Musculoskeletal Science and Practice最新文献

{"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}

{"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}