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Knee shoulder back pain

H MacPherson, E A Vertosick, N E Foster, G Lewith, K Linde, K J Sherman, C M Witt, A J Vickers
There is uncertainty regarding how long the effects of acupuncture treatment persist after a course of treatment. We aimed to determine the trajectory of pain scores over time following acupuncture, using a large individual patient dataset from high quality randomized trials of acupuncture for chronic pain. The available individual patient dataset included 29 trials and 17,922 patients. The chronic pain conditions included musculoskeletal pain (low back, neck and shoulder), osteoarthritis of the knee and headache/migraine...
October 17, 2016: Pain
Sara J Morgan, Janna L Friedly, Dagmar Amtmann, Rana Salem, Brian J Hafner
OBJECTIVE: To determine relationships between pain site(s) and pain intensity/interference in people with lower limb amputations. DESIGN: Cross-sectional survey. SETTING: Community. PARTICIPANTS: Lower limb prosthesis users with unilateral or bilateral amputations (n=1296, mean time since amputation = 14.1 years). INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity (1-item to assess average pain), PROMIS Pain Interference (4-item short form to assess the consequences of pain in desired activities), and questions that asked participants to rate the extent to which each of the following were a problem: residual limb pain, phantom limb pain, knee pain on the non-amputated side, back pain, and shoulder pain...
October 11, 2016: Archives of Physical Medicine and Rehabilitation
Sana Salah, Mariem Rekik, Iheb Bel Haj Youssef, Soumaya Boudokhane, Houda Migaou, Anis Jellad, Zohra Ben Salah Frih
OBJECTIVE: The objective of this study was to assess the musculoskeletal disorders (MSD) of diabetes mellitus (DM) patients in a Physical Medicine and Rehabilitation (PMR) department. MATERIAL/PATIENTS AND METHODS: We carried out a retrospective study (January-December 2013) in which we enrolled 193 patients with DM. General (epidemic and clinical) characteristics were measured. Statistical analysis was performed using the statistical software SPSS 16. RESULTS: The participants' median age was 58 years (20-86), 98 men (50...
September 2016: Annals of Physical and Rehabilitation Medicine
Jeong Min Yi, Gwang Suk Kim
PURPOSE: This study was done to examine physical, psycho-social, and individual factors influencing musculoskeletal symptoms among Korean military trainees. METHODS: Using a correlation study design, military trainees who had completed almost of all the basic combat training (BCT) days were recruited from two military training units selected by convenience sampling. Data from 415 participants were analyzed. RESULTS: Prevalence of musculoskeletal symptoms was 29...
August 2016: Journal of Korean Academy of Nursing
Joseph G Wasser, Cong Chen, Heather K Vincent
BACKGROUND: Low back pain (LBP) and motion alterations can occur in athletes who engage in high-speed throwing motions. The relationship between LBP and shooting motion in lacrosse players is not yet known. PURPOSE: To quantify the effects of LBP on key kinematic parameters of the lacrosse shot and determine the contribution of the severity of LBP on specific kinematic parameters of the shooting motion. STUDY DESIGN: Controlled laboratory study...
July 2016: Orthopaedic Journal of Sports Medicine
Joule J Li, Sarah L Appleton, Tiffany K Gill, Andrew Vakulin, Gary A Wittert, Nick A Antic, Anne W Taylor, Robert J Adams, Catherine L Hill
OBJECTIVE: To investigate the association of musculoskeletal pain with objectively-determined obstructive sleep apnea (OSA) and subjective sleep measures in a population-based sample. METHODS: Participants were community-dwelling men (n=360) aged ≥35 years from the Men Androgen Inflammation Lifestyle Environment and Stress Study. Shoulder, back, hip, knee, hand, and foot pain were assessed by Computer-Assisted Telephone Interview or self-completed questionnaire...
July 31, 2016: Arthritis Care & Research
Feng Pan, Laura Laslett, Leigh Blizzard, Flavia Cicuttini, Tania Winzenberg, Changhai Ding, Graeme Jones
OBJECTIVE: Pain is common in older adults and typically involves multiple sites. Obesity is an important risk factor in the pathogenesis of pain and multi-site pain (MSP). This study aimed to examine longitudinal associations between fat mass and MSP, and to explore the potential mechanisms of any associations. METHODS: Data from a longitudinal population-based study of older adults (n=1099) was utilized with measurements at baseline and after 2.6 and 5.1 years...
July 7, 2016: Arthritis Care & Research
Mary O'Keeffe, Amy Hayes, Karen McCreesh, Helen Purtill, Kieran O'Sullivan
BACKGROUND: Musculoskeletal pain is common and its treatment costly. Both group and individual physiotherapy interventions which incorporate exercise aim to reduce pain and disability. Do the additional time and costs of individual physiotherapy result in superior outcomes? OBJECTIVE: To compare the effectiveness of group and individual physiotherapy including exercise on musculoskeletal pain and disability. METHODS: Eleven electronic databases were searched by two independent reviewers...
June 24, 2016: British Journal of Sports Medicine
Igor Larrañaga, Myriam Soto-Gordoa, Arantzazu Arrospide, María Luz Jauregi, Jesús Millas, Ricardo San Vicente, Jabier Aguirrebeña, Javier Mar
INTRODUCTION: The chronic nature of musculoskeletal diseases requires an integrated care which involves the Primary Care and the specialities of Rheumatology, Traumatology and Rehabilitation. The aim of this study was to assess the implementation of an integrated organizational model in osteoporosis, low back pain, shoulder disease and knee disease using Deming's continuous improvement process and considering referrals and resource consumption. MATERIAL AND METHODS: A simulation model was used in the planning to predict the evolution of musculoskeletal diseases resource consumption and to carry out a Budget Impact Analysis from 2012 to 2020 in the Goierri-Alto Urola region...
June 16, 2016: Reumatología Clinica
Rafi Raja, Bright Dube, Elizabeth M A Hensor, Sarah F Hogg, Philip G Conaghan, Sarah R Kingsbury
BACKGROUND: Chronic multiple-site joint pain (MSJP) is common in older people and associated with poor outcomes, yet under-researched. Our aim was to detail the clinical characteristics of people with MSJP and their utilisation of therapies. METHODS: MSJP was defined as pain in at least one large joint and one other joint for >6 weeks in the last three months. A mixed community, primary and secondary care cohort of people >50 years old underwent detailed history and examination by a single clinician...
2016: BMC Musculoskeletal Disorders
Trevor A Lentz, Jason M Beneciuk, Joel E Bialosky, Giorgio Zeppieri, Yunfeng Dai, Samuel S Wu, Steven Z George
Study Design Clinical measurement, cross-sectional. Background Pain-associated psychological distress adversely influences outcomes for patients with musculoskeletal pain. However, assessment of pain-associated psychological distress (ie, yellow flags) is not routinely performed in orthopaedic physical therapy practice. A standardized yellow flag assessment tool will better inform treatment decision making related to psychologically informed practice. Objectives To describe the development of a concise, multidimensional yellow flag assessment tool for application in orthopaedic physical therapy clinical practice...
May 2016: Journal of Orthopaedic and Sports Physical Therapy
Endreddy Manikanta Reddy, Sandul Yasobant
BACKGROUND: Waste management is a necessary activity around the world, but involves a variety of health hazards. In a developing country like India, municipal solid waste is collected manually requiring heavy physical activity. Among all occupational health issues, musculoskeletal problems are common among waste collectors in the form of nonfatal injuries because of the presence of such risk factors (lifting, carrying, pulling, and pushing). We have thus conducted this study to evaluate musculoskeletal disorders (MSDs) among municipal solid waste (MSW) workers...
October 2015: Journal of Family Medicine and Primary Care
Adrian E Park, Hamid R Zahiri, M Susan Hallbeck, Vedra Augenstein, Erica Sutton, Denny Yu, Bethany R Lowndes, Juliane Bingener
OBJECTIVE: The aim of this study was to investigate the effect of intraoperative targeted stretching micro breaks (TSMBs) on the experienced pain and fatigue, physical functions, and mental focus of surgeons. BACKGROUND: Surgeons are routinely subject to mental and physical stresses through the course of their work in the operating room. One of the factors most contributory to the shortening of a surgeon's career is work-related pain and its effects on patient safety and personal relationships...
February 10, 2016: Annals of Surgery
Katie A Butera, Trevor A Lentz, Jason M Beneciuk, Steven Z George
BACKGROUND: The STarT Back Screening Tool is a validated multidimensional screening measure and risk stratification tool for people with low back pain. OBJECTIVE: The study objective was to compare relationships between a modified STarT Back Screening Tool (mSBT) and clinical and psychological measures in people with low back, neck, shoulder, and knee pain. The hypothesis was that the relationships between mSBT scores and clinical and psychological measure scores would be similar across the included musculoskeletal pain conditions...
August 2016: Physical Therapy
Sang D Choi, Kathryn Brings
BACKGROUND: Nurses and nursing assistants are susceptible to work-related musculoskeletal disorders and injuries (WMSDs) due to the increase in overweight and obese patients they are handling on a daily basis. OBJECTIVE: This study aimed to review work-related musculoskeletal hazards and risks associated with handling overweight and obese patients, and summarize the recommended interventions to mitigate musculoskeletal concerns among nurses and nursing assistants...
2015: Work: a Journal of Prevention, Assessment, and Rehabilitation
Fereydoun Davatchi, Mahnaz Sandoughi, Nasrin Moghimi, Ahmad-Reza Jamshidi, Arash Tehrani Banihashemi, Zahra Zakeri, Bahar Sadeghi Abdollahi
AIM: To calculate the epidemiology of Rheumatic Diseases in Iran. MATERIALS AND METHODS: The data of Tehran, Zahedan, Sanandaj (urban) and Tuyserkan (rural) stage Community Oriented Program for the Control of Rheumatic Diseases (COPCORD) studies were gathered. The data were adjusted to the population number of the studied areas to represent Iran. RESULTS: The population of Iran is 75 149 669 (71.5% urban areas, males 50.4%) and of the mentioned area were respectively 10 000 000, 580 071, 311 444 and 109 262...
December 1, 2015: International Journal of Rheumatic Diseases
Raphael M Herr, Jos A Bosch, Adrian Loerbroks, Annelies E M van Vianen, Marc N Jarczok, Joachim E Fischer, Burkhard Schmidt
OBJECTIVES: Musculoskeletal pain has been found to co-occur with psychosocial job stress. However, different conceptualizations of job stress exist, each emphasizing different aspects of the work environment, and it is unknown which of these aspects show the strongest associations with musculoskeletal pain. Further, these associations may differ for white-collar vs. blue-collar job types, but this has not been tested. The present study examined the independent and combined contributions of Effort-RewardImbalance (ERI), Job-Demand-Control (JDC) and Organizational Justice (OJ) to musculoskeletal pain symptoms among white- and blue-collar workers...
November 2015: Journal of Psychosomatic Research
In-gyu Yoo, Won-gyu Yoo
BACKGROUND: Previous research has suggested eliminating certain types of manual material handling (MMH) work by recommending specific arm angles and postures to avoid, such as arm flexion or abduction over 90°. MMH with arm flexion over 90° can require lifting objects as well as lowering objects. However, few studies have evaluated MMH work while lowering objects in detail. OBJECTIVE: This study investigated the effects of different lifting and lowering heights on upper arm, shoulder, and back muscle activity during a MMH task...
2015: Work: a Journal of Prevention, Assessment, and Rehabilitation
Andrew W Nichols
Competitive swimmers are affected by several musculoskeletal and medical complaints that are unique to the sport. 'Swimmer's shoulder,' the most common overuse injury, is usually caused by some combination of impingement, rotator cuff tendinopathy, scapular dyskinesis, and instability. The condition may be treated with training modifications, stroke error correction, and strengthening exercises targeting the rotator cuff, scapular stabilizers, and core. Implementation of prevention programs to reduce the prevalence of shoulder pathology is crucial...
September 2015: Current Sports Medicine Reports
Gitte S Jensen, Miki R Lenninger, Joni L Beaman, Robert Taylor, Kathleen F Benson
This study evaluated the effects of consumption of hydrolyzed water-soluble egg membrane (WSEM) on joint function in an otherwise healthy population experiencing chronic pain. A randomized, double-blind, placebo-controlled crossover study included two 4-week periods of placebo and WSEM consumption, separated by a 4-week washout period. Twenty-five study participants were randomized to either the "placebo-first" or "WSEM first" sequence in the crossover trial, and 22 participants completed the study requirements...
September 2015: Journal of Medicinal Food
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