Musculoskeletal science & practice
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Musculoskelet Sci Pract · Jul 2019
Is there an association between hip range of motion and nonspecific low back pain? A systematic review.
To systematically review whether there is an association between hip range of motion (ROM) and nonspecific low back pain (NSLBP). ⋯ There is very low-quality evidence to support an association between limited hip ROM and NSLBP. Limited hip IR ROM was the only movement impairment found to be significantly associated with NSLBP, however this should be viewed with caution due to the low-quality supportive evidence. Further studies are needed.
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Musculoskelet Sci Pract · Feb 2019
ReviewArtificial intelligence and machine learning | applications in musculoskeletal physiotherapy.
Artificial intelligence (AI) is a field of mathematical engineering which has potential to enhance healthcare through new care delivery strategies, informed decision making and facilitation of patient engagement. Machine learning (ML) is a form of narrow artificial intelligence which can be used to automate decision making and make predictions based upon patient data. ⋯ Potential is apparent for intelligent machines to enhance various areas of physiotherapy practice through automization of tasks which involve data analysis, classification and prediction. Changes to service provision through applications of ML, should encourage physiotherapists to increase their awareness of and experiences with emerging technologies. Data literacy should be a component of professional development plans to assist physiotherapists in the application of ML and the preparation of information technology systems to use these techniques.
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Musculoskelet Sci Pract · Oct 2018
ReviewThe association between pain beliefs and pain intensity and/or disability in people with shoulder pain: A systematic review.
Pain beliefs might play a role in the development, transition, and perpetuation of shoulder pain. ⋯ Evidence suggests that pain beliefs are associated with and predict the course of pain intensity and disability in shoulder pain. However, the overall body of the evidence after applying the GRADE approach was very low across studies. Further research using higher quality longitudinal designs and procedures would be needed to establish firm conclusions.
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Musculoskelet Sci Pract · Aug 2018
Review Meta Analysis Comparative StudyElectromyography of neck and shoulder muscles in instrumental musicians with musculoskeletal pain compared to asymptomatic controls: A systematic review and meta-analysis.
Musicians report a high prevalence of annual musculoskeletal pain (86-89%), attributed to prolonged playing times consisting of repetitive static and dynamic muscle activity. The aim of this study was to explore, compare and synthesise evidence on electromyographic (EMG) muscle activity in neck, shoulder and spinal musculature between painful and asymptomatic instrumental musicians. Ovid, Wiley, Web of Science and Scopus databases were searched in August 2016 for cross-sectional studies that compared EMG activity of neck, shoulder and spinal musculature between musicians with musculoskeletal pain and asymptomatic comparisons. ⋯ There was limited evidence supporting increased activity of deltoids, lower trapezius and the upper cervical extensors in musicians reporting of musculoskeletal pain. Meta-analysis of results of three studies assessing upper trapezius activity were conflicting with these not being statistically significant. Further studies with prospective designs, larger population sizes and on broader instrumental groups are warranted.
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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.