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At least 1,045 records · Page 58Linked to original sources
PubMed2005

A community-based sports massage course for Aboriginal health workers.

OBJECTIVE: To pilot a community-based and owned sports massage course for Aboriginal health workers (AHWs). DESIGN: Descriptive, pilot educational intervention study. SETTING: Rural, Indigenous Australian community. SUBJECTS: AHWs working in a rural community. MAIN OUTCOME MEASURES: Cultural and logistical acceptability of the program to AHWs. RESULTS: The course was delivered within a culturally acceptable framework with applicability for the evaluation of sports massage skills and knowledge changes in a larger sample. CONCLUSION: The sports massage course demonstrated its applicability in this rural Aboriginal community and it has the potential to be adapted and adopted in other similar settings.

Adult↗
PubMed1992

Spaceflight and growth effects on muscle fibers in the rhesus monkey.

Spaceflight causes considerable atrophy in hindlimb muscles of the rat. The purpose of this study was to investigate the effect of a 14-day spaceflight (COSMOS 2044) on selected morphological and metabolic properties of single muscle fibers in a nonhuman primate, Macaca mulatta. Biopsies were taken from the soleus (Sol), medial gastrocnemius (MG), and tibialis anterior (TA) muscles of two rhesus monkeys 107 days before flight and 24 h after return from flight. Muscle biopsies were taken from two independent sites in each muscle by use of a small (3-mm OD) Bergstrom biopsy needle. The biopsies weighed 8-14 mg and contained 100-200 fibers, of which an average of 40 fibers were acceptable for metabolic and size analyses. The 14-day spaceflight had little effect on fiber size in the Sol and MG muscles, whereas there appeared to be a slight decrease in size in the TA. In each of the flight animals, the mean fiber size in the postflight biopsies increased relative to preflight values. An increase in fiber size over the same period of time was also observed in four control monkeys that were the same age and approximately the same weight as the flight monkeys. The relative increase in size was related to the body weight of the monkey at the time of the pre- and postflight biopsies. The mean fiber succinate dehydrogenase activity appeared to decrease in the MG, whereas there was no apparent effect of spaceflight on the Sol and TA muscles.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed2004

Effect of heat modalities on hamstring length: a comparison of pneumatherm, moist heat pack, and a control.

STUDY DESIGN: Prospective, researcher-blinded, repeated-measures, randomized complete block design. OBJECTIVES: To compare the effects of a single treatment of Pneumatherm, moist heat pack, and a control treatment on hamstring muscle length. BACKGROUND: Traditionally, heating modalities have been used to facilitate increases in tissue length. The Pneumatherm has been developed over the past 20 years for use in the clinical treatment of a variety of musculoskeletal pathologies. However, there is no published evidence supporting the use of Pneumatherm for improving muscle length. SUBJECTS: Participants consisted of 30 healthy, college-age males taken from a convenience sampling from the University of Indianapolis student population. METHODS AND MEASURES: Participants received a 3-treatment sequence on consecutive days. Treatments involved applying the determined modality to the posterior thigh using standard treatment protocols. A hand-held dynamometer was used to establish a consistent passive measurement force to measure hamstring muscle length. RESULTS: A mixed-model analysis of variance with pretest-posttest (3 pretest and 3 posttest measures) and treatment sequence of the modalities (6 sequences of Pneumatherm, moist heat, and control) was completed. The only significant effect was for pretest-posttest measures. Post hoc comparisons revealed that the Pneumatherm posttest value was significantly different from all other measures. There were no differences found between pretest scores and the moist heat and control posttest scores. CONCLUSIONS: Our results demonstrate that the Pneumatherm modality is an effective agent for increasing hamstring muscle length following a single 20-minute treatment. In this study, a significant gain in hamstring muscle length was not found following a 1-time treatment with moist heat. The Pneumatherm may be a good option when heat is used to assist in gaining flexibility of the hamstring musculature.

Adult↗
PubMed2005

Intradiscal electrothermal treatment for chronic lower back pain patients with internal disc disruption.

Chronic lower back pain is one of the most common musculoskeletal problems; it is also the most expensive industrial injury. Not surprisingly, many treatments have been developed to combat this expensive and debilitating condition. One of these, intradiscal electrothermal treatment (IDET), was developed for patients with chronic discogenic lower back pain who failed to improve with any of the wide variety of non- surgical treatments. The present study sought to evaluate the efficacy of IDET for patients with chronic lower back pain. Twenty-five patients were enrolled in this prospective study; the patients received IDET between June 2001 and June 2003. MRI was used to confirm the diagnosis of internal disc disruption in all patients. The patients then underwent a pre-operative provocative test and discography. The follow-up duration was at least 1 year in all cases, and the visual analogue scale, recovery rate, and satisfaction of each patient were evaluated. The average age of the patients was 32 years (age range 18 to 49 years), and the patient group was 33% male and 67% female. Of the 25 patients, 5 underwent lumbar fusion surgery within 1 year of IDET. After IDET, 8 patients (32%) reported more pain than before, 14 patients (56%) reported less pain, and 3 patients (12%) experienced no change. Twelve patients (48%) were satisfied with IDET, 11 (44%) were dissatisfied, and 2 (8%) were undecided about the treatment. At least 1 year after IDET, nearly half the study patients were dissatisfied with their medical outcome. Consequently, 5 patients (20%) underwent fusion surgery at 1 year after IDET. Although other studies have shown good results with IDET for at least 2 years, this investigation suggests the IDET may be somewhat less effective. In order to firmly establish the efficacy of IDET for treating chronic discogenic lower back pain, additional studies with larger numbers of patients evaluated over longer time periods are recommended.

Adolescent↗
PubMed2002

Bilateral Lemierre's syndrome: a case report and literature review.

Lemierre's syndrome is characterized by thrombosis of the internal jugular vein that develops following an oropharyngeal infection. Sepsis and septic metastases frequently ensue and affect the lungs, the musculoskeletal system, and occasionally the liver. Most cases are caused by infection with Fusobacterium necrophorum. This infection responds to antibiotic therapy with beta-lactamase-resistant compounds that exert good anaerobic coverage. Anticoagulation and surgical intervention can be helpful in advanced cases. Fewer than 160 cases of classic Lemierre's syndrome have been described; approximately one-third of these reported cases have occurred since 1988. We describe a new case of Lemierre's syndrome that occurred in an otherwise healthy 27-year-old man. Thrombosis of both internal jugular veins extended through the subclavian system and into both upper extremities. The patient was treated with intravenous antibiotics and heparin during 14 days of hospitalization. He was discharged on oral clindamycin and warfarin sodium, and after 6 months he was able to return to full activity. To our knowledge, this is the first reported case of Lemierre's syndrome in which internal jugular vein thrombosis occurred bilaterally. By reporting this previously undescribed manifestation of Lemierre's syndrome, we hope to increase practitioner awareness of this disease entity.

Adult↗
PubMed1989

Pediatric update #7. The orthopaedic manifestations of head injury in children.

The incidence of significant head injury has been estimated at 220/100,000 children. Over 90% of these will recover with little residual disability. The purpose of this study is to re-examine the small but significant percentage of head injured children with permanent total body involvement to identify patterns of deformity and temporal sequences and to develop preventive treatment regimens. Sixteen head injured children with residual spastic quadriplegia were examined. All exhibited musculoskeletal abnormalities. Hip adduction contractures were most common leading to hip subluxation in eight children, followed by pes equinus, scoliosis, pelvic obliquity, and knee flexion contracture. The average time to onset of permanent foot deformity was 11 months after head injury, for scoliosis an average of 22 months postinjury, and for hip subluxation an average of 31 months postinjury. Hamstring contractures occurred later, at an average of 37 months, but caused the most interference with good seating. The physical problems of the head injured child have some similarities to those of the child with cerebral palsy, but with distinct differences. An aggressive surgical approach to prevention and treatment of fixed deformity in these children is recommended at an early stage with postoperative orthotic management and stable seating in abduction.

Child↗
PubMedDate not supplied

Pain in juvenile chronic arthritis: consequences for the musculo-skeletal system.

Pain in juvenile chronic arthritis is underestimated. Children often don't verbalize their pain adequately. On a pain scale they usually grade pain lower than adults. Pain perception always depends on subjective factors, especially the child's stage of development. The younger the child the more nonverbal pain expressions dominate. Malpositioning of involved joints or abnormal patterns of movement are often the only signs of pain. This is demonstrated in an inquiry directed to the parents of 111 small children with different subgroups of juvenile chronic arthritis. In a reflex reaction children bring their inflamed joints into a pain relieving position. This triggers a vicious circle which may result in joint deformity and permanent handicap. Arthritis interferes with the child's activities. Behavioural changes and finally developmental disturbances can follow.

Arthritis, Juvenile↗
PubMed1996

Subcutaneous emphysema in a neonatal foal.

A 16-hour-old foal was examined because of subcutaneous emphysema, which began developing 3 hours after a routine delivery. Physical examination did not reveal soft-tissue or musculoskeletal trauma, and there were no skin injuries to explain the subcutaneous accumulation of air. Results of CBC and serum biochemical analysis were within reference limits, and findings on endoscopy of the pharyngeal area, trachea, and esophagus were within normal limits other than observation of dorsal pharyngeal compression. A pulmonary bulla, pneumomediastinum, and pneumothorax were detected on thoracic radiography. Because of the apparent association of the subcutaneous emphysema and thoracic abnormalities, a diagnosis of primary subcutaneous emphysema was made. A tracheostomy tube was placed to facilitate ventilation and to provide an exit point for the trapped air. Supportive care was provided. The foal's condition resolved over the subsequent 8 days.

Airway Obstruction↗
PubMed1996

Sports medicine. Overuse injuries. Part 1: bone.

Musculoskeletal problems have always been a large part of the general practitioner's case load. The development of sports medicine as a separate entity has helped define and increase understanding of these problems, many of which are managed in a general practice environment. This monthly series is designed to improve and update knowledge in this area and provide useful pointers for management.

Fractures, Stress↗
PubMed1998

The Bone and Joint Decade 2000-2010. Inaugural meeting 17 and 18 April 1998, Lund, Sweden.

The increasing impact of bone and joint disorders on patients and healthcare systems, and an awareness that resources need to be more efficiently used, led to arrangements for a Consensus Meeting. This was held in Sweden in April 1998 and ended in an agreement to launch a Decade of Bone and Joint from 2000 to 2010. The aims of the Decade will be to raise awareness of the suffering and cost to society of musculoskeletal disorders such as joint diseases, osteoporosis, spinal disorders and severe trauma, and encourage research and development throughout the world.

Bone Diseases↗
PubMed1999

Psychosocial approaches to the prevention of chronic pain: the low back paradigm.

Psychosocial factors have the potential to influence an acute musculoskeletal pain problem at three distinct phases: the onset of pain; the seeking and receiving of health care and income support; and the development of chronic pain-related disability and work loss. Clinical management that ignores psychosocial factors has done little to stem the flow of individuals from acute to chronic pain and disability. Psychosocial factors are no longer considered as mere secondary reactions to pain. We now recognize that psychosocial factors are usually the best predictors of chronicity, and that many of the learned behaviours apparent in chronic musculoskeletal pain have their genesis in the first few days and weeks of the problem. These circumstances have combined to shift an emphasis onto the early care provided for patients by primary care health professionals. The concept of Red Flags as signs of serious disease has been extended to the readily understood idea of Yellow Flags that indicate psychosocial barriers to recovery. For many individuals these issues need to be addressed so that the risk of developing long-term disability and work loss can be reduced. Doing this is not mutually exclusive with providing for the biomedical needs of patients.

Disability Evaluation↗
PubMed1986

The phenotypic interdependence of the musculoskeletal characters of the mandibular arch in mice.

Evidence from studies of craniofacial anomalies and the evolutionary transition from reptiles to mammals suggests that the temporomandibular joint (TMJ), bony zygomatic arch, middle ear ossicles and mandibular muscle pattern may form a correlated suite of characters. To test the degree of phenotypic interdependence among these features, mandibular arch defects were analysed in prenatal mice. Retinoic palmitate was administered to pregnant mice on day 8.7 to produce test foetuses with malformations of the mandibular arch. A rating scale was developed for each of the four characters so that numerical values could be assigned to each phenotype encountered. Control animals were used to establish normal phenotypes for each character which were assigned a value of 1. Data from each test age, 16, 18 and 19 days postconception, were pooled and Spearmann rank correlation coefficients between each of the traits were calculated. Coefficients (R) range from a high of 0.87, between the TMJ and zygomatic arch, to a low of 0.67 between the zygomatic arch and the mandibular musculature showing highly significant correlations (P less than 0.0001) among all characters. Therefore, the data suggest that the musculoskeletal features of the mandibular arch are phenotypically interdependent during development.

Abnormalities, Drug-Induced↗
PubMed2004

Inter-rater reliability of the strain index.

The Strain Index is one of several tools available to evaluate exposure to musculoskeletal stressors in the workplace in order to predict whether workers are at an increased risk of developing distal upper extremity disorders. The purpose of this study was to determine the inter-rater reliability of the Strain Index. Fifteen raters initially estimated or measured data for five Strain Index task variables: (1) intensity of exertion, (2) duration of exertion, (3) efforts per minute, (4) hand/wrist posture, and (5) speed of work, using a computer to view 61 video segments of single task jobs. Video segments were organized to provide a balanced number for each of the five variables under study, where each segment was used to provide data for a single variable. Raters then assigned rating values to each task according to published procedures. For an additional 12 segments, raters performed complete Strain Index analyses, including calculation of Strain Index scores, which were used to determine hazard classifications. Raters assessed the tasks both as individuals and as members of five three-person teams. Inter-rater reliabilities of the procedures leading to and including the Strain Index scores were assessed using an intraclass correlation coefficient, (ICC(2, 1)). Inter-rater reliability for the dichotomous hazard classification was assessed using Kuder-Richardson-20 (KR-20, an ICC for dichotomous data). For task variables and estimated data, ICC(2, 1) varied between 0.66-0.84 for individuals and 0.48-0.93 for teams. The Strain Index score had an ICC(2, 1) of 0.43 and 0.64 for individuals and teams, respectively. For the most important variable, hazard classification, KR-20 was 0.91 for the individuals and 0.89 for the teams.

Arm Injuries↗
PubMed1995

Standardization of the hospital record for osteopathic structural examination: recording of musculoskeletal findings and somatic dysfunction diagnosis.

The diagnosis of somatic dysfunction is supported by the recording of positive musculoskeletal findings (altered structure, motion, tissue). We conducted a national survey to assess the status of the documentation of this relationship in the hospital setting. The 26 participating osteopathic training hospitals submitted 719 admitting physical examination forms, of which 417 (58%) met study criteria (adult patients on medicine or surgical service with a musculoskeletal examination documented on the chart). On 234 charts (56%), at least one positive finding was recorded but no diagnosis of somatic dysfunction was stated. Of 14 charts with a diagnosis of somatic dysfunction, 10 had a positive musculoskeletal finding recorded. The relationship between positive musculoskeletal findings and somatic dysfunction is not being documented on osteopathic training hospital admitting physical examination forms. Proper documentation of a somatic dysfunction diagnosis and related positive musculoskeletal findings will enable multisite research on the relationship between somatic dysfunction and other health problems documented on the hospital medical record. A multiple data collection system that is workable, reliable, and reproducible was developed as a result of this study.

Hospital Records↗