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https://www.readbyqxmd.com/read/29454134/back-pain-improves-significantly-following-discectomy-for-lumbar-disc-herniation
#1
R Kirk Owens, Leah Y Carreon, Erica F Bisson, Mohamad Bydon, Eric A Potts, Steven D Glassman
BACKGROUND CONTEXT: Although lumbar disc herniation (LDH) classically presents with lower extremity radiculopathy, there are patients who have substantial associated back pain PURPOSE: To determine if patients with lumbar disc herniation (LDH) with substantial back pain improve with decompression alone. STUDY DESIGN: Longitudinal observational cohort PATIENT SAMPLE: Patients enrolled in the Quality and Outcomes Database (QOD) with LDH and a baseline back pain score ≥ 5 of 10 who underwent 1 or 2-level lumbar discectomy only OUTCOME MEASURES: Back and leg pain scores (0-10), Oswestry Disability Index (ODI), and EuroQoL 5D (EQ-5D)...
February 14, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29444093/the-high-prevalence-of-playing-related-musculoskeletal-disorders-prmds-and-its-associated-factors-in-amateur-musicians-playing-in-student-orchestras-a-cross-sectional-study
#2
Laura M Kok, Karlijn A Groenewegen, Bionka M A Huisstede, Rob G H H Nelissen, A Boni M Rietveld, Saskia Haitjema
OBJECTIVE: Despite the high number of amateur musicians in the general population, little is known about the musculoskeletal health of amateur musicians. Playing a musical instrument is supposed to be a risk factor for the development of musculoskeletal complaints. This study aimed to evaluate playing-related musculoskeletal disorders (PRMDs) among amateur musicians playing in student orchestras. DESIGN: A cross-sectional study. PARTICIPANTS: 357 members of eleven Dutch student orchestras across the Netherlands were included in this study...
2018: PloS One
https://www.readbyqxmd.com/read/29436202/prevalence-of-frailty-in-patients-with-osteoporotic-vertebral-compression-fracture-and-its-association-with-numbers-of-fractures
#3
Ho Joong Kim, Saejong Park, Soo Hyun Park, Jiwon Park, Bong Soon Chang, Choon Ki Lee, Jin S Yeom
PURPOSE: To assess the association between frailty and osteoporotic vertebral compression fracture (OVCF) and to evaluate the relationship between numbers of OVCFs and frailty. MATERIALS AND METHODS: We enrolled 760 subjects, including 59 patients (with OVCF) and 701 controls (without OVCF). Successful matching provided 56 patient-control pairs. We analyzed principal clinical and demographic information, which included sex, age, height, weight, body mass index (BMI), variable frailty phenotypes, and Oswestry Disability Index (ODI) and EuroQol 5-dimension questionnaire (EQ-5D) scores...
March 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29427310/psychological-factors-not-strength-deficits-are-associated-with-severity-of-gluteal-tendinopathy-a-cross-sectional-study
#4
M L Plinsinga, B K Coombes, R Mellor, P Nicolson, A Grimaldi, P Hodges, K Bennell, B Vicenzino
BACKGROUND: Gluteal tendinopathy is the most common lower limb tendinopathy presenting to general practice. It has a high prevalence among middle-aged females and impacts on daily activities, work participation and quality of life. The aim was to compare physical and psychological characteristics between subgroups of severity of pain and disability. METHODS: A multi-centre cross-sectional cohort of 204 participants (mean age 55 years, 82% female) who had a clinical diagnosis of gluteal tendinopathy with MRI confirmation were assessed...
February 9, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29421422/influence-of-body-weight-on-surgical-treatment-for-neurogenic-thoracic-outlet-syndrome
#5
J Westley Ohman, Ahmmad A Abuirqeba, Senthil N Jayarajan, Joshua Balderman, Robert W Thompson
BACKGROUND: Body weight affects outcomes of surgical treatment for various conditions, but its effects on the treatment of neurogenic thoracic outlet syndrome (NTOS) are unknown. The purpose of this study was to evaluate the influence of body weight on technical and functional outcomes of surgical treatment for NTOS. METHODS: A retrospective review of prospectively collected data was conducted for 265 patients that underwent supraclavicular decompression for NTOS between January 1, 2014 and March 31, 2016...
February 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29417379/a-snapshot-of-type-two-diabetes-mellitus-management-in-general-practice-prior-to-the-introduction-of-diabetes-cycle-of-care
#6
Jennifer V Gettings, Raymond O'Connor, Jane O'Doherty, Ailish Hannigan, Walter Cullen, Louise Hickey, Andrew O'Regan
BACKGROUND: Diabetes is associated with complications, including coronary heart disease, stroke, kidney failure, blindness and amputation, and ultimately is a major cause of disability and death worldwide. Adherence to best practice guidelines is limited in unstructured diabetes management in primary care settings. AIMS: This study aims to establish what data was being collected in general practice prior to the introduction of the Cycle of Care, which is a proactive model of diabetes management introduced in Ireland...
February 7, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29411078/multivariate-analysis-of-factors-related-to-radiographic-knee-osteoarthritis-based-on-the-comparison-between-football-players-and-matched-nonsportsmen
#7
Hongzhi Lv, Wei Chen, Peizhi Yuwen, Na Yang, Xiaoli Yan, Yingze Zhang
PURPOSE: Knee osteoarthritis (KOA) is the most common joint pathology worldwide and a major cause of later disability. It is unknown if the bone mass density (BMD) is correlated with KOA. This study aimed to investigate the prevalence of radiographic KOA among retired professional football players by comparing with matched nonsportsmen, and assess the correlation between BMD and KOA. METHODS: A cross-sectional, descriptive study was performed on a group of retired professional football players without history of knee injury...
February 6, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29397117/the-association-between-obesity-and-disability-in-survivors-of-joint-surgery-analysis-of-the-health-and-retirement-study
#8
T G Gaulton, L A Fleisher, M D Neuman
BACKGROUND: Obesity is associated with osteoarthritis and the need for joint surgery. Obese patients who undergo joint surgery may have a higher risk of morbidity compared with normal or overweight patients but less is known about their risk of postoperative disability. The primary objective of our study was to determine the association between obesity and the development of new dependence in activities of daily living within 2 years after joint surgery. METHODS: We obtained data from the Health and Retirement Study, a longitudinal survey of older Americans...
January 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29395649/adductor-pollicis-muscle-thickness-and-obesity-are-associated-with-poor-outcome-after-stroke-a-cohort-study
#9
Juli Thomaz de Souza, Marcos Ferreira Minicucci, Leonardo Antônio Mamede Zornoff, Bertha Furlan Polegato, Priscila Watson Ribeiro, Silméia Garcia Zanati Bazan, Gabriel Pereira Braga, Gustavo José Luvizutto, Sérgio Alberto Rupp de Paiva, Rodrigo Bazan, Paula Schmidt Azevedo
BACKGROUND: Nutritional status may influence outcome after stroke. It is possible that some obese individuals present reduced fat-free mass. AIMS: We aimed to determine if bedside evaluation of body composition by the body mass index (BMI), adductor pollicis muscle thickness (APMT) and arm muscle area (AMA), and the combination of low APMT or AMA with obesity are associated with disability 90 days after stroke. METHODS: A cohort study evaluating 120 patients hospitalized at the Stroke Unit was carried out...
January 22, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29394101/risperidone-treatment-for-irritability-in-fragile-x-syndrome
#10
Kelli C Dominick, Logan K Wink, Ernest V Pedapati, Rebecca Shaffer, John A Sweeney, Craig A Erickson
OBJECTIVE: The goal of this study was to assess the effectiveness of risperidone monoantipsychotic therapy targeting irritability in patients with Fragile X syndrome (FXS) in a naturalistic outpatient clinical setting. METHODS: We examined the use of risperidone, predominantly in combination with other nonantipsychotic psychotropic agents, targeting irritability in 21 male patients with FXS with a retrospective analysis of a prospectively collected large developmental disabilities-specific treatment database...
February 2, 2018: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/29391783/comparisons-of-predictive-values-of-sarcopenia-with-different-muscle-mass-indices-in-korean-rural-older-adults-a-longitudinal-analysis-of-the-aging-study-of-pyeongchang-rural-area
#11
Il-Young Jang, Hee-Won Jung, Chang Ki Lee, Sang Soo Yu, Young Soo Lee, Eunju Lee
Purpose: It is important to define lean muscle mass when diagnosing sarcopenia, but there is still controversy on the clinical implication of sarcopenia derived by height, weight, and body mass index (BMI) adjusted muscle mass indices. We aimed to evaluate the longitudinal clinical relevance of 3 sarcopenia definitions in the Korean population. Patients and methods: We conducted comprehensive geriatric assessments for 1,379 community-dwelling older participants in the Aging Study of PyeongChang Rural Area (ASPRA) cohort and followed them up prospectively for death, institutionalization, and disability every 3 months...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29391277/pain-and-functional-trajectories-in-symptomatic-knee-osteoarthritis-over-up-to-12-weeks-of-exercise-exposure
#12
Augustine C Lee, William F Harvey, Xingyi Han, Lori Lyn Price, Jeffrey B Driban, Raveendhara R Bannuru, Chenchen Wang
OBJECTIVE: Exercise is the recommended treatment for knee osteoarthritis (OA). However, heterogeneous patterns in treatment response are poorly understood. Our purpose was to identify pain and functional trajectories from exercise interventions in knee OA, and to determine their association with baseline factors. METHODS: Prospective cohort of 171 participants (mean age 61 years; BMI 32kg/m2, 71% female; 57% white) with symptomatic knee OA from a randomized trial comparing 12-week Tai Chi and Physical Therapy...
January 29, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29366374/poststroke-depressive-symptoms-are-associated-with-increased-oxidative-deoxyribonucleic-acid-damage
#13
Chung-Yao Chen, Chia-Ling Chen, Yao-Hung Yang, Chien-Hui Ho, Wen-Chun Tseng
Poststroke depression is independently associated with poor health outcomes, such as increased mortality, disability, anxiety, and lower quality of life. Identifying the potential biomarkers and detailed mechanisms of poststroke depression may improve the effectiveness of therapeutic intervention. In this cross-sectional study, the authors recruited patients with subacute ischemic stroke who were consecutively admitted for neurorehabilitation. Depression was assessed with the Patient Health Questionnaire-9 (PHQ-9), with a cutoff based on a summed-items score of 10...
January 25, 2018: Journal of Neuropsychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/29360136/h%C3%A3-lsoutvecklingen-i-stockholm-b%C3%A3-ttre-%C3%A3-n-i-%C3%A3-vriga-landet-j%C3%A3-mf%C3%A3-relse-av-h%C3%A3-lsol%C3%A3-get-utifr%C3%A3-n-globala-sjukdomsb%C3%A3-rdeprojektet
#14
Emilie Agardh, Anna-Karin Danielsson, Peter Guban, Anton Lager, Rynaz Rabiee, Peter Allebeck
Previous studies in Sweden have focused on a number of indicators to assess and compare health conditions at regional levels over time. In this study we aimed to give a more complete picture of the health situation in Stockholm County compared to the rest of Sweden, by using the DALY measure (disability-adjusted life years). DALY combines life lost to premature death (YLL) and years lived with disability (YLD) in one measure, and also allow comparisons of fatal and non-fatal conditions. This approach reveals that low back and neck pain and ischemic heart disease dominated the disease burden in 2015...
January 22, 2018: Läkartidningen
https://www.readbyqxmd.com/read/29358716/impact-of-a-motivational-resistance-training-programme-on-adherence-and-body-composition-in-the-elderly
#15
Pablo Jorge Marcos-Pardo, Alejandro Martínez-Rodríguez, Alexander Gil-Arias
Lack of physical activity is one of the major causes for obesity and functional disability in the elderly. Including regular exercise in the elderly's lifestyle is not an easy task. The main objective was to analyse the effect of a motivational resistance-training programme on satisfying the individual's psychological needs, level of self-determination and body composition. A quasi-experimental study was performed with 47 volunteers (29 females, 18 males) of 67-75 years of age, divided into two groups: experimental (n = 27) and control (n = 20)...
January 22, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29356340/overweight-or-underweight-and-the-risk-of-decline-in-activities-of-daily-living-in-a-22-year-cohort-study-of-a-japanese-sample
#16
Shohei Okamoto, Tomonori Okamura, Daisuke Sugiyama, Takehito Hayakawa, Yasuyuki Nakamura, Naoko Miyagawa, Shuji Kurita, Naoyuki Takashima, Takayoshi Ohkubo, Aya Kadota, Akira Fujiyoshi, Katsuyuki Miura, Akira Okayama, Hirotsugu Ueshima
AIM: The present study aimed to clarify the association between body mass index (BMI) and the activities of daily living (ADL). Although BMI is likely to be concerned regarding the relationship with specific diseases or mortality, few studies have focused on the relationship of BMI and ADL. METHODS: A total of 3353 Japanese participants of a 22-year cohort study from 1990 to 2012 aged 45-74 years at baseline were divided into four groups according to their BMI levels: ≤18...
January 22, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29345632/brain-machine-interfaces-for-controlling-lower-limb-powered-robotic-systems
#17
Yongtian He, David Eguren, José M Azorín, Robert Grossman, Trieu Phat Luu, Jose Luis Pepe Contreras-Vidal
Lower-limb, powered robotics systems such as exoskeletons and orthoses have emerged as novel robotic interventions to assist or rehabilitate people with walking disabilities. These devices are generally controlled by certain physical maneuvers, for example pressing buttons or shifting body weight. Although effective, these control schemes are not what humans naturally use. The usability and clinical relevance of these robotics systems could be further enhanced by brain-machine interfaces (BMIs). A number of preliminary studies have been published on this topic, but a systematic understanding of the experimental design, tasks, and performance of BMI-exoskeleton systems for restoration of gait is lacking...
January 18, 2018: Journal of Neural Engineering
https://www.readbyqxmd.com/read/29337780/efficacy-and-safety-of-sodium-picosulfate-magnesium-citrate-for-bowel-preparation-in-a-physically-disabled-outpatient-population-a-randomized-endoscopist-blinded-comparison-with-ascorbic-acid-enriched-polyethylene-glycol-solution-plus-bisacodyl-the-pico-movi
#18
Elisabeth M H Mathus-Vliegen, Karin van der Vliet, Inge J Wignand-van der Storm, John S Stadwijk
BACKGROUND: Because of its volume, adequate bowel preparation remains problematic in physically unfit patients. OBJECTIVE: This study aimed to compare a small-volume sodium picosulfate/magnesium citrate preparation with a 2-L ascorbic acid-enriched polyethylene glycol solution plus bisacodyl. DESIGN: This study has a noninferiority design, assuming that ascorbic acid-enriched polyethylene glycol solution plus bisacodyl is 70% efficacious in achieving an Ottawa score ≤7 and accepting a difference in success rate of <15% with a target enrollment of 146 patients per group...
February 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29332739/multifidus-muscle-size-in-adolescents-with-and-without-back-pain-using-ultrasonography
#19
Nahid Rahmani, Ali Kiani, Mohammad Ali Mohseni-Bandpei, Iraj Abdollahi
OBJECTIVE: The purposes of this study were; a) to compare multifidus muscle cross sectional area (CSA) in male adolescents suffering from low back pain (LBP) with healthy male adolescents using ultrasonography (US), and b) to assess the correlation between multifidus muscle size and demographic variables. METHODS: A random sample of 40 healthy boys (as a control group) and 40 boys with LBP (as an experimental group) at the age range of 15-18 years was recruited in the present cohort study...
January 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29320952/fatty-acid-binding-protein-4-is-associated-with-disability-in-multiple-sclerosis-patients
#20
Riley Bove, Brain C Healy, Alexander Musallam, Pejvak Soltany, Camilo Diaz-Cruz, Neda Sattarnezhad, Bonnie I Glanz, Pia Kivisäkk, Karen K Miller, Tanuja Chitnis
BACKGROUND: Increased adiposity is a risk factor for multiple sclerosis (MS) and is associated with increased disability scores. Adipokines may mediate the effects of adiposity on MS disease course. OBJECTIVE: The objective of this study is to examine the association between the adipokines (leptin and fatty acid binding protein-4, FABP4) and clinical course in individuals with MS. METHODS: Subjects (18-65 years) with relapsing-remitting MS or clinically isolated syndrome and <10 year disease duration were selected from a longitudinal clinical study...
January 1, 2018: Multiple Sclerosis: Clinical and Laboratory Research
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