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1.
Trials ; 21(1): 218, 2020 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-32197629

RESUMO

BACKGROUND: Total knee arthroplasty (TKA) is considered an effective treatment for pain relief and improved physical performances in end-stage knee osteoarthritis. However, several studies have reported less favorable outcomes after TKA with chronic pain rates of approximately 20%. Exercise might be an effective treatment strategy for chronic pain following TKA, but no randomized controlled trials have evaluated its effect. Therefore, the purpose of this randomized controlled trial is to investigate whether a 12-week neuromuscular exercise (NEuroMuscular EXercise training program for patients with knee or hip osteoarthritis assigned for total joint replacement; NEMEX-TJR) program combined with pain neuroscience education (PNE) provides greater pain relief and improvement in physical performances than PNE alone at 12 months follow-up in a population of patients with chronic pain after primary TKA. METHODS: For this randomized controlled superiority trial, 120 patients with moderate-to-severe chronic pain after TKA are recruited from Aalborg University Hospital, Denmark. Patients are randomly assigned in a 1:1 ratio to one of two interventions: (a) NEMEX-TJR twice weekly for 12 weeks combined with two sessions of PNE or (b) two sessions of PNE given over 6 weeks. Assessment is performed at baseline before intervention and at 3, 6, and 12 months after initiation of the intervention. Outcome assessors are blinded toward group allocation. The primary outcome is the change in the Knee Injury and Osteoarthritis Outcome Score4 (KOOS4), defined as the mean score for the KOOS subscales pain, symptoms, activities of daily living, and quality of life. Secondary outcomes include all KOOS subscale scores and scores for PainDETECT, the Fear-Avoidance Beliefs Questionnaire, Global Perceived Effect, the Pain Catastrophizing Scale, pain intensities, temporal summation, conditioned pain modulation, and pressure pain thresholds. Physical performances are measured with walking, stair climbing, and chair standing tests as well as tests of muscle strength and power. DISCUSSION: The findings will be useful in establishing effective treatment strategies for chronic pain after TKA. The randomized controlled trial involves rigorous scientific methods and uses clinically applicable interventions. The study interventions are conducted in clinical settings, thereby enhancing the possibility of future implementation of the treatments in the health care systems. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT03886259. Registered 22 March 2019. Ethics committee registration: N-20180046.

2.
Sci Rep ; 10(1): 2254, 2020 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-32042126

RESUMO

Ageing is associated with a decrease in physical performance implying that aged manual workers may be unable to match the physical requirements of their jobs. In this cross-sectional study, 96 male manual workers aged 51-72 years were recruited. Outcomes included handgrip strength (HGS), fat-free mass (FFM), fat percentage, cardiorespiratory fitness ([Formula: see text]O2max), forced vital capacity (FVC), forced expiratory volume after 1 s (FEV1), spinal flexibility, sit-to-stand test performance and static balance. Covariates included height, smoking habits, leisure-time physical activity and systemic inflammation from blood samples. Outcomes were also compared with general populations. Age was negatively related to FFM and FEV1, whereas static balance (velocity of displacement) was positively associated with age. Greater HGS, but poorer [Formula: see text]O2max and FEV1/FEV ratio were found compared with general populations. Age was negatively related with physical performances although a large part of the variance in performance could be explained by factors other than age such as smoking and systemic inflammation. The manual workers had greater muscle strength but had poorer cardiorespiratory fitness and lung function when compared with general populations. Specific health interventions targeting specifically cardiorespiratory fitness, lung function, and balance may be needed to maintain physical performances among manual workers.

3.
Sci Rep ; 10(1): 3964, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32103125

RESUMO

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

4.
Pain Med ; 2020 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-32011710

RESUMO

OBJECTIVE: Between 50% and 67% of adults suffer from neck-shoulder pain, which may be associated with increased stiffness of neck muscles. We assessed pressure pain sensitivity and muscle stiffness maps of the upper trapezius in female computer users with and without chronic neck-shoulder pain and investigated the effects of eccentric training on females with neck-shoulder pain. DESIGN: Cross-sectional (part 1) and open-label (part 2) study. SETTING: University. SUBJECTS: Twenty females with neck-shoulder pain were compared with 20 controls (part 1). In part 2, neck-shoulder pain participants followed a five-week unilateral upper trapezius eccentric training program. METHODS: Topographical maps of pressure pain thresholds (pressure algometer) and muscle stiffness (myotonometer), using a 15-point grid covering myotendinous and muscle belly sites, and shoulder elevation force and range of elevation (dynamometer) were assessed at baseline and after training. RESULTS: There were no differences in pressure pain thresholds between sites (P = 0.243) or groups (P = 0.068), and there were significant differences in stiffness between myotendinous and muscle belly sites (P < 0.001) but not groups (P = 0.273). After training, pressure pain thresholds increased, stiffness decreased (P < 0.005), and shoulder elevation force and range of elevation improved (P < 0.001). CONCLUSIONS: The lack of differences in upper trapezius pressure pain sensitivity and stiffness between females with or without neck-shoulder pain confirms no clear etiology among computer users reporting neck-shoulder pain. A five-week eccentric training protocol showed positive effects on pressure pain sensitivity, stiffness, shoulder force, and range of motion.

5.
Appl Ergon ; 85: 103044, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31932265

RESUMO

The aim was to investigate if the method of normalizing surface electromyography (sEMG) can change results on sex differences in the muscular activation of the shoulder girdle muscles during a simulated work task. sEMG was recorded in 36 asymptomatic participants (17 females, 19 males) from four parts of trapezius and from serratus anterior muscles during a simulated work task. Four normalization methods, one involving maximal voluntary contractions (MVCs) and three involving submaximal voluntary contractions were applied. Sex differences in absolute and normalized amplitude of sEMG were analyzed. The normalization method had a significant influence on the observed sex differences. Females only showed higher sEMG amplitude than males when the sEMGs were normalized to MVC and to a submaximal contraction based on 20% of MVC for the upper trapezius (acromial fibers). Researchers and practitioners should be aware of the impact of the sEMG normalization method in sex differences investigation.

6.
J Electromyogr Kinesiol ; 50: 102374, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31733466

RESUMO

The purpose of this study was to explore the interacting effects of age and musculoskeletal pain on balance in manual workers. Ninety male manual workers aged 51-72 yr were recruited and stratified according to lower extremity musculoskeletal pain intensity (pain/no pain) and work status (working/retired). The five-repetition sit-to-stand (STS) test was used to assess lower extremity function including completion time, stand time, sit time and dynamic rate of force development both in the upwards (RFDup) and downwards moving phase (RFDdown). Dynamic balance was expressed as the range, velocity, standard deviation (SD), maximum Lyapunov Exponent and sample entropy of centre of pressure displacement in the anterior-posterior and medial-lateral direction, as well as free moment during the STS test. Except for higher age, no marked differences were seen between working and retired participants. Both age and musculoskeletal pain were negatively associated with motor function. Age × pain interactions showed that completion time, stand time, RFDup and RFDdown were negatively associated with age for participants without pain, but positively for those with pain. Similar findings were seen for dynamic balance. These findings indicate that the effects of lower extremity musculoskeletal pain on lower extremity function and dynamic balance are age dependent.

7.
Sports Biomech ; 19(1): 120-140, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31456487

RESUMO

Dynamic stability of locomotion plays an important role in running injuries, particularly during trail running where ankle injuries occur frequently. Several studies have investigated dynamic stability of locomotion using wearable accelerometer measurements. However, no study has reviewed how dynamic stability of locomotion is quantified using accelerometry. Therefore, the present review aims to synthetise the methods and findings of studies investigating stability related parameters measured by accelerometry, during locomotion on various surfaces, and among asymptomatic participants. A systematic search of studies associated with locomotion was conducted. Only studies including assessment of dynamic stability parameters based on accelerometry, including at least one group of asymptomatic participants, and conditions that occur during trail running were considered relevant for this review. Consequently, all retrieved studies used a non-obstructive portable accelerometer or an inertial measurement unit. Fifteen studies used a single tri-axial accelerometer placed above the lumbar region allowing outdoor recordings. From trunk accelerations, a combination of index of cycle repeatability and signal dispersion can adequately be used to assess dynamic stability. However, as most studies included indoor conditions, studies addressing the biomechanics of trail running in outdoor conditions are warranted.


Assuntos
Acelerometria/métodos , Corrida/fisiologia , Caminhada/fisiologia , Fenômenos Biomecânicos , Meio Ambiente , Marcha/fisiologia , Humanos , Fatores de Risco , Corrida/lesões , Caminhada/lesões
8.
Clin Biomech (Bristol, Avon) ; 72: 16-23, 2019 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-31794924

RESUMO

BACKGROUND: Variations in the internal pressure distribution applied to cartilage and synovial fluid explain the spatial dependencies of the knee vibroarthrographic signals. These spatial dependencies were assessed by multi-channel recordings during activities of daily living in patients with painful knee osteoarthrosis. METHODS: Knee vibroarthrographic signals were detected using eight miniature accelerometers, and vibroarthrographic maps were calculated for the most affected knee of 20 osteoarthritis patients and 20 asymptomatic participants during three activities: (i) sit to stand, (ii) stairs descent, and (iii) stairs ascent in real life conditions. Vibroarthrographic maps of average rectified value, variance of means squared, form factor, mean power frequency, % of recurrence and, % of determinism were obtained from the eight VAG recordings. FINDINGS: Higher average rectified value and lower % of recurrence were found in knee osteoarthritis patients compared with asymptomatic participants. All vibroarthrographic parameters, except for % of recurrence, differentiated the type of activity. Average rectified value, variance of means squared, form factor, and % of determinism were lowest while mean power frequency was highest during sit-to-stand compared with stairs ascent and descent. INTERPRETATION: Distinct topographical vibroarthrographic maps underlined that the computed parameters represent unique features. The present study demonstrated that wireless multichannel vibroarthrographic recordings and the associated topographical maps highlighted differences between (i) knee osteoarthritis patients and asymptomatic participants, (ii) sit to stand, stairs descent and ascent and (iii) knee locations. The technique offers new perspectives for biomechanical assessments of physical functions of the knee joint in ecological environment.

9.
Artigo em Inglês | MEDLINE | ID: mdl-31683756

RESUMO

(1) Background: Spatial changes in pressure sensitivity have been described in migraine and tension-type headaches. Our aim was to determine differences in the spatial distribution of pressure pain sensitivity of the temporalis muscle between cluster headache (CH) patients and headache-free controls; (2) Methods: Pressure pain thresholds (PPTs) were determined over nine points covering the temporalis muscle in 40 men with episodic CH and 40 matched headache-free controls in a blinded fashion. Topographical pressure pain sensitivity maps were constructed based on interpolation of the PPTs. Patients were evaluated in a pain-free period (remission phase), at least 3 months from the last attack and without medication; (3) Results: The analysis of covariance (ANCOVA) found significant difference between points (F = 21.887; P < 0.001) and groups (F = 24.416; P = 0.602), but not between sides (F = 0.440; P = 0.508). No effect of depression (F = 0.014; P = 0.907) or anxiety (F = 0.696; F = 0.407) was observed. A post-hoc analysis revealed: 1) lower PPTs at all points in patients than in controls, 2) an anterior-to-posterior gradient in patients but not in controls, with lower PPTs located in the anterior column. Large between-groups effects were shown in all points (standardized mean difference, SMD > 0.8); (4) Conclusions: Bilateral pressure pain hypersensitivity to pressure pain in the temporalis muscle and an anterior-to-posterior gradient to pressure pain was observed in men with episodic CH.

10.
Hum Mov Sci ; 68: 102520, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31654912

RESUMO

In this study we investigated motor variability in individuals who showed (responders) and who did not show (non-responders) a behavioural phenomenon termed repeated bout rate enhancement. The phenomenon is characterized by an increase of the freely chosen index finger tapping rate during the second of two consecutive tapping bouts. It was hypothesized that responders would perform (i) tapping with a lower magnitude, but more complex structure of variability than non-responders and (ii) bout 2 with a lower magnitude and increased complexity of variability than bout 1, as opposed to non-responders. Individuals (n = 102) performed two 3-min tapping bouts separated by 10 min rest. Kinetic and kinematic recordings were performed. Standard deviation (SD), coefficient of variation (CV), and sample entropy (SaEn), representing magnitude and complexity of variability, were computed. For responders, SaEn of vertical displacement of the index finger was higher than for non-responders (p = .046). Further, SaEn of vertical force and vertical displacement was higher in bout 2 than in bout 1 for responders (p < .001 and p = .006, respectively). In general, SD of vertical displacement was lower in bout 2 than in bout 1 (p < .001). SaEn of vertical force was higher in bout 2 than in bout 1 (p = .009). The present lower SD and higher SaEn values of vertical force and displacement time series in bout 2 as compared to bout 1 suggest differences in the dynamics of finger tapping. Further, it is possible that the increases in SaEn of vertical displacement reflected a greater adaptability in the dynamics of motor control among responders compared with non-responders.


Assuntos
Dedos/fisiologia , Desempenho Psicomotor/fisiologia , Adulto , Fenômenos Biomecânicos/fisiologia , Entropia , Feminino , Humanos , Cinética , Masculino , Movimento/fisiologia , Fatores de Tempo , Adulto Jovem
11.
J Clin Med ; 8(8)2019 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-31426569

RESUMO

Current evidence for widespread hyperalgesia in non-specific neck pain (NSNP) is unclear. It is currently recommended to group NSNP patients according to pain-provoking movements. The aim of this study was to investigate local and widespread pain sensitivity in females with unilateral NSNP that is reproducible during passive neck rotation compared with matched controls, and to compare the side specific effect of pain location on pressure pain sensitivity among females with unilateral NSNP. Thirty-six females with unilateral NSNP evoked during passive ipsilateral (n = 20) or contralateral (n = 16) rotation toward the painful side were compared with 20 controls. Participants reported their pain intensity at rest and during passive neck rotation and completed the Neck Disability Index. Pressure pain thresholds (PPTs) were assessed bilaterally over the anterior scalene; the sternocleidomastoid; the levator scapulae; lateral to the spinous process of C6; the median, ulnar, and radial nerves; and the tibialis anterior. The ANOVA revealed lower PPTs in females with unilateral NSNP compared with the controls (all at p < 0.001), but no differences were found between the sides, nor was there any Group × side interaction. Among females with NSNP, those with higher pain intensity during ipsilateral rotation toward the painful side showed lower PPTs over the anterior scalene, median nerve, ulnar nerve, and tibialis anterior (all, p < 0.05) than females with higher pain intensity during contralateral rotation toward the painful side. These findings demonstrated bilateral local and widespread pressure pain hyperalgesia in females with unilateral NSNP that was reproducible during passive neck rotation compared with controls. There was no side specific effect of pain location on PPTs among females with unilateral NSNP.

12.
PLoS One ; 14(5): e0213704, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31150405

RESUMO

A biofeedback system may objectively identify fatigue and provide an individualized timing plan for micro-breaks. We developed and implemented a biofeedback system based on oculometrics using continuous recordings of eye movements and pupil dilations to moderate fatigue development in its early stages. Twenty healthy young participants (10 males and 10 females) performed a cyclic computer task for 31-35 min over two sessions: 1) self-triggered micro-breaks (manual sessions), and 2) biofeedback-triggered micro-breaks (automatic sessions). The sessions were held with one-week inter-session interval and in a counterbalanced order across participants. Each session involved 180 cycles of the computer task and after each 20 cycles (a segment), the task paused for 5-s to acquire perceived fatigue using Karolinska Sleepiness Scale (KSS). Following the pause, a 25-s micro-break involving seated exercises was carried out whether it was triggered by the biofeedback system following the detection of fatigue (KSS≥5) in the automatic sessions or by the participants in the manual sessions. National Aeronautics and Space Administration Task Load Index (NASA-TLX) was administered after sessions. The functioning core of the biofeedback system was based on a Decision Tree Ensemble model for fatigue classification, which was developed using an oculometrics dataset previously collected during the same computer task. The biofeedback system identified fatigue with a mean accuracy of approx. 70%. Perceived workload obtained from NASA-TLX was significantly lower in the automatic sessions compared with the manual sessions, p = 0.01 Cohen's dz = 0.89. The results give support to the effectiveness of integrating oculometrics-based biofeedback in timing plan of micro-breaks to impede fatigue development during computer work.


Assuntos
Biorretroalimentação Psicológica/métodos , Computadores , Fadiga/prevenção & controle , Movimentos Oculares , Fadiga/diagnóstico , Feminino , Humanos , Masculino , Modelos Estatísticos , Reflexo Pupilar
13.
BMC Res Notes ; 12(1): 352, 2019 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-31227009

RESUMO

OBJECTIVES: The aim of this study was to examine the effects of walking at different speeds while using a mobile phone on spatiotemporal stride parameters among young adults. Ten participants (7 male, 3 female; age = 24.7 ± 4.4 years, mean ± 1SD) completed 12 walking trials. Trials consisted of tasks performed at both normal and fast walking speeds-walking only, walking while texting, and walking while talking on a mobile phone. Gait velocity, stride length, cadence, and double support time were computed using data from accelerometers on either shoe. RESULTS: The effects of distracted walking were not significantly larger when performed at a self-selected fast walking speed compared with a normal walking speed. However, walking while texting produced significant decreases in gait velocity, stride length, and cadence, with a significant increase in double support time at both walking speeds. Moreover texting increased the size of the relative variability of walking, observed through a significant increase in the coefficient of variation of cadence, stride length, and double support time. The observed changes may be suggestive of compromised balance when walking while texting regardless of walking speed. This may place the individual at a greater risk of, slips, trips and falls.


Assuntos
Uso do Telefone Celular , Análise e Desempenho de Tarefas , Caminhada/fisiologia , Feminino , Humanos , Masculino , Análise Multivariada , Velocidade de Caminhada , Adulto Jovem
14.
Scand J Public Health ; 47(3): 375-382, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30973060

RESUMO

AIMS: To investigate the associations between both high- and low-intensity leisure-time physical activity on physical-work ability and chronic musculoskeletal complaints among manual workers aged 50-70 years. METHODS: In this cross-sectional study, 1763 manual workers (mean age 57.1, SD ± 4.7 years) replied to questions about leisure-time physical activity, physical-work ability, chronic musculoskeletal complaints as well as health and lifestyle factors. Ordinal and binomial logistic regression models were constructed to assess the influence of the duration of both low- and high-intensity physical activity on physical-work ability and chronic musculoskeletal complaints, respectively. Models were adjusted for gender, age, smoking, alcohol intake, body mass index, physical-work demand, work experience, chronic disease and, regarding physical-work ability, also for chronic musculoskeletal complaints. RESULTS: A statistically significant association between greater physical-work ability and high-intensity physical activity was found for workers engaged in 3-4 h/wk and ⩾ 5 h/wk (OR 1.59, 95% CI 1.15-2.19 and OR 1.56, 95% CI 1.10-2.22, respectively). For both high- and low-intensity physical activity, a duration of 3-4 h/wk was associated with lower odds of reporting chronic musculoskeletal complaints in the knees (OR 0.65, 95% CI 0.42-1.00 and OR 0.61, 95% CI 0.38-0.99, respectively). CONCLUSIONS: Engaging in ⩾ 3 h/wk of high-intensity leisure-time physical activity was associated with greater physical-work ability among manual workers aged 50-70 years. Both high- and low-intensity physical activity related to lower odds of having chronic musculoskeletal complaints in the knees.


Assuntos
Exercício/fisiologia , Atividades de Lazer/psicologia , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Ocupações/estatística & dados numéricos , Avaliação da Capacidade de Trabalho , Idoso , Doença Crônica , Estudos Transversais , Dinamarca/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
15.
Scand J Pain ; 19(3): 565-574, 2019 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-30920956

RESUMO

Background and aims Conditioned pain modulation (CPM) is of considerable interest within pain research. Often CPM testing is conducted in experimental settings using complicated instrumentation, thus challenging the implementation in clinical settings. Being able to assess CPM in a fast and reliable way in clinical settings could lead to a new diagnostic tool allowing improved profiling of pain patients. Methods A test-retest reliability study and a methodological development study were conducted based on different populations. The reliability study included 22 healthy subjects, mean age 23.6 years (SD: 2.4) and the methodological study included 29 healthy subjects, mean age 21.5 years (SD: 1.6). As painful phasic test stimulus, a 6-10 kg handheld, spring-based pressure algometer was applied perpendicularly to the muscle belly of the tibialis anterior muscle for 10 s and as painful tonic conditioning stimulus, 1-2 standard clamps, inducing a force of 1.3 kg, were applied extra-segmentally at the ipsilateral earlobe for 60-120 s. Four different test protocols were evaluated, of which one protocol was investigated for reliability. Test protocol 1 used a 6 kg pressure algometer as painful phasic test stimulus and a single clamp applied for 60 s as painful tonic conditioning stimulus. Test protocol 2 used a 10 kg pressure algometer as painful phasic test stimulus, and two clamps applied for 60 s as painful tonic conditioning stimulus. Test protocol 3 used a 10 kg pressure algometer as painful phasic test stimulus and a single clamp applied for 120 s as painful tonic conditioning stimulus. Test protocol 4 used a 6 kg pressure algometer as painful phasic test stimulus and a single clamp applied for 120 s as painful tonic conditioning stimulus. Results None of the stimuli caused any adverse events, e.g. bruises. In the reliability study (test protocol (1), non-significant CPM effects of 0.3 (SD: 1.6) and 0.2 (SD: 1.0) were observed in session 1 and 2, respectively. The intra-class correlations were 0.67 and 0.72 (p = < 0.01) and limits of agreement (LoA) ranged from -2.76 to 3.31. Non-significant CPM effects of 0.2 (SD: 1.0), -0.1 (SD: 1.1), and 0.0 (SD: 1.2) were observed for test protocol 2, 3, and 4, respectively). Conclusions The bedside test developed for investigating CPM was feasible and easy to use in healthy volunteers. No significant CPM effects were measured and a large variation in CPM effect ranging from -0.14 to 0.32 was observed. Intra-class correlation (ICC) values for the pressure algometer were interpreted as "good relative reliability" (test protocol 1), and LoA revealed a somewhat low absolute reliability. Implications The pressure algometer provided reproducible measurements and was useful for inducing phasic test stimuli. Since no significant CPM effects were detected, no recommendations for the bedside test can yet be made. Further examinations will have to establish if the "one size fits all" application of both test and conditioning stimuli is useful. Future bedside studies involving patient populations are warranted to determine the usefulness of the method.

16.
Scand J Work Environ Health ; 45(2): 146-157, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30821335

RESUMO

Objectives This randomized controlled trial (RCT) evaluated the effect of a participatory organizational intervention for improved use of assistive devices (AD) in patient transfer. Methods We randomly allocated 27 departments from five hospitals in Denmark to a participatory intervention (14 clusters, 316 healthcare workers) or a control group (13 clusters, 309 healthcare workers). The intervention consisted of 2×2 hour workshops with managers, the hospital's health and safety staff, and 2-5 healthcare workers from each department. Based on an assessment of barriers and solutions conducted prior to randomization, participants developed an action plan for implementing department-specific solutions for improving the use of AD. Use of necessary AD (using digital counters as primary outcome), and general use of AD (using accelerometers as secondary outcome), pain intensity in the low-back, work-related back injuries during patient transfer, and communication and guidance in the use of AD were measured at baseline, 6 and 12 months. Results Use of necessary AD (primary outcome), low-back pain, and back injuries did not change in the intervention compared with control group at 12-month follow-up. However, general use of AD measured with accelerometers as well as communication and guidance improved significantly in the intervention versus control group. Conclusion The intervention did not result in more frequent use of the necessary AD but led to more general use of AD, as well as increased communication and guidance.

17.
Appl Ergon ; 77: 29-39, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30832776

RESUMO

For improved prevention of health issues among blue-collar workers, there is a need for an overview of the physical activity at work and leisure using technical long-term measurements in blue-collar sectors investigation of differences between the sectors. Thus, the objective of this paper was to provide an overview and investigate differences in physical activities and body postures at work and leisure among blue-collar sectors. The Dphacto cohort consists of 1087 workers from manufacturing, transportation and cleaning sectors (901 blue-collar and 186 white-collar workers) in Denmark. Eligible workers provided physical activity and heart rate measurements over several days with follow-up on health-related outcomes by self-report and registers. Considerable differences in sitting, standing, time on feet (walking, shuffling and standing combined) and forward bending of the back were found between work and leisure, and between the sectors. This overview of physical activity at work and leisure can be useful for better prevention of work-related health issues among blue-collar workers.


Assuntos
Exercício , Atividades de Lazer , Indústria Manufatureira/estatística & dados numéricos , Transportes/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Acelerometria/estatística & dados numéricos , Adulto , Estudos Transversais , Dinamarca , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador/estatística & dados numéricos , Estudos Prospectivos
18.
J Orthop Sports Phys Ther ; 49(9): 640-646, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30913970

RESUMO

BACKGROUND: Plantar heel pain is one of the most common foot pain conditions treated by health care providers. OBJECTIVES: To investigate differences in topographical pressure pain sensitivity maps of the feet between patients with unilateral plantar heel pain and healthy individuals, and to determine the relationship between topographical pressure maps, pain intensity, disability, and fascia thickness. METHODS: Thirty-five patients with unilateral plantar heel pain and 35 matched healthy controls participated in this cross-sectional, case-control study. Pressure pain thresholds (PPTs) were assessed over 7 plantar locations on each foot. Topographical pressure pain sensitivity maps of the plantar region were generated using the averaged PPT of each assessed point. Pain and related disability were assessed with a numeric pain-rating scale (0-10) and the Foot and Ankle Ability Measure, respectively. Plantar fascia thickness was measured via ultrasound. All outcomes were obtained by an assessor blinded to the participants' condition. RESULTS: Topographical pressure sensitivity maps revealed lower bilateral PPTs in patients with plantar heel pain compared to healthy controls, and a higher PPT on the calcaneus bone (P<.01). Women had lower PPTs than men in all areas (P<.001). Individuals with plantar heel pain also had thicker fascia, but only on the affected side, compared to healthy controls. Higher pressure pain sensitivity in the foot was associated with higher pain intensity at first step in the morning and thicker fascia at the calcaneus bone. CONCLUSION: People with unilateral plantar heel pain had generalized bilateral pressure pain sensitivity in the plantar region of the foot. Greater pain intensity and fascia thickness were associated with higher pressure pain sensitivity in people with plantar heel pain. LEVEL OF EVIDENCE: Case-control study, level 4. J Orthop Sports Phys Ther 2019;49(9):640-646. Epub 26 Mar 2019. doi:10.2519/jospt.2019.8813.

19.
Hum Mov Sci ; 64: 19-27, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30641456

RESUMO

The present study investigated the influence of age and musculoskeletal pain on force variability during a continuous isometric handgrip force task performed at 30% of maximal voluntary contraction carried out until failure. We recruited 96 male manual workers aged 51-72 years. The participants were stratified according to their age (50-59 and 60+ years) and by pain status (no pain, acute pain and chronic pain). The amplitude and structure of variability expressed as respectively standard deviation (SD) and coefficient of variation (CV), and sample entropy (SaEn) were calculated from the endurance task. The oldest group had an approximately 18% longer endurance time than the youngest group. No between-group differences were found in SD or CV, whereas a significant interaction between age and pain stage was found for SaEn. The youngest group showed lower SaEn than the oldest for both those with chronic pain and those without pain, indicating less force complexity, whereas a tendency for the opposite was found in the acute pain group. Within the pain stage groups, workers with acute pain had higher SaEn compared with both the no pain and chronic pain groups. These findings suggest that age and musculoskeletal pain differentially affects the structure of force variability in manual workers.


Assuntos
Envelhecimento/fisiologia , Contração Isométrica/fisiologia , Dor Musculoesquelética/fisiopatologia , Dor Aguda/fisiopatologia , Idoso , Dor Crônica/fisiopatologia , Entropia , Feminino , Força da Mão/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor/métodos
20.
J Electromyogr Kinesiol ; 45: 1-10, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30684823

RESUMO

PURPOSE: The higher prevalence of work-related musculoskeletal disorders among women compared with men could be explained by sex-gender differences related to biological and physiological processes. The aim of this study was to evaluate sex differences in motor coordination during a sustained and repetitive motor task. METHODS: Seventeen healthy females and 21 healthy males participated. The surface electromyography (sEMG) of the trapezius portions and serratus anterior were recorded. Root mean square (RMS) values were computed to assess the level of muscle activity. The standard deviation (SD) and coefficient of variation (CV) were computed as metrics of size of variability. The normalized mutual information (NMI) values were calculated as index of functional connectivity between muscles pairs. RESULTS: Females had higher normalized RMS values for the upper trapezius (acromial fibers) and serratus anterior muscles compared with males. RMS decreased, SD and CV increased while NMI decreased for almost all muscle pairs over time. CONCLUSION: The present work showed some signs of sex differences in muscle coordination of the shoulder girdle during a sustained motor task, performed with the upper limb positioned below of the shoulder level.


Assuntos
Contração Muscular , Músculos do Pescoço/fisiologia , Ombro/fisiologia , Músculos Superficiais do Dorso/fisiologia , Adulto , Feminino , Humanos , Masculino , Fatores Sexuais
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