The association between neuropathic pain features and central sensitization with acute headache associated to a whiplash injury
Headache is one of the most common symptoms after a whiplash injury, although the pathophysiology remains under discussion. This study aimed to evaluate differences in neuropathic pain and central sensitization features between those who present with whiplash-associated headache (WAH) soon after a whiplash injury and those who do not.
Good vibes for the brain - Placebo versus real vibration in patients with chronic neck pain: A randomized cross-over study
Neck muscle vibration decreases pain and improves sensorimotor impairments in patients with chronic neck pain. However, the impact of placebo on these effects are still unclear.
The general public as well as physiotherapists evaluate spinal flexion as dangerous regardless of their own low back pain history
Maladaptive fear of movement in individuals with low back pain may be associated with worse clinical outcomes.
Knee joint pathology and efferent pathway dysfunction: Mapping muscle inhibition from motor cortex to muscle force
Dysfunction in efferent pathways after knee pathology is tied to long-term impairments in quadriceps and hamstrings muscle performance, daily function, and health-related quality of life. Understanding the underlying etiology is crucial for effective treatment and prevention of poor outcomes, such as post-traumatic osteoarthritis or joint replacement.
Hip joint kinematic assessment in chronic non-specific low back pain patients. A Delphi study
Chronic nonspecific low back pain (CNSLBP) has been associated with movement impairment (MI) of the hip joint. However, evidence supporting this is inconsistent. Agreement from experts may provide rationale and recommendations for the assessment of the hip joint in the management of CNSLBP patients.
The state of the science for potential contributors to musculoskeletal injury following concussion: Mechanisms, gaps, and clinical considerations
Concussion is a common mild traumatic brain injury affecting athletic, military, and general populations. While unrestricted medical clearance often occurs within 1-month, emerging evidence indicates prolonged sensorimotor control deficiencies and greater musculoskeletal injury risk after a concussion. Various theoretical frameworks and original studies indicate potential neurophysiological alterations affecting sensory input, sensorimotor integration, and neuromotor output, though the exact mechanisms remain unclear. This commentary aims to briefly review the literature on contributors to sensory and neuromotor deficiencies potentially related to musculoskeletal injury risk, recommend future research avenues to better understand these factors, and highlight current and future clinical applications.
French translation and transcultural adaptation of the shoulder pain and disability index (SPADI)
A French version of the Shoulder Pain and Disability Index (SPADI) is currently unavailable for clinical and research use in French-speaking countries.
Machine learning for classifying chronic ankle instability based on ankle strength, range of motion, postural control and anatomical deformities in delivery service workers with a history of lateral ankle sprains
Chronic ankle instability (CAI) frequently develops as a result of lateral ankle sprains (LAS) in delivery service workers (DSWs). Identifying risk factors for CAI is crucial for implementing targeted interventions. This study aimed to develop machine learning (ML) models for classifying CAI in DSWs with a history of LAS (DSWsLAS) and to identify key contributory factors.
Median nerve stiffness with three movement sequences of the upper limb neurodynamic test 1: An ultrasound shear-wave elastography study
During the Upper Limb Neurodynamic Test 1 (ULNT1) joint movement order can be varied to improve its diagnostic accuracy. However, nerve behavior with neurodynamic sequences still requires in vivo research.
The Neuroplastic Outcomes from Impaired Sensory Expectations (NOISE) hypothesis: How ACL dysfunction impacts sensory perception and knee stability
The anterior cruciate ligament (ACL) is integral to maintaining knee joint stability but is susceptible to rupture during physical activity. Despite surgical restoration of passive or mechanical stability, patients struggle to regain strength and prior level of function. Recent efforts have focused on understanding how ACL-related changes in the nervous system contribute to deficits in sensorimotor control following injury and reconstruction. We hypothesize that these challenges are partially due to an increase in sensorimotor uncertainty, a state that reduces the precision of movement control.
A seventeen-year, population-based study to identify dynamic patterns of interfering neck pain and its burden in South Korea
The aim of this study were to introduce a profile of a nationwide cohort for patients with neck pain and to identify the patterns of recurrent neck pain over time.
The efficacy of high load-volume exercise versus low load-volume exercise for rotator cuff tendinopathy: A pilot and feasibility trial
The most effective exercise variables for rotator cuff tendinopathy are unknown.
Act now - serious pathology of the spine is affected by health inequalities
Early diagnosis of serious spinal pathology is the key to optimise patient outcomes, yet early diagnosis can be adversely affected by health inequalities. In this paper we consider the impact of health inequalities on the incidence and outcome for serious spinal musculoskeletal (MSK) pathologies. Health inequalities can be experienced by people grouped around a range of factors. These include socio-economic factors, the environmental conditions in which people live, protected characteristics such as ethnicity, and socially excluded groups such as people who are homeless. These factors can affect people's exposure to health risks and their opportunities to lead healthy lives. A person's behaviour is a key determinant of their health status. 'Risky' health behaviours include smoking, poor diet, harmful alcohol consumption and lack of exercise, and are more common in these groups. Importantly, socio-economic factors combined with health behaviours influence the health inequalities a person may experience. The most significant social and economic factors influencing poor MSK health are poverty, education, employment, environment, and food ethos. These determinants of health not only predispose people living in deprivation to having benign MSK conditions at a younger age and with worse outcomes, they are also risk factors of more serious MSK pathologies.
An observational study: Correlation between self-perceived readiness and physical performance in healthy individuals
In complex environments, individuals need to anticipate and react to stimuli by integrating complex systems and skills. Identifying the perceptual-cognitive, physical, and health characteristics that afford effective performance is necessary for developing training and readiness strategies. Measuring readiness by establishing a relationship between the Acute Readiness Monitoring Scale (ARMS) and performance during perceptual-cognitive tasks is essential. Therefore, this study aimed to determine the relationship between self-perceived readiness, physical performance, and perceptual-cognitive performance in healthy young adults.
Italian versions of the optimal screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) and the Örebro Musculoskeletal pain screening questionnaire (ÖMPQ-21) and their short forms, in patients with low back pain: Cross-cultural adaptation, reliability and validity
Low back pain (LBP) is a leading cause of disability worldwide. Early detection of prognostic factors using the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) or the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPQ-21) can predict improvement in pain and disability for patients with nonspecific LBP.
Determining people's attitudes and motivation towards their health in patients with low back pain using the Health Styles questionnaire. A test of feasibility and validity
A comparative analysis of lumbar paraspinal muscle morphology between two movement system impairment subgroups of chronic nonspecific low back pain
Based on the kinesiopathologic model, the Movement System Impairment (MSI) classification of LBP has shown that repetitive movements could contribute to pathoanatomic tissue changes. However, these changes have not been evaluated in different MSI classification subgroups of patients with LBP.
The effect of a neuromuscular-cognitive training program on postural stability, hop performance, and agility in Division-I Women's Tennis athletes: A pilot study
Situational awareness and cognitive function are often discounted in sports training programs, potentially limiting their effectiveness.
More neck pain, less spinal mobility, altered sitting posture: Sagittal spinal alignment and mobility in women with chronic neck pain
Increasing evidence suggests that people with chronic neck pain (CNP) may display altered biomechanics beyond the cervical spine. However, whether spinal alignment and mobility are associated with neck pain is not clarified.
Evaluating the effectiveness of patient-tailored treatment for patients with non-specific (sub)acute neck pain
An important issue in the debate about best practice management of non-specific neck pain (NSNP) is the effectiveness of tailored versus generalized interventions.