DOCSLIB.ORG

Musculoskeletal Injuries

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Musculoskeletal Injuries The Burden of Musculoskeletal Diseases in the United States Second Editi on Prevalence, Societal, and Economic Cost The Burden of Musculoskeletal Diseases in the United Project Coordinator States, Second Edition, is a joint project of the Sylvia I. Watkins-Castillo, PhD American Academy of Orthopaedic Surgeons, American Academy of Physical Medicine Staff and Rehabilitation, American College of Robert H. Haralson, III, MD, MBA, Medical Director, Rheumatology, American Society for Bone and AAOS Mineral Research, Arthritis Foundation, National Toby R.W. King, CAE, Executive Director, USBJD University of Health Sciences, Orthopaedic Amy Miller, Senior Director, Research, Training and Research Society, Scoliosis Research Society, and Quality, ACR the United States Bone and Joint Decade. Thomas E. Stautzenbach, MA, MBA, CAE, Executive Director, AAPM&R Management Oversight Team and Charles M. Turkelson, PhD, Director, Research and Major Contributing Organizations Scientifi c Aff airs, AAOS Marilyn Fox, PhD, Director, Publications, AAOS Joshua J. Jacobs, MD Mary Steermann Bishop, Senior Manager, Production Chair, Management Oversight Team, The Burden of & Archives, AAOS Musculoskeletal Diseases in the United States Courtney Astle, Assistant Production Manager, AAOS Gunnar B. J. Andersson, MD, PhD Cover Design John-Erik Bell, MD Rick Cosaro, Cosaro & Associates, Ltd. Stuart L. Weinstein, MD American Academy of Orthopaedic Surgeons (AAOS) The material presented in The Burden of Musculoskeletal Diseases in the United States is made available for informational purposes John P. Dormans, MD only. This material is not intended to suggest procedures or course of Scoliosis Research Society (SRS) treatment, only to provide an interpretation of available data on the incidence and prevalence of most major musculoskeletal conditions. Steve M. Gnatz, MD, MHA American Academy of Physical Medicine and All rights reserved. No part of this publication may be reproduced, Rehabilitation (AAPM&R) stored in retrieval system, or transmitt ed, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, Nancy Lane, MD without prior writt en permission from the publisher. United States Bone and Joint Decade (USBJD) Copyright © 2008 by the American Academy of Orthopaedic J. Edward Puzas, PhD Surgeons. Orthopaedic Research Society (ORS) ISBN 978-0-89203-533-5 President, United States Bone and Joint Decade (USBJD) The Burden of Musculoskeletal Diseases in the United States 6300 N. River Road E. William St. Clair, MD Rosemont, IL 60018 Edward H. Yelin, PhD United States of America American College of Rheumatology (ACR) 1-800-626-6726 Additional Contributing Organizations Suggested citation: United States Bone and Joint Decade: The Burden American Society for Bone and Mineral Research of Musculoskeletal Diseases in the United States, Second Edition. (ASBMR) Rosemont, IL: American Academy of Orthopaedic Surgeons;2010. Arthritis Foundation National University of Health Sciences ii The Burden of Musculoskeletal Diseases in the United States - Copyright © 2010 Authors and Reviewers Steven M. Kurtz, PhD Gunnar B. J. Andersson, MD, PhD Nancy Lane, MD Jeannett e Bouchard Assia Miller, MD, MPH Kevin J. Bozic, MD, MBA Reba L. Novich, MSW Robert M. Campbell, Jr., MD Richard Olney, MD, MPH Miriam G. Cisternas, MS Peter Panopalis, MD Adolfo Correa, MD. MPH, PhD David J. Pasta, MS Felicia Cosman, MD Andrew N. Pollak, MD Janet D. Cragan, MD, MPH J. Edward Puzas, PhD Kristen D’Andrea, BA B. Steven Richards, III, MD Nancy Doernberg John P. Sestito, JD, MS John P. Dormans, MD, FACS Csaba Siff el, MD, PhD Ann L. Elderkin, PA Paul D. Sponseller, MD Zarina Fershteyn, MPH E. William St. Clair, MD Aimee J. Foreman, MA Andrew Stuart, MA Steven Gitelis, MD Kimberly J. Templeton, MD Steve M. Gnatz, MD, MHA George Thompson, MD Robert H. Haralson, III, MD, MBA Laura Tosi, MD Charles G. (Chad) Helmick, MD William G. Ward, Sr., MD Serena Hu, MD Sylvia I. Watkins-Castillo, PhD Jeff rey N. Katz, MD Stuart L. Weinstein, MD Toby King, CAE James G. Wright, MD, MPH, FRCSC Ron Kirk, MA, DC Edward H. Yelin, PhD Bone and Joint Decade The Bone and Joint Decade is an international collaborative movement sanctioned by the United Nations/ World Health Organization and working to improve the quality of life for people with musculoskeletal conditions and to advance the understanding, prevention and treatment of these conditions. Offi cially proclaimed by the U.S. President, the United States Bone and Joint Decade (USBJD) 2002-2011 has been endorsed by all 50 States and more than one hundred national health care professional, patient and public organizations, all 125 U.S. medical schools and many colleges of medicine. The goal of the United States Bone and Joint Decade is to improve bone and joint health by enhancing collaborative eff orts among individuals and organizations in order to raise awareness of the growing burden of musculoskeletal disorders on society, to promote wellness and prevent musculoskeletal disease, and to advance research that will lead to improvements in prevention, diagnosis and treatment. www.usbjd.org [email protected] Phone: 847-384-4010 The Burden of Musculoskeletal Diseases in the United States - Copyright © 2010 iii Table of Content vii Preface ix Foreword 1 Chapter 1: Burden of Musculoskeletal Disease Overview 21 Chapter 2: Spine: Low Back and Neck Pain 57 Chapter 3: Spinal Deformity and Related Conditions 75 Chapter 4: Arthritis and Related Conditions 103 Chapter 5: Osteoporosis and Bone Health 129 Chapter 6: Musculoskeletal Injuries 181 Chapter 7: Congenital and Infantile Developmental Conditions of the Musculoskeletal System 195 Chapter 8: Neoplasms of Bone and Connective Tissue 219 Chapter 9: Health Care Utilization and Economic Cost of Musculoskeletal Diseases 253 Appendices 269 Index The Burden of Musculoskeletal Diseases in the United States - Copyright © 2010 v Preface It is with pleasure that I introduce you to this high expectations of the health system. With publication of the Burden of Musculoskeletal the National Center for Health Statistics’ 2008 Diseases in the United States, the timely result of National Health Interview Survey as a solid base, a partnership between the American Academy this publication examines such issues as spinal of Orthopaedic Surgeons and a number of other problems, arthritis and joint pain, osteoporosis, organizations supporting the U.S. Bone and injuries, congenital conditions, neoplasms, and Joint Decade (2002-2011). The level of disease health care utilization and costs. The biomedically recognition that the Decade has provided has done inclined reader will fi nd within these pages both much to push the state of the science forward, and food for thought and a call to action. this new publication presents a snapshot of how far we have come since its predecessor, the 1999 The plight of millions of Americans whose Musculoskeletal Conditions in the United States, was lives are aff ected by the physical, fi nancial, and released. emotional demands of musculoskeletal conditions make the fi ndings of Burden diffi cult to ignore. I Although many advances have been made, encourage you to read and digest its contents, and musculoskeletal conditions remain common, to appropriate for yourself those parts within your chronic, and costly—and potentially disabling— specifi c areas of interest or expertise. to an increasingly graying population with Stephen I. Katz, MD, PhD Director National Institute of Arthritis and Musculoskeletal and Skin Diseases National Institutes of Health Bethesda, Maryland January 10, 2008 The Burden of Musculoskeletal Diseases in the United States - Copyright © 2010 vii Foreword Musculoskeletal disorders and diseases are the two previous editions entitled Musculoskeletal leading cause of disability in the United States Conditions in the United States, published in and account for more that one-half of all chronic 1992 and 1999 by the American Academy of conditions in people over 50 years of age in Orthopaedic Surgeons, and the second edition developed countries. The economic impact of these of the most recent edition, renamed The Burden conditions is also staggering: in 2004 the sum of of Musculoskeletal Diseases in the United States the direct expenditures in health care costs and when published in 2070. The book represents a the indirect expenditures in lost wages has been true collaboration of a coalition of professional estimated to be $950 billion dollars, or 7.4% of the organizations committ ed to the mission of the US 2006 GDP (national gross domestic product.) Bone and Joint Decade. Beyond these statistics, the human toll in terms These data should stimulate increased investment of the diminished quality of life is immeasurable. in basic, translational, clinical and health policy This situation is unlikely to improve in the research to delineate the underlying mechanisms foreseeable future and will likely be intensifi ed by of these diseases and their response to treatment. current demographic trends, including the graying Through such research, novel preventive of the baby boomer population, the epidemic of and therapeutic approaches with potential to morbid obesity, and the higher recreational activity mitigate the societal and personal impact of levels of our elderly population. musculoskeletal disease will emerge. Despite these compelling facts, the investment Joshua J. Jacobs, M.D. in musculoskeletal research in the United States President, U.S. Bone and Joint Decade lags behind other chronic
Load more

Recommended publications
  • Juvenile Spondyloarthropathies: Inflammation in Disguise
    PP.qxd:06/15-2 Ped Perspectives 7/25/08 10:49 AM Page 2 APEDIATRIC Volume 17, Number 2 2008 Juvenile Spondyloarthropathieserspective Inflammation in DisguiseP by Evren Akin, M.D. The spondyloarthropathies are a group of inflammatory conditions that involve the spine (sacroiliitis and spondylitis), joints (asymmetric peripheral Case Study arthropathy) and tendons (enthesopathy). The clinical subsets of spondyloarthropathies constitute a wide spectrum, including: • Ankylosing spondylitis What does spondyloarthropathy • Psoriatic arthritis look like in a child? • Reactive arthritis • Inflammatory bowel disease associated with arthritis A 12-year-old boy is actively involved in sports. • Undifferentiated sacroiliitis When his right toe starts to hurt, overuse injury is Depending on the subtype, extra-articular manifestations might involve the eyes, thought to be the cause. The right toe eventually skin, lungs, gastrointestinal tract and heart. The most commonly accepted swells up, and he is referred to a rheumatologist to classification criteria for spondyloarthropathies are from the European evaluate for possible gout. Over the next few Spondyloarthropathy Study Group (ESSG). See Table 1. weeks, his right knee begins hurting as well. At the rheumatologist’s office, arthritis of the right second The juvenile spondyloarthropathies — which are the focus of this article — toe and the right knee is noted. Family history is might be defined as any spondyloarthropathy subtype that is diagnosed before remarkable for back stiffness in the father, which is age 17. It should be noted, however, that adult and juvenile spondyloar- reported as “due to sports participation.” thropathies exist on a continuum. In other words, many children diagnosed with a type of juvenile spondyloarthropathy will eventually fulfill criteria for Antinuclear antibody (ANA) and rheumatoid factor adult spondyloarthropathy.
    [Show full text]
  • Bursae Around the Knee Joints Priyank S Chatra Department of Radiology, Yenepoya Medical College, Mangalore, Karnataka, India
    MUSCULOSKELETAL RADIOLOGY Bursae around the knee joints Priyank S Chatra Department of Radiology, Yenepoya Medical College, Mangalore, Karnataka, India Correspondence: Dr. Priyank S. Chatra, Department of Radiology, Yenepoya Medical College, Deralakatte, Mangalore – 575 018, Karnataka, India. E-mail: [email protected] Abstract A bursa is a fluid-filled structure that is present between the skin and tendon or tendon and bone. The main function of a bursa is to reduce friction between adjacent moving structures. Bursae around the knee can be classified as those around the patella and those that occur elsewhere. In this pictorial essay we describe the most commonly encountered lesions and their MRI appearance. Key words: Iliotibial bursa; infrapatellar bursa; pes anserine bursa Introduction and the gastrocnemius-semimembranosus bursa. On MRI imaging, bursitis appears as an oblong fluid collection in A bursa is a fluid-filled structure that is present between its expected anatomical location. the skin and tendon or tendon and bone. The main function of a bursa is to reduce friction between adjacent Prepatellar Bursitis moving structures. Typically, bursae are located around large joints such as the shoulder, knee, hip, and elbow.[1] The prepatellar bursa is located between the patella and the Inflammation of this fluid-filled structure is called bursitis. overlying subcutaneous tissue. Chronic trauma in the form Trauma, infection, overuse, and hemorrhage are some of prolonged or repeated kneeling leads to inflammation of the common
    [Show full text]
  • 'Dialysis Related Arthropathy': a Survey of 95 Patients Receiving Chronic Haemodialysis with Special Reference to 132 Microglobulin Related Amyloidosis
    Ann Rheum Dis: first published as 10.1136/ard.48.5.409 on 1 May 1989. Downloaded from Annals of the Rheumatic Diseases, 1989; 48, 409-420 'Dialysis related arthropathy': a survey of 95 patients receiving chronic haemodialysis with special reference to 132 microglobulin related amyloidosis N P HURST,' R VAN DEN BERG,' A DISNEY,2 M ALCOCK,3 L ALBERTYN,3 M GREEN,' AND V PASCOE4 From the 'Rheumatology Unit, the 2Renal Unit, the 3Department of Radiology, and the 4Department of Pathology, The Queen Elizabeth Hospital, Woodville, South Australia SUMMARY Ninety five patients receiving chronic haemodialysis (CHD) were surveyed to determine the prevalence of rheumatic disease and, where possible, its aetiology. At least three distinct rheumatic syndromes were identified-a group of patients with a syndrome consisting of large and medium joint synovial swelling, restricted hips and shoulders, tenosynovitis, carpal tunnel syndrome, and bone cysts due to deposition of 132 microglobulin related amyloid (AMP2m); a second group with erosive azotaemic osteoarthropathy; and a third group with age related degenerative disease of small, large, and axial joints. The data presented suggest that in patients receiving CHD (a) the prevalence of AM2i2m deposition and the associated syndrome increases with duration of dialysis, but in patients who have been dialysed for more than 10 years the risk of developing AM2n2m is related to age; (b) AM2i2m deposition in subchondral cysts, but not synovium, causes joint destruction; also, AMp2m may be more prone to deposition in synovium of joints already damaged by other processes; (c) in the absence of synovial iron deposition synovial AM2n2m is not associated with an inflammatory infiltrate; (d) hyperparathyroidism and perhaps other factors such as synovial iron deposition are probably more important than AMgi2m as causes http://ard.bmj.com/ of peripheral joint degeneration and destructive spondyloarthropathy in patients receiving CHD.
    [Show full text]
  • Rotator Cuff and Subacromial Impingement Syndrome: Anatomy, Etiology, Screening, and Treatment
    Rotator Cuff and Subacromial Impingement Syndrome: Anatomy, Etiology, Screening, and Treatment The glenohumeral joint is the most mobile joint in the human body, but this same characteristic also makes it the least stable joint.1-3 The rotator cuff is a group of muscles that are important in supporting the glenohumeral joint, essential in almost every type of shoulder movement.4 These muscles maintain dynamic joint stability which not only avoids mechanical obstruction but also increases the functional range of motion at the joint.1,2 However, dysfunction of these stabilizers often leads to a complex pattern of degeneration, rotator cuff tear arthropathy that often involves subacromial impingement.2,22 Rotator cuff tear arthropathy is strikingly prevalent and is the most common cause of shoulder pain and dysfunction.3,4 It appears to be age-dependent, affecting 9.7% of patients aged 20 years and younger and increasing to 62% of patients of 80 years and older ( P < .001); odds ratio, 15; 95% CI, 9.6-24; P < .001.4 Etiology for rotator cuff pathology varies but rotator cuff tears and tendinopathy are most common in athletes and the elderly.12 It can be the result of a traumatic event or activity-based deterioration such as from excessive use of arms overhead, but some argue that deterioration of these stabilizers is part of the natural aging process given the trend of increased deterioration even in individuals who do not regularly perform overhead activities.2,4 The factors affecting the rotator cuff and subsequent treatment are wide-ranging. The major objectives of this exposition are to describe rotator cuff anatomy, biomechanics, and subacromial impingement; expound upon diagnosis and assessment; and discuss surgical and conservative interventions.
    [Show full text]
  • De Quervain's Tenosynovitis
    GUIDE TO THE DIAGNOSIS OF WORK-RELATED MUSCULOSKELETAL 2 DISORDERS Work-related musculoskeletal injuries are one of the most common occupational health problems for which physicians are consulted. There is solid scientific evidence that these injuries may be occupational in origin. This guide was designed to help physicians interpret the results of a medical examination. By combining the standard clinical assessment procedure with guidelines concerning the identification of etiological factors, it helps physicians identify the cause of injury. AUTHORS Louis Patry holds a degree in medicine from Laval University and a diploma in ergonomics from the Conservatoire National des Arts De Quervain’s et Metiers de Paris (CNAM). He is a specialist in occupational medi- De Quervain’s cine, an associate member of the Royal College of Physicians and Surgeons of Canada, a professor in McGill University’s Department of Epidemiology and Biostatistics and Occupational Health, and con- sulting physician to the Direction de la santé publique (Public Health Department), first in Québec City and currently at the Montréal- TenosynovitisTenosynovitis Centre board. Michel Rossignol holds degrees in biochemistry and medicine from the University of Sherbrooke, in epidemiology and community Louis PATRY, Occupational Medecine Physician, Ergonomist health from McGill University, and in occupational medicine from Michel ROSSIGNOL, Occupational Medecine Physician, Epidemiologist John Hopkins University. He is a professor in McGill University’s Department of Epidemiology and Biostatistics and Occupational Marie-Jeanne COSTA, Nurse, Ergonomist Health, co-director of the Centre for Clinical Epidemiology of the Jewish General Hospital of Montréal, and physician-epidemiologist Martine BAILLARGEON, Plastic Surgeon at the Montréal-Centre board of the Direction de la santé publique (Public Health Department).
    [Show full text]
  • Rotator Cuff Tear Arthropathy: Pathophysiology, Diagnosis And
    yst ar S em ul : C c u s r u r e M n t & R Orthopedic & Muscular System: c e Aydin, et al., Orthopedic Muscul Syst 2014, 3:2 i s d e e a p ISSN: 2161-0533r o c DOI: 10.4172/2161-0533-3-1000159 h h t r O Current Research Review Article Open Access Rotator Cuff Tear Arthropathy: Pathophysiology, Diagnosis and Treatment Nuri Aydin*, Okan Tok and Bariş Görgün Istanbul University Cerrahpaşa, School of Medicine, Istanbul, Turkey *Corresponding author: Nuri Aydin, Istanbul University Cerrahpaşa, School of Medicine, Orthopaedics and Traumatology, Istanbul, Turkey, Tel: +905325986232; E- mail: [email protected] Rec Date: Jan 25, 2014, Acc Date: Mar 22, 2014, Pub Date: Mar 28, 2014 Copyright: © 2014 Aydin N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract The term rotator cuff tear arthropathy is a broad spectrum pathology but it involves common characteristic features as rotator cuff tear, leading to glenohumeral joint arthritis and superior migration of the humeral head. Although there are several factors described causing rotator cuff tear arthropathy, the exact mechanism is still unknown because the rotator cuff tear arthropathy develops in only a group of patients with chronic rotator cuff tear. The aim of this article is to review pathophysiology of rotator cuff tear arthropathy, to explain the diagnostic features and to discuss the management of the disease. Keywords: Arthropathy; Glenohumeral joint; Articular fluid Rotator cuff tear not only plays a role at the beginning of the disease, but also a developed rotator cuff tear is a result of the inflammatory Introduction process.
    [Show full text]
  • CPT® Procedural Coding 110 L with Areportoftheprocedure
    20610-20611 2017 Illustrated Coding and Billing Expert for Orthopedics Lower 20610-20611 ICD-9-CM Diagnostic Codes M16.7 Other unilateral secondary 711.05 Pyogenic arthritis involving pelvic osteoarthritis of hip 20610 Arthrocentesis, aspiration and/or region and thigh M17.0 Bilateral primary osteoarthritis of injection, major joint or bursa (eg, 711.06 Pyogenic arthritis involving lower leg knee shoulder, hip, knee, subacromial 713.5 Arthropathy associated with ⇄ M17.11 Unilateral primary osteoarthritis, right bursa); without ultrasound guidance neurological disorders knee 20611 Arthrocentesis, aspiration and/or 714.0 Rheumatoid arthritis ⇄ M17.12 Unilateral primary osteoarthritis, left knee injection, major joint or bursa (eg, 715.15 Osteoarthrosis, localized, primary, pelvic region and thigh M17.2 Bilateral post-traumatic osteoarthritis shoulder, hip, knee, subacromial 715.16 Osteoarthrosis, localized, primary, of knee bursa); with ultrasound guidance, with lower leg M17.5 Other unilateral secondary permanent recording and reporting 715.25 Osteoarthrosis, localized, secondary, osteoarthritis of knee (Do not report 20610, 20611 in pelvic region and thigh ⇄ M1A.051 Idiopathic chronic gout, right hip conjunction with 27370, 76942) 715.26 Osteoarthrosis, localized, secondary, ⇄ M1A.062 Idiopathic chronic gout, left knee (If fluoroscopic, CT, or MRI guidance is lower leg ⇄ M25.052 Hemarthrosis, left hip ⇄ M25.061 Hemarthrosis, right knee performed, see 77002, 77012, 77021) 715.35 Osteoarthrosis, localized, not specified whether primary
    [Show full text]
  • Current Trends in Tendinopathy Management
    Best Practice & Research Clinical Rheumatology 33 (2019) 122e140 Contents lists available at ScienceDirect Best Practice & Research Clinical Rheumatology journal homepage: www.elsevierhealth.com/berh 8 Current trends in tendinopathy management * Tanusha B. Cardoso a, , Tania Pizzari b, Rita Kinsella b, Danielle Hope c, Jill L. Cook b a The Alphington Sports Medicine Clinic, 339 Heidelberg Road, Northcote, Victoria, 3070, Australia b La Trobe University Sport and Exercise Medicine Research Centre, La Trobe University, Corner of Plenty Road and Kingsbury Drive, Bundoora, Victoria, 3083, Australia c MP Sports Physicians, Frankston Clinic, Suite 1, 20 Clarendon Street, Frankston, Victoria, 3199, Australia abstract Keywords: Tendinopathy Tendinopathy (pain and dysfunction in a tendon) is a prevalent Management clinical musculoskeletal presentation across the age spectrum, Rehabilitation mostly in active and sporting people. Excess load above the ten- Achilles tendinopathy don's usual capacity is the primary cause of clinical presentation. Rotator cuff tendinopathy The propensity towards chronicity and the extended times for recovery and optimal function and the challenge of managing tendinopathy in a sporting competition season make this a difficult condition to treat. Tendinopathy is a heterogeneous condition in terms of its pathology and clinical presentation. Despite ongoing research, there is no consensus on tendon pathoetiology and the complex relationship between tendon pathology, pain and func- tion is incompletely understood. The diagnosis of tendinopathy is primarily clinical, with imaging only useful in special circum- stances. There has been a surge of tendinopathy treatments, most of which are poorly supported and warrant further exploration. The evidence supports a slowly progressive loading program, rather than complete rest, with other treatment modalities used as adjuncts mainly targeted at achieving pain relief.
    [Show full text]
  • Evidence from the Global Burden of Disease Study 2017
    Journal of Clinical Medicine Article Mental Disorders, Musculoskeletal Disorders and Income-Driven Patterns: Evidence from the Global Burden of Disease Study 2017 Stefanos Tyrovolas 1,2, Victoria Moneta 1,2, Iago Giné Vázquez 1,2, Ai Koyanagi 1,2,3 , Adel S. Abduljabbar 4 and Josep Maria Haro 1,2,4,* 1 Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr Antoni Pujades, 42, Sant Boi de Llobregat, 08830 Barcelona, Spain; [email protected] (S.T.); [email protected] (V.M.); [email protected] (I.G.V.); [email protected] (A.K.) 2 Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Monforte de Lemos 3–5, Pabellón 11, 28029 Madrid, Spain 3 ICREA, Pg. Lluis Companys 23, 08010 Barcelona, Spain 4 Department of Psychology, King Saud University, Riyadh 11451, Saudi Arabia; [email protected] * Correspondence: [email protected] Received: 18 June 2020; Accepted: 29 June 2020; Published: 10 July 2020 Abstract: Background: The aim of the present study was to use the extensive Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) database from 1990–2017 to evaluate the levels and temporal correlation trends between disability adjusted life years (DALYs) attributed to musculoskeletal (MSK) disorders, all mental disorders collectively and by mental disorder sub-category. Methods: We utilized results of the GBD 2017 to describe the correlation patterns between DALYs due to MSK disorders, mental disorders and other diseases among 195 countries. Mixed model analysis was also applied. Results: A consistent relation was reported between age-adjusted DALYs attributed to MSK and mental disorders (in total) among the 195 countries, in both sexes, for 1990 to 2017 (1990 Rho = 0.487; 2017 Rho = 0.439 p < 0.05).
    [Show full text]
  • Immediate and Short-Term Effects of Kinesiotaping on Muscular Activity
    Reynard et al. BMC Musculoskeletal Disorders (2018) 19:305 https://doi.org/10.1186/s12891-018-2169-5 RESEARCH ARTICLE Open Access Immediate and short-term effects of kinesiotaping on muscular activity, mobility, strength and pain after rotator cuff surgery: a crossover clinical trial Fabienne Reynard1* , Philippe Vuistiner2, Bertrand Léger2 and Michel Konzelmann3 Abstract Background: Kinesiotape (KT) is widely used in musculoskeletal rehabilitation as an adjuvant to treatment, but minimal evidence supports its use. The aim of this study is to determine the immediate and short-term effects of shoulder KT on muscular activity, mobility, strength and pain after rotator cuff surgery. Methods: Thirty-nine subjects who underwent shoulder rotator cuff surgery were tested 6 and 12 weeks post-surgery, without tape, with KT and with a sham tape (ST). KT and ST were applied in a randomized order. For each condition, the muscular activity of the upper trapezius, three parts of the deltoid and the infraspinatus were measured during shoulder flexion, and range of motion (ROM) and pain intensity were assessed. At 12 weeks, the isometric strength at 90° of shoulder flexion, related muscular activity and pain intensity were also measured. Subjects maintained the last tape that was applied for three days and recorded the pain intensity at waking up and during the day. Results: Modifications in muscle activity were observed with KT and with ST. Major changes in terms of decreased recruitment of the upper trapezius were observed with KT (P < 0.001). KT and ST also increased flexion ROM at 6 weeks (P = 0.004), but the differences with the no tape condition were insufficient to be clinically important.
    [Show full text]
  • Musicians and MSI: Symptoms and Types of Injuries
    Musicians and MSI: Symptoms and types of injuries Musculoskeletal injury (MSI) is any injury or disorder of There is also a predominant medical perspective that the muscles, bones, joints, tendons, ligaments, nerves, MSI is neither life-threatening nor medically serious. blood vessels, or related soft tissues. This includes a However, an MSI can be artistically and professionally strain, sprain, or inflammation that is caused or limiting, or even career-ending, with devastating effects aggravated by activity. on your physical, emotional, and financial well-being. If you experience pain that may indicate MSI, take steps to Musicians (including vocalists) are prone to MSI that is deal with the problem. caused or aggravated by practice, rehearsal, or performance. Playing a musical instrument may be Table 1 describes five levels of MSI signs and symptoms in second only to computer use in terms of population performers. If you are at Level I or II, modify your exposure to an MSI risk factor. Some studies have shown activities to prevent further progression of symptoms. If that approximately half of professional musicians and you are at Level III or higher, seek professional assistance. music students experience significant MSI symptoms. Table 1 Progression of MSI signs and symptoms To find out more about MSI, see the information sheet Level I “Musicians and MSI — Prevention and Treatment.” Pain occurs after class, practice, rehearsal, or performance, but you are able to perform normally. MSI symptoms Level II Pain occurs during class, practice, If you develop an MSI, you may experience symptoms rehearsal, or performance, but you are not restricted in performing.
    [Show full text]
  • The Prevalence, Impact and Management of Musculoskeletal Disorders in Older People Living in Care Homes: a Systematic Review
    This is a repository copy of The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk/89933/ Article: Smith, TO, Purdy, R, Latham, SK et al. (3 more authors) (2016) The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review. Rheumatology International, 36 (1). pp. 55-64. ISSN 0172-8172 https://doi.org/10.1007/s00296-015-3322-1 Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version - refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher’s website. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request. [email protected] https://eprints.whiterose.ac.uk/ 1 Rheumatology International Title Page Full Title: The prevalence, impact and management of musculoskeletal disorders in older people living in care homes: a systematic review.
    [Show full text]