Musculoskeletal science & practice
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Musculoskelet Sci Pract · Jun 2018
Comparative Study Observational StudyLaterality recognition of images, motor performance, and aspects related to pain in participants with and without wrist/hand disorders: An observational cross-sectional study.
Musculoskeletal disorders are associated with altered sensory, proprioceptive and cognitive processes. Sensory processes affect the internal cortical representation of the body in space, the body schema, which in turn influences motor control. The purpose of this study was to determine if participants with wrist/hand disorders had impaired performance on a task associated with the body schema, the Left/Right Judgement Task (LRJT) and secondly how LRJT performance, motor performance, disability, pain and related aspects are associated. ⋯ LRJT and motor performance was correlated with affective distress in participants with wrist/hand pain suggestive of complex interactions between cognitive-affective processes and sensorimotor integration.
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Musculoskelet Sci Pract · Jun 2018
Review Meta AnalysisA systematic review and meta-analysis of the reliability and validity of sensorimotor measurement instruments in people with chronic low back pain.
Deficits in the sensorimotor system and its peripheral and central processing of the affected body part might be a contributing factor to chronic low back pain (CLBP). Hence, sensorimotor assessment is important. Valid and reliable sensorimotor measurement instruments are needed. ⋯ Two-point discrimination, laterality judgment and movement control tests demonstrate the greatest level of known-groups validity for people with CLBP. However, as the reliability of these measurement tools has yet to be established, this validity data should be interpreted cautiously. Further research is warranted to investigate the clinimetric properties of these sensorimotor techniques.
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Musculoskelet Sci Pract · Jun 2018
Comparative StudyDo trunk-based left/right judgment tasks elicit motor imagery?
Left/right judgment tasks (LRJTs) are used in the management of chronic pain. This use is predicated on their ability to elicit the simulation of movements (i.e. motor imagery), including those where the execution of the same movements induces pain. While established for limb-based LRJTs, the ability of trunk-based LRJTs to elicit motor imagery of trunk movements has not been demonstrated. ⋯ Data were not consistent with motor imagery of lateralised trunk movements being elicited by the trunk-based LRJT. The study presented here questions the value of trunk-based LRJTs in clinical practice.
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Musculoskelet Sci Pract · Apr 2018
Clinical classification criteria for nonspecific low back pain: A Delphi-survey of clinical experts.
Nonspecific low back pain (NSLBP) is a common problem. Attempts have been made to classify NSLBP patients into homogenous subgroups. Classification systems based on identifying the underlying mechanism(s) driving the disorder are clinically useful to guide specific interventions. ⋯ These indicators suggestive of a clinical dominance of the proposed DPs could help clinicians to assess and diagnose NSLBP patients. Future reliability and validity testing is needed to determine how these criteria may help to improve physical therapy outcome for NSLBP patients.
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Musculoskelet Sci Pract · Apr 2018
Physical examination of dizziness in athletes after a concussion: A descriptive study.
Dizziness is commonly reported after concussion. With the forces experienced at the time of the injury, several anatomical locations may have been altered, causing dizziness. ⋯ Functional injury to centrally-mediated pathways, specifically oculomotor control, and afferent and efferent pathways in the cervical spine are commonly identified through clinical examination tests in individuals with a complaint of dizziness post-concussion. According to results presented here, a high majority (90%) of the participants demonstrated dizziness that appeared to be multifactorial in nature and was not attributable to one main type of dysfunction. The common pathways between the systems make it difficult to isolate only one anatomical area as a contributor to dizziness.