1
|
Naderi A, Shaabani F, Keikha M, Degens H. Is an Exercise-Based Injury-Prevention Program Effective in Team Handball Players? A Systematic Review and Meta-Analysis. J Athl Train 2024; 59:845-856. [PMID: 37681675 PMCID: PMC11340671 DOI: 10.4085/1062-6050-0680.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/09/2023]
Abstract
OBJECTIVE To assess the effectiveness of exercise-based injury-prevention programs in preventing sports injuries in team handball players. DATA SOURCES Scopus, PubMed, Web of Science, SPORTDiscus, and CINAHL from inception until April 2023. STUDY SELECTION Studies were included if they were randomized controlled trials or prospective cohort studies, contained a population of competitive team handball players, included an intervention designed specifically to prevent or reduce the risk of team handball injuries, and reported injury incidence rates specific to team handball players. Two researchers independently evaluated studies for inclusion and assessed their methodological quality. DATA EXTRACTION Study design, intervention details, participant characteristics, and the number of injuries in each group were extracted from each study by 2 independent researchers. The outcome of interest was the incidence rate of injury. Injury data were classified into 5 groups: shoulder injuries, lower extremity injuries, knee injuries, anterior cruciate ligament injuries, and ankle injuries. Extracted data were analyzed using a random-effects model to compute the overall effect estimates of injury-prevention programs in reducing the risk of injuries. Odds ratios (ORs) with 95% CIs were calculated based on the number of injuries in each group. DATA SYNTHESIS Meta-analyses were conducted independently for each injury classification. Results indicated that prevention programs reduced the risk of shoulder injuries (OR = 0.60; 95% CI = 0.42, 0.85; P = .004), lower extremity injuries (OR = 0.59; 95% CI = 0.37, 0.95; P = .03), knee injuries (OR = 0.53; 95% CI = 0.35, 0.78; P = .002), anterior cruciate ligament injuries (OR = 0.66; 95% CI = 0.45, 0.96; P = .03), and ankle injuries (OR = 0.57; 95% CI = 0.40, 0.81; P = .002) in team handball players. CONCLUSIONS In team handball players, injury-prevention programs appear to effectively reduce the risk of shoulder, lower extremity, knee, ankle, and anterior cruciate ligament injuries.
Collapse
Affiliation(s)
- Aynollah Naderi
- School of Sport Sciences, Shahrood University of Technology, Semnan, Iran
| | - Fatemeh Shaabani
- Faculty of Physical Education and Sport Sciences, University of Tehran, Iran
| | - Mojtaba Keikha
- Faculty of Public Health, Kerman University of Medical Sciences, Iran
| | - Hans Degens
- School of Healthcare Science, Manchester Metropolitan University, United Kingdom
- Institute of Sport Science & Innovations, Lithuanian Sports University, Kaunas, Lithuania
| |
Collapse
|
2
|
Leblebici G, Tarakcı E, Kısa EP, Akalan E, Kasapçopur Ö. The effects of improvement in upper extremity function on gait and balance in children with upper extremity affected. Gait Posture 2024; 110:41-47. [PMID: 38484646 DOI: 10.1016/j.gaitpost.2024.02.017] [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: 09/30/2022] [Revised: 01/03/2023] [Accepted: 02/28/2024] [Indexed: 04/29/2024]
Abstract
BACKGROUND This study aimed to investigate the effects of functional improvement in the upper extremity on gait and balance in children with upper extremity affected. RESEARCH QUESTION What are the effects of functional improvement in the upper extremity on gait and balance in children with upper extremity affected? METHODS Eighteen children with a diagnosis of rheumatologic diseases and 15 healthy children were evaluated with Shriners Hospital Upper Extremity Assessment, Jebsen-Taylor Hand Function Test, Abilhand Rheumatoid Arthritis Scale, 10-meter walk test and Childhood Health Assessment Questionnaire. For static balance assessment, the Biodex Balance was used. Ground reaction forces (peak forces (heel strike and push-off) and minimum force (loading response), single-limb support duration, Center-of-Force displacement and walking speed were evaluated with the Sensor Medica. Arm swing was evaluated with the Kinovea 2D motion analysis. RESULTS Before treatment, single-limb support duration and push-off force was higher and center-of-force displacement was lower on affected side compared to unaffected side in rheumatologic group. After the 6-week rehabilitation program, upper extremity function, quality of life and functional gait score improved. Single-limb support duration decreased on affected side and increased on unaffected side. On affected side, push-off force decreased. The arm swing parameters were similar before and after treatment. SIGNIFICANCE Improving upper extremity function can help with gait balance by decreasing the difference in walking and balance parameters between the affected and unaffected sides and providing for more symmetrical weight transfer.
Collapse
Affiliation(s)
- Gökçe Leblebici
- Istanbul Medeniyet University, Faculty of Health Science, Physiotherapy and Rehabilitation, Istanbul, Turkey; Istanbul University-Cerrahpasa, Institute of Graduate Studies, Department of Physiotherapy and Rehabilitation.
| | - Ela Tarakcı
- Istanbul University-Cerrahpasa, Faculty of Health Science, Physiotherapy and Rehabilitation, Istanbul, Turkey
| | - Eylül Pınar Kısa
- Istanbul University-Cerrahpasa, Faculty of Health Science, Physiotherapy and Rehabilitation, Istanbul, Turkey; Biruni University, Faculty of Health Science, Physiotherapy and Rehabilitation, Istanbul, Turkey
| | - Ekin Akalan
- Istanbul Kültür University, Faculty of Health Science- Physiotherapy and Rehabilitation, Istanbul, Turkey
| | - Özgür Kasapçopur
- Istanbul University-Cerrahpasa, Cerrahpaşa Faculty of Medicine- Department of Pediatric Rheumatology, Istanbul, Turkey
| |
Collapse
|
3
|
Isokinetic Assessment of Shoulder Joint Strength Ratios in Male Recreational Weightlifters: A Cross-Sectional Study. Appl Bionics Biomech 2022; 2022:6106943. [PMID: 35733448 PMCID: PMC9208983 DOI: 10.1155/2022/6106943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 05/07/2022] [Accepted: 05/19/2022] [Indexed: 11/17/2022] Open
Abstract
Background Isokinetic strength imbalance is a risk factor for movement dysfunctions and injuries related to shoulder complex. The effects of recreational weightlifting on developing the imbalances between the shoulder muscles are not yet known. Objectives To investigate the isokinetic concentric shoulder muscle strength values (peak torque normalized to body weight) in recreational weightlifters (RWL) and to compare the shoulder muscles agonist/antagonist ratios with nonweightlifters. Methods Thirty male RWL with mean age, weight, height, and body mass index (BMI) of 21.56 years, 84.25 kg, 175.34 cm, and 26.51 kg/m2, respectively, matched with nonweightlifters served as a control group. The normalized concentric peak torque values of shoulder flexors, extensors, abductors, adductors, and internal and external rotators were measured at angular velocity 120°/sec by using Biodex isokinetic system. Moreover, the agonist/antagonist strength ratio for all muscle groups were calculated. Results The normalized peak torques of RWL group were significantly greater than the control group (p < 0.05). The abductor/adductor and external rotator/internal rotator ratios of the RWL were significantly lower than the control group (p = 0.008 and 0.009, respectively). Conversely, there was no significant difference between both groups in relation to the flexor/extensor ratio (p = 0.259). Conclusion These results suggested that the recreational weightlifting exercises place trainees at risk of muscle imbalances. Therefore, the restoration of a normal concentric abductor/adductor and external rotator/internal rotator strength ratios may decrease the risk of possible shoulder injury.
Collapse
|
4
|
Şahinoğlu E, Ünver B, Erkuş S, Yamak K. Efficacy of balance training on postural control in patients with rotator cuff disease: a randomized controlled study. Int J Rehabil Res 2022; 45:146-153. [PMID: 35131978 DOI: 10.1097/mrr.0000000000000521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
We evaluated the efficacy of adding balance training to a physical therapy program on postural control and health-related quality of life in patients with rotator cuff disease. Forty-two participants were randomly allocated to the control and intervention groups. Both groups received physical therapy (education, stretching, supervised strength training, and home exercise program) 3 days/week for 6 weeks. The intervention group was instructed to perform balance exercises at home. The primary outcomes were the stability index, the Fourier transformation (F5 and F6), the weight distribution index, and the fall index, as assessed by the posturography during eight conditions with different combinations of standing (solid surface, pillows, and different head positions) and vision (eyes open/closed). The secondary outcomes included the Western Ontario Rotator Cuff Index to assess the health-related quality of life, the Shoulder Pain and Disability Index, and the Numeric Pain Rating Scale. The adherence to in-person and home-based therapy was high (>83%). The intervention group significantly improved the stability index, F5, and F6 parameters but each in only one condition (P < 0.05). No significant improvement was found in the conditions for the other primary outcomes and in the health-related quality of life. (P > 0.05). We conclude that adding the balance training protocol to the physical therapy program does not improve postural control and health-related quality of life in patients with rotator cuff disease.
Collapse
Affiliation(s)
- Ertan Şahinoğlu
- Dr. İsmail Atabek Physical Therapy and Rehabilitation Center, İzmir
| | - Bayram Ünver
- Faculty of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir
| | - Serkan Erkuş
- Department of Orthopedics and Traumatology, Van Training and Research Hospital, Van
| | - Kamil Yamak
- Department of Orthopedics and Traumatology, University of Health Sciences, İzmir Bozyaka Education and Research Hospital, İzmir, Turkey
| |
Collapse
|
5
|
Motor alterations in the kinetic chain in individuals with chronic shoulder pain. Gait Posture 2022; 93:183-190. [PMID: 35182984 DOI: 10.1016/j.gaitpost.2022.02.012] [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: 03/09/2021] [Revised: 02/06/2022] [Accepted: 02/12/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND Shoulder pain may be related to biomechanical dysfunctions in the kinetic chain. OBJECTIVE To compare the mobility and muscular endurance of thoracolumbar spine and hip, and the neuromuscular control of the lower extremity of individuals with and without shoulder pain and to determine the discriminative capacity between groups of these variables. DESIGN A cross-sectional study. METHOD One hundred and two individuals with and without shoulder pain were evaluated to range of motion (ROM) of the thoracolumbar spine and hips, the muscular endurance time of the thoracolumbar spine and hips muscles, and the neuromuscular control of the lower extremity, by the Star Excursion Balance Test (SEBT). RESULTS Individuals with shoulder pain presented lower ROM and muscular endurance time in all tests evaluated (p < 0.01-p = 0.03), greater perception of pain during all ROM and muscle endurance (p < 0.01-p = 0.04) evaluations, and less neuromuscular control of the lower extremity in the compound reach (p < 0.01-p = 0.01), anterior and posteromedial (p < 0.01-p = 0.04) directions of the SEBT on both sides. The anterior reach direction of the SEBT of the contralateral limb to the shoulder pain (AUC=0.80, cut-off point=47.7%) presented excellent capacity to discriminate individuals with shoulder pain, while the other variables showed between acceptable and small capacity (AUC=0.58-0.76). CONCLUSION Individuals with chronic shoulder pain presented alterations in joint mobility, muscular endurance time of the thoracolumbar spine and hips and neuromuscular control of the lower extremity. The anterior reach of the SEBT of the contralateral limb showed excellent discriminative capacity.
Collapse
|
6
|
Comparison of Core Muscle Asymmetry Using Spine Balance 3D in Patients with Arthroscopic Shoulder Surgery: A STROBE-Compliant Cross-Sectional Study. Medicina (B Aires) 2022; 58:medicina58020302. [PMID: 35208625 PMCID: PMC8877537 DOI: 10.3390/medicina58020302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 02/11/2022] [Accepted: 02/12/2022] [Indexed: 11/17/2022] Open
Abstract
Background and Objectives: Joint immobilization after shoulder surgery can cause an imbalance in the periscapular muscles and affect the kinetic chain throughout the body. There is a difference in core muscle stability because of the asymmetry of the lower extremity muscles. However, the difference due to the asymmetry of the upper-extremity muscles has not been studied extensively. The purpose of this study is to investigate the effect of joint immobilization on the symmetry of the core muscles involved in proximal stability for distal mobility. Materials and Methods: Fifty-five patients who underwent arthroscopic shoulder surgery participated in this study. Core muscle asymmetry (CMA) was measured using a body tilt device. The evaluation variables were analyzed according to the surgical site based on the direction of the core muscle ratio and core muscle state ratio. Results: No differences in CMA were found based on the surgical site (p > 0.05). As a result of the additional subanalysis, significant differences in sex and postoperative day were established (p < 0.05). CMA was low during the intensive postoperative rehabilitation period. However, sex-related differences were greater in males than in females. Conclusions: The clinical results suggest that core muscle training is necessary to reduce CMA during rehabilitation after the immobilization period has elapsed.
Collapse
|
7
|
Balogun SA, Srikanth V, van der Leeuw G, Callisaya ML. Prospective associations between pain at multiple sites and falls among community-dwelling older Australians. Intern Med J 2021; 53:503-509. [PMID: 34897950 DOI: 10.1111/imj.15659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 11/18/2021] [Accepted: 11/28/2021] [Indexed: 11/30/2022]
Abstract
AIM Pain at multiple sites is prevalent among older people. Yet, studies investigating the relationship between pain and falls focus largely on single-site pain. This study aims to examine the association between pain at multiple sites and falls among community-dwelling older Australians. METHOD Participants aged >60 years were randomly selected from the electoral roll. Falls were recorded prospectively over 12 months. Pain at multiple sites was assessed using a questionnaire. The total number of painful sites was calculated. Widespread pain was defined as pain in the upper-limb, lower-limb and in the axial skeletal region, with moderate to severe pain in at least one region. Log multinomial regression, with adjustment for confounders, was used to estimate whether widespread pain or number of painful sites increased the risk of a single (1 fall) and multiple falls (≥2 falls). RESULTS There were 299 participants (43% women; mean age 72±7.0 years). The mean (SD) of falls was 0.8±1.5. The frequencies of single and multiple falls were 23% (n=68) and 16% (n=49) respectively. A higher number of painful sites was associated with an elevated risk of a single fall (RR=1.08, 95% CI: 0.96, 1.27) and multiple falls (RR=1.20, 95% CI: 1.02, 1.41). However, the risk of multiple, but not single fall was substantial and statistically significant. Furthermore, compared to those without pain, individuals with widespread pain had an elevated risk of single (RR=1.87, 95% CI: 0.80, 5.09) and multiple falls (RR=3.94, 95% CI: 1.15, 13.51). However, the magnitude of effects of single fall was smaller and not statistically significant. CONCLUSIONS Falls risk should be ascertained for older people with pain, irrespective of whether they present with a single or multiple sites pain. Nevertheless, older adults with multisite pain may require additional attention as they appear to have a significantly elevated risk of multiple falls. This article is protected by copyright. All rights reserved.
Collapse
Affiliation(s)
- Saliu A Balogun
- Menzies Institute for Medical Research, University of Tasmania, Australia.,Peninsula Clinical School, Central Clinical School, Monash University, Clayton, Victoria, Australia, 3168
| | | | - Guusje van der Leeuw
- Department of General Practice and Elderly Care Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, The Netherlands
| | - Michele L Callisaya
- Menzies Institute for Medical Research, University of Tasmania, Australia.,Albert Einstein College of Medicine, New York, United States
| |
Collapse
|
8
|
Alshami AM, Alrammah TA. Standing and Walking Balance in Patients with Chronic Shoulder Pain: A Case-control Study. SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES 2021; 9:152-158. [PMID: 34084106 PMCID: PMC8152385 DOI: 10.4103/sjmms.sjmms_401_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 09/22/2020] [Accepted: 01/10/2021] [Indexed: 11/27/2022]
Abstract
Background: Patients with shoulder pain may have proprioceptive and balance deficits. However, studies on balance in patients with shoulder pain are scarce. Objective: This study aims to investigate if patients with chronic shoulder pain demonstrate deficits in standing and walking balance and to study the relationship between outcome measures of balance and age and body mass index (BMI). Materials and Methods: This case–control study was conducted at Dammam Medical Complex, Dammam, Saudi Arabia, between March and November 2018. The study recruited patients (n = 15) with chronic shoulder pain (>4 months) and healthy controls (n = 15) matched for age, gender and BMI. Standing balance was tested using a Challenge Disc test, the Romberg test and timed unipedal stance test (UPST). Walking balance was assessed using the timed up and go (TUG) test, stance phase duration and center of pressure (COP) deviation. Independent t-tests were used to investigate the differences between the two groups in demographic data and all the outcome measurements. Pearson correlation coefficients were used for correlation analysis. Results: No statistically significant differences were found between the two groups in any outcome of the standing balance (P ≥ 0.095) or walking balance (P ≥ 0.160). However, medium effect sizes were found for the UPST (η2: ≥0.06), Challenge Disc (η2: 0.06), TUG (Cohen's d: 0.54) and COP deviation (Cohen's d: 0.53). There was a moderate correlation between BMI and Challenge Disc (P = 0.025) and between age and Challenge Disc (P = 0.012) in both the groups. Conclusion: Patients with chronic shoulder pain had lower balance measurements compared with healthy people, although this difference was not statistically significant.
Collapse
Affiliation(s)
- Ali M Alshami
- Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Talal A Alrammah
- Rehabilitation Centre (Building 2), Dammam Medical Complex, Dammam, Saudi Arabia
| |
Collapse
|
9
|
Eker Y, Belgen Kaygısız B. The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies. Arch Med Sci 2021; 17:390-396. [PMID: 33747275 PMCID: PMC7959054 DOI: 10.5114/aoms.2020.94491] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Accepted: 03/05/2020] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION The study aimed to investigate how pain severity in the shoulder region affects balance ability, postural stability and fall risk. MATERIAL AND METHODS Sixty participants with shoulder pain, aged 42.45 ±6.51 years, were assessed using a Visual Analog Scale (VAS); they were divided into 2 subgroups as a mild pain group (group 1) and a moderate/severe pain group (group 2). According to VAS-at rest the mild-pain group included 39 and the moderate/severe-pain group included 21 subjects. According to VAS-during movement, the mild-pain group included 19 and the moderate/severe-pain group included 41 subjects. Balance ability-postural stability, fall risk and fear of falling were assessed by the Sportkat System, Berg Balance Scale (BBS), and Fall Efficacy scale (FES) respectively. Differences of variables between mild pain and moderate/severe pain groups were analyzed by the independent groups t-test in groups conforming to a normal distribution and the Mann-Whitney U test for the variables that did not fit a normal distribution. RESULTS A positive relationship was found between VAS-at rest and double-foot static balance test score right-left (RL) ratio, while a negative relationship was found between VAS-at rest and BBS score (p < 0.05). Significant differences were found between right foot static balance left score and RL ratio according to pain at rest (p < 0.05). CONCLUSIONS The results indicated that shoulder pain severity affects balance parameters. As pain level at rest increases, postural sway increases in a medio-lateral direction, and towards the left while standing on the right foot. Approaches regarding increasing balance and postural instability should be included in physiotherapy and rehabilitation programs of patients with shoulder pain at an early phase to protect patients from balance problems and fall risk.
Collapse
Affiliation(s)
- Yonca Eker
- Physiotherapy Unit, Dr. Burhan Nalbantoğlu State Hospital, Nicosia, Northern Cyprus, Mersin, Turkey
| | - Beliz Belgen Kaygısız
- European University of Lefke, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Lefke, Northern Cyprus, Mersin, Turkey
| |
Collapse
|
10
|
Pontillo M, Butowicz CM, Ebaugh D, Thigpen CA, Sennett B, Silfies SP. Comparison of core neuromuscular control and lower extremity postural stability in athletes with and without shoulder injuries. Clin Biomech (Bristol, Avon) 2020; 71:196-200. [PMID: 31775089 DOI: 10.1016/j.clinbiomech.2019.11.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 03/12/2019] [Accepted: 11/12/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND The kinetic chain theory is widely used as a rationale for the inclusion of core stability training in athletes. Core stability (muscle capacity and neuromuscular control) impairments may result in less than optimal performance and abnormal force dissipation to the shoulder complex that could lead to shoulder injuries. However, a paucity of literature exists to support this relationship, and no previous studies have investigated the relationship between isolated core neuromuscular control and shoulder injuries. Additionally, lower extremity postural stability has been associated with athletic function and may also be associated with shoulder injuries. The purpose of this study was to compare biomechanical measures of isolated core neuromuscular control and lower extremity postural stability between athletes with and without non-traumatic shoulder injuries. METHODS Eighty athletes (55 males, age: 21.2 ± 3.3 years, 40 with a current shoulder injury) completed biomechanical measures of isolated core neuromuscular control and lower extremity postural stability. Athletes were matched by age, gender, body mass index, and sport type. MANOVAs were used to assess differences between measures of core neuromuscular control and lower extremity postural stability between groups. FINDINGS There were no statistically significant differences between athletes with and without shoulder injuries for the static core neuromuscular control measures, F(4,75) = 0.45, P = 0.78, η2 = 0.02; dynamic core neuromuscular control measures, F(4,75) = 0.81, P = 0.52, η2 = 0.04; or lower extremity postural stability measures, F(8,61) = 0.85, P = 0.56, η2 = 0.10. INTERPRETATION Although core stability is widely incorporated in rehabilitation of athletes with shoulder injuries, athletes with current non-traumatic shoulder injuries may not present with impairments in core neuromuscular control or lower extremity postural stability.
Collapse
Affiliation(s)
- Marisa Pontillo
- Penn Sports Medicine Center, University of Pennsylvania, 235 S. 33rd Street, Ste 1, Philadelphia, PA 19104, USA.
| | - Courtney M Butowicz
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208, USA
| | - David Ebaugh
- Department of Physical Therapy, University of Delaware, 540 South College Avenue, Newark, DE 19713, USA
| | - Charles A Thigpen
- ATI Physical Therapy, 200 Patewood Dr Ste 150C, 29615 Greenville, SC, USA
| | - Brian Sennett
- Penn Sports Medicine Center, University of Pennsylvania, 235 S. 33rd Street, Ste 1, Philadelphia, PA 19104, USA
| | - Sheri P Silfies
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC 29208, USA
| |
Collapse
|
11
|
Kołcz A, Główka N, Kowal M, Paprocka-Borowicz M. Baropodometric evaluation of foot load distribution during gait in the group of professionally active nurses. J Occup Health 2019; 62:e12102. [PMID: 31837089 PMCID: PMC6970405 DOI: 10.1002/1348-9585.12102] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 10/25/2019] [Accepted: 11/06/2019] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES Nurses are extremely exposed to musculoskeletal overloads. Prolonged standing postural balance distributions, functional deficits and pain may affect the symmetry of the load on the feet. The study aimed to assess the distribution of foot load during gait among nurses. METHODS The sample of this prospective and observational study consisted of 37 female nurses with mean age of 39 years. The Nordic Musculoskeletal Questionnaire (NMQ) was used to evaluate musculoskeletal disturbances and baropodometric gait analysis (BGA) was performed to register distribution of foot load during gait. RESULTS We showed that 68% of nurses declare that they know the principles of workplace ergonomics, but only 14% comply with them. NMQ results indicate that as many as 73% of the respondents feel ailments in the "lower back" area. An asymmetry was observed in the load of IV-V of the metatarsal head between the left and right foot (P = .000) and in the load of the left and right lateral part of the heel (P = .028) in the BGA test. Correlations between ailments occurring in the neck area and loading of the lateral arch of the right foot (P = .032) were found. Moreover, the load in this area correlated positively with the occurrence of "lower back" pain (P = .045). CONCLUSIONS Nurses have asymmetric distribution of foot load during gait, which results in a discrepancy between the loads on the three main support points of the foot and which may affect nurses' work productivity.
Collapse
Affiliation(s)
- Anna Kołcz
- Laboratory of Ergonomics and Biomedical Monitoring, Wroclaw Medical University, Wroclaw, Poland
| | - Natalia Główka
- Laboratory of Ergonomics and Biomedical Monitoring, Wroclaw Medical University, Wroclaw, Poland
| | - Mateusz Kowal
- Department of Physiotherapy, Wroclaw Medical University, Wroclaw, Poland
| | | |
Collapse
|
12
|
The effect of pain on balancing behavior: Complexity analysis of mediolateral force trajectories. Gait Posture 2019; 71:145-150. [PMID: 31063930 DOI: 10.1016/j.gaitpost.2019.04.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 03/24/2019] [Accepted: 04/19/2019] [Indexed: 02/02/2023]
Abstract
BACKGROUND Postural instability is a prevalent and deleterious consequence of aging. It is unclear how the occurrence of chronic pain augments balance issues as age progresses. RESEARCH QUESTION We investigated how postural stability is influenced by aging and chronic pain. METHODS Fifty-five participants with and without recent chronic pain balanced on one foot while performing three tasks, a standard balancing task with no challenge, a mental task in which participants answered arithmetic questions while balancing on one foot, and a knot-tying task in which participants tied knots in a ribbon while balancing on one foot. General linear models were used to assess the relationship between age, sex, BMI, and pain category for the three different balancing tasks. In addition, a multivariate analysis of variance was used to test the effect of age and pain category on Hurst exponents from all of three different balancing tasks. RESULTS Our results show that aging changes the control strategy of balancing from less persistent to more repetitive. The strong feedback elements intrinsic to healthy stability ensure quick reactions and strong capacity to compensate for balance checks; this reactive state changes into a less reactive and more predictable balance strategy with age while balancing on one foot. Mental tasks during balancing also decreased the feedback in balancing strategy. Balance strategy during the knot-tying task was correlated with age, but unaffected by chronic pain. Overall, the chronic pain group had a worse balance strategy while performing the mental task in comparison with healthy people, but were not differentiable from controls in the standard or knot-tying tasks. SIGNIFICANCE Scores from balancing while engaging in cognitive tasks may provide evidence of health decline, and contribute to our knowledge about how pain affects feedback mechanisms.
Collapse
|
13
|
Pontillo M, Silfies S, Butowicz CM, Thigpen C, Sennett B, Ebaugh D. COMPARISON OF CORE STABILITY AND BALANCE IN ATHLETES WITH AND WITHOUT SHOULDER INJURIES. Int J Sports Phys Ther 2018; 13:1015-1023. [PMID: 30534467 PMCID: PMC6253758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Relationships between core stability and lower extremity injuries have been described in the literature; however, evidence of the relationship between upper extremity injuries and core stability and balance is limited. HYPOTHESIS/PURPOSE The purpose of this study was to compare clinical measures of core stability and balance between athletes with and without non-traumatic shoulder injuries. STUDY DESIGN Cross sectional. METHODS Eighty athletes (54 males, age: 21.2 + 3.3 years) participated in this study. Forty athletes with a current shoulder injury were matched to healthy athletes by age, gender, BMI, and sport. Athletes completed clinical core stability tests including flexor and extensor endurance tests, double leg lower test (°) and balance tests including single leg stance under eyes open and eyes closed conditions, and the Y-balance test. MANOVAs were used to assess group differences. RESULTS No statistically significant differences existed between athletes with and without shoulder injuries for clinical tests of core stability, F(1,78)=0.97, p=0.41; η2 = 0.04. No statistically significant differences existed between injured athletes with and without shoulder injuries for static and dynamic balance measures, F(1,78)=0.86, p=0.53; η2 = 0.07. CONCLUSIONS Although core stability is widely incorporated in rehabilitation of athletes with shoulder injuries, performance on these clinical tests did not differ in the group of athletes assessed in this study. LEVEL OF EVIDENCE 3.
Collapse
Affiliation(s)
| | | | | | | | - Brian Sennett
- Penn Orthopedics, University of Pennsylvania Health System, Philadelphia, PA, USA
| | | |
Collapse
|
14
|
Schulz KH, Patra S, Spielmann H, Klapdor S, Schlüter K, van Eckert S. Physical condition, nutritional status, fatigue, and quality of life in oncological out-patients. SAGE Open Med 2017; 5:2050312117743674. [PMID: 29318010 PMCID: PMC5753892 DOI: 10.1177/2050312117743674] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 10/29/2017] [Indexed: 12/22/2022] Open
Abstract
Objective: Early detection of limited physical activity and nutritional deficiencies in cancer survivors could contribute to early treatment and preservation of quality of life. The aim of this study is to describe the association of physical condition and nutritional status with fatigue and quality of life in oncological out-patients. Methods: Data in this descriptive study was collected on bioelectrical impedance analysis, postural stability (stability index), body mass index, Karnofsky Index, quality of life (Short-Form 36-Item Health Survey) and fatigue (multidimensional fatigue inventory-20) in a consecutive sample of 203 oncological out-patients. Phase angle was calculated from bioelectrical impedance analysis. Values were intercorrelated and compared to appropriate standard values. Results: Phase angle and stability index outcomes were far below the values of a healthy population of similar age (p < 0.001). Quality of life was significantly lower than in the normal population (p < 0.001), and the level of fatigue was significantly higher (p < 0.001). Phase angle correlated with Karnofsky Index (p = 0.002) and Short-Form 36-Item Health Survey Summary physical function (p < 0.001). Furthermore, multidimensional fatigue inventory-20 scales ‘physical fatigue’ and ‘reduced activity’ were significantly associated with phase angle (p = 0.04, p = 0.005). Stability indices correlated with Short-Form 36-Item Health Survey physical function. Conclusion: The physical condition and the nutritional status are key components determining the individual quality of life of oncological out-patients. These variables also showed an association with the manifestation of fatigue. Results highlight the need for interdisciplinary cooperation to detect physical, nutritional and psychological deficiencies in oncological out-patients.
Collapse
Affiliation(s)
- Karl-Heinz Schulz
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Universitäres Kompetenzzentrum für Sport- und Bewegungsmedizin (Athleticum), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
| | - Stefan Patra
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Universitäres Kompetenzzentrum für Sport- und Bewegungsmedizin (Athleticum), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
| | - Hannah Spielmann
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Universitäres Kompetenzzentrum für Sport- und Bewegungsmedizin (Athleticum), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
| | | | - Kathrin Schlüter
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Universitäres Kompetenzzentrum für Sport- und Bewegungsmedizin (Athleticum), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Abteilung Medizinische Onkologie, Nationales Centrum für Tumorerkrankungen (NCT), Universitätsklinikum Heidelberg, Heidelberg, Germany
| | - Sandra van Eckert
- Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Universitäres Kompetenzzentrum für Sport- und Bewegungsmedizin (Athleticum), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.,Fakultät für Gesundheitswissenschaften, Technische Universität Brandenburg, Cottbus, Germany
| |
Collapse
|
15
|
Moorman VJ, Kawcak CE, King MR. Evaluation of a portable media device for use in determining postural stability in standing horses. Am J Vet Res 2017; 78:1036-1042. [DOI: 10.2460/ajvr.78.9.1036] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
16
|
|