Musculoskeletal Science and Practice最新文献

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Morphological and mechanical properties of cervical muscles in fibromyalgia with migraine: A case-control study 纤维肌痛伴偏头痛患者颈部肌肉的形态和机械特性:病例对照研究
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-14 DOI: 10.1016/j.msksp.2024.103185
Mehtap Balaban , Seyda Toprak Celenay , Nida Lalecan , Selcuk Akan , Derya Ozer Kaya
{"title":"Morphological and mechanical properties of cervical muscles in fibromyalgia with migraine: A case-control study","authors":"Mehtap Balaban ,&nbsp;Seyda Toprak Celenay ,&nbsp;Nida Lalecan ,&nbsp;Selcuk Akan ,&nbsp;Derya Ozer Kaya","doi":"10.1016/j.msksp.2024.103185","DOIUrl":"10.1016/j.msksp.2024.103185","url":null,"abstract":"<div><h3>Background</h3><p>The precise manner in which morphological and mechanical properties of cervical muscles in patients with fibromyalgia and migraine are affected remains unclear.</p></div><div><h3>Objectives</h3><p>The objective of this study was to compare the morphological and mechanical properties of cervical muscles in individuals diagnosed with fibromyalgia who also experience migraine headaches with those who do not.</p></div><div><h3>Methods</h3><p>The study included two groups of fibromyalgia patients: one with migraine (n = 18, age = 44.7 ± 7.5 years, body mass index = 28.7 ± 6.9 kg/m<sup>2</sup>) and one without migraine (n = 21, age = 42.6 ± 9.5 years, body mass index = 25.1 ± 4.4 kg/m<sup>2</sup>). Body pain intensity related to fibromyalgia and migraine attack severity were evaluated with a Visual Analog Scale (VAS). The cervical muscle morphological and mechanical properties, including thickness, cross-sectional area (CSA), and stiffness, were measured using ultrasound imaging.</p></div><div><h3>Results</h3><p>It was found that there was a greater decrease in longus colli muscle CSA scores (p = 0.004) and a greater increase in upper trapezius muscle stiffness scores (p = 0.013) in the fibromyalgia + migraine group compared to the fibromyalgia group. No statistically significant differences were observed in trapezius muscle thickness (p = 0.261), sternocleidomastoid muscle thickness (p = 0.874), multifidus CSA (p = 0.963), or sternocleidomastoid muscle stiffness (p = 0.642) between the two groups.</p></div><div><h3>Conclusion</h3><p>Patients with fibromyalgia and migraine exhibited diminished longus colli muscle CSA and heightened upper trapezius muscle stiffness compared to those with fibromyalgia but no migraine. It should be considered that migraine comorbidity in fibromyalgia may negatively affect cervical muscle morphological and mechanical properties.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103185"},"PeriodicalIF":2.2,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142273979","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}
引用次数: 0
Contents and delivery methods of pain neuroscience education in pediatrics: A scoping review 儿科疼痛神经科学教育的内容和授课方法:范围综述
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-13 DOI: 10.1016/j.msksp.2024.103182
Juliana Rezende , Louise Acalantis , Leandro Calazans Nogueira , Ney Meziat-Filho , Kelly Ickmans , Felipe J.J. Reis
{"title":"Contents and delivery methods of pain neuroscience education in pediatrics: A scoping review","authors":"Juliana Rezende ,&nbsp;Louise Acalantis ,&nbsp;Leandro Calazans Nogueira ,&nbsp;Ney Meziat-Filho ,&nbsp;Kelly Ickmans ,&nbsp;Felipe J.J. Reis","doi":"10.1016/j.msksp.2024.103182","DOIUrl":"10.1016/j.msksp.2024.103182","url":null,"abstract":"<div><h3>Background</h3><p>Pain is prevalent among children and adolescents. The development and implementation of Pain Neuroscience Education (PNE) strategies tailored to this population remains overlooked in contrast to the adult population.</p></div><div><h3>Objective</h3><p>This study sought to identify the content, delivery methods, and dosage of PNE for children and adolescents available in the literature.</p></div><div><h3>Method</h3><p>We systematically searched PubMed, EMBASE, Physiotherapy Evidence Database, Scopus, Web of Science, Cochrane Library, PsycINFO, and clinical trial registration databases. Inclusion criteria consisted of studies that involved children submitted to a PNE program in community, school, clinics, hospitals or child development centers. We considered studies that included children with and without pain who received PNE strategies associated or not with self-motivational interventions. Studies focusing on psychological interventions were excluded. We extracted data on authors, publication year, country, sample characteristics, health condition, PNE content, study design, context, outcomes, duration, follow-up, main results, dropout, and adverse effects. Data extracted were qualitatively organized.</p></div><div><h3>Results</h3><p>A total of 805 studies were initially reviewed. The final sample comprised 17 studies. Common PNE topics included pain neurophysiology, biopsychosocial influences, pain concepts, self-management, and coping strategies. Delivery methods ranged from slideshows and videos to booklets, with sessions lasting 8–60 min. Schools were the most common setting for these interventions.</p></div><div><h3>Conclusion</h3><p>Our review demonstrates the diversity in PNE content, delivery methods, and intervention dosages among the included studies. Most studies occurred in school settings, potentially limiting its generalizability for clinical contexts.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103182"},"PeriodicalIF":2.2,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243687","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}
引用次数: 0
Machine learning methods in physical therapy: A scoping review of applications in clinical context 物理治疗中的机器学习方法:临床应用范围综述
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-13 DOI: 10.1016/j.msksp.2024.103184
Felipe J.J. Reis , Matheus Bartholazzi Lugão de Carvalho , Gabriela de Assis Neves , Leandro Calazans Nogueira , Ney Meziat-Filho
{"title":"Machine learning methods in physical therapy: A scoping review of applications in clinical context","authors":"Felipe J.J. Reis ,&nbsp;Matheus Bartholazzi Lugão de Carvalho ,&nbsp;Gabriela de Assis Neves ,&nbsp;Leandro Calazans Nogueira ,&nbsp;Ney Meziat-Filho","doi":"10.1016/j.msksp.2024.103184","DOIUrl":"10.1016/j.msksp.2024.103184","url":null,"abstract":"<div><h3>Background</h3><p>Machine learning (ML) efficiently processes large datasets, showing promise in enhancing clinical practice within physical therapy.</p></div><div><h3>Objective</h3><p>The aim of this scoping review is to provide an overview of studies using ML approaches in clinical settings of physical therapy.</p></div><div><h3>Data sources</h3><p>A scoping review was performed in PubMed, EMBASE, PEDro, Cochrane, Web of Science, and Scopus.</p></div><div><h3>Selection criteria</h3><p>We included studies utilizing ML methods. ML was defined as the utilization of computational systems to encode patterns and relationships, enabling predictions or classifications with minimal human interference.</p></div><div><h3>Data extraction and data synthesis</h3><p>Data were extracted regarding methods, data types, performance metrics, and model availability.</p></div><div><h3>Results</h3><p>Forty-two studies were included. The majority were published after 2020 (n = 25). Fourteen studies (33.3%) were in the musculoskeletal physical therapy field, nine (21.4%) in neurological, and eight (19%) in sports physical therapy. We identified 44 different ML models, with random forest being the most used. Three studies reported on model availability. We identified several clinical applications for ML-based tools, including diagnosis (n = 14), prognosis (n = 7), treatment outcomes prediction (n = 7), clinical decision support (n = 5), movement analysis (n = 4), patient monitoring (n = 3), and personalized care plan (n = 2).</p></div><div><h3>Limitation</h3><p>Model performance metrics, costs, model interpretability, and explainability were not reported.</p></div><div><h3>Conclusion</h3><p>This scope review mapped the emerging landscape of machine learning applications in physical therapy. Despite the growing interest, the field still lacks high-quality studies on validation, model availability, and acceptability to advance from research to clinical practice.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103184"},"PeriodicalIF":2.2,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232952","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}
引用次数: 0
Patient acceptance of care of a novel care pathway for those at risk of poor outcomes from musculoskeletal pain: A mixed methods study 患者对针对肌肉骨骼疼痛不良后果高危人群的新型护理路径的接受程度:混合方法研究
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-12 DOI: 10.1016/j.msksp.2024.103178
Darren Beales , Eileen Boyle , Robyn Fary , Anton Mikhailov , Benjamin Saunders , Sonia Coates , Kerrie Evans , Milena Simic , Michele Sterling , Kim Bennell , Trudy Rebbeck
{"title":"Patient acceptance of care of a novel care pathway for those at risk of poor outcomes from musculoskeletal pain: A mixed methods study","authors":"Darren Beales ,&nbsp;Eileen Boyle ,&nbsp;Robyn Fary ,&nbsp;Anton Mikhailov ,&nbsp;Benjamin Saunders ,&nbsp;Sonia Coates ,&nbsp;Kerrie Evans ,&nbsp;Milena Simic ,&nbsp;Michele Sterling ,&nbsp;Kim Bennell ,&nbsp;Trudy Rebbeck","doi":"10.1016/j.msksp.2024.103178","DOIUrl":"10.1016/j.msksp.2024.103178","url":null,"abstract":"<div><h3>Objective</h3><p>Investigate people's acceptance of specialist musculoskeletal care within a new care pathway for common musculoskeletal conditions (low back pain, neck pain/whiplash, knee osteoarthritis).</p></div><div><h3>Design</h3><p>Convergent parallel mixed methods design referencing the Theoretical Framework of Acceptability. The study included a subset of participants (n = 29) at-risk of poor outcomes from the intervention arm of the PAthway of CarE for common musculoskeletal conditions (PACE-MSK) trial. In the PACE-MSK arm, participants received specialist physiotherapist care as an adjunct to the care provided by their primary healthcare professional(s). One-to-one semi-structured interviews were conducted around 3-months after commencing in the trial. Quantitative data were collected at baseline and 3-month follow-up (health-related quality of life, pain self-efficacy, global perceived change, satisfaction).</p></div><div><h3>Results</h3><p>Five themes were identified (Expectations and beliefs shaped patient experience; Clinical expertise and competence influence acceptance; Person-centred care; Mechanisms facilitating beneficial responses to care; Gaps in care pathway implementation). There were positive individual changes in physical quality of life for 17/29 (59%) participants, mental health quality of life for 12/29 (41%), pain self-efficacy for 8/29 (28%) and global perceived change for 19/29 (66%). Management met expectations with the majority reporting high levels of satisfaction. Integrating the qualitative and quantitative data with the Theoretical Framework of Acceptability, there were complementary meta-inferences in the constructs of ‘ethicality’, ‘intervention coherence’, ‘self-efficacy’ and ‘affective attitude’. Divergence was identified in ‘perceived effectiveness’.</p></div><div><h3>Discussion</h3><p>In general, there was positive acceptance of the care pathway by participants. Specialist physiotherapists’ care was perceived as a positive addition to usual care.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103178"},"PeriodicalIF":2.2,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246878122400273X/pdfft?md5=3b47a0364e59468e6a1d9565e9904831&pid=1-s2.0-S246878122400273X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173619","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}
引用次数: 0
Effects of therapeutic exercise on pain processing in people with chronic non-specific neck pain - A systematic review and meta-analysis 治疗性运动对慢性非特异性颈痛患者疼痛处理的影响--系统回顾与荟萃分析
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-11 DOI: 10.1016/j.msksp.2024.103183
Adriane Aguayo-Alves , Giovanna Laura Neves Antônio Gaban , Marcos Amaral de Noronha , Luiz Fernando Approbato Selistre
{"title":"Effects of therapeutic exercise on pain processing in people with chronic non-specific neck pain - A systematic review and meta-analysis","authors":"Adriane Aguayo-Alves ,&nbsp;Giovanna Laura Neves Antônio Gaban ,&nbsp;Marcos Amaral de Noronha ,&nbsp;Luiz Fernando Approbato Selistre","doi":"10.1016/j.msksp.2024.103183","DOIUrl":"10.1016/j.msksp.2024.103183","url":null,"abstract":"<div><h3>Background</h3><p>Emerging evidence suggests that individuals with chronic non-specific neck pain may experience altered sensory processing, potentially contributing to the modest response to therapeutic exercise treatments.</p></div><div><h3>Objective</h3><p>This systematic review aims to explore the effect of therapeutic exercise on pain processing among patients with chronic non-specific neck pain.</p></div><div><h3>Methods</h3><p>A systematic search was conducted in multiple databases (PubMed, EMBASE, CINAHL, PEDro, SportDiscus, and Cochrane CENTRAL) from inception to June 2023. Inclusion criteria included randomized controlled trials (RCT) comparing therapeutic exercise to non-exercise treatments or no treatment. The screening and data extraction was conducted by two reviewers. The methodological quality was evaluated using the PEDro scale and the certainty of evidence using GRADE. The primary outcomes assessed were pressure pain threshold (PPT), temporal summation, and conditioned pain modulation.</p></div><div><h3>Results</h3><p>Thirteen trials included a total of 948 participants, with 586 in the exercise therapy group and 362 in the non-exercise group. The therapeutic exercise was not superior to non-exercise treatments for both local and PPT in the immediate (MD = 0.13, 95%CI = −0.18 to 0.43), and short-term follow-up (MD = 0.17, 95%CI = −0.27 to 0.61). In the medium term, therapeutic exercise demonstrated a small effect size in increasing local PPT (Kg/cm2) (MD = 0.64, 95%CI = 0.08 to 1.19) compared to non-exercise interventions. The certainty of evidence for these outcomes was very low.</p></div><div><h3>Conclusions</h3><p>There is very low certainty of evidence that therapeutic exercise is not superior than non-exercise treatment on pain processing in patients with chronic non-specific neck pain.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103183"},"PeriodicalIF":2.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274553","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}
引用次数: 0
Online education and manual skill acquisition 在线教育和手工技能学习
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-10 DOI: 10.1016/j.msksp.2024.103181
Professor Emerita Gwendolen Jull AO (Co-EditorMusculoskeletal Science and Practice), Professor Emerita Ann P. Moore CBE (Editor in ChiefMusculoskeletal Science and Practice)
{"title":"Online education and manual skill acquisition","authors":"Professor Emerita Gwendolen Jull AO (Co-EditorMusculoskeletal Science and Practice),&nbsp;Professor Emerita Ann P. Moore CBE (Editor in ChiefMusculoskeletal Science and Practice)","doi":"10.1016/j.msksp.2024.103181","DOIUrl":"10.1016/j.msksp.2024.103181","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103181"},"PeriodicalIF":2.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233871","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}
引用次数: 0
Cross-cultural Adaptation of the Avoidance of Daily Activities Photo Scale for Turkish patients with shoulder pain: Reliability and validity assessment according to the COSMIN guideline 针对土耳其肩痛患者的 "避免日常活动照片量表 "的跨文化改编:根据 COSMIN 指南进行可靠性和有效性评估
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-10 DOI: 10.1016/j.msksp.2024.103180
Pinar Kuyulu Haksal , Kubra Caylan Gurses , Birgul Dingirdan , Busra Pakoz , Irem Duzgun , Anamaria Siriani de Oliveira , Elif Turgut
{"title":"Cross-cultural Adaptation of the Avoidance of Daily Activities Photo Scale for Turkish patients with shoulder pain: Reliability and validity assessment according to the COSMIN guideline","authors":"Pinar Kuyulu Haksal ,&nbsp;Kubra Caylan Gurses ,&nbsp;Birgul Dingirdan ,&nbsp;Busra Pakoz ,&nbsp;Irem Duzgun ,&nbsp;Anamaria Siriani de Oliveira ,&nbsp;Elif Turgut","doi":"10.1016/j.msksp.2024.103180","DOIUrl":"10.1016/j.msksp.2024.103180","url":null,"abstract":"<div><h3>Context</h3><p>People with chronic or long-term pain may develop various psychosocial symptoms such as fear and avoidance of behavior due to pain. Reliable and valid quality of life tools must be available in Turkish to specifically assess avoidance of behavior in people with shoulder pain.</p></div><div><h3>Objectives</h3><p>This study aimed to translate and culturally adapt the Avoidance of Daily Activities Photo Scale for Patients with Shoulder Pain and to evaluate the psychometric properties of its Turkish version (ADAP-Tr) in patients with shoulder pain.</p></div><div><h3>Methods</h3><p>Translation, adaptation, and validation were performed according to the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) guidelines. The internal consistency, reliability, construct validity, and discriminant validity of the ADAP-Tr were tested. The Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), and Shoulder Pain and Disability Index (SPADI) were applied for validation purposes.</p></div><div><h3>Results</h3><p>The study included a total of 162 participants with shoulder pain. The internal consistency of the ADAP-Tr showed excellent reliability with a Cronbach's α of 0.94 and a test-retest assessment of 0.88 ICC (95% CI, 0.83-0.91). The standard error of measurement was 1.85 points, and the minimal detectable change was determined 5.12 points. There was a low to high correlation among the ADAP-Tr and PCS (r = 0.481, p &lt; .001), TSK (r = 0.448, p &lt; .001), and SPADI (r = 0.826, p &lt; .001) scores.</p></div><div><h3>Conclusions</h3><p>The ADAP-Tr was shown to be a valid and strong reliability tool to use in clinical and research settings as a shoulder-specific measurement tool.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103180"},"PeriodicalIF":2.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163069","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}
引用次数: 0
Corrigendum to “Conference abstracts from IFOMPT 24, the 12th world conference of musculoskeletal and manual physical therapy. Celebrating 50 years. Basel, Switzerland 4th–6th July” [Muscoskel. Sci. Pract. 72 (2024) 103127] 第 12 届世界肌肉骨骼和手法理疗大会 IFOMPT 24 会议摘要》的更正。庆祝 50 周年。瑞士巴塞尔,7 月 4-6 日" [Muscoskel.
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-07 DOI: 10.1016/j.msksp.2024.103159
{"title":"Corrigendum to “Conference abstracts from IFOMPT 24, the 12th world conference of musculoskeletal and manual physical therapy. Celebrating 50 years. Basel, Switzerland 4th–6th July” [Muscoskel. Sci. Pract. 72 (2024) 103127]","authors":"","doi":"10.1016/j.msksp.2024.103159","DOIUrl":"10.1016/j.msksp.2024.103159","url":null,"abstract":"","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103159"},"PeriodicalIF":2.2,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224002546/pdfft?md5=59e7744af87db49662e2ce9383e67a6c&pid=1-s2.0-S2468781224002546-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149924","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}
引用次数: 0
Can assessment of human assumed central sensitisation improve the predictive accuracy of the STarT Back screening tool in acute low back pain? 对人体假定中枢敏感性的评估能否提高 STarT Back 筛选工具对急性腰背痛的预测准确性?
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-07 DOI: 10.1016/j.msksp.2024.103177
Wei-Ju Chang , Peter Humburg , Luke C. Jenkins , Valentina Buscemi , M.E. Gonzalez-Alvarez , James H. McAuley , Matthew B. Liston , Siobhan M. Schabrun
{"title":"Can assessment of human assumed central sensitisation improve the predictive accuracy of the STarT Back screening tool in acute low back pain?","authors":"Wei-Ju Chang ,&nbsp;Peter Humburg ,&nbsp;Luke C. Jenkins ,&nbsp;Valentina Buscemi ,&nbsp;M.E. Gonzalez-Alvarez ,&nbsp;James H. McAuley ,&nbsp;Matthew B. Liston ,&nbsp;Siobhan M. Schabrun","doi":"10.1016/j.msksp.2024.103177","DOIUrl":"10.1016/j.msksp.2024.103177","url":null,"abstract":"<div><h3>Background</h3><p>The STarT Back Screening Tool (SBT) is recommended to provide risk-stratified care in low back pain (LBP), yet its predictive value is moderate for disability and low for pain severity. Assessment of human assumed central sensitisation (HACS) in conjunction with the SBT may improve its predictive accuracy.</p></div><div><h3>Objectives</h3><p>To examine whether assessment of HACS in acute LBP improves the predictive accuracy of the SBT for LBP recovery at six months in people with acute non-specific LBP.</p></div><div><h3>Design</h3><p>A prospective longitudinal study.</p></div><div><h3>Method</h3><p>Data were drawn from the UPWaRD study. One hundred and twenty people with acute non-specific LBP were recruited from the community. Baseline measures included SBT risk status, nociceptive flexor withdrawal reflex, pressure and heat pain thresholds and conditioned pain modulation. Primary outcome was the presence of LBP (pain numeric rating scale ≥1 and Roland Morris Disability Questionnaire score ≥3) at six-month follow-up. Regression coefficients were penalised using the least absolute shrinkage and selection operator technique to select predictor variables. Internal validation was performed using ten-fold cross-validation.</p></div><div><h3>Results/findings</h3><p>SBT risk status alone did not predict the presence of LBP at six months (area under receiver operating characteristic curve [AUC] = 0.58). Adding measures of HACS to the SBT did not improve discrimination for whether LBP was present at six months (AUC = 0.59).</p></div><div><h3>Conclusions</h3><p>This study confirmed the suboptimal predictive accuracy of the SBT, administered during acute LBP, for LBP recovery at six months. Assessment of HACS in acute LBP does not improve the predictive accuracy of the SBT.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103177"},"PeriodicalIF":2.2,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163067","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}
引用次数: 0
The effect of visual cues at different heights on sit-to-stand movements in people with and without low back pain 不同高度的视觉提示对腰痛患者和无腰痛患者从坐到站动作的影响
IF 2.2 3区 医学
Musculoskeletal Science and Practice Pub Date : 2024-09-07 DOI: 10.1016/j.msksp.2024.103179
Cathrine H. Feier, Stephen H.M. Brown
{"title":"The effect of visual cues at different heights on sit-to-stand movements in people with and without low back pain","authors":"Cathrine H. Feier,&nbsp;Stephen H.M. Brown","doi":"10.1016/j.msksp.2024.103179","DOIUrl":"10.1016/j.msksp.2024.103179","url":null,"abstract":"<div><h3>Background</h3><p>Investigating movement strategies that can be utilized to avoid pain-provocation could enhance the management of low back pain episodes.</p></div><div><h3>Objective</h3><p>To assess the effect of visual cues at different heights on the kinematics of sit-to-stand movements, as well as perceived difficulty and pain levels.</p></div><div><h3>Design</h3><p>Cross-over design comparing individuals with low back pain to healthy controls.</p></div><div><h3>Methods</h3><p>26 asymptomatic controls and 15 individuals with chronic, recurrent low back pain performed 5 sets of 5 sit-to-stand movements. High, middle, and low visual cues were used during sets 2–4. Spinal sagittal plane range of motion, peak spinal flexion and extension angles, and trunk centre of mass velocity were obtained from kinematic data.</p></div><div><h3>Results</h3><p>The low cue led to significantly more head and lumbar spine flexion, while the high cue led to significantly more head and thoracic spine extension and increased thoracic spine range of motion. The low back pain group demonstrated a significantly lower vertical trunk centre of mass velocity than the control group during the high cue trials. There was a significant association between higher perceived difficulty scores and lower trunk centre of mass velocity for the low back pain group. Pain scores were not significantly different between cue conditions.</p></div><div><h3>Conclusion</h3><p>Visual cues can be used to temporarily change the spinal kinematics of sit-to-stand movements in people with and without low back pain. This could be helpful in clinical practice to encourage more, or less, movement in specific spinal regions, and avoid pain provocation to facilitate functional rehabilitation.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"74 ","pages":"Article 103179"},"PeriodicalIF":2.2,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173618","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}
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