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Edouard P, Reurink G, Mackey AL, Lieber RL, Pizzari T, Järvinen TAH, Gronwald T, Hollander K. Traumatic muscle injury. Nat Rev Dis Primers 2023; 9:56. [PMID: 37857686 DOI: 10.1038/s41572-023-00469-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/22/2023] [Indexed: 10/21/2023]
Abstract
Traumatic muscle injury represents a collection of skeletal muscle pathologies caused by trauma to the muscle tissue and is defined as damage to the muscle tissue that can result in a functional deficit. Traumatic muscle injury can affect people across the lifespan and can result from high stresses and strains to skeletal muscle tissue, often due to muscle activation while the muscle is lengthening, resulting in indirect and non-contact muscle injuries (strains or ruptures), or from external impact, resulting in direct muscle injuries (contusion or laceration). At a microscopic level, muscle fibres can repair focal damage but must be completely regenerated after full myofibre necrosis. The diagnosis of muscle injury is based on patient history and physical examination. Imaging may be indicated to eliminate differential diagnoses. The management of muscle injury has changed within the past 5 years from initial rest, immobilization and (over)protection to early activation and progressive loading using an active approach. One challenge of muscle injury management is that numerous medical treatment options, such as medications and injections, are often used or proposed to try to accelerate muscle recovery despite very limited efficacy evidence. Another challenge is the prevention of muscle injury owing to the multifactorial and complex nature of this injury.
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Affiliation(s)
- Pascal Edouard
- Université Jean Monnet, Lyon 1, Université Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology, Saint-Etienne, France.
- Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France.
| | - Gustaaf Reurink
- Department of Orthopedic Surgery and Sports Medicine, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands
- Academic Center for Evidence-based Sports Medicine (ACES), Academic Medical Center, Amsterdam, Netherlands
- The Sports Physicians Group, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands
| | - Abigail L Mackey
- Institute of Sports Medicine Copenhagen, Department of Orthopaedic Surgery M, Bispebjerg Hospital, Copenhagen, Denmark
- Center for Healthy Aging, Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Richard L Lieber
- Shirley Ryan AbilityLab, Chicago, IL, USA
- Departments of Physical Medicine and Rehabilitation and Biomedical Engineering, Northwestern University, Chicago, IL, USA
- Hines VA Medical Center, Maywood, IL, USA
| | - Tania Pizzari
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Tero A H Järvinen
- Tampere University and Tampere University Hospital, Tampere, Finland
| | - Thomas Gronwald
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
| | - Karsten Hollander
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
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Heikkala E, Oura P, Karppinen J, Herbert A, Varis H, Hagnäs M, Mikkola I, Paananen M. Family structure and multisite musculoskeletal pain in adolescence: a Northern Finland Birth Cohort 1986 study. BMC Musculoskelet Disord 2023; 24:185. [PMID: 36906532 PMCID: PMC10007855 DOI: 10.1186/s12891-023-06294-0] [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] [Received: 01/11/2023] [Accepted: 03/06/2023] [Indexed: 03/13/2023] Open
Abstract
BACKGROUND Family structure is suggested to be associated with adolescent pain, but evidence on its association with multisite MS pain is sparse. The purpose of this cross-sectional study was to investigate the potential associations between family structure ('single-parent family', 'reconstructed family', and 'two-parent family') and multisite musculoskeletal (MS) pain in adolescence. METHODS The dataset was based on the 16-year-old Northern Finland Birth Cohort 1986 adolescents with available data on family structure, multisite MS pain, and a potential confounder (n = 5,878). The associations between family structure and multisite MS pain were analyzed with binomial logistic regression and modelled as unadjusted, as the evaluated potential confounder, mother's educational level, did not meet the criteria for a confounder. RESULTS Overall, 13% of the adolescents had a 'single-parent family' and 8% a 'reconstructed family'. Adolescents living in a single-parent family had 36% higher odds of multisite MS pain compared to adolescents from two-parent families (the reference) (Odds Ratio [OR]: 1.36, 95% Confidence Interval [CI]: 1.17 to 1.59). Belonging to a 'reconstructed family' was associated with 39% higher odds of multisite MS pain (OR 1.39, 1.14 to 1.69). CONCLUSION Family structure may have a role in adolescent multisite MS pain. Future research is needed on causality between family structure and multisite MS pain, to establish if there is a need for targeted support.
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Affiliation(s)
- Eveliina Heikkala
- Research Unit of Population Health, University of Oulu, PO Box 8000, 90014, Oulu, Finland. .,Medical Research Center Oulu, University of Oulu and Oulu University Hospital, 90014, Oulu, Finland. .,Wellbeing Services, County of Lapland, 96400, Rovaniemi, Finland.
| | - Petteri Oura
- Medical Research Center Oulu, University of Oulu and Oulu University Hospital, 90014, Oulu, Finland.,Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
| | - Jaro Karppinen
- Medical Research Center Oulu, University of Oulu and Oulu University Hospital, 90014, Oulu, Finland.,Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.,Rehabilitation Services of South Karelia Social and Health Care District, 53130, Lappeenranta, Finland
| | - Annie Herbert
- Department of Population Health Sciences, University of Bristol, Bristol, UK.,MRC Integrative Epidemiology Unit, University of Bristol, Oakfield House, Oakfield Grove, BS8 2BN, Bristol, UK
| | - Heidi Varis
- Research Unit of Population Health, University of Oulu, PO Box 8000, 90014, Oulu, Finland.,Wellbeing Services, County of Lapland, 96400, Rovaniemi, Finland
| | - Maria Hagnäs
- Research Unit of Population Health, University of Oulu, PO Box 8000, 90014, Oulu, Finland.,Medical Research Center Oulu, University of Oulu and Oulu University Hospital, 90014, Oulu, Finland.,Wellbeing Services, County of Lapland, 96400, Rovaniemi, Finland
| | - Ilona Mikkola
- Wellbeing Services, County of Lapland, 96400, Rovaniemi, Finland
| | - Markus Paananen
- Research Unit of Population Health, University of Oulu, PO Box 8000, 90014, Oulu, Finland.,Medical Research Center Oulu, University of Oulu and Oulu University Hospital, 90014, Oulu, Finland.,Primary Health Care Services, City of Espoo, 02070, Espoo, Finland
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Jahre H, Grotle M, Smedbråten K, Richardsen KR, Bakken A, Øiestad BE. Neck and shoulder pain in adolescents seldom occur alone: Results from the Norwegian Ungdata Survey. Eur J Pain 2021; 25:1751-1759. [PMID: 33909331 DOI: 10.1002/ejp.1785] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Accepted: 04/23/2021] [Indexed: 01/10/2023]
Abstract
BACKGROUND No previous studies have investigated the prevalence of co-occurring neck/shoulder pain, other musculoskeletal pain, headache and depressive symptoms in adolescents. This study aimed to describe the prevalence of isolated neck/shoulder pain and the co-occurrence of neck/shoulder pain with other musculoskeletal pain, headache and depressive symptoms in Norwegian adolescents. METHODS This is a cross-sectional study using data from the Norwegian Ungdata survey (2017-2019). Adolescents from almost all municipalities in Norway answered a comprehensive questionnaire, including physical complaints. We investigated the prevalence of self-reported neck/shoulder pain in isolation and neck/shoulder pain in combination with other musculoskeletal pain, headache and depressive symptoms. The results were presented with per cent and stratified by school level and sex. RESULTS In total, 253,968 adolescents (50% girls) participated in the study, of which 56.5% were from lower secondary school. The total prevalence of neck/shoulder pain was 24%, but only 5% reported isolated neck/shoulder pain. Among students reporting neck/shoulder pain, half of them also reported other musculoskeletal pain, and 50% of the boys and 70% of the girls reported co-occurring headache. Depressive symptoms were reported in 28% of the boys and 45% of the girls with neck/shoulder pain. CONCLUSION Neck/shoulder pain in adolescents is seldom isolated, but seems to co-occur with headache, other musculoskeletal pain and depressive symptoms. Researchers and clinicians should keep a broader health perspective in mind when approaching adolescents with neck/shoulder pain. SIGNIFICANCE One in five adolescents reported neck/shoulder pain in this large population-based study of Norwegian adolescents. A majority of adolescents reported neck/shoulder pain in co-occurrence with other musculoskeletal pain, headache and depression. Researchers and clinicians should assess these comorbidities when assessing adolescents with neck/shoulder pain.
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Affiliation(s)
- Henriette Jahre
- Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway
| | - Margreth Grotle
- Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.,Research and communication unit for musculoskeletal health (FORMI), Clinic for Surgery and Neurology, Oslo University Hospital, Oslo, Norway
| | - Kaja Smedbråten
- Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway
| | | | - Anders Bakken
- Norwegian Social Research (NOVA), Oslo Metropolitan University, Oslo, Norway
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Prevalence of multisite pain and association with work ability - Cross-sectional study. Musculoskelet Sci Pract 2020; 50:102279. [PMID: 33126107 DOI: 10.1016/j.msksp.2020.102279] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 09/09/2020] [Accepted: 10/20/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND Multisite pain (MSP) has been studied among the working population because it is associated with reduced work ability. In Brazil, studies have investigated pain without addressing MSP and its interference with work ability. OBJECTIVE To evaluate the prevalence of MSP among Brazilian workers from different occupations and to associate MSP with work ability. METHODS Participants in the BRAzilian eValuation of Occupational health (BRAVO) database were analysed. The BRAVO database contains information about personal data, musculoskeletal symptoms (Nordic Musculoskeletal Questionnaire), occupational stress (Job Content Questionnaire) and work ability (Work Ability Index). The studies were approved by the Ethics Committee and all participants signed an informed consent form. Data were analysed using logistic and linear regression. Sex, age, comorbidities (hypertension, mild emotional disorder and gastritis), type of work (blue and white-collar) and occupational stress were included as covariates of the regression models. RESULTS The prevalence of MSP was 58% (95% CI = 53-62%) among the total sample, 57% (95% CI = 52-62%) in white-collar and 53% (95% CI = 40-66%) among blue-collar workers. The presence of MSP increases the chance of low work ability between 1.8 and 5.1 times. A dose-response relationship was found, with the increase in each pain site causing a reduction of 0.9-1.2 points in the work ability index. CONCLUSIONS MSP is highly prevalent among Brazilian workers and should be addressed due to its impact on reducing work ability.
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Soares CO, Pereira BF, Pereira Gomes MV, Marcondes LP, de Campos Gomes F, de Melo-Neto JS. Preventive factors against work-related musculoskeletal disorders: narrative review. Rev Bras Med Trab 2020; 17:415-430. [PMID: 32368676 DOI: 10.5327/z1679443520190360] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 09/05/2019] [Indexed: 11/05/2022] Open
Abstract
Musculoskeletal disorders (MSDs) are major causes of morbidity among workers. They comprise several signs and symptoms, as e.g. pain, paresthesia, fatigue and limited range of motion, which can be related to work tasks. Workplace-related factors include physical, psychological, social and biomechanical hazards. The main kinetic factors associated with MSDs include repetitive movements, exerting excessive force, awkward postures, compression and mechanical vibration. Accurate knowledge of epidemiological aspects, evaluation of ergonomic hazards and musculoskeletal symptoms, and workplace exercise may help reduce the occurrence of MSDs. The aim of the present review is to analyze the applicability of preventive strategies against MSDs among workers. We performed a narrative review based on a survey of databases PubMed and BIREME and included studies published in English, Spanish or Portuguese. We found that workplace exercise is beneficial for both employers and workers. Risk analysis of MSDs is essential for early identification of occupational hazards and to prevent health consequences and costs associated with absenteeism.
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Affiliation(s)
| | | | | | - Laís Passos Marcondes
- Physical Therapy, Centro Universitário de Rio Preto - São José do Rio Preto (SP), Brazil
| | - Fabiana de Campos Gomes
- Health Sciences, Faculdade de Medicina de São José do Rio Preto - São José do Rio Preto (SP), Brazil
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Heikkala E, Paananen M, Taimela S, Auvinen J, Karppinen J. Associations of co‐occurring psychosocial and lifestyle factors with multisite musculoskeletal pain during late adolescence—A birth cohort study. Eur J Pain 2019; 23:1486-1496. [DOI: 10.1002/ejp.1414] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 04/26/2019] [Accepted: 05/05/2019] [Indexed: 12/11/2022]
Affiliation(s)
- Eveliina Heikkala
- Medical Research Center Oulu University of Oulu and Oulu University Hospital Oulu Finland
- Rovaniemi Health Center Rovaniemi Finland
| | - Markus Paananen
- Medical Research Center Oulu University of Oulu and Oulu University Hospital Oulu Finland
| | - Simo Taimela
- Department of Orthopedics and Traumatology Helsinki University Hospital, Töölö hospital Helsinki Finland
- Clinicum, Department of Orthopedics and Traumatology University of Helsinki Helsinki Finland
| | - Juha Auvinen
- Medical Research Center Oulu University of Oulu and Oulu University Hospital Oulu Finland
- Oulunkaari Health Center Ii Finland
| | - Jaro Karppinen
- Medical Research Center Oulu University of Oulu and Oulu University Hospital Oulu Finland
- Center for Life Course Health Research University of Oulu Finland
- Finnish Institute of Occupational Health Oulu Finland
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Özdinç S, Ünsar S, Akgün Kostak M. Musculoskeletal problems and attitudes towards footwear among university students. J Back Musculoskelet Rehabil 2019; 32:141-147. [PMID: 30010103 DOI: 10.3233/bmr-171036] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND OBJECTIVE Footwear preferences and habits may be related to musculoskeletal system problems. This study was designed to determine the relationship between the selection of footwear, musculoskeletal problems and the affecting factors among university students from that different division. METHODS Four hundred and sixty-six university students in the divisions of Physiotherapy Rehabilitation, Nursing and Business Administration participated in this study. The data was collected using a questionnaire developed by the researchers and the Extended Nordic Musculoskeletal Questionnaire. RESULTS Of the participants, 68.5% preferred to wear sports shoes; 24.0% of the participants had foot pain. Comfort, robustness and quality come to the fore in the behavioural patterns of young and healthy individuals regarding footwear. Those who experienced foot and lower back pain considered such parameters as quality, fitness for foot health, flexibility and lightness in footwear. CONCLUSIONS While patterns such as foot health, flexibility and lightness are reflected in the footwear preferences of those who have lower back pain, those who have pain or problems in their feet take into consideration the quality, lightness, fitness to foot health. The relationship determined in the present study shows that those who experience pain are more selective in their footwear preferences.
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Affiliation(s)
- Sevgi Özdinç
- Physical Therapy and Rehabilitation Division, Health Science Faculty, Trakya University, 22030 Edirne, Turkey
| | - Serap Ünsar
- Nursing Divisions, Health Science Faculty, Trakya University, 22030 Edirne, Turkey
| | - Melahat Akgün Kostak
- Nursing Divisions, Health Science Faculty, Trakya University, 22030 Edirne, Turkey
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