JSAMS plus最新文献

{"title":"Comparison of cancer and all-cause death rates of Australian rock and pop musicians, footballers, cricketers and the general population","authors":"John W. Orchard ,&nbsp;Tim Driscoll ,&nbsp;Angus Davis ,&nbsp;Elizabeth Driscoll ,&nbsp;Jessica J. Orchard","doi":"10.1016/j.jsampl.2024.100070","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100070","url":null,"abstract":"<div><h3>Introduction</h3><p>Multiple international studies, including some from Australia, have found that professional and elite athletes have lower death rates/greater life expectancy than the general population. By contrast, international rock and pop musicians have been found to die prematurely compared to the general population, although no studies have focused on Australian musicians specifically.</p></div><div><h3>Methods</h3><p>Death rates and life expectancy were compared for cohorts of Australian rock and pop musicians, male VFL/AFL footballers and male Sheffield Shield cricketers and the general Australian population, for the years 1971–2022 inclusive. Data were sourced from Wikipedia.</p></div><div><h3>Results</h3><p>A cohort of 655 Australian rock and pop musicians showed an increased Standardized Mortality Rate (SMR) of 1.35 (95% CI 1.07–1.71). The rate of cancer deaths in musicians showed an even higher SMR of 1.85 (95% CI 1.32–2.59). The male Australian football, SMR 0.77 (95% CI 0.74–0.80), and cricket, SMR 0.71 (95% CI 0.64–0.78), athlete cohorts showed significantly decreased death rates compared to the general Australian male population. Life expectancy for the male athlete groups after age 20 roughly tracked the superior life expectancy of the general Australian female population, whereas life expectancy for the male musician group was slightly inferior to the general Australian male population.</p></div><div><h3>Discussion</h3><p>The likely increase in cancer deaths in Australian musicians could be explained by substance exposure (alcohol, tobacco, both active and passive, and perhaps other illicit substances), although this causation was not specifically assessed as part of our study. Unlike other international musician cohorts, we did not observe a high rate of deaths directly due to drug overdose in the 3rd and 4th decades of life. The likely explanation for the better health of the athlete cohorts is the known survival benefit of high levels of exercise (primarily through reduced cardiovascular disease and cancers).</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277269672400019X/pdfft?md5=72f62361e99d76beada058abbe3655ea&pid=1-s2.0-S277269672400019X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595248","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":"Acute injuries in male elite ice hockey players. A prospective cohort study","authors":"Jussi Hirvelä ,&nbsp;Markku Tuominen ,&nbsp;Olavi Airaksinen ,&nbsp;Timo Hänninen ,&nbsp;Niklas Lindblad ,&nbsp;Hilkka Ryhänen ,&nbsp;Jukka Tikanto ,&nbsp;Jari Parkkari","doi":"10.1016/j.jsampl.2024.100068","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100068","url":null,"abstract":"<div><h3>Background</h3><p>In Finland, elite level ice hockey injury studies have not been conducted since 1990s. Epidemiological data is needed for developing injury prevention. The aim of this study was to calculate the injury incidences and to describe details of the injuries in the men's elite-level ice hockey league in Finland (Liiga).</p></div><div><h3>Methods</h3><p>During the three seasons of 2017–2020, injuries from eight Liiga teams were documented by team physicians to a digitalized injury-reporting system. All acute injuries requiring medical attention or causing a player's time loss were reported. Injury incidences were calculated, and injury details were described.</p></div><div><h3>Results</h3><p>Overall, 326 injuries occurred in 1147 matches, comprising an injury rate (IR) of 12.9 per 1000 player-games. The head, including face, was the most commonly injured body part (IR 4.7 per 1000 player-games; 36.2% of the injuries), followed by the upper extremity (IR 3.5; 27.3%) and lower extremity (IR 3.3; 25.8%). Concussions were more frequent (IR 1.9) than knee (IR 1.6) or shoulder (IR 1.2) injuries. Body checking (31.5%) was the most common mechanism of injury, and contusion (29.3%) was the most typical diagnosis. The player's time loss was over three weeks in 17.7% of all injuries, of which mostly were knee (23.1%), hand (21.2%) and shoulder (13.5%) injuries.</p></div><div><h3>Conclusions</h3><p>The injury rate was slightly lower than in other elite-level ice hockey studies and 28.2% lower than in previous studies conducted in Finland in the 1990s. Head injuries were the most common. Concussions persisted as frequent injuries in elite ice hockey.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100068"},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000176/pdfft?md5=3833993010784af2ace7ebea2412a17d&pid=1-s2.0-S2772696724000176-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141543821","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":"Using impact monitoring mouthguards to measure head impact exposure in elite ice hockey","authors":"Mikael Swarén ,&nbsp;Madelen Fahlstedt","doi":"10.1016/j.jsampl.2024.100069","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100069","url":null,"abstract":"<div><h3>Background</h3><p>Even though women's ice hockey does not permit deliberate checking between players, female players are at similar or even higher risk to sustain concussions, as male players. Several studies have investigated head impacts in ice hockey, however to the best of the authors' knowledge, no previous study has used impact monitoring mouthguards to investigate head impact exposure among professional female ice hockey players.</p></div><div><h3>Methods</h3><p>Impact monitoring mouthguards were used to collect head impact data during games in the Swedish Women's Hockey League and in the men's Swedish J20 SuperElite League in 2020.</p></div><div><h3>Results</h3><p>Female players had significantly higher median linear accelerations than male players (26 [19–35] g, vs. 7 [5–9] g, <em>p</em> ​&lt; ​0.001, <em>d</em> ​= ​1.98). Female players had significant higher median rotational accelerations compared to male players (3076 [2314–4243] rad/s² vs. 430 [281–752] rad/s², <em>p ​&lt;</em> ​0.001, <em>d</em> ​= ​2.398). There were no notable variances in impact distribution by location for linear or rotational accelerations among female players. Similarly, male players didn't exhibit significant differences in impact location for linear acceleration. However, impacts at the Top Front location demonstrated significantly higher rotational accelerations compared to those at Front Low and Front High positions.</p></div><div><h3>Conclusion</h3><p>Compared to male players, female players sustain fewer but harder impacts to the head, which may explain the high occurrence of concussion in women's ice hockey.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000188/pdfft?md5=6c70a069afa77a15f1a662b511c58fd5&pid=1-s2.0-S2772696724000188-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487391","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":"Evaluating the measurement properties and feasibility of physical activity and physical function assessments for children undergoing acute cancer treatment","authors":"Sarah L. Grimshaw ,&nbsp;Nicholas F. Taylor ,&nbsp;Rachel Conyers ,&nbsp;Nora Shields","doi":"10.1016/j.jsampl.2024.100065","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100065","url":null,"abstract":"<div><h3>Background</h3><p>As physical function and physical activity are often compromised among children and adolescents undergoing acute cancer treatment, psychometrically robust and feasible assessment tools are needed. The aim of this study is to evaluate the construct validity, responsiveness and feasibility of one physical activity assessment tool (Fitbit Inspire); and six physical function assessment tools (Movement ABC-2, Timed Up and Go, 30-s Chair Stand, Timed Rise from the Floor, Timed Up and Down Stairs, 6-min Walk Test) for children undergoing acute cancer treatment.</p></div><div><h3>Methods</h3><p>A prospectively-registered, mixed methods, single-group study evaluated measurement properties against <em>a priori</em> hypothesis using Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) framework. Feasibility was assessed quantitively (<em>a priori</em> thresholds), and qualitatively (semi-structured interviews, focus-groups).</p></div><div><h3>Results</h3><p>Twenty children/adolescents (median age 13 ​± ​5 years, various cancer diagnoses), 20 parents and 16 clinicians participated. Fitbit was feasible to assess daily steps only, had evidence of construct validity, tendency to overestimate step count and adequate evidence of responsiveness (compared to Actigraph). The 30-s Chair stand, 6-min Walk Test and Timed Up and Go were feasible and showed evidence of construct validity and responsiveness. To maximise feasibility, consideration of timing and intent of assessment are crucial.</p></div><div><h3>Conclusion</h3><p>Fitbit has limitations as a physical activity assessment tool. The 30-s Chair Stand, 6-min Walk Test and Timed Up and Go were feasible to use and showed favourable measurement properties to assess physical function.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000139/pdfft?md5=ae2f7887bd47d31e56c25225e15fdbd0&pid=1-s2.0-S2772696724000139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487411","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":"Do ankle braces affect functional performance? A randomised double-blinded cross-over trial","authors":"Tomas Megalaa,&nbsp;Paul L. Le,&nbsp;Alycia Fong Yan,&nbsp;Paula R. Beckenkamp,&nbsp;Claire E. Hiller","doi":"10.1016/j.jsampl.2024.100061","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100061","url":null,"abstract":"<div><h3>Objectives</h3><p>To compare the effects of the KISS ankle brace, Aircast ankle brace, and no brace condition, on functional performance measures and perceptions of stability, confidence and reassurance in people with and without chronic ankle instability.</p></div><div><h3>Design</h3><p>Randomised double-blinded cross-over trial.</p></div><div><h3>Method</h3><p>A total of 42 participants (21 uninjured and 21 with chronic ankle instability) were recruited from the general population and completed a series of functional performance tests, including side hop (seconds), Star excursion balance test reach distance, triple hop for distance (centimetres), modified T-agility test (seconds), standing and maximum vertical jump reach (centimetres), while wearing two ankle brace conditions and no brace (control). Results were recorded and analysed by a blinded investigator.</p></div><div><h3>Results</h3><p>There was no significant difference between conditions for average time on the side hop test (F(2,122) ​= ​0.04, P ​= ​0.96); best reach distance on SEBT in anterior (F (2,122) ​= ​0.04, P ​= ​0.96), postero-medial (F(2,122) ​= ​0.08, P ​= ​0.93) and postero-lateral (F(2,122) ​= ​0.08, P ​= ​0.92) directions; best distance performed on the triple hop (F(2,122) ​= ​0.03, P ​= ​0.97); best standing vertical jump performance (F(2,110) ​= ​0.04, P ​= ​0.97); best maximum vertical jump performance (F(2,110) ​= ​0.01, P ​= ​0.99); or best time for the modified T-agility run (F(2,122) ​= ​1.61, P ​= ​0.21).</p></div><div><h3>Conclusions</h3><p>Practitioners can be assured that functional and balance performances will not be impacted by wearing an ankle brace.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"4 ","pages":"Article 100061"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000097/pdfft?md5=84b5d70decddb83ee71e55d768fd735e&pid=1-s2.0-S2772696724000097-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141438404","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":"Exercise as a non-pharmacological intervention for the management of sleep disturbance in primary brain tumour survivors and their caregivers: A study protocol of a clinical trial","authors":"Jason A. Martin ,&nbsp;Nicolas H. Hart ,&nbsp;Natalie Bradford ,&nbsp;Fiona Naumann ,&nbsp;Mark B. Pinkham ,&nbsp;Elizabeth P. Pinkham ,&nbsp;Justin J. Holland","doi":"10.1016/j.jsampl.2024.100059","DOIUrl":"10.1016/j.jsampl.2024.100059","url":null,"abstract":"<div><h3>Background</h3><p>Sleep disturbance is a highly prevalent and impactful symptom experienced by those adversely affected by primary brain tumours. Despite this, there is a lack of literature exploring appropriate options for the management of sleep disturbance in these populations. As such, more holistic and patient-centred approaches to address sleep disturbance are needed. Exercise presents itself as a viable option for managing sleep disturbances given its numerous health benefits, minimal costs, and acceptability, though the feasibility of its use in the context of primary brain tumours is unknown.</p></div><div><h3>Methods</h3><p>Primary brain tumour survivors and their caregivers will enrol and participate in a supervised, eight-week exercise intervention delivered by telehealth. Feasibility will be assessed using predetermined study metrics, including eligibility, recruitment. and assessment completion rates. Acceptability will be assessed using retention to intervention rates, session attendance, and participant satisfaction. Sleep will be assessed both objectively, using ring sleep trackers, and subjectively, using questionnaires.</p></div><div><h3>Conclusion</h3><p>This study will be the first to explore the feasibility and acceptability of exercise for the management of sleep disturbance in primary brain tumour survivors and their caregivers. If successful, this protocol will contribute to the development and implementation of appropriate strategies to manage sleep disturbance in these populations.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"3 ","pages":"Article 100059"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000073/pdfft?md5=e7875c21553b8cfd194bcd537883498d&pid=1-s2.0-S2772696724000073-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141234048","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":"Focus on cricket and football injuries, plus upcoming special issues","authors":"Jessica Orchard","doi":"10.1016/j.jsampl.2024.100067","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100067","url":null,"abstract":"","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"3 ","pages":"Article 100067"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000164/pdfft?md5=f1071935b8ea947b6b2890c525252898&pid=1-s2.0-S2772696724000164-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433987","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":"What are the clinical recommendations for the use of ankle braces? A scoping review","authors":"Tomas Megalaa,&nbsp;Paula R. Beckenkamp,&nbsp;Alycia Fong Yan,&nbsp;Claire E. Hiller","doi":"10.1016/j.jsampl.2024.100058","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100058","url":null,"abstract":"<div><h3>Background</h3><p>Ankle braces can be used in the treatment and prevention of lateral ankle sprains. However, there is a limited understanding and consensus about which type of brace should be used, for how long, and when to stop using ankle braces.</p></div><div><h3>Objective</h3><p>To review the clinical recommendations made in guidelines or position statements for the use of ankle braces.</p></div><div><h3>Design</h3><p>Scoping review.</p></div><div><h3>Methods</h3><p>Ten electronic databases and Google were searched. Guidelines and/or position statements about treatment and/or prevention of lateral ankle sprains or chronic ankle instability were included if derived from a peer-reviewed source or from an official national or international professional group, society or association, and made recommendations on the use ankle braces. Recommendations for brace use and cessation were extracted, collated, reviewed, and presented in tabular format.</p></div><div><h3>Results</h3><p>Eleven guidelines and two position statements were included. All recommended ankle braces for the treatment of grade I and II ankle sprains and prevention of recurring sprains. Inconsistencies were present for; grade III sprains, the classification and definitions for brace types, the level of restriction ankle braces provide, how long ankle braces should be worn, and indicators for cessation of use.</p></div><div><h3>Conclusion</h3><p>Ankle braces are recommended for prevention of recurring sprains and the treatment of grade I and II sprains. Further information is needed on the duration or indicators for cessation of ankle brace use. A standardised classification and definitions used for the type of brace, and the level of restriction ankle braces provide is also warranted.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"3 ","pages":"Article 100058"},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000061/pdfft?md5=32f8dae758b850737a5f09d8fb2daaa1&pid=1-s2.0-S2772696724000061-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950169","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":"Acute response to resistance exercise and later development of arm lymphedema in breast cancer survivors: An exploratory follow-up of a randomized cross-over trial","authors":"Stine Munck ,&nbsp;Peter Oturai ,&nbsp;Sandra C. Hayes ,&nbsp;Kira Bloomquist","doi":"10.1016/j.jsampl.2024.100057","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100057","url":null,"abstract":"<div><h3>Background</h3><p>In breast cancer survivors at risk for lymphedema, variation in lymphatic function and arm volume has been observed related to a bout of exercise, with potential for prediction of breast cancer-related arm lymphedema (BCRaL). This novel, exploratory study examined the acute lymphatic response to resistance exercise and later development of BCRaL in women at high risk for BCRaL.</p></div><div><h3>Methods</h3><p>One year after participation in a cross-over trial evaluating the acute lymphatic response to upper-extremity resistance exercise (low-and heavy-load), participants were assessed for BCRaL (n ​= ​16). The response to exercise was assessed before and after (post, 24- and 72-hrs) each exercise bout as extracellular fluid (L-Dex; bioimpedance spectroscopy (BIS)), interarm volume % difference (IVD; Dual-energy x-ray absorptiometry (DXA)) and symptoms (Numeric rating scale, 0–10 (NRS)). BCRaL at follow-up was defined as presence of one objective indicator (L-Dex &gt;10, change ≥+6.5, IVD &gt;5%) plus one objective or subjective indicator (interarm symptom ≥1 or visual inspection). Descriptive statistics were used to compare the acute response between participants with and without BCRaL at follow-up.</p></div><div><h3>Results</h3><p>No trends indicating a similar acute response to exercise was observed in participants who later developed BCRaL (n ​= ​5). There were no observable differences in acute lymphatic response between participants that developed BCRaL and those who did not, both at an individual and group level.</p></div><div><h3>Conclusions</h3><p>Findings from this exploratory study showed no evidence to suggest that the acute response to resistance exercise can predict BCRaL development.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"3 ","pages":"Article 100057"},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277269672400005X/pdfft?md5=274c708128e2037abafe0e4af34007c1&pid=1-s2.0-S277269672400005X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900941","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":"Using transcranial direct current stimulation to improve outcomes and reduce hip osteoarthritis burden (the STIM HIPS study): A protocol for a randomised, triple blind controlled trial","authors":"Myles C. Murphy ,&nbsp;Janet L. Taylor ,&nbsp;Paola Chivers ,&nbsp;Jonathan M. Hodgson ,&nbsp;Casey Whife ,&nbsp;Cobie Starcevich ,&nbsp;Liam Tapsell ,&nbsp;Joanne Kemp ,&nbsp;Andrea Mosler","doi":"10.1016/j.jsampl.2024.100056","DOIUrl":"https://doi.org/10.1016/j.jsampl.2024.100056","url":null,"abstract":"<div><h3>Background</h3><p>Transcranial direct current stimulation (tDCS), <em>via</em> an electrical current being sent through the brains motor cortex, can elicit pain reduction and improved function in people with knee osteoarthritis (OA), compared to a sham. However, it is unknown whether tDCS-induced reductions in pain can be expected in hip OA given differences between hip and knee OA phenotypes.</p></div><div><h3>Methods</h3><p>Two-armed (<em>n</em> ​= ​39 per arm), triple-blind, randomised controlled trial, with an 8-week intervention window and 8-week post-intervention follow-up assessing the efficacy of real anodal tDCS plus exercise versus sham tDCS plus exercise. Primary outcome measure is the International Hip Outcome Tool–33 (iHOT-33).</p></div><div><h3>Aims</h3><p>The primary objective of this randomised controlled trial is to quantify the effect of tDCS and exercise on pain, disability and quality of life in people with hip OA. Our secondary objectives include: 1) quantifying the influence of motor cortex excitability and conditioned pain modulation on treatment effects, and 2) quantifying the economic cost/benefit of tDCS for improving health-related quality of life in people with hip OA.</p></div><div><h3>Analysis</h3><p>Data distributions will be examined for each outcome and guide preliminary statistical between group test selections. Repeated mixed effects models will determine between-group differences for the primary outcome (iHOT-33), accounting for relevant confounders (i.e., age; sex; body mass index; radiographic severity) with relevant model assumptions examined. Secondary analysis will determine between-group differences for the other outcomes of interest (cortex excitability and conditioned pain modulation).</p></div><div><h3>Implications</h3><p>This randomised controlled trial investigates a novel intervention to improve pain, function and quality of life in people with hip OA.</p></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"3 ","pages":"Article 100056"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772696724000048/pdfft?md5=e8f2a333240e238ea9ded886f5c0c998&pid=1-s2.0-S2772696724000048-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140544020","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}