Journal articles on the topic 'Musculoskeletal condition'
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Potekhina, Yu P., D. R. Dautov, D. A. Goryacheva, D. V. Pavlov, and A. A. Kurnikova. "Goniometric evaluation of students’ musculoskeletal system condition." Journal of Anatomy and Histopathology 7, no. 3 (October 3, 2018): 46–50. http://dx.doi.org/10.18499/2225-7357-2018-7-3-46-50.
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Vyas, Ami, Xiaoyun Pan, and Usha Sambamoorthi. "Chronic Condition Clusters and Polypharmacy among Adults." International Journal of Family Medicine 2012 (August 1, 2012): 1–8. http://dx.doi.org/10.1155/2012/193168.
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Objective. The primary objective of the study was to estimate the rates of polypharmacy among individuals with multimorbidity defined as chronic condition clusters and examine their associations with polypharmacy. Methods. Cross-sectional analysis of 10,528 individuals of age above 21, with at least one physical condition in cardiometabolic (diabetes or heart disease or hypertension), musculoskeletal (arthritis or osteoporosis), and respiratory (chronic obstructive pulmonary disease (COPD) or asthma) clusters from the 2009 Medical Expenditure Panel Survey. Chi-square tests and logistic regressions were performed to analyze the association between polypharmacy and multimorbidity. Results. Polypharmacy rates varied from a low of 7.2% among those with respiratory cluster to a high of 64.1% among those with all three disease clusters. Among those with two or more disease clusters, the rates varied from 28.3% for musculoskeletal and respiratory clusters to 41.8% for those with cardiometabolic and respiratory clusters. Individual with cardiometabolic conditions alone or in combination with other disease clusters were more likely to have polypharmacy. Compared to those with musculoskeletal and respiratory conditions, those with cardiometabolic and respiratory conditions had 1.68 times higher likelihood of polypharmacy. Conclusions. Rates of polypharmacy differed by specific disease clusters. Individuals with cardiometabolic condition were particularly at high risk of polypharmacy, suggesting greater surveillance for adverse drug interaction in this group.
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Fedotova, A. S., N. N. Molitvoslovova, L. I. Alekseeva, L. Ya Rozhinskaya, A. S. Fedotova, N. N. Molitvoslovova, L. I. Alexeeva, and L. Y. Rozhinskaya. "CONDITION OF THE MUSCULOSKELETAL SYSTEM IN PATIENTSWITH ACROMEGALY." Osteoporosis and Bone Diseases 13, no. 1 (April 15, 2010): 19–27. http://dx.doi.org/10.14341/osteo2010119-27.
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Despite the relatively low incidence of acromegaly (60-70 cases per I million inhabitants), this disease has a special place among the heterogeneous group of diseases that lead to the defeat of the locomotor apparatus. The slow growth of the clinical manifestations of acromegaly and as a consequence, late diagnosis, the cause of early disability and premature death of patients. In order to improve the quality of life and social adaptation of patients to date is an obvious need to identify groups of patients with acromegaly, requiring additional therapy for osteoporosis and osteoarthritis. We performed the search in bibliographic bases MEDLINE and Cochrane Collaboration from 2000 on 2009. Key words were the following: acromegaly, acromegaly and arthropathy, osteoporosis and acromegaly, the bone mineral density and acromegaly, fractures and acromegaly. In this article the data about role of risk factors for the defeat ofosteoarticular apparatus, the dynamics of the articular syndrome and the state of bone tissue in acromegaly.
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Boonrod, Artit, Hiroyuki Sugaya, Norimasa Takahashi, Arunnit Boonrod, and Chat Sumananont. "Tuberculous Distal Biceps Tendon Rupture: Case Report and Review of the Literature." Case Reports in Orthopedics 2018 (October 25, 2018): 1–3. http://dx.doi.org/10.1155/2018/6374784.
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Tuberculous distal biceps tendon rupture is a rare condition in orthopedics. Musculoskeletal tuberculosis usually presents with bursitis, synovitis, myositis, and osteomyelitis, conditions which demonstrate an excellent response to antituberculosis chemotherapy. Tendon rupture is often associated with delayed diagnosis and treatment. We report a rare manifestation of musculoskeletal tuberculosis in the distal biceps tendon with delayed diagnosis.
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Holehouse, Kelly, Karen Oliver, Gillian Rawlinson, and Hazel Roddam. "Collaborative service delivery to address public health issues within a musculoskeletal setting: evaluation of the Healthy Mind, Healthy Body project." International Journal of Therapy and Rehabilitation 26, no. 11 (November 2, 2019): 1–15. http://dx.doi.org/10.12968/ijtr.2018.00196.
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Background/Aims There is a need for greater focus on public health and its impact on musculoskeletal conditions within healthcare delivery. Physiotherapists are well positioned to support this. Outpatient physiotherapy musculoskeletal services traditionally focus on rehabilitation and physical exercise, yet many service users require support to improve both their mental and physical health. This innovative service improvement aimed to embed integrated health promotion within musculoskeletal physiotherapy service delivery. Methods A physiotherapy-led multidisciplinary team introduced patients to other community-based support services to address wider health needs. Results Service evaluation demonstrated a high uptake of self-referral to community services, validating the potential benefit for musculoskeletal condition management. Positive patient feedback indicates that patients valued the service and were well-supported to engage with health improvement. Conclusions Musculoskeletal physiotherapy services need to consider the wider aspects of health, putting public health at the heart of musculoskeletal service delivery.
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Carter, Stephanie K., and John A. Rizzo. "Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions." Physical Therapy 87, no. 5 (May 1, 2007): 497–512. http://dx.doi.org/10.2522/ptj.20050218.
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Background and PurposeBecause musculoskeletal conditions contribute to functional decline and activity limitation, physical therapy intervention may be an appropriate health care resource. The purpose of this research was to identify determinants of outpatient physical therapy use by people with musculoskeletal conditions.SubjectsThe subjects were adult noninstitutionalized civilians who participated in the Medical Expenditure Panel Survey from 1996 to 2000 and who had at least one musculoskeletal condition (N=18,546).MethodsLogistic regression was used to identify predisposing, need, and enabling variables associated with receiving outpatient physical therapy services.ResultsFactors that were positively associated with receiving physical therapy services were having more than one musculoskeletal condition, having some limitation in function, having 7 or more ICD-9 (International Classification of Diseases, 9th Revision) codes, having a college or advanced degree, and residing in an urban area. Factors that were negatively associated with receiving physical therapy services were being older than 65 years of age, having no high school degree, Hispanic ethnicity, African-American race, having public insurance or no insurance, and living in any US census region besides the Northeast.Discussion and ConclusionThe results of this study indicate that health- and non–health-related factors influence outpatient physical therapy use.
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Shaik Farid AW, Ahmad Rasdan lsmail, and Rohayu O. "HOW WORKPLACE CONDITION AFFECTS HEALTHCARE WORKERS: ASSESSMENT AT TERTIARY HOSPITALS." Malaysian Journal of Public Health Medicine 20, Special1 (August 1, 2020): 251–54. http://dx.doi.org/10.37268/mjphm/vol.20/no.special1/art.694.
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Complaint of pain due to work related musculoskeletal disorder at workplace is nothing new. Nevertheless, in Malaysia, the data leading to this is near to none, when healthcare industry is concerned. The purpose of this article is to evaluate the current physical condition at red zone of accident and emergency department at selected hospitals and has the current condition contribute to the work-related musculoskeletal disorder among healthcare personnel. The study is conducted at five red zones of accident and emergency department of Malaysia tertiary hospitals. Before conducting the study, ethical approval has been obtained from ethical committee of Kementerian Kesihatan Malaysia. Method used in this study is workplace assessment, which allows first-hand experienced to determine and evaluate the real condition of red zone at selected hospitals. Duration of twelve months is required to complete the assessment. During the workplace assessment, the lighting at red zone (focusing on bed area), the bed space, arrangement of equipment and height of monitors are observed, measured and recorded. Result show, every red zone is unique with its own layout and design. There is no standardization among all the red zones involved. Existing guideline for physical condition of red zone of accident and emergency does not exist. Thus, relationship between physical condition of existing red zone and whether it causes work related musculoskeletal disorder must be discussed in length.
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Fitzgerald, Max, and Alex Behar. "Chronic Musculoskeletal Pain Condition—Delayed-onset Lumbar Pain After Mastectomy." Medicine & Science in Sports & Exercise 48 (May 2016): 505–6. http://dx.doi.org/10.1249/01.mss.0000486520.48613.b8.
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Lewis, Jeremy S. "Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion?" Physical Therapy Reviews 16, no. 5 (October 2011): 388–98. http://dx.doi.org/10.1179/1743288x11y.0000000027.
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Preeti and Manju Mehta. "Ergonomic assessment of male street hawker." INTERNATIONAL JOURNAL OF AGRICULTURAL SCIENCES 18, no. 2 (June 15, 2022): 636–39. http://dx.doi.org/10.15740/has/ijas/18.2/636-639.
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Working culture and ergonomics of any individual plays an important role in the physical and mental health of the person. The study about male street hawkers and the ergonomics assessment which carries hawkers’ musculoskeletal condition along with physical condition are combined and their impact is widespread. They are the most common cause of severe long-term pain and physical disability affecting the psychosocial status of affected people as well as their families and caretakers. In all occupations, incorrect body posture is the most important cause of musculoskeletal disorders. The study was aimed to examine 40 random street hawkers and their working posture using the Rapid Entire Body Assessment (REBA) method. It was analyzed that around 70 % of hawkers had a medium to high risk of developing work related musculoskeletal disorder. Trunk, upper arm and lower arm postures were mainly contributing to the REBA score, putting street hawkers at high risk of developing a musculoskeletal disorder. Ergonomic intervention to reduce musculoskeletal disorders includes engineering improvements which include rearranging, modifying, redesigning equipments which eliminates and reduces the hazard due to improper body posture and long working hour cycles. Mechanization of the stalls to reduce the musculoskeletal strain is possible. In areas, where mechanization is not possible, ergonomically correct measures to avoid musculoskeletal disorders are to be taken.
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Novikova, Tamara Anatol'evna, Vladimir Nikolaevich Dolich, Nanaliya Evgen'evna Komleva, Vyacheslav Alexandrovich Medentsov, and Anatoliy Nikolaevich Mikerov. "Ergonomic risk factors for the development of disorders of the musculoskeletal system in adolescents." Sanitarnyj vrač (Sanitary Doctor), no. 11 (November 1, 2020): 37–46. http://dx.doi.org/10.33920/med-08-2011-04.
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Prevention of health disorders and sexual development of society is a priority area of hygiene and preventive medicine. The introduction of information and communication technologies into the educational process is a new risk factor for the development of disorders of the musculoskeletal system in adolescents. Purpose of the study: assessment of ergonomic risk factors for the development of disorders of the musculoskeletal system in adolescents using personal electronic computers as teaching aids. Objects of research: sanitary-hygienic and ergonomic factors of learning conditions with the use of personal computers and the state of the musculoskeletal system of college students. Research in accordance with the requirements of bioethics, after signing the informed consent and their parents. The hygienic factors of the learning environment and the ergonomic characteristics of furniture (tables, work chairs) in computer science classes of the Saratov college were studied. Their assessment is given for compliance with sanitary and epidemiological requirements and anthropometric indicators of students. A questionnaire survey and physical examination of 308 adolescents were carried out to identify complaints and assess the condition of the musculoskeletal system. It has been established that the organization and ergonomic characteristics of workplaces equipped with electronic computers fully comply with hygienic and ergonomic requirements. This is the cause of postural disorders and the development of disorders of the condition of the musculoskeletal system of students. A high prevalence of clinical signs of disorders of the musculoskeletal system among adolescents was revealed. It has been established that compliance with ergonomic requirements in the organization of workplaces when using personal electronic computers is a prerequisite for the primary prevention of disorders of the musculoskeletal system in adolescents. To solve this problem, first of all, it is necessary to provide educational institutions with modern furniture that meets ergonomic requirements.
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Bonanni, Roberto, Ida Cariati, Virginia Tancredi, Riccardo Iundusi, Elena Gasbarra, and Umberto Tarantino. "Chronic Pain in Musculoskeletal Diseases: Do You Know Your Enemy?" Journal of Clinical Medicine 11, no. 9 (May 6, 2022): 2609. http://dx.doi.org/10.3390/jcm11092609.
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Musculoskeletal pain is a condition that characterises several diseases and represents a constantly growing issue with enormous socio-economic burdens, highlighting the importance of developing treatment algorithms appropriate to the patient’s needs and effective management strategies. Indeed, the algic condition must be assessed and treated independently of the underlying pathological process since it has an extremely negative impact on the emotional and psychic aspects of the individual, leading to isolation and depression. A full understanding of the pathophysiological mechanisms involved in nociceptive stimulation and central sensitization is an important step in improving approaches to musculoskeletal pain. In this context, the bidirectional relationship between immune cells and neurons involved in nociception could represent a key point in the understanding of these mechanisms. Therefore, we provide an updated overview of the magnitude of the musculoskeletal pain problem, in terms of prevalence and costs, and summarise the role of the most important molecular players involved in the development and maintenance of pain. Finally, based on the pathophysiological mechanisms, we propose a model, called the “musculoskeletal pain cycle”, which could be a useful tool to counteract resignation to the algic condition and provide a starting point for developing a treatment algorithm for the patient with musculoskeletal pain.
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Ramesh, Naveen, and Radhika Kannan. "Work-related musculoskeletal disorders among pesticide sprayers of tea plantations in South India." International Journal of Occupational Safety and Health 12, no. 1 (January 1, 2022): 23–28. http://dx.doi.org/10.3126/ijosh.v12i1.41034.
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Introduction: Work-related musculoskeletal disorders (WMSD) are conditions in which the work environment and performance of work contribute significantly to the musculoskeletal condition. The objective of this study was to assess the work-related musculoskeletal disorders among the pesticide sprayers in tea plantations.
Methods: A cross-sectional study was conducted among 290 chemical sprayers in selected tea plantations in South India from September to October 2018. Simple random sampling was done to select the sprayers for the study, written informed consent was taken and face–to–face interview was done with the sprayers. Socio-demographic factors and work profiles were noted. The Nordic Musculoskeletal Questionnaire was used for the evaluation of musculoskeletal complaints.
Results: Among the 290 sprayers in the study, all of them were males and the mean age of the participants was 45.6±8.5 years. More than half of the study participants 152 (52.4%) suffered from at least one musculoskeletal complaint and most of them 104 (35.8%) had pain in more than one body part. Among them, more than one-third 101 (34.8%) suffered from knee joint pain in the past twelve months. Shoulder problems (27.6%), lower back (22.8%) and upper back pains (19.3%) were the other major work-related musculoskeletal disorders that the study participants faced in the past year. Knee pain (31.7%), low backache (20.7%) and shoulder pain (24.1%) were the musculoskeletal problems that were related to their absence from work.
Conclusion: More than half of the sprayers had at least one musculoskeletal complaint. Most common issues included knee joint pain, shoulder pain and back pains.
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Nurymov, E. S., N. B. Zhienbaeva, and D. S. Kakabaeva. "METHODS FOR DETERMINING THE EMOTIONAL CONDITION OF CHILDREN WITH VIOLATIONS MOTOR SUPPORT." EurasianUnionScientists 8, no. 4(73) (May 12, 2020): 60–63. http://dx.doi.org/10.31618/esu.2413-9335.2020.8.73.705.
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The article contains examples of the psychological and emotional state of children-teenagers with disorders of the musculoskeletal system in comparison with healthy children. The ability of a child-teenager to adapt easily in the right direction in society and social environment and to find a conscious way to solve obstacles. In order to do this, it is necessary to pay attention to the importance and advantages of emotional intelligence in a person's life. The article focuses on the concepts of national and Russian scientists, as well as near and far abroad. In addition, the country provides methods for detecting the emotional intelligence of children with damage to the musculoskeletal system. These techniques help define the experiment in research work.
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Muhammad Ovais, Shiraz Shaikh, and Athar Hussain Memon. "Frequency and risk factors of musculoskeletal disorders in high risk occupation workers in Urban, Karachi." Journal of the Pakistan Medical Association 72, no. 12 (November 15, 2022): 2463–67. http://dx.doi.org/10.47391/jpma.5200.
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Objective: To determine the frequency and risk factors of musculoskeletal disorders in high-risk occupation workers in an urban setting. Method: The analytical cross-sectional study was conducted in Karachi from July to December 2020, and comprised office workers, operation theatre technicians and coolies. The presence of musculoskeletal disorders was assessed using the Nordic Musculoskeletal Questionnaire to determine factors associated with moderate to severe condition. Data was analysed using SPSS 20. Results: Of the 300 male subjects, 100(33.3%) each were office workers, operation theatre technicians and coolies. The overall mean age was 33.25±6.8 years (range: 18-50 years). The overall prevalence of musculoskeletal disorders was 179(59.7%). Besides, 117(65.4%) patients with musculoskeletal disorders had intermediate stage of the disease. The lower back and neck were the most common site of trouble involved in preceding 12 months 111(43.6%) each. Conclusion: Prevalence of musculoskeletal disorders was found to be a common problem affecting high-risk occupational workers. Key Words: High-risk occupations, Musculoskeletal disorders.
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MC, López-Garzón, Cantarero-Villanueva I., Postigo-Martín EP, and Galiano-Castillo N. "Musculoskeletal ultrasound as an indicator of physical condition in oncological patients." Revista Fisioterapia Invasiva / Journal of Invasive Techniques in Physical Therapy 02, no. 02 (December 2019): 105–6. http://dx.doi.org/10.1055/s-0039-3401879.
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Abstract Background and Aim In 2018, cancer survival (colorectal and breast cancer) rates at five years are estimated at 68%, which is very promising data, however this makes cancer a chronic disease. The illness itself and its treatment negatively affect muscle strength, functional capacity and body composition of these patients. This hampers the performance of activities of daily living, work and leisure. In recent years, ultrasound has evolved as being a useful, simple and innocuous tool to evaluate the muscle architecture in different groups of the population.Thus, the aim of this study was to determine whether the muscle architecture of the quadriceps, measured using ultrasound, is associated with muscle strength, functional capacity and body composition in patients with cancer (colorectal and breast cancer) who have completed medical treatment. Material and Methods A sample of 11 patients (n = 2 breast cancer and n = 9 colorectal cancer) were recruited from the University Hospital Virgen de las Nieves (Granada). An analytical, observational, cross-sectional study was performed in which the width of the quadriceps was assessed (distance between the upper border of the rectus femoris muscle and the superior margin of the femur) in a cross-sectional image using ultrasound (SAMSUNG, HM70A, Seoul, KR) in the dominant lower limb. Furthermore, we evaluated isokinetic muscle strength of knee extensors to 300°/s and isometric muscle strength of the quadriceps using the dynamometer (Humac Norm, 502140, Stoughton, MA), functional capacity using the 6-minute walk test and the percentage of fat and musculoskeletal mass using bioelectrical impedance (InBody 720; Biospace, Seoul, KR). For the analyses, Pearson's correlation coefficients were used before adjusting by age and partial correlation coefficients adjusting by age using IBM SPSS Statistics 21 software (IBM Corporation, Armonk, NY). Results The width of the quadriceps (mean ± SD: 3.13 ± 0.57 cm) showed positive associations with isokinetic torque of extensors (r= 0.693), Q isometry (r = 0.657), musculoskeletal mass (r= 0.518), percentage of fat (r= 0.338) and functional capacity (r= 0.606); and negative associations with age (r= -0.158); although significance was only found for the isokinetic torque of extensors, quadriceps isometry and functional capacity (P < 0.05). The partial correlation of the isokinetic torque of extensors with the width of the quadriceps removing the effect of age was (r= 0.686, P= 0.029) and for quadriceps isometry (r= 0.650, P= 0.042). This partial correlation for functional capacity, removing the effect of age was r= 0.593 (P= 0.071). Conclusion Ultrasound can be a useful tool as an indicator of physical condition, in terms of strength of oncological patients. These findings support the use of ultrasound in the clinical context of oncological physical therapy as a possible method of functional assessment.
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Zapletalová, Ludmila, and Gabriela Luptáková. "Musculoskeletal Condition and Adaptation as the Predictors of Low Back Pain in Sports Games." Physical education, sports and health culture in modern society, no. 3(47) (October 1, 2019): 95–102. http://dx.doi.org/10.29038/2220-7481-2019-03-95-102.
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Objective. The objective of this systematic review of literature was to identify if the musculoskeletal condition and disorders caused by adaptation on specific movement patterns in sports games is as risk factors of low back pain (LBP). Data sources. A comprehensive search of articles published in the last 20 years was conducted in four databases (PubMed®, Google Scholar, Web of Science). Different combinations of keywords such as LBP, muscle imbalance, muscle strength, muscle endurance, musculoskeletal system and sport game were used, applying the Boolean operators. After establishing the criteria of selection, 9 studies of 52 initially identified were analyzed. Results. From the viewpoint of musculoskeletal condition and its functional adaptation as the possible risk factors of LBP in the sports games it is suggested that the musculoskeletal system, its functional disorders, endurance and maximal strength of the trunk muscles are not risk factors of LBP in every aspect. The risk factors appear to be muscle imbalances combined with functional asymmetry of pelvic and its asymmetrical rotation as a result of unilateral overloading, as well as the low maximal lumbar[ flexion. Low level of endurance of trunk and core muscles cannot be uniquely identified as a risk factor of LBP. Similarly, the maximal isometric strength of trunk muscles do not act as a risk factor of LBP, either. Conclusion. A detailed comparison of data between the sports games, within game, sex or age was not possible. Further research is necessary. Nevertheless, based on the results of this review, it is obvious that in sports games LBP is a consequence of functional and structural changes of pelvic and related muscles. There is less evidence for endurance and maximal isometric strength of trunk muscles to be a risk factor of LBP.
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Romadhoni, Dea Linia, Alinda Nur Ramadhani, and Maskun Pudjianto. "KELAS SEHAT LANSIA DALAM MENGENAL PERMASALAHAN PADA KASUS MUSKULOSKELETAL." GEMASSIKA : Jurnal Pengabdian Kepada Masyarakat 5, no. 1 (June 2, 2021): 57. http://dx.doi.org/10.30787/gemassika.v5i1.629.
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The problem of the elderly group in the Posyandu Lansia Aisyiyah Banjarsari Surakarta based on the result of observation and survey is the lack of awareness of the elderly in maintaining health that can lead to geriatric condition, especially musculoskeletal health problems. Based on these problems, the solution offered to the partner group is assisting the elderly by providing health education. Health education program by a healthy elderly class consisting of health education, regular health condition check-up, early detection, intervention of geriatric problems, and recreation functional activities. Sustainable assistance is provided through healthy elderly class. Output that will be produced through this program are booklet and journal. Result of this program is an increase in elderly knowledge about musculoskeletal problems such as Osteoarthritis, Rheumatoid arthritis, Osteoporosis and Low Back Pain. Conclusion of this community service is that the activity that have been carried out get positive and good response by the cadres and elderly. After attending the ederly class activities, the elderly learn about musculoskeletal cases in elderly, prevention and treatment in musculoskeletal disorder.
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Lane, Tyler, Shannon Gray, Luke Sheehan, and Alex Collie. "P.1.19 Increased benefit generosity and the impact on workers’ compensation claiming behaviour: an interrupted time series study in victoria, australia." Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A82.2—A82. http://dx.doi.org/10.1136/oem-2019-epi.222.
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ObjectiveTo measure the effect of legislated increases to workers’ compensation benefits on claiming behaviour.MethodsInterrupted time series of workers’ compensation claims in Victoria, Australia (2008–2012), assessing 1) the overall effect of the legislation and 2) raising the wage replacement cap on higher earners, by condition type, in reference to a comparator of other Australian workers’ compensation jurisdictions.ResultsOverall claiming increased 11.7%, driven largely by musculoskeletal condition claims. There was no detectable effect on disability duration overall, though back/neck conditions were up 26.9%. Among higher earners, there was mixed evidence of an increase in claiming, though disability durations were up 32.9%, which was also driven by back/neck conditions. There was mixed evidence of an effect on mental health claims, suggesting either no response or a negative response to benefit generosity.ConclusionsFindings mainly align with existing evidence: more generous benefits increase claiming and disability durations, primarily driven by back/neck musculoskeletal conditions. However, some mixed findings by injury group and among higher earners raise questions about confounders such as co-occurring events.
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Palestro, Christopher J., and Charito Love. "Radionuclide imaging of musculoskeletal infection." Brazilian Archives of Biology and Technology 50, spe (September 2007): 15–27. http://dx.doi.org/10.1590/s1516-89132007000600003.
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Radionuclide imaging studies are routinely used to evaluate patients suspected of having musculoskeletal infection. Three-phase bone imaging is readily available, relatively inexpensive, and very accurate in the setting of otherwise normal bone. Labeled leukocyte imaging should be used in cases of "complicating osteomyelitis" such as prosthetic joint infection. This test also is useful in clinically unsuspected diabetic pedal osteomyelitis as well as in the neuropathic joint. It is often necessary, however, to perform complementary bone marrow imaging, to maximize the accuracy of labeled leukocyte imaging. In contrast to other regions in the skeleton, labeled leukocyte imaging is not useful for diagnosing spinal osteomyelitis. At the moment, gallium is the preferred radionuclide procedure for this condition and is a useful adjunct to magnetic resonance imaging. FDG-PET likely will play an important role in the evaluation of musculoskeletal infection, especially spinal osteomyelitis, and may replace gallium imaging for this purpose.
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Zhong, Shanlin, Ziyu Chen, and Junjie Zhou. "Structure transforming for constructing constraint force field in musculoskeletal robot." Assembly Automation 42, no. 2 (December 1, 2021): 169–80. http://dx.doi.org/10.1108/aa-07-2021-0093.
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Purpose Human-like musculoskeletal robots can fulfill flexible movement and manipulation with the help of multi joints and actuators. However, in general, sophisticated structures, accurate sensors and well-designed control are all necessary for a musculoskeletal robot to achieve high-precision movement. How to realize the reliable and accurate movement of the robot under the condition of limited sensing and control accuracy is still a bottleneck problem. This paper aims to improve the movement performance of musculoskeletal system by bio-inspired method. Design/methodology/approach Inspired by two kinds of natural constraints, the convergent force field found in neuroscience and attractive region in the environment found in information science, the authors proposed a structure transforming optimization algorithm for constructing constraint force field in musculoskeletal robots. Due to the characteristics of rigid-flexible coupling and variable structures, a constraint force field can be constructed in the task space of the musculoskeletal robot by optimizing the arrangement of muscles. Findings With the help of the constraint force field, the robot can complete precise and robust movement with constant control signals, which brings in the possibility to reduce the requirement of sensing feedback during the motion control of the robot. Experiments are conducted on a musculoskeletal model to evaluate the performance of the proposed method in movement accuracy, noise robustness and structure sensitivity. Originality/value A novel concept, constraint force field, is proposed to realize high-precision movements of musculoskeletal robots. It provides a new theoretical basis for improving the performance of robotic manipulation such as assembly and grasping under the condition that the accuracy of control and sensory are limited.
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Roy, Surajit, Ujwal Bhattacharya, Kritica Boruah, and Urvashi Bhattacharya. "Frequency Of Low Back Pain and Other Associated Musculoskeletal Disorders In City Bus Conductors of Guwahati city, Assam, India." International Journal of Physiotherapy and Research 9, no. 4 (July 11, 2021): 3876–82. http://dx.doi.org/10.16965/ijpr.2021.134.
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Background: Work-related musculoskeletal discomfort, especially low back pain (LBP) leads to substantial economic loss to individuals as well as to the community. Musculoskeletal disorders not only lead to loss of health but also loss of wealth. Bus conductors who are an important population in the community are at an increased risk of developing musculoskeletal symptoms. Their jobs involve prolonged standing and walking inside the bus for whole day which have been identified as risk factors for musculoskeletal discomfort. Materials and methods: A survey of 100 bus conductors from different bus routes between the age group of 20 to 50 years, having at least 1-year working history and standing for 5 h/day, was conducted in Guwahati city of Assam state. Those with a history of trauma, preexisting medical conditions, or musculoskeletal deformities were excluded. Prevalence of LBP was assessed using Oswestry disability low back Pain Questionnaire, musculoskeletal discomfort was assessed by using Cornell musculoskeletal discomfort questionnaire. Mean, standard deviation and percentage was calculated for analysis. Result: The mean for Oswestry disability low back pain score is 23.26 and SD is ±9.8786. According to Oswestry disability LBP interpretation score it falls under 21- 40 percent- moderate disability. CMDQ scoring shows the mean SD is higher in lower back, neck and both the knees. The result of the study shows that bus conductors have a higher susceptibility to the back, neck and knees. Conclusion: The bus conductors work continuously for long periods and their severe workload results in the development of disability in lower back. The conductors suffer from MSD in different parts of their body, particularly the lower back, neck and both knees, regions which hinders their normal work activities. Thus, it can be concluded that the bus conductors are highly stressed in their occupation due to the hazardous working condition and work behaviour, which also affects their health and overall work performance. KEY WORDS: Low back pain, Musculoskeletal disorder, Work related musculoskeletal disorder, Bus conductors, Oswestry disability low back pain questionnaire, Cornell musculoskeletal discomfort questionnaire.
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Firman, Nicola, Marta Wilk, Gill Harper, and Carol Dezateux. "Are children with obesity at school entry more likely to have a diagnosis of a musculoskeletal condition? Findings from a systematic review." BMJ Paediatrics Open 6, no. 1 (August 2022): e001528. http://dx.doi.org/10.1136/bmjpo-2022-001528.
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BackgroundChildren with obesity at school entry are at increased risk of persistent obesity throughout childhood and adulthood. Little is known about associations with adverse health outcomes with onset during childhood including those affecting the musculoskeletal system. We examined the association between obesity present at school entry and adverse musculoskeletal diagnoses with onset during childhood.MethodsWe searched three electronic databases to identify longitudinal studies published in English between January 2000 and June 2022 assessing associations between obesity measured at school entry (around age 5 years) and musculoskeletal diagnoses made before age 20 years. Two reviewers screened titles, abstracts and full-text using EPPI-Reviewer software. Bias and quality of eligible studies were appraised using The Quality Assessment tool for Observational Cohort and Cross-sectional studies and findings synthesised.ResultsWe identified four eligible studies from 291 unique records, three conducted in Spain and one in Scotland. These studies reported on 1 232 895 children (available data: 51.4% boys; none reported ethnic distribution) with study sample sizes ranging from <2000 to 600 000 and length of follow-up from 2 to 13 years. Quantitative synthesis of findings across these four studies was not possible due to differences in outcomes and effect sizes reported. Children with obesity at school entry were more likely to receive diagnoses of slipped capital femoral epiphysis, back pain, fractures and musculoskeletal complaints made in primary care settings. Included studies were assessed as of ‘fair’ to ‘good’ quality.ConclusionThere is good to fair evidence to suggest children with obesity at school entry are more likely to receive a diagnosis of a musculoskeletal condition during childhood. Further research is needed to replicate these findings in ethnically diverse populations and to investigate whether these are causal associations. The implications of this for children’s mobility and quality of life and future musculoskeletal health warrants further assessment.
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Lane, Nigel, Adrian Mackie, and Seema Srivastava. "An unusual cause of ‘musculoskeletal’ chest pain." Acute Medicine Journal 8, no. 3 (July 1, 2009): 111–13. http://dx.doi.org/10.52964/amja.0247.
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Chest pain is a frequent cause of admission to an acute medical unit. In most cases the cause is initially considered to be either cardiac or respiratory, with musculoskeletal causes being considered a benign diagnosis of exclusion. We report a case of sternoclavicular joint infection, treated initially as a lower respiratory tract infection. The investigation and treatment of this unusual condition are discussed.
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Zadro, Joshua, Mary O’Keeffe, and Christopher Maher. "Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review." BMJ Open 9, no. 10 (October 2019): e032329. http://dx.doi.org/10.1136/bmjopen-2019-032329.
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ObjectivesPhysicians often refer patients with musculoskeletal conditions to physical therapy. However, it is unclear to what extent physical therapists’ treatment choices align with the evidence. The aim of this systematic review was to determine what percentage of physical therapy treatment choices for musculoskeletal conditions agree with management recommendations in evidence-based guidelines and systematic reviews.DesignSystematic review.SettingWe performed searches in Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, Allied and Complementary Medicine, Scopus and Web of Science combining terms synonymous with ‘practice patterns’ and ‘physical therapy’ from the earliest record to April 2018.ParticipantsStudies that quantified physical therapy treatment choices for musculoskeletal conditions through surveys of physical therapists, audits of clinical notes and other methods (eg, audits of billing codes, clinical observation) were eligible for inclusion.Primary and secondary outcomesUsing medians and IQRs, we summarised the percentage of physical therapists who chose treatments that were recommended, not recommended and had no recommendation, and summarised the percentage of physical therapy treatments provided for various musculoskeletal conditions within the categories of recommended, not recommended and no recommendation. Results were stratified by condition and how treatment choices were assessed (surveys of physical therapists vs audits of clinical notes).ResultsWe included 94 studies. For musculoskeletal conditions, the median percentage of physical therapists who chose recommended treatments was 54% (n=23 studies; surveys completed by physical therapists) and the median percentage of patients that received recommended physical therapy-delivered treatments was 63% (n=8 studies; audits of clinical notes). For treatments not recommended, these percentages were 43% (n=37; surveys) and 27% (n=20; audits). For treatments with no recommendation, these percentages were 81% (n=37; surveys) and 45% (n=31; audits).ConclusionsMany physical therapists seem not to follow evidence-based guidelines when managing musculoskeletal conditions. There is considerable scope to increase use of recommended treatments and reduce use of treatments that are not recommended.PROSPERO registration numberCRD42018094979.
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Ramalingam, Thangamani, Pooja Desai, Dhruvi Ghoghari, Vidhi Jethva, and Rushvi Shah. "Neurophysiology of pain education knowledge, pain disability, patient satisfaction and central sensitization in chronic musculoskeletal pain." IP Journal of Surgery and Allied Sciences 4, no. 4 (January 15, 2023): 137–41. http://dx.doi.org/10.18231/j.jsas.2022.026.
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Chronic musculoskeletal pains are multifaceted, and Central sensitization is a potential pathophysiological mechanism underlying a group of chronic musculoskeletal pain disorders. Neurophysiology of pain education knowledge and patient satisfaction levels of chronic musculoskeletal pain subjects may contribute to central nervous system sensitization. Hence, the aim of the study was to evaluate the impact of neurophysiology of pain education knowledge and patient satisfaction levels on central sensitization in large population of patient with chronic musculoskeletal pain. The study included 200 chronic musculoskeletal pain subjects that persisted more than 3 months with average age of 43.93±13.62. A cross-sectional study used non probability sampling. Neurophysiology of pain Questionnaire (NPQ) to know the conceptualization of pain, mood rating scale(MRS) to measure patient’s mood fluctuation because of pain, pain disability scale (PDS) for evaluating patients ability to perform certain activity, central sensitization inventory(CSI) to measure nervous system sensitization and patients satisfaction scale(PSS) to understand patient’s satisfaction towards the treatment and health care provider were used. Descriptive and correlation analyses were used for analysis. The correlation analyses showed that patient disability scale negatively correlated with mood scale and positively correlated with the age, duration of the condition, impact of pain on ADL and central sensitization. And there was a positive correlation between patient satisfaction and impact of pain on ADL. The age, mood, duration of the condition and pain disability were the factors behind central sensitization in patients with chronic musculoskeletal pain. And the neuro physiology of pain knowledge had impact on pain disability and patient satisfaction.
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Widana, I. Ketut, Ni Wayan Sumetri, and I. Ketut Sutapa. "Effect of improvement on work attitudes and work environment on decreasing occupational pain." International journal of life sciences 2, no. 3 (October 29, 2018): 86–97. http://dx.doi.org/10.29332/ijls.v2n3.209.
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This research is an observation conducted on the health aspects of the work of carving artists, especially ergo-mechanical implementation to reduce subjective complaints. Ergo-mechanical is a set of equipment to maintain working environment conditions to remain within the required limits, so that the carving artist remains in a safe and comfortable condition. This study begins with direct observation of the process of carving handicrafts in several centers of carving crafts in Badung, Tabanan and Gianyar Districts. In accordance with the Bali State Polytechnic research master plan, problem solving will focus on human aspects and the use of appropriate technology. This research method is experimental with the design of the same subject, involving 9 samples that carried out activities before and after treatment. Data on environmental conditions, fatigue and musculoskeletal complaints are processed with statistics at a significance level of 5%. The results showed that with ergo-mechanical implementation and ergonomic work stations, occupational health indicators such as musculoskeletal disorders and fatigue showed better data, characterized by decreased musculoskeletal disorders and reduced fatigue.
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Schachinger, Florian, and Sebastian Farr. "The Effects of Preterm Birth on Musculoskeletal Health-Related Disorders." Journal of Clinical Medicine 10, no. 21 (October 29, 2021): 5082. http://dx.doi.org/10.3390/jcm10215082.
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Preterm birth is associated with various diseases and conditions which demand multidisciplinary medical care. Approximately 10% of all neonates are born prematurely with an increasing survival rate in almost all Western countries. This ongoing, yet desirable trend is creating new challenges for sufficient medical treatment regimens, which should be upheld throughout the patients’ lives. Orthopedic surgeons are focused on musculoskeletal disorders and the improvement of patients’ ability to cope with the challenges of everyday life. The most common conditions associated with preterm birth are cerebral palsy and a dysregulation of the calcium/phosphorus metabolism, which may lead to fractures. These diseases may vary greatly in their organic manifestation and clinical presentation. This demands multidisciplinary cooperation and parental support. Clinical management is aimed on the early enhancement of a patient’s physical, as well as neurological condition, and to prevent the development of secondary musculoskeletal disorders. In this article, we give an overview of the current literature on the most common musculoskeletal disorders associated with preterm birth and critically discuss state of the art diagnostic standards and treatment algorithms.
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Carmody, Sean, Karlijn Anemaat, Andrew Massey, Gino Kerkhoffs, and Vincent Gouttebarge. "Health conditions among retired professional footballers: a scoping review." BMJ Open Sport & Exercise Medicine 8, no. 2 (April 2022): e001196. http://dx.doi.org/10.1136/bmjsem-2021-001196.
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ObjectiveTo conduct a scoping review providing an overview of the health conditions occuring in retired male and female professional footballers, with an emphasis on musculoskeletal, mental, neurocognitive, cardiovascular and reproductive health conditions.MethodsIn January 2022, a comprehensive systematic literature search in three databases (MEDLINE via PubMed, SPORTDiscus via EBSCOhost and EMBASE) was conducted for common health conditions among retired male and female professional footballers. Primary research studies (full text available online) which described the incidence or prevalence of a health condition (musculoskeletal, mental, neurocognitive, cardiovascular, reproductive) among retired male and female professional footballers were included for review. Case reports, qualitative research and grey literature were omitted.ResultsIn total, 917 eligible articles were identified from the databases, with 41 meeting the eligibility criteria. Osteoarthritis of the hip, knee and ankle were found to be common among retired professional footballers. Mental health symptoms (eg, anxiety, depression) are experienced by retired male and female professional footballers. The incidence of neurocognitive disease appears to be higher among retired male professional footballers than among matched controls. There is very limited evidence examining the presence of health conditions in retired female professional footballers.ConclusionOsteoarthritis of the lower limb, musculoskeletal pain and mental health symptoms are common among retired professional footballers. Knowledge about the occurrence and timing of musculoskeletal, mental health and neurocognitive conditions among retired professional footballers can be used by a wide range of stakeholders to proactively intervene during and after a player’s career to mitigate risk.
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Dewi, Ni Made Ida Kristina, Anak Ayu Nyoman Trisna Narta Dewi, and I. Made Muliarta. "THE COMPARISON OF EFFECTIVENESS BETWEEN SPORT MASSAGE AND WORKPLACE STRETCHING-EXERCISE IN REDUCING FATIGUE AND MUSCULOSKELETAL DISORDERS AMONG TAILORS IN PT. ULUWATU GARMENT." Majalah Ilmiah Fisioterapi Indonesia 6, no. 3 (September 15, 2018): 21. http://dx.doi.org/10.24843/mifi.2018.v06.i03.p06.
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ABSTRACTFatigue was the reduce in efficiency and endurance of body condition while working with data collection toolssuch as 30 fatigue item questionnaire. Musculoskeletal Disorder was the disorder of musculoskeletal pain in upper or lower extremity with data collection tools such as Nordic Body Map questionnaire. This study was an experimental study with the design was Pretest and Posttest Two Group Design, and the amount of sample were 24 people separated into 2 Group with the sport massage and workplace stretching-exercise (WSE) technique in PT. Uluwatu Gament. Data analysis was performed by Paired sample T-test and independent t-test. The result indicated that sport massage could reduce the fatigue and musculoskeletal disorder with the result p=0,000 and WSE could reduce fatigue and musculoskeletal disorder with the result p= 0,001 and p= 0,023; the sport massage better at reduced the fatigue (p<0,05) instead of WSE, and they were both better at reduce musculoskeletal disorder (p>0,05).
Keyword : tailor, fatigue, musculoskeletal disorder, sport massage, workplace stretching-exercise(WSE)
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Diana, Venny. "Literature Review : Effect of Static Conditions on Musculoskeletal Disorders (MSDs)." Basic and Applied Nursing Research Journal 2, no. 2 (December 31, 2021): 52–59. http://dx.doi.org/10.11594/banrj.02.02.04.
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Musculoskeletal disorders are disorders that occur in one of the skeletal organs or muscles of the body such as congenital abnormalities in the upper and lower extremities, nerve and muscle disorders, inflammatory infections of bones and joints, musculoskeletal metabolic disorders, degenerative musculoskeletal disorders (spine, upper extremities) and below). The study aimed To analyze the static condition of the workers' complaints of musculoskeletal disorders (MSDs). Using literature review with scoping review method. The data was collected through internet searches using Google Scholar and PubMed with the keywords static conditions, complaints of MSDs, ergonomic position, musculoskeletal disorders, the influence of static conditions, with a range of research years is 2015-2020. Results found 83 articles matching the keyword. A review of 9 research articles that met the inclusion criteria found 4 aspects, namely the factor of length of work more than 1 year, age, working hours and using the same extremity for a long period of time will increase the risk of MSDs, Doing work in awkward positions for 5- 8 hours/day increases the risk of MSDs in workers, especially nurses, The emergence of MSDs symptoms is higher in women, namely in the lower back and neck area, The pain felt due to MSDs disorders can be severe, namely in the lower back, shoulders, neck, wrists , knees and ankles. There is a relationship with static positions/non-ergonomic conditions at work, these non-ergonomic conditions do not directly cause complaints but in the long term complaints will arise. The female gender is at high risk of experiencing MSDs, the length of work and length of time working will affect the emergence of MSDs, there are 12 static conditions found in someone when doing work, the main complaint that appears in MSDs is pain.
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Verma, Vineeta, and SN Shah. "Contact Dermatitis." InnovAiT: Education and inspiration for general practice 2, no. 6 (June 2009): 336–41. http://dx.doi.org/10.1093/innovait/inp033.
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Approximately 15% of GP consultations in the UK are for a skin condition. In the general population, about 4.5% of people have a contact allergy to nickel and 1–3% to an ingredient in cosmetics. Studies suggest that skin disorders (29%) are the second most common cause of occupational disease after musculoskeletal conditions (57%).
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Connysson, M., M. Rhodin, A. Bergh, and A. Jansson. "Effects of horse housing on musculoskeletal system post-exercise recovery." Comparative Exercise Physiology 17, no. 5 (September 14, 2021): 421–28. http://dx.doi.org/10.3920/cep200088.
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This study examined the effects of two housing systems (control housing and loose housing) on musculoskeletal condition during recovery from race-like exercise in Standardbred horses. The hypothesis was that a loose housing system provides better conditions for musculoskeletal recovery than the control housing. Eight adult geldings (mean age 11 years) were used in a study with a cross-over design, with the control housing (CH) and loose housing (LH) treatments each run for 21 days. The horses had ad libitum access to forage and performed two similar race-like exercise tests (ET), on day 7 and day 14 in each treatment. Blood samples were collected before ET, at finish line, and at 7, 22, and 44 h of recovery and analysed for the muscle enzyme activities of creatine kinase and amino transferase. Before and three days after ET, hind leg fetlock joint region circumference and diameter, joint range of motion in right hock and carpus, mechanical nociceptive threshold in back muscle, and movement asymmetry were recorded. Overall circumference and overall diameter of hind fetlock joint region were lower in LH horses than CH horses (P=0.045 and P=0.017, respectively), but no other differences were observed. In conclusion, a loose housing system did not alter the recovery of musculoskeletal condition other than preventing a post exercise enlargement of the circumference and diameter of the hind fetlock joint region.
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Ance, Agnes Alvionita, Noorce Christine Berek, and Yuliana Radja Riwu. "The Factors Related to Musculoskeletal Disorders of Rice Milling Workers in Lembor District, West Manggarai." Lontar : Journal of Community Health 3, no. 3 (September 15, 2021): 96–102. http://dx.doi.org/10.35508/ljch.v3i3.3852.
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Musculoskeletal disorders are usually used to describe a condition such as an injury, pain, or abnormality in the skeletal muscle system which consists of nerve tissue, muscles, bones, ligaments, tendons, and joints. Musculoskeletal disorders are a disease that is often experienced or felt by workers due to work attitudes and work positions that are not ergonomic as well as long working hours and workloads that are often received by workers. This study aims to determine the factors that cause musculoskeletal disorders in rice mill workers in Lembor District. This study used an analytical study with a cross-sectional study design. The research location is in a rice mill in Lembor District, and the data were conducted from January to August 2020. The subjects in this study were 60 rice mill workers. Dependent variables: musculoskeletal disorders, independent variables age, years of service, length of work, work position, and workload. This study uses a simple linear regression test. The results of statistical tests showed that the variable age was associated with musculoskeletal disorders (p-value = 0.013), the working period variable was related to musculoskeletal disorders (p-value = 0.000), the length of work variable was related to musculoskeletal disorders (p-value = 0.012), work position was related to musculoskeletal disorders. Musculoskeletal disorders (p-value = 0.049), and workload not associated with musculoskeletal disorders (p-value = 0.538). It is hoped that rice mill workers can have their health checked if they experience disorders in all parts of their bodies and pay attention to their body position during work.
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Khan, Fizah Mahnoor, Mahwish Hayee Shahid, Maham Nasir, Aqdas Karamat, and Ch Abdullah . "Screen Time Related Musculoskeletal Symptoms among Adolescents: A Cross Sectional Survey in Twin Cities." Pakistan Journal of Public Health 11, no. 3 (October 25, 2021): 132–35. http://dx.doi.org/10.32413/pjph.v11i3.527.
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Background: The objectives were to evaluate the frequency of musculoskeletal symptoms related to screen time and to determine the mostly affected body parts with musculoskeletal symptoms Methods: A Cross-sectional survey was conducted on 150 students from February to May 2018 selected via convenience sampling technique. Data was collected from students of twin cities having screen time more than 3 hour’s using validated questionnaires including The Nordic Musculoskeletal Questionnaire (NMQ) to assess musculoskeletal symptoms and self-structured questionnaire for screen time and demographics. Data was analyzed using SPSS v.21. Results: Mean age of the population was 15±2.7 years. Mean screen time score was computed as 6.45 hours with 10 hours highest screen time observed of 6 participants. Mean musculoskeletal involvement was computed as 85.3 % (n=128) in last 12 months of which 28.9% (n=66) had neck pain, 21.9% (n=50) had lower back pain whereas 14.9%, 11.4% had shoulder and upper back involvement. In last 7 days 25.7%, participants had pain in neck area and 18.3% in lower back. 83.5% participants didn’t visited physicians for their respective condition. significant relation of screen time was observed with the musculoskeletal symptoms. Conclusion: Screen time severely influence musculoskeletal symptoms especially neck and lower back muscle, presence of high number of musculoskeletal symptoms among adolescent is alarming and shows the need of adequate measures to address these problems
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Kane, Naomi S., Nicole Anastasides, David R. Litke, Drew A. Helmer, Stephen C. Hunt, Karen S. Quigley, Wilfred R. Pigeon, and Lisa M. McAndrew. "Under-recognition of medically unexplained symptom conditions among US Veterans with Gulf War Illness." PLOS ONE 16, no. 12 (December 7, 2021): e0259341. http://dx.doi.org/10.1371/journal.pone.0259341.
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Objective Conditions defined by persistent “medically unexplained” physical symptoms and syndromes (MUS) are common and disabling. Veterans from the Gulf War (deployed 1990–1991) have notably high prevalence and disability from MUS conditions. Individuals with MUS report that providers do not recognize their MUS conditions. Our goal was to determine if Veterans with MUS receive an ICD-10 diagnosis for a MUS condition or receive disability benefits available to them for these conditions. Methods A chart review was conducted with US Veterans who met case criteria for Gulf War Illness, a complex MUS condition (N = 204, M = 53 years-old, SD = 7). Three coders independently reviewed Veteran’s medical records for MUS condition diagnosis or service-connection along with comorbid mental and physical health conditions. Service-connection refers to US Veterans Affairs disability benefits eligibility for conditions or injuries experienced during or exacerbated by military service. Results Twenty-nine percent had a diagnosis of a MUS condition in their medical record, the most common were irritable colon/irritable bowel syndrome (16%) and fibromyalgia (11%). Slightly more Veterans were service-connected for a MUS condition (38%) as compared to diagnosed. There were high rates of diagnoses and service-connection for mental health (diagnoses 76% and service-connection 74%), musculoskeletal (diagnoses 86%, service-connection 79%), and illness-related conditions (diagnoses 98%, service-connection 49%). Conclusion Given that all participants were Gulf War Veterans who met criteria for a MUS condition, our results suggest that MUS conditions in Gulf War Veterans are under-recognized with regard to clinical diagnosis and service-connected disability. Veterans were more likely to be diagnosed and service-connected for musculoskeletal-related and mental health conditions than MUS conditions. Providers may need education and training to facilitate diagnosis of and service-connection for MUS conditions. We believe that greater acknowledgement and validation of MUS conditions would increase patient engagement with healthcare as well as provider and patient satisfaction with care.
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Ogamba, Maureen I., Kari L. Loverro, Natalie M. Laudicina, Simone V. Gill, and Cara L. Lewis. "Changes in Gait with Anteriorly Added Mass: A Pregnancy Simulation Study." Journal of Applied Biomechanics 32, no. 4 (August 2016): 379–87. http://dx.doi.org/10.1123/jab.2015-0178.
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During pregnancy, the female body experiences structural changes, such as weight gain. As pregnancy advances, most of the additional mass is concentrated anteriorly on the lower trunk. The purpose of this study is to analyze kinematic and kinetic changes when load is added anteriorly to the trunk, simulating a physical change experienced during pregnancy. Twenty healthy females walked on a treadmill while wearing a custom made pseudo-pregnancy sac (1 kg) under 3 load conditions: sac-only condition, 10-lb condition (4.535 kg added anteriorly), and 20-lb condition (9.07 kg added anteriorly), used to simulate pregnancy in the second trimester and at full-term pregnancy, respectively. The increase in anterior mass resulted in kinematic changes at the knee, hip, pelvis, and trunk in the sagittal and frontal planes. In addition, ankle, knee, and hip joint moments normalized to baseline mass increased with increased load; however, these moments decreased when normalized to total mass. These kinematic and kinetic changes may suggest that women modify gait biomechanics to reduce the effect of added load. Furthermore, the increase in joint moments increases stress on the musculoskeletal system and may contribute to musculoskeletal pain.
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Keavy, Ruairi. "The prevalence of musculoskeletal presentations in general practice: an epidemiological study." British Journal of General Practice 70, suppl 1 (June 2020): bjgp20X711497. http://dx.doi.org/10.3399/bjgp20x711497.
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BackgroundIt is estimated that 28.9% (17.8 million) of the UK population live with a musculoskeletal (MSK) condition. They are a major cause of morbidity, and a significant reason for presentation to primary care.AimThe primary aim of this study was to determine the prevalence of MSK conditions presenting for consultation in general practice. The secondary aim was to determine specifically which MSK conditions present most frequently in general practice.MethodA total of 545 consultations were reviewed at an urban community general practice, which included evaluating morning consultations over a 1-week period taken from each of January, April, July and October 2018. This encompassed all morning consultations from all GPs present. The number of MSK consultations were recorded and, within that, the different presentations and their management plan.ResultsA total of 115 of all consultations were regarding an MSK presentation yielding an overall prevalence of 21.1%. The commonest MSK presentations included the lumbosacral spine (18.3%) and the knee (17.4%). Re-presentations of original condition accounted for 73.9% of all MSK consultations. Steroid injections were administered in 33% of knee related consultations.ConclusionThis study demonstrates that MSK presentations account for a large proportion of GP workload. There are no current mandatory training requirements in orthopaedics as part of the GP curriculum. Structured MSK education for GPs is important and would reduce the burden of re-presentations, particularly that of the lumbosacral spine and knee. Competency in joint injection is also a valuable skill for GPs.
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Heredia, Luis, David Hinkamp, Marc Brodsky, and Carlos Llapur. "Playing-Related Problems among Musicians of the Orquesta Buena Vista Social Club and Supporting Bands." Medical Problems of Performing Artists 29, no. 2 (June 1, 2014): 80–85. http://dx.doi.org/10.21091/mppa.2014.2018.
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BACKGROUND: The Orquesta Buena Vista Social Club is a world-renowned group of Cuban musicians accomplished in a variety of musical styles. The musicians of the Orquesta Buena Vista Social Club and supporting musicians of their orchestras represent a cohort of musicians throughout Cuba who continue to play traditional genres and perform into their older ages. PURPOSE: The purpose of the study was to (1) identify musculoskeletal conditions that occurred over the previous 12 months among the members of the Orquesta and supporting musicians and (2) to discover if these conditions, in part, were caused by or in some way affected musical performance. METHODS: The study was a convenience sample of musicians within the Orquesta Buena Vista Social Club and supporting musical groups. Thirty-six musicians completed a self-administered survey. RESULTS: Sixty-seven percent (24/36) of the total sample of musicians and 89% (16/18) of those over age 60 years had at least one musculoskeletal condition over the previous 12 months. Forty-four percent (16/36) of the total sample of musicians and 61% (11/18) of those older than 60 years of age reported that a musculoskeletal complaint was either, in part, caused by or affected their performance. CONCLUSION: Musculoskeletal conditions were prevalent among the Cuban musicians, especially in those over 60 years of age. Collaboration of medical professionals, managers, and musicians may help to generate ideas on how to prevent injuries as well as to evaluate what treatments for playing-related conditions, including both conventional and complementary and alternative therapies, are most effective.
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Dubljanin-Raspopović, Emilija. "Topical non-steroid anti-inflammatory drugs: Their importance in the treatment of muscolesketal pain." Galenika Medical Journal 1, no. 2 (2022): 85–89. http://dx.doi.org/10.5937/galmed2202085d.
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Topical nonsteroidal anti-inflammatory drugs are an effective and safe therapeutic option for the treatment of acute and chronic musculoskeletal disorders. Based on evidence from the literature, topical NSAID's have a clearly defined place in the treatment of acute musculoskeletal pain and in the treatment of osteoarthritis of the hands and knees. Due to the rare systemic side effects, they should always be advised as the first therapeutic line for the treatment of musculoskeletal pain in osteoarthritis of the hands and knees of patients ≥75 years of age. It is very important that there are no recommendations for the use of other topical preparations, such as rubefaciens and capsaicin for the treatment of painful musculoskeletal conditions. Clinical assessment of the patient, the condition of medical issue and the choice of the optimal NSAID's formulation, contribute to the success of the treatment. Gel formulations represent the optimal substrate for topical NSAID's both for best penetration and for best acceptance by patients. Gel formulations of topical NSAID's represent the optimal substrate for transdermal penetration and are best accepted by patients. They are also the optimal medium for sonophoresis, which is why they can be widely used in the field of physical medicine and rehabilitation.
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Vyas, Himanshu. "Impact of Musculoskeletal Dysfunctions on Quality of Life of Pregnant Women." International Journal of Nursing & Midwifery Research 07, no. 02 (December 7, 2020): 27–31. http://dx.doi.org/10.24321/2455.9318.202015.
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Background: Pregnancy is a special condition which is neither a disease nor a normal body status. The anatomical, physiological, and biochemical adjustments are significant during pregnancy, starting soon after fertilization and continuing throughout pregnancy. Reasons for pain during pregnancy include hormonal changes, increased weight, postural variations and impaired strength and co-ordination of abdominal and pelvic muscles. Musculoskeletal pain during pregnancy can have a significant negative impact on day to day functioning. Objectives: To determine the level of musculoskeletal discomforts in pregnancy, to explore the relationship between the musculoskeletal discomfort and quality of life in pregnancy and to associate the selected demographic variables with musculoskeletal discomfort in pregnancy. Methods: Cross-sectional research design was used. 323 antenatal mothers, gestational age more than 20 weeks, attending antenatal OPD of a tertiary care hospital of western Rajasthan were selected with the convenient sampling technique. Pregnancy musculoskeletal discomforts were assessed by Pregnancy Induced Musculoskeletal Dysfunctional Scale (PMDS) and quality of life (QOL) was assessed by the WHOQOL-BREF scoring questionnaires. Descriptive and inferential statistics were employed to analyse the data. Results: Pregnant women reported most frequently the low back pain (60%) and leg cramps (42%) and majority of them experienced mild form of pain. Result also showed the number of symptoms increased with progressing trimester. In case of quality of life, less than 50% of pregnant women reported with average and poor quality of life. The quality of life was found to be negatively correlated with various level of intensity of musculoskeletal pain. Conclusion: Among various musculoskeletal dysfunctions, low back pain and leg cramp are the most common symptoms of all and it affects the quality of life in pregnancy in different dimensions of health. Considering this aspect would help health care professionals to offer appropriate care and education in view of prevention of musculoskeletal dysfunctions and promote health of mother during pregnancy.
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Kam, Elisa, Guy Eslick, and Ian Campbell. "An Audit of the Effectiveness of Acupuncture on Musculoskeletal Pain in Primary Health Care." Acupuncture in Medicine 20, no. 1 (March 2002): 35–38. http://dx.doi.org/10.1136/aim.20.1.35.
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Little is known about the use of acupuncture in general practice. We performed a retrospective review of the use of acupuncture in relieving musculoskeletal pain, a condition that is commonly encountered in general practice. A sample of 116 patient records was reviewed, from which 92 patients (mean age 52 years; 64% female) met the inclusion criterion of musculoskeletal pain. Information obtained included age, sex, diagnosis, duration of the problem, length of treatment (weeks), number of treatments, duration of each treatment (minutes), number of needles used, level of benefit obtained from the treatment, and recurrence of pain. There were many different conditions encountered. We found an association between the general practitioner using fewer needles and patients experiencing greater pain relief. This could be a reflection of treating myofascial pain syndromes, which often appear to respond well to a single needle in the key trigger point. Overall, we found that sixty-nine percent of patients had a good or excellent response to acupuncture treatment. We recommend acupuncture as a treatment option for patients who do not respond to the usual therapies (non-steroidal anti-inflammatory drugs) for musculoskeletal conditions.
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Lee, Jusung, Prabhat Pathak, Siddhartha Bikram Panday, and Jeheon Moon. "Effect of Foot-Planting Strategy on Anterior Cruciate Ligament Loading in Women During a Direction Diversion Maneuver: A Musculoskeletal Modeling Approach." Orthopaedic Journal of Sports Medicine 8, no. 11 (November 1, 2020): 232596712096318. http://dx.doi.org/10.1177/2325967120963180.
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Background: Although there is a higher prevalence of noncontact anterior cruciate ligament (ACL) injuries during a direction diversion maneuver (DDM), no previous studies have reported how foot-planting strategies affect ACL loading. Purpose: To investigate the effect of foot-planting strategies on ACL loading in women during a DDM task using a musculoskeletal modeling approach. Study Design: Descriptive laboratory study. Methods: A total of 13 female participants performed a DDM task, which involved running at 4.5 ± 0.2 m/s and turning left at 35° to 55° under a foot-planting strategy in 3 directions: neutral, toe-in, and toe-out. Kinematic and kinetic data were measured with the use of a 3-dimensional motion capture system and force platform to calculate variables such as joint angle, shear force, and moment. Anterior ACL and posterior ACL forces were extracted using musculoskeletal modeling. Results: The peak anterior ACL force was significantly larger for the toe-out condition (31.29 ± 4.02 N/body weight [BW]) compared with the toe-in condition (25.43 ± 5.68 N/BW) ( P = .047), with no significant difference in the neutral condition. The toe-out condition had a higher knee valgus angle (2.98° ± 4.20°; P = .041), knee shear force (10.20 ± 1.69 N/BW; P = .009), and knee internal rotation moment (–0.18 ± 0.16 N·m/BW×height; P = .012) than the toe-in and neutral conditions. Conclusion: Through musculoskeletal modeling, we were able to conclude that the toe-out condition during the DDM might result in a higher risk of ACL injuries. Athletes and sports practitioners should avoid the toe-out foot-planting strategy when participating in a sporting activity. Clinical Relevance: Based on these findings, medical professionals and athletic coaches can gain knowledge on how foot-planting strategy affects ACL loading. Understanding the actual cause of an ACL injury can be useful for designing preventive training programs or strategies to decrease the risk of such injuries.
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Ore, Timothy. "Musculoskeletal malignant neoplasms hospitalisation in Victoria." Journal of Epidemiological Research 1, no. 1 (July 27, 2015): 33. http://dx.doi.org/10.5430/jer.v1n1p33.
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The paper describes factors associated with 2,605 hospital admissions for musculoskeletal malignant neoplasms (MMN) over oneyear. The rates per 10,000 population increased significantly (t=5.3, p<.01) with age, with men (4.5 per 10,000 population, 95% CI 4.1-5.0) at greater risk than women (3.3 per 10,000 population, 95% CI 2.8-3.7). The 30-day readmission rate was 19%, thethird highest of all admission categories. The average length of stay was significantly (t=4.5, p<.01) shorter in the metropolitanarea (8.2 days) than in rural communities (10.8 days). The age-standardised rates varied inversely (r=-0.28) with socioeconomicstatus. Communities with high MMN admission rates had high rates of heart failure admissions (r=0.35), alcohol consumption(r=0.34) and receiving Disability Support Pension (r=0.32). There was a significant (t=13.8, p<.001) monthly variability inMMN hospitalisation rates. As a leading cause of hospital readmission and disability, the condition requires closer analysis.
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Ryu, Hyang-Woo, Deog-Hwan Moon, and Sang-Gil Lee. "O2B.4 Factors on sickness absence among workers and moderating effect of job stress in korea." Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A15.2—A15. http://dx.doi.org/10.1136/oem-2019-epi.40.
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ObjectiveThe purpose of this study was to analyze the various factors affecting the sickness absence of Korean workers and to confirm the moderating effect of job stress.MethodWe analyzed the data of nationwide labor environment survey conducted by the Korea Occupational Safety and Health Agency (KOSHA) in 2011. This study covered 49 870 workers, excluding abnormal values. We analyzed the effects of the work environment and the moderating effect of job stress to the absence of sickness.ResultsThe number of sickness absent from the study was 4621 (9.3%), total sickness absence was 30,640 days, and the average period of sickness absence was 6.6 days. The factor with significant difference of illness absenteeism was education, monthly income, size of workplace, drinking opportunity, worker position, musculoskeletal disease risk factor, and subjective health status. The interaction effect between the control variable and the independent variable was significantly different from the job stress ×musculoskeletal disorder factor.Sickness absence was higher in middle school graduates, monthly incomes more than one million won, workplaces with 10 or more workers, and in the non-alcoholic group.Musculoskeletal disorders and subjective health status showed a positive effect on sickness absence. The number of days of sickness absence increased and the subjective health condition got worse as the musculoskeletal disorders increased. As job stress increased, sickness absence increased. We found that the job stress interacted with musculoskeletal disease factors and affected sickness absence.ConclusionIt is necessary to prepare measures to improve subjective health condition, and to fully utilize the moderating job stress factors to reduce the factors of musculoskeletal diseases.
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Hanchard, Samuel, Ashley Duncan, James Furness, Vini Simas, Mike Climstein, and Kevin Kemp-Smith. "Chronic and Gradual-Onset Injuries and Conditions in the Sport of Surfing: A Systematic Review." Sports 9, no. 2 (January 29, 2021): 23. http://dx.doi.org/10.3390/sports9020023.
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The majority of the previous literature investigating injuries in surfing have focused on acute or traumatic injuries. This systematic review appears to be the first to investigate the literature reporting on chronic and gradual-onset injuries and conditions in surfing populations. A search strategy was implemented on five databases in June 2020 to locate peer-reviewed epidemiological studies on musculoskeletal injuries or non-musculoskeletal conditions in surfing. A modified AXIS Critical Appraisal Tool was used to appraise all included texts. Extracted data included key information relevant to the epidemiology of the injuries and conditions. Twenty journal articles were included with the majority rated as good quality and a substantial agreement between raters (k = 0.724). Spine/back (29.3%), shoulder (22.9%), and head/face/neck (17.5%) were the most frequently reported locations of musculoskeletal injury, whilst the most common mechanism of injury was paddling (37.1%). Exostosis was the most frequently described injury or condition in surfing populations, with the most common grade of severity reported as mild obstruction. The key findings of injury type, location, severity, and mechanism can be used to develop relevant injury management and prevention programs for the surfing population, with an emphasis on chronic or gradual-onset spine/back and shoulder injuries, paddling technique, and education on the development and management of exostosis.
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Areu, Mapuor M. M., Brian B. B. Madison, Akau A. Aguto, James Alphonse, Omojowk J. Bachay, Aguer Warebek, and Zecharia P. Ajak. "Musculoskeletal disorders among patients during a one-day outreach at Juba Military Hospital." South Sudan Medical Journal 15, no. 3 (September 6, 2022): 105–7. http://dx.doi.org/10.4314/ssmj.v15i3.6.
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Introduction: The number of patients presenting with musculoskeletal disorders to the outpatient clinic at Juba Military Hospital is increasing. The aim of this study was to determine the proportion and types of musculoskeletal disorders among patients attending the orthopaedic outreach clinic during September 2021.
Method: A cross-sectional study designed to determine the proportion and types of musculoskeletal disorders among patients presenting to Juba Military Hospital. One hundred and thirty-three patients were recruited. After informed consent, data were collected using a paper-based Questionnaire and analysed using Statistical Package for the Social Sciences (SPSS) version 22.
Result: A total of 327 patients presented to outreach clinic, 133 patients consented and were included in the study. The mean age was 41 years (3 to 73 years, SD 16.9); 52.6% were male and 47% female. The conditions diagnosed were osteoarthritis of major joints, 20.3%, low back pain 18.8%, non-union 15.8% and mal-union 11.3%. Among patients with knee problems, 54% were unilateral knee osteoarthritis and 28% bilateral knee osteoarthritis. Patients with back problems: 80% low back pain of unspecified cause, 16% spondylolisthesis and 4% Pott’s disease of the spine. Also 29% mal-union femur and 25% femoral neck fracture. Tibia condition: 40% Non-union, 20% mal-union Tibia fracture.
Conclusion: Musculoskeletal disorders are common among the residents of Juba city. There is high proportion of osteoarthritis and low back pain among other diagnosed conditions.
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Tortora, Silvia, Carmelo Messina, Salvatore Gitto, Vito Chianca, Francesca Serpi, Angelo Gambino, Luigi Pedone, Gianpaolo Carrafiello, Luca Maria Sconfienza, and Domenico Albano. "Ultrasound-guided musculoskeletal interventional procedures around the shoulder." Journal of Ultrasonography 21, no. 85 (2021): e162-e168. http://dx.doi.org/10.15557/jou.2021.0026.
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Ultrasound is a fast, accessible, reliable, and radiation-free imaging modality routinely used to assess the soft tissues around the shoulder. It enables to identify a wide range of pathological conditions. Furthermore, most ultrasound-guided musculoskeletal interventional procedures around the shoulder produce better results in terms of accuracy and clinical efficacy than those performed in a blinded fashion. Indeed, intra-articular and peri-articular interventional procedures can be easily performed under continuous ultrasound monitoring to ensure the correct position of the needle and to deliver the medication to a specific target. Several technical approaches and medications can be used to treat different causes of painful shoulder. Intra-articular injections are applied to treat acromioclavicular osteoarthritis as well as glenohumeral joint osteoarthritis and adhesive capsulitis. Subacromialsubdeltoid bursitis, either presenting as a primary inflammatory condition or secondary to rotator cuff disorders, can be easily approached using ultrasound guidance to aspirate synovial effusion and to inject medications. Ultrasound-guided percutaneous irrigation is a well-established technique increasingly applied to treat patients with rotator cuff calcific tendinopathy. Also, degenerative rotator cuff tendinopathy can be conservatively treated by image-guided interventions, specifically with needling under ultrasound guidance that can be associated with injections of platelet-rich plasma. Lastly, periarticular peripheral nerve block can be quickly and safely performed under ultrasound guidance, particularly in conditions involving the suprascapular nerve in the setting of pre-operative analgesia or pain treatment in glenohumeral osteoarthritis and adhesive capsulitis. In this article, the most common ultrasound-guided procedures around the shoulder have been reviewed to discuss indications and techniques.
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Barkova, A., I. Mil'shteyn, and E. Shurmanova. "Assessment of the condition of the musculoskeletal system sports horses in the Middle Urals." Agrarian Bulletin of the, no. 14 (February 3, 2021): 10–18. http://dx.doi.org/10.32417/1997-4868-2021-14-10-18.
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Abstract. Purpose. Evaluation of the effectiveness methods of visual diagnostics of diseases of the musculoskeletal system sports horses and the spread of diseases in equestrian clubs in the Middle Urals. Methods. The analysis of the diagnostic capabilities of X-ray and ultrasound research 31 sports horses of different age categories was carried out. Some of the animals had pronounced clinical signs of pathologies. The results obtained showed that 65 different pathologies were detected in 30 out of 31 examined horses, that is, in 96.7 % of animals. Disorders of the toe axis, fractures and cracks, convergence of spinous processes, end hoof, tendinitis, arthrosis of 2nd, 3rd, 4th degrees, including 1st degree, clinically not expressed were most often recorded. In young animals under the age of 1 year, such pathologies as violation of the finger axis and cracks in the bones prevail, from 1 to 3 years of age, fractures of the coffin bone were recorded, the appearance of the end hoof and a violation of the finger axis predominated, while in these groups of animals no pathologies were recorded during ultrasound. Thus, according to the results of visual diagnostics in the age groups from 0 to 3 years, there are on average 1.6 pathologies per horse, and in the age groups from 3 years and older, there are 2.3 pathologies per horse. Based on the above, we can conclude that the complex use of visual diagnostic methods has shown high efficiency in assessing the state of the musculoskeletal system in animals of all age groups. Scientific novelty. In the conditions of equestrian clubs in the Middle Urals, the most common diseases of the musculoskeletal system in sports horses have been identified and the most effective methods for their diagnosis have been determined.
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McKenzie, Bayden J., Romi Haas, Giovanni E. Ferreira, Chris G. Maher, and Rachelle Buchbinder. "The environmental impact of health care for musculoskeletal conditions: A scoping review." PLOS ONE 17, no. 11 (November 28, 2022): e0276685. http://dx.doi.org/10.1371/journal.pone.0276685.
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Background Health care has significant environmental impact. We performed a scoping review to map what is known about the environmental impact of health care for musculoskeletal conditions. Methods We included published papers of any design that measured or discussed environmental impact of health care or health support services for any musculoskeletal condition in terms of climate change or global warming (e.g., greenhouse gas emissions it produces). We searched MEDLINE and Embase from inception to 2 May 2022 using keywords for environmental health and musculoskeletal conditions, and performed keyword searches using Google and Google Scholar. Two independent reviewers screened studies. One author independently charted data, verified by a second author. A narrative synthesis was performed. Results Of 12,302 publications screened and 73 identified from other searches, 122 full-text articles were assessed for eligibility, and 49 were included (published 1994 to 2022). Of 24 original research studies, 11 measured environmental impact relating to climate change in orthopaedics (n = 10), and medical aids for the knee (n = 1), one measured energy expenditure of laminar versus turbulent airflow ventilation systems in operating rooms during simulated hip replacements and 12 measured waste associated with orthopaedic surgery but did not relate waste to greenhouse gas emissions or environmental effects. Twenty-one editorials described a need to reduce environmental impact of orthopaedic surgery (n = 9), physiotherapy (n = 9), podiatry (n = 2) or occupational therapy (n = 1). Four narrative reviews discussed sustainability relating to hand surgery (n = 2), orthopaedic surgery (n = 1) and orthopaedic implants (n = 1). Conclusion Despite an established link between health care and greenhouse gas emissions we found limited empirical data estimating the impact of musculoskeletal health care on the environment. These data are needed to determine whether actions to lower the carbon footprint of musculoskeletal health care should be a priority and to identify those aspects of care that should be prioritised.