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Limb Dominance Effects on Seated Single-Arm Shot-Put Limb Symmetry Indices Following Shoulder Rehabilitation. J Sport Rehabil 2023; 32:215-219. [PMID: 36535273 DOI: 10.1123/jsr.2022-0225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 10/13/2022] [Accepted: 10/30/2022] [Indexed: 12/23/2022]
Abstract
CONTEXT Typically, most clinical return to activity guidelines recommend that an injured shoulder achieve a 90% to 100% functional performance test limb symmetry index (LSI); however, as previous research demonstrated a 103% to 111% dominant limb bias in seated single-arm shot-put test (SSASPT) performance, the typical criteria might not be appropriate for interpreting SSASPT LSI. Thus, the current objective was to evaluate SSASP LSI differences between dominant and nondominant involved shoulders and to determine how many patients met the suggested 90% to 100% LSI criteria, as well as the 103% for dominant (89% for nondominant) normative SSASPT threshold reported in the literature, at the time of discharge. DESIGN Cross-sectional. METHODS Patients with shoulder injury or surgery (n = 78) completed the SSASPT at the time of discharge from rehabilitation and were grouped according to whether the involved shoulder was the dominant (n = 42) or nondominant (n = 32) limb. LSI (involved/uninvolved × 100) was computed from the average of 3 SSASPT trial distances completed with each limb. RESULTS The LSI for the nondominant involved group (88.9% [12.4%]) was significantly less (confidence intervalDiff, -12.1% to -22.1%) than the dominant involved group (106.0% [9.3%]). While 95.2% of patients in the dominant involved group exhibited LSI > 90%, only 43.8% of patients in the nondominant involved group attained LSI > 90%. Across the entire cohort, the odds of a nondominant involved LSI being below the respective SSASPT normative range were 2.04 (95% confidence interval, 0.80-5.21) times higher than the odds of a dominant involved LSI being below the normative range. CONCLUSIONS Patients with dominant limb involvement exhibited higher LSI than patients with nondominant limb involvement at discharge from rehabilitation. Particularly when the nondominant shoulder is involved, these results suggest that patients with shoulder injury and surgery may require longer rehabilitation to attain higher levels of upper-extremity function.
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Socioeconomic position and pain: a topical review. Pain 2022; 163:1855-1861. [PMID: 35297800 DOI: 10.1097/j.pain.0000000000002634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 02/02/2022] [Indexed: 11/26/2022]
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Cardoso VDF, Stefane CA, de Barros FC, Gonçalves JS, Figueiredo LC, de Oliveira Sato T. Influence of gender and age on musculoskeletal symptoms in white and blue-collar workers - cross-sectional study. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2022; 28:2482-2491. [PMID: 35130824 DOI: 10.1080/10803548.2022.2037325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE Identify the prevalence of musculoskeletal symptoms among blue- and white-collar workers stratified by gender and age. METHODS The sample was composed of 390 blue-collar and 510 white-collar workers. Musculoskeletal symptoms were evaluated using the Nordic Musculoskeletal Questionnaire. Independent t-test or Mann-Whitney test were used for the inter-group comparisons. The Chi-square (χ2) association test was applied for categorical variables. Logistic regression analysis was used to determine the influence of gender and age on musculoskeletal symptoms. RESULTS The prevalence of shoulder, lower back, and ankle/foot symptoms was higher among blue-collar workers compared to white-collar workers. In the analysis stratified by gender, female blue-collar workers had a higher frequency of shoulder symptoms and male blue-collar workers had a higher frequency of lower back symptoms. In the analysis stratified by age, younger blue collar-workers had a higher frequency of shoulder, lower back, and ankle/foot symptoms compared to young white-collar workers and older white-collar workers had a higher frequency of neck symptoms compared to older blue-collar workers. CONCLUSIONS Gender and age exerted an influence on self-reported symptoms in blue- and white-collar workers.
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Affiliation(s)
- Viviane de Freitas Cardoso
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Claudia Aparecida Stefane
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Fernanda Cabegi de Barros
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Josiane Sotrate Gonçalves
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Leandro Corrêa Figueiredo
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
| | - Tatiana de Oliveira Sato
- Department of Physical Therapy, Federal University of São Carlos, Rodovia Washington Luís, km 235, SP-310, 13565-905, São Carlos, SP, Brazil
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Colak S, Orha AT, Yener M, Colak T, Bamac B, Colak E. Musculoskeletal system related complaint: Is there any effect of sports ergonomics and lack of core stabilization exercises? Sci Sports 2021. [DOI: 10.1016/j.scispo.2020.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Hodgetts CJ, Leboeuf-Yde C, Beynon A, Walker BF. Shoulder pain prevalence by age and within occupational groups: a systematic review. Arch Physiother 2021; 11:24. [PMID: 34736540 PMCID: PMC8567712 DOI: 10.1186/s40945-021-00119-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 10/13/2021] [Indexed: 12/21/2022] Open
Abstract
Background Shoulder pain was previously shown to diminish in older populations and it was suggested that this could be explained by reduced usage with age. Our objectives were to investigate if estimates of shoulder pain continue to increase after the age of 50 in working populations and to compare these estimates in physically demanding occupations with sedentary occupations. Methods A systematic review of retrospective, cross-sectional, prospective, or longitudinal. studies reporting prevalence or incidence of non-specific shoulder pain in occupational groups stratified by age. Searches were conducted in PubMed, Scopus, and CINAHL from inception until January 2020. Study characteristics and prevalence estimates stratified by age were extracted. Two reviewers independently performed a critical analysis of the included studies to determine their validity and risk of bias. Results Twenty studies with a total of 40,487 participants and one study of a clinical data base were included and assigned a direction of the estimates for shoulder pain as either ‘increasing’, ‘remaining stable’ or ‘decreasing’ past the age of 50. Shoulder pain generally increased past 50, with 16 of the 21 included studies reporting higher estimates/odds ratios in older participants. In the more physically active occupations over 50, the estimates increased in 14 of the 18 samples compared to only two of the four involving sedentary occupations. Conclusions Shoulder pain prevalence remains common in workers beyond the age of 50. Prevalence continues to increase in physically demanding occupations. Clinicians should consider factors of occupation when managing shoulder pain. Trial registration PROSPERO (CRD42019137831). Supplementary Information The online version contains supplementary material available at 10.1186/s40945-021-00119-w.
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Affiliation(s)
- Christopher J Hodgetts
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia. .,Centre for Molecular Medicine and Innovative Therapeutics, Health Futures Institute, Murdoch University, Perth, Western Australia, Australia.
| | - Charlotte Leboeuf-Yde
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia.,Institute of Regional Health Research, University of Southern Denmark, Odense C, Denmark
| | - Amber Beynon
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia
| | - Bruce F Walker
- Discipline of Chiropractic, College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia, Australia
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Bahk J, Khang YH, Lim S. The Unequal Burden of Self-Reported Musculoskeletal Pains Among South Korean and European Employees Based on Age, Gender, and Employment Status. Saf Health Work 2020; 12:57-65. [PMID: 33732530 PMCID: PMC7940136 DOI: 10.1016/j.shaw.2020.10.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Revised: 10/10/2020] [Accepted: 10/20/2020] [Indexed: 12/01/2022] Open
Abstract
Background The objective of this study was to elucidate the relationships musculoskeletal pains with combined vulnerability in terms of age, gender, and employment status Methods The fifth European Working Conditions Survey (EWCS) in 2010 (43,816 participants aged 15 years and over) analyzed for European employees and the third Korean Working Conditions Survey (KWCS) in 2011 (50,032 participants aged 15 years and older) analyzed for Korean employees. In this study, three well known vulnerable factors to musculoskeletal pains (older age, female gender, and precarious employment status) were combined and defined as combined vulnerability. Associations of musculoskeletal pains with combined vulnerability were assessed with prevalence ratios (PRs) and 95% confidence intervals (CIs) estimated by Poisson regression models with robust estimates of variance. Results The prevalences of musculoskeletal pains were lower but the absolute and relative differences between combined vulnerabilities were higher among Korean employees compared with the European employees. Furthermore, the increased risk of having musculoskeletal pains according to combined vulnerability was modestly explained by socioeconomic factors and exposure to ergonomic risk factors, especially in Republic of Korea. Conclusions The results of this study showed that the labor market may be more unfavorable for female and elderly workers in Republic of Korea. Any prevention strategies to ward off musculoskeletal pains, therefore, should be found and implemented to mitigate or buffer against the most vulnerable work population, older, female, and precarious employment status, in Republic of Korea.
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Affiliation(s)
- Jinwook Bahk
- Department of Public Health, Keimyung University, Daegu, Republic of Korea
| | - Young-Ho Khang
- Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Republic of Korea
| | - Sinye Lim
- Department of Occupational & Environmental Medicine, Kyung Hee University School of Medicine, Seoul, Republic of Korea.,Department of Occupational & Environmental Medicine, Kyung Hee University Medical Center, Seoul, Republic of Korea
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Ribeiro FE, Palma MR, Silva DTC, Tebar WR, Vanderlei LCM, Fregonesi CEPT, Christofaro DGD. Relationship of anxiety and depression symptoms with the different domains of physical activity in breast cancer survivors. J Affect Disord 2020; 273:210-214. [PMID: 32421605 DOI: 10.1016/j.jad.2020.03.110] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 02/02/2020] [Accepted: 03/28/2020] [Indexed: 01/09/2023]
Abstract
Background Physical activity (PA) has shown benefits in the mental health of breast cancer (BC) survivors. However, it is unclear if different domains of PA are related to the emotional well-being of this population. The objective of this study was to verify the relationship between different domains of PA [occupational, exercise/sport participation and leisure time/commuting] with symptoms of anxiety and depression in BC survivors. Methods It is a cross-sectional study, composed of 128 women breast cancer survivor, in which the socioeconomic class was evaluated through the questionnaire of the Brazilian Association of Research Companies (ABEP), PA level was evaluated through the Baecke questionnaire, and, symptoms of anxiety and depression were evaluated through the Hospital Anxiety and Depression Scale (HADS). Results It was verified that occupational PA related to anxiety (B = 1.44 [95% CI: 0.11; 2.76]) and leisure time/commuting PA was negatively related to depression (B=-0.99 [95% CI: -1.64;-0.34]), even after adjustment of analysis by age, marital status, and socioeconomic status. There was no correlation between exercise/sport participation with scores of anxiety and depression in BC survivors. Physical activity at leisure time/commuting was negatively related with depression in BC survivors with mastectomy (B=-1.20 [95% CI:-1.92; -0.47). Limitations The difficulty of recruiting the studied population and the absence of subsidy for participation in the study are factors to be considerate. Conclusions Occupational PA may not to be indicated in the management of emotional disorders in BC survivors; however, leisure time/commuting may be recommended to contribute to the mental well-being of this population.
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Affiliation(s)
- Fernanda Elisa Ribeiro
- São Paulo State University (UNESP), Faculty of Science and Technology - Presidente Prudente-SP, Brazil.
| | - Mariana Romanholi Palma
- São Paulo State University (UNESP), Faculty of Science and Technology - Presidente Prudente-SP, Brazil
| | | | - William Rodrigues Tebar
- São Paulo State University (UNESP), Faculty of Science and Technology - Presidente Prudente-SP, Brazil
| | - Luiz Carlos Marques Vanderlei
- Department of Physical Therapy and Pos Graduate Program in Physical Therapy, São Paulo State University (UNESP), Faculty of Science and Technology - Presidente Prudente-SP, Brazil
| | - Cristina Elena Prado Teles Fregonesi
- Department of Physical Therapy and Pos Graduate Program in Physical Therapy, São Paulo State University (UNESP), Faculty of Science and Technology - Presidente Prudente-SP, Brazil
| | - Diego Giulliano Destro Christofaro
- Department of Physical Education and Pos Graduate Program in Physical Therapy, São Paulo State University (UNESP), Faculty of Science and Technology - Presidente Prudente-SP, Brazil
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Shariat A, Cleland JA, Danaee M, Kargarfard M, Sangelaji B, Tamrin SBM. Effects of stretching exercise training and ergonomic modifications on musculoskeletal discomforts of office workers: a randomized controlled trial. Braz J Phys Ther 2018; 22:144-153. [PMID: 28939263 PMCID: PMC5883995 DOI: 10.1016/j.bjpt.2017.09.003] [Citation(s) in RCA: 75] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 05/30/2017] [Accepted: 07/27/2017] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVE To evaluate the effectiveness of exercise, ergonomic modification, and a combination of training exercise and ergonomic modification on the scores of pain in office workers with neck, shoulders, and lower back pain. METHODS Participants (N=142) in this randomized controlled trial were office workers aged 20-50 years old with neck, shoulders, and lower back pain. They were randomly assigned to either the ergonomic modification group, the exercise group, the combined exercise and ergonomic modification group, or the control group (no-treatment). The exercise training group performed a series of stretching exercises, while the ergonomic group received some modification in the working place. Outcome measures were assessed by the Cornell Musculoskeletal Disorders Questionnaire at baseline, after 2, 4, and 6 months of intervention. RESULTS There was significant differences in pain scores for neck (MD -10.55; 95%CI -14.36 to -6.74), right shoulder (MD -12.17; 95%CI -16.87 to -7.47), left shoulder (MD -11.1; 95%CI -15.1 to -7.09) and lower back (MD -7.8; 95%CI -11.08 to -4.53) between the exercise and control groups. Also, significant differences were seen in pain scores for neck (MD -9.99; 95%CI -13.63 to -6.36), right shoulder (MD -11.12; 95%CI -15.59 to -6.65), left shoulder (MD -10.67; 95%CI -14.49 to -6.85) and lower back (MD -6.87; 95%CI -10 to -3.74) between the combined exercise and ergonomic modification and control groups. The significant improvement from month 4 to 6, was only seen in exercise group (p<0.05). CONCLUSION To have a long term effective on MSDs, physical therapists and occupational therapists should use stretching exercises in their treatment programs rather than solely rely on ergonomic modification. CLINICAL TRIAL ID NCT02874950 - https://www.clinicaltrials.gov/ct2/show/NCT02874950.
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Affiliation(s)
- Ardalan Shariat
- Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia; Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
| | | | - Mahmoud Danaee
- Academic Development Center, University of Malaya, Kuala Lumpur, Malaysia
| | - Mehdi Kargarfard
- Department of Exercise Physiology, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran
| | | | - Shamsul Bahri Mohd Tamrin
- Department of Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia
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