, p = 0.010) and (r = 0.420, p = 0.013), and SLMH Distance Normalized (r = 0.409, p = 0.016). Moderate negative correlations between the ARMS Total and Reactive VJ Reaction Time (r = −0.473, p = 0.005).</div></div><div><h3>Conclusion</h3><div>The ARMS can be an effective tool for measuring acute self-perceived readiness. This suggests that individuals who work in dynamic environments may benefit from training that targets perceptual-cognitive skills. Although moderate, self-perceived readiness was associated with better resilience, health, and performance exercises. Results highlight the importance of protocols targeting populations who work in complex environments for increased performance.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103217"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644898","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":"Good vibes for the brain - Placebo versus real vibration in patients with chronic neck pain: A randomized cross-over study","authors":"Sandra Preiss ,&nbsp;Wolfgang Taube ,&nbsp;Sandra Helmstädter ,&nbsp;Larissa Bentz ,&nbsp;Konstantin Beinert","doi":"10.1016/j.msksp.2024.103210","DOIUrl":"10.1016/j.msksp.2024.103210","url":null,"abstract":"<div><h3>Background</h3><div>Neck muscle vibration decreases pain and improves sensorimotor impairments in patients with chronic neck pain. However, the impact of placebo on these effects are still unclear.</div></div><div><h3>Objective</h3><div>The aim was to evaluate the effect of neck muscle vibration compared to placebo neck muscle vibration in patients with chronic neck pain.</div></div><div><h3>Methods</h3><div>Twenty-three people with chronic neck pain participated in this double-blinded, randomized crossover study. After baseline assessment at day 1, patients received either neck muscle vibration or placebo neck muscle vibration at day 2. At day 3, patients underwent the other treatment. The primary outcomes assessed at each day were active cervical joint position sense acuity, resting pain, and pressure pain threshold.</div></div><div><h3>Results</h3><div>Cervical joint position sense revealed a significant time effect (F1, 22 = 4.366, p = 0.016, η2 = 0.902). Post-hoc testing revealed significant increases in cervical joint position sense after neck muscle vibration (p = 0.023; d = 0.602) but not after placebo vibration. Resting pain (F1, 22 = 7.550, p = 0.003, η2 = 0.418) displayed significant time effects for neck muscle vibration and placebo vibration. Pressure pain threshold demonstrated a significant time to condition effect (F1, 22 = 6.146; p = 0.008, η2 = 0.369). Post-hoc tests revealed that only neck muscle vibration significantly increased pressure pain threshold (p = 0.043, d = 0.516).</div></div><div><h3>Conclusion</h3><div>The study demonstrates the efficacy of neck muscle vibration to decrease neck pain and improve cervical joint position sense in patients with chronic neck pain. Nevertheless, the influence of placebo effects should not be underestimated as they may contribute to these effects, indicated by similar decreases in resting pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103210"},"PeriodicalIF":2.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632698","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":"Act now - serious pathology of the spine is affected by health inequalities","authors":"Sue Greenhalgh ,&nbsp;Laura M. Finucane ,&nbsp;Christopher Mercer ,&nbsp;Gill Yeowell","doi":"10.1016/j.msksp.2024.103207","DOIUrl":"10.1016/j.msksp.2024.103207","url":null,"abstract":"<div><div>Early diagnosis of serious spinal pathology is the key to optimise patient outcomes, yet early diagnosis can be adversely affected by health inequalities. In this paper we consider the impact of health inequalities on the incidence and outcome for serious spinal musculoskeletal (MSK) pathologies. Health inequalities can be experienced by people grouped around a range of factors. These include socio-economic factors, the environmental conditions in which people live, protected characteristics such as ethnicity, and socially excluded groups such as people who are homeless. These factors can affect people's exposure to health risks and their opportunities to lead healthy lives. A person's behaviour is a key determinant of their health status. ‘Risky’ health behaviours include smoking, poor diet, harmful alcohol consumption and lack of exercise, and are more common in these groups. Importantly, socio-economic factors combined with health behaviours influence the health inequalities a person may experience. The most significant social and economic factors influencing poor MSK health are poverty, education, employment, environment, and food ethos. These determinants of health not only predispose people living in deprivation to having benign MSK conditions at a younger age and with worse outcomes, they are also risk factors of more serious MSK pathologies.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103207"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535358","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":"Italian versions of the optimal screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) and the Örebro Musculoskeletal pain screening questionnaire (ÖMPQ-21) and their short forms, in patients with low back pain: Cross-cultural adaptation, reliability and validity","authors":"Francesca Bonetti ,&nbsp;Domenico Angilecchia ,&nbsp;Alessandro Agostini ,&nbsp;Paolo Marighetto ,&nbsp;Silvia Minnucci ,&nbsp;Gloria Giglioni ,&nbsp;Leonardo Pellicciari ,&nbsp;Alessandro Chiarotto","doi":"10.1016/j.msksp.2024.103206","DOIUrl":"10.1016/j.msksp.2024.103206","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain (LBP) is a leading cause of disability worldwide. Early detection of prognostic factors using the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) or the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPQ-21) can predict improvement in pain and disability for patients with nonspecific LBP.</div></div><div><h3>Objectives</h3><div>To translate and cross-culturally adapt the OSPRO-YF and the ÖMPQ-21 with their short versions into the Italian language and to test their measurement properties in patients with LBP.</div></div><div><h3>Design</h3><div>Clinimetric study.</div></div><div><h3>Methods</h3><div>OSPRO-YF and ÖMPQ-21 were translated and administered to LBP patients with questionnaires on pain intensity, disability, pain self-efficacy, and pain catastrophizing. We evaluated test-retest reliability, measurement error, and construct validity.</div></div><div><h3>Results</h3><div>Eighty-three patients with LBP were included. No floor or ceiling effects were reported. Test-retest reliability of the OSPRO-YF, the ÖMPQ-21, and their short forms were excellent. The measurement error analysis revealed a Standard Error of Measurement (SEM) of 6.7 points, a Minimal Detectable Change (MDC) of 18.6 points for ÖMPQ-21, a SEM of 2.3 points, and a MDC of 6.4 points for OSPRO-YF. The construct validity of the OSPRO-YF and ÖMPQ-21 and its 10-item short version was satisfactory and moderate. OSPRO-YF performed better than ÖMPQ-21 on all three measurement properties.</div></div><div><h3>Conclusion</h3><div>OSPRO-YF, ÖMPQ-21, and their short versions are reliable and valid for identifying ‘yellow flags’ in Italian patients with LBP, with the former generally performing better than the latter. Further research is needed to confirm their ability to predict outcomes in patients with LBP.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103206"},"PeriodicalIF":2.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535357","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":"More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain","authors":"Nur Efsan Unal ,&nbsp;Sevtap Gunay Ucurum ,&nbsp;Muge Kirmizi ,&nbsp;Elif Umay Altas","doi":"10.1016/j.msksp.2024.103205","DOIUrl":"10.1016/j.msksp.2024.103205","url":null,"abstract":"<div><h3>Background</h3><div>Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified.</div></div><div><h3>Objectives</h3><div>To investigate whether there is a significant association between neck pain intensity and sagittal spinal alignment and mobility in people with CNP, and to examine whether sagittal spinal alignment and mobility differ according to pain intensity.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Method</h3><div>Forty-four women with CNP were included. The neck pain intensity at rest and during neck movements was assessed with the visual analogue scale (VAS). A skin-surface measurement device was used to assess sagittal alignment and mobility while sitting and standing. Linear regression analysis was used to assess associations. Participants were divided into two groups according to the pain intensity as group with mild pain (VAS≤4.4 cm) and group with moderate to severe pain (VAS&gt;4.4 cm) and compared using the analysis of covariance.</div></div><div><h3>Results</h3><div>Greater resting pain was associated with a more forward trunk during sitting (Beta = 0.433, p &lt; 0.05). Greater pain during neck movements was associated with increased lumbar lordosis during sitting (Beta = −0.376, p &lt; 0.05). Classified by pain intensity at rest, trunk mobility while sitting was lower and forward trunk inclination and sacral kyphosis while sitting were higher in those with moderate/severe pain (η²_p = 0.093–0.119, p &lt; 0.05). By pain intensity during neck movements, women with moderate/severe pain exhibited lower sacral mobility while sitting (η²_p = 0.129, p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Addressing the entire spine in the assessment and management of CNP may help reduce pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103205"},"PeriodicalIF":2.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442338","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}