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Myofascial Trigger Points, Sensitization, and Chronic Musculoskeletal Pain
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
Vy Phan, Jay P. Shah, Pamela Stratton
Remarkably, key tenets of Simons’ Integrated Trigger Point Hypothesis overlap with the role of muscle in MTrP development suggested by the Cinderella Hypothesis.32 Musculoskeletal disorder symptoms may arise from muscle recruitment patterns during sub-maximal level exertions with moderate or low physical load among office workers, musicians, and dentists, in which myalgia and MTrPs have been commonly reported.29 According to Henneman’s size principle, smaller type I muscle fibers are recruited first and de-recruited last during static muscle exertions. As a result, these “Cinderella” fibers are continuously activated and metabolically overloaded, in contrast to larger motor muscle fibers that spend less time being activated and do not work as hard. This property makes these fibers more susceptible to muscle damage and calcium dysregulation, key factors in the formation of MTrPs.33 Treaster et al. demonstrated that low-level static continuous muscle contractions during 30 minutes of typing induced the formation of MTrPs, supporting the Cinderella Hypothesis.34
Primary Bone Tumors
Published in Pat Price, Karol Sikora, Treatment of Cancer, 2020
Jeremy S. Whelan, Rob C. Pollock, Rachael E. Windsor, Mahbubl Ahmed
Cancers that arise in bone are exceptionally uncommon. Several discrete diseases can be identified through their differing clinico-pathological features, but for all bone tumors pain is the most common presenting symptom. As this is a feature of a vast array of musculoskeletal disorders, delay in diagnosis is a well-recognized problem. Principles of management, particularly surgical, are broadly applicable across the different histological types.1
How employment periods and working posture lead to musculoskeletal disorders
Published in Ade Gafar Abdullah, Isma Widiaty, Cep Ubad Abdullah, Medical Technology and Environmental Health, 2020
Y. Susanti, F.A. Dewi, M.A. Djojosugito, S.N. Irasanti, S.A. Adianto
Different factors such as hereditary, stress, unsuitable working posture, and lack of regular exercise can affect incidence of musculoskeletal disorders. Work position was the only factor that predicts the occurrence of musculoskeletal disorders in dentists (Ambarwati 2017).
Prevalence of musculoskeletal disorders in anesthesiologists in Ismailia Governorate
Published in Egyptian Journal of Anaesthesia, 2023
Eslam Albayadi, Abelrahman Soliman, Wesam F. Alyeddin
part contained items about musculoskeletal disorders and possible risk factors: a) Have you complained of any joint pain, b) determine the site of pain (Neck Pain; Shoulder Pain; Elbow pain; wrist pain; Back pain; Hip pain; Knee pain; Ankle pain; Foot pain), c) describe pain severity (mild, moderate, or severe), d) frequency of pain in the last 12 months, e) the previous history of musculoskeletal disorders (Arthritis; Disc prolapse; carpal tunnel syndrome, fibromyalgia, and others), f) need for excessive bending or twisting of your joints, and heavy weight lifting, g) history of falling at your workplace, h) grading of work ergonomics at your workplace, i) knowledge about musculoskeletal stretch/strengthen exercises, j) practicing stretch exercises, and k) How often do you exercise, l) optimizing patients’ position before intubation, CVC (central venous catheter), arterial line insertions, spinal/epidural insertion.
Associations between weather conditions and osteoarthritis pain: a systematic review and meta-analysis
Published in Annals of Medicine, 2023
Lin Wang, Qinguang Xu, Yan Chen, Zhaohua Zhu, Yuelong Cao
For the qualitative analysis, slightly modified criteria (SI 2) of prognostic factors for musculoskeletal disorders were used for methodological quality assessment and best-evidence synthesis [25,26]. The final criteria consisted of 17 items with each having a “±/?” answer option. A positive response for a certain question was scored one point, and an inconsistent or unclear response was scored zero points. The quality scores (maximum score of 16 points for a cohort study and 14 points for a case-crossover study) of each paper were added to calculate the overall internal validity. A high-quality study was defined if the overall internal validity score was ≥60%. Next, we performed a best-evidence synthesis. We first classified these studies according to the study design. A cohort study was thought to be one with a highly credible design, and followed by a case-crossover or case-control study. Then, we ranked the studies according to the overall internal validity score and further formulated the levels of evidence. Strong evidence of weather-influencing OA was considered when 3 or more high-quality cohort studies and ≥75% of the studies reported consistent findings were provided. Moderate evidence was considered to be with 2 high-quality cohort studies, 2 or more high quality case-crossover studies, 3 or more high-quality case-crossover studies were provided. Limited evidence was considered to be with a single cohort study, one or two case-crossover studies, or multiple case-crossover studies. Conflicting evidence was defined by conflicting findings (i.e. <75% of the studies reported consistent findings).
Self-regulation as rehabilitation outcome: what is important according to former patients?
Published in Disability and Rehabilitation, 2022
T. I. Mol, C. A. M. van Bennekom, E. W. M. Scholten, J. M. A. Visser-Meily, M. F. Reneman, A. Riedstra, V. de Groot, J. W. G. Meijer, M. K. Bult, M. W. M. Post
Purposive sampling was used. Individuals were included who had undergone a rehabilitation program between 2012 and 2017. The rehabilitation population was defined as persons who had a diagnosis covered by one of the main diagnostic groups in Dutch medical rehabilitation: 1) amputation, 2) neurological diseases (including neuromuscular diseases), 3) chronic pain disorder, 4) musculoskeletal disorder, 5) spinal cord injury, or 6) acquired brain injury [1]. We added the diagnostic group on 7) oncology, due to the increasing number of rehabilitation patients within this population [21]. In addition, they had to be at least 18 years old at the start of their rehabilitation trajectory. Individuals with insufficient knowledge of the Dutch language were excluded. Variation with respect to age, gender, educational background, marital status, ethnic background, and inpatient or outpatient trajectory was aimed for.