Musculoskeletal Science and Practice最新文献

{"title":"Do patients’ preferences and expectations match clinical guidelines? A survey of individuals seeking private primary care for a musculoskeletal disorder","authors":"Marc-Olivier Dubé ,&nbsp;Pierre Langevin ,&nbsp;Hugo Massé-Alarie ,&nbsp;Jean-Francois Esculier ,&nbsp;Anthony Lachance ,&nbsp;Jean-Sébastien Roy","doi":"10.1016/j.msksp.2024.103195","DOIUrl":"10.1016/j.msksp.2024.103195","url":null,"abstract":"<div><h3>Background</h3><div>Physiotherapists often inconsistently adhere to clinical practice guidelines (CPGs) when managing musculoskeletal disorders (MSKDs), potentially due to discrepancies between patient-valued interventions and guideline recommendations. Since patients’ expectations are important predictors of outcome, this disparity between CPGs recommendations and patient preferences could be problematic for the effective care of MSKDs.</div></div><div><h3>Objectives</h3><div>To assess patients’ expectations and preferences for the interventions used in their MSKD management and to establish correspondence rates between patients' preferences and recommendations from CPGs.</div></div><div><h3>Design</h3><div>Survey.</div></div><div><h3>Method</h3><div>This cross-sectional descriptive study included a survey on sociodemographics, preferences, and expectations towards interventions for their MSKD, acceptable cost of care, number of treatment sessions required, and their involvement in their MSKD management.</div></div><div><h3>Results</h3><div>One hundred and fifty participants (94 women and 56 men; mean age: 51 ± 17) responded to the survey. Eighty percent of respondents expected their involvement in their MSKD management to be equal to or superior than that of the physiotherapist. Sixty-nine percent of respondents expected to receive exercises, and 67% expected to receive education. Based on preference ratings, 95% of respondents chose recommended interventions, 57% chose interventions with uncertain levels of recommendation, and 48% chose interventions not recommended by CPGs.</div></div><div><h3>Conclusion</h3><div>Less than 70% of participants expected to receive education and exercises, the two most frequently recommended interventions by CPGs. On the other hand, the majority of respondents indicated that their involvement should be equal to or superior than that of the physiotherapist. This aligns with CPGs, which advocate for active and self-management strategies.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103195"},"PeriodicalIF":2.2,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333105","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":"Effectiveness of conservative treatment in the management of post-traumatic elbow stiffness: A systematic review","authors":"Alberto Piacenza ,&nbsp;Andrea Zerilli ,&nbsp;Ilenia Viccari ,&nbsp;Greta Castelli","doi":"10.1016/j.msksp.2024.103194","DOIUrl":"10.1016/j.msksp.2024.103194","url":null,"abstract":"<div><h3>Background</h3><div>Post-traumatic elbow stiffness is a common consequence following trauma or surgery, resulting in significant limb disability, with a negative impact on daily life. Although conservative treatment is the first-line approach, it is not yet known which is most suitable and effective.</div></div><div><h3>Objective</h3><div>To investigate the effectiveness of conservative treatments in patients with post-traumatic elbow stiffness.</div></div><div><h3>Method</h3><div>A protocol for this systematic review was published in PROSPERO (CRD42024517823). PRISMA standards were followed. An extensive systematic search was conducted in six databases (PubMed, CINHAL, Cochrane Library, Web of Science, Scopus, and PEDro), and the CENTRAL trial register. Two reviewers independently assessed, selected results, collected data, rated the risk of bias (RoB) of included studies with the Cochrane risk of bias tool, synthesized the available evidence, and rated it using GRADE methodology.</div></div><div><h3>Results</h3><div>Five studies were included in the review, although high variability in interventions and comparators precluded the synthesis of results into a meta-analysis. Large effect sizes were observed when conservative treatment was initiated immediately after immobilization, improving elbow functionality (SMD 3.07; 95%CI 1.91 to 4.23), and pain (SMD 1.83; 95%CI 0.91 to 2.76). Results indicate that Proprioceptive Neuromuscular Facilitation (SMD = −1.22; 95%CI [-1.90, −0.54]) and Graded Motor Imagery (SMD = −2.79; 95%CI [-3.59, −2.00]) were more effective than comparisons in recovering elbow functionality and pain reduction.</div></div><div><h3>Conclusion</h3><div>Although conservative treatment is recommended as a first-line approach, the best conservative treatment cannot be determined with certainty due to the low to very low confidence in the results.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103194"},"PeriodicalIF":2.2,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333106","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 CROM-VAS Test: A novel and reliable clinical test to assess immediate pain relief following treatment for movement-evoked neck pain","authors":"Ivo J. Lutke Schipholt ,&nbsp;Gwendolyne G.M. Scholten-Peeters ,&nbsp;Sifra Logghe ,&nbsp;Meghan Koop ,&nbsp;Sietse Donders ,&nbsp;Martijn S. Stenneberg ,&nbsp;Michel W. Coppieters","doi":"10.1016/j.msksp.2024.103191","DOIUrl":"10.1016/j.msksp.2024.103191","url":null,"abstract":"<div><h3>Background</h3><div>The CROM-VAS Test is a novel method to quantify immediate hypoalgesic treatment effects for neck pain by measuring the reduction in pain intensity (using a VAS) at the same (sub)maximal neck position (using a CROM device) before and after treatment. It is a novel test designed to quantify immediate pain relief following treatment, without the potentially confounding effects of simultaneous improvements in function.</div></div><div><h3>Objectives</h3><div>(1) To describe the CROM-VAS Test, (2) To assess reliability and absolute agreement of the CROM-VAS Test, and (3) To evaluate its distinctiveness by comparing it to changes in pressure pain threshold (PPT) and baseline pain scores.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>The CROM-VAS Test was assessed in 58 people with non-specific neck pain treated with cervical mobilisation and cervicothoracic manipulation. Inter-rater reliability (intraclass correlation coefficient (ICC_1.1)) and absolute agreement (standard error of measurement (SEM), minimal detectable change (MDC) and Bland-Altman limits of agreement (LoA)) were determined.</div></div><div><h3>Results</h3><div>Reliability was high (ICC_1.1: 0.91 (95%CI: 0.85–0.95) for the CROM-VAS Test in the painful direction and 0.73 (95%CI: 0.54–0.85) in the non/least painful direction). Agreement was good (CROM-VAS Test (painful direction): SEM: 2.3 mm; MDC: 6.4 mm; LoA: 13.5 to 16.6 mm; CROM-VAS Test (non/least painful direction): SEM: 4.0 mm; MDC: 11.1 mm; LoA: 14.7 to 22.0 mm). Low or negative correlations were observed between CROM-VAS Test scores and changes in PPT and baseline neck pain scores.</div></div><div><h3>Conclusion</h3><div>The CROM-VAS Test has good clinimetric properties. It measures a distinct dimension of pain relief compared to PPTs and baseline pain scores.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103191"},"PeriodicalIF":2.2,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002868/pdfft?md5=2382e791b5a2d03a9223df362822b2d9&pid=1-s2.0-S2468781224002868-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315934","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":"Influence of nationality on the trajectories of pain, disability and health related quality of life in neck and back patients – The Norwegian Neck and Back Registry","authors":"Janica S. Ignatius ,&nbsp;Cecilie Røe ,&nbsp;Paul B. Perrin ,&nbsp;Sigrid Skatteboe ,&nbsp;Jens I. Brox ,&nbsp;Maja Garnaas Kielland ,&nbsp;John Bjørneboe","doi":"10.1016/j.msksp.2024.103193","DOIUrl":"10.1016/j.msksp.2024.103193","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the current study was to examine differences in trajectories of pain, disability, and health related quality of life (HRQOL) between non-Norwegian and Norwegian patients with neck and back pain over 12 months.</div></div><div><h3>Methods</h3><div>The study is based on data from the Norwegian Neck and Back Registry (NNRR). The data include demographics and patient-reported outcome measures such as pain rating, the Oswestry Disability Index and HRQOL. Data were collected at baseline, 6 and 12 months after consultation for neck and back pain in specialist health care.</div></div><div><h3>Results</h3><div>A total of 5012 patients were included. We found a significant main effect of nationality. Non-Norwegian patients showed higher levels of pain and disability and lower HRQOL than Norwegian patients. Both patient groups exhibited an improvement in all three outcomes at 6- and 12-month follow-ups. The improvement was similar for pain with the greatest improvement taking place during the first 6 months and then slightly flattening out. For disability and HRQOL, we observed a differential effect over time as a function of nationality. Both groups reported an improvement the first 6 months, however, while the Norwegian patients continued their improvement to 12 months, non-Norwegian patients had increasing disability and lower HRQOL at 12 months.</div></div><div><h3>Conclusion</h3><div>Both patient groups improved over the 12-month period. Non-Norwegian patients showed an overall higher level of pain, disability and lower HRQOL compared to Norwegian patients, with a differential effect over time as a function of nationality for disability and HRQOL. Suggesting that future studies should focus on potential systemic barriers that may affect the recovery of neck and back patients based on nationality.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103193"},"PeriodicalIF":2.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395563","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":"Communicating safety-netting information in primary care physiotherapy consultations for people with low back pain","authors":"Christopher Horler ,&nbsp;Geraldine Leydon ,&nbsp;Lisa Roberts","doi":"10.1016/j.msksp.2024.103192","DOIUrl":"10.1016/j.msksp.2024.103192","url":null,"abstract":"<div><h3>Background</h3><div>Safety-netting involves communicating information to patients about diagnostic uncertainty, the likely time-course of their condition and how to appropriately seek help from a healthcare professional if their condition persists or worsens. Little is known about how physiotherapists communicate safety-netting information to people with low back pain (LBP).</div></div><div><h3>Objectives</h3><div>This research aimed to use a Safety-Netting Coding Tool (SaNCoT) to explore how physiotherapists communicate safety-netting information to people with LBP.</div></div><div><h3>Methods</h3><div>The SaNCoT was used to conduct a secondary analysis of audio-recordings and transcripts from 79 primary care physiotherapy consultations (41 initial and 38 follow-up) involving 12 physiotherapists and 41 patients with LBP in Southern England. Quantitative data from the SaNCoT were analysed descriptively.</div></div><div><h3>Findings</h3><div>The study found evidence of diagnostic uncertainty in 53 (67%) appointments and no examples of physiotherapists providing patients with specific information about their condition time-course. Eight patients were given safety-netting advice, but most (57.9%, n = 11) episodes of safety-netting advice did not include specific signs and symptoms for patients to monitor. Potential missed opportunities for safety-netting advice were identified in 19 appointments (24.1%) which tended to relate to the patient's associated leg symptoms but also included possible serious pathology.</div></div><div><h3>Conclusion</h3><div>The SaNCoT was successfully used to measure safety-netting communication within physiotherapy consultations and found missed opportunities for providing clear safety-netting advice. Physiotherapists can use the findings to reflect on how they can provide clear safety-netting information to patients with LBP to effectively support patients to self-manage and help them seek appropriate care if their condition deteriorates.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103192"},"PeriodicalIF":2.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246878122400287X/pdfft?md5=d0da9eb5f94103165312aae6e3822444&pid=1-s2.0-S246878122400287X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301852","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":"Think fast, stay healthy? A narrative review of neurocognitive performance and lower extremity injury","authors":"Jason M. Avedesian","doi":"10.1016/j.msksp.2024.103186","DOIUrl":"10.1016/j.msksp.2024.103186","url":null,"abstract":"<div><h3>Background</h3><p>Lower extremity (LE) injury has been problematic in athletic populations. While previous research has identified biomechanical and neuromuscular risk factors, more recent efforts have determined that neurocognitive performance (NP) may influence LE injury risk.</p></div><div><h3>Objectives</h3><p>To describe the present findings pertaining to the relationship between NP and LE injury. This review described potential cerebral neural mechanisms underpinning LE injury with a particular emphasis on the role of vision in sensorimotor integration. Lastly, newer technology such as stroboscopic eyewear, smartboards, and virtual/augmented reality were discussed for their utility in assessing and training NP.</p></div><div><h3>Methods</h3><p>Narrative review that described NP and LE injury, as well as plausible mechanisms and training interventions.</p></div><div><h3>Results</h3><p>NP appears to influence both LE biomechanics and LE injury risk. Athletes with worse NP demonstrated decreased knee flexion and increased frontal plane knee loading compared to better performing athletes. Most studies determined an association between NP and LE injury risk. Visual motor reaction time, processing speed, and working memory appear to be useful NP measures for identifying athletes at risk for LE injury. Various brain regions including the precuneus and lingual gyrus may be implicated as neural signatures for LE injury. While recently developed technology offer promise, far-transfer effects to LE injury risk reduction have yet to be substantially investigated.</p></div><div><h3>Conclusions</h3><p>NP should be considered an important component for identifying LE injury risk. Sports scientists and clinicians may consider a variety of assessments and interventions to quantify and train NP in conjunction with previously established protocols.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103186"},"PeriodicalIF":2.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142273980","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":"Experimentally induced pain increases absolute but not relative errors and reduces variability in joint repositioning of the knee joint in healthy participants","authors":"Michalis A. Efstathiou ,&nbsp;Stelios Hadjisavvas ,&nbsp;Irene-Chrysovalanto Themistocleous ,&nbsp;Katerina Daskalaki ,&nbsp;Zoi Roupa ,&nbsp;Savoula Ghobrial ,&nbsp;Christoforos Giannaki ,&nbsp;Christos Savva ,&nbsp;Lee Herrington ,&nbsp;Manos Stefanakis","doi":"10.1016/j.msksp.2024.103188","DOIUrl":"10.1016/j.msksp.2024.103188","url":null,"abstract":"<div><h3>Background</h3><div>Joint position sense (JPS) plays an important role in knee joint function. Despite the possible influence of pain on the proprioceptive system, the effects of experimental muscle pain on knee JPS have not been studied.</div></div><div><h3>Objectives</h3><div>To investigate if experimentally induced muscle pain affects knee JPS in healthy participants.</div></div><div><h3>Methods</h3><div>Measurements of knee JPS were conducted before and after the injection of 5.8% sterile hypertonic saline in the vastus medialis muscle of 26 healthy physically active adults. Knee JPS was assessed through a passive/active repositioning paradigm in target angles of 15°, 45° and 60° using an isokinetic dynamometer. Absolute and relative angular errors were calculated. The coefficient of variation analysis was used to assess differences in the angles’ variability during the repositioning task.</div></div><div><h3>Results</h3><div>Absolute angular error increased in all three angles following experimentally induced pain. The difference was statistically significant at 45° (p = 0.003, d = 0.6) and 15° (p = 0.047, d = 0.4) but not at 60° (p = 0.064, d = 0.4). Relative error did not show directional bias at 45° (p = 0.272, d = 0.2), 15° (p = 0.483, d = 0.1) or 60° (p = 0.091, d = 0.3). The coefficient of variation analysis revealed a statistically significant reduction in variability at angles of 60° (p = 0.002, d = 0.7) and 15° (p = 0.031, d = 0.4) after the pain intervention.</div></div><div><h3>Conclusion</h3><div>The presence of experimentally induced muscle pain affects the ability of healthy participants to accurately reposition the knee at two angles of knee flexion and reduces movement variability during the repositioning task. Further research is required to determine if these deficits also impact patients with clinical knee pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103188"},"PeriodicalIF":2.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327405","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 Patient Specific Functional Scale - Brazil as an instrument for the functional assessment of patients with chronic non-specific low back pain: Construct validity (hypothesis testing and structural validity) and test-retest reliability","authors":"Milton Ricardo de Medeiros Fernandes ,&nbsp;Rafael Inacio Barbosa ,&nbsp;Lais Mara Siqueira das Neves ,&nbsp;Heloyse Uliam Kuriki ,&nbsp;Alexandre Marcio Marcolino","doi":"10.1016/j.msksp.2024.103190","DOIUrl":"10.1016/j.msksp.2024.103190","url":null,"abstract":"<div><div>The objective was to assess the validity and reliability of the Patient-Specific Functional Scale-Brazil (PSFS-B) in patients with non-specific chronic low back pain. A methodological study was conducted, and 101 volunteers with chronic non-specific low back pain were interviewed and asked to complete the PSFS-B questionnaire and the Oswestry Disability Index-Brazil 2.0 reference questionnaire. The Oswestry Disability Index-Brazil 2.0 is a standardized tool used to assess functional disability of the lumbar spine. A new assessment (follow-up) was conducted one week later using the same instruments. The COSMIN checklist was utilized as a guide. Two questionnaires were employed to assess patients: the Patient-Specific Functional Scale-Brazil (PSFS-Br) and the Oswestry Disability Index-Brazil 2.0 (ODI-Br). Data were analyzed to assess construct validity (hypothesis testing and structural validity), internal consistency, and test-retest reliability. The statistical methods employed included Pearson's correlation coefficient, confirmatory factorial analysis, Cronbach's alpha, and intraclass correlation coefficient. The results of the Patient-Specific Functional Scale-Brazil demonstrated a moderate negative correlation with the ODI-Br in hypothesis testing (r = −0.691 and r = −0.754) and in structural validity (Comparative Fit Index (0.986), Tucker-Lewis Index (0.958), Root Mean Square Error of Approximation (0.194), and Standardized Root Mean Square Residual (0.134). Furthermore, the instrument demonstrated excellent internal consistency (α = 0.951) and test-retest reliability (intraclass correlation coefficient = 0.978), and was additionally validated by the Bland-Altman plot (0.125). In conclusion, the Patient-Specific Functional Scale-Brazil is a valid and reliable tool for the evaluation and follow-up of patients with non-specific chronic low back pain.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103190"},"PeriodicalIF":2.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142318454","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 insomnia and musculoskeletal problems in employees of an automotive company in Tehran, Iran","authors":"Shima Jamialahmadi ,&nbsp;Zahra Banafsheh Alemohammad ,&nbsp;Seyed Akbar Sharifian ,&nbsp;Ramin Mehrdad","doi":"10.1016/j.msksp.2024.103189","DOIUrl":"10.1016/j.msksp.2024.103189","url":null,"abstract":"<div><h3>Objectives</h3><p>The purpose of this study was to examine the association between insomnia and the number of pain areas among employees of an automotive company. Secondary aim was to examine the association between depression, anxiety, and stress, and musculoskeletal pain independent of insomnia.</p></div><div><h3>Material and methods</h3><p>We performed a cross-sectional study conducted in an automobile manufacturing factory. To collect data, we used the Nordic Musculoskeletal Questionnaire, ISI (Insomnia Severity Index), and DASS-21 (Depression, Anxiety, and Stress Scale). The univariate and multiple association analyses were performed using ordinal logistic regression adjusted for gender, age, industrial/non-industrial, sport activity, pack year, educational level, years of employment, anxiety, stress, and depression.</p></div><div><h3>Result</h3><p>In individuals with insomnia, the lower back was the most common area where pain was reported (59.5%). In all areas, pain symptoms were significantly more prevalent in individuals with insomnia compared to those without insomnia. Insomnia was associated with having pain with an increased odds of number of pain sites (odds ratio [OR] 2.81,95%CI 2.34–3.39). In ordinal logistic regression, there was an association between insomnia and pain, independent of the effects of depression, anxiety, and stress (OR 2.21,95%CI 1.52–3.23).</p></div><div><h3>Discussion</h3><p>Insomnia was associated with pain in all regions of the body and a higher prevalence of pain in multiple areas. The insomnia-pain association was independent of depression, anxiety, and stress.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103189"},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142273978","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":"Clinical recognition of the role of the cervical spine in signs and symptoms of altered sensorimotor control","authors":"Julia Treleaven","doi":"10.1016/j.msksp.2024.103187","DOIUrl":"10.1016/j.msksp.2024.103187","url":null,"abstract":"<div><p>Together with visual and vestibular input the cervical spine is vital for sensorimotor control of head and eye movement control, general body postural stability adjustments and co-ordination.</p><p>Altered cervical input in persons with neck disorders can lead to signs and symptoms of impaired sensorimotor control across and within several domains. Clinical assessment for differential diagnosis and to direct management of cervical related altered sensorimotor control is clearly required in many patients. This applies not only to patients with neck disorders but also in patients with, for example vestibular disorders or concussion, presenting with signs and symptoms of altered sensorimotor control where the cervical spine may have a role to play.</p><p>This paper explores the research and current knowledge in relation to clinical measures of cervical related sensorimotor control. The feasibility, responsiveness, comparison to gold standards and potential of clinical measures of cervical related sensorimotor control to assist in differential diagnosis are considered where relevant. Future research directions should examine the full complement of psychometric properties of tests and consideration of any relationships of these measures to pain, dizziness, trauma and functional implications. Development of other measures as well as use in assessing response post management are also important directions.</p><p>These clinical measures, along with a skilled interview and cervical musculoskeletal examination will enable clinicians to recognise and manage impaired cervical sensorimotor control in patients with neck disorders as well as determine the role of the cervical spine in many patients presenting with signs and symptoms of altered sensorimotor control.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103187"},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002820/pdfft?md5=92c58f1432559b52063b4665bfc370e4&pid=1-s2.0-S2468781224002820-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274554","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}