Munkholmhjelm0773

Self-efficacy, fear of movement, and depression may mediate the sequential pathway of how pain leads to disability in nonspecific low back pain. Participants with chronic (>13 weeks) non-specific low back pain were included. They were prospectively monitored for eight consecutive weeks. Each second day, all participants filled in a survey (30 surveys pp). Questionnaires on current back pain intensity (NRS) and disability (PDI) were completed in each survey. One out of three standardized questionnaires on self-efficacy (SES), fear of movement, kinesiophobia (TSK), or depression (PHQ-9) were randomly completed each time. Multilevel mediation analyses on the within-(temporal changes) and between-patients total and indirect (mediated by SES; TSK and PHQ-9) effect of pain on disability were conducted for three temporal associations No time delay, Simple temporal delay, and Double delay. In total, 280 questionnaires were filled in by 10 participants (m = 4; 34.4 ± 12.2 years). A moderate to strong effect of pain on disability in the no delay-model for the within-patients (0.436), and (all models) in the between-patients (0.595-0.627) models was found. The way how pain affects kinesiophobia was influenced by the time passed. Kinesiophobia itself predicted disability. Further, depression was affected by (within and between) pain intensity (NRS). In the simple delay effects mediation, depression affects disability (within) and is itself affected by the pain (between). No indirect effect of self-efficacy, fear of movement and depression in the pain-disability relationship was found. Understanding underlying mechanisms of how and when pain leads to disability might help to find accurate measures in therapy setting.

In the past decade, mobile phone usage rates have increased and there have been concerns that overuse of mobile phones may contribute to various musculoskeletal (MSK) problems.

The aim of the present study was to systematically review available literature on the prevalence of MSK complaints, symptoms, and pathologies associated with mobile phone use.

Systematic review.

In this systematic review, Medline (Pubmed), Wiley, WOS, and EMBASE electronic databases were searched for studies published in English between January 1, 2000 and March 25, 2019 using the following. KEY TERMS 'mobile phone', 'smartphone', 'musculoskeletal pain', 'pain', 'musculoskeletal symptoms', and 'musculoskeletal pathology'.

The search strategy identified 196 papers, of which 18 met the inclusion criteria. Among the studies included in the systematic review, five were high quality, twelve were of acceptable quality, and one was of low quality. The review demonstrated that the prevalence of MSK complaints among mobile phone users ranged 8.2%-89.9%, and that neck and upper back complaints had the highest prevalence rates ranging from 55.8% to 89.9%. The most common MSK symptom associated with mobile phone use was pain. Myofascial pain syndrome, fibromyalgia, thoracic outlet syndrome, tendonitis, and De Quervain's syndrome were the most commonly associated MSK pathologies.

The evidence concerning MSK complaints among mobile phone is somewhat limited because the data were obtained from cross-sectional and case-control study results. Consequently, there is need for higher quality and prospective studies to better understand the relationship between mobile phone use and MSK symptoms and pathologies.

The evidence concerning MSK complaints among mobile phone is somewhat limited because the data were obtained from cross-sectional and case-control study results. Consequently, there is need for higher quality and prospective studies to better understand the relationship between mobile phone use and MSK symptoms and pathologies.

Aquatic exercise (AQE) programme is commonly used as an alternative to the chronic low back pain (CLBP) treatment. The addition of aquatic aerobic exercises to AQE may be beneficial to patients with CLBP.

Randomised controlled trial.

To assess the effectiveness of AQE with the addition of aerobic exercise - deep-water running (DWR) - compared to exclusive AQE in improving disability, lumbar pain intensity, and functional capacity in patients with CLBP.

Fifty-four adult patients with CLBP were randomised either to the experimental group (AQE+DWR) or the control group (AQE). An assessor who was blinded to the group allocation performed both pre- and post-interventions assessments. Both treatments lasted 9 weeks, with a 3-month follow-up. The primary outcome was disability, as evaluated using the Roland Morris Disability Questionnaire. read more The secondary outcomes were pain and functional capacity; pain was assessed using a visual analogue scale (VAS), and functional capacity (travelled distance) was measured using the 6-min walk test (6WT).

A significant difference in pain was observed between groups after intervention in favour of DWR (mean difference -1.3cm [95% confidence interval (CI) -2.17 to -0.45], d‾=0.80 [95% CI 0.22 to 1.33]).

Treatment with DWR was effective in the short term for achieving the desired outcome of pain reduction when compared with AQE only but not for disability and functional capacity.

Treatment with DWR was effective in the short term for achieving the desired outcome of pain reduction when compared with AQE only but not for disability and functional capacity.

Hemophilic arthropathy is characterized by loss of function and range motion. Fascial therapy mobilizes the connective tissue, intervening in the state of the injured fascial complex.

The aim of this study is to assess the safety and effectiveness of a fascial therapy treatment in patients with hemophilic ankle arthropathy.

Randomized clinical trial.

Sixty-five adult patients with hemophilia from 18 to 65 years of age were recruited. The intervention through fascial therapy lasted 3 consecutive weeks with a weekly session of 45min each. The dependent variables were frequency of bleeding (selfregistration), ankle range of motion (goniometer) and lower limb functionality (6-Minute Walking Test). Three assess were made baseline, posttreatment and after follow-up period. ANOVA of repeated measures was performed to compare both groups at the three assess time points. Bonferroni correction has been applied to control the error rate of the significance level.

Improvements were found (p<0.001) in terms of a reduced frequency of ankle hemarthrosis.