Journal of orthopaedics and sports medicine最新文献

{"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":"1 1","pages":""},"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}

{"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":"1 1","pages":""},"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":"22 1","pages":"0"},"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}

{"title":"Beneficial Effects of Physical Activity in Rheumatoid Arthritis Patients: Focus on Active Biomolecules","authors":"R. Restuccia, Giovanni Ficarra, Fulvio Perani, G. Bagnato, Joseph N. Grima, C. Mannucci, A. Bitto, F. Trimarchi, D. Di Mauro","doi":"10.26502/josm.511500096","DOIUrl":"https://doi.org/10.26502/josm.511500096","url":null,"abstract":"Physical Activity (PA) has a fundamental role in subjects with Rheumatoid Arthritis (RA), in terms of motility, joint function, muscle wasting, BMI (Body Mass Index), Cardiovascular Fitness (CRF), mental health, but also changes in bioactive molecules that might influence the disease activity and patient’s wellbeing. Literature was searched for clinical trials, randomized-controlled trials, and pilot studies published in the last 15 years. Studies using as adjunctive therapy aerobic exercise, HighIntensity Interval Training (HIIT), and moderate training were included. The available papers shown that exercise programs improve joint’s mobility and flexibility and the overall health status, without differences regarding age, gender or disease activity. All these findings are supported by the modulatory role of exercise-induced cytokines as interleukin-6 (IL6) and irisin, together with a reduction of inflammatory markers.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349329","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":"Long Term Follow-up of Lumbar Spine Annular Fissures","authors":"Faranak Rafiee, Shadi Asadollahi, R. Luna, M. Motaghi, M. Hoseinyazdi, Gary X Gong, D. Yousem","doi":"10.26502/josm.511500107","DOIUrl":"https://doi.org/10.26502/josm.511500107","url":null,"abstract":"Background and Purpose: Annular fissures are common in the lumbar spine; their natural history is not well-known. They typically are bright on T2W and show linear enhancement. We hypothesized that Lumbar Annular Fissures (LAF) rarely resolve over time and their imaging features are static. Materials and Methods: From 2011 to 2021, we evaluated patients who had more than one lumbar spine MR. We recorded LAF imaging features on T1W, T2W, and post-contrast sequences and the evolution of those findings over time. We also inspected the evolution of concomitant disc pathology. Finally, we reviewed the radiologic reports to see if LAFs were mentioned. Results: Of the 441 included patients, 238 (54.0%) had a LAF. Of these, 123/238 (51.7%) had more than one LAF (total 436 LAFs). 433 (99.3%) LAFs were bright on T2W; 3 LAFs enhanced but were not bright on T2W. In follow up, (mean 621 days, SD 951 days), 145/436 (33.3%) LAFs changed in T2W signal intensity; 62.8% showed less hyperintensity on T2W, 7 resolved completely. Of 65 gadolinium-enhanced cases, 53 (81.5%) LAFs enhanced; that enhancement persisted in 85.4%. Bulges or herniations coexisted with LAFs in 388/436 (89.0%). With changes in signal intensity and gadolinium enhancement, the bulge/herniation often evolved. 15.8% of LAFs were reported. Conclusion: LAFs are prevalent (54.0%) but are under-reported. The vast majority are bright on T2W but that hyperintensity may change over time. Most LAFs enhance and do so persistently. Disk bulges and herniations coexist in 89% of cases and evolve with the LAFs. Clinical Relevance: The stability of T2 hyperintensity and gadolinium enhancement of LAFs over time implies that the age of the AF cannot be inferred unless it is newly appearing on a current study.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349563","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":"Accuracy of Ultrasound in Determining Proximal Humeral Epiphyseal Widening in Youth Athletes: A Case Series","authors":"Scott C Everett, Andrew L Alejo, Blake Boggess, E. Reinke, Cindy L. Green, E. Poehlein, Benjamin Boswell","doi":"10.26502/josm.511500109","DOIUrl":"https://doi.org/10.26502/josm.511500109","url":null,"abstract":"Exposing children to numerous radiographs in order to diagnose various musculoskeletal injuries is not ideal due to the deleterious side effects of ionizing radiation on growth plates. In particular, Little Leaguer’s Shoulder is a common pediatric and adolescent injury that relies mainly on radiographs in order to recognize and treat. Thus, if other imaging modalities without ionizing radiation, such as ultrasound, can be shown to be reliable and accurate in measuring humeral physeal width, it may serve as a better means of identifying these injuries. The purpose of this study was to assess the consistency of two separate physician measures of proximal humeral epiphysis widening in children ages 12-16. Inter-rater and intra-rater reliability of ultrasound measurements of the proximal humeral epiphysis was calculated among twelve patients with open physes. Longitudinal measurements of the epiphyseal plate were obtained in three locations: just distal to the most lateral aspect of the acromion, 2 cm anterior to that line, and 2 cm posterior to that line with the same measurements repeated on the opposite arm. Measurements were then averaged for an overall width. Overall, no statistically significant variation was found when comparing epiphyseal plate width on dominant versus non-dominant arms. Ultrasonographic measurement of proximal humeral epiphyseal width shows narrow variability when used and interpreted by a sports medicine physician.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349577","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":"Skeletal Fluorosis: A Risk Factor of Bone Fractures Among Adults in Ethiopia: A Case-Control Study","authors":"Heron Gezahegn Gebretsadik","doi":"10.26502/josm.511500111","DOIUrl":"https://doi.org/10.26502/josm.511500111","url":null,"abstract":"Background: Fluoride is a beneficial trace element. It is contained in the calcified tissues. Fluoride has a prophylactic effect against dental caries when absorbed in doses of less than 1.5 mg/day on the surface of the tooth enamel. It is also used as a therapeutic agent in adults for the treatment of postmenopausal osteoporosis at doses of 15 to 25 mg/day. However, fluoride in high doses can cause skeletal fluorosis, which can lead to bone fractures. The effects of fluoridated water on the skeleton are poorly understood, but there is some evidence that prolonged consumption of highly fluoridated water increases the risk of bone fractures. This case-control study examined the association between skeletal fluorosis and bone fractures among adults living in Ethiopia's Rift Valley (fluoride endemic) region. Method: A case-control study was conducted among adult Ethiopians in February 2023 to investigate the association between skeletal fluorosis and bone fractures. The study aimed to determine whether skeletal fluorosis poses a risk for bone fractures. Three matched controls were chosen for every case, considering a 1:3 ratio. Spine radiographic investigations were conducted to determine possible skeletal fluorosis-associated morphologic changes among the study participants. Chi-square tests and odds ratios (ORs) were computed. The P-value was also calculated considering a degree of freedom (df) of 1. Results: Given the 1:3 ratio between cases and controls, the study included 9 cases (6 females and three males) and 27 controls. The cases were diagnosed with femoral neck fractures (n=2), callus fractures (n=2), distal tibial fracture (n=1), lumbar vertebra fractures (n=3), and calcaneal fractures (n=1). The age range of cases and controls was 38 to 69 years. Analysis revealed a statistically (p-value = 0.01) significant association between skeletal fluorosis and bone fractures. Five subjects (4 cases and one control) had a constellation of abnormal bony changes in the spine. The odd ratio (OD) and chi-square (χ2) were calculated as 20.80 and 6.27, respectively, while the 95% CI was determined as [1.904, 227.274]. Conclusion: This study revealed that skeletal fluorosis is a risk factor for multiple types of bone fractures among adults living in a highly fluoridated area in Ethiopia. However, more thorough studies need to be conducted with a broader study population to further determine the association between skeletal fluorosis and bone fractures.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349587","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":"Functional Outcome of MIPO (Minimally Invasive Plate Osteosynthesis) in Distal Third Femur Fractures with Intra Articular Extension","authors":"Jantaj Singh, Rajkumar Aggarwal, Chandan Jasrotia, A. Dewan","doi":"10.26502/josm.511500081","DOIUrl":"https://doi.org/10.26502/josm.511500081","url":null,"abstract":"Distal femur fractures include fractures of the supracondylar and intercondylar region. They account for around 3-6% of femur fractures. They occur both in younger patients (as the result of high energy trauma) or in older patients (from low energy trauma as pathological fracture secondary to osteoporosis or malignancy). Despite advances in implant design, the management of distal femur fractures remain challenging. Fracture comminution and intra-articular extension with severe soft tissue injury can make it difficult to obtain an adequate reduction while preserving the soft tissue attachments to bone fragments to allow for bone healing. This study was done to study the functional of MIPO (Minimally Invasive Plate Osteosynthesis) in distal third femur fractures with intra articular extension.","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349615","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":"Impacts of Religious and Conspiracy Beliefs on Disease Prevention: The Case of COVID-19 in Ethiopia","authors":"Heron Gezahegn Gebretsadik","doi":"10.26502/josm.511500113","DOIUrl":"https://doi.org/10.26502/josm.511500113","url":null,"abstract":"","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349636","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":"A Conversation with an Open Artificial Intelligence Platform on Osteoarthritis of the Hip and Treatment","authors":"Ishith Seth, Aaron Rodwell, R. Tso, John Valles, G. Bulloch, Nimish Seth","doi":"10.26502/josm.511500088","DOIUrl":"https://doi.org/10.26502/josm.511500088","url":null,"abstract":"The Chat Generative Pre-Trained Transformer (Chat-GPT) is an Artificial Intelligence (AI) platform that was made available to the public in November of 2022 [1]. This technology, which is capable of generating humanoid text, has been regarded as a tool that can reduce the workload burden of writing scientific journal articles while ensuring the academic standards of writing [2]. Its potential has been demonstrated through its acceptance for publication as an author in multiple journals, and even passing the United States medical board examinations [2-5].","PeriodicalId":73881,"journal":{"name":"Journal of orthopaedics and sports medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69349733","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}