1
|
Hollis D, Mendis MD, Ng SK, Thomas M, Marks D, Lewis J, Hides J, Bisset L. Are clinical outcomes associated with baseline sensory profiles in people with musculoskeletal shoulder pain? Protocol for a prospective longitudinal observational study. Musculoskeletal Care 2023; 21:895-907. [PMID: 37139704 DOI: 10.1002/msc.1770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 04/10/2023] [Indexed: 05/05/2023]
Abstract
BACKGROUND Musculoskeletal shoulder pain is a common problem and its symptoms often become persistent. The experience of pain is multidimensional, and therefore, a range of patient characteristics may influence treatment response. An altered sensory processing has been associated with persistent musculoskeletal pain states and may contribute to outcomes in patients with musculoskeletal shoulder pain. The presence and potential impact of altered sensory processing in this patient cohort is not currently known. The aim of this prospective longitudinal cohort study is to investigate if baseline sensory characteristics are associated with clinical outcomes in patients presenting to a tertiary hospital with persistent musculoskeletal shoulder pain. If found, a relationship between sensory characteristics and outcome may lead to the creation of more effective treatment strategies and improvements in risk adjustment and prognosis. METHODS This is a single-centre prospective cohort study with 6-, 12- and 24-month follow-up. A total of 120 participants aged ≥18 years with persistent musculoskeletal shoulder pain (≥3 months) will be recruited from an Australian public tertiary hospital orthopaedic department. Baseline assessments, including quantitative sensory tests and a standardised physical examination, will be performed. In addition, information will be obtained from patient interviews, self-report questionnaires and medical records. Follow-up outcome measures will comprise information from the Shoulder Pain and Disability Index and a six-point Global Rating of Change scale. ANALYSIS Descriptive statistics will be used to report baseline characteristics and outcome measures over time. Change in outcome measures at the primary endpoint of six months from baseline will be calculated using paired t-tests. Associations between baseline characteristics and outcomes at a 6-month follow-up will be reported using multivariable linear and logistic regression models. DISCUSSION Understanding the relationship between sensory profile and the variable response to treatment in people with persistent musculoskeletal shoulder pain may enhance our understanding of the mechanisms contributing to the presentation. In addition, through better understanding of the contributing factors, the results of this study may contribute to the development of an individualised, patient-centred approach to treatment for people with this highly prevalent and debilitating condition.
Collapse
Affiliation(s)
- Danielle Hollis
- School of Health Sciences and Social Work, Griffith University, Nathan, Australia
- Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia
| | - M Dilani Mendis
- School of Health Sciences and Social Work, Griffith University, Nathan, Australia
- Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia
- Physiotherapy Department, Mater Health, South Brisbane, Queensland, Australia
| | - Shu-Kay Ng
- Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia
- School of Medicine and Dentistry, Griffith University, Nathan, Queensland, Australia
| | - Michael Thomas
- Orthopaedic Department, Gold Coast University Hospital, Gold Coast, Queensland, Australia
| | - Darryn Marks
- Orthopaedic Department, Gold Coast University Hospital, Gold Coast, Queensland, Australia
- Department of Physiotherapy, Bond University, Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Gold Coast, Queensland, Australia
| | - Jeremy Lewis
- Therapy Department, Central London Community Healthcare National Health Service Trust, Finchley Memorial Hospital, London, UK
- Musculoskeletal Research, Clinical Therapies, University of Limerick, Limerick, Ireland
| | - Julie Hides
- School of Health Sciences and Social Work, Griffith University, Nathan, Australia
- Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia
- Physiotherapy Department, Mater Health, South Brisbane, Queensland, Australia
| | - Leanne Bisset
- School of Health Sciences and Social Work, Griffith University, Nathan, Australia
- Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia
| |
Collapse
|
2
|
Franettovich Smith MM, Mendis MD, Weber KA, Elliott JM, Ho R, Wilkes MJ, Collins NJ. Improving the measurement of intrinsic foot muscle morphology and composition from high-field (7T) magnetic resonance imaging. J Biomech 2022; 140:111164. [PMID: 35661535 DOI: 10.1016/j.jbiomech.2022.111164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 05/07/2022] [Accepted: 05/23/2022] [Indexed: 11/28/2022]
Abstract
Magnetic resonance imaging (MRI) can be used to quantify intrinsic foot muscle morphology and composition. Due to the high spatial resolution required to adequately capture the architecturally complex anatomy, manual segmentation is time consuming and not clinically feasible. The aim of this study was to evaluate if a reduced number of MRI slices can be used to accurately estimate intrinsic foot muscle volume and composition. A three-dimensional 2-point Dixon sequence of the whole foot was acquired at 7-Tesla for thirteen asymptomatic individuals and twenty individuals with plantar heel pain. Slice intervals of 2, 3, 5, 10, 15 and 30 were used to calculate alternative muscle volume and composition, and were compared to reference values calculated from every available slice. Agreement between methods was assessed by calculating mean differences and 95% limits of agreement, and inspection of Bland -Altman plots. In both groups, slice intervals of 2, 3 and 5 provided excellent precision for all muscles (measurement error < 1%). Larger slice intervals of 10, 15 and 30 provided excellent precision for some muscles, but for other muscles (e.g. small forefoot muscles), error was up to 7.3%. Bland-Altman plots showed no systematic measurement bias. This study provides a quantitative basis for selecting a reduced number of slices to measure intrinsic foot muscle volume and composition from MRI. A slice interval of 10 may provide a balance between efficiency (36 mins vs. 6 h) and accuracy (error < 2.4%) across all intrinsic foot muscles in asymptomatic individuals and those with plantar heel pain.
Collapse
Affiliation(s)
- Melinda M Franettovich Smith
- School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland 4072, Australia.
| | - M Dilani Mendis
- School of Health Sciences and Social Work, Griffith University, Nathan, Queensland 4111, Australia; Menzies Health Institute Queensland, The Hopkins Centre, Griffith University, Nathan, Queensland 4111, Australia
| | - Kenneth A Weber
- Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA
| | - James M Elliott
- School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland 4072, Australia; The Kolling Institute of Medical Research, Northern Clinical School, University of Sydney, St Leonards, New South Wales 2065, Australia; Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales 2006, Australia; Physical Therapy & Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Ray Ho
- School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland 4072, Australia
| | - Margot J Wilkes
- School of Health Sciences and Social Work, Griffith University, Nathan, Queensland 4111, Australia
| | - Natalie J Collins
- School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, Brisbane, Queensland 4072, Australia; La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria 3086, Australia
| |
Collapse
|
3
|
Leung FT, Mendis MD, Franettovich Smith MM, Rahmann A, Treleaven J, Hides JA. Sensorimotor system changes in adolescent rugby players post-concussion: A prospective investigation from the subacute period through to return-to-sport. Musculoskelet Sci Pract 2022; 57:102492. [PMID: 34922255 DOI: 10.1016/j.msksp.2021.102492] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 07/26/2021] [Accepted: 12/07/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND The pathophysiology of concussion is complex. Altered sensorimotor function post-concussion may contribute to the wide range of symptoms and impairments reported. There is currently limited evidence documenting changes in sensorimotor function during the recovery period. The aim of this study was to investigate the effect of concussion on the sensorimotor system in adolescents post-concussion using a multifaceted approach. STUDY DESIGN Prospective nested case-control study. METHODS A total of 285 male adolescent rugby players underwent assessment of sensorimotor function during preseason. Players who sustained a concussion during the season and control players, matched for age and playing position, were assessed in the subacute period (3-5 days) and after return-to-sport (3 weeks). Tests of sensorimotor function included balance, cervical spine and vestibulo-ocular function, and measurement of the size and contraction of lumbopelvic muscles (ultrasound imaging). RESULTS Twenty-three players (8%) sustained a concussion. Of these, 20 players were assessed during the subacute period and 17 players following return-to-sport. The prevalence of vestibulo-ocular dysfunction increased from 38.9% to 72.2% during the subacute period and dysfunction was present in 83.3% of players after return-to-sport (p = 0.01). Changes in lumbar multifidus muscle size (p = 0.002) and thickness (p = 0.05) at the L5 vertebral level were observed. No statistically significant changes in balance, cervical spine proprioception, or contraction of lumbopelvic muscles were found (p > 0.05). CONCLUSION Changes in sensorimotor function were observed in the subacute period post-concussion, with some persisting after return-to-sport. Using symptom-based criteria for return-to-sport may not adequately reflect the sequelae of concussion on the sensorimotor system.
Collapse
Affiliation(s)
- Felix T Leung
- School of Health Sciences and Social Work, Griffith University, Nathan, QLD, 4111, Australia.
| | - M Dilani Mendis
- School of Health Sciences and Social Work, Griffith University, Nathan, QLD, 4111, Australia
| | | | - Ann Rahmann
- School of Allied Health, Australian Catholic University, Banyo, QLD, 4014, Australia
| | - Julia Treleaven
- The University of Queensland, School of Health and Rehabilitation Sciences, St Lucia, QLD, 4072, Australia
| | - Julie A Hides
- School of Health Sciences and Social Work, Griffith University, Nathan, QLD, 4111, Australia; Mater Back Stability Research Clinic, Mater Health Services, South Brisbane, QLD, 4101, Australia
| |
Collapse
|
4
|
Wilkes MJ, Mendis MD, Bisset L, Leung FT, Sexton CT, Hides JA. The prevalence and burden of recurrent headache in Australian adolescents: findings from the longitudinal study of Australian children. J Headache Pain 2021; 22:49. [PMID: 34074243 PMCID: PMC8170988 DOI: 10.1186/s10194-021-01262-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 05/21/2021] [Indexed: 11/30/2022] Open
Abstract
Background Headache disorders are highly prevalent worldwide, but not well investigated in adolescents. Few studies have included representative nationwide samples. This study aimed to present the prevalence and burden of recurrent headache in Australian adolescents. Methods The prevalence of recurrent headache, headache characteristics (severity and frequency) and burden on health-related quality of life in Australian children aged 10–17 years were presented, using nationally representative data from the Longitudinal Study of Australian children (LSAC). The LSAC, commencing in 2004, collects data every 2 years from a sample of Australian children of two different age cohorts: B ‘baby’ cohort, aged 0–1 years and K ‘kindergarten’ cohort, aged 4–5 years at the commencement of the study. Face-to-face interviews and self-complete questionnaires have been conducted with the study child and parents of the study child (carer-reported data) at each data collection wave, with seven waves of data available at the time of the current study. Wave 7 of the LSAC was conducted in 2016, with B cohort children aged 12–13 years and K cohort children aged 16–17 years. For the current study, data were accessed for four out of seven waves of available data (Wave 4–7) and presented cross-sectionally for the two cohorts of Australian children, for the included age groups (10–11 years, 12–13 years, 14–15 years and 16–17 years). All available carer-reported questionnaire data pertaining to headache prevalence, severity and frequency, general health and health-related quality of life, for the two cohorts, were included in the study, and presented for male and female adolescents. Carer-reported general health status of the study child and health-related quality of life scores, using the parent proxy-report of the Paediatric Quality of Life Inventory™ 4.0, were compared for male and female adolescents with recurrent headache and compared with a healthy group. Finally, health-related quality of life scores were compared based on headache frequency and severity. Results The LSAC study initially recruited 10,090 Australian children (B cohort n = 5107, K cohort n = 4983), and 64.1% of the initial sample responded at wave 7. Attrition rates across the included waves ranged from 26.3% to 33.8% (wave 6 and 7) for the B cohort, and 16.3% to 38.0% (wave 4–7) for the K cohort. Recurrent headache was more common in females, increasing from 6.6% in 10–11 years old females to 13.2% in 16–17 years old females. The prevalence of headache in males ranged from 4.3% to 6.4% across the age groups. Health-related quality of life scores were lower for all functional domains in adolescents with recurrent headache, for both sexes. Headache frequency, but not severity, was significantly associated with lower health-related quality of life scores, in both males and females. Conclusions Recurrent headache was common among Australian adolescents and increased in prevalence for females, across the age groups. Frequent recurrent headache is burdensome for both male and female adolescents. This study provides information regarding the prevalence and burden of recurrent headache in the adolescent population based on findings from the Longitudinal Study of Australian Children.
Collapse
Affiliation(s)
- Margot J Wilkes
- School of Health Sciences and Social Work, Griffith University, Nathan, Brisbane, 4111, Australia.
| | - M Dilani Mendis
- School of Health Sciences and Social Work, Griffith University, Nathan, Brisbane, 4111, Australia.,Physiotherapy Department, Mater Health Services, South Brisbane, 4101, Australia.,The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Gold Coast, 4222, Australia
| | - Leanne Bisset
- School of Health Sciences and Social Work, Griffith University, Nathan, Brisbane, 4111, Australia.,The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Gold Coast, 4222, Australia
| | - Felix T Leung
- School of Health Sciences and Social Work, Griffith University, Nathan, Brisbane, 4111, Australia
| | - Christopher T Sexton
- The University of Queensland, School of Dentistry, Herston, Brisbane, 4006, Australia
| | - Julie A Hides
- School of Health Sciences and Social Work, Griffith University, Nathan, Brisbane, 4111, Australia.,Physiotherapy Department, Mater Health Services, South Brisbane, 4101, Australia.,The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Gold Coast, 4222, Australia
| |
Collapse
|
5
|
Coombes BK, Mendis MD, Hides JA. Evaluation of patellar tendinopathy using the single leg decline squat test: Is pain location important? Phys Ther Sport 2020; 46:254-259. [PMID: 33059234 DOI: 10.1016/j.ptsp.2020.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 09/28/2020] [Accepted: 10/02/2020] [Indexed: 12/23/2022]
Abstract
STUDY DESIGN A cross-sectional study of non-elite volleyball players aged 13-17years. OBJECTIVES To evaluate the presence and location of pain during the single leg decline squat (SLDS) and compare patellar tendon thickness, structure, neovascularisation and symptom severity between SLDS-derived groups. METHODS 32 male and 25 female participants attending a 5-day volleyball training camp underwent clinical evaluation by SLDS, describing the location of pain during this test using a pain map. The patellar tendon was examined using ultrasound imaging, performed by an assessor blinded to other assessments. Differences between participants experiencing local patellar tendon pain (PTP), other knee pain (OKP) or no-pain during the SLDS were evaluated. RESULTS Fifteen (26.3%) participants experienced pain during the SLDS. Local PTP was recorded for 12.3% and OKP for 10.5% of right legs. The PTP group was distinguished from the other groups by larger thickness and cross-sectional area of the mid-patellar tendon (p < 0.001), more frequent neovascularisation (p = 0.005) and greater pain and disability (p < 0.036). No differences between OKP and no-pain groups was observed. CONCLUSION Adolescent non-elite volleyball players reported symptoms indicative of patellar tendinopathy. In this cohort, the SLDS test combined with a pain map was associated with imaging and questionnaire-based outcomes. LEVEL OF EVIDENCE Diagnosis, Level 2; Cross-sectional study.
Collapse
Affiliation(s)
- Brooke K Coombes
- Griffith University, School of Allied Health Sciences, Nathan, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Queensland, Australia.
| | - M Dilani Mendis
- Griffith University, School of Allied Health Sciences, Nathan, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Queensland, Australia
| | - Julie A Hides
- Griffith University, School of Allied Health Sciences, Nathan, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Queensland, Australia
| |
Collapse
|
6
|
Hides J, Frazer C, Blanch P, Grantham B, Sexton C, Mendis MD. Clinical utility of measuring the size of the lumbar multifidus and quadratus lumborum muscles in the Australian football league setting: A prospective cohort study. Phys Ther Sport 2020; 46:186-193. [PMID: 32966952 DOI: 10.1016/j.ptsp.2020.09.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 09/03/2020] [Accepted: 09/05/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Test the odds of factors previously associated with lower limb injury (decreased size of the multifidus (MF) and increased size of the quadratus lumborum (QL) muscle) in an independent sample of Australian Rules Football (ARF) players. DESIGN Prospective cohort study. SETTING Professional ARF. PARTICIPANTS Forty-three male ARF players. MAIN OUTCOME MEASURES Cross-sectional areas (CSAs) of MF and QL muscles measured from pre-season ultrasound images. Playing season injuries were recorded by club personnel. A multivariable logistic regression model was used to evaluate the usefulness of MF and QL muscle size for predicting playing season lower limb injuries. RESULTS Fifteen players (35%) sustained a playing season lower limb injury. The multivariable model indicated that the odds of sustaining a lower limb injury during the season was 2.38 (95% CI: 1.18, 5.00; P = 0.017) times less likely for a one cm2 increase from the mean value in MF muscle CSA at the L5 vertebral level after adjusting for CSA of the QL, age and BMI. The main effect and interaction models positively predicted 75% of players that sustained a lower limb injury during the season (sensitivity 80%, specificity 85%). CONCLUSION Future studies could examine the efficacy, feasibility and adherence of 'at risk' players to a pre-season training program aimed at increasing MF muscle size and monitor playing season injuries.
Collapse
Affiliation(s)
- Julie Hides
- School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels Road, Brisbane, QLD, 4111, Australia; Menzies Health Institute Queensland, Griffith University, Nathan, Australia.
| | - Clint Frazer
- Brisbane Lions Australian Football Club, 812 Stanley Street, Woolloongabba, QLD, 4012, Australia
| | - Peter Blanch
- School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels Road, Brisbane, QLD, 4111, Australia; Brisbane Lions Australian Football Club, 812 Stanley Street, Woolloongabba, QLD, 4012, Australia
| | - Brittany Grantham
- School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels Road, Brisbane, QLD, 4111, Australia
| | - Christopher Sexton
- School of Dentistry, The University of Queensland, Herston, QLD, 4006, Australia
| | - M Dilani Mendis
- School of Allied Health Sciences, Griffith University, Nathan Campus, 170 Kessels Road, Brisbane, QLD, 4111, Australia; Menzies Health Institute Queensland, Griffith University, Nathan, Australia
| |
Collapse
|
7
|
Schwab LM, McGhee D, Franettovich Smith MM, Mendis MD, Hides J. Pre-season screening of the upper body and trunk in Australian football players: A prospective study. Phys Ther Sport 2020; 46:120-130. [PMID: 32942242 DOI: 10.1016/j.ptsp.2020.06.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 06/22/2020] [Accepted: 06/23/2020] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To determine whether screening tests of upper body, trunk region, and of whole-body function could prospectively identify community AFL players who sustain in-season shoulder/head/neck injuries. Additionally, to present screening test reference values. DESIGN Prospective cohort; SETTING: Community sport; PARTICIPANTS: 142 male community AFL players (range 15-37 years). MAIN OUTCOME MEASURES (i) isometric shoulder external and internal rotation (ER/IR) strength; (ii) upper body combined elevation functional ROM; (iii/iv) whole-body functional jump ROM; (v) static thoracic spine angle; (vi) cervical joint proprioception, and (vii) trunk muscle size and function. Results were compared among players with (n = 21) and without (n = 121) an in-season shoulder, head, or neck injury. ROC analysis and odds ratios were used to determine the predictive values. RESULTS Two screening tests predicted an in-season shoulder, head, or neck injury; dominant and non-dominant isometric ER strength (AUC 0.629, 95%CI 0.51-0.74; optimal cut point 182 N and AUC 0.619, 95%CI 0.50-0.74; optimal cut point 184 N, respectively). The adjusted odds ratio for the strongest predictor: dominant ER muscle strength was 6.02 (95%CI 1.8-19.9). CONCLUSION Greater ER strength was associated with in-season shoulder/head/neck injuries in community AFL players; however, further research is required to determine the clinical significance of this finding.
Collapse
Affiliation(s)
- Laura M Schwab
- Griffith University, School of Allied Health, Brisbane, QLD, Australia.
| | - Deirdre McGhee
- University of Wollongong, School of Medicine, Wollongong, NSW, Australia
| | | | - M Dilani Mendis
- Griffith University, School of Allied Health, Brisbane, QLD, Australia
| | - Julie Hides
- Griffith University, School of Allied Health, Brisbane, QLD, Australia
| |
Collapse
|
8
|
Mendis MD, Wilson SJ, Hayes DA, Hides JA. Hip muscle atrophy in patients with acetabular labral joint pathology. Clin Anat 2020; 33:538-544. [DOI: 10.1002/ca.23429] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 06/30/2019] [Indexed: 12/15/2022]
Affiliation(s)
- M. Dilani Mendis
- School of Allied Health SciencesGriffith University Brisbane Queensland Australia
- Physiotherapy DepartmentMater Health Services South Brisbane Queensland Australia
| | - Stephen J. Wilson
- School of Information Technology and Electrical EngineeringThe University of Queensland Brisbane Queensland Australia
| | - David A. Hayes
- Brisbane Orthopaedic & Sports Medicine Centre Brisbane Queensland Australia
| | - Julie A. Hides
- School of Allied Health SciencesGriffith University Brisbane Queensland Australia
- Mater Back Stability Research ClinicMater Health Services South Brisbane Queensland Australia
| |
Collapse
|
9
|
Franettovich Smith MM, Mendis MD, Parker A, Grantham B, Stewart S, Hides J. Injury surveillance of an Australian community netball club. Phys Ther Sport 2020; 44:41-46. [PMID: 32380380 DOI: 10.1016/j.ptsp.2020.04.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 03/01/2020] [Accepted: 04/13/2020] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To describe injuries associated with netball and risk factors for lower limb injuries. DESIGN Prospective study. In the preseason, risk factors were investigated using self-report questionnaires and physical measurements. During the season, injuries were reported using a standardised report, verified by follow-up phone calls. Player training and game hours were recorded. SETTING Australian community netball club. PARTICIPANTS 269 players from 9 divisions, aged 7-42 years. MAIN OUTCOME MEASURES Injury incidence rates per 1000 exposure hours were calculated. The most common mechanism, nature and consequence of injury were determined from frequencies. Logistic regression was used to identify predictors of lower limb injury and determine adjusted odds ratios for each risk factor. RESULTS 169 injuries occurred with a rate of 13.8/1000 exposure hours (95% CI 11.8-16.0), majority (60%) to the lower limb. The most frequent injury mechanisms were collisions (28%) and awkward landings (27%), nature was 'Inflammation/swelling' (32%) and consequence was 'unable to continue playing/training' (50%). Previous history of injury (OR 6.9, 95% CI 3.7-13.0) and age greater than 13.5 years (OR 3.1, 95% CI 1.6-5.9) were significant risk factors for a season lower limb injury. CONCLUSION Injury rates in this community netball club were high. Results suggest that further research regarding the implementation and effectiveness of injury prevention programs for community netballers is required.
Collapse
Affiliation(s)
| | - M Dilani Mendis
- School of Allied Health Sciences, Griffith University, Nathan Campus, Nathan, Australia
| | - Alexander Parker
- School of Allied Health, Faculty of Health Sciences, Australian Catholic University, Brisbane, Australia
| | - Brittany Grantham
- School of Allied Health Sciences, Griffith University, Nathan Campus, Nathan, Australia
| | - Simon Stewart
- Mary MacKillop Institute for Health Research, Melbourne, Australia; Torrens University Australia, Adelaide, Australia
| | - Julie Hides
- School of Allied Health Sciences, Griffith University, Nathan Campus, Nathan, Australia
| |
Collapse
|
10
|
Schwab LM, McGrath T, Franettovich Smith MM, Mendis MD, McGhee D, Hides J. Mechanisms of traumatic injury to the shoulder girdle in the Australian Football League. J Sci Med Sport 2019; 22:987-991. [DOI: 10.1016/j.jsams.2019.05.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2018] [Revised: 05/04/2019] [Accepted: 05/30/2019] [Indexed: 02/01/2023]
|
11
|
Hides J, Murphy M, Jang E, Blackwell L, Sexton M, Sexton C, Mendis MD. Answer to the Letter to the Editor of P. Kent et al. concerning "Predicting a beneficial response to motor control training in patients with low back pain: a longitudinal cohort study" by Hides JA, et al. (Eur Spine J. 2019; https://doi.org/10.1007/s00586-019-06045-7). Eur Spine J 2019; 28:2432. [PMID: 31451962 DOI: 10.1007/s00586-019-06126-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 08/17/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Julie Hides
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia.
| | - Michael Murphy
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia
| | - Ellen Jang
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia
| | - Linda Blackwell
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia
| | - Margot Sexton
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia
| | - Christopher Sexton
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia
| | - M Dilani Mendis
- School of Allied Health Sciences, Nathan Campus, Griffith University, Nathan, QLD, 4111, Australia
| |
Collapse
|
12
|
Schwab LM, Franettovich Smith MM, Mendis MD, McGhee D, Hides J. Injury reporting via SMS text messaging and online survey in community sport: A feasibility study. Transl Sports Med 2019. [DOI: 10.1002/tsm2.101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Laura M. Schwab
- School of Allied Health Griffith University Brisbane Qld Australia
| | | | - M. Dilani Mendis
- School of Allied Health Griffith University Brisbane Qld Australia
| | - Deirdre McGhee
- School of Medicine University of Wollongong Wollongong NSW Australia
| | - Julie Hides
- School of Allied Health Griffith University Brisbane Qld Australia
| |
Collapse
|
13
|
Hides JA, Murphy M, Jang E, Blackwell L, Sexton M, Sexton C, Mendis MD. Predicting a beneficial response to motor control training in patients with low back pain: a longitudinal cohort study. Eur Spine J 2019; 28:2462-2469. [DOI: 10.1007/s00586-019-06045-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 04/24/2019] [Accepted: 06/18/2019] [Indexed: 12/19/2022]
|
14
|
Leung FT, Franettovich Smith MM, Brown M, Rahmann A, Mendis MD, Hides JA. Epidemiology of injuries in Australian school level rugby union. J Sci Med Sport 2017; 20:740-744. [DOI: 10.1016/j.jsams.2017.03.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 02/10/2017] [Accepted: 03/13/2017] [Indexed: 10/19/2022]
|
15
|
Hides JA, Franettovich Smith MM, Mendis MD, Smith NA, Cooper AJ, Treleaven J, Leung F, Gardner AJ, McCrory P, Low Choy NL. A prospective investigation of changes in the sensorimotor system following sports concussion. An exploratory study. Musculoskelet Sci Pract 2017; 29:7-19. [PMID: 28259770 DOI: 10.1016/j.msksp.2017.02.003] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Revised: 02/10/2017] [Accepted: 02/16/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Sports concussion is a risk for players involved in high impact, collision sports. Post-concussion, the majority of symptoms subside within 7-10 days, but can persist in 10-20% of athletes. Understanding the effects of sports concussion on sensorimotor systems could inform physiotherapy treatment. OBJECTIVE To explore changes in sensorimotor function in the acute phase following sports concussion. DESIGN Prospective cohort study. METHODS Fifty-four players from elite rugby union and league teams were assessed at the start of the playing season. Players who sustained a concussion were assessed three to five days later. Measures included assessments of balance (sway velocity), vestibular system function (vestibular ocular reflex gain; right-left asymmetry), cervical proprioception (joint position error) and trunk muscle size and function. RESULTS During the playing season, 14 post-concussion assessments were performed within 3-5 days of injury. Significantly decreased sway velocity and increased size/contraction of trunk muscles, were identified. Whilst not significant overall, large inter-individual variation of test results for cervical proprioception and the vestibular system was observed. LIMITATIONS The number of players who sustained a concussion was not large, but numbers were comparable with other studies in this field. There was missing baseline data for vestibular and cervical proprioception testing for some players. CONCLUSIONS Preliminary findings post-concussion suggest an altered balance strategy and trunk muscle control with splinting/over-holding requiring consideration as part of the development of appropriate physiotherapy management strategies.
Collapse
Affiliation(s)
- Julie A Hides
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, 4102, Australia.
| | - Melinda M Franettovich Smith
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, 4102, Australia
| | - M Dilani Mendis
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, 4102, Australia; Physiotherapy Department, Mater Health Services, South Brisbane, 4101, Australia
| | - Nigel A Smith
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, 4102, Australia
| | - Andrew J Cooper
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, 4102, Australia
| | - Julia Treleaven
- Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, 4072, Australia
| | - Felix Leung
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, QLD, 4102, Australia
| | - Andrew J Gardner
- Priority Research Centre for Stroke and Brain Injury, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2310, Australia; Hunter New England Local Health District Sports Concussion Program, John Hunter Hospital, New Lambton Heights, NSW, 2305, Australia
| | - Paul McCrory
- The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
| | - Nancy L Low Choy
- School of Physiotherapy, Australian Catholic University, Brisbane, QLD, 4014, Australia
| |
Collapse
|
16
|
Stewart VM, Mendis MD, Low Choy N. A systematic review of patient-reported measures associated with vestibular dysfunction. Laryngoscope 2017; 128:971-981. [DOI: 10.1002/lary.26641] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/27/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Vicky M. Stewart
- Gold Coast University Hospital, Physiotherapy Department; Southport Queensland Australia
- School of Physiotherapy; Faculty of Health Sciences, Australian Catholic University; Brisbane Queensland Australia
| | - M. Dilani Mendis
- Centre for Musculoskeletal Research; Mary Mackillop Institute for Health Research, Australian Catholic University; Brisbane Queensland Australia
- Physiotherapy Department; Mater Health Services; South Brisbane Queensland Australia
| | - Nancy Low Choy
- School of Physiotherapy; Faculty of Health Sciences, Australian Catholic University; Brisbane Queensland Australia
- Physiotherapy Department; Prince Charles Hospital; Chermside Queensland Australia
| |
Collapse
|
17
|
Hides JA, Walsh JC, Smith MMF, Mendis MD. Self-Managed Exercises, Fitness and Strength Training, and Multifidus Muscle Size in Elite Footballers. J Athl Train 2017; 52:649-655. [PMID: 28459281 DOI: 10.4085/1062-6050-52.3.13] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Low back pain (LBP) and lower limb injuries are common among Australian Football League (AFL) players. Smaller size of 1 key trunk muscle, the lumbar multifidus (MF), has been associated with LBP and injuries in footballers. The size of the MF muscle has been shown to be modifiable with supervised motor-control training programs. Among AFL players, supervised motor-control training has also been shown to reduce the incidence of lower limb injuries and was associated with increased player availability for games. However, the effectiveness of a self-managed MF exercise program is unknown. OBJECTIVE To investigate the effect of self-managed exercises and fitness and strength training on MF muscle size in AFL players with or without current LBP. DESIGN Cross-sectional study. SETTING Professional AFL context. PATIENTS OR OTHER PARTICIPANTS Complete data were available for 242 players from 6 elite AFL clubs. INTERVENTION(S) Information related to the presence of LBP and history of injury was collected at the start of the preseason. At the end of the preseason, data were collected regarding performance of MF exercises as well as fitness and strength training. Ultrasound imaging of the MF muscle was conducted at the start and end of the preseason. MAIN OUTCOME MEASURE(S) Size of the MF muscles. RESULTS An interaction effect was found between performance of MF exercises and time (F = 13.89, P ≤ .001). Retention of MF muscle size was greatest in players who practiced the MF exercises during the preseason (F = 4.77, P = .03). Increased adherence to fitness and strength training was associated with retained MF muscle size over the preseason (F = 5.35, P = .02). CONCLUSIONS Increased adherence to a self-administered MF exercise program and to fitness and strength training was effective in maintaining the size of the MF muscle in the preseason.
Collapse
Affiliation(s)
- Julie A Hides
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, Australia.,Mater/ACU Back Stability Research Clinic and
| | - Jazmin C Walsh
- School of Physiotherapy, Australian Catholic University, Brisbane Campus (McAuley at Banyo), Australia
| | - Melinda M Franettovich Smith
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, Australia
| | - M Dilani Mendis
- Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Brisbane, Australia.,Physiotherapy Department, Mater Health Services, South Brisbane, Australia
| |
Collapse
|
18
|
Hides JA, Oostenbroek T, Franettovich Smith MM, Mendis MD. The effect of low back pain on trunk muscle size/function and hip strength in elite football (soccer) players. J Sports Sci 2016; 34:2303-2311. [DOI: 10.1080/02640414.2016.1221526] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
|
19
|
Hides JA, Mendis MD, Franettovich Smith MM, Miokovic T, Cooper A, Low Choy N. Association between altered motor control of trunk muscles and head and neck injuries in elite footballers – An exploratory study. ACTA ACUST UNITED AC 2016; 24:46-51. [DOI: 10.1016/j.math.2016.05.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Revised: 04/08/2016] [Accepted: 05/02/2016] [Indexed: 11/30/2022]
|
20
|
Mendis MD, Hides JA. Effect of motor control training on hip muscles in elite football players with and without low back pain. J Sci Med Sport 2016; 19:866-871. [PMID: 27012726 DOI: 10.1016/j.jsams.2016.02.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Revised: 02/17/2016] [Accepted: 02/19/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Previous research has shown that motor control training improved size and function of trunk muscles in elite football players with and without low back pain (LBP). Imbalances in hip muscles have been found in athletes with LBP and it is not known if motor control training can change these muscles. This study investigated if a motor control intervention program affected hip muscle size in elite football players with and without LBP. DESIGN Panel-randomised intervention design. METHODS Forty-six players from one club in the Australian Football League (AFL) participated in a motor control training program delivered across the season as a stepped-wedge intervention design with 3 treatment arms: 15 weeks intervention, 8 weeks intervention and a wait-list control who received 7 weeks intervention toward the end of the playing season. Presence of LBP was assessed by interview and physical examination. Cross-sectional areas of iliacus, psoas, iliopsoas, sartorius, gluteus minimus, and gluteus medius muscles were measured from magnetic resonance images taken at 3 time points during the season. RESULTS Iliopsoas, sartorius and gluteus medius muscle size increased for players who received intervention (p<0.05). For players with current LBP, sartorius and gluteus medius muscle size increased for those who received motor control training (p<0.05). CONCLUSIONS Motor control training programs aimed at the lumbo-pelvic region also benefit the hip muscles. For players with current LBP, the intervention mitigated sartorius muscle atrophy and increased gluteus medius muscle size. These findings may help guide the management of LBP in elite football players.
Collapse
Affiliation(s)
- M Dilani Mendis
- Centre for Musculoskeletal Research, Mary Mackillop Institute for Health Research, Australia; Physiotherapy Department, Mater Health Services, Australia.
| | - Julie A Hides
- Centre for Musculoskeletal Research, Mary Mackillop Institute for Health Research, Australia; Mater/ACU Back Stability Research Clinic, Mater Health Services, Australia
| |
Collapse
|
21
|
Stewart V, Mendis MD, Rowland J, Choy NL. Construction and Validation of the Vestibular Screening Tool for Use in the Emergency Department and Acute Hospital Setting. Arch Phys Med Rehabil 2015; 96:2153-60. [DOI: 10.1016/j.apmr.2015.08.413] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Revised: 08/08/2015] [Accepted: 08/11/2015] [Indexed: 11/24/2022]
|
22
|
Semciw AI, Freeman M, Kunstler BE, Mendis MD, Pizzari T. Quadratus femoris: An EMG investigation during walking and running. J Biomech 2015; 48:3433-9. [PMID: 26116043 DOI: 10.1016/j.jbiomech.2015.05.029] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Revised: 04/01/2015] [Accepted: 05/30/2015] [Indexed: 10/23/2022]
Abstract
Dysfunction of hip stabilizing muscles such as quadratus femoris (QF) is identified as a potential source of lower extremity injury during functional tasks like running. Despite these assumptions, there are currently no electromyography (EMG) data that establish the burst activity profile of QF during any functional task like walking or running. The objectives of this study were to characterize and compare the EMG activity profile of QF while walking and running (primary aim) and describe the direction specific action of QF (secondary aim). A bipolar fine-wire intramuscular electrode was inserted via ultrasound guidance into the QF of 10 healthy participants (4 females). Ensemble curves were generated from four walking and running trials, and normalized to maximum voluntary isometric contractions (MVICs). Paired t-tests compared the temporal and amplitude EMG variables. The relative activity of QF in the MVICs was calculated. The QF displayed moderate to high amplitude activity in the stance phase of walking and very high activity during stance in running. During swing, there was minimal QF activity recorded during walking and high amplitudes were present while running (run vs walk effect size=4.23, P<0.001). For the MVICs, external rotation and clam produced the greatest QF activity, with the hip in the anatomical position. This study provides an understanding of the activity demands placed on QF while walking and running. The high activity in late swing during running may signify a synergistic role with other posterior thigh muscles to control deceleration of the limb in preparation for stance.
Collapse
Affiliation(s)
- Adam I Semciw
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia; La Trobe University Sport, Exercise and Rehabilitation Research Focus Area, Bundoora, Victoria, Australia.
| | - Michael Freeman
- School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia
| | - Breanne E Kunstler
- School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia
| | - M Dilani Mendis
- Centre for Musculoskeletal Research, Mary Mackillop Institute for Health Research, Australian Catholic University, Brisbane, Queensland, Australia
| | - Tania Pizzari
- School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Victoria, Australia; La Trobe University Sport, Exercise and Rehabilitation Research Focus Area, Bundoora, Victoria, Australia
| |
Collapse
|
23
|
Abstract
Background: In Australian football, lower limb injuries have had the highest incidence and prevalence rates. Previous studies have shown that football players with relatively more severe preseason and playing season hip, groin, and thigh injuries had a significantly smaller multifidus muscle compared with players with no lower limb injuries. Rehabilitation of the multifidus muscle, with restoration of its size and function, has been associated with decreased recurrence rates of episodic low back pain and decreased numbers of lower limb injuries in football players. Assessment of multifidus muscle size and function could potentially be incorporated into a model that could be used to predict injuries in football players. Purpose: To examine the robustness of multifidus muscle measurements as a predictor of lower limb injuries incurred by professional football players. Study Design: Cohort study; Level of evidence, 2. Methods: Ultrasound examinations were carried out on 259 male elite football players at the start of the preseason and 261 players at the start of the playing season. Injury data were obtained from records collected by the Australian Football League (AFL) club staff during the preseason and the playing season. Results: Decreased size of the multifidus muscle at L5 consistently predicted injury in the preseason and playing season. Asymmetry of the multifidus muscle and low back pain were significantly related to lower limb injuries in the preseason, and having no preferred kicking leg was related to season injuries. Seasonal change in the size of the multifidus muscle indicating a decrease in muscle mass was linked to injury. Sensitivity and specificity of the model were 60.6% and 84.9% for the preseason and 91.8% and 45.8% for the playing season, respectively. Conclusion: A model was developed for prediction of lower limb injuries in football players with potential utility for club medical staff. Of particular note is the finding that changes in muscle size from the preseason to the playing season predicted injury. Clinical Relevance: As size of the multifidus muscle has been shown to be modifiable with training and has been associated with reduced pain and occurrence of injuries, this information could be incorporated in current programs of injury prevention.
Collapse
Affiliation(s)
- Julie A Hides
- School of Physiotherapy, Australian Catholic University, Brisbane, Queensland, Australia. ; Mater/ACU Back Stability Clinic, Mater Health Services, South Brisbane, Queensland, Australia
| | - Warren R Stanton
- School of Physiotherapy, Australian Catholic University, Brisbane, Queensland, Australia
| | - M Dilani Mendis
- School of Physiotherapy, Australian Catholic University, Brisbane, Queensland, Australia
| | | | - Margot J Sexton
- School of Physiotherapy, Australian Catholic University, Brisbane, Queensland, Australia
| |
Collapse
|
24
|
Hides JA, Stanton WR, Mendis MD, Gildea J, Sexton MJ. Effect of motor control training on muscle size and football games missed from injury. Med Sci Sports Exerc 2012; 44:1141-9. [PMID: 22157811 DOI: 10.1249/mss.0b013e318244a321] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE This panel-randomized intervention trial was designed to examine the effect of a motor control training program for elite Australian Football League players with and without low back pain (LBP). METHODS The outcome measures included cross-sectional area (CSA) and symmetry of multifidus, quadratus lumborum, and psoas muscles and the change in CSA of the trunk in response to an abdominal drawing-in task. These measures of muscle size and function were performed using magnetic resonance imaging. Availability of players for competition games was used to assess the effect of the intervention on the occurrence of injuries. The motor control program involved performance of voluntary contractions of the multifidus and transversus abdominis muscles while receiving feedback from ultrasound imaging. Because all players were to receive the intervention, the trial was delivered as a stepped-wedge design with three treatment arms (a 15-wk intervention, a 8-wk intervention, and a waitlist control who received a 7-wk intervention toward the end of the playing season). Players participated in a Pilates program when they were not receiving the intervention. RESULTS The intervention program was associated with an increase in multifidus muscle size relative to results in the control group. The program was also associated with an improved ability to draw-in the abdominal wall. Intervention was commensurate with an increase in availability for games and a high level of perceived benefit. CONCLUSIONS The motor control program delivered to elite footballers was effective, with demonstrated changes in the size and control of the targeted muscles. In this study, footballers who received the intervention early in the season missed fewer games because of injury than those who received it late in the playing season.
Collapse
Affiliation(s)
- Julie A Hides
- School of Physiotherapy, Faculty of Health Sciences, Australian Catholic University, Brisbane Campus (McAuley at Banyo), Queensland, Australia.
| | | | | | | | | |
Collapse
|
25
|
Hides J, Stanton W, Mendis MD, Sexton M. The relationship of transversus abdominis and lumbar multifidus clinical muscle tests in patients with chronic low back pain. ACTA ACUST UNITED AC 2011; 16:573-7. [PMID: 21641268 DOI: 10.1016/j.math.2011.05.007] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2010] [Revised: 04/26/2011] [Accepted: 05/09/2011] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Previous research of transversus abdominis (TrA) and multifidus muscle function in the presence of chronic low back pain (LBP) has investigated these muscles in isolation. In clinical practice, it is assumed that a relationship exists between these muscles and so they are often assessed and rehabilitated together. However, no studies have tested or documented this association. This study aimed to examine the relationships between clinical muscle testing and other measures taken in the course of a clinical assessment at a back clinic. METHODS This retrospective chart audit examined the files of 82 patients (40 Males, 42 Females) for results of clinical tests of TrA and multifidus muscle contraction, multifidus muscle size measurements and other clinical measures such as distribution of pain and pain on manual examination. RESULTS The ability to contract multifidus was related to the ability to contract TrA with the odds of a good contraction of multifidus being 4.5 times higher for patients who had a good contraction of TrA. A poor ability to contract multifidus was related to poor TrA contraction. Patients with unilateral LBP had more multifidus muscle asymmetry (11.6%) than those with bilateral/central pain (0.01%) and had a poor multifidus contraction on the affected side (p < 0.01). No other significant relationships were found. DISCUSSION & CONCLUSION Current clinical practice of assessment and rehabilitation of both TrA and multifidus muscles in patients with chronic LBP is supported by the findings of this study. Future studies may investigate if a neurophysiological relationship exists between these muscles.
Collapse
Affiliation(s)
- Julie Hides
- School of Physiotherapy, Australian Catholic University, McAuley at Banyo, Queensland 4014, Australia.
| | | | | | | |
Collapse
|