Bibliografie tematiche / Musculoskeletal health and fractures

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Letteratura scientifica selezionata sul tema "Musculoskeletal health and fractures"

Autore: Grafiati

Pubblicato: 29 settembre 2023

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Articoli di riviste sul tema "Musculoskeletal health and fractures"

Ho, Michelle, B. David Horn, Ines C. Lin, Benjamin Chang, Robert B. Carrigan e Apurva Shah. "Musculoskeletal Injuries Resulting from Use of Hoverboards: Safety Concerns With an Unregulated Consumer Product". Clinical Pediatrics 57, n. 1 (22 gennaio 2017): 31–35. http://dx.doi.org/10.1177/0009922816687327.

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Hoverboards were recently introduced to the US consumer market and experienced rapid popularity. Given the high frequency of musculoskeletal injury with other wheeled recreation devices, we sought to analyze hoverboard injuries in children. A retrospective review of patients with musculoskeletal injury related to hoverboard use was performed at a tertiary care children’s hospital. From November 2015 to January 2016, 2.3% of all fractures were related to hoverboards. Common injury mechanisms were fall (79%) and finger entrapment between wheel and wheel-well (10%). The most frequently fractured sites included the distal radius (43%) and phalanx (17%). Common surgical procedures were nailbed repair and pinning for Seymour fracture and percutaneous pinning for distal radius fracture. There exists high risk for distal radius fractures from falls and phalanx fractures from finger entrapment between the wheel and wheel-well. Hoverboard safety can be improved with regular use of wrist guards and improved wheel-well design.

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Krauss, Margot R., Nadia U. Garvin, Michael R. Boivin e David N. Cowan. "Excess Stress Fractures, Musculoskeletal Injuries, and Health Care Utilization Among Unfit and Overweight Female Army Trainees". American Journal of Sports Medicine 45, n. 2 (25 novembre 2016): 311–16. http://dx.doi.org/10.1177/0363546516675862.

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Background: Musculoskeletal injuries are prevalent among military trainees and certain occupations. Fitness and body mass index (BMI) have been associated with musculoskeletal conditions, including stress fractures. Hypothesis: The incidence of, and excess health care utilization for, stress fracture and non–stress fracture overuse musculoskeletal injuries during the first 6 months of service is higher among unfit female recruits. Those who exceeded body fat limits are at a greater risk of incident stress fractures, injuries, or health care utilization compared with weight-qualified recruits. Study Design: Cohort study; Level of evidence, 3. Methods: All applicants to the United States Army were required to take a preaccession fitness test during the study period (February 2005–September 2006). The test included a 5-minute step test scored as pass or fail. BMI was recorded at application. There were 2 distinct comparisons made in this study: (1) between weight-qualified physically fit and unfit women and (2) between weight-qualified physically fit women and those who exceeded body fat limits. We compared the incidence of, and excess health care utilization for, musculoskeletal injuries, including stress fractures and physical therapy visits, during the first 183 days of military service. Results: Among the weight-qualified women, unfit participants had a higher non–stress fracture injury incidence and related excess health care utilization rate compared with fit women, with rate ratios of 1.32 (95% CI, 1.14-1.53) and 1.18 (95% CI, 1.10-1.27), respectively. Among fit women, compared with the weight-qualified participants, those exceeding body fat limits had higher rate ratios for non–stress fracture injury incidence and related excess health care utilization of 1.27 (95% CI, 1.07-1.50) and 1.20 (95% CI, 1.11-1.31), respectively. Weight-qualified women who were unfit had a higher incidence of stress fractures and related excess health care utilization compared with fit women, with rate ratios of 1.62 (95% CI, 1.19-2.21) and 1.22 (95% CI, 1.10-1.36), respectively. Among fit women exceeding body fat limits, the stress fracture incidence and related excess health care utilization rate ratios were 0.79 (95% CI, 0.49-1.28) and 1.44 (95% CI, 1.20-1.72), respectively, compared with those who were weight qualified. Conclusion: The results indicate a significantly increased risk of musculoskeletal injuries, including stress fractures, among unfit recruits and an increased risk of non–stress fracture musculoskeletal injuries among recruits who exceeded body fat limits. Once injured, female recruits who were weight qualified but unfit and those who were fit but exceeded body fat limits had increased health care utilization. These findings may have implications for military accession and training policies as downsizing of military services will make it more important than ever to optimize the health and performance of individual service members.

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Fatimah, Ayu Dinda. "Manajemen anestesi pada fraktur multiple os femur dan os tibia: Sebuah laporan kasus". SEHATI: Jurnal Kesehatan 2, n. 1 (28 febbraio 2022): 1–6. http://dx.doi.org/10.52364/sehati.v2i1.13.

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Fracture is a break in the continuity of bone, joint bone, epiphyseal cartilage, which is total or partial. Currently musculoskeletal disease has become a problem that is often found in health care centers around the world. Overall incidence of fractures was 11.3 in 1,000 per year, in males was 11.67 in 1000 per year, whereas in 10.65 in 1,000 women per year. The classic symptom is a history of trauma fracture, pain and swelling in the broken bones, deformity, musculoskeletal dysfunction, breaking the continuity of the bone, and neurovascular disorders. Principles of fracture treatment is to restore the position of the fracture to its original position (reposition) and held that position during the healing of fractures (immobilization). Special in open fractures, must be considered the danger of infection, either general or local infection. Mr. A 30 years old came with complaints of difficulty moving his left leg after a traffic accident 3 months ago and was taken to a sangkal putung but it didn't heal so he was taken to the hospital and got multiple fractures of the tibia and femur. The patient underwent surgery with the ORIF procedure under general anesthesia. Preoperative, intraoperative, and postoperative management needs to be done correctly and completely to support the success of the operation.

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Burton, Anya, Sarah Drew, Bilkish Cassim, Landing M. Jarjou, Rachael Gooberman-Hill, Sian Noble, Nyashadzaishe Mafirakureva et al. "Fractures in sub-Saharan Africa: epidemiology, economic impact and ethnography (Fractures-E3): study protocol". Wellcome Open Research 8 (21 giugno 2023): 261. http://dx.doi.org/10.12688/wellcomeopenres.19391.1.

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Background: The population of older adults is growing in sub-Saharan Africa. Ageing exponentially increases fragility fracture risk. Of all global regions, Africa is projected to observe the greatest increase in fragility fractures. Fractures cause pain, disability and sometimes death, and management is expensive, often requiring complex healthcare delivery. For countries to plan future healthcare services, understanding is needed of fracture epidemiology, associated health service costs and the currently available healthcare resources. Methods: The Fractures-E3 5-year mixed-methods research programme will investigate the epidemiology, economic impact, and treatment provision for fracture and wider musculoskeletal health in The Gambia, South Africa and Zimbabwe. These three countries are diverse in their geography, degree of urbanisation, maturity of health service infrastructure, and health profiles. The programme comprises five study types: (i) population-based cross-sectional studies to determine vertebral fracture prevalence. Secondary outcomes will include osteoarthritis and sarcopenia. Age- and sex-stratified household sampling will recruit 5030 adults aged 40 years and older; (ii) prospective cohort studies in adults aged 40 years and older will determine hip fracture incidence, associated risk factors, and outcomes over one year (e.g. mortality, disability, health-related quality of life); (iii) economic studies of direct health costs of hip fracture with projection modelling of future national health costs and cost-effectiveness analyses of different hip fracture care pathways; (iv) national surveys of hip fracture services (including traditional bonesetters in The Gambia); and (v) ethnographic studies of hip fracture care provision and experiences will understand fracture service pathways. Conclusions: Greater understanding of current and expected fracture burdens, fracture risk factors, and existing fracture care provision, is intended to inform national clinical guidelines, health service policy and planning and future health service development in sub-Saharan Africa.

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Mugabe, Herbert, Zorica Terzić-Šupić e Marko Bumbaširević. "Visual impairment and falls as risk factors of orthopaedic fractures". Medicinski podmladak 74, n. 2 (2023): 18–23. http://dx.doi.org/10.5937/mp74-38985.

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The musculoskeletal system represents one of the most affected systems in general traumatology. Fractures of the locomotor system and their effects are among the most severe and demanding injuries for the community in general and for the health system in particular. There are different factors that have been established as risk factors for fractures, with falls representing the main cause. Given the fact that vision has a key role in preserving gait and balance, various conditions of visual impairments have been related to an increase in fall-related injuries, and fractures of the locomotor system, especially in older population. Indeed, with an increased life expectancy, there is a rise in the number of visually impaired individuals and subsequently a rise in the number of falls and fractures. In this study, a review of the incidence and risk factors of musculoskeletal system fractures and falls was conducted, with the incidence of visual impairments in the general population. Another review of different types of visual impairments was done that included potential risk factors for fractures, falls and soft tissue injuries of the hand and if there has been any association between these specific visual impairments and the risk of falling, getting a fracture or a soft tissue injury of the hand.

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Khan, Abdul Rahman, Aziz Ullah, Muhammad Shuaib Chandio, Zulfiqar Ali Jatoi, Sajjad Hussain Bhatti, Sartaj Lakhani e Niaz Hussain Keerio. "Causes and Treatment of Birth Trauma-Related Femoral Fracture: A Longitudinal Study". Pakistan Journal of Medical and Health Sciences 16, n. 8 (31 agosto 2022): 642–43. http://dx.doi.org/10.53350/pjmhs22168642.

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Aim: To determine the causes and treatment of birth trauma related femoral fractures. Study design: A longitudinal study Place and Duration: This study was conducted at DIMC, Dow University of Health Sciences, Karachi from January2021 to January 2022. Methodology:The study included cases of femoral fractures in neonates caused by birth trauma. The cases of birth histories were investigated in terms of gestational age, birth weight,and mode of delivery. The category of femoral fracturesand the treatment performed were both noted. Cases were followed until they were recovered.A comprehensive clinical examination was performed. Other birth traumas, fractures, nerve palsies, and/or symptoms of other musculoskeletal, genetic diseases, such as blue sclera and hypermobile joints (osteogenesis imperfecta), were noted. Results:A total of 15 newborns with femoral fractures were included in this study.The average gestational age was 38.2 weeks, with an average diagnosis time of 3 days. In the majority of cases, the infant was born breech and delivered via Caesarean section. Eleven instances had mid-shaft fractures, while four had subtrochanteric fractures. After an average of 3.1 weeks, all patients had a complete union. Conclusion:A femoral fracture in a neonate due to birth related trauma is quite uncommon. It occurs more frequently in Caesarean sections performed for breech presentation. Preterm and/or low birth weight newborns are at a higher risk. The femur shaft is commonly fractured. The prognosis for these fractures is excellent, and they heal completely after immobilization. Keywords: Birth Trauma, Femoral Fracture, Management, Risk Factors

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Vikramaditya, Rai, Qureshi G Aniqa, Chimnani Morisha, Syed Wajiha e Ruddock-Scott A Zalika. "Musculoskeletal Complications Associated with Vitamin D Deficiency and Review of Current Interventions". International Journal of Current Research and Review 14, n. 22 (2022): 10–15. http://dx.doi.org/10.31782/ijcrr.2022.142201.

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Hypovitaminosis D is commonly prevalent in older populations the world over leading to increased levels of bone resorption, and reduced bone mass, often resulting in osteoporosis and increased chances of falls and fractures. In children, vitamin D deficiency is known to cause rickets due to the hypomineralization of bone. PubMed, EMBASE, Cochrane Library, and Google Scholar databases were searched from database inception until May 20, 2022. Searches were performed between January 2022 and May 2022. We studied whether daily vitamin D supplementation with or without calcium improves bone mineral density (BMD) and bone architecture. Supplementation with vitamin D for 3 to 5 years minimally decreased total fracture incidence, but the findings were not precise. Supplementation of vitamin D with calcium for 3 to 5 years had no significant effect on total fracture incidence or hip fracture incidence in men and women. Pediatric vitamin D status is associated with the avoidance of rickets. Observational studies point to at least 10µg/day of vitamin D supplementation for attaining optimum bone health in children, but the results of RCTs have been unclear. However, despite 10 RCTs reported on adolescent girls, the definitive amount of vitamin D supplementation and its association with optimal bone mineralization remains ambiguous, and not much is known regarding the needs of male children. The available evidence from completed RCT studies provided only limited or no support for the effect of vitamin D alone on the prevention of fracture. However, vitamin D supplementation combined with calcium seemed to slightly reduce the likelihood of fractures. Before recommending the use of vitamin D alone or in conjunction with calcium for the prevention of fractures in high-risk individuals, RCTs evaluating the effects of daily doses of vitamin D on fracture risk are required.

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Walker, Jennie. "Osteoporosis: prevention and management". Nursing and Residential Care 25, n. 3 (2 marzo 2023): 1–7. http://dx.doi.org/10.12968/nrec.2020.0015.

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Osteoporosis is a common skeletal condition that is characterised by low bone mass, increased bone fragility and an increased risk of fracture. It is important to understand who may be at risk of developing osteoporosis and sustaining fragility fractures so that appropriate steps can be taken to minimise any modifiable risk factors. Simple lifestyle changes, such as increasing physical activity, stopping smoking and ensuring adequate nutritional intake, can improve musculoskeletal health and reduce fracture risk.

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Adami, G., A. Fassio, C. Benini, O. Viapiana, D. Gatti, D. Bertelle e M. Rossini. "POS0388 IMPACT OF GLUCOCORTICOIDS AND ANTI-OSTEOPOROTIC TREATMENT ON BONE HEALTH IN PATIENTS WITH INFLAMMATORY RHEUMATIC MUSCULOSKELETAL DISEASES (IRMD): A LONGITUDINAL STUDY". Annals of the Rheumatic Diseases 82, Suppl 1 (30 maggio 2023): 448.2–449. http://dx.doi.org/10.1136/annrheumdis-2023-eular.949.

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BackgroundThe negative effects of glucocorticoids (GCs) on the bone depend on dose and treatment duration. However, it is unclear whether a safe dose exists, especially for patients with inflammatory rheumatic musculoskeletal diseases (iRMDs).ObjectivesThe primary objective of the present study was to determine, in a real-life setting, the risk of fragility fracture associated with the dose of glucocorticoids in iRMD.MethodsWe conducted a longitudinal cohort study on women with iRMD. Data were extracted from the DeFRA database (2012-2020). DeFRA is a fracture risk assessment tool similar to FRAX. Bone mineral density and fractures were assessed prospectively and compared to a matched cohort (propensity score matching, PSM with age, T-score and the % 10-year fracture risk estimated with DeFRA fracture risk assessment tool). Kaplan-Meier curves with log-rank test were made for iRMD (stratified for glucocorticoid use and dosage) and matched cohort respectively.Results884 women with iRMD and 1,766 controls (age, T-score, and 10-year fracture risk matched) were included in the study and followed for up to 6 years. BMD levels decreased significantly in all GCs users not receiving anti-osteoporosis treatment (-4.26% p 0.0011, -4.23% p 0.0422, -2.66% p 0.0006 for ≥5 mg/day, 2.5 mg to 5 mg and 0 to 2.5 mg/day of prednisolone, respectively). As regards patients receiving anti-osteoporosis medications, BMD levels decreased significantly only in patients receiving ≥5 mg/day of pred eq (-3.01%, p 0.0012), whereas in patients receiving 2.5 mg to 5 mg and 0 to 2.5 mg/day, concomitantly treated with anti-osteoporotic drugs, BMD did not decrease significantly (+3.10% p NS, +1.12% p NS, respectively).figure 1A. Fracture incidence was greater in patients with iRMD compared to controls but only GC doses above 5 mg/day were associated with significantly higher risk of fracturefigure 1B. 21, 12 and 29 fractures were reported for patients receiving ≥5 mg/day, 2.5 mg to 5 mg and 0 to 2.5 mg/day respectively, corresponding to a crude fracture rate of 4.8 fractures per 100 person-year, 2.8 fractures per 100 person-year and 2.5 fractures per 100 person-year respectively. 103 fractures were registered in the PSM cohort (crude fracture rate of 2.2 fractures per 100 person-year). We also explored the effects of GC on serum C-terminal telopeptide of type 1 collagen (CTX) in a subset of patients with available data (n=335). We found that the proportion of patients with low bone turnover (<400 ng/L) was numerically greater in patients receiving ≥5 mg/day compared to other doses and controls (p NS)ConclusionGC doses as low as 2.5 mg/day were associated with BMD loss in iRMD but this effect was preventable. BMD loss in patients taking ≥5 mg/day was not totally prevented by anti-osteoporotic medications currently used in clinical practice, resulting in higher risk of fracture.Figure 1.REFERENCES:NIL.Acknowledgements:NIL.Disclosure of InterestsGiovanni Adami Speakers bureau: Theramex, Eli-Lilly, BMS, Amgen, UCB, Fresenius Kabi, Galapagos, Angelo Fassio: None declared, Camilla Benini: None declared, Ombretta Viapiana: None declared, Davide Gatti: None declared, Davide Bertelle: None declared, Maurizio Rossini: None declared.

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Key, Brandon M., John Symanski, Matthew J. Scheidt e Sean M. Tutton. "Vertebroplasty, Kyphoplasty, and Implant-Based Mechanical Vertebral Augmentation". Seminars in Musculoskeletal Radiology 25, n. 06 (dicembre 2021): 785–94. http://dx.doi.org/10.1055/s-0041-1739531.

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AbstractVertebral compression fractures are a global public health issue with a quantifiable negative impact on patient morbidity and mortality. The contemporary approach to the treatment of osteoporotic fragility fractures has moved beyond first-line nonsurgical management. An improved understanding of biomechanical forces, consequential morbidity and mortality, and the drive to reduce opioid use has resulted in multidisciplinary treatment algorithms and significant advances in augmentation techniques. This review will inform musculoskeletal radiologists, interventionalists, and minimally invasive spine surgeons on the proper work-up of patients, imaging features differentiating benign and malignant pathologic fractures, high-risk fracture morphologies, and new mechanical augmentation device options, and it describes the appropriate selection of devices, complications, outcomes, and future trends.

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Più fonti

Tesi sul tema "Musculoskeletal health and fractures"

Chen, Yong. "Comparative Effectiveness of Alendronate and Risedronate on the Risk of Non-Vertebral Fractures in Older Women: An Instrumental Variables Approach: A Dissertation". eScholarship@UMMS, 2011. https://escholarship.umassmed.edu/gsbs_diss/582.

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Osteoporosis is a significant public health problem in the U.S. It not only affects the physical well-being of the older women but also creates a substantial financial burden for the health care system. The mainstay of osteoporosis medications is bisphosphonate treatment of which alendronate and risedronate are the most commonly prescribed in clinical practice. However, there have been no head-to-head randomized controlled trials (RCTs) evaluating the effects of these two bisphosphonates on fracture outcomes. In the absence of RCTs, observational studies are necessary to provide alternative evidence on the comparative effectiveness between alendronate and risedronate on fracture outcomes. However, existing observational studies have provided inconclusive results partially due to residual confounding from unobserved variables such as patients’ health status or behavior. IV analysis may be one method to address unmeasured confounding bias in observational studies. While it has not been applied in bisphosphonate research, it has been used in research on a variety of other prescription medications. In this dissertation, we applied the IV approach with an IV, date of generic alendronate availability, to evaluate the comparative effectiveness between alendronate and risedronate using observational data. This dissertation improved current research in several ways. First, we extended the IV approach to research on bisphosphonates. Second, compared with the current observational studies on bisphosphonates, this dissertation may more accurately estimate the relative effects between alendronate and risedronate because IV analysis is not subject to unmeasured confounding bias. Third, the study results extended the current evidence of the comparative effectiveness between the two most commonly prescribed bisphosphonates. Finally, we proposed and provided empirical evidence of a new IV that might be used for future prescription drug research. The finding of this dissertation can be summarized from three aspects. First, we found that the evidence supported the validity of the date of generic availability as an IV in the study of bisphosphonates. Second, applying IV approach to study the comparative effectiveness of alendronate and risedronate, we found that alendronate and risedronate were comparable to reduce the risk of 12-month non-vertebral fractures in older women. Since generic alendronate is availability on the market while generic risedronate is not, promoting the use of alendronate may help reduce the healthcare cost and not sacrifice the clinical effectiveness. Finally, by comparing the proposed IV with a popular IV-physician preference, we found that both the calendar time IV based on the date of generic availability and the physician preference appeared to be valid. It might be practically easier to use the calendar time IV than the physician preference IV.

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Megale, Rodrigo Zunzarren. "Musculoskeletal pain and ageing". Thesis, The University of Sydney, 2017. http://hdl.handle.net/2123/19884.

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Musculoskeletal pain is a complex phenomenon involving biomechanics, inflammation and central pain processing pathways. The ageing process and ageing-related conditions can affect the course of musculoskeletal pain; conversely, the presence of pain can affect the ageing process, contributing to increased risks of adverse health outcomes. Despite the importance of managing pain in older adults, questions remain in terms of the best approach as the use of analgesics in this population is associated with increased risks of adverse events. This thesis contributes to the current knowledge of how age-related conditions such as multimorbidity and frailty interact with musculoskeletal pain and its management. The specific aims are: a) to determine whether frailty status is a risk factor for development of chronic or intrusive musculoskeletal pain; b) to determine whether pain increases the risk of developing the frailty phenotype; c) to describe the current management of vertebral compression fractures, a common and painful musculoskeletal condition typically seen in older adults; and d) to review and appraise the literature on the efficacy and safety of opioid analgesics for older adults with musculoskeletal pain.«br /» To address the first and the second aims, longitudinal data from the Concord Health and Ageing in Men Project (CHAMP), a prospective population based cohort study, were used.«strong» «/strong»A total of 1705 men aged 70 years or older, living in an urban area of New South Wales, Australia, were included in the CHAMP baseline study. Data on the presence of chronic pain (daily pain for at least 3 months), intrusive pain (pain causing moderate to severe interference with activities) and the criteria for the Cardiovascular Health Study frailty phenotype were collected in three waves, from January 2005 to October 2013. After adjusting for potential confounders, no association between frailty and future chronic or intrusive pain was observed. However, non-frail (robust and pre-frail) men who reported chronic pain were 1.60 (95% confidence interval (CI): 1.02 to 2.51, p=0.039) times more likely to develop frailty at follow-up, compared to those with no pain. For those reporting intrusive pain, the odds of developing future frailty were 1.64 (95%CI: 0.97-2.78, p=0.063). In summary, the presence of chronic pain increased the risk of developing the physical frailty phenotype in community-dwelling older men.«br /» To address the third aim, data from the Bettering the Evaluation And Care of Health (BEACH) program collected between April 2005 and March 2015 were used. Each year, a random national sample of approximately 1,000 GPs each recorded information on 100 consecutive patient encounters. All encounters at which vertebral compression fracture was managed were selected. Vertebral compression fractures were managed in 211 (0.022%; 95% CI: 0.018–0.025) of the 977,300 BEACH encounters recorded April 2005– March 2015. At encounters with patients aged 50 years or over, prescription of opioids analgesics (47.1 per 100 vertebral fractures; 95% CI: 38.4–55.7) was the most common management action. Prescriptions of paracetamol (8.2 per 100 vertebral fractures; 95% CI: 4-12.4) or non-steroidal anti-inflammatory drugs (4.1 per 100 vertebral fractures; 95% CI: 1.1-7.1) were less frequent. Non-pharmacological treatment was provided at a rate of 22.4 per 100 vertebral fractures (95% CI: 14.6-30.1). In summary, prescription of oral opioid analgesics remains the commonest general practice approach for vertebral compression fractures management, despite the lack of evidence to support this approach.«br /» The fourth aim concerns the efficacy and safety of using opioid analgesics in older adults with musculoskeletal pain. A systematic review with meta-analysis was performed including 23 randomized controlled trials with mean population age of 60 years or older that compared the efficacy and safety of opioid analgesics with placebo for musculoskeletal pain conditions. Opioid analgesics had a small effect on decreasing pain intensity (Standardised mean difference (SMD): -0.27; 95% CI: -0.33 to -0.20) and improving function (SMD: -0.27, 95%CI: -0.36 to -0.18), which was not associated with daily dose or treatment duration. The risk of adverse events was three times higher (OR: 2.94; 95% CI: 2.33 to 3.72) and treatment discontinuation four times higher (OR: 4.04; 95% CI: 3.10 to 5.25) in opioid treated patients. The systematic review concluded that, in older adults suffering from musculoskeletal pain, using opioid analgesics had only a small effect on pain and function at the cost of a higher risk of adverse events and treatment discontinuation. Therefore, for this specific population, the opioid-related risks may outweigh the benefits.«br /» From the results presented in the chapters of this thesis, important conclusions can be drawn: a) chronic musculoskeletal pain increases the risk of developing frailty in older adults and therefore, pain management should be part of a potential strategy to prevent frailty; b) despite being commonly prescribed for musculoskeletal pain in older adults, opioid analgesics alone are not likely to result in significant relief of chronic pain in these patients; c) instead of recommending opioid analgesics for persistent pain in older patients, guidelines should recommend comprehensive pain assessment, multimodal strategies and multidisciplinary approaches.

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Neville, Charlotte Eleanor. "Diet, lifestyle and musculoskeletal health". Thesis, Queen's University Belfast, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.534615.

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Payne, Nancy. "Musculoskeletal fitness, assessment and health implications". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ39219.pdf.

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Woods, Valerie. "Work inequalities and musculoskeletal ill health". Thesis, University of Surrey, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435101.

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Logsdon, Susannah M. "The Incidence of Stress Fractures Among All Female Division I Athletes at Virginia Polytechnic Institute and State University". Thesis, Virginia Tech, 1999. http://hdl.handle.net/10919/42175.

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Stress fractures are common overuse injuries that have plagued athletes for many years. Often referred to as fatigue fractures, they are formed when the skeletal muscles fatigue and can no longer absorb the shock of repetitive pounding activities such as running. Stress fractures are most common in the weight-bearing bones of the lower extremities and are usually preceded by sudden increases or changes in training routines. Because they are most common in athletes who are least fit, it has been hypothesized that freshmen athletes who are not prepared for the increased physical demands of college athletics have the greatest risk for developing stress fractures compared to other academic classes. As of yet however, there have been very few studies that have examined the interaction of different variables such as academic class, on the formation of stress fractures. Therefore, the purpose of this study was to look at the incidence, frequency and pattern of stress fractures among the female athletes at Virginia Polytechnic Institute and State University. A retrospective analysis of 28 injury cases over four years revealed that 67% of the injuries occurred in freshmen athletes. The majority of these were in the lower leg and occurred in mid-season rather than pre-season. There were no relationships found between the variables sport, class, site and season and thus it was concluded that the incidence of injury was not affected by the interaction of these variables. However, the variables themselves did influence the formation of stress fractures. Ultimately, this study provided insight on what factors should be carefully examined in order to prevent future stress fracture injuries in collegiate athletes.
Master of Science

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Prenzler, Elizabeth A. "Musculoskeletal adaptation to dance". Thesis, Queensland University of Technology, 1998. https://eprints.qut.edu.au/36748/1/36748_Prenzler_1998.pdf.

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Training can facilitate adaptive changes in the human body in response to activity, and these changes are evident in dancers. Unique manoeuvres inherent in the training programmes and performance of dancers have a significant influence on adaptive responses of the musculo-skeletal system. These set manoeuvres must be executed to be visually correct and often involve extreme ranges of movement, along with highly repetitive moves and frequent jumping. As dancers often begin training at an early age, physiological changes may take place as their bodies adapt to the positions and loads experienced. Additional factors that may influence adaptation are nutritional deficiencies, menstrual abnormalities, floor surfaces, inadequate footwear and hours of practice. The process of adaptation affects both the skeletal and muscular systems of the body and both positive and negative consequences are evident. Negative effects may be expressed by high injury rates, pertaining mainly to the lower limb and often chronic in nature. A significant factor in the cause of injury relates to the inability to effectively match training levels and intensities with positive adaptation. Bone mineral density (BMD) is one measure that can be taken to examine the adaptive response of bone. Following training, BMD has been found to increase at specific sites in response to loading at those sites. However, if the loads or frequency of loads are too great, failure may occur which may ultimateiy lead to stress fractures. Muscular adaptation to training may be evident by increases in muscular strength and the presence of muscle imbalance, although a precise definition of what constitutes an imbalance is unclear. Studies claim that symmetry in terms of strength should exist between muscles on opposite sides of the body, or that a specific ratio is found between the agonisUantagonist muscle groups of the same extremity. A discrepancy of more than 10% from expected values has been classified as an imbalance, potentially causing injury, and muscle imbalances have frequently been linked with dancing injuries. While many studies have investigated imbalance and injury, the relationship between them is still unclear and few studies have targeted specific muscle groups in the area of dance. It is necessary to prospectively examine this relationship and to more closely monitor training intensities and subsequent changes in the musculo-skeletal system. The purpose of this study was to investigate prospectively the relationship between factors commonly associated with injuries and the injury profiles of female dancers. The specific aims were to determine the anthropometry, skeletal status, muscular strength and flexibility characteristics of this group of dancers; to investigate the nature of the training program with respect to duration, intensity and frequency components; and to investigate the relationship between these factors and injury throughout a season of dancing. Twenty female dance students from the Queensland University of Technology dance program and five female dance students from the Brisbane Dance Centre participated in the study. Over a 10-month period, five measures were taken at the beginning of the university semester. Muscie strength was measured using a Kin-Com isokinetic dynamometer including hip flexors/extensors, hip abductors/adductors, hip external/internal rotators, knee fiexors/extensors, ankle invertors/evertors and ankie plantar/dorsiflexors. These measures were also used to determine muscle strength ratio's. Passive ranges of movement of the above actions were measured using a Leighton flexometer. The Lunar densitometer was used to measure bone mineral density of the proximal femur and lumbar spine. Anthropometric measures were used to establish body composition and a submaximal fitness test was carried out at each of the test periods. Continual monitoring of activity levels and injuries occurred throughout the 10 month period. Training intensity was established by analysis of dance classes, activity diaries and force plate measurements. The training hours of dancers were not significantly different between injured and non-injured dancers. It was noted however, that there was a discrepancy between the number of hours recorded and the actual number of active hours completed in the dancers training history, due to the nature of the dance classes. No skeletal injuries were recorded, therefore a comparison with BMD measures could not be made, however the values from the dancers from this study were higher than previous dance studies. Muscular characteristics in terms of strength and flexibility did show evidence of adaptation at certain joints compared to normal values, however they were different again to professional dancers. While a number of characteristics showed significant differences between injured and non-injured groups, these were viewed with caution due to the exploratory nature of the study. They did reveal however, that further investigation, particularly around the ankle joint and hip joint is warranted.

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Cruz, Eduardo José Brazete Carvalho. "Clinical reasoning in musculoskeletal physiotherapy in Portugal". Thesis, University of Brighton, 2010. https://research.brighton.ac.uk/en/studentTheses/5d5210fe-b5d1-4bc6-be38-aa29f91a1178.

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Clinical reasoning refers to the process in which practitioners, interacting with their patients, structure meaning, goals, and health management strategies based on clinical data, patient/client choices, and professional judgment and knowledge (Higgs & Jones, 2000, p. 11). Recent literature in physiotherapy and other allied health professions describes clinical reasoning as moving between cognitive and decision-making processes required to optimally diagnose and manage impairment and physical disabilities (hypothetic-deductive), and those required to understand and engage with patients' experience of disabilities and impairments (narrative reasoning). Clinical reasoning has been described as a universal process, common to all clinicians, in particular in the musculoskeletal area. However, clinical reasoning models emerged from research developed in specific and well-developed health care and professional cultures, such as Australia and United States, but there has been little discussion of their relevance and applicability to other cultural groups. Since research literature concerning physiotherapy in Portugal is almost non-existent, the aims of this study were twofold. The first aim was to explore clinical reasoning processes in a sample of Portuguese expert physiotherapists and secondly, to identify the current perspective of clinical reasoning held by educators and students, and how it is promoted in the undergraduate curriculum. The focus of the study was musculoskeletal physiotherapy. The research was influenced by the interpretative/constructivist paradigm of inquiry. The study consisted of three parts. In part one, the clinical reasoning approach of a sample of Portuguese expert therapists in musculoskeletal physiotherapy was investigated. The study focused on Portuguese clinicians' interaction with their patients in order to define and manage clinical problems. Data was collected through non-participant observation, semi-structured interviews, memos and field notes, and analysed thematically to identify and compare the practice and reasoning approach used. In part two, the generic aspects of undergraduate physiotherapy curricula in Portugal were analysed to provide a first insight of how educational programmes are organized and delivered in Portugal. Then, current musculoskeletal physiotherapy curricula in Portuguese entry-level physiotherapy programs were analysed by a questionnaire survey and documentary analysis. The specific aim was to capture the educational process and actions underlying current educational practice across undergraduate courses. In part three (Study 3 and 4), a sample of musculoskeletal lecturers and a sample of near graduate students were selected against criteria relating to the diversity of institutions that offer undergraduate physiotherapy courses (private versus public institutions) and length of time as a Physiotherapy education provider. Each course was examined from lecturer and student perspectives (through individual interviews and focus groups) to see what kind of clinical reasoning approach were most emphasised in relation to physiotherapy intervention in musculoskeletal conditions. Data were transcribed and subjected to thematic analysis. Findings showed some similar characteristics in the reasoning process of this group of Portuguese expert physiotherapists in the study when compared with other studies in the musculoskeletal physiotherapy field. However, findings also highlighted that Portuguese physiotherapists were more likely to use and value an instrumental approach to clinical practice. There was little evidence of patients sharing their perspectives about their problems or participating in clinical decisions made. An instrumental approach to reasoning and practice was also dominant in current Portuguese musculoskeletal programs as well in educators' and students' perspectives. The focus was on diagnostic and procedural strategies of reasoning with little emphasis on promoting student competences to involve patients in the decision making process. In this sense, the practice and reasoning of this sample could be seen as more instrumental than communicative. Perspectives on clinical reasoning differ between cultures and contexts of practice and this has implications for the quality of health care education and service delivery. This research has identified the current model of clinical reasoning in Portuguese Physiotherapy practice. The findings have significant implications for clinical practice in musculoskeletal physiotherapy, curriculum development, and wider education and health service policy.

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Sexton, Mary. "Patient-centredness : a conceptual framework for musculoskeletal physiotherapy". Thesis, University of Brighton, 2011. https://research.brighton.ac.uk/en/studentTheses/7b5f1fd2-cfdd-47ba-b05f-f5d4d12d96e1.

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Introduction The centrality of the patient to health care has been increasingly recognised both politically and professionally. Patient-centred care has become synonymous with high-quality care and a number of studies have reinforced patient's desire for, and the positive impact of the approach. Although the concept emerged over 30 years ago, it is still not clear what it is, upon what theories it is based, or how to measure it. Whilst the concept has been explored within medicine, nursing and other allied health professions, within physiotherapy there has only been minimal discussion. The aim of this research was to explore the meaning of patient-centred care in relation to low back pain, from the perspective of musculoskeletal physiotherapists. Methods Purposive sampling was initially used to select participants. Subsequently theoretical sampling was adopted whereby analysis of the data informed the sample selection. Nine musculoskeletal physiotherapists agreed to participate in the study. They ranged in experience from five to 25 years. Individual semi- structured interviews were adopted as the method of data collection. The interviews were audio taped and then transcribed verbatim. Analysis broadly followed the Grounded Theory approach outlined by Strauss and Corbin (1990). It consisted of a process of open, axial and selective coding. Constant comparative analysis resulted in the identification with a core category and three inter-related sub-categories and the development of a substantive theory of patient-centred care.

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Debiparshad, Kevin. "Musculoskeletal phenotype of Egr-1 deficient mice". Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=86749.

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Early growth response protein-1 (EGR-1) is a transcription factor induced by stress or injury, mitogens, and differentiation factors. It has been shown to be regulated by various cytokines, growth factors and by ischemic/hypoxic stress as well as shear stress and mechanical injury. These regulators have been linked to both the development as well the degeneration of the musculoskeletal system, namely articlar cartilage, intervertebral discs (IVDs) and bone. Furthermore, Egr-1 has been shown to regulate the expression of collagens and enzymes affecting the extracellular matrix. Polymorphisms of DNA binding sites for EGR-1 have shown to be associated with both disc degeneration and osteoporosis. The aim of this study was to determine the affects of EGR-1 deficiency on articular cartilage, IVD and bone phenotype.
Wild-type (+/+) C57Bl/6 or Egr-1-deficient (−/−) mice were sacrificed at the same age interval (8- to 9-months). Standard histological preparation and staining with Safranin-O/Fast Green were done. Also immuncohistochemistry was performed using anti-bodies to type X collagen, cleavage products of both type II collagen and aggrecan. Imaging of mice was with plain radiographs, bone mineral density measurements and microCT analysis.
Results revealed that these mice have differences including abnormal bone structure and density, structural and possibly compositional differences in articular cartilage and structural and biochemical changes in IVDs. This points to the importance of Egr-1 in the maintenance of normal bone, IVD and articular cartilage and makes it a possible target for initiating pathological conditions of these tissues.
La protéine de croissance EGR-1 (Early Growth Response protein-1, en anglais) est un facteur de transcription qui est induit par la tension ou la blessure, les facteurs mitogènes, et les facteurs de différenciation. EGR-1 est ainsi régulé par divers cytokines, facteurs de croissance, par les conditions ischémique, ainsi que la tension et les blessures mécaniques. Ces régulateurs ont été reliés au développement ainsi que la dégradation du système squeletto-musculaire, particulièrement le cartilage articulaire, les disques intervertébraux (DIV) et l'os. De plus, il a été démontré que EGR-1 peut réguler l'expression des collagènes et d'enzymes contribuant à la matrice extracellulaire. Le polymorphisme de séquences d'ADN pour les des sites d'attachements d'EGR-1 a démontré être associé avec la dégradation de disques intervertébraux et l'ostéoporose. L'objectif de cette étude était de déterminer l'effet d'une expression réduite d'EGR-1 sur les phénotypes du cartilage articulaire, les DIV, et l'os.
Les souris C57Bl/6 de phénotype sauvage (+/+) ou ceux avec une expression réduite d'EGR-1 (−/−) ont été sacrifiées au même intervalle d'âge (8 à 9 mois). La préparation histologique standard et la coloration avec Safranin-O/Fast Green a été fait. Aussi l'immunohistochimie a été exécuté avec des anticorps pour le collagène de type X, et les produits de clivage du collagène de type II ainsi que les aggrécanes. L'imagerie de souris a été faite avec les radiographies simples, les mesures de densité minéraux de l'os, et avec l'analyse de micro-tomodensitomètre.
Les résultats ont révélé que ces souris ont des différences incluant la structure et densité d'os anormaux, les différences structurelles et possiblement compositionnelles dans le cartilage articulaire, et les changements structurels et biochimiques dans les DIV. Ceci indique à l'importance d'EGR-1 dans l'entretien d'os normal, des DIV et le cartilage articulaire, et le rend une cible possible pour initier les conditions pathologiques de ces tissus.

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Libri sul tema "Musculoskeletal health and fractures"

D, Browner Bruce, a cura di. Skeletal trauma: Fractures, dislocations, ligamentous injuries. 2^a ed. Philadelphia: W.B. Saunders, 1998.

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Wakley, Gill. Musculoskeletal matters in primary care. Abingdon, Oxon: Radcliffe Medical Press, 2001.

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D, Browner Bruce, a cura di. Skeletal trauma: Fractures, dislocations, ligamentous injuries. Philadelphia, PA: Saunders, 1992.

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Ivan, Bojanić, a cura di. Overuse injuries of the musculoskeletal system. 2^a ed. Boca Raton, Fla: CRC Press, 2004.

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Ivan, Bojanić, a cura di. Overuse injuries of the musculoskeletal system. Boca Raton, FL: CRC Press, 1993.

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Margareta, Nordin, Andersson Gunnar 1942- e Pope M. H. 1941-, a cura di. Musculoskeletal disorders in the workplace: Principles and practice. St. Louis: Mosby, 1997.

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Textbook of disorders and injuries of the musculoskeletal system. 3^a ed. Baltimore: Williams & Wilkins, 1999.

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Salter, Robert Bruce. Textbook of disorders and injuries of the musculoskeletal system: An introduction to orthopaedics, fractures, and joint injuries, rheumatology, metabolic bone disease, and rehabilitation. 3^a ed. Baltimore: Williams & Wilkins, 1999.

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Prevention and management of osteoporosis: Report of a WHO Scientific Group. Geneva: WHO, 2003.

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A, Silverstein Barbara, e Washington (State). Safety and Health Assessment and Research for Prevention., a cura di. Musculoskeletal disorders, risk factors and prevention steps: A survey of employers in Washington State. Olympia, Wash: Safety & Health Assessment & Research for Prevention, 1999.

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Capitoli di libri sul tema "Musculoskeletal health and fractures"

Hwang, Sarah K. "Labor and Delivery Considerations: Pubic Symphysis Separation, Fractures Associated with Transient Osteoporosis of Pregnancy, Sacral Stress Fractures, and Coccydynia/Coccyx Fracture". In Musculoskeletal Health in Pregnancy and Postpartum, 171–79. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-14319-4_10.

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Wilson, Helen, Diana Calcraft, Cai Neville, Susan Lanham-New e Louise R. Durrant. "Bone Health, Fragility and Fractures". In Perspectives in Nursing Management and Care for Older Adults, 115–34. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63892-4_9.

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AbstractAchieving and maintaining skeletal health throughout the life trajectory is essential for the prevention of bone diseases such as rickets, osteomalacia and osteoporosis. Rickets and osteomalacia are usually a result of calcium and/or vitamin D deficiency, causing softening of bones and bone pain, and both conditions are treatable with calcium and vitamin D supplementation. Osteoporosis is a multifaceted disease mainly affecting older people, and its pathogenesis (and hence treatment) is more complex. Untreated osteoporosis results in fragility fractures causing morbidity and increased mortality.Nutrition is one of many factors that influence bone mass and risk of bone disease. Developing a nutritional sciences approach is a feasible option for improving bone health.The importance of adequate calcium and vitamin D in ensuring skeletal integrity throughout the life course has a sound evidence base. Poor vitamin D status in population groups of all ages is widespread across many countries (including affluent and non-affluent areas). Public health approaches are required to correct this given the fact that vitamin D is not just required for musculoskeletal health but also for other health outcomes.Dietary protein may be beneficial for bone due to its effect of increasing insulin-like growth-factor-1 (IGF-1). Recent meta-analyses show that dietary protein has a beneficial role to play in bone health at all ages.Other nutritional factors and nutrients (such as potassium, magnesium, vitamin K and acid-base balance) are also likely to have an important role in bone health, though the literature is less clear in terms of the association/relationship and more research is required.

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Ecklund, Kirsten. "Sports-Related Injuries of the Pediatric Musculoskeleton". In IDKD Springer Series, 269–81. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71281-5_19.

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AbstractWorldwide, more than 50 million children and adolescents participate in organized athletic programs annually. Despite the numerous health and well-being benefits, this widespread involvement also leads to acute and overuse injuries that account for millions of medical visits each year. Musculoskeletal injury in childhood may lead to growth disturbance and lifelong disability. Imaging plays a critical role in the diagnosis and management of these injuries. While radiography is sufficient for most long bone fractures, MRI is often necessary for optimal evaluation of injuries involving the radiolucent growth mechanism and articular structures. The following review will discuss the imaging features associated with many sports-related injuries unique to the pediatric musculoskeleton, specifically the lower extremity.

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Cannada, Lisa K., e Tina K. Dreger. "Open fractures". In Musculoskeletal Trauma in the Elderly, 173–84. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-13.

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Clement, Nicholas D. "Multiple fractures". In Musculoskeletal Trauma in the Elderly, 197–206. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-15.

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Tyler, Wakenda K. "Metastatic fractures". In Musculoskeletal Trauma in the Elderly, 207–18. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-16.

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Sassoon, Adam, e George Haidukewych. "Periprosthetic fractures". In Musculoskeletal Trauma in the Elderly, 219–30. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-17.

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Bartoníček, Jan. "Scapular fractures". In Musculoskeletal Trauma in the Elderly, 231–48. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-18.

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Henry, Patrick D. G., e Michael D. McKee. "Clavicle fractures". In Musculoskeletal Trauma in the Elderly, 249–56. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-19.

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Henry, Mark. "Metacarpal fractures". In Musculoskeletal Trauma in the Elderly, 395–406. Boca Raton: CRC Press/Taylor & Francis, 2016.: CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-28.

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Atti di convegni sul tema "Musculoskeletal health and fractures"

Iyer, Sravisht, Blaine A. Christiansen, Benjamin J. Roberts, Michael J. Valentine, Rajaram Manoharan e Mary L. Bouxsein. "A New Biomechanical Model for Estimating Vertebral Loading in the Thoracic Spine". In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206720.

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Back pain is among the most common musculoskeletal complaints. To understand the etiology of back pain, biomechanical models are commonly used to estimate forces on the spine during activities of daily life. To date, these models have considered only the lumbar spine in healthy men due to interest in occupational low back pain. However, vertebral fractures and other injuries are also common in the thoracic region of the spine. Yet, the ribcage and sternum present technical challenges that necessitate different mechanical considerations in the thoracic spine.

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Nakamura, Yukiko, Kazuhiko Adachi, Nungna Wi e Mitsuaki Noda. "A Novel Dynamic Bone Stress Evaluation Method of Postoperative Proximal Femur During Gait by Using Elastic Multi Body Analysis Based on Finite Element Analysis". In ASME 2017 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/imece2017-71042.

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A proximal femur fracture due to osteoporosis is one of serious health care problems in aging societies. Osteosynthesis with pin or screw type of implants, such as Hansson pin (HP), Dual SC Screw (DSCS), is widely used for femoral neck fracture treatment in Japan. Unfortunately, some complications such as secondary fractures, especially peri-prosthetic fractures, may occur during postoperative rehabilitation period. In order to reveal the potential cause of the postoperative fracture from the viewpoint of the biomechanics, authors had already performed the dynamic stress analysis of the treated proximal femur based on finite element (FE) analysis. The final goal of our project is to establish the reliable postoperative bone fracture risk assessment method in response to the daily activity including mainly walking. The aim of this study is to propose a novel elastic multi body analysis method based on FE analysis for proximal femur biomechanics. Patient-specific 3D left hip joint FE model was constructed from an elderly female volunteer’s CT images. The model consists of the pelvis, proximal femur, cartilage and DSCS, as multi bodies. The dynamic loading and boundary conditions were applied to the model for simulating a gait motion. Direction and magnitude of the loads varies in response to the gait motion. The time dependent loading forces; hip contact, gluteus medius, gluteus maximus, tensor fasciae latae and adductor, acting around the hip joint was obtained by inverse dynamic analysis of a human gait using in-house lower-limb musculoskeletal model. These loading and boundary conditions for simulating the gait motion are the major technical advantages of the proposed multi body analysis comparing with the conventional static FE analysis. Time varying stress distribution during the gait was evaluated by using dynamic explicit method via ABAQUS. In order to visually demonstrate dynamic stress distribution, we examined the time varying von Mises stresses at the representative points located on the cortical surface of the proximal femur; femoral head, fracture surface and around the lateral insertion holes. The results indicate significant increase of the stresses around the proximal lateral insertion holes for DSCS treatment. Maximum stress values are good agreement with the previous static FE analysis, on the other hand, these biomechanical discussions based on the stress time histories are only obtained from the proposed method. It is indicated that the proposed method is feasible to support the better pre- and postoperative clinical decisions, which is the main contribution of this study.

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Stepanyan, Hayk, David Gendelberg e William L. Hennrikus. "Simple Clavicle Fractures, a Primary Care Musculoskeletal Injury". In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.204.

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Musa, Ahmed Elmustafa, Alaa Abdulsattar Al-Taie e Renan E. Ibrahem. "Imaging of the Broken Raven's Beak (Coracoid Process Fractures)". In 30th Annual Scientific Meeting of the European Society of Musculoskeletal Radiology (ESSR). Thieme Medical Publishers, Inc., 2023. http://dx.doi.org/10.1055/s-0043-1770048.

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Hernández, Wilder, Sandra Bibiana Avendaño Avendaño e Luis Gabriel Gutierrez. "Musculoskeletal Risk Level among Health Professionals of a Health Entity". In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002618.

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The level of musculoskeletal risk in upper limbs was determined in five areas where health professionals of a health entity in Bogotá-Colombia practice. The essential duties in the Medicine, Bacteriology, Dentistry, Physiotherapy, and Nursing spaces were selected through interviews with employees; the RULA approach was then used to establish the most critical components and the final score. At the level of the neck, shoulders, and wrists, forced postures were the variable that increased the score in areas such as dentistry, Bacteriology, and Physiotherapy. In almost all areas, load handling and movements with high frequency were evidenced. The above findings guide the improvement actions, and the consideration of other factors to be reviewed is recommended.

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Reste, J., M. Eglite, A. Rubine, J. Cirule, G. Zubkova, T. Zvagule e I. Vanadzins. "Musculoskeletal disorders caused by physical overload: the situation in Latvia". In ENVIRONMENTAL HEALTH RISK 2013. Southampton, UK: WIT Press, 2013. http://dx.doi.org/10.2495/ehr130071.

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Zainudin, Farhana Huda. "PHYSICAL ACTIVITY CORRELATES OF MUSCULOSKELETAL SYMPTOMS IN SCHOOL TEACHERS". In Movement, Health and Exercise 2014 Conference. Universiti Malaysia Pahang, 2014. http://dx.doi.org/10.15282/mohe.2014.pah.064.

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Gallot-Lavallée, A., T. Zingg, J. Yerly, S. Eminian, M. Bourgeat, J. F. Knebel, E. Uldry, P. Omoumi e F. Becce. "Do Skeletal Muscle Mass and Quality Predict Mortality in Patients with Pelvic Fractures?" In 26th Annual Scientific Meeting of the European Society of Musculoskeletal Radiology (ESSR). Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1692556.

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Albuquerque, Carlos. "Strategies For The Prevention Of Work-Related Musculoskeletal Injuries: Systematic Review Of Literature". In 3rd International Conference on Health and Health Psychology 2017. Cognitive-crcs, 2017. http://dx.doi.org/10.15405/epsbs.2017.09.8.

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Alarcon-Aldana, A., M. Callejas-Cuervo e A. Padilha Lanari Bo. "Platform Architecture for Musculoskeletal Rehabilitation based on Serious Videogames". In 2019 E-Health and Bioengineering Conference (EHB). IEEE, 2019. http://dx.doi.org/10.1109/ehb47216.2019.8969994.

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Rapporti di organizzazioni sul tema "Musculoskeletal health and fractures"

Yentis, S. M., K. Asanati, C. R. Bailey, R. Hampton, I. Hobson, K. Hodgson, S. Leiffer, S. Pattani e K. Walker-Bone. Better musculoskeletal health for anaesthetists. Association of Anaesthetists, giugno 2021. http://dx.doi.org/10.21466/g.bmhfa.2021.

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3Association of Anaesthetists | Better musculoskeletal health for anaesthetistsSummaryWork-related musculoskeletal disorders are very common amongst healthcare workers, and there is evidence that anaesthetists are at greater risk of upper limb disorders than other groups. This guidance aims to bring together advice and recommendations from a variety of sources in order to inform and support anaesthetists at work, in an attempt to reduce the prevalence and severity of work-related musculoskeletal disorders and the exacerbation of pre-existing disorders. Mechanical and psychosocial risk factors for work-associated musculoskeletal disorders are summarised, along with general principles for achieving better musculoskeletal health and practices specific to areas of the body most at risk. These include recommended exercises and stretches during sedentary work.RecommendationsAttention must be paid by both employers and anaesthetists to the physical and psychological risk factors that may lead to development and/or exacerbation of musculoskeletal disorders. This requires ongoing risk assessments and adherence to published standards of health and safety at work, including training. Such a programme is best achieved as part of a multidisciplinary approach.What other guidelines are available on this topic? There are many sources of guidance on health and safety in the workplace, across many sectors, much of which is of relevance to anaesthetists. There is no readily accessible guidance specifically aimed at the anaesthetic workplace.Why was this guideline developed?This guidance was developed as part of a wider piece of work by the Association of Anaesthetists based around ergonomics of the anaesthetic workplace, as a result of the increased reported incidence of musculoskeletal disorders amongst anaesthetists. It aims to draw on existing guidance and present a summary of advice relevant to anaesthetists and their practice.How and why does this publication differ from existing guidelines?This guidance summarises other advice and recommendations, and focuses on factors relevant to the anaesthetic workplace

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Pentapati, Kalyana, Deepika Chenna, Mathangi Kumar, Medhini Madi e Hanan Siddiq. Prevalence of Musculoskeletal Disorders (MSD) among Dental health care workers. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maggio 2021. http://dx.doi.org/10.37766/inplasy2021.5.0100.

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Schurz, Alexander, Matthias Walter, Melanie Liechti, Nathanael Lutz e Jan Taeymans. Health Economic Evaluation of Weight Reduction Therapies for Overweight Individuals with a Musculoskeletal Diagnosis - A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, novembre 2022. http://dx.doi.org/10.37766/inplasy2022.11.0122.

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Review question / Objective: Are therapies that include weight loss strategies in addition to musculoskeletal interventions cost-effective in reducing pain and improving function in patients with overweight or obesity with a musculoskeletal diagnosis compared with musculoskeletal interventions alone? Condition being studied: Full health economic evaluations which investigate weight reduction programs alone or in combination with musculoskeletal treatment for the treatment of overweight or obese individuals with a musculoskeletal diagnosis. Information sources: Abstract, cost of illness studies, study protocols, congress proceedings, grey literature, study protocols or non-academic studies are not deemed relevant. In addition, systematic reviews and meta-analyses are excluded.

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Derafshi, Mercan, Adriana Petrova, Aditya Jayadas e Semra Peksoz. Investigation of Patrol Officers' Musculoskeletal Health: Needs Assessment of Campus Patrol Officers. Ames: Iowa State University, Digital Repository, 2017. http://dx.doi.org/10.31274/itaa_proceedings-180814-299.

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Wu, Fan, Zhi-hui Huang, Bin Xu, Dawei Sang, Zhi-gang Li e De Liang. Extrapedicular vs transpedicular percutaneous kyphoplasty for osteoporotic vertebral compression fractures. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, marzo 2023. http://dx.doi.org/10.37766/inplasy2023.3.0048.

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Review question / Objective: To assess the efficacy and safety of the two approaches as a treatment for patients with OVCF. Condition being studied: Osteoporotic Vertebral Compression Fractures(OVCFs) is one of the most common health problems in the elderly population. Percutaneous kyphoplasty is a minimally invasive technique that has gained widespread recognition. Transpedicular and extrapedicular are two approaches for kyphoplasty. But over the last decade, the safety and effect of two approaches remain unclear, and there is still a lack if evaluation of their therapeutic effects. Information sources: We searched CENTRAL; MEDLINE; EMBASE; Chinese Biological Medicine Database; VIP Journals Database; Wan-fang database, CNKI; and Chinese Evidence-Based Medicine Database from the their inception to December 2020. The search terms used were: the transpedicular approach and extrapedicular approach for treating OVCF in both English and Chinese. We also searched our own files manually for relevant articles. We hand searched Chinese language journals and conference proceedings. We included dissertations and abstracts, provided they contained sufficient detail for critical evaluation.

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Лукаш, ,. Людмила Вікторівна. The didactic model of education of the future elementary school teachers to activities for the prevention of violations of children’s posture. Wydawnictwo Naukowe Wyzszej Szkoly Informatyki i Umiejetnosci, 2016. http://dx.doi.org/10.31812/0564/1459.

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The state of musculoskeletal system incidence of pupils of secondary schools remains a pressing problem in all regions of Ukraine, in spite of significant achievements in this direction. The determination of the readiness of teachers and senior students of pedagogical college for implementation of health-keeping technologies, which are aimed at creating a physiological posture of schoolchildren, to the educational process was conducted by our questioning method. 95% of teachers and 77.6% of students (according to polls) need methodological assistance for effective use of health-keeping technologies. We consider the main task of high school to be an optimization of the informational flow regarding health-keeping during the educational process and adaptation of the ways of presenting information to the perception of modern youth. The self-education has a great value for getting mastery, so it is necessary that a student or a teacher could have a wide access to both literature and electronic media. The Internet conferences, Internet sites, electronic textbooks, computer programs will be useful.

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Tedla, Jaya Shanker, Devika Rani Sangadala, Debjani Mukherjee, Ravi Shanker Reddy, Venkata Nagaraj Kakaraparthi, Kumar Gular e Snehil Dixit. Quality of life among children with special needs in the Kingdom of Saudi Arabia. A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, marzo 2023. http://dx.doi.org/10.37766/inplasy2023.3.0016.

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Review question / Objective: The purpose of this systematic review is to find the details of the quality of life among children with disabilities in the Kingdom of Saudi Arabia. Condition being studied: Quality of life is a holistic concept that goes beyond the health dimension. Quality of life is not affected by disability alone but also by the person's experiences. Different disorders affect neurological, sensory, respiratory, metabolic, cardiac, musculoskeletal, hematological, and autoimmune disorders, either prenatal, perinatal, post-natal or during the development of the children. These disorders affect any of the physical, emotional, social, and spiritual domains of the life of children. If any one aspect of domains of life is affected, which in turn influences the quality of life in these children. There is a prevalence of disability in children due to different disorders in the Kingdom of Saudi Arabia. In the current systematic review, we intended to review the quality of life of children with different disorders in Saudi Arabia.

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Chou, Roger, Rongwei Fu, Tracy Dana, Miranda Pappas, Erica Hart e Kimberly M. Mauer. Interventional Treatments for Acute and Chronic Pain: Systematic Review. Agency for Healthcare Research and Quality (AHRQ), settembre 2021. http://dx.doi.org/10.23970/ahrqepccer247.

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Objective. To evaluate the benefits and harms of selected interventional procedures for acute and chronic pain that are not currently covered by the Centers for Medicare & Medicaid Services (CMS) but are relevant for and have potential utility for use in the Medicare population, or that are covered by CMS but for which there is important uncertainty or controversy regarding use. Data sources. Electronic databases (Ovid® MEDLINE®, PsycINFO®, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews) to April 12, 2021, reference lists, and submissions in response to a Federal Register notice. Review methods. Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) for 10 interventional procedures and conditions that evaluated pain, function, health status, quality of life, medication use, and harms. Random effects meta-analysis was conducted for vertebral compression fracture; otherwise, outcomes were synthesized qualitatively. Effects were classified as small, moderate, or large using previously defined criteria. Results. Thirty-seven randomized trials (in 48 publications) were included. Vertebroplasty (13 trials) is probably more effective at reducing pain and improving function in older (>65 years of age) patients, but benefits are small (less than 1 point on a 10-point pain scale). Benefits appear smaller (but still present) in sham-controlled (5 trials) compared with usual care controlled trials (8 trials) and larger in trials of patients with more acute symptoms; however, testing for subgroup effects was limited by imprecision. Vertebroplasty is probably not associated with increased risk of incident vertebral fracture (10 trials). Kyphoplasty (2 trials) is probably more effective than usual care for pain and function in older patients with vertebral compression fracture at up to 1 month (moderate to large benefits) and may be more effective at >1 month to ≥1 year (small to moderate benefits) but has not been compared against sham therapy. Evidence on kyphoplasty and risk of incident fracture was conflicting. In younger (below age for Medicare eligibility) populations, cooled radiofrequency denervation for sacroiliac pain (2 trials) is probably more effective for pain and function versus sham at 1 and 3 months (moderate to large benefits). Cooled radiofrequency for presumed facet joint pain may be similarly effective versus conventional radiofrequency, and piriformis injection with corticosteroid for piriformis syndrome may be more effective than sham injection for pain. For the other interventional procedures and conditions addressed, evidence was too limited to determine benefits and harms. Conclusions. Vertebroplasty is probably effective at reducing pain and improving function in older patients with vertebral compression fractures; benefits are small but similar to other therapies recommended for pain. Evidence was too limited to separate effects of control type and symptom acuity on effectiveness of vertebroplasty. Kyphoplasty has not been compared against sham but is probably more effective than usual care for vertebral compression fractures in older patients. In younger populations, cooled radiofrequency denervation is probably more effective than sham for sacroiliac pain. Research is needed to determine the benefits and harms of the other interventional procedures and conditions addressed in this review.

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Musculoskeletal Health Program. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, luglio 2017. http://dx.doi.org/10.26616/nioshpub2017183.

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Musculoskeletal Health Program. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, settembre 2018. http://dx.doi.org/10.26616/nioshpub2018171.

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