{"title":"Energizing Healing with Electromagnetic Field Therapy in Musculoskeletal Disorders.","authors":"Resmi Rajalekshmi, Devendra K Agrawal","doi":"10.26502/josm.511500147","DOIUrl":"10.26502/josm.511500147","url":null,"abstract":"<p><p>There is mounting evidence to suggest that exogenous electromagnetic fields (EMF) may play a significant role in various biological processes that are crucial to therapeutic interventions. EMFs have been identified as a non-invasive, safe, and effective therapy that appears to have no apparent side effects. Numerous studies have demonstrated that pulsed EMFs (PEMFs) have the potential to become a stand-alone or adjunctive treatment modality for managing musculoskeletal disorders. However, several questions remain unresolved. Before their widespread clinical application, further research from well-designed, high-quality studies is required to standardize treatment parameters and determine the optimal protocol for healthcare decision-making. This article provides a comprehensive overview of the impact of musculoskeletal diseases on overall well-being, the limitations of conventional treatments, and the need to explore alternative therapeutic modalities such as electromagnetic field (EMF) therapy. EMF therapy uses low-frequency electromagnetic waves to stimulate tissue repair, reduce inflammation, and modulate pain signals, making it a safe and convenient alternative to conventional treatments. The article also discusses the historical perspective of EMF therapy in medicine. The article highlights the potential of EMF therapy as a personalized and comprehensive care option for musculoskeletal diseases, either alone or in conjunction with other therapies. It emphasizes the imperative for further research in this field and presents a compelling case for the use of EMF therapy in managing musculoskeletal diseases. Overall, the available findings on the underlying cellular and molecular biology support the use of EMF therapy as a viable option for the management of musculoskeletal disorders and stresses the need for continued research in this area.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Orthopedic Dermatopathies: Skin Manifestations in Orthopedic Conditions.","authors":"Tony Eskandar, Fihr Chaudhary, Devendra K Agrawal","doi":"10.26502/josm.511500157","DOIUrl":"https://doi.org/10.26502/josm.511500157","url":null,"abstract":"<p><p>Orthopedic diseases often present with dermatological symptoms that require prompt identification for appropriate treatment. Understanding these dermatologic presentations is crucial for accurate diagnosis and effective management. This article critically reviewed the dermatological manifestations observed in general and regional pathologies, followed by treatment-related manifestations. An extensive literature search was performed and limited to manifestations in orthopedic disease, excluding those pertaining to infection or syndromes. Case reports and case series documenting unusual and rare dermatologic presentations of orthopedic conditions were examined, providing novel perspectives on both prevalent and uncommon illnesses. The identified pathologies are discussed in detail, including their clinical features and diagnosis, while treatment approach varies depending on the severity of the condition, ranging from self-care to surgical intervention. The findings emphasize the need for interdisciplinary collaboration and highlight the importance of careful diagnosis and appropriate management to eliminate unnecessary approaches and ensure optimal outcomes for patients with orthopedic diseases and dermatologic symptoms.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Adaptation of Achilles Tendon Tissues upon Injury to Rotator Cuff Tendon in Hyperlipidemic Swine.","authors":"Merlin Rajesh Lal, Devendra K Agrawal","doi":"10.26502/josm.511500146","DOIUrl":"https://doi.org/10.26502/josm.511500146","url":null,"abstract":"<p><p>The biomechanical properties of the tendon are affected due to the changes in composition of the tendon extracellular matrix (ECM). Age, overuse, trauma and metabolic disorders are a few associated conditions that contribute to tendon abnormalities. Hyperlipidemia is one of the leading factors that contribute to the compromised biomechanical. Injury was made on infraspinatus tendon of hyperlipidemic swines. After 8 weeks (i) infraspinatus tendon from the injury site, (ii) infraspinatus tendon from the contralateral side and (iii) Achilles tendon, were collected and analyzed for ECM components that form the major part in biomechanical properties. Immunostaining of infraspinatus tendon on the injury site had higher staining collagen type-1 (COL1A1), biglycan, prolyl 4-hydroxylase and mohawk but lower staining for decorin than the control group. The Achilles tendon of the swines that had injury on infraspinatus tendon showed a chronic adaptation towards load which was evident from a more organized ECM with increased decorin, mohawk and decreased biglycan, scleraxis. The mechanism behind the collagen turnover and chronic adaptation to load need to be studied in detail with the biomechanical properties.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hyperlipidemia Induced Pathological Changes with no Effect in Biomechanical Properties in the Achilles Tendon of Young Swine.","authors":"Merlin Rajesh Lal L P, Devendra K Agrawal","doi":"10.26502/josm.511500144","DOIUrl":"10.26502/josm.511500144","url":null,"abstract":"<p><p>Hyperlipidemia is linked to atherosclerosis and various diseases. Its strong association with Achilles tendinopathies and xanthomas affects tendon properties through lipid deposition in tendon tissue. We examined the impact of hyperlipidemia on the biomechanical properties of the swine Achilles tendons. Swines were fed a high-cholesterol-high-fat diet to induce hyperlipidemia, and their Achilles tendons were collected and examined for biomechanical properties. The ultimate tensile strength, modulus of elasticity and viscoelastic properties did not exhibit significant differences between hyperlipidemic and control swines. H&E and pentachrome staining revealed extracellular matrix (ECM) disorganization and cellular infiltration in the hyperlipidemic swines, highlighting a marked difference between the control and hyperlipidemic groups. These results suggest hyperlipidemia in young swines alters the tendon composition and may contribute to weak biomechanical properties with time.</p>","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11113011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paolo Mario Sarais, G. Alvarez Rey, G. Boni, D. Dıraçoğlu, J. Laíns, Raimondo Leone, F. Migliore, A. Perrotta, A. Migliore
{"title":"Whole Body Cryotherapy in Sport and Physical Activity: A Narrative Review","authors":"Paolo Mario Sarais, G. Alvarez Rey, G. Boni, D. Dıraçoğlu, J. Laíns, Raimondo Leone, F. Migliore, A. Perrotta, A. Migliore","doi":"10.26502/josm.511500102","DOIUrl":"https://doi.org/10.26502/josm.511500102","url":null,"abstract":"Cold therapy application is commonly used to relieve pain symptoms, to reduce inflammation in chronic diseases and damage in injuries at the musculoskeletal level. Two types of technologies, Partial Body Cryotherapy (PBC) or Whole Body Cryotherapy (WBC), are available in the market. This narrative review reports data from trials exploring WBC in Sport and in physical activity with the aim to show limitations and effectiveness in healthy subjects performing sport activity. The systematic search was conducted on the past ten years. The search keywords were \"Whole Body Cryotherapy\" OR \"Cryogenic chamber therapy\" OR \"Cryostimulation\" AND \"Sport\" OR \"Exercise\" OR \"Athlete\" OR \"Physical Activity.\" The sample size, subject’s age and gender, year of publication, duration and temperature of exposition, physical activity and outcomes were extracted. 15 articles met the inclusion criteria. Data on 265 subjects aged between 20 to 56 years were reported. The WBC protocols covered temperatures from -20 to -120 degrees Celsius. Exposure times ranged from 1 minute to 3 minutes. The cryostimulation sessions were coupled to normal daily recreational activities or, in the case of athletes, competitive activities during the competition season. WBC is a safe procedure and no major adverse events neither alteration of vital parameters were reported. The benefits have been found especially in post-exercise DOMS. Since many aspects need to be clarified a research agenda has been produced to answer crucial questions. In conclusion WBC seems to be a useful tool in Sport Medicine. However, further studies are necessary to establish standardized protocols.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sensitivity of Diagnostic Methods for Detecting S. stercoralis Infection and Comparison of the Total Global Number of Strongyloidiasis Cases with Other Recognized NTDs: A Systematic Review","authors":"Heron Gezahegn","doi":"10.26502/josm.511500098","DOIUrl":"https://doi.org/10.26502/josm.511500098","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Creating an Inexpensive PVC Knee Model for the Training of Ultrasound-Guided Medial Intra-Articular Knee Injections","authors":"Ryland McDermott, Joshua Melanson, Skylar Davidson, Nora Doyle","doi":"10.26502/josm.511500104","DOIUrl":"https://doi.org/10.26502/josm.511500104","url":null,"abstract":",","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Erroneous Belief on Timely Health Care-Seeking Practices Among Noma (Facial Gangrene) Survivors in Ethiopia","authors":"Heron Gezahegn Gebretsadik","doi":"10.26502/josm.511500105","DOIUrl":"https://doi.org/10.26502/josm.511500105","url":null,"abstract":"Background: Noma is a gangrenous disease that primarily affects young children in extremely poor regions of Africa, Asia, and Latin America. Noma has one of the highest mortality rates, estimated at 90%. Noma begins in the oral cavity and it spreads rapidly and destroys bone, muscle, and skin in the orofacial anatomy. The full onset of Noma is preventable and inexpensive to treat at its early stage. However, a significant number of Noma cases do not receive treatment until it is either too late to save their face or, more commonly, their life. With the recommendation to further investigate the beliefs and perceptions of Noma patients to understand their behavior in seeking medical care, the focus in this situation should remain on understanding the underlying causes. This study examined the main reasons Noma survivors initially had for delaying medical care and that eventually motivated them to seek it. Methods: To achieve the objective of the study, a structured and scheduled qualitative interview was used. A total of 46 Noma cases from different geographic areas in Ethiopia were interviewed in March 2023 to describe the main factors that prevent them from seeking timely medical care and ultimately lead them to seek it. The study participants were asked to indicate their main reason for not seeking medical care soon enough. Then they were asked why they finally decided to pursue medical care.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Tsuji, Chiaki Wada, M. Kawanishi, Yasuhisa Fujita, Y. Kamijo, Y. Umemoto, K. Kouda, Kazunari Nishiyama, F. Tajima, Yukihide Nishimura
{"title":"Quantification of Physical Activities Simulated Exercise Therapy in Ambulatory Inpatients Using Surface Electromyogram from the Vastus Medialis","authors":"T. Tsuji, Chiaki Wada, M. Kawanishi, Yasuhisa Fujita, Y. Kamijo, Y. Umemoto, K. Kouda, Kazunari Nishiyama, F. Tajima, Yukihide Nishimura","doi":"10.26502/josm.511500085","DOIUrl":"https://doi.org/10.26502/josm.511500085","url":null,"abstract":"The present study aimed to assess whether surface electromyogram (sEMG) signal from the vastus medialis could be a candidate method to quantify physical activities during combined activities in ambulatory persons (ergometer exercise, treadmill walking, and squatting). In the first trial, twelve healthy men performed a graded cycle ergometer exercise at 0%, 30%, 60%, and 80% of peak oxygen consumption rate (VO 2peak ), followed by treadmill walking at 0, 2, 4, and 6 km/h for 3 min of each, and each exercise was intermitted by 3 min of rest. sEMG from the Vastus Medialis Oblique Longus (VML) was collected, and the integrated amplitude of spikes (sEMGAMP) were calculated every minute. Positive correlations were observed between ∆VO 2 and ΣsEMG AMP ; data at sampling frequency of 250Hz in both exercise types were plotted (r=0.888; P<0.0001; y=339.04x+4.0267). In the second trial, thirteen healthy participants (three women) performed the combined exercise comprising 3 min each for optimal walking (3 km/h), fast walking (5 km/h and 6 km/h for women and men, respectively), squatting, second optimal walking, and ergometer exercise at 30% VO 2peak , which were intermitted by 30 sec. Finally, they performed ergometer exercise at 100% VO 2peak for 1 min followed by 3-min cool-down (0W). Changes (∆) in VO 2 from the resting value and sEMG AMP during exercise were summed throughout the exercise period (Σ∆VO 2 and ΣsEMG AMP ). ΣΔsEMG AMP was positively correlated with ΣΔVO 2 (r=0.68, p=0.011, @250Hz). Monitoring sEMG from VML may be a candidate method for the evaluation of physical activities for exercise therapy in ambulatory persons.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship between Antigravity Treadmill Therapy Settings and Gait Cycle Parameters","authors":"Miloslav Kubicek and, Tomas Brozek","doi":"10.26502/josm.511500128","DOIUrl":"https://doi.org/10.26502/josm.511500128","url":null,"abstract":"Background: The effective gait restoration due to antigravity treadmill exercise has been demonstrated in patients with locomotor or nervous system disorders. The element of unweighting, its effect on the parameters of the gait cycle and possible deviation from overground walking, despite all the clinical evidence, remains questionable.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135506553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}