806 results on '"Hall, Toby"'
Search Results
402. On digit frequencies in beta-expansions
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Hall, Toby, Boyland, P, de Carvalho, A, and Hall, Toby
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We study the sets DF(β) of digit frequencies of β-expansions of numbers in [0,1]. We show that DF(β) is a compact convex set with countably many extreme points which varies continuously with β; that there is a full measure collection of non-trivial closed intervals on each of which DF(β) mode locks to a constant polytope with rational vertices; and that the generic digit frequency set has infinitely many extreme points, accumulating on a single non-rational extreme point whose components are rationally independent.
403. Construct validation of the Japanese Core Outcome Measures Index and the impact of diseases on patient-reported outcome measures in preoperative patients with lumbar spinal stenosis and disk herniation: a single-center observational study.
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Mizoguchi, Yasuaki, Akasaka, Kiyokazu, Suzuki, Kenta, Kimura, Fumihiko, Hall, Toby, and Ogihara, Satoshi
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INTERVERTEBRAL disk hernias , *SPINAL stenosis , *PATIENT reported outcome measures , *SPINAL surgery , *LUMBAR vertebrae , *OLDER patients , *ANALYSIS of covariance - Abstract
Purpose: The primary objective was to validate the construct validity of the Japanese Core Outcome Measures Index (COMI) in preoperative patients aged 60 years or older undergoing lumbar spine surgery for lumbar spinal stenosis (LSS) and lumbar disk herniation (LDH). Additionally, as a secondary aim, we explored the impact of these diseases on quality of life (QOL). Methods: The analysis included 199 preoperative patients aged 60 and above who were scheduled for lumbar spine surgery. To assess QOL, Japanese versions of the COMI, Oswestry Disability Index (ODI), EuroQol-5 Dimension-3 Level (EQ-5D-3L), and SF-12v2 were employed. The study assessed the validity of the COMI and compared demographic and clinical characteristics between the LSS (147 cases) and LDH (52 cases) groups. It used multivariate covariance analysis (MANCOVA) to examine the impact of diseases (LSS and LDH) on each patient-reported outcome measure while considering covariates. Results: Compared to the LSS group, the LDH group showed more difficulty with the COMI summary score (LSS/LDH [mean]: 6.9/8.1, p < 0.001), ODI score (46.8/57.4, p < 0.001), and EQ-5D utility (0.53/0.43, p < 0.001). The LDH group also reported more difficulties in the COMI-function, COMI-symptom-specific well-being, COMI-disability, ODI-personal care, ODI-social life, and SF-12v2-bodily pain subscales. MANCOVA demonstrated that these results were not influenced by covariates such as gender and medical history. Conclusions: This study highlights the distinct impact of LSS and LDH on preoperative QOL in older patients undergoing lumbar spinal surgery. Tailored interventions are essential to address the specific challenges posed by these conditions and improve patient-centered outcomes and postoperative recovery. [ABSTRACT FROM AUTHOR]
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- 2024
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404. Contributors
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Ackerman, Phillip, Addison, Di, Banks, Kevin, Bucher-Dollenz, Gerti, Hall, Toby, Hengeveld, Elly, Jeangros, Pierre, Kangas, Jukka, Langendoen, John, Newton, Matthew, and Robinson, Kim
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- 2014
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405. Upper cervical range of rotation during the flexion-rotation test is age dependent: an observational study
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Schäfer, Axel Georg Meender, Schöttker-Königer, Thomas, Hall, Toby Maxwell, Mavroidis, Ilias, Roeben, Christoph, Schneider, Martina, Wild, Yorick, and Lüdtke, Kerstin
- Abstract
Background: The flexion-rotation test (FRT) is widely used to detect movement dysfunction in the spinal segment C1/C2, especially in patients with cervicogenic headache. The current published literature indicates that range recorded during the FRT is not age dependent. This is questionable, considering the well documented relationship between aging and degeneration in the cervical spine and loss of cervical movement in older people. The present study therefore aims to examine the influence of age on FRT mobility, and to provide normative values for different age groups. An additional aim is to examine the influence of age on the ratio between lower and upper cervical rotation mobility.Methods: For this cross-sectional, observational study, healthy subjects aged from 18 to 90 years were recruited. The upper cervical range of rotation during the FRT was measured using a digital goniometer. Personal data including age, weight, height, and lifestyle factors were also assessed.Results: A total of 230 (124 male) healthy, asymptomatic subjects, aged between 18 and 87 years were included. Regression analysis showed that 27.91% (p< 0.0001) of the variance in FRT mobility can be explained by age alone, while 41.28% (p< 0.0001) of the variance in FRT mobility can be explained by age and total cervical range of motion (ROM). Normative values for different age decades were calculated using regression analysis. No significant influence of age on the ratio between ROM of lower and upper cervical rotation was found. There was no relevant impact of personal (gender, height, and weight) and lifestyle (smartphone and PC use) factors on ROM during the FRT.Conclusion: Upper cervical rotation mobility determined by the FRT correlates strongly with age; hence, the results of the FRT have to be interpreted taking into account the individual age of the tested subject. The ratio between lower and upper cervical rotation mobility is maintained in all age groups.
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- 2020
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406. Mobilization with movement, thoracic spine manipulation, and dry needling for the management of temporomandibular disorder: A prospective case series
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González-Iglesias, Javier, Cleland, Joshua A., Neto, Francisco, Hall, Toby, Fernández-De-Las-Peñas, César, González-Iglesias, Javier, Cleland, Joshua A., Neto, Francisco, Hall, Toby, and Fernández-De-Las-Peñas, César
407. Mobilization with movement, thoracic spine manipulation, and dry needling for the management of temporomandibular disorder: A prospective case series
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González-Iglesias, Javier, Cleland, Joshua A., Neto, Francisco, Hall, Toby, Fernández-De-Las-Peñas, César, González-Iglesias, Javier, Cleland, Joshua A., Neto, Francisco, Hall, Toby, and Fernández-De-Las-Peñas, César
408. Can upper cervical manual therapy affect the blink reflex in subjects with migraine and neck pain?
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Jafari, Mehdi, Bahrpeyma, Farid, Togha, Mansoureh, Hall, Toby, Vahabizad, Fahimeh, and Jafari, Elham
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NECK pain treatment , *RESEARCH funding , *T-test (Statistics) , *REFLEXES , *NEUROPHYSIOLOGY , *MANIPULATION therapy , *TREATMENT effectiveness , *DESCRIPTIVE statistics , *RANDOMIZED controlled trials , *TRIGEMINAL nerve , *CERVICAL vertebrae , *DATA analysis software , *MIGRAINE , *BLINKING (Physiology) , *ELECTROPHYSIOLOGY - Abstract
Neck pain is a common complaint among migraineurs possibly due to the anatomic connections between cervical and trigeminal afferents in the trigeminocervical complex (TCC). Manual therapy (MT) is used in the management of headache disorders, with demonstrable neurophysiological effects. The blink reflex (BR) is one method of analyzing neurophysiological effects in headache patients. The purpose of this study was to investigate the effect of upper cervical spine MT on BR in subjects with migraine and neck pain. Twenty subjects were assigned to a medication plus MT (MedMT) group (n = 10) and medication plus sham MT (sham MT) group (n = 10). After random assignment, all patients underwent testing for the BR (R1, R2, R2c responses). Then, subjects in group MedMT and group sham MT received either 4 sessions of MT or sham MT to the upper cervical spine. After completion of the intervention, BR testing was repeated. There were no significant differences in both side R1 latency between group MT and group sham MT (P > 0.050). For both sides, R2 latencies were significantly prolonged in MedMT group compared with sham MT group (P < 0.050). Subjects in MedMT group showed significant prolongation in right and left R2c latency compared with sham MT group (P < 0.050). The present study demonstrated that upper cervical MT affected trigeminal nociceptive neurotransmission in subjects with migraine and neck pain as reflected by changes in the BR. The increase in BR late response latencies of BR indicates an inhibitory effect of upper cervical spine MT on the TCC in these subjects. Trial Registration: The trial design was registered at the Iranian Registry of Clinical Trials (IRCT ID: IRCT20160621028567N2, url: ) before the first patient was enrolled. [ABSTRACT FROM AUTHOR]
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- 2024
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409. Effectiveness of Mulligan manual therapy over exercise on headache frequency, intensity and disability for patients with migraine, tension-type headache and cervicogenic headache - a protocol of a pragmatic randomized controlled trial.
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Satpute, Kiran, Bedekar, Nilima, and Hall, Toby
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HEMIPLEGICS , *RANDOMIZED controlled trials , *EXERCISE therapy , *MIGRAINE , *HEADACHE , *CLINICAL trial registries - Abstract
Background: Non - pharmacological management of migraine, tension-type headache (TTH), and cervicogenic headache (CGH) may include spinal manual therapy and exercise. Mulligan Manual Therapy (MMT) utilizes a protocol of headache elimination procedures to manage headache parameters and associated disability, but has only been evaluated in CGH. There is little evidence for its effectiveness in migraine and TTH. This study aims to determine the effectiveness of MMT and exercise over exercise and placebo in the management of migraine, TTH, and CGH.Methods: This pragmatic trial is designed as a prospective, three-armed randomised controlled trial in a clinical setting provided at a general hospital physiotherapy department. Two hundred ninety-seven participants with a diagnosis of migraine, TTH or CGH based on published headache classification guidelines will be included. An assessor blind to group allocation will measure outcomes pre-and post-intervention as well as 3 and 6 months after commencement of treatment. Participants will be allocated to one of the three groups: MMT and exercise; placebo and exercise; and exercise alone. The primary outcome measure is headache frequency. Secondary outcome measures are headache duration and intensity, medication intake, pressure pain threshold (PPT), range of motion recorded with the flexion rotation test, and headache disability recorded with Headache Activities of Daily Living Index (HADLI). The intention-to-treat principle will be followed for statistical analysis. Between groups differences for all outcome measures at baseline and at reassessment points and 95% confidence intervals will be calculated using a mixed model ANOVA. Post hoc tests will be conducted to identify any significant difference between groups and over time.Discussion: This pragmatic study will provide evidence for the effectiveness of MMT when compared with a placebo intervention and exercise on headache frequency, intensity, and disability. Limitations are that baseline evaluation of headache parameters may be affected by recall bias. External validity will be limited to the population with a minimum 1-year history of headache. The HADLI is not yet extensively evaluated for its psychometric properties and association between PPT and headache parameters is lacking. Performance bias is inevitable as a single therapist will be delivering all interventions.Trial Registration: The trial was registered prospectively under the Clinical Trial Registry India (Registration number: CTRI/2019/06/019506 , dated on 03/06/2019). . [ABSTRACT FROM AUTHOR]- Published
- 2021
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410. The Efficacy of Electronic Health-Supported Home Exercise Interventions for Patients With Osteoarthritis of the Knee: Systematic Review.
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Meender Schäfer, Axel Georg, Zalpour, Christoff, Piekartz, Harry von, Hall, Toby Maxwell, Paelke, Volker, Schäfer, Axel Georg Meender, and von Piekartz, Harry
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OSTEOARTHRITIS ,EXERCISE therapy ,PAIN management ,CARDIOVASCULAR diseases ,QUALITY of life - Abstract
Background: Osteoarthritis of the knee is the most common cause for disability and limited mobility in the elderly, with considerable individual suffering and high direct and indirect disease-related costs. Nonsurgical interventions such as exercise, enhanced physical activity, and self-management have shown beneficial effects for pain reduction, physical function, and quality of life (QoL), but access to these treatments may be limited. Therefore, home therapy is strongly recommended. However, adherence to these programs is low. Patients report lack of motivation, feedback, and personal interaction as the main barriers to home therapy adherence. To overcome these barriers, electronic health (eHealth) is seen as a promising opportunity. Although beneficial effects have been shown in the literature for other chronic diseases such as chronic pain, cardiovascular disease, and diabetes, a systematic literature review on the efficacy of eHealth interventions for patients with osteoarthritis of knee is missing so far.Objective: The aim of this study was to compare the efficacy of eHealth-supported home exercise interventions with no or other interventions regarding pain, physical function, and health-related QoL in patients with osteoarthritis of the knee.Methods: MEDLINE, CENTRAL, CINAHL, and PEDro were systematically searched using the keywords osteoarthritis knee, eHealth, and exercise. An inverse variance random-effects meta-analysis was carried out pooling standardized mean differences (SMDs) of individual studies. The Cochrane tool was used to assess risk of bias in individual studies, and the quality of evidence across studies was evaluated following the Grading of Recommendations, Assessment, Development, and Evaluation approach.Results: The literature search yielded a total of 648 results. After screening of titles, abstracts, and full-texts, seven randomized controlled trials were included. Pooling the data of individual studies demonstrated beneficial short-term (pain SMD=−0.31, 95% CI −0.58 to −0.04, low quality; QoL SMD=0.24, 95% CI 0.05-0.43, moderate quality) and long-term effects (pain −0.30, 95% CI −0.07 to −0.53, moderate quality; physical function 0.41, 95% CI 0.17-0.64, high quality; and QoL SMD=0.27, 95% CI 0.06-0.47, high quality).Conclusions: eHealth-supported exercise interventions resulted in less pain, improved physical function, and health-related QoL compared with no or other interventions; however, these improvements were small (SMD<0.5) and may not make a meaningful difference for individual patients. Low adherence is seen as one limiting factor of eHealth interventions. Future research should focus on participatory development of eHealth technology integrating evidence-based principles of exercise science and ways of increasing patient motivation and adherence. [ABSTRACT FROM AUTHOR]- Published
- 2018
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411. Against the odds: unlikely COVID-19 recovery.
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Bisson, Elspeth, Presswood, Edward, Kenyon, Jasmine, Shelton, Fenella, and Hall, Toby
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- 2024
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412. Concurrent validity and reliability of measuring range of motion during the cervical flexion rotation test with a novel digital goniometer.
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Luedtke, Kerstin, Schoettker-Königer, Thomas, Hall, Toby, Enns, Christine, Grassold, Maike, Hasselhoff-Styhler, Petra, Neulinger, Christian, Obrocki, Max, Przyhoda, Philipp, Schäfer, Axel, and Reimer, Christine
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TEST validity , *RANGE of motion of joints , *NECK pain , *HEADACHE , *CERVICAL vertebrae , *INTRACLASS correlation - Abstract
Background: Headache is a common and costly health problem. Although the pathogenesis of headache is heterogeneous, reported contributing factors are dysfunctions of the upper cervical spine. The flexion rotation test (FRT) is a commonly used diagnostic test to detect upper cervical movement impairment. A digital goniometer may support precise measurement of movement impairment in the upper cervical spine. However, its reliability and validity is not assessed, yet. The aim of this study was to investigate the reliability and validity of the digital goniometer compared to an ultrasound-based movement analysis system.Methods: Two separate cross-sectional studies were conducted using the digital goniometer EasyAngle (Meloq AB, Stockholm, Sweden) for a) investigating the concurrent validity of upper cervical range of motion (ROM) during the FRT and b) determining the inter- and intra-rater reliability in the target population of patients with head and neck pain. Sixty-two participants, 39 with and 23 without head and neck pain, were recruited for the concurrent validity study. For the reliability study, a total of 50 participants were recruited. Intraclass correlation coefficients (ICC) and Bland Altmann plots were used to assess validity and ICC values, Bland Altmann plots as well as Kappa coefficients were used for estimating intra-rater and inter-rater reliability.Results: Concurrent validity was strong with an ICC (2,1) of 0.97 for ROM to either side (95%CI = 0.95-0.98). Bland Altman Plots revealed a mean difference between measurement systems of 0.5° for the left and 0.11° for the right side. The inter-rater ICC (2,1) was 0.66 (95%CI 0.47-0.79, p < 0.001, SEM 6.6°), indicating good reliability. The limits of agreement were between 10.25° and - 11.89°, the mean difference between both raters was - 0.82°. Intra-rater reliability for the measurement of ROM during the FRT was between 0.96 (ICC 3,1) for rater 1 and 0.94 (ICC 3,1) for rater 2.Conclusions: The digital goniometer demonstrated strong concurrent validity and good to strong reliability and can be used in clinical practice to accurately determine movement impairment in the upper cervical spine.Trial Registration: German Registry of Clinical Trials DRKS00013051 . [ABSTRACT FROM AUTHOR]- Published
- 2020
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413. Validating the preoperative Japanese Core Outcome Measures Index for the Neck and comparing quality of life in patients with cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament by the patient-reported outcome measures.
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Mizoguchi, Yasuaki, Akasaka, Kiyokazu, Suzuki, Kenta, Kimura, Fumihiko, Hall, Toby, and Ogihara, Satoshi
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CERVICAL spondylotic myelopathy , *PATIENT reported outcome measures , *LONGITUDINAL ligaments , *OSSIFICATION , *QUALITY of life , *QUALITY of life measurement - Abstract
Purpose: This cross-sectional study serves two main purposes. Firstly, it aims to validate the preoperative Japanese Core Outcome Measures Index for the Neck (COMI-Neck) in patients with cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL). Secondly, it seeks to elucidate differences in preoperative quality of life (QOL) between these two cervical pathologies using patient-reported outcome measures (PROMs). Methods: A total of 103 preoperative patients (86 with CSM and 17 with OPLL) scheduled for cervical spine surgery were included in the study. Validated PROMs, including the Japanese COMI-Neck, Neck Disability Index (NDI), EuroQol-5 Dimension-3 level (EQ-5D-3L), and SF-12v2, were used to assess QOL. Baseline demographic and clinical data were collected, and statistical analyses were performed to compare the PROMs between CSM and OPLL groups. Results: The Japanese COMI-Neck demonstrated good construct validity, with positive correlations with NDI and negative correlations with EQ-5D-3L and SF-12v2. Comparison of preoperative PROMs between CSM and OPLL groups revealed differences in age, body mass index, and EQ-5D-3L scores. The CSM group had higher NDI scores for concentration and lower EQ-5D-3L scores for self-care compared to the OPLL group. Conclusions: This study validated the preoperative Japanese COMI-Neck in CSM and OPLL patients and identified specific QOL issues associated with each condition. The findings highlight the importance of considering disease-specific QOL and tailoring treatment plans accordingly. Further research should include postoperative assessments and a more diverse population to enhance generalizability. [ABSTRACT FROM AUTHOR]
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- 2024
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414. The letters.
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Randal, Teresa, Wilson, Andrew, Bate, Allan, Stuart, C, Digby, Merle, Pate, Coralie, Hall, Toby, Schroder, Janine, Barnaby, Hellen, and Curren, Bob
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Several letters to the editor are presented in response to articles in previous issues including "Cry Me a River," in the August 21, 2007 issue, "Marquess of Queensland Rules," in the August 21, 2007 issue, and "Hicks After Gitmo," in the August 21, 2007 issue.
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- 2007
415. [Commentary on] 'How about a little love for non-thrust manipulation?'
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Hall, Toby
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MANIPULATION therapy , *HEALTH outcome assessment , *TREATMENT effectiveness ,TREATMENT of musculoskeletal system diseases - Abstract
The author comments on Chad Cook's editorial "How about a little love for non-thrust manipulation?" Cook discussed the importance of non-thrust manipulation in managing musculoskeletal disorders. The author explains reasons for selecting non-thrust manipulation over manipulation including higher risk for cervical manipulation, and ability of the patient to control non-thrust manipulation.
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- 2012
416. Anomalous right coronary artery originating from the left main stem.
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Bromage, Daniel, Hall, Toby, and Lowe, Rob
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- 2011
417. An indirect shot to the heart.
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Khavandi, Ali, Hall, Toby, and Bryan, Alan
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- 2010
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418. LETTERS TO THE EDITOR.
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Hall, Toby
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A letter to the editor about the importance of making a specific diagnosis and selecting appropriate treatment for the underlying tissue dysfunction is presented.
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- 2006
419. Effects of cross-training on motor function and length of stay after total hip arthroplasty: A randomized controlled trial.
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Hasebe, Yuki, Akasaka, Kiyokazu, Otsudo, Takahiro, Hall, Toby, and Yamamoto, Mitsuru
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KNEE physiology , *HIP joint physiology , *LENGTH of stay in hospitals , *TOTAL hip replacement , *RANGE of motion of joints , *FUNCTIONAL status , *STRENGTH training , *EXERCISE physiology , *RANDOMIZED controlled trials , *WALKING , *MUSCLE strength , *BODY movement , *STATISTICAL sampling , *MOTOR ability , *PAIN management - Abstract
BACKGROUND: There is no consensus about which training methods will give better early outcomes after total hip arthroplasty (THA). OBJECTIVE: To investigate the short-term effects of cross trainer exercise on physical function and walking ability following THA. METHODS: Fifty patients who underwent THA were randomly allocated into two groups. The intervention program was started 3 days after surgery. The main physical function results were pain, hip range of motion, knee extensor strength, single-leg stance time, and walking performance test. In addition, the number of days of requiring to walk and the length of hospital stay were recorded. RESULTS: In the comparison between groups at discharge, the patients in the cross trainer group had significantly less hip pain while walking, improvement in knee extensor strength, increased single-leg stance time, as well as increased walking speed and stride length at discharge. The number of days required to walk and length of stay were also significantly lower in the intervention group. CONCLUSIONS: Conclusions: Cross trainer exercise commencing 3 days postoperatively improves physical function and walking ability after THA. [ABSTRACT FROM AUTHOR]
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- 2023
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420. Effects of Upper Cervical Spine Manual Therapy on Central Sensitization and Disability in Subjects with Migraine and Neck Pain.
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Jafari, Mehdi, Bahrpeyma, Farid, Togha, Mansoureh, Vahabizad, Fahimeh, and Hall, Toby
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NECK pain treatment , *HEADACHE treatment , *CERVICAL vertebrae , *MIGRAINE , *DISABILITY evaluation , *HEALTH outcome assessment , *RANDOMIZED controlled trials , *TREATMENT effectiveness , *MANIPULATION therapy , *STATISTICAL sampling - Abstract
Background. Migraine is one of the most important causes of disability worldwide and is a frequently accompanied by neck pain. The aim of this study was to evaluate the effect of upper cervical manual therapy (MT) on headache characteristics, central sensitization (CS) and disability in subjects with migraine and neck pain. Methods. 30 subjects with migraine and neck pain (30 female, mean age 43.10 ± 8.13) were randomly assigned to MT group (MTG), sham MT group (SMTG), and a control group (CG). Central sensitization inventory (CSI) score, disability indices including neck disability index (NDI) and Headache Impact Test (HIT-6), headache characteristics, and medication use were evaluated in all subjects pre and post inter- vention. Subjects in the MTG and SMTG received either 4 sessions of MT or sham MT. Subjects in the CG received medication only. Results. Subjects in the MTG had a significant reduction in headache characteristics, medication use, CSI score, and disability indices (p < 0.05). CSI score was positively correlated with headache days, headache duration, and NDI score (p < 0.05). Conclusions. Upper cervical MT have beneficial effects on headache symptoms, disability, and CSI score in subjects with migraine and neck pain. The result of this study suggests that MT may be a useful component in the multimodal management of migraine. Study registration. The trial design was registered in the Iranian Registry of Clinical Trial (IRCT ID: IRCT20160621028567N2, url: https://www.irct.ir/) before the first patient was enrolled. [ABSTRACT FROM AUTHOR]
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- 2023
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421. The topology of postsingularly finite exponential maps
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Worsley, S. J., Rempe-Gillen, Lasse, Albrecht, Simon, and Hall, Toby
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510 - Published
- 2018
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422. Periodicity in chaos : the dynamics of surface automorphisms
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Hall, Toby Dixon Harold
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- 530.1, Theoretical physics
- Published
- 1991
423. Zeros of the kneading invariant and topological entropy for Lorenz maps.
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Glendinning, Paul and Hall, Toby
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- 1996
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424. Does combined individualized orofacial manual therapy, pain neuroscience education, and brain training change orofacial pain, chronic face dysfunction, (facial) body perception and pain? An observational mixed methods case series study.
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Von Piekartz, Harry, Geitner, Gesche, Möller, Dirk, Braun, Robert, and Hall, Toby
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BRAIN physiology , *NEUROSCIENCES , *FACIAL manifestations of general diseases , *FACIAL pain , *FACIAL expression , *INDIVIDUALIZED medicine , *PAIN threshold , *FACE , *TREATMENT effectiveness , *MANIPULATION therapy , *QUESTIONNAIRES , *PATIENT education , *VISUALIZATION , *COMBINED modality therapy , *BODY image , *EVALUATION - Abstract
Orofacial pain is a complex disabling condition. Multimodal physical therapy intervention may be helpful, yet studies of such approaches are not available and are the basis of this study. To identify whether combined orofacial manual therapy, pain neuroscience education, graded motor imagery, and face emotional expression training has an impact on orofacial pain and associated features. Mixed-methods case series report Eight subjects (five females) with predominant chronic unilateral face pain (mean duration 7.3 years) were given six individualized treatment sessions and a home program. The primary outcome was orofacial pain, while secondary outcomes were depression, quality of life, alexithymia, 2-point discrimination (TPD), laterality and emotional recognition, as well as qualitative analysis were evaluated post intervention. Following the intervention orofacial pain intensity significantly reduced (p = 0.03) from 3.0 (0.53) to 2.2 (1.75) on the Graded Chronic Pain Status questionnaire. As well, secondary outcome measures depression, alexithymia, TPD, and quality of life also significantly improved. Changes were not significant in aspects of facial perception. Qualitative analysis of perception of therapy is discussed. Multimodal therapy had a positive outcome in terms of improvement in unilateral persistent facial pain, depression score, facial body perception and quality of life, and pain in people with chronic unilateral facial pain. Based on the qualitative analysis of their perception of the therapy, multimodal therapy had beneficial effects through increased motivation and joy to exercise. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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425. The efficacy of manual therapy and exercise for different stages of non-specific low back pain: an update of systematic reviews.
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Hidalgo, Benjamin, Detrembleur, Christine, Hall, Toby, Mahaudens, Philippe, and Nielens, Henri
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TREATMENT of backaches , *EXERCISE , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL information storage & retrieval systems , *MANIPULATION therapy , *MEDLINE , *PHYSICAL therapy , *SYSTEMATIC reviews - Abstract
Objective: to review and update the evidence for different forms of manual therapy (MT) for patients with different stages of non-specific low back pain (LBP). Data sources: MEDLINE, Cochrane-Register-of-Controlled-Trials, PEDro, EMBASE. Method: A systematic review of MT with a literature search covering the period of January 2000 to April 2013 was conducted by two independent reviewers according to Cochrane and PRISMA guidelines. A total of 360 studies were evaluated using qualitative criteria. Two stages of LBP were categorized; combined acute–subacute and chronic. Further sub-classification was made according to MT intervention: MT1 (manipulation); MT2 (mobilization and soft-tissue-techniques); and MT3 (MT1 combined with MT2). In each sub-category, MT could be combined or not with exercise or usual medical care (UMC). Consequently, quantitative evaluation criteria were applied to 56 eligible randomized controlled trials (RCTs), and hence 23 low-risk of bias RCTs were identified for review. Only studies providing new updated information (11/23 RCTs) are presented here. Results: Acute–subacute LBP: STRONG-evidence in favour of MT1 when compared to sham for pain, function and health improvements in the short-term (1–3 months). MODERATE-evidence to support MT1 and MT3 combined with UMC in comparison to UMC alone for pain, function and health improvements in the short-term. Chronic LBP: MODERATE to STRONG-evidence in favour of MT1 in comparison to sham for pain, function and overall-health in the short-term. MODERATE-evidence in favour of MT3 combined with exercise or UMC in comparison to exercise and back-school was established for pain, function and quality-of-life in the short and long-term. LIMITED-evidence in favour of MT2 combined with exercise and UMC in comparison to UMC alone for pain and function from short to long-term. LIMITED-evidence of no effect for MT1 with extension-exercise compared to extension-exercise alone for pain in the short to long-term. Conclusion: This systematic review updates the evidence for MT with exercise or UMC for different stages of LBP and provides recommendations for future studies. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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426. Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis.
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Satpute, Kiran, Reid, Sue, Mitchell, Thomas, Mackay, Grant, and Hall, Toby
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MUSCULOSKELETAL system diseases , *ONLINE information services , *CINAHL database , *PAIN , *RANGE of motion of joints , *META-analysis , *INFORMATION storage & retrieval systems , *MEDICAL databases , *SHOULDER injuries , *SYSTEMATIC reviews , *TREATMENT effectiveness , *PHYSICAL mobility , *MANIPULATION therapy , *ELECTROTHERAPEUTICS , *MEDLINE , *EXERCISE therapy , *EVALUATION - Abstract
To assess the effects of mobilization with movement (MWM) on pain, range of motion (ROM), and disability in the management of shoulder musculoskeletal disorders. Six databases and Scopus, were searched for randomized control trials. The ROB 2.0 tool was used to determine risk-of-bias and GRADE used for quality of evidence. Meta-analyses were performed for the sub-category of frozen shoulder and shoulder pain with movement dysfunction to evaluate the effect of MWM in isolation or in addition to exercise therapy and/or electrotherapy when compared with other conservative interventions. Out of 25 studies, 21 were included in eight separate meta-analyses for pain, ROM, and disability in the two sub-categories. For frozen shoulder, the addition of MWM significantly improved pain (SMD −1.23, 95% CI −1.96, −0.51)), flexion ROM (MD −11.73, 95% CI −17.83, −5.64), abduction ROM (mean difference −13.14, 95% CI −19.42, −6.87), and disability (SMD −1.50, 95% CI (−2.30, −0.7). For shoulder pain with movement dysfunction, the addition of MWM significantly improved pain (SMD −1.07, 95% CI −1.87, −0.26), flexion ROM (mean difference −18.48, 95% CI- 32.43, −4.54), abduction ROM (MD −32.46, 95% CI – 69.76, 4.84), and disability (SMD −0.88, 95% CI −2.18, 0.43). The majority of studies were found to have a high risk of bias. MWM is associated with improved pain, mobility, and function in patients with a range of shoulder musculoskeletal disorders and the effects clinically meaningful. However, these findings need to be interpreted with caution due to the high levels of heterogeneity and risk of bias. Treatment, level 1a. [ABSTRACT FROM AUTHOR]
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- 2022
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427. Effects of Mulligan Mobilization with Movement in Subacute Lateral Ankle Sprains: A Pragmatic Randomized Trial.
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Nguyen, Anh Phong, Pitance, Laurent, Mahaudens, Philippe, Detrembleur, Christine, David, Yuval, Hall, Toby, and Hidalgo, Benjamin
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ANKLE injury treatment , *DORSIFLEXION , *RANGE of motion of joints , *ANALYSIS of variance , *PHYSICAL therapy , *POSTURAL balance , *SPRAINS , *RANDOMIZED controlled trials , *BODY movement , *REPEATED measures design , *DESCRIPTIVE statistics , *STATISTICAL sampling - Abstract
Objective: In a pragmatic and randomized clinical trial, patients with lateral ankle sprains were assessed, under blinded conditions, for their responsiveness and improvements during Mulligan mobilization-with-movement (MWM) therapy. Methods: Overall, 51 participants with subacute lateral ankle sprains (Grade I–II) were recruited. Following an MWM screening procedure, responders were randomized to either an intervention group (MWM) or a sham group. The MWM group received inferior tibiofibular, talocrural, or cubometatarsal MWM. The treatment or sham was administered upon three sessions, each 4 days apart. Changes from baseline were measured and compared between the sessions for dorsiflexion range of motion, pain, stiffness perception, and the Y-balance test. Results: In total, 43 participants were considered responders to MWM. Using a two-way repeated-measure ANOVA, a statistical and clinically meaningful improvement in dorsiflexion range of motion was revealed in the MWM group (p = 0.004, 1rst = +1.762 cm; 3rd = +2.714 cm), whereas no improvement following the first session occurred in the sham group (p = 0.454, 1rsttrial = +1.091 cm; 3rdtrial = +1.409 cm). Pain and stiffness significantly improved, yet below the clinically meaningful level. The MWM group demonstrated a significant improvement after three sessions for the Y-balance test (p = 0.001, +8.857 cm). Conclusion: More than 80% of participants with subacute lateral ankle sprains responded well to the MWM approach. Three sessions of pragmatically determined MWM provided a significant and clinically meaningful benefit in dorsiflexion range of motion and Y-balance test performance compared to a sham treatment. [ABSTRACT FROM AUTHOR]
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- 2021
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428. Chest X-ray in suspected lung cancer is harmful.
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Foley, Robert W., Nassour, Vanessa, Oliver, Helen C., Hall, Toby, Masani, Vidan, Robinson, Graham, Rodrigues, Jonathan C. L., and Hudson, Benjamin J.
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LUNG cancer , *COMPUTED tomography , *DELAYED diagnosis , *SURVIVAL rate , *X-rays - Abstract
Objectives: The aim of this study was to analyse the use of the chest radiograph (CXR) as the first-line investigation in primary care patients with suspected lung cancer. Methods: Of 16,945 primary care referral CXRs (June 2018 to May 2019), 1,488 were referred for suspected lung cancer. CXRs were coded as follows: CX1, normal but a CT scan is recommended to exclude malignancy; CX2, alternative diagnosis; or CX3, suspicious for cancer. Kaplan-Meier survival analysis was undertaken by stratifying patients according to their CX code. Results: In the study period, there were 101 lung cancer diagnoses via a primary care CXR pathway. Only 10% of patients with a normal CXR (CX1) underwent subsequent CT and there was a significant delay in lung cancer diagnosis in these patients (p < 0.001). Lung cancer was diagnosed at an advanced stage in 50% of CX1 patients, 38% of CX2 patients and 57% of CX3 patients (p = 0.26). There was no survival difference between CX codes (p = 0.42). Conclusion: Chest radiography in the investigation of patients with suspected lung cancer may be harmful. This strategy may falsely reassure in the case of a normal CXR and prioritises resources to advanced disease. Key Points: • Half of all lung cancer diagnoses in a 1-year period are first investigated with a chest X-ray. • A normal chest X-ray report leads to a significant delay in the diagnosis of lung cancer. • The majority of patients with a normal or abnormal chest X-ray have advanced disease at diagnosis and there is no difference in survival outcomes based on the chest X-ray findings. [ABSTRACT FROM AUTHOR]
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- 2021
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429. Ulnar Collateral Ligament Laxity After Repetitive Pitching: Associated Factors in High School Baseball Pitchers.
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Hattori, Hiroshi, Akasaka, Kiyokazu, Otsudo, Takahiro, Hall, Toby, Sakaguchi, Katsunobu, and Tachibana, Yomei
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BASEBALL , *ULTRASONIC imaging , *ANALYSIS of variance , *RESEARCH methodology , *MULTIPLE regression analysis , *THROWING (Sports) , *COLLATERAL ligament , *ELBOW , *DESCRIPTIVE statistics , *DATA analysis software , *JOINT hypermobility - Abstract
Background: Medial elbow injury is common in baseball pitchers, with evidence of elbow valgus instability after only 60 consecutive pitches. However, the tissue-specific effects of repetitive pitching on medial elbow stabilizers are largely unknown. Purpose/Hypothesis: This study aimed to investigate changes in the ulnar collateral ligament (UCL) and forearm flexor-pronator muscles (FPMs) during repetitive pitching and factors that relate to identified change. We hypothesized that repetitive pitching would increase elasticity of the medial elbow stabilizers and therefore induce laxity. Study Design: Descriptive laboratory study. Methods: A total of 30 high school baseball pitchers participated (mean ± SD age, 16.6 ± 0.5 years). Each participant pitched 100 times (5 blocks of 20 pitches). The strain ratio, indicating elasticity in the UCL and FPMs, was measured using ultrasound before pitching and after every 20-pitch block. Data for each pitch block were compared using analysis of variance. Multiple regression analysis was used to investigate factors related to the change rate of the strain ratio. Results: The strain ratio of the UCL after 100 pitches was significantly less than that before pitching (before pitching, 4.83 ± 1.70; after 100 pitches, 3.59 ± 1.35; P =.013), but this was not the case for the FPMs (before pitching, 0.57 ± 0.24; after 100 pitches, 0.43 ± 0.18; P =.07). The ratio of the strain ratio in the UCL and FPMs (UCL/FPMs) before pitching (β = −0.385; P =.031) and the elbow flexion range of motion before pitching (β = −0.352; P =.046) were significantly and independently correlated with the change rate of the UCL. Conclusion: Elasticity significantly increased for the UCL, indicating laxity, but not for the FPMs after 100 pitches. Furthermore, the ratio of elasticity (UCL/FPMs) and the elbow flexion range of motion before pitching were significantly related to the change rate of UCL elasticity. Clinical Relevance: To reduce laxity of the UCL, pitchers should be limited to <100 pitches per game. Sustaining a lower level of relative FPMs to UCL elasticity at rest and maintaining a large muscle volume to avoid excessive elbow flexion range of motion may prevent UCL laxity that develops during repetitive pitching. [ABSTRACT FROM AUTHOR]
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- 2021
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430. ACCOUNTABILITY OVERDUE.
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Hall, Toby
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LETTERS to the editor , *BUSINESS - Abstract
A letter to the editor is presented in response to the article "The Business of Giving," in the June 29, 2006 issue.
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- 2006
431. Readers' Forum.
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Hall, Toby J.
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LETTERS to the editor ,VIDEOS - Abstract
Presents a letter to the editor in response to the article "The Ten Biggest Stories of All Time," published in the June 20, 2004 issue of the periodical "Video Store Magazine."
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- 2004
432. International consensus on the most useful assessments used by physical therapists to evaluate patients with temporomandibular disorders: A Delphi study.
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Piekartz, Harry, Schwiddessen, Julius, Reineke, Lukas, Armijo‐Olivio, Susan, Bevilaqua‐Grossi, Débora, Biasotto Gonzalez, Daniela A., Carvalho, Gabriela, Chaput, Eve, Cox, Erin, Fernández‐de‐las‐Peñas, Cesar, Gadotti, Inae Caroline, Gil Martínez, Alfonso, Gross, Anita, Hall, Toby, Hoffmann, Marisa, Julsvoll, Elisabeth Heggem, Karegeannes, Micheal, La Touche, Roy, Mannheimer, Jeffrey, and Pitance, Laurent
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DIAGNOSIS , *TEMPOROMANDIBULAR disorders , *PHYSICAL therapists , *FACIAL pain , *PHYSICAL therapy , *MASTICATION , *MEDICAL screening - Abstract
Objective: To identify assessment tools used to evaluate patients with temporomandibular disorders (TMD) considered to be clinically most useful by a panel of international experts in TMD physical therapy (PT). Methods: A Delphi survey method administered to a panel of international experts in TMD PT was conducted over three rounds from October 2017 to June 2018. The initial contact was made by email. Participation was voluntary. An e‐survey, according to the Checklist for Reporting Results of Internet E‐Surveys (CHERRIES), was posted using SurveyMonkey for each round. Percentages of responses were analysed for each question from each round of the Delphi survey administrations. Results: Twenty‐three experts (completion rate: 23/25) completed all three rounds of the survey for three clinical test categories: 1) questionnaires, 2) pain screening tools and 3) physical examination tests. The following was the consensus‐based decision regarding the identification of the clinically most useful assessments. (1) Four of 9 questionnaires were identified: Jaw Functional Limitation (JFL‐8), Mandibular Function Impairment Questionnaire (MFIQ), Tampa Scale for Kinesiophobia for Temporomandibular disorders (TSK/TMD) and the neck disability index (NDI). (2) Three of 8 identified pain screening tests: visual analog scale (VAS), numeric pain rating scale (NRS) and pain during mandibular movements. (3) Eight of 18 identified physical examination tests: physiological temporomandibular joint (TMJ) movements, trigger point (TrP) palpation of the masticatory muscles, TrP palpation away from the masticatory system, accessory movements, articular palpation, noise detection during movement, manual screening of the cervical spine and the Neck Flexor Muscle Endurance Test. Conclusion: After three rounds in this Delphi survey, the results of the most used assessment tools by TMD PT experts were established. They proved to be founded on test construct, test psychometric properties (reliability/validity) and expert preference for test clusters. A concordance with the screening tools of the diagnostic criteria of TMD consortium was noted. Findings may be used to guide policymaking purposes and future diagnostic research. [ABSTRACT FROM AUTHOR]
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- 2020
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433. Effects of Nordic Hamstring Exercise on Hamstring Injuries in High School Soccer Players: A Randomized Controlled Trial.
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Hasebe, Yuki, Akasaka, Kiyokazu, Otsudo, Takahiro, Tachibana, Yomei, Hall, Toby, and Yamamoto, Mitsuru
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SOCCER injury prevention , *HAMSTRING muscle injuries , *COMPARATIVE studies , *EXERCISE , *EXERCISE physiology , *LEG injuries , *PHYSICAL diagnosis , *RISK assessment , *RUNNING , *STATISTICAL sampling , *SOCCER injuries , *TIME , *RANDOMIZED controlled trials , *RELATIVE medical risk , *SEVERITY of illness index , *DESCRIPTIVE statistics , *DISEASE risk factors - Abstract
We evaluated a range of physical characteristics related to hamstring injuries, as well as the Nordic Hamstring Exercise compliance rate, and whether this influenced the rate hamstring injury. Subjects comprised 259 male soccer players from seven high schools randomly clustered into two groups, a Nordic Hamstring Exercise group and a control group. Training and match time were logged, as well as details of hamstring injury, and subsequent time lost to hamstring injury recorded over a period of 27 weeks. The Nordic Hamstring Exercise compliance rate, injury rate per 10000 playing hours and time-lost-to-sport-injury rate were calculated. The relative risk and hamstring injury severity were also calculated. The hamstring injury rate was 1.04/10 000 h in the control group and 0.88/10 000 h in the intervention group. The relative risk for hamstring injury was 1.14. The time-lost to injury rate was 1116.3/10 000 h in the control group and 113.7/10 000 h in the intervention group; with relative risk 9.81. The Nordic Hamstring Exercise in high school soccer players significantly reduced hamstring injury severity compared to a control intervention. Our results indicate that the time-lost to injury rate should be taken into account when analyzing the severity of hamstring injury. [ABSTRACT FROM AUTHOR]
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- 2020
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434. Chapter 6 - A chronic case of mechanic's elbow
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Hall, Toby and Mulligan, Brian
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435. CHAPTER 6 - Neural Tissue Evaluation and Treatment
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Hall, Toby M. and Elvey, Robert L.
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436. Chapter 6 - Neural Tissue Evaluation and Treatment
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Elvey, Robert L. and Hall, Toby
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437. Contributors
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Beyers, Mollie, Bonutti, Peter, Cantu, Robert, Cobb, Deborah Seidel, Coleman, Struan H., Conaway, David J., Cooper, Jeff, Donatelli, Robert A., Donley, Phillip B., Duralde, Xavier A., Edgelow, Peter I., Ekstrom, Richard A., Ellenbecker, Todd S., Elvey, Robert L., Gonzalez-King, Blanca Zita, Gray, John C., Greenfield, Bruce H., Grimsby, Ola, Hall, Toby, Herrera, Joseph, Irwin, Jacob P., Irwin, Scot, Johanson, Marie A., Lee, Michael, Levit, Kathryn, McMahon, Timothy J., Morgan, Craig D., Osborn, Roy W., Ryerson, Susan, Syen, Dorie B., Brody, Lori Thein, Vad, Vijay B., Wilkes, Joseph S., Wooden, Michael J., and Zazzali, Michael S.
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438. Cervicogenic headache
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Toby Hall, Darren A. Rivett, Mark A. Jones, Hall, Toby, Rivett, Darren A, and Jones, Mark A
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lateral elbow pain ,computer work ,physical therapy - Published
- 2018
439. Symbol ratio minimax sequences in the lexicographic order
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Philip Boyland, André de Carvalho, Toby Hall, Boyland, P, de Carvalho, A, and Hall, Toby
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Simplex ,Applied Mathematics ,General Mathematics ,Torus ,Dynamical Systems (math.DS) ,TEORIA ERGÓDICA ,Minimax ,Space (mathematics) ,Lexicographical order ,Combinatorics ,FOS: Mathematics ,Mathematics - Combinatorics ,Combinatorics (math.CO) ,Mathematics - Dynamical Systems ,37B10, 37E45, 68R15 ,Symbol (formal) ,Rotation (mathematics) ,Mathematics - Abstract
Consider the space of sequences of k letters ordered lexicographically. We study the set M({\alpha}) of all maximal sequences for which the asymptotic proportions {\alpha} of the letters are prescribed, where a sequence is said to be maximal if it is at least as great as all of its tails. The infimum of M({\alpha}) is called the {\alpha}-infimax sequence, or the {\alpha}-minimax sequence if the infimum is a minimum. We give an algorithm which yields all infimax sequences, and show that the infimax is not a minimax if and only if it is the {\alpha}-infimax for every {\alpha} in a simplex of dimension 1 or greater. These results have applications to the theory of rotation sets of beta-shifts and torus homeomorphisms., Comment: 26 pages. Corrected proof of Theorem 23(b) (previously Theorem 21(b)). Modified after discovering connections with work of Bruin and Troubetzkoy
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- 2013
440. Contributors
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Bascharon, Randa A., Beyers, Mollie, Bonutti, Peter, Carp, Kenji C., Cooper, Jeff, Dimond, Donn, Dommerholt, Jan, Donley, Phillip B., Duralde, Xavier A., Ekstrom, Richard A., Ellenbecker, Todd S., Elvey, Robert L., Geist, Kathleen, Gray, John C., Greenfield, Bruce H., Grimsby, Ola, Hall, Toby M., Irwin, Scot, Manske, Robert C., McEvoy, Johnson, Morgan, Craig D., Murray, Douglas M., Osborn, Roy W., Paz, Jaime C., Pennington, Scott D., Vad, Vijay B., Wilkes, Joseph S., and Zazzali, Michael S.
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441. The Topology of Postsingularly Finite Exponential Maps
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Worsley, SJ, Rempe-Gillen, Lasse, Albrecht, Simon, and Hall, Toby
442. Prevalence and associated factors of non-traumatic shoulder pain during spike and serve movements in male high school volleyball players: a cross-sectional study.
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Mizoguchi Y, Suzuki K, Hasegawa S, Nakagawa H, Kimura F, Hall T, and Akasaka K
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Background: Nontraumatic shoulder pain is a prevalent issue among male high school volleyball players, but its comprehensive assessment has been lacking in prior research, which often isolated specific aspects of shoulder function. This study aimed to identify contributing factors to shoulder pain in this population., Hypothesis: The hypothesis posited that limited shoulder internal rotation (IR) range of motion (ROM), imbalance in rotator cuff muscle strength, intrinsic sensory disturbance, and joint stability are associated with shoulder pain in male high school volleyball players. Additionally, there was an anticipation that a substantial proportion of players would experience shoulder pain but refrain from reporting it to coaches., Methods: Forty-nine male volleyball players aged 15-17 years were evaluated between February and June 2023. Questionnaires assessed the prevalence of shoulder pain during spiking and/or serving, as well as the frequency of reporting this pain to coaches. Various factors, including acromio-humeral distance, shoulder ROM, isometric strength, proprioception, joint stability (Upper Quarter Y-Balance Test), joint position sense, and upper extremity power (Seated Medicine Ball Throw Test; SMBT), were quantified. Logistic regression analyses was conducted to explore potential connections between these variables and shoulder pain., Results: Shoulder pain was reported by 39% of participants, but it was rarely communicated to coaches (95%). Jump serves (odds ratio 1.84, p=0.02) and reduced shoulder IR ROM (odds ratio 0.94, p=0.03) were associated with shoulder pain., Conclusion: This study provides crucial insights into the prevalence, severity, and associated factors of shoulder pain among male high school volleyball players. The findings underscore the importance of improving athlete-coach communication to facilitate early intervention and preventive measures. Significant associations were observed between the use of jump serves, reduced shoulder internal rotation range of motion, and shoulder pain, highlighting the relevance of specific volleyball techniques in injury prevention. These findings offer valuable guidance to coaches and trainers in developing interventions aimed at mitigating the risk of shoulder pain and enhancing player performance., (Copyright © 2024. Published by Elsevier Inc.)
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- 2024
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443. Evaluation of somatosensory bedside testing and neurodynamics of the trigeminal nerve in craniofacial pain: A matched case-control study.
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von Piekartz H, Stein Y, Wenneker L, Hall T, and Ballenberger N
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Objective: The objective of this study was to investigate whether trigeminal somatosensory function and mechanosensitivity differ between groups with craniofacial neuropathic pain (CNP), non-neuropathic craniofacial pain (NNP), and healthy controls (HC)., Methods: Thirty-three participants were categorized into these groups, matched for age and sex. The study evaluated pain intensity, the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), and various trigeminal somatosensory tests, including vibration, pressure pain, thermal detection, cold pain, and neurodynamic tests of the trigeminal nerve., Results: Cold pain thresholds differed significantly among the three groups CNP, NNP, and HC ( p = .047). No difference was found in vibration detection, pressure pain threshold, and thermal detection. Trigeminal nerve mechanosensitivity was significantly different among the three groups ( p = .03), particularly between groups CNP and HC ( p = .01)., Conclusion: Differences in aspects of trigeminal somatosensory function, including cold pain and trigeminal mechanosensitivity, exist between subjects with chronic craniofacial pain and HC. This implies that a clinical classification system for neuromusculoskeletal rehabilitation could be valuable in evaluating patients.
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- 2024
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444. In people with shoulder pain, mobilisation with movement and exercise improves function and pain more than sham mobilisation with movement and exercise: a randomised trial.
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Baeske R, Hall T, Dall'Olmo RR, and Silva MF
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Question: In people with shoulder pain, what is the effect of adding mobilisation with movement (MWM) to a standard exercise program on function and pain compared with sham MWM and the same exercise program?, Design: A randomised trial with concealed allocation, blinded outcome assessment and intention-to-treat analysis., Participants: Seventy people with chronic atraumatic rotator cuff related pain, with a mean age 48 years (SD 10)., Interventions: The experimental group received MWM plus exercise and the control group received sham MWM plus exercise. Treatments were delivered twice per week for 5 weeks., Outcome Measures: The primary outcome measures were function (0 to 100 Shoulder Pain and Disability Index) and pain (0 to 10 Numerical Pain Rating Scale). Secondary outcomes were self-efficacy, perceived improvement and active pain-free range of movement. Assessment time points were at baseline (week 0), the end of the treatment period (week 5) and a follow-up 1 month after the end of treatment (week 9)., Results: At week 5, the experimental group improved more than the control group in function (MD -15 points, 95% CI -24 to -7), pain at night (MD -2.1, 95% CI -3.1 to -1.1), pain on movement (MD -1.5, 95% CI -2.5 to -0.6) and active range of movement in flexion (MD 16 deg, 95% CI 1 to 30), abduction (MD 23 deg, 95% CI 6 to 40), external rotation (MD 11 deg, 95% CI 4 to 17) and hand behind back (MD 20 deg, 95% CI 8 to 32). At week 9, benefits were seen in the Shoulder Pain and Disability Index (MD -9 points, 95% CI -17 to -1), pain at night (MD -1.9, 95% CI -2.9 to -0.8) and on movement (MD -1.3, 95% CI-2.3 to -0.3). The effects of the experimental intervention on other outcomes were mostly unclear due to wide confidence intervals. Blinding was successful., Conclusions: Adding MWM to exercise improved function, pain and active range of movement in people with shoulder pain. These benefits were not placebo effects., Registration: NCT04175184., (Copyright © 2024 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.)
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- 2024
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445. Does combining oro-facial manual therapy with bruxism neuroscience education affect pain and function in cases of awake bruxism? A pilot study.
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von Piekartz H, Bleiss S, Herzer S, Hall T, and Ballenberger N
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- Humans, Female, Pilot Projects, Male, Adult, Treatment Outcome, Single-Blind Method, Musculoskeletal Manipulations methods, Patient Education as Topic methods, Facial Pain therapy, Facial Pain physiopathology, Facial Pain rehabilitation, Middle Aged, Surveys and Questionnaires, Young Adult, Neurosciences, Bruxism therapy, Bruxism physiopathology, Temporomandibular Joint Disorders therapy, Temporomandibular Joint Disorders physiopathology, Temporomandibular Joint Disorders rehabilitation, Pain Measurement
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Background: Although awake bruxism is associated with temporomandibular disorder (TMD) as well as head and neck pain, the effects of physical therapy and bruxism education to address these factors have not been investigated., Objective: The aim of this study was to evaluate the effects of oro-facial manual therapy and bruxism neuroscience education (BNE) on awake bruxism over a 3-week period with an open-ended follow-up questionnaire after 3 months., Methods: Subjects (n = 28) were randomly allocated to one of two groups, an intervention group and a control group. Data regarding disability, function and pain were collected pre- and post-assessment, with all measures administered in a single-blind fashion. Participants in both groups received six treatment sessions during this period. In addition to manual therapy, participants were provided with information on the neurophysiological mechanisms of bruxism and contributing factors. Individual behavioural guidelines and daily exercises were determined in consultation with the therapist. An introduction to a bruxism specific app (Brux.App) was also provided, which all participants used as an adjunct to their treatment., Results: The intervention group demonstrated notable improvement as indicated by their scores in the Neck Disability Index (NDI) (p = .008), Pain Disability Index (PDI) (p = .007) and Jaw Disability List (JDL) (p = .03). Furthermore, clinical assessments of the temporomandibular joint (TMJ) revealed a significant progress in terms of mouth opening (p = .03) and lateral jaw movement (laterotrusion) (p = .03). The mechanical pain threshold (PTT) of both the masseter (p = .02) and temporalis muscle (p = .05) also showed significant improvement. At 3-month follow-up, the questionnaire revealed that the majority of the intervention group (13/15, 87%) reported a benefit from the treatment., Conclusion: The reduction in pain and disability together with improvement in function and increased coping suggest a potential modification of awake bruxism through specialised musculoskeletal intervention and BNE tailored to the individual patient., (© 2024 The Author(s). Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.)
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- 2024
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446. Association between diabetes, obesity, and quality of life in preoperative patients with degenerative cervical myelopathy: A cross-sectional study.
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Mizoguchi Y, Akasaka K, Suzuki K, Kimura F, Hall T, and Ogihara S
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Background and Aims: Degenerative cervical myelopathy (DCM) is a debilitating condition characterized by compression of the cervical spinal cord, leading to neurological deficits. This study aimed to investigate the association between comorbidities like diabetes mellitus (DM) and obesity and quality of life (QOL) in preoperative patients with DCM, and to examine the distribution of pain and numbness., Methods: A cross-sectional study with 86 preoperative patients with DCM was conducted. Patient-reported outcome measures (PROMs) including Core Outcome Measure Index for the neck (COMI-Neck), Neck Disability Index (NDI), EQ-5D-3L, SF-12v2 assessed QOL, and baseline characteristics were collected. Patients were categorized by diabetic and obesity status, resulting in 17 with and 69 without DM, and 27 obese, 59 nonobese patients. In the statistical analysis, we compared PROMs and baseline characteristics, and conducted MANCOVA to investigate the association of DM and obesity with PROMs., Results: The study found no significant differences in preoperative QOL between patients with and without DM or obesity. Additionally, the results of MANCOVA indicated that neither DM nor obesity alone, nor their combination, had an association with the total scores of PROMs. In each group, the Symptom-specific well-being score on the COMI-Neck was notably high, implying distressing current symptoms (median: 10). On the NDI, the median score for pain intensity, lifting, work, and recreation subitems was 3. Pain was predominantly reported in the neck and lower back, while numbness was more prevalent in the peripheral regions of the upper and lower limbs., Conclusion: Preoperative QOL was not significantly affected by the presence of DM and/or obesity. DCM-related symptoms may mask the associations with these comorbidities. Regardless of the preoperative condition, it is important to address the PROMs items that posed challenges before surgery., Competing Interests: The authors declare no conflict of interest., (© 2024 The Author(s). Health Science Reports published by Wiley Periodicals LLC.)
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- 2024
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447. Predicting the occurrence of in-season groin pain in male high school soccer players: a cohort study.
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Fujisaki K, Yokoyama D, Yokoyama M, Otani T, Seino K, Hall T, and Akasaka K
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[Purpose] This study investigated whether pre-season HAGOS (Japanese Copenhagen Hip and Groin Outcome Scores) and eccentric muscle strength of the hip muscles predict in-season groin pain incidences in high school soccer players. [Participants and Methods] This study had a cohort design. The participants were male high school players under 18 years playing in the Japan Soccer League, which is an elite-level soccer league of that age category in Japan. The HAGOS and the strength of hip abductor and adductor muscles in eccentric contraction were measured before the season, and hip and groin pain incidences were recorded during the season. Multiple logistic regression analysis was performed to investigate the factors derived from the pre-season HAGOS and hip muscle strength tests, presumably pertaining to the development of in-season groin pain. [Results] The eccentric adductor muscle strength of the dominant leg and the HAGOS were selected as factors associated with groin pain during the season. [Conclusion] Low pre-season HAGOS and weak dominant-leg eccentric adductor muscle strength were suggested as factors to predict in-season groin pain occurrence in male high school soccer players., Competing Interests: The authors declare that they have no funding or competing interests., (2024©by the Society of Physical Therapy Science. Published by IPEC Inc.)
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- 2024
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448. Golfers' Performance Is Improved More by Combining Foam Rolling and Dynamic Stretch to the Lead Hip Than Practice Golf Swinging.
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Hamada Y, Akasaka K, Otsudo T, Sawada Y, Hattori H, Kikuchi Y, and Hall T
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- Humans, Male, Adult, Warm-Up Exercise physiology, Hip physiology, Young Adult, Muscle Stretching Exercises physiology, Sports Equipment, Hip Joint physiology, Golf physiology, Athletic Performance physiology, Range of Motion, Articular physiology, Muscle Strength physiology, Cross-Over Studies
- Abstract
Abstract: Hamada, Y, Akasaka, K, Otsudo, T, Sawada, Y, Hattori, H, Kikuchi, Y, and Hall, T. Golfers' performance is improved more by combining foam rolling and dynamic stretch to the lead hip than practice golf swinging. J Strength Cond Res 38(7): e391-e397, 2024-Warming up is considered effective in improving performance and preventing injury. Despite this, there have been few studies investigating warm-up programs in golf and whether specific factors contribute to improved performance. The purpose of this study was to examine the immediate effects of combined foam rolling and dynamic stretch (FR + DS) to the lead hip on golf swing performance, hip range of motion (ROM), and muscle strength in amateur golfers using a randomized crossover design. The study sample comprised 22 men (mean ± SD ; age, 32.6 ± 8.5 years, body mass index (BMI), 23.4 ± 2.7 kg·m -2 ). Subjects were assigned to receive either FR + DS or repetitive golf swing practice (SW) before crossing over to the other intervention for another day. Measurements included golf swing performance (ball speed, club head speed, flight distance ["carry"], spin rate, and launch angle), hip internal rotation (IR), and external rotation (ER) ROM, as well as hip IR and ER muscle strength. Comparisons between groups were made before and after each intervention. For golf swing performance, FR + DS improved "carry" significantly more than SW ( p < 0.05). No significant differences in golf swing performance other than "carry" were found. In addition, IR ROM and IR muscle strength of the lead hip were significantly increased in the FR + DS group ( p < 0.05). FR + DS has effects on improving lead hip IR ROM and IR muscle strength, which may facilitate golfers' swing and "carry." FR + DS shows promise as a warm-up method for amateur golfers who want to improve golf performance., (Copyright © 2024 National Strength and Conditioning Association.)
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- 2024
- Full Text
- View/download PDF
449. Mulligan manual therapy added to exercise improves headache frequency, intensity and disability more than exercise alone in people with cervicogenic headache: a randomised trial.
- Author
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Satpute K, Bedekar N, and Hall T
- Subjects
- Humans, Male, Female, Adult, Middle Aged, Treatment Outcome, Range of Motion, Articular, Post-Traumatic Headache therapy, Post-Traumatic Headache rehabilitation, Exercise Therapy methods, Musculoskeletal Manipulations methods
- Abstract
Question: What is the effect of a 4-week regimen of Mulligan manual therapy (MMT) plus exercise compared with exercise alone for managing cervicogenic headache? Is MMT plus exercise more effective than sham MMT plus exercise? Are any benefits maintained at 26 weeks of follow-up?, Design: A three-armed, parallel-group, randomised clinical trial with concealed allocation, blinded assessment of some outcomes and intention-to-treat analysis., Participants: Ninety-nine people with cervicogenic headache as per International Classification of Headache Disorders (ICHD-3)., Interventions: Participants were randomly allocated to 4 weeks of: MMT with exercise, sham MMT with exercise or exercise alone., Outcome Measures: The primary outcome was headache frequency. Secondary outcomes were headache intensity, headache duration, medication intake, headache-related disability, upper cervical rotation range of motion, pressure pain thresholds and patient satisfaction. Outcome measures were collected at baseline and at 4, 13 and 26 weeks., Results: MMT plus exercise reduced headache frequency more than exercise alone immediately after the intervention (MD between groups in change from baseline: 2 days/month, 95% CI 2 to 3) and this effect was still evident at 26 weeks (MD 4 days, 95% CI 3 to 4). There were also benefits across all time points in several secondary outcomes: headache intensity, headache duration, headache-related disability, upper cervical rotation and patient satisfaction. Pressure pain thresholds showed benefits at all time points at the zygapophyseal joint and suboccipital areas but not at the upper trapezius. The outcomes in the sham MMT with exercise group were very similar to those of the exercise alone group., Conclusions: In people with cervicogenic headache, adding MMT to exercise improved: headache frequency, intensity and duration; headache-related disability; upper cervical rotation; and patient satisfaction. These benefits were not due to placebo effects., Trial Registration: CTRI/2019/06/019506., (Copyright © 2024 Australian Physiotherapy Association. Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
450. Psychometric evaluation of the Japanese neck disability index by exploratory factor analysis in preoperative patients with cervical spondylotic myelopathy: impact of pain and numbness.
- Author
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Mizoguchi Y, Akasaka K, Suzuki K, Kimura F, Hall T, and Ogihara S
- Abstract
Background Context: The Neck Disability Index (NDI), a common Patient-Reported Outcome Measure (PROM) for neck pain, lacks sufficient study on its psychometric properties in preoperative patients with cervical spondylotic myelopathy (CSM)., Purpose: This study aims to address these gaps by conducting an exploratory factor analysis of the Japanese NDI. The objectives are 2-fold: (1) to scrutinize the psychometric properties and internal consistency of the Japanese NDI, and (2) to explore the specific regions of pain and numbness influencing the NDI., Study Design/setting: A single-center observational study., Patient Sample: A total of 100 preoperative patients with CSM., Outcome Measures: The NDI and Numerical Rating Scale (NRS) were employed to assess preoperative neck disability and pain and numbness in various body regions., Methods: Demographic and clinical characteristics were collected, encompassing age, sex, body mass index, American Society of Anesthesiologists classification, smoking status, comorbidities, pain and numbness at various sites using the NRS, and NDI. For evaluating the psychometric properties and internal consistency of the NDI, exploratory factor analysis (EFA) and Cronbach's α coefficient were utilized. Furthermore, the impact of pain and numbness on NDI factors was examined through multivariable regression analysis., Results: EFA identified 2 factors-Physical and Mental-highlighting the dual nature of neck-related disability. Physical factors (std.β=0.724, p<.001) exerted a stronger impact on NDI scores compared to Mental factors (std.β=0.409, p<.001). Cronbach's α coefficient was 0.831 for physical factors and 0.723 for mental factors, indicating a high level of internal consistency. Numbness in the hand (std.β=0.338, p<.001) and pain in the neck (std.β=0.202, p=.035) were significant variables influencing Physical factor, while numbness in the hand (std.β=0.485, p<.001) and pain in the head (std.β=0.374, p<.001) impacted Mental factor., Conclusion: This study contributes valuable insights into the psychometric properties of the NDI in preoperative patients with CSM. The identified factors emphasize the importance of addressing both physical and sensory symptoms in preoperative care., Competing Interests: Declaration of competing interest No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. The manuscript submitted does not contain information about medical device (s)/drug (s)., (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
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