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The expression of Gli3, regulated by HOXD13, may play a role in idiopathic congenital talipes equinovarusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our findings suggest that HoxD13 directly interacts with the promoter of Gli3. The increase of Gli3 expression in ICTEV model animal might result from the low expression of HoxD13. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - November 19, 2009 Category: Orthopaedics Authors: DongHua CaoChunLian JinMeiHong RenChangKun LinXuan ZhangNing Zhao Source Type: journals

Protocol for the ProFHER (PROximal Fracture of the Humerus: Evaluation by Randomisation) trial: a pragmatic multi-centre randomised controlled trial of surgical versus non-surgical treatment for proximal fracture of the humerus in adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents the protocol for a multi-centre randomised controlled trial. It gives extensive details of, and the basis for, the chosen methods, and describes the key measures taken to avoid bias and to ensure validity.Trial RegistrationCurrent Controlled Trials ISRCTN50850043 (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - November 16, 2009 Category: Orthopaedics Authors: Helen HandollStephen BrealeyAmar RanganDavid TorgersonLaura DennisAlison ArmstrongLing-Hsiang ChuangBen CrossJo DumvilleSarah GardnerLorna GoodchildSharon HamiltonCatherine HewittRajan MadhokNicola MaffulliLucy MicklewrightValerie WadsworthAngus WallaceJo Source Type: journals

Expectations, perceptions, and physiotherapy predict prolonged sick leave in subacute low back painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: It appears that return to work is highly dependant on individual and cognitive factors. Patients not returning to work after the interventions were characterized by negative expectations, perceptions about pain and disability, and previous physiotherapy treatment. This is the first study reporting that previous treatment by physiotherapists is a risk factor for long-term sick leave. This has not been reported before and is an interesting finding that deserves more scrutiny. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - November 13, 2009 Category: Orthopaedics Authors: Silje RemeEli HagenHege Eriksen Source Type: journals

Time-course of exercise and its association with 12-month bone changesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Exercise has been shown to have positive effects on bone density and strength. However, knowledge of the time-course of exercise and bone changes is scarce due to lack of methods to quantify and qualify daily physical activity in long-term. The aim was to evaluate the association between exercise intensity at 3, 6 and 12 month intervals and 12-month changes in upper femur areal bone mineral density (aBMD) and mid-femur geometry in healthy premenopausal women. Methods: Physical activity was continuously assessed with a waist-worn accelerometer in 35 healthy women (35-40 years) participating in progressive high-i...
Source: BMC Musculoskeletal Disorders - November 12, 2009 Category: Orthopaedics Authors: Riikka AholaRaija KorpelainenAki VainionpaaJuhani LeppaluotoTimo Jamsa Source Type: journals

Patterns of analgesic use, pain and self-efficacy: a cross-sectional study of patients attending a hospital rheumatology clinicEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Many people attending rheumatology clinics use analgesics and non-steroidal anti-inflammatories for persistent musculoskeletal pain. Guidelines for pain management recommend regular and pre-emptive use of analgesics to reduce the impact of pain. Clinical experience indicates that analgesics are often not used in this way. Studies exploring use of analgesics in arthritis have historically measured adherence to such medication. Here we examine patterns of analgesic use and their relationships to pain, self-efficacy and demographic factors. Methods: Consecutive patients were approached in a hospital rheumatology o...
Source: BMC Musculoskeletal Disorders - November 10, 2009 Category: Orthopaedics Authors: Ruth BlameyKate JollySheila GreenfieldParesh Jobanputra Source Type: journals

Health-related quality of life after vertebral or hip fracture: a seven-year follow-up studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to (i) investigate the changes and long-term impact of vertebral or hip fracture and between fracture groups on HRQOL in postmenopausal women prospectively between two and seven years after the inclusion fracture, (ii) compare HRQOL results between fracture and reference groups and (iii) study the relationship between HRQOL and physical performance, spinal deformity index and bone mineral density at seven-year follow-up. Methods: Ninety-one women examined two years after a low-energy vertebral or hip fracture were invited to a new examination seven years after the diagnosis. HRQOL was examined using the SF-...
Source: BMC Musculoskeletal Disorders - November 3, 2009 Category: Orthopaedics Authors: Inger HallbergMargareta Bachrach-LindstromStaffan HammerbyGoran TossAnna-Christina Ek Source Type: journals

Cross-cultural adaptation and validation of the VISA-A questionnaire for German-speaking Achilles tendinopathy patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The VISA-A questionnaire was successfully cross-cultural adapted and validated for use in German speaking populations. The psychometric properties of the VISA-A-G questionnaire are similar to those of the English version. It therefore can be recommended as a sufficiently robust tool for future measuring clinical severity of Achilles tendinopathy in German speaking patients. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - October 30, 2009 Category: Orthopaedics Authors: Heinz LohrerTanja Nauck Source Type: journals

Repetitive H-Wave(R) device stimulation and program induces significant increases in the range of motion of post operative rotator cuff reconstruction in a double-blinded randomized placebo controlled human study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: HWDS compared to PLACEBO induces a significant increase in range of motion in positive management of rotator cuff reconstruction, supporting other previous research on HWDS and improvement in function. Interpretation of this preliminary investigation while suggestive of significant increases in Range of Motion of Post -Operative Rotator Cuff Reconstruction, warrants further confirmation in a larger double-blinded sham controlled randomized study. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - October 29, 2009 Category: Orthopaedics Authors: Kenneth BlumAmanda ChenThomas ChenRoger WaiteB William DownsEric BravermanMallory KernerStella SavarimuthuNicholas DiNubile Source Type: journals

Empirical evaluation of the inter-relationship of articular elements involved in the pathoanatomy of knee osteoarthritis using Magnetic Resonance ImagingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: In this cross-sectional study, we conducted a comprehensive assessment of all articular elements that could be measured using knee MRI. We assessed the association of pathological change in multiple articular structures involved in the pathoanatomy of osteoarthritis. Methods: Knee MRI scans from patients over 45 years old were assessed using a semi-quantitative knee MRI assessment form. The form included six distinct elements: cartilage, bone marrow lesions, osteophytes, subchondral sclerosis, joint effusion and synovitis. Each type of pathology was graded using an ordinal scale with a value of zero indicating ...
Source: BMC Musculoskeletal Disorders - October 29, 2009 Category: Orthopaedics Authors: Dennis MeredithElena LosinaGesa NeumannHiroshi YoshiokaPhilipp LangJeffrey Katz Source Type: journals

A randomized single blind crossover trial comparing leather and commercial wrist splints for treating chronic wrist pain in adults.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Leather wrist splints were superior to a commercially available fabric splint for the short-term relief of pain and dysfunction.Key words: wrist, splints, ADL, rheumatoid arthritis, osteoarthritis, occupational therapy (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - October 20, 2009 Category: Orthopaedics Authors: Jill ThieleRachel NimmoWendy RowellStephen QuinnGraeme Jones Source Type: journals

Is visual estimation of passive range of motion in the pediatric lower limb valid and reliable?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Accuracy of VE of passive hip flexion and knee PROMs is high regardless of the examiner's experience. Same accuracy can be found for hip rotations and abduction whenever VE is performed by an experienced examiner. Goniometric evaluation is recommended for passive hip adduction and for ankle PROMs. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - October 11, 2009 Category: Orthopaedics Authors: Rami RachkidiIsmat GhanemIbrahim KaloucheSamer El HageFernand DagherKhalil Kharrat Source Type: journals

Relevance of MRI in prediction of malignancy of musculoskeletal system-A prospective evaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Differentiation of malignant from benign lesions of musculoskeletal system is best made by a combination of clinical and imaging parameters rather than by any single MR characteristic. When a lesion has a non-specific MR imaging appearance, it is useful to formulate a suitably ordered differential diagnosis based on tumour prevalence, patient age, and anatomic location. A systematic approach markedly improves diagnostic results. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - October 7, 2009 Category: Orthopaedics Authors: Alex DanielEkram UllahShagufta WahabVasantha Kumar Source Type: journals

Patients' experiences of living with and receiving treatment for fibromyalgia syndrome: a qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: FMS is a condition that intrudes upon many aspects of patients' lives and is little understood. At the same time, it is a syndrome that evokes uneasiness in health care staff (as current diagnostic criteria are not well supported by objective markers of physiological or biochemical nature, and indeed because of doubt about the existence of the condition) and places great demands on resources in clinical practice. Greater attention needs to be paid to the links between the explanatory models of patients and staff, and most important, to the interrelationship between the complex physical, psychological and social...
Source: BMC Musculoskeletal Disorders - October 6, 2009 Category: Orthopaedics Authors: Heidi LemppStephani HatchSerena CarvilleErnest Choy Source Type: journals

Divided by a lack of common language? - a qualitative study exploring the use of language by health professionals treating back pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Few of the existing medical terms were understood and accepted by lay participants in the way discussed and expected by health professionals. Misunderstandings, unintended meanings and negative emotional responses to terms were common within the study focus groups. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - October 4, 2009 Category: Orthopaedics Authors: Karen BarkerMargaret ReidCatherine Minns Lowe Source Type: journals

Objective and subjective assessment of sleep in chronic low back pain patients compared with healthy age and gender matched controls: a pilot studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: While approximately 70% of chronic low back pain (CLBP) sufferers complain of sleep disturbance, current literature is based on self report measures which can be prone to bias and no objective data of sleep quality, based exclusively on CLBP are available. In accordance with the recommendations of The American Sleep Academy, when measuring sleep, both subjective and objective assessments should be considered as the two are only modestly correlated, suggesting that each modality assesses different aspects of an individual's sleep experience. Therefore, the purpose of this study was to expand previous research in...
Source: BMC Musculoskeletal Disorders - October 1, 2009 Category: Orthopaedics Authors: Grainne O'DonoghueNiall FoxConor HeneghanDeirdre Hurley Source Type: journals

Are classifications of proximal radius fractures reproducible?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Inter- and intra-observer agreement of the Mason and Morey classifications showed overall satisfactory reliability when compared to the AO/ASIF system. The Mason classification is the most reliable system. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 30, 2009 Category: Orthopaedics Authors: Fabio MatsunagaMarcel TamaokiEduardo CordeiroAnderson UeharaMarcos IkawaMarcelo MatsumotoJoao dos SantosJoao Belloti Source Type: journals

Retention of the posterior cruciate ligament versus the posterior stabilized design in total knee arthroplasty: a prospective randomized controlled clinical trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study is to determine whether the patient's perceived outcome and speed of recovery differs between a posterior cruciate retaining total knee arthroplasty and a posterior stabilized total knee arthroplasty. Methods: A randomized controlled trial will be conducted. Patients who are admitted for primary unilateral TKA due to primary osteoarthrosis are included when the following inclusion criteria are met: non-fixed fixed varus or valgus deformity less than 10 degrees, age between 55 and 85 years, body mass index less than 35 kg/m2 and ASA score (American Society of Anaesthesiologists) I or II. Patients...
Source: BMC Musculoskeletal Disorders - September 29, 2009 Category: Orthopaedics Authors: Lennard Van den BoomReinoud BrouwerInge Van den Akker-ScheekSjoerd BulstraJos Van Raaij Source Type: journals

Effects of a training program after surgically treated ankle fracture: a prospective randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The results of this study suggest that when adjusting for interaction between age-group and treatment effect the training model employed in this study was superior to usual care in patients under the age of 40. However, as only three out of nine outcome measures showed a difference, the beneficial effect from an additional standardised individually suited training program can be expected to be limited. There is need for further studies to elucidate how a training program should be designed to increase and optimise function in patients middle-aged or older.Trial Registration: Current Controlled Trials ACTRN12609...
Source: BMC Musculoskeletal Disorders - September 24, 2009 Category: Orthopaedics Authors: Gertrud NilssonKjell JonssonCharlotte EkdahlMagnus Eneroth Source Type: journals

The predictive effect of fear-avoidance beliefs on low back pain among newly qualified health care workers with and without previous low back pain: a prospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Both physical work load and fear-avoidance beliefs matters in those with previous LBP. Only fear-avoidance beliefs matters in those without previous LBP. The study did not find a moderating effect of fear-avoidance beliefs on the association between physical work load and LBP. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 23, 2009 Category: Orthopaedics Authors: Jette Nygaard JensenKaren AlbertsenVilhelm BorgKirsten Nabe-Nielsen Source Type: journals

Regulation of peripheral blood flow in Complex Regional Pain Syndrome: clinical implication for symptomatic relief and pain managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe diminished blood flow may be caused by either sympathetic dysfunction, hypersensitivity to circulating catecholamines, or endothelial dysfunction. The pain may be of neuropathic, inflammatory, nociceptive, or functional nature, or of mixed origin.SummaryThe origin of the pain should be the basis of the symptomatic therapy. Since the difference in temperature between both hands fluctuates over time in cold CRPS, when in doubt, the clinician should prioritize the patient's report of a persistent cold extremity over clinical tests that show no difference. Future research should focus on developing easily applied...
Source: BMC Musculoskeletal Disorders - September 22, 2009 Category: Orthopaedics Authors: George GroenewegFrank HuygenTerence CoderreFreek Zijlstra Source Type: journals

Preliminary results, methodological considerations and recruitment difficulties of a randomised clinical trial comparing two treatment regimens for patients with headache and neck painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: It appears that both treatment strategies can have equivalent positive influences on headache complaints. Additional studies with larger study populations are needed to draw firm conclusions. Recommendations to increase patient inflow in primary care trials, such as the use of an extended network of participating physicians and of clinical alert software applications, are discussed.Trial registration numberNCT00298142 (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 22, 2009 Category: Orthopaedics Authors: Willem De HertoghPeter VaesDirk DevroeyPaul LouisHans CarpaySteven TruijenWilliam DuquetRob Oostendorp Source Type: journals

Characteristics of patients with chronic back pain who benefit from acupunctureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This secondary analysis found little evidence for the existence of subgroups of patients with chronic back pain that would be especially likely to benefit from acupuncture. However, persons with chronic low back pain who had more severe baseline dysfunction had the most short-term benefit from acupuncture. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 20, 2009 Category: Orthopaedics Authors: Karen ShermanDaniel CherkinLaura IchikawaAndrew AvinsWilliam BarlowPartap KhalsaRichard Deyo Source Type: journals

Biomechanical optimization of different fixation modes for a proximal femoral L-osteotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Additional screw placement on the proximal segment improves stability in the postoperative femur. The cobra-type plate with additional screw holes in the proximal area might improve the effectiveness of L-osteotomies. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 9, 2009 Category: Orthopaedics Authors: Ching-Lung TaiWeng-Pin ChenHsih-Hao ChenChien-Yu LinMel S. Lee Source Type: journals

Green tea polyphenols and Tai Chi for bone health: Designing a placebo-controlled randomized trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the rationale, design, and methodology of a placebo-controlled randomized trial to investigate a new complementary and alternative medicine strategy featuring a dietary supplement and a mind-body exercise for alleviating bone loss in osteopenic postmenopausal women. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 3, 2009 Category: Orthopaedics Authors: Chwan-Li ShenMing-Chien ChyuJames YehCarol FeltonKe XuBarbara PenceJia-Sheng Wang Source Type: journals

The relationship between spasticity in young children (18 months of age) with cerebral palsy and their gross motor function developmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our findings indicate that when measured over one year, spasticity is marginally related to gross motor function development in infants with CP. The initial level of spasticity is only one of the many child, environmental and family factors that determines gross motor development of a young child with CP. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 3, 2009 Category: Orthopaedics Authors: Jan Willem GorterOlaf VerschurenLaura Van RielMarjolijn Ketelaar Source Type: journals

Effects of High Frequency Loading on RANKL and OPG mRNA Expression in ST-2 Murine Stromal CellsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Although high frequency OFF does not appear to further enhance the decrease in the RANKL/OPG ratio, these results suggest a potential to differentially control the change in either RANKL or OPG mRNA expression by applying different loading frequencies. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 3, 2009 Category: Orthopaedics Authors: Chi Hyun KimKyung Hwan KimChristopher Jacobs Source Type: journals

Emotion regulation in patients with rheumatic diseases: validity and responsiveness of the Emotional Approach Coping Scale (EAC)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The EAC is an acceptable and valid instrument for measuring emotional processing and expression in patients with rheumatic diseases. The EAC scales were responsive to change in an intervention designed to promote emotion regulation. The instrument has not yet been tested for test-retest reliability, which is recommended in future studies. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - September 2, 2009 Category: Orthopaedics Authors: Heidi ZangiAndrew GarrattKare Birger HagenAnnette StantonPetter MowinckelArnstein Finset Source Type: journals

No long-term impact of low-energy distal radius fracture on health-related quality of life and global quality of life. a case-control study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined 160 patients and 169 age- and sex matched controls, respectively (mean (SD)) 67 (9) and 66 (9) years of age. HRQOL was assessed by the Modified Health Assessment Questionnaire (MHAQ) and the Short -Form 36 (SF-36). The Quality of Life Scale (QOLS) assessed GQOL. Paired sample t-tests and multiple linear regression analyses were applied. Results: After one year no differences were found in HRQOL (assessed as arm functions, physical health and mental health) compared to pre-fracture level in the patient group. Both patients with distal radius fracture and controls reported a reduced GQOL after one year (p (Source...
Source: BMC Musculoskeletal Disorders - August 24, 2009 Category: Orthopaedics Authors: Gudrun RohdeGlenn HaugebergAnne Marit MengshoelTorbjorn MoumAstrid Wahl Source Type: journals

Patients' views on responsibility for the management of musculoskeletal disorders - A qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: No matter what the expressions of responsibility for musculoskeletal disorders are, own responsibility needs to be met by society, health care, employers and family in an appropriate way, with as much or as little of the "right type" of support needed, based on the individual's expectations. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - August 16, 2009 Category: Orthopaedics Authors: Maria LarssonLena NordholmIngbritt Ohrn Source Type: journals

Validity and reliability of the Dutch translation of the VISA-P questionnaire for patellar tendinopathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The translated Dutch version of the VISA-P questionnaire is equivalent to its original version, has satisfactory test-retest reliability and is a valid score to evaluate symptoms, knee function and ability to play sports of Dutch athletes with patellar tendinopathy. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - August 10, 2009 Category: Orthopaedics Authors: Johannes ZwerverTamara KramerInge van den Akker-Scheek Source Type: journals

Choosing surgery: patients' preferences within a trial of treatments for anterior cruciate ligament injury. A qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Participants in a trial of treatments for acute ACL injury express a variety of views and beliefs about those treatments, and trial participation happens in the absence of equipoise. Furthermore, opting for surgical reconstruction does not necessarily provide patients with satisfactory outcomes. Definition of successful outcome may require an individualised approach, incorporating patients' as well as surgeons' views before treatment decisions are made. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - August 9, 2009 Category: Orthopaedics Authors: Carina ThorstenssonL LohmanderRichard FrobellEwa RoosRachael Gooberman-Hill Source Type: journals

Short-term effects of implemented high intensity shoulder elevation during computer workEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background, work-site strength training sessions are shown effective to prevent and reduce neck-shoulder pain in computer workers, but difficult to integrate in normal working routines. A solution for avoiding neck-shoulder pain during computer work may be to implement high intensity voluntary contractions during the computer work. However, it is unknown how this may influence productivity, rate of perceived exertion (RPE) as well as activity and rest of neck-shoulder muscles during computer work. The aim of this study was to investigate short-term effects of a high intensity contraction on productivity, RPE and upper trap...
Source: BMC Musculoskeletal Disorders - August 9, 2009 Category: Orthopaedics Authors: Mette LarsenAfshin SamaniPascal MadeleineHenrik OlsenKaren SogaardAndreas Holtermann Source Type: journals

Electric toothbrush application is a reliable and valid test for differentiating temporomandibular disorders pain patients from controlsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The electric toothbrush stimulus had excellent test-retest reliability. Validity of the scores was demonstrated with modest sensitivity and good specificity for differentiating TMD pain patients from controls, which are acceptable properties for a screening test.Key words: sensory threshold; temporomandibular disorder; pain; reliability; sensitivity and specificity (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 29, 2009 Category: Orthopaedics Authors: Donald NixdorfAzar HemmatyJohn LookEric SchiffmanMike John Source Type: journals

The Intensive Diet and Exercise for Arthritis (IDEA) Trial: design and rationaleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the intervention, the empirical evidence to support it, and test-retest reliability data. Methods: This is a prospective, single-blind, randomized controlled trial. The study population consists of 450 overweight and obese (BMI = 27-40 kg/m2) older (age [greater than or equal to] 55 yrs) adults with tibiofemoral osteoarthritis. Participants are randomized to one of three 18-month interventions: intensive dietary restriction-plus-exercise; exercise-only; or intensive dietary restriction-only. The primary aims are to compare the effects of these interventions on inflammatory biomarkers and knee joint l...
Source: BMC Musculoskeletal Disorders - July 27, 2009 Category: Orthopaedics Authors: Stephen MessierClaudine LegaultShannon MihalkoGary MillerRichard LoeserPaul DeVitaMary LylesFelix EcksteinDavid HunterJeff WilliamsonBarbara Nicklas Source Type: journals

Contributions of myofascial pain in diagnosis and treatment of shoulder pain. A radomized controlled trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aims to provide a new vision of shoulder pain, from the perspective of MPS. This syndrome can, by itself, account for shoulder pain and dysfunction, although it can coexist with real conditions involving the tendons.ISRCTN Number: 30907460 (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 23, 2009 Category: Orthopaedics Authors: Sara Perez-PalomaresBarbara Olivan-BlazquezAna Arnal-BurroOrlando Mayoral-Del-MoralElena Gaspar-CalvoMa Luisa De-la-Torre-BelderrainElena Lopez-LapenaMarina Perez-BenitoVictoria Ara-LorienteLaura Romo-Calvo Source Type: journals

DAS-28-based EULAR response and HAQ improvement in rheumatoid arthritis patients switching between TNF antagonists.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
IntroductionNo definitive data are available regarding the value of switching to an alternative TNF antagonist in rheumatoid arthritis patients who fail to respond to the first one. The aim of this study was to evaluate treatment response in a clinical setting based on HAQ improvement and EULAR response criteria in RA patients who were switched to a second or a third TNF antagonist due to failure with the first one. Methods: This was an observational, prospective study of a cohort of 417 RA patients treated with TNF antagonists in three university hospitals in Spain between January 1999 and December 2005. A database was cr...
Source: BMC Musculoskeletal Disorders - July 22, 2009 Category: Orthopaedics Authors: Federico Navarro- SaarabiaDolores Ruiz-MontesinosBlanca HernandezVictoria Navarro-CompanSara MarsalMireia BarceloEva Perez-PampinJuan Gomez-Reino Source Type: journals

Musculoskeletal disorders in physically active conscripts: a one-year follow-up study in the Finnish Defence ForcesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Preventive measures during military service should be targeted at decreasing low back pain and lower limb overuse injuries, because these inflict the largest burden of MSDs and tend to have a chronic nature. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 21, 2009 Category: Orthopaedics Authors: Henri TaanilaJaana SuniHarri PihlajamakiVille MattilaOlli OhrankammenPetteri VuorinenJari Parkkari Source Type: journals

A three-group study, internet-based, face-to-face based and standard- management after acute whiplash associated disorders (WAD) - choosing the most efficient and cost-effective treatment: study protocol of a randomized controlled trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study we are controlling for two factors. First, the effect of behavioural medicine approach is compared with standard care. Second, the manner in which the behavioural medicine treatment is administered, Internet or face-to-face, is evaluated in it's effectiveness and cost-effectiveness.Methods / Design: The study is a randomized, prospective, experimental three-group study with analyzes of cost-effectiveness up to two-years follow-up. Internet - based program and face-to-face group treatment program are compared to standard-treatment only. Patient follow-ups take place three, six, twelve and 24 months, that is, s...
Source: BMC Musculoskeletal Disorders - July 21, 2009 Category: Orthopaedics Authors: Anne SoderlundAnnika BringPernilla Asenlof Source Type: journals

Neck/shoulder pain in adolescents is not related to the level or nature of self-reported physical activity or type of sedentary activity in an Australian pregnancy cohortEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Self-reported one month and lifetime NSP prevalence in adolescents is not related to the level or intensity of physical activity or the type of sedentary activity over a one week period. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 19, 2009 Category: Orthopaedics Authors: Andrew BriggsLeon StrakerNatasha BearAnne Smith Source Type: journals

Treatment with intravenous pamidronate is a good alternative in case of gastrointestinal side effects or contraindications for oral bisphosphonatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study we compared the effect on change in bone mineral density (BMD) of the spine and hip during long term treatment with pamidronate iv in comparison to OB. Methods: We studied 61 patients receiving treatment for at least two years. In case of contraindications or intolerance (within 3 months) of an OB, pamidronate iv was started. BMD was measured on a Hologic 4500 and a Lunar DPX-IQ at the spine (L1-L4) and total hip. Results: Thirty-one patients were enrolled in the OB group and 30 in the intravenous pamidronate group. Mean follow-up duration (SD) was 4.3 (1.3) years. We observed a significant increase (p (Sourc...
Source: BMC Musculoskeletal Disorders - July 14, 2009 Category: Orthopaedics Authors: Danielle EekmanMarijn VisIrene BultinkHarm DerikxBen DijkmansWillem Lems Source Type: journals

The panorama of future sick-leave diagnoses among young adults initially long-term sickness absent due to neck, shoulder, or back diagnoses. An 11-year prospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Although the young adults initially were sick listed with back disorders, they were sickness absent due to a wide variety of other medical diagnoses during the follow up. It might be that the ill-health content of sickness absence due to back pain is greater than usually assumed. More research on prognoses associated with diagnoses for sickness absence is warranted. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 13, 2009 Category: Orthopaedics Authors: Marjan VaezJan HagbergKristina Alexanderson Source Type: journals

Pulsed electromagnetic fields after arthroscopic treatment for osteochondral defects of the talus: double-blind randomized controlled multicenter trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThis trial will provide level-1 evidence on the effectiveness of PEMFs in the management of osteochondral ankle lesions after arthroscopy.Trial registrationNetherlands Trial Register (NTR1636) (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 9, 2009 Category: Orthopaedics Authors: Christiaan van BergenLeendert BlankevoortRob de HaanInger SiereveltDuncan MeuffelsPieter d'HoogheRover KripsGeert van DammeC. van Dijk Source Type: journals

Postural changes in women with chronic pelvic pain: a case control studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Chronic pelvic pain (CPP) is a lower abdominal pain lasting at least 6 months, occurring continuously or intermittently and not associated exclusively with menstruation or intercourse. Although the musculoskeletal system has been found to be involved in CPP, few studies have assessed the contribution of posture in women with CPP. We therefore determined the frequency of postural changes in women with CPP. Methods: A case-control study included 108 women with CPP of more than 6 months' duration (CPP group) who consecutively attended at the Hospital of the University of Sao Paulo and 48 healthy female volunteers ...
Source: BMC Musculoskeletal Disorders - July 6, 2009 Category: Orthopaedics Authors: Mary MontenegroElaine Mateus- VasconcelosJulio Rosa e SilvaFrancisco Candido dos ReisAntonio NogueiraOmero Poli Neto Source Type: journals

Is health related quality of life associated with the risk of low-energy wrist fracture? A case control study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Wrist fracture patients perceive themselves to be as healthy as the controls before fracture. Our data indicate that patients with favourable and unfavourable HRQOL measures may be at increased risk of wrist fracture. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 2, 2009 Category: Orthopaedics Authors: Gudrun RohdeAnne MengshoelAstrid WahlTorbjorn MoumGlenn Haugeberg Source Type: journals

Characteristics and natural course of vertebral endplate signal (Modic) changes in the Danish general populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The prevalence of VESC increased significantly over the four-year period. Furthermore, the results from this study indicate that the distribution of VESC, its association with disc degeneration and its natural course, is dependent on the size of the signal changes. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - July 2, 2009 Category: Orthopaedics Authors: Tue JensenTom BendixJoan SorensenClaus MannicheLars KorsholmPer Kjaer Source Type: journals

A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study will be an assessor-blinded randomized controlled trial that will investigate the difference in clinical effectiveness and costs of an individualized walking programme and a supervised general exercise programme compared to usual physiotherapy, which will act as the control group, in people with chronic low back pain. A sample of 246 patients will be recruited in Dublin, Ireland through acute general hospital outpatient physiotherapy departments that provide treatment for people with CLBP. Patients will be randomly allocated to one of the three groups in a concealed manner. The main outcomes will be functional d...
Source: BMC Musculoskeletal Disorders - July 1, 2009 Category: Orthopaedics Authors: Deirdre HurleyGrainne O'DonoghueMark TullyJennifer Klaber MoffettWillem van MechelenLeslie DalyColin BorehamSuzanne McDonough Source Type: journals

Thoracic spine pain in the general population: Prevalence, incidence and associated factors in children, adolescents and adults. A systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: TSP is a common condition in the general population. While there is some evidence for biopsychosocial associations it is limited and further prospectively designed research is required to inform prevention and management strategies. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - June 28, 2009 Category: Orthopaedics Authors: Andrew BriggsAnne SmithLeon StrakerPeter Bragge Source Type: journals

Optimising corticosteroid injection for lateral epicondylalgia with the addition of physiotherapy: A protocol for a randomised control trial with placebo comparison.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This trial will utilise high quality trial methodologies in accordance with CONSORT guidelines. Findings from this study will assist in the development of evidence based practice recommendations and potentially the optimisation of resource allocation for rehabilitating lateral epicondylalgia.Trial registration: Australian New Zealand Clinical Trials Register ACTRN12609000051246 (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - June 23, 2009 Category: Orthopaedics Authors: Brooke CoombesLeanne BissetLuke ConnellyPeter BrooksBill Vicenzino Source Type: journals

Study protocol Preventing knee injuries in adolescent female football players - design of a cluster randomized controlled trial [NCT00894595]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionPrevention of knee injury is beneficial for players, clubs, insurance companies, and society. If the warm-up program is proven to be effective in reducing the incidence of knee injury, it can have a major impact by reducing the future knee injury burden in female football as well as the negative long-term disabilities associated with knee injury.Trial registration: NCT00894595 (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - June 22, 2009 Category: Orthopaedics Authors: Martin HagglundMarkus WaldenIsam Atroshi Source Type: journals