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The results demonstrated that the median questionnaire scores in students' perceived level of understanding for the VBAR group were significantly higher than for the traditional teaching group (
< 0.05).
The results of this post-intervention survey suggest that the integration of VBAR learning activities results in gains relating to students' understanding of spinal anatomy, function, pathology and deformities. These findings suggest that VBAR could be an additional teaching tool to support student learning.
Greater understanding is expected to increase the quality of clinical practice.
Greater understanding is expected to increase the quality of clinical practice.
Physiotherapy, brace applications or surgery are the treatment options utilised to manage patients with scoliosis. Many different brace applications are used, and the success rates of orthoses vary.
Brace applications can have detrimental impacts on the patient leading to physical discomfort, psychological discomfort, and in some instance the use of braces may even be painful. Therefore, future developments in this field should be aimed at improving the success rate and reducing physical distress experienced by the patient while using brace applications. The purpose of this article is to provide recommendations with respect to the most appropriate bracing approach in general.
A narrative review of the scientific literature was carried out to substantiate the statements made in this article.
The most important braces provided for the treatment of patients with scoliosis and the treatment results that can be achieved are presented and discussed, taking into account the most recent systematic reviews. A wide range of success rates have been found for the different brace applications.
Given that brace application may impact the patient leading to physical discomfort and psychological distress, good quality management in brace application for patients with scoliosis is needed to ensure the best possible outcome and the least stressful management.
Safety in brace application for patients with scoliosis needs improvement. The use of standardised and reliable computer aided design (CAD) libraries and appropriate patient information based on published guidelines is suggested.
Safety in brace application for patients with scoliosis needs improvement. The use of standardised and reliable computer aided design (CAD) libraries and appropriate patient information based on published guidelines is suggested.
High-quality evidence exists to support physiotherapy and brace treatment for scoliosis and other spinal deformities. However, according to previous systematic reviews, it seems that no evidence exists for surgery. Nevertheless, the number of research articles focussing on spinal surgery highly exceeds the number of articles focussing on conservative treatment.
The purpose of this study is to conduct an updated search for systematic reviews providing high-quality evidence for spinal surgery in patients with spinal deformities.
A narrative review including PubMed and the Cochrane database was conducted on April 12, 2020, with the following search terms (1) spinal deformities, surgery, systematic review and outcome; (2) kyphosis, surgery, systematic review and outcome; (3) Scheuermann's disease, surgery, systematic review and outcome, and (4) scoliosis, surgery, systematic review and outcome.
No reviews containing prospective controlled or randomised controlled studies were found providing evidence for surgery.
A general indication for spine surgery just based on the Cobb angle is not given. In view of the long-term unknown variables and the possible long-term complications of such treatment, a surgical indication for patients with spinal deformities must be reviewed on an individual basis and considered carefully. A current systematic review appears necessary in order to be able to draw final conclusions on the indication for surgery in patients with spinal deformities.
In view of the increasing number of surgeons with an affiliation to industry, the indication for surgery needs to be given by independent conservative specialists for spinal deformities in order to provide an objective recommendation.
In view of the increasing number of surgeons with an affiliation to industry, the indication for surgery needs to be given by independent conservative specialists for spinal deformities in order to provide an objective recommendation.
In pattern-specific scoliosis exercises and bracing, the corrective treatment plan differs according to different curve patterns. There are a limited number of studies investigating the reliability of the commonly used classifications systems.
To test the reliability of the augmented Lehnert-Schroth (ALS) classification and the Rigo classification.
X-rays and posterior photographs of 45 patients with scoliosis were sent by the first author to three clinicians twice at 1-week intervals. The clinicians classified images according to the ALS and Rigo classifications, and the data were analysed using SPSS V-16. Intraclass correlation coefficients (ICCs) and standard error measurement (SEM) were calculated to evaluate the inter- and intra-observer reliability.
The inter-observer ICC values were 0.552 (ALS), 0.452 (Rigo) for X-ray images and 0.494 (ALS), 0.518 (Rigo) for the photographs. The average intra-observer ICC value was 0.720 (ALS), 0.581 (Rigo) for the X-ray images and 0.726 (ALS) and 0.467 (Rigo) of curve classification will likely reduce failures in diagnosis and treatment.
Field hockey, a team sport played by both men and women at both recreational and professional levels, requires maintaining a forward flexed posture putting stress on the lumbar spine. Hence, it is necessary to assess the muscles supporting the lumbar spine, especially those surrounding the hip, to inform strengthening exercises for this population.
To establish the best body weight rehabilitation exercises shown to produce high muscle activation (≥ 61%MVIC - maximal voluntary isometric contraction) for both the gluteus maximus (Gmax) and medius (Gmed) muscles. Four exercises fell into this category.
Surface electromyography (sEMG) was used to record the muscle activation of Gmax and Gmed of four body weight rehabilitation exercises in 26 high-performance female field hockey players. The %MVIC activation data of both Gmax and Gmed were analysed using a three-way ANOVA.
The single-leg squat generated the highest %MVIC activation of both Gmax (125.65%MVIC) and Gmed (126.30%MVIC). The only statistically significant difference for Gmax was between the single-leg squat and plank with hip extension (
= 0.0487). No statistically significant difference was observed for Gmed between the four body weight rehabilitation exercises (
= 0.6285).
The four exercises generated similar %MVIC activation levels. The single-leg squat produced the highest observed %MVIC of Gmax and Gmed in high-performance female field hockey players and is, therefore, recommended.
Implementation of the findings could result in benefits during prehabilitation, injury prevention programmes and the later stages of rehabilitation for high-performance female field hockey players.
Implementation of the findings could result in benefits during prehabilitation, injury prevention programmes and the later stages of rehabilitation for high-performance female field hockey players.
Musculoskeletal pain (MSKP) is an extremely common pain disorder in almost all populations. Self-management (SM) support is a programme to prepare people to self-manage their health condition effectively, while maintaining quality of life. GSK-3 phosphorylation SM is a cost-effective and context-specific strategy to address the global public health burden.
Self-management needs a change in behaviour from seeking unnecessary medical care to safely self-managing symptoms. As changing individuals' behaviour is challenging, the objective of my literature review was to identify the characteristics, in both therapist and patient, to successfully engage in SM.
A narrative literature review, that could inform evidence-based support programmes for SM of MSKP.
Studies on successful implementation of SM of MSKP do not report strong outcomes. However, in more recent years a few positive outcomes were reported, possibly as a result of research evidence for the application of psychosocial skills and contemporary pain neuroscience in theure. Moreover, communication skills training seems to be a priority for effective SM support programmes.
COVID-19 pandemic has resulted in significant changes in pedagogy for undergraduate medical curriculum. Many physical clinical teachings have been replaced by online pedagogy. This study aims to evaluate the relation between medical students' stress during COVID-19 pandemic and their academic performance at the final examination.
This is a cross-sectional questionnaire-based study. Student's stress level were evaluated by the COVID-19 Student Stress Questionnaire (CSSQ). Correlation of stress level and students' performance at the final examination was performed.
110 out of 221 (49.8%) final-year medical students responded to the questionnaire, 13 students failed in the final examination (case) while 97 students passed in the final MBBS examination (control).Baseline demographic data between case and control were comparable. The median age for both cases and controls were 24 years.Compared to controls, cases reported higher levels of stress in all domains, namely in relation to risk of contagion, social isolation, interpersonal relationships with relatives, university colleagues and professors, academic life, and sexual life. Notably, a significantly higher proportion of cases reported academic-related stress compared to controls (p < 0.01), with 100% of cases perceiving their academic studying experience during the COVID-19 pandemic to be "very" or "extremely" stressful, compared to 35.1% of controls.
Increased stress to academic and study during COVID-19 was associated with worse examination outcome at the final examination. Extra academic support will be needed to cater students' need during the pandemic.
Increased stress to academic and study during COVID-19 was associated with worse examination outcome at the final examination. Extra academic support will be needed to cater students' need during the pandemic.
This study aimed to examine the associations between time spent in 6 different domains of sedentary behavior and happiness and whether social capital mediated such associations among adults and older adults living in a rural area of Japan.
Cross-sectional data from 3,357 participants (mean age 60 ± 16 years) were used. 6 domains of sedentary behavior, happiness, and social capital were assessed using a self-report questionnaire. Age-stratified multivariable linear regression models adjusted for covariates were used to examine the associations between 6 domains of sedentary behavior and happiness. For relationships where the direct effect was significant, we tested the mediating effects of 2 social capital measures.
Among both adults and older adults, more time spent viewing television was significantly associated with lower happiness scores, and more time spent engaging in other leisure activities was significantly associated with higher happiness scores. In addition, more time spent using cell phones and computers was significantly associated with lower happiness scores among the adults.
