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[PMID]:28467573
[Au] Autor:Kahraman T; Göz E; Genç A
[Ti] Título:The association between self-reported low back pain and lower limb disability as well as the association between neck pain and upper limb disability.
[So] Source:Agri;29(1):1-8, 2017 Jan.
[Is] ISSN:1300-0012
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To investigate the association between self-reported low back pain (LBP) and lower limb disability as well as the association between neck pain and upper limb disability. METHODS: A hundred twenty-six participants registered as a healthcare staff member were included in this cross-sectional study. The presence of neck and LBP were determined using the Nordic Musculoskeletal Questionnaire. Neck and LBP/disability were measured with the Neck Pain and Disability Scale (NPDS) and Oswestry Disability Index (ODI), respectively. Upper and lower limb disability were measured with the Quick Disabilities of Arm, Shoulder, and Hand (Quick-DASH) and Western Ontario and McMaster Osteoarthritis Index (WOMAC), respectively. RESULTS: Participants reporting LBP had more musculoskeletal complaints in the lower limbs (p<0.001) and similarly participants reporting neck pain also reported more musculoskeletal complaints in the upper limbs (p<0.001). There was a correlation between the ODI and WOMAC in the participant reporting LBP during the 12 months (ρ=0.510, p<0.001) and during the last 7 days (ρ=0.674, p<0.001). The NPAD was correlated with the Quick-DASH in the participants reporting neck pain during the last 12 months (ρ=0.659, p<0.001) and the last 7 days (ρ=0.734, p<0.001). CONCLUSION: People reporting more severe LBP also reported high levels of lower limb disability. This association was also existing between the neck pain and upper limb disability.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Dor Lombar/fisiopatologia
Extremidade Inferior/fisiopatologia
Cervicalgia/fisiopatologia
Extremidade Superior/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Dor Lombar/etiologia
Masculino
Cervicalgia/etiologia
Medição da Dor
Autorrelato
Índice de Gravidade de Doença
Inquéritos e Questionários
Turquia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/agri.2016.65668


  2 / 5716 MEDLINE  
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[PMID]:29252633
[Au] Autor:Aggarwal RA; Srivastava S; Bhosale S; Roy K
[Ad] Endereço:Department of Orthopaedics, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, Maharashtra, India.
[Ti] Título:Congenital Agenesis of the Posterior Elements of the Axis (C2), Occipitalization of the Atlas (C1), and Basilar Invagination in an Adult Woman: A Case Report.
[So] Source:JBJS Case Connect;6(3):e56, 2016 Jul-Sep.
[Is] ISSN:2160-3251
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CASE: A 55-year-old woman presented with chronic neck pain. Physical and neurological examination results were normal. Radiographs revealed absence of the posterior elements of C2 with hypertrophy of the spinous process of C3. A computed tomography scan showed occipitalization of the atlas with basilar invagination. Magnetic resonance imaging did not reveal any soft-tissue abnormalities. The patient was treated with a short course of a nonsteroidal anti-inflammatory drug and physiotherapy. CONCLUSION: Agenesis of the posterior elements of C2 should be considered in patients with hypertrophy of the spinous process of C3. Patients may have a varied presentation ranging from neck pain to myelopathy. Dynamic (flexion and extension) lateral cervical spine radiographs should be obtained, as cases reported in the literature involved instability of the cervical spine.
[Mh] Termos MeSH primário: Vértebra Cervical Áxis/anormalidades
Atlas Cervical/anormalidades
Cervicalgia/etiologia
[Mh] Termos MeSH secundário: Vértebra Cervical Áxis/diagnóstico por imagem
Atlas Cervical/diagnóstico por imagem
Feminino
Seres Humanos
Meia-Idade
Cervicalgia/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.CC.15.00261


  3 / 5716 MEDLINE  
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[PMID]:27771360
[Au] Autor:de Zoete RMJ; Osmotherly PG; Rivett DA; Farrell SF; Snodgrass SJ
[Ad] Endereço:School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW, Australia. Electronic address: Rutger.deZoete@newcastle.edu.au.
[Ti] Título:Sensorimotor Control in Individuals With Idiopathic Neck Pain and Healthy Individuals: A Systematic Review and Meta-Analysis.
[So] Source:Arch Phys Med Rehabil;98(6):1257-1271, 2017 06.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: (1) To identify reported tests used to assess sensorimotor control in individuals with idiopathic neck pain and (2) to investigate whether these tests can quantify differences between individuals with idiopathic neck pain and healthy individuals. DATA SOURCES: Allied and Complementary Medicine Database, CINAHL, Cochrane Central Register of Controlled Trials, Embase, MEDLINE, Physiotherapy Evidence Database, Scopus, and SPORTDiscus. STUDY SELECTION: Studies reporting sensorimotor outcomes in individuals with idiopathic neck pain or healthy individuals were identified. There were 1,677 records screened independently by 2 researchers for eligibility: 43 studies were included in the review, with 30 of these studies included in the meta-analysis. DATA EXTRACTION: Methodologic quality was determined using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Data were extracted using a standardized extraction table. DATA SYNTHESIS: Sensorimotor control was most commonly assessed by joint position error and postural sway. Pooled means for joint position error after cervical rotation in individuals with neck pain (range, 2.2°-9.8°) differed significantly (P=.04) compared with healthy individuals (range, 1.66°-5.1°). Postural sway with eyes open ranged from 4.85 to 10.5cm (neck pain) and 3.5 to 6.6cm (healthy) (P=.16), and postural sway with eyes closed ranged from 2.51 to 16.6cm (neck pain) and 2.74 to 10.9cm (healthy) (P=.30). Individual studies, but not meta-analysis, demonstrated differences between neck pain and healthy groups for postural sway. Other test conditions and other tests were not sufficiently investigated to enable pooling of data. CONCLUSIONS: The findings from this review suggest sensorimotor control testing may be clinically useful in individuals with idiopathic neck pain. However, results should be interpreted with caution because clinical differences were small; therefore, further cross-sectional research with larger samples is needed to determine the magnitude of the relation between sensorimotor control and pain and to assess any potential clinical significance.
[Mh] Termos MeSH primário: Cervicalgia/fisiopatologia
Cervicalgia/reabilitação
Modalidades de Fisioterapia
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
Amplitude de Movimento Articular
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29305455
[Au] Autor:Peng B; Yang L; Yang C; Pang X; Chen X; Wu Y
[Ad] Endereço:General Hospital of Armed Police Force, 69 Yongding Road, Beijing 100039, China.
[Ti] Título:The effectiveness of anterior cervical decompression and fusion for the relief of dizziness in patients with cervical spondylosis: a multicentre prospective cohort study.
[So] Source:Bone Joint J;100-B(1):81-87, 2018 Jan.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Cervical spondylosis is often accompanied by dizziness. It has recently been shown that the ingrowth of Ruffini corpuscles into diseased cervical discs may be related to cervicogenic dizziness. In order to evaluate whether cervicogenic dizziness stems from the diseased cervical disc, we performed a prospective cohort study to assess the effectiveness of anterior cervical discectomy and fusion on the relief of dizziness. PATIENTS AND METHODS: Of 145 patients with cervical spondylosis and dizziness, 116 underwent anterior cervical decompression and fusion and 29 underwent conservative treatment. All were followed up for one year. The primary outcomes were measures of the intensity and frequency of dizziness. Secondary outcomes were changes in the modified Japanese Orthopaedic Association (mJOA) score and a visual analogue scale score for neck pain. RESULTS: There were significantly lower scores for the intensity and frequency of dizziness in the surgical group compared with the conservative group at different time points during the one-year follow-up period (p = 0.001). There was a significant improvement in mJOA scores in the surgical group. CONCLUSION: This study indicates that anterior cervical surgery can relieve dizziness in patients with cervical spondylosis and that dizziness is an accompanying manifestation of cervical spondylosis. Cite this article: 2018;100-B:81-7.
[Mh] Termos MeSH primário: Vértebras Cervicais/cirurgia
Descompressão Cirúrgica/métodos
Tontura/etiologia
Fusão Vertebral/métodos
Espondilose/complicações
Espondilose/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Discotomia/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Cervicalgia/etiologia
Estudos Prospectivos
Índice de Gravidade de Doença
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180107
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.100B1.BJJ-2017-0650.R2


  5 / 5716 MEDLINE  
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[PMID]:29243460
[Ti] Título:Update on Current Care Guideline: Neck pain (adults).
[So] Source:Duodecim;133(7):699-700, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Neck pain is usually non-specific, but serious illness or specific reasons for neck pain need to be ruled out. Patients are encouraged to continue their daily activities. Acute neck pain often disappears without any special treatment. Patient information is important. If pain medication is needed, paracetamol is the primary choice. Multidisciplinary treatment is recommended if disabling pain does not improve during the first two months. Neck-specific exercises are recommended in the chronic phase.
[Mh] Termos MeSH primário: Cervicalgia/fisiopatologia
Cervicalgia/terapia
[Mh] Termos MeSH secundário: Acetaminofen/uso terapêutico
Atividades Cotidianas
Analgésicos não Entorpecentes/uso terapêutico
Terapia por Exercício
Seres Humanos
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Non-Narcotic); 362O9ITL9D (Acetaminophen)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


  6 / 5716 MEDLINE  
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[PMID]:27771787
[Au] Autor:Ma Z; Ma X; Yang H; Guan X; Li X
[Ad] Endereço:Department of Orthopaedics, Shanxi Academy of Medical Sciences & Shanxi DaYi Hospital, No. 99 Long Cheng Street, Taiyuan, 030032, Shanxi Province, China.
[Ti] Título:Anterior cervical discectomy and fusion versus cervical arthroplasty for the management of cervical spondylosis: a meta-analysis.
[So] Source:Eur Spine J;26(4):998-1008, 2017 Apr.
[Is] ISSN:1432-0932
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of this study was to compare the efficacy and safety of anterior cervical discectomy and fusion (ACDF) and cervical arthroplasty for patients with cervical spondylosis. METHODS: PubMed, Embase, and Cochrane Library were used to search for relevant articles published prior to April 2016 to identify studies comparing ACDF and cervical arthroplasty involving patients with cervical spondylosis. Relative risks (RR) and mean differences (MD) were used to measure the efficacy and safety of ACDF and cervical arthroplasty using the random effects model. RESULTS: The meta-analysis of 17 studies involved 3122 patients diagnosed with cervical spondylosis. Patients undergoing ACDF showed lower overall success rate (RR 0.84; 95 % CI 0.77-0.92; P < 0.001), higher VAS score (MD 0.36; 95 % CI 0.08-0.64; P = 0.011), and shorter mean surgical duration (MD -1.62; 95 % CI -2.80 to -0.44; P = 0.007) when compared with cervical arthroplasty. However, the association between ACDF therapy and the risk of mean blood loss (MD -0.16; 95 % CI -0.34 to 0.02; P = 0.082), mean hospitalization (MD 0.02; 95 % CI -0.31 to 0.36; P = 0.901), patient satisfaction (RR 0.96; 95 % CI 0.92-1.00; P = 0.066), neck disability index (MD 0.20; 95 % CI -0.05 to 0.44; P = 0.113), reoperation (RR 1.25; 95 % CI 0.64-2.41; P = 0.514), or complication (RR 1.17; 95 % CI 0.90-1.52; P = 0.242) was not statistically significant. CONCLUSIONS: Patients undergoing ACDF therapy tended to exhibit lower overall success rate, higher VAS score, and decreased mean surgical duration when compared with patients treated with cervical arthroplasty.
[Mh] Termos MeSH primário: Artroplastia/métodos
Vértebras Cervicais/cirurgia
Discotomia/métodos
Fusão Vertebral/métodos
Espondilose/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Cervicalgia/etiologia
Satisfação do Paciente
Reoperação
Espondilose/complicações
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1007/s00586-016-4779-7


  7 / 5716 MEDLINE  
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[PMID]:29211741
[Au] Autor:Essex H; Parrott S; Atkin K; Ballard K; Bland M; Eldred J; Hewitt C; Hopton A; Keding A; Lansdown H; Richmond S; Tilbrook H; Torgerson D; Watt I; Wenham A; Woodman J; MacPherson H
[Ad] Endereço:Department of Health Sciences, University of York, York, United Kingdom.
[Ti] Título:An economic evaluation of Alexander Technique lessons or acupuncture sessions for patients with chronic neck pain: A randomized trial (ATLAS).
[So] Source:PLoS One;12(12):e0178918, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the cost-effectiveness of acupuncture and usual care, and Alexander Technique lessons and usual care, compared with usual GP care alone for chronic neck pain patients. METHODS: An economic evaluation was undertaken alongside the ATLAS trial, taking both NHS and wider societal viewpoints. Participants were offered up to twelve acupuncture sessions or twenty Alexander lessons (equivalent overall contact time). Costs were in pounds sterling. Effectiveness was measured using the generic EQ-5D to calculate quality adjusted life years (QALYs), as well as using a specific neck pain measure-the Northwick Park Neck Pain Questionnaire (NPQ). RESULTS: In the base case analysis, incremental QALY gains were 0.032 and 0.025 in the acupuncture and Alexander groups, respectively, in comparison to usual GP care, indicating moderate health benefits for both interventions. Incremental costs were £451 for acupuncture and £667 for Alexander, mainly driven by intervention costs. Acupuncture was likely to be cost-effective (ICER = £18,767/QALY bootstrapped 95% CI £4,426 to £74,562) and was robust to most sensitivity analyses. Alexander lessons were not cost-effective at the lower NICE threshold of £20,000/QALY (£25,101/QALY bootstrapped 95% CI -£150,208 to £248,697) but may be at £30,000/QALY, however, there was considerable statistical uncertainty in all tested scenarios. CONCLUSIONS: In comparison with usual care, acupuncture is likely to be cost-effective for chronic neck pain, whereas, largely due to higher intervention costs, Alexander lessons are unlikely to be cost-effective. However, there were high levels of missing data and further research is needed to assess the long-term cost-effectiveness of these interventions.
[Mh] Termos MeSH primário: Acupuntura/métodos
Dor Crônica/terapia
Análise Custo-Benefício
Movimento
Manipulações Musculoesqueléticas/métodos
Cervicalgia/terapia
[Mh] Termos MeSH secundário: Acupuntura/economia
Fatores Etários
Feminino
Seres Humanos
Masculino
Manipulações Musculoesqueléticas/economia
Atenção Primária à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180110
[Lr] Data última revisão:
180110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0178918


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[PMID]:29228056
[Au] Autor:Misterska E; Glowacki J; Okret A; Laurentowska M; Glowacki M
[Ad] Endereço:Department of Pedagogy and Psychology, University of Security, Poznan, Poland.
[Ti] Título:Back and neck pain and function in females with adolescent idiopathic scoliosis: A follow-up at least 23 years after conservative treatment with a Milwaukee brace.
[So] Source:PLoS One;12(12):e0189358, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We aimed to explore the long-term outcomes of back and neck pain and functionality in adult females with adolescent idiopathic scoliosis (AIS), who had been treated with a Milwaukee brace, in a follow-up study a minimum of 23 years after the completion of the treatment, using radiological, clinical and socio-demographical data. Thirty AIS patients (scoliosis group-SG), were included in the study based on an extensive search of Pediatric Orthopedics and Traumatology Clinic charts. All treatments were successfully completed between 1974 and 1990. In all cases, scoliosis had not been detected before the age of 10 and was not combined with any major spinal deformities at the time when the brace treatment was implemented. In those patients, the Risser sign 4 and minimum two years post-menarche was defined as a maturity, after that time the brace treatment was completed. Patients were excluded from the study if they, at the time of the follow-up examinations, suffered from any other disease leading to trunk deformity. Forty patients met the criteria for inclusion, but due to change some personal details, not all of them were contacted. Finally, 30 women returned for a follow-up evaluation. Patients' follow-up period was mean 27.77 yrs. ± SD 3.30 (range 23-35). Curvature change from the end of the treatment until the present day was mean 9.1 degrees ± SD 7.64 (range 0-27). A control group of 42 healthy females (healthy controls group-HG) matching the age profile of the patient group was randomly selected for comparative purposes.Both SG and HG completed the Polish versions of the Revised Oswestry Lower Back Pain Disability Index (RODI), the Rolland-Morris Questionnaire (RMQ), the Quebec Back Pain Disability Scale (QDS), the Neck Disability Index (NDI) and the Copenhagen Neck Functional Disability Scale (CNFDS). Descriptive statistics were calculated for demographics and baseline questionnaire scores. To determine if the investigated sample sizes are equivalent, the chi-square test was used. The chi-square test was used to compare qualitative features between persons with scoliosis and healthy controls. In addition, a Mann-Whitney test was utilized to compare differences between both groups in regard to quantitative characteristics. To establish relations between quantitative data such as e.g. age, duration of brace application, apical translation, Cobb angle, and questionnaire results, we used Spearman's rank correlation (marked as rS). To determine dependency between quantitative and qualitative characteristics, e.g. between questionnaire numerical data and marital status, place of residence or curve type, ANOVA Kruskal-Wallis test was used. A p<0.05 indicates statistical significance. Statistical calculations were performed by Statistica software. In regards to RODI, RMQ, QDS, NDI and CNFDS (both for total scores and particular sub-sections), statistically significant differences (p <0.001) between both samples were found, indicating higher levels of pain and neck and lower back pain-related disability among persons with scoliosis. Associations exist between RODI and RMQ (rS = 0.76) QDS (rS = 0.70), NDI (rS = 0.69) and CNFDS (rS = 0.60). RMQ was associated with QDS (rS = 0.71) and NDI (rS = 0.69), whereas QDS correlated with NDI (rS = 0.80) and CNFDS (rS = 0.60). NDI was also associated with CNFDS (rS = 0.81). Persons with scoliosis treated in adolescence with a Milwaukee brace display significant restrictions in everyday activities, due to lower back pain (LBP) and neck-related disabilities, compared to healthy controls. In addition, back pain is associated with curve progression in long-term follow-up after conservative treatment. Moreover, LBP-related disability coexists with restrictions experienced due to neck pain.
[Mh] Termos MeSH primário: Dor nas Costas/fisiopatologia
Braquetes
Tratamento Conservador
Cervicalgia/fisiopatologia
Escoliose/complicações
[Mh] Termos MeSH secundário: Adolescente
Adulto
Dor nas Costas/etiologia
Feminino
Seguimentos
Seres Humanos
Cervicalgia/etiologia
Escoliose/terapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189358


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[PMID]:27772562
[Au] Autor:Ortego G; Villafañe JH; Doménech-García V; Berjano P; Bertozzi L; Herrero P
[Ad] Endereço:iPhysio Research Group, Universidad San Jorge, Campus Universitario, Autov A23 km 299, 50830, Villanueva de Gállego Zaragoza, Spain. Electronic address: gortego@alumni.usj.es.
[Ti] Título:Is there a relationship between psychological stress or anxiety and chronic nonspecific neck-arm pain in adults? A systematic review and meta-analysis.
[So] Source:J Psychosom Res;90:70-81, 2016 11.
[Is] ISSN:1879-1360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To systematically review and analyze the research evidence linking stress or anxiety to chronic nonspecific neck-arm pain (NSNAP) in adults. SUBJECTS AND METHODS: Data were obtained from Pubmed, Scopus, PsycInfo, Web of Science, Physiotherapy Evidence Database (PEDro) and The Cochrane library database from their inception to July 2015. Two authors independently conducted the searches, extracted data, and completed methodological quality assessments. The methodological quality of the cohort and case-control studies was evaluated using the Newcastle-Ottawa scale, whilst the quality of the Randomized Controlled Trial (RCT) was evaluated using the PEDro scale. RESULTS: Twenty-eight studies involving 39,166 participants met the inclusion criteria. Four studies, including 5 pair-wise comparisons, were included in the meta-analysis: Three were cohort studies and 1 was a cross-sectional study. The meta-analysis outcome demonstrated a relationship between chronic NSNAP and psychological stress. The estimate odds ratio for all studies combined was 2.33 (95% CI, 1.04-5.18; p=0.039). A high heterogeneity of the findings appeared (Q=28.94, I =86% p=0.00). CONCLUSION: This study shows that there is a strong relationship between stress and chronic NSNAP. Despite this finding, we cannot support that stress is a risk factor for chronic NSNAP due to the low quality of the results according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE). It was not possible to make a quantitative analysis comparing the relationship between anxiety and chronic NSNAP. However, according to the qualitative analysis there is a strong relationship between anxiety and chronic NSNAP.
[Mh] Termos MeSH primário: Ansiedade/psicologia
Dor Crônica/psicologia
Cervicalgia/psicologia
Dor de Ombro/psicologia
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Adulto
Ansiedade/diagnóstico
Ansiedade/epidemiologia
Braço/patologia
Dor Crônica/diagnóstico
Dor Crônica/epidemiologia
Estudos Transversais
Seres Humanos
Cervicalgia/diagnóstico
Cervicalgia/epidemiologia
Dor de Ombro/diagnóstico
Dor de Ombro/epidemiologia
Estresse Psicológico/diagnóstico
Estresse Psicológico/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


  10 / 5716 MEDLINE  
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Registro de Ensaios Clínicos
[PMID]:27776506
[Au] Autor:Christensen JR; Bredahl TV; Hadrévi J; Sjøgaard G; Søgaard K
[Ad] Endereço:Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark. jrchristensen@health.sdu.dk.
[Ti] Título:Background, design and conceptual model of the cluster randomized multiple-component workplace study: FRamed Intervention to Decrease Occupational Muscle pain - "FRIDOM".
[So] Source:BMC Public Health;16(1):1116, 2016 10 24.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Several RCT studies have aimed to reduce either musculoskeletal disorders, sickness presenteeism, sickness absenteeism or a combination of these among females with high physical work demands. These studies have provided evidence that workplace health promotion (WHP) interventions are effective, but long-term effects are still uncertain. These studies either lack to succeed in maintaining intervention effects or lack to document if effects are maintained past a one-year period. This paper describes the background, design and conceptual model of the FRIDOM (FRamed Intervention to Decrease Occupational Muscle pain) WHP program among health care workers. A job group characterized by having high physical work demands, musculoskeletal disorders, high sickness presenteeism - and absenteeism. METHODS: FRIDOM aimed to reduce neck and shoulder pain. Secondary aims were to decrease sickness presenteeism, sickness absenteeism and lifestyle-diseases such as other musculoskeletal disorders as well as metabolic-, and cardiovascular disorders - and to maintain participation to regular physical exercise training, after a one year intervention period. The entire concept was tailored to a population of female health care workers. This was done through a multi-component intervention including 1) intelligent physical exercise training (IPET), dietary advice and weight loss (DAW) and cognitive behavioural training (CBT). DISCUSSION: The FRIDOM program has the potential to provide evidence-based knowledge of the pain reducing effect of a multi component WHP among a female group of employees with a high prevalence of musculoskeletal disorders and in a long term perspective evaluate the effects on sickness presenteeism and absenteeism as well as risk of life-style diseases. TRIAL REGISTRATION: NCT02843269 , 06.27.2016 - retrospectively registered.
[Mh] Termos MeSH primário: Pessoal de Saúde
Promoção da Saúde
Dor Musculoesquelética/prevenção & controle
Mialgia/prevenção & controle
Exposição Ocupacional/efeitos adversos
Saúde do Trabalhador
Local de Trabalho
[Mh] Termos MeSH secundário: Absenteísmo
Adulto
Exercício
Feminino
Seres Humanos
Estilo de Vida
Masculino
Doenças Musculoesqueléticas/etiologia
Doenças Musculoesqueléticas/prevenção & controle
Dor Musculoesquelética/etiologia
Pescoço
Cervicalgia
Presenteísmo
Projetos de Pesquisa
Ombro
Dor de Ombro
Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE



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