Reliability of the Joint Position Sense Error Test for Women With Neck Pain and Asymptomatic Men and Women.

OBJECTIVE: The purpose of this study was to evaluate the intra-rater between-days reliability of the joint position sense error (JPSE) test in asymptomatic men and women, as well as in women with neck pain. METHODS: Fourteen asymptomatic men and 27 women (14 asymptomatic and 13 with neck pain) participated. The JPSE test was performed during right and left cervical rotation (10 trials for each side) in 2 sessions, with at least 7 days between them. The head repositioning error during the JPSE test (in degrees) was measured and used to calculate the intra-rater between-days reliability of the test, evaluated through the intraclass correlation coefficient and Bland-Altman analyses. Independent t tests were calculated to compare the head repositioning errors of asymptomatic women and men. The minimal detectable change was also calculated. RESULTS: The neck pain group showed higher intraclass correlation coefficient values (0.866 and 0.773, good reliability) compared to the asymptomatic men (0.478 and 0.403, poor reliability) and to the asymptomatic women (-0.161 and 0.504, poor and moderate reliability, respectively) for both right and left cervical rotation, respectively. Considering Bland-Altman analyses, the neck pain group showed better agreement between the measurements for right cervical rotation than the asymptomatic groups. CONCLUSION: The results indicate that the methodology used to perform the JPSE test in this study may be a reliable way to assess the proprioception of women with neck pain in clinical settings.

Multicomponent exercise training is effective in improving health and behavior indicators in Brazilian elderly women: A non-randomized trial.

OBJECTIVE: The aim was to evaluate the effects of a supervised 12-week Multicomponent exercise training on elderly women health and behavior indicators. METHODS: Anthropometric characteristics and body composition, functional capacity, sedentary behavior, physical activity level and biochemical profile were evaluated in the control group (67.2 ± 5.2 years, n = 14) and in the experimental group (67.4 ± 6.1 years, n = 41). The experimental group were composed by 41 elderly women who performed 12 weeks of Multicomponent exercise training involving strength, aerobic, flexibility and balance exercises. The inclusion criteria for the study were women aged 60 years or more and presentation of a medical certificate authorizing the practice of physical exercise. RESULTS: Maintenance of anthropometric characteristics and body composition was observed in both groups (p > 0.05). There was an improvement in aerobic capacity, lower and upper limb strength in the experimental group (p < 0.01), while the control group showed a reduction in aerobic capacity, lower limb strength, agility and dynamic balance (p < 0.01), as shown in Fi.gure 3. There was a reduction in sedentary behavior and an increase in physical activity level in experimental group (p < 0.05), but not in control group. Experimental group showed an improvement in glucose levels and lipid profile (p < 0.01). CONCLUSION: Multicomponent exercise training was efficient to improve health and behavior indicators of the elderly women.

Interrater and Intrarater Reliability and Minimum Detectable Change of Ultrasound for Active Myofascial Trigger Points in Upper Trapezius Muscle in Individuals With Shoulder Pain.

OBJECTIVE: We sought to investigate the interrater and intrarater reliability of ultrasound and the minimum detectable change (MDC) for the trigger points (TrPs) active in the upper trapezius (UT) muscle in individuals with shoulder pain. METHODS: Forty individuals with shoulder pain were investigated for the presence of active TrPs in the UT muscle by means of ultrasound for the parameters of gray scale, muscle thickness of UT muscle at rest, and contraction and area of TrPs. The intrarater reliability was performed on 2 days, and interrater reliability on the same day. For the gray scale, the reliability was evaluated using the kappa coefficient (κ), while the other parameters were measured by the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and MDC. RESULTS: For the gray scale, the intrarater agreement was almost perfect (κ = 1.00) and the interrater agreement was substantial (κ = 0.75). The intrarater and interrater reliability were excellent for most of the parameters, except for the area of TrPs (intrarater: ICC = 0.71, substantial; interrater: ICC = 0.52, substantial). The MDC for intrarater reliability varied between 0.04 and 0.05 (SEM% between 2.4% and 38.87%), and that for interrater reliability ranged from 0.05 to 0.07 (SEM% between 3.18% and 55.10%), with a higher value for area. CONCLUSION: Parameters such as gray scale, resting muscle thickness, and muscle contraction of the UT muscle, obtained through ultrasound, showed excellent intrarater and interrater reliability with low SEM%. The intrarater and interrater reliability for the area deserves a caveat regarding their use.

The impact of vitamin D supplementation on VDR gene expression and body composition in monozygotic twins: randomized controlled trial.

Vitamin D supplementation is widely used. However, there is no consensus on the use and dosage of this supplement and the existing recommendations arise from studies based on the benefits that this nutrient can facilitate in bones. In addition, individual genetics can influence the response to supplementation, therefore, research involving monozygotic twins aims to reduce these differences in phenotypic responses. The objective of this randomised controlled study is to examine the effect of vitamin D supplementation on body composition and the expression of the vitamin D receptor (VDR) mRNA. An intervention was performed through supplementation with cholecalciferol at the concentration of 2000 IU in 90 healthy adult monozygotic twins (male or female pairs) for 2 months. The findings showed that serum vitamin D concentration increased by 65% and VDR gene expression sixty times (p = 0.001). Changes in body composition parameters were observed regarding body fat and lean mass. Our results indicate that an increase in serum vitamin D concentration may have potential therapeutic implications.

Cafeteria-Type Feeding of Chickens Indicates a Preference for Insect (Tenebrio molitor) Larvae Meal.

This study aimed to determine whether broiler chickens display a preference for Tenebrio molitor larvae (TM) meal by evaluating ingredient acceptability and birds' performance. Sixty 14-day-old male chickens were assigned into two treatment groups (5 birds/pen, n = 6) in a cafeteria-type study: the control (C) group, and the TM group. Each pen was equipped with one bell drinker and four through feeders allocated side by side; all feeders of the C group contained a complete standard diet whereas each feeder of the TM group contained one of the following ingredients: ground corn, extruded semi-whole soybean, vitamin-mineral supplement mixture, and TM meal. Feed intake was recorded daily and growth was monitored periodically up to day 32. Chickens which had access to individual feed components showed a delay to display preference for TM, but consumed, overall, up to 50% of the total intake as TM meal. Feed intake and growth performance were lower in all periods for TM group (p < 0.02), whereas feed conversion ratio was improved on days 22-28 and days 29-32 of age (p < 0.01). Data from bivariate and multidimensional analysis indicate that birds started to reach a balance of ingredient intake at 25 days of age, showing a high correlation between consumption of each ingredient and the day of the experiment. Chickens exhibited a preference for T. molitor meal, resulting in improved feed efficiency, which allows us to conclude that it can be a suitable feed alternative for poultry.

What is the minimal important difference of pain intensity, mandibular function, and headache impact in patients with temporomandibular disorders? Clinical significance analysis of a randomized controlled trial.

BACKGROUND: There are insufficient studies providing Minimal Clinically Important Difference (MCID) for outcomes related to temporomandibular disorders (TMD). OBJECTIVES: (1) To provide the MCID of outcomes related to TMD using the Global Rating of Change Scale (GRCS) as an anchor. (2) To verify which outcomes can predict a moderate or large response to the treatment. STUDY DESIGN: Secondary analysis of a randomized controlled trial in subjects with TMD. METHODS: Sixty-one women with TMD were divided into intervention and control groups. Visual Analogue Scale (VAS), Headache Impact Test (HIT-6), pressure pain thresholds (PPTs) of masticatory muscles, Mandibular Function Impairment Questionnaire (MFIQ), and Craniocervical Flexion Test (CCFT) were collected at baseline and 5-weeks follow-up. RESULTS: Participants were divided based on their response to the treatment, according to the GRCS. MCID values were provided for subjects that moderately or largely improved to the treatment. MCID was between 0 and 1.90 for orofacial pain, around 2 points for the MFIQ, between 3 and 6.26 points for the HIT-6, around 0.2 kg/cm2 for the PPTs on masticatory muscles, around 2.5 mm for MMO and between 60 and 68 points for CCFT. Orofacial pain and HIT-6 were the most discriminative variables at determining whether patients would largely/moderately improve or would not improve after treatment. CONCLUSIONS: The values of MCID could be used as guidance for both clinical practice and research. Pain intensity and headache impact were the most predictive outcomes for improvement of the general health status of women with TMD.