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Wang A, Zhou Y, Li X, Wang W, Zhao X, Chen P, Liao W. Investigating and analyzing the current situation and factors influencing chronic neck, shoulder, and lumbar back pain among medical personnel after the epidemic. BMC Musculoskelet Disord 2024; 25:316. [PMID: 38654285 PMCID: PMC11036770 DOI: 10.1186/s12891-024-07425-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 04/08/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Chronic shoulder and neck pain is one of the most common chronic occupational disorders, with an average incidence rate of 48.5%, severely affecting patients' quality of life and ability to work. According to epidemiological research, the prevalence of chronic neck, shoulder, and low back pain in adults over the age of 45 ranges from 40 to 80%. According to reports, medical staff have a higher incidence rate than other populations, and there is a positive correlation between the grade of the medical institution and the incidence rate, making medical staff a priority group for the prevention of chronic neck, shoulder, and low back pain. By the end of 2022, China has been fully opened to epidemic prevention and control, the total number of patients in domestic hospitals has increased significantly, and resulting in medical personnel shoulting great pressure, which seriously affects the physical and mental health of medical personnel. The aim of this study was to explore the risk factors of chronic neck, shoulder and lumbar back pain in medical staff. To provide guidelines for medical staff to improve cervical and lumbar subacute pain and reduce the emergence of spinal lesions. METHODS From January to February 2023, 602 staff members of a third-grade hospital in Zunyi City were studied by Questionnaire star. Univariate and multivariate Logistic regression were used to analyze the independent risk factors of chronic neck, shoulder and lumbar back pain in medical staff, with stepwise regression utilized to choose the optimum model. The model was selected using Akaike's information criterion (AIC) and the Hosmer-Lemeshow goodness-of-fit test. RESULTS A total of 602 medical staff were polled, and the findings revealed that 588 cases of chronic neck, shoulder, and low back pain of varied severity had occurred in the previous 1 to 2 years, with a 97.7% incidence rate; logistic regression analysis revealed that anxiety level, frequency of bending over in the previous 1 to 2 years, whether related preventive measures were taken at work, gender, positive senior title, daily ambulation time, and whether the department they worked in organized independent influencing factors. CONCLUSION The incidence of chronic neck, shoulder, and lumbar back pain among medical staff is high; its influencing factors are different and have not been systematically identified. Hospitals should take effective measures tailored to local conditions to improve the physical and mental health of medical staff.
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Affiliation(s)
- Ansu Wang
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China.
| | - Yufeng Zhou
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China
| | - Xuyan Li
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China
| | - Weiqun Wang
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China
| | - Xu Zhao
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China
| | - Ping Chen
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China
| | - Wenbo Liao
- Department of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou Province, China.
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Smart KM. The biopsychosocial model of pain in physiotherapy: past, present and future. PHYSICAL THERAPY REVIEWS 2023. [DOI: 10.1080/10833196.2023.2177792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Affiliation(s)
- Keith M. Smart
- School of Public Health, Physiotherapy and Sports Science, Health Sciences Centre, University College Dublin, Dublin, Ireland
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Köke AJA, Bastiaenen CHG, Kleijnen J, Telgenkamp I, Smeets RJEM, Beckers LWME. Measurement properties of patient-reported outcome measures used in rehabilitation of adults with chronic musculoskeletal pain: A mapping review. J Back Musculoskelet Rehabil 2022; 36:595-607. [PMID: 36565099 DOI: 10.3233/bmr-220133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Choosing measurement tools for diagnostic, prognostic, or evaluative purposes in a chronic musculoskeletal pain (CMP) population is challenging for rehabilitation practice. Implementation of measurement tools for clinical practice is impaired by gaps in knowledge about measurement properties. OBJECTIVE Identifying evidence about the measurement properties of tools frequently used in Dutch pain rehabilitation practice. METHODS A mapping review was conducted of eligible studies that investigated reliability, validity, or responsiveness, and interpretability, as defined by the COSMIN taxonomy, of original versions or Dutch translations of predefined Patient-Reported Outcome Measures (PROMs) in a CMP population. MEDLINE, PsycINFO, EMBASE, and CINAHL were searched in March 2021. Results were visually mapped. RESULTS Thirty-five studies were included. The results show many knowledge gaps in both original and translated versions. In general, aspects of validity were most frequently reported. The Pain Disability Index, Pain Catastrophizing Scale, and the 12-Item Short Form Health Survey were the most studied measurement tools. No results were found for the Checklist Individual Strength, Illness Perception Questionnaire, and Utrecht Coping List. CONCLUSION Little evidence of the measurement properties of PROMs used in rehabilitation of patients with CMP in the Netherlands was found. PROMs need to be used and interpreted with caution in daily practice.
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Affiliation(s)
- A J A Köke
- Department of Rehabilitation Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.,Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.,Faculty Health and Technology, Zuyd University for Applied Sciences, Heerlen, The Netherlands.,Pain in Motion International Research Group (PiM), Belgium
| | - C H G Bastiaenen
- Department of Epidemiology, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - J Kleijnen
- Kleijnen Systematic Reviews Ltd, York, UK
| | - I Telgenkamp
- Department of Rehabilitation Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - R J E M Smeets
- Department of Rehabilitation Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.,Pain in Motion International Research Group (PiM), Belgium.,Centre for Integral Rehabilitation (CIR), Eindhoven, The Netherlands
| | - L W M E Beckers
- Department of Rehabilitation Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
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Yotnuengnit P, Boonyapaisancharoen P, Jamin N, Schulte-Goecking H, Azad SC, Kraft E, Piravej K, Leukert J. Differences between chronic low back pain patients in Germany and Thailand in terms of nature of disease and socioeconomic and psychological factors. J Back Musculoskelet Rehabil 2022; 35:625-632. [PMID: 34459383 DOI: 10.3233/bmr-210029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Worldwide, chronic low back pain (CLBP) is one of the most common causes of physical and psychological disabilities. The factors that affect low back pain (LBP) between Western and Eastern countries are different. OBJECTIVE We assessed the factors associated with LBP and their impact in German and Thai CLBP participants. METHODS This cross-sectional study was conducted in 100 Thai and 100 German CLBP participants. Data were collected before the participants received treatment in the outpatient rehabilitation clinic. We used standardized questionnaires to assess the demographic and socioeconomic data, clinical features of the pain, the impact of pain during daily activities, and psychological consequences. RESULTS We found a statistically significant difference between the two groups for minimal pain intensity (NRS German = 3.01, Thai = 1.83), and the participants' acceptable pain intensity (NRS German = 1.97, Thai = 3.88). The German participants had a higher negative impact score in their daily living compared to the Thai participants (German = 23.5, Thai = 10). Also, the German participants suffered more often from depression (CES-D score; German = 17, Thai = 4). However, the average back pain intensity was the same for both groups. CONCLUSION German CLBP participants had significantly more depressive symptoms and pain-related impairments compared to the Thai participants. On the other hand, there were no differences in maximum and average pain severities.
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Affiliation(s)
- Pattarapol Yotnuengnit
- Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | | | - Nastasja Jamin
- Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany.,Interdisciplinary Pain Unit of the University Hospital, Ludwig-Maximilian-University, Munich, Germany
| | - Heike Schulte-Goecking
- Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany.,Interdisciplinary Pain Unit of the University Hospital, Ludwig-Maximilian-University, Munich, Germany
| | - Shahnaz-Christina Azad
- Interdisciplinary Pain Unit of the University Hospital, Ludwig-Maximilian-University, Munich, Germany.,Department of Anaesthesiology, Ludwig-Maximilian-University, Munich, Germany
| | - Eduard Kraft
- Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany.,Interdisciplinary Pain Unit of the University Hospital, Ludwig-Maximilian-University, Munich, Germany
| | - Krisna Piravej
- Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Johannes Leukert
- Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Germany.,Interdisciplinary Pain Unit of the University Hospital, Ludwig-Maximilian-University, Munich, Germany
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Vaegter HB, Høybye MT, Bergen FH, Parsons CE. Sleep disturbance in patients attending specialized chronic pain clinics in Denmark: a longitudinal study examining the relationship between sleep and pain outcomes. Scand J Pain 2021; 21:539-547. [PMID: 33838100 DOI: 10.1515/sjpain-2020-0155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 03/21/2021] [Indexed: 12/16/2022]
Abstract
OBJECTIVES Sleep disturbances are highly prevalent in patients with chronic pain. However, the majority of studies to date examining sleep disturbances in patients with chronic pain have been population-based cross-sectional studies. The aims of this study were to 1) examine the frequency of sleep disturbances in patients referred to two interdisciplinary chronic pain clinics in Denmark, 2) explore associations between sleep disturbances and pain intensity, disability and quality of life at baseline and follow-up, and 3) explore whether changes in sleep quality mediated the relationships between pain outcomes at baseline and pain outcomes at follow-up. METHODS We carried out a longitudinal observational study, examining patients enrolled in two chronic pain clinics assessed at baseline (n=2,531) and post-treatment follow-up (n=657). Patients reported on their sleep disturbances using the sleep quality subscale of the Karolinska Sleep Questionnaire (KSQ), their pain intensity using 0-10 numerical rating scales, their pain-related disability using the Pain Disability Index (PDI), and quality of life using the EuroQol-VAS scale. The average time between baseline and follow-up was 207 days (SD=154). RESULTS At baseline, the majority of patients reported frequent sleep disturbances. We found a significant association at baseline between self-reported sleep disturbances and pain intensity, pain-related disability, and quality of life, where greater sleep disturbance was associated with poorer outcomes. At follow-up, patients reported significant improvements across all pain and sleep outcomes. In two mediation models, we showed that changes in sleep disturbances from baseline to follow-up were significantly associated with (i) pain intensity at follow-up, and (ii) pain disability at follow-up. However, baseline pain intensity and disability scores were not associated with changes in sleep disturbances and, we did not find evidence for significant mediation of either pain outcome by changes in sleep disturbances. CONCLUSIONS Self-reported sleep disturbances were associated with pain outcomes at baseline and follow-up, with greater sleep disturbances associated with poorer pain outcomes. Changes in sleep quality did not mediate the relationships between baseline and follow-up scores for pain intensity and disability. These findings contribute to a growing body of evidence confirming an association between sleep and chronic pain experience, particularly suggestive of a sleep to pain link. Our data following patients after interdisciplinary treatment suggests that improved sleep is a marker for a better outcome after treatment.
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Affiliation(s)
- Henrik Bjarke Vaegter
- Pain Research Group, Pain Center, Odense University Hospital, Odense, Denmark.,Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
| | - Mette Terp Høybye
- Department of Clinical Medicine, Interacting Minds Center, Aarhus University, Aarhus, Denmark.,Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, Denmark
| | | | - Christine E Parsons
- Department of Clinical Medicine, Interacting Minds Center, Aarhus University, Aarhus, Denmark
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Yang Q, Yu S, Wang J, Zheng C, Liang X, Yu D, Chen X. Effects of Baduanjin on patients with chronic nonspecific low back pain: A randomized controlled trial. Medicine (Baltimore) 2021; 100:e24448. [PMID: 33530252 PMCID: PMC7850726 DOI: 10.1097/md.0000000000024448] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Accepted: 01/05/2021] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Chronic low back pain (CLBP) is 1 of the common clinical diseases, and many treatment methods can only improve the symptoms of pain in the short term. Traditional Chinese sports - Baduanjin has been proven to have a positive effect on chronic low back pain. However, the quality of the research is low, the sample size is small, and safety observations are lacking. We describe the protocol of a randomized controlled trial to study the efficacy and safety of Baduanjin chronic low back pain. METHODS This randomized, controlled, evaluator-blind, two-arm, parallel clinical trial will include 90 outpatients with chronic low back pain recruited from the First Hospital of Nanping City, Fujian Province. The patients were randomly assigned to the intervention group (Baduanjin exercise training) and the control group (not receiving any special exercise training) at a ratio of 1:1. Patients in the intervention group will receive Baduanjin exercise training 3 times a week for 24 weeks. The 2 groups received a 4- week follow-up observation at 24 weeks. The main result from the intervention before intervention to 24 weeks later, and the follow-up of 4 changes the visual analog scale score at weeks, and by independent t are tested groups. It will also review the Pain-related disability index, The Quebec Back Pain Disability Scale, Health-related quality of life, Roland Morris (Roland Morris) Disability Questionnaire, Overall Perceived Effect (OPE) and safety Compare. Cost data for cost-benefit and cost-benefit analysis will be collected. DISCUSSION This will be the first study to compare the effectiveness and safety of Baduanjin for patients with chronic low back pain. The results may help healthcare professionals make clinical decisions and may reduce the cost of treatment for this disease. TRIAL REGISTRATION ChiCTR2000033908.
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Affiliation(s)
- Qingtang Yang
- Department of Rehabilitation, First Hospital of Nanping City
| | - Shiliang Yu
- Department of Rehabilitation, First Hospital of Nanping City
| | - Jianbin Wang
- Department of Rehabilitation, First Hospital of Nanping City
| | - Caiyun Zheng
- Department of Rehabilitation, Nanping People's Hospital, Fujian Province, Nanping
| | - Xiaofeng Liang
- Department of Rehabilitation, First Hospital of Nanping City
| | - Debiao Yu
- Department of Rehabilitation, Fujian Provincial Hospital, Fuzhou, Fujian, China
| | - Xiangmei Chen
- Department of Rehabilitation, First Hospital of Nanping City
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7
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McKillop AB, Carroll LJ, Dick BD, Battié MC. What Motivates Engagement in Work and Other Valued Social Roles Despite Persistent Back Pain? JOURNAL OF OCCUPATIONAL REHABILITATION 2020; 30:466-474. [PMID: 32016648 DOI: 10.1007/s10926-020-09875-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Purpose The prognosis of persistent back pain is variable, with some individuals adjusting poorly and others continuing to actively engage in work and other valued social roles. The aim of this study was to better understand why some individuals, despite persistent back pain, continue to actively engage in work and other valued social roles. Methods Individuals with persistent back pain, who were participating in their regular duties as a full-time employee, homemaker, student or any combination of these, were recruited from a multidisciplinary pain centre and orthopedic physical therapy clinics in Alberta, Canada. A qualitative study was conducted using semi-structured interviews of 15 participants and a thematic analysis to analyze the data. Results There were two motivators identified for participating in the work role: (1) participation formed part of the participant's self-schema (a cognitive framework that includes one's beliefs about oneself) and (2) participation made it possible to achieve a valued outcome. Conclusions Further understanding of important motivators for maintaining engagement in work and other valued social roles despite persistent back pain can help inform the development of more successful disability and pain management programs.
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Affiliation(s)
- Ashley B McKillop
- Faculty of Rehabilitation Medicine, University of Alberta, 3-48 Corbett Hall, Edmonton, AB, T6G 2G4, Canada.
| | - Linda J Carroll
- School of Public Health, University of Alberta, 4075 Research Transition Facility, Edmonton, AB, T6G 2E1, Canada
| | - Bruce D Dick
- Faculty of Medicine & Dentistry, Department of Anesthesiology & Pain Medicine, University of Alberta, 2-150 Clinical Sciences, Edmonton, AB, T6G 2G3, Canada
| | - Michele C Battié
- School of Physical Therapy & Western Bone and Joint Institute, Western University, Elborn College Room 1445, London, ON, N6G 1H1, Canada
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8
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Abadi FH, Sankaravel M, Zainuddin FF, Elumalai G, Razli AI. The effect of aquatic exercise program on low-back pain disability in obese women. J Exerc Rehabil 2020; 15:855-860. [PMID: 31938709 PMCID: PMC6944883 DOI: 10.12965/jer.1938688.344] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Accepted: 11/20/2019] [Indexed: 11/25/2022] Open
Abstract
Low-back pain (LBP) is one of the most current causes to reduce work performance, limit daily activities and raising health cost, and it is in-creasing as obesity growing as a public health concern. While obese LBP people cannot avoid weight load on the spine in any exercise, they can easily carry out exercise in water. This study aimed to investigate the effect of aquatic exercise on LBP disability among obese women. In this study, a total of 39 women with body mass index (BMI)≥27 kg/m2 who suffering from nonspecific chronic LBP were purposively selected. They randomly assigned in two groups; aquatic and control. The aquatic group carried out aquatic exercise, twice per week, 60 min per session, for 12 weeks. LBP disability was measured using modified Oswestry questionnaire with ten sections; pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and employment. Results showed no significant difference in age, weight, BMI, waist to hip ratio, and percentage of body fat in both groups. An analyzing of multivariate analysis of covariance revealed that there was significant improvement on pain intensity, personal care, sitting, standing, sleeping, employment and total disability score in aquatic group, while there was no significant difference in lifting, walking, social life, and traveling abilities after 12 weeks between the groups. As a conclusion, this progressive aquatic exercise was a convenience and effective intervention program to reduce pain intensity, and improve personal care, sitting, standing, sleeping, and employment abilities in obese LBP women.
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Affiliation(s)
- Fariba Hossein Abadi
- Department of Sports Rehabilitation, Faculty of Sports Science and Coaching, Sultan Idris Education University (UPSI), Tanjung Malim, Malaysia
| | - Mohansundar Sankaravel
- Department of Sports Rehabilitation, Faculty of Sports Science and Coaching, Sultan Idris Education University (UPSI), Tanjung Malim, Malaysia
| | - Fairus Fariza Zainuddin
- Department of Sports Rehabilitation, Faculty of Sports Science and Coaching, Sultan Idris Education University (UPSI), Tanjung Malim, Malaysia
| | - Gunathevan Elumalai
- Department of Sports Rehabilitation, Faculty of Sports Science and Coaching, Sultan Idris Education University (UPSI), Tanjung Malim, Malaysia
| | - Azira Iqlima Razli
- Department of Sports Rehabilitation, Faculty of Sports Science and Coaching, Sultan Idris Education University (UPSI), Tanjung Malim, Malaysia
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Lennox Thompson B, Gage J, Kirk R. Living well with chronic pain: a classical grounded theory. Disabil Rehabil 2019; 42:1141-1152. [DOI: 10.1080/09638288.2018.1517195] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Bronwyn Lennox Thompson
- Department of Orthopaedic Surgery & Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand
| | - Jeffrey Gage
- College of Nursing, California Baptist University, Riverside, CA, USA
| | - Ray Kirk
- UC Health, University of Canterbury, Christchurch, New Zealand
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