المؤلفون: Cinzia Cruder, Emiliano Soldini, Nigel Gleeson, Marco Barbero

المصدر: Scientific Reports, Vol 13, Iss 1, Pp 1-11 (2023)

مصطلحات موضوعية: Medicine, Science

الوصف: Abstract Playing-related musculoskeletal disorders (PRMDs) are common among musicians but longitudinal data on risk factors are limited. The aim of the study was to longitudinally identify the factors associated with increased risk of PRMD onset among music students enrolled in different pan-European music institutions. A further goal was to assess the occurrence of PRMDs during a 12-month period. A total of 442 students without PRMDs from 56 European music universities completed a web-based questionnaire on lifestyle and practice habits, health history, physical activity, psychological distress, perfectionism, and fatigue. PRMD onset was assessed prospectively at 6 and 12 months. Logistic regression analysis showed that changes in physical activity level (6-month AOR = 2.343, 12-month AOR = 2.346), increased levels of fatigue (6-month AOR = 1.084, 12-month AOR = 1.081) and socially-prescribed perfectionism (6-month AOR = 1.102) were significantly associated with PRMD onset, which had occurred in 49% of participants during 12 months. Musculoskeletal complaints reported at baseline (6-month AOR = 0.145, 12-month AOR = 0.441) and changes to BMI (12-month AOR = 0.663) limited the onset of PRMDs. The study’s novel longitudinal findings were appraised critically within the contexts of potential factors for PRMD onset and evidence-based preventive strategies to minimise the impact of PRMDs.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2045-2322Test

الوصول الحر: https://doaj.org/article/c40c7a95c8894ca5a1048822ecff7f4dTest

المؤلفون: Alejandro Luque-Suarez, Deborah Falla, Marco Barbero, Consolacion Pineda-Galan, Derboni Marco, Vincenzo Giuffrida, Javier Martinez-Calderon

المصدر: BMC Musculoskeletal Disorders, Vol 23, Iss 1, Pp 1-10 (2022)

مصطلحات موضوعية: Chronic pain, Musculoskeletal pain, Cognition, Digital pain extent, Cross-sectional, Pain drawing, Diseases of the musculoskeletal system, RC925-935

الوصف: Abstract Background To evaluate whether digital pain extent is associated with an array of psychological factors such as optimism, pessimism, expectations of recovery, pain acceptance, and pain self-efficacy beliefs as well as to analyse the association between digital pain extent and pain intensity and pain-related disability in people with chronic musculoskeletal pain. Methods A descriptive cross-sectional study conducted in a primary health care setting was carried out including 186 individuals with chronic musculoskeletal pain. Patient-reported outcomes were used to assess psychological factors, pain intensity, and pain-related disability. Digital pain extent was obtained from pain drawings shaded using a tablet and analysed using novel customized software. Multiple linear regression models were conducted to evaluate the association between digital pain extent and the aforementioned variables. Results Digital pain extent was statistically significantly associated with pain intensity. However, digital pain extent was not associated with any psychological measure nor with pain-related disability. Discussion The results did not support an association between digital pain extent and psychological measures.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2474Test

الوصول الحر: https://doaj.org/article/a5b503b9f1664626a01ed75e48b3bdf2Test

المؤلفون: Anne-Kathrin Rausch, Heiner Baur, Leah Reicherzer, Markus Wirz, Fabienne Keller, Emmanuelle Opsommer, Veronika Schoeb, Stefano Vercelli, Marco Barbero

المصدر: Archives of Physiotherapy, Vol 11, Iss 1, Pp 1-10 (2021)

مصطلحات موضوعية: Pandemic, Physical therapy modalities, SARS-CoV-2, Telerehabilitation, Miscellaneous systems and treatments, RZ409.7-999

الوصف: Abstract Background The Swiss containment strategy for the COVID-19 pandemic during the first wave in spring 2020 resulted in a moratorium on non-urgent physiotherapy via regular direct patient contact. Consequently, such physiotherapy sessions declined by 84%. This study investigates the impact of this moratorium on the use of digital remote physiotherapy in Switzerland during this period and the perceptions of its use by Swiss physiotherapists (PTs). Methods A cross-sectional online questionnaire was distributed between June and August of 2020 via the Swiss Physiotherapy Association (physioswiss) and various associations of physiotherapy specialists (e.g., sport, pediatric) working in both inpatient and outpatient settings. The questionnaire was designed to capture the demographics of participants and the perceptions of PTs using 33 questions in the following domains: Demography; Attitudes towards digital technology; Private and professional use of digital technology; Use of digital technology during therapy; and, Support requirements. Closed and open-ended questions were included and the frequency of answers was analyzed. Non-parametric inferential statistics were used to identify differences, where appropriate. The Checklist for Reporting Results of Internet E-Surveys (CHERRIES) was adopted. Results Participants in the survey were 742 PTs (23.5% male, mean age of 43 years, mean working experience of 18 years) from the German-speaking (75.5%), French-speaking (15.1%), and Italian-speaking (9.4%) regions of Switzerland. The percentage of PTs using digital remote therapy increased from 4.9% prior to the lockdown to 44.6% during the lockdown period. The majority of PTs did not consider that digital remote therapy could complement usual physiotherapy practice and did not plan to continue with digital remote therapy after the pandemic. Conclusions During the lockdown, Swiss PTs adopted various low-cost and easily accessible digital technologies. However, several barriers hampered further implementation of this modality. Specific education and training programs need to be provided among PTs, appropriate digital technologies should be introduced, and a correct reimbursement scheme should be developed. Trial registration COVIDPhysio Registry of World Physiotherapy, registered 15th June 2020 ( https://world.physio/covid-19-information-hub/covid-19-covidphysio-registryTest ).

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2057-0082Test

الوصول الحر: https://doaj.org/article/32c593f39ecd4a5ca4ac931f9f97d67cTest

المؤلفون: Cinzia Cruder, Marco Barbero, Emiliano Soldini, Nigel Gleeson

المصدر: BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-13 (2021)

مصطلحات موضوعية: Music students, Pain location, Musculoskeletal, Cluster analysis, Diseases of the musculoskeletal system, RC925-935

الوصف: Abstract Background According to existing literature, musicians experience high rates of musculoskeletal (MSK) disorders involving different anatomical areas. The aim of the study was to identify patterns of pain location in a sample of music students enrolled in different pan-European music institutions. A further goal was to explore the association between the identified pain patterns and students’ characteristics. Methods A total of 340 music students (mean age 23.3 years, 66.2% female) with current MSK pain completed a web-based questionnaire including both background information (i.e. lifestyle and physical activity, practice habits) and clinical features (i.e. pain characteristics, disability, pain self-efficacy, psychological distress, perfectionism and fatigue). Results Five patterns of pain location were identified by hierarchical cluster analysis: wrist pain (WP) representing 22.6% of the total sample, widespread pain (WSP) (16.9%), right shoulder pain (RSP) (18.5%), both shoulders pain – left concentrated (LSP) (23.2%), neck and back pain (NBP) (18.8%). Amongst the identified patterns of pain location, bivariate analysis identified the WSP cluster as containing the largest number of associated variables. Participants in this cluster reported a higher percentage of women (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2474Test

الوصول الحر: https://doaj.org/article/a0ecce16582e47d19ad087b1c2b35d65Test

المؤلفون: Alessandro Schneebeli, Ilaria Fiorina, Chandra Bortolotto, Marco Barbero, Deborah Falla, Corrado Cescon, Maria Vittoria Raciti, Francesco Tarantino, Lorenzo Preda

المصدر: Insights into Imaging, Vol 12, Iss 1, Pp 1-9 (2021)

مصطلحات موضوعية: Shear wave elastography, Strain elastography, Achilles tendon, Medical physics. Medical radiology. Nuclear medicine, R895-920

الوصف: Abstract Objectives Changes in mechanical loading as well as pathology can modify the Achilles tendon mechanical properties and therefore detection of these changes is relevant for the diagnosis and management of Achilles tendinopathy. The aim of this study was to evaluate strain and shear wave sonoelastography for their ability to detect changes in the Achilles tendon mechanical properties during a series of isometric contractions. Methods Longitudinal sonoelastography images of the Achilles tendon were acquired from 20 healthy participants using four different ultrasound devices; two implementing strain sonoelastography technology (SE1, SE2) and two, shear wave elastography technology (SWE1, SWE2). Results SE1 measured a decreasing strain ratio (tendon become harder) during the different contraction levels from 1.51 (0.92) to 0.33 (0.16) whereas SE2 mesaured a decreasing strain ratio from 1.08 (0.76) to 0.50 (0.32). SWE1 measured decreasing tendon stiffness during contractions of increasing intensity from 33.40 (19.61) to 16.19 (2.68) whereas SWE2 revealed increasing tendon stiffness between the first two contraction levels from 428.65 (131.5) kPa to 487.9 (121.5) kPa followed by decreasing stiffness for the higher contraction levels from 459.35 (113.48) kPa to 293.5 (91.18) kPa. Conclusions Strain elastography used with a reference material was able to detect elasticity changes between the different contraction levels whereas shear wave elastography was less able to detect changes in Achilles tendon stiffness when under load. Inconsistent results between the two technologies should be further investigated.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1869-4101Test

الوصول الحر: https://doaj.org/article/8e746eaa781847aeb0c00199ecfe362aTest

المؤلفون: Matteo Beretta-Piccoli, Corrado Cescon, Marco Barbero, Giuseppe D’Antona

المصدر: Arab Journal of Basic and Applied Sciences, Vol 28, Iss 1, Pp 264-271 (2021)

مصطلحات موضوعية: innervation zone, skeletal muscles, surface emg, motor unit action potentials, multichannel semg, Science

الوصف: Fiber conduction velocity (CV) is a parameter correlated to the physiological membrane properties of the skeletal muscle fibers. Changes in muscle fiber CV are correlated to the gradation of force and fatigue, and can be measured by means of surface electromyography EMG (sEMG). sEMG measurement of CV during muscle contractions requires the correct identification of the skeletal muscle innervation zone (IZ). In superficial muscles, IZ location can be detected using linear electrode arrays and visually identified as the point of inversion of the detected motor unit action potential (MUAP) propagation. In the present work, we present a method for the effective and fast detection of the IZ location, through the following procedures: (1) identification of the target superficial muscle considering the muscle fiber architecture; (2) electrode array selection based on interelectrode distance and number of electrodes; (3) subject training to perform submaximal isometric contractions of the target muscle/s; (4) electrode array positioning along the muscle surface to investigate the IZ position during the contractions by visual identification of MUAP patterns.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2576-5299Test

الوصول الحر: https://doaj.org/article/ddd58f6da3f3432f906f9e8338e5f164Test

المؤلفون: Lasko, Thomas A., Still, John M., Li, Thomas Z., Mota, Marco Barbero, Stead, William W., Strobl, Eric V., Landman, Bennett A., Maldonado, Fabien

مصطلحات موضوعية: Computer Science - Machine Learning, Statistics - Applications, Statistics - Machine Learning, I.2.6, I.2.1, J.3

الوصف: Insufficiently precise diagnosis of clinical disease is likely responsible for many treatment failures, even for common conditions and treatments. With a large enough dataset, it may be possible to use unsupervised machine learning to define clinical disease patterns more precisely. We present an approach to learning these patterns by using probabilistic independence to disentangle the imprint on the medical record of causal latent sources of disease. We inferred a broad set of 2000 clinical signatures of latent sources from 9195 variables in 269,099 Electronic Health Records. The learned signatures produced better discrimination than the original variables in a lung cancer prediction task unknown to the inference algorithm, predicting 3-year malignancy in patients with no history of cancer before a solitary lung nodule was discovered. More importantly, the signatures' greater explanatory power identified pre-nodule signatures of apparently undiagnosed cancer in many of those patients.
Comment: 29 Pages, 8 figures

الوصول الحر: http://arxiv.org/abs/2402.05802Test

المؤلفون: Alessandro Schneebeli, Lorenzo Visconti, Corrado Cescon, Ron Clijsen, Guido Giardini, Maria Elisabetta Arizzio, Marco Barbero

المصدر: Journal of Foot and Ankle Research, Vol 13, Iss 1, Pp 1-8 (2020)

مصطلحات موضوعية: Achilles tendon, Patellar tendon, Gray scale analysis, Diseases of the musculoskeletal system, RC925-935

الوصف: Abstract Background Ultrasound imaging techniques have been used to assess the characteristics of skeletal muscles and tendons. Such techniques (gray scale analysis) allow qualitative evaluation and have been used recently to assess the internal structure of muscles and tendons by computer-aided gray scale analysis. We hypothesized that changes in the internal structure of the Achilles and patellar tendons after a ski mountaineering race competition could be detected with ultrasound. Methods Twenty athletes were recruited during the 19th Millet Tour du Rutor extreme, a three-day ski mountaineering competition. Ultrasound measurements of the Achilles and patellar tendons were carried out before the first race and immediately after each of the three competition days. Tendon thickness, cross-sectional area (CSA), and ultrasound gray scale analysis were calculated. Results Significant differences (p

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s13047-020-00398-9Test; https://doaj.org/toc/1757-1146Test

الوصول الحر: https://doaj.org/article/677d13d41f524fe3bd8dcac95e05f718Test

المؤلفون: César Fernández-de-las-Peñas, Stella Fuensalida-Novo, Ricardo Ortega-Santiago, Juan A. Valera-Calero, Corrado Cescon, Marco Derboni, Vincenzo Giuffrida, Marco Barbero

المصدر: Journal of Clinical Medicine, Vol 11, Iss 15, p 4633 (2022)

مصطلحات موضوعية: COVID-19, pain extent, sensitization, post-COVID, pain, Medicine

الوصف: We aimed to investigate the relationship between pain extent, as a sign of sensitization, and sensory-related, cognitive and psychological variables in hospitalized COVID-19 survivors with post-COVID pain. One hundred and forty-six (67 males, 79 females) previously hospitalized COVID-19 survivors with post-COVID pain completed demographic (age, sex, height, weight), sensory-related (Central Sensitization Inventory, Self-Report Leeds Assessment of Neuropathic Symptoms), cognitive (Pain Catastrophizing Scale, Tampa Scale for Kinesiophobia) and psychological (Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index) variables. Pain extent and frequency maps were calculated from pain drawings using customized software. After conducting a correlation analysis to determine the relationships between variables, a stepwise linear regression model was performed to identify pain extent predictors, if available. Pain extent was significantly and weakly associated with pain intensity (r = −0.201, p = 0.014): the larger the pain extent, the lower the pain intensity. No other significant association was observed between pain extent and sensory-related, cognitive, or psychological variables in individuals with post-COVID pain. Females had higher pain intensity, more sensitization-associated symptoms, higher anxiety, lower sleep quality, and higher kinesiophobia levels than males. Sex differences correlation analyses revealed that pain extent was associated with pain intensity in males, but not in females. Pain extent was not associated with any of the measured variables and was also not related to the presence of sensitization-associated symptoms in our sample of COVID-19 survivors with long-term post-COVID pain.

وصف الملف: electronic resource

العلاقة: https://www.mdpi.com/2077-0383/11/15/4633Test; https://doaj.org/toc/2077-0383Test

الوصول الحر: https://doaj.org/article/05a07a3bd71f4cd8b8d380166d2fc55fTest

المؤلفون: Andrea Martina Aegerter, Manja Deforth, Gisela Sjøgaard, Venerina Johnston, Thomas Volken, Hannu Luomajoki, Julia Dratva, Holger Dressel, Oliver Distler, Markus Melloh, Achim Elfering, the NEXpro Collaboration Group, Andrea M. Aegerter, Marco Barbero, Beatrice Brunner, Jon Cornwall, Yara Da Cruz Pereira, MD, OD, JD, HD, Tobias Egli, AE, Markus J. Ernst, Irene Etzer-Hofer, Deborah Falla, Michelle Gisler, Michelle Haas, VJ, Sandro Klaus, Gina M. Kobelt, Kerstin Lüdtke, HL, MM, Corinne Nicoletti, Seraina Niggli, Achim Nüssle, Salome Richard, Nadine Sax, Katja Schülke, GS, Lukas Staub, TV, Thomas Zweig

المصدر: Frontiers in Psychology, Vol 12 (2021)

مصطلحات موضوعية: coronavirus, COVID-19, SARS-CoV-2, lockdown, physical exercise, health promotion, Psychology, BF1-990

الوصف: PurposeThe COVID-19 lockdown interrupted normal daily activities, which may have led to an increase in sedentary behavior (Castelnuovo et al., 2020). The aim of this study was to investigate the effect of the COVID-19 pandemic on the level of physical activity among Swiss office workers.MethodsOffice workers from two Swiss organizations, aged 18–65 years, were included. Baseline data from January 2020 before the COVID-19 pandemic became effective in Switzerland were compared with follow-up data during the lockdown phase in April 2020. Levels of physical activity were assessed using the International Physical Activity Questionnaire. Paired sample t-tests or Wilcoxon signed-rank test were performed for statistical analysis.ResultsData from 76 participants were analyzed. Fifty-four participants were female (71.1%). The mean age was 42.7 years (range from 21.8 to 62.7) at baseline. About 75% of the participants met the recommendations on minimal physical activity, both before the COVID-19 pandemic and during the lockdown. Weak statistical evidence for a decline in total physical activity in metabolic equivalent of task minutes per week (MET min/week) was found (estimate = −292, 95% CI from – ∞ to 74, p-value = 0.09), with no evidence for a decrease in the three types of activity: walking (estimate = −189, 95% CI from – ∞ to 100, p-value = 0.28), moderate-intensity activity (estimate = −200, 95% CI from – ∞ to 30, p-value = 0.22) and vigorous-intensity activity (estimate = 80, 95% CI from – ∞ to 460, p-value = 0.74). Across the three categories “high,” “moderate,” and “low” physical activity, 17% of the participants became less active during the lockdown while 29% became more active.ConclusionThe COVID-19 pandemic did not result in a reduction in total physical activity levels among a sample of Swiss office workers during the first weeks of lockdown. Improved work-life balance and working times may have contributed to this finding.Clinical Trial Registrationwww.ClinicalTrials.gov, NCT04169646. Registered 15 November 2019 – Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04169646Test.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.620307/fullTest; https://doaj.org/toc/1664-1078Test

الوصول الحر: https://doaj.org/article/a7c760c51a784d318b4576a73a961b4eTest