Refine
Year of publication
Document Type
- Article (16)
- Conference Proceeding (4)
- Book (1)
- Part of a Book (1)
Has Fulltext
- no (22) (remove)
Is part of the Bibliography
- yes (22)
Keywords
- Alar ligaments (1)
- Hyperalgesie (1)
- Kiefergelenk (1)
- Kraniomandibuläre Dysfunktion (1)
- Physiotherapie (1)
- Stenose (1)
- Triggerpunkte (1)
- Zentrale Sensibilisierung (1)
- clinical tests (1)
- lumbal (1)
Institute
- Fakultät WiSo (22)
Comparison of quantitative sensory testing profles between people living in Germany and Australia
(2021)
Die Lumbale Spinalkanalstenose (LSS) bezeichnet eine symptomatische Verengung des Spinalkanals aufgrund einer kongenitalen Erkrankung (primäre LSS) oder eines degenerativen Prozesses (sekundäre LSS). Laut Schätzungen unterziehen sich 40 % aller von LSS betroffenen Patienten innerhalb der ersten 10 Jahre einem chirurgischen Eingriff. Ziel dieses Reviews ist, die Effektivität einer Rehabilitation, einschließlich individualisierter Physiotherapie, mit der herkömmlichen Versorgung nach einer Operation der LSS zu vergleichen.
Die Datenbanken CENTRAL, MEDLINE, DIMDI, PEDro und PubMed wurden systematisch nach randomisierten kontrollierten Studien durchsucht, die bis November 2018 durchgeführt wurden. Vier Studien wurden in den Review eingeschlossen. Die Gesamtqualität der Evidenz erwies sich dabei als moderat. Die Interventionen erfolgten unmittelbar während des Krankenhausaufenthalts oder innerhalb von 6–12 Wochen postoperativ und beinhalteten statt individualisierter Physiotherapie lediglich unspezifische Gruppentherapie. Die Kontrollgruppen erhielten herkömmliche Versorgung oder Empfehlungen zum postoperativen Verhalten. Die Analyse ergab keine Unterschiede zwischen den Gruppen in Bezug auf funktionellen Status und Rückenschmerzen kurz- und langfristig. Lediglich bezüglich Beinschmerzen zeigte sich eine signifikante Differenz zugunsten der Interventionsgruppe (SMD –0,22, 95 % KI –0,43 bis –0,01).
Nicht individuelle Physiotherapie zeigt demnach im Vergleich zur herkömmlichen Versorgung keine kurzfristigen Effekte hinsichtlich Funktion und Schmerz, jedoch einen kleinen klinisch relevanten und signifikanten langfristigen Effekt im Hinblick auf Beinschmerzen. Die geringe Anzahl an eingeschlossenen Studien und die moderate Qualität der Evidenz unterstreichen die dringende Notwendigkeit qualitativ hochwertiger Studien, die die Wirkung einer individualisierten, patientenzentrierten und evidenzbasierten Physiotherapie untersuchen.
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.
Introduction
Tests to evaluate the integrity of the alar ligaments are important clinical tools for manual therapists, but there is limited research regarding their validity.
Method
A single blinded examiner assessed alar ligament integrity using the lateral shear test (LST), rotation stress test (RST) and side-bending stress test (SBST) on a sample of convenience comprising 7 subjects with MRI confirmed alar ligament lesions and 11 healthy people. Alar ligament lesions were identified using both supine and high-field strength upright MRI.
Results
The RST had a sensitivity of 80% and a specificity of 69.2%. The SBST and the LST both showed a sensitivity of 80% and a specificity of 76.9%. In cases where all three tests were positive, the specificity increased to 84.6%.
Discussion
Tests of manual examination of alar ligament integrity have some diagnostic utility; however, these findings require further corroboration in a larger sample.
AIM: In this prospective longitudinal study, the physical and psychological health status of music students is assessed at the beginning of their university music study and tracked over time. Analysis strategies and interim results from the first-year cohort, including 1-year incidences, monthly prevalences, and predictors of developing musculoskeletal health complaints (MHC), are presented.
METHODS: This prospective longitudinal study is calculated to enlist a total sample of 370 participants, including musicians and non-musicians, over 5 years. Baseline measurements include a self-designed questionnaire, core strength endurance, hypermobility, finger-floor-distance, motor control, mechanosensitivity, health-related quality of life (SF36), and stress and coping inventory (SCI). The occurrence of MHC is based on monthly online questionnaires.
RESULTS: The first-year subcohort enrolled 33 music students and 30 non-music control students. The mean monthly completion rate for the questionnaire was 55.7±8.7%. At baseline, music students showed significantly more stress symptoms, reduced physical function¬ing, and increased bodily pain compared to control students. The 1-year incidence of MHC was 59% for music students and 44% for controls. Risk factors for MHC included being a music student, previous pain, reduced physical functioning, stress symptoms, reduced emotional functioning, and mechanosensitivity. Being a music student, physical functioning, sleep duration, positive thinking, and general mechanosensitivity had a predictive ability of 0.77 (ROC curve) for MHC.
CONCLUSION: A total of 63 students enrolled in the first cohort is in line with the precalculated sample size. This prospective study design enables the measurement of MHC incidence and provides insight into mechanisms in the development of MHC among music students, including the interaction of physical, psychological, and psychosocial factors.