Prevention and Management of Common Musculoskeletal Injuries Incurred Through Exercise During Pregnancy

Abstract Background and study aims Colonoscopy is physically demanding for endoscopists and patients. Repetitive movements during colonoscopy can lead to overuse injuries. We aimed to explore the prevalence and range of colonoscopy-related musculoskeletal injuries (CRIs) in endoscopists. Methods A cross-sectional electronic survey of 1825 endoscopists was performed. The sample was composed of members of the British Society of Gastroenterology, European Society of Gastrointestinal Endoscopy, and National Nurse Endoscopy Group (UK). The survey comprised 20 questions. These included: endoscopists’ workload, level of experience, and their perceived CRIs. All endoscopists who perform colonoscopy independently were included in the analysis. Results A total of 368 questionnaires were completed of 1825 surveyed (20.16 %). Of those, 319 participants (17.48 %) were fully independent in colonoscopy. Of 319 endoscopists, 254 (79.6 %) have experienced musculoskeletal injuries. These were reported as either possibly (n = 143, 56.3 %) or definitely (n = 90, 35.4 %) related to colonoscopy. Commonly injured areas were the lower back (n = 85, 36.5 %), neck (n = 82, 35.2 %) and left thumb (n = 79, 33.9 %). Of the injured endoscopists, 98 (30.7 %) made some modification to their practice, such as stretching exercises and ergonomic changes. Of the endoscopists, 134 (42.0 %) thought that repetitive limb strain was a likely causative mechanism. Around 40 % believed that torquing the scope and challenging body position were precipitating CRIs. Several treatment modalities were used to treat CRIs. These included; physiotherapy (n = 109), medications (n = 70), rest (n = 43), splinting (n = 31), steroid injections (n = 26) and surgery (n = 11). Conclusions A significant proportion of colonoscopists experience CRIs. The majority of the suggested modifications to practice can be adopted by any endoscopist. These results highlight the need to recognise CRI as an important occupational health hazard and to adopt preventative strategies routinely in the future.

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Risk factors for musculoskeletal injuries in military personnel: a systematic review with meta-analysis

International Archives of Occupational and Environmental Health ◽

10.1007/s00420-021-01700-3 ◽

2021 ◽

Author(s):

Priscila dos Santos Bunn ◽

Frederico de Oliveira Meireles ◽

Ravini de Souza Sodré ◽

Allan Inoue Rodrigues ◽

Elirez Bezerra da Silva

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Military Personnel ◽

Meta Analysis ◽

Musculoskeletal Injuries

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Interactions between Gene Variants within the COL1A1 and COL5A1 Genes and Musculoskeletal Injuries in Physically Active Caucasian

Genes ◽

10.3390/genes12071056 ◽

2021 ◽

Vol 12 (7) ◽

pp. 1056

Author(s):

Katarzyna Leźnicka ◽

Ewelina Żyźniewska-Banaszak ◽

Magdalena Gębska ◽

Anna Machoy-Mokrzyńska ◽

Anna Krajewska-Pędzik ◽

...

Keyword(s):

Significant Interaction ◽

Interaction Analysis ◽

Gene Interaction ◽

Musculoskeletal Injury ◽

Musculoskeletal Injuries ◽

Caucasian Population ◽

Muscle Area ◽

Physically Active ◽

Haplotype Combination ◽

Injury Status

The COL1A1 and COL5A1 variants have been associated with the risk of musculoskeletal injuries. Therefore, the main aim of the study was to investigate the association between three polymorphisms within two genes (rs1800012 in COL1A1, as well as rs12722 and rs13946 in COL5A1) and the reported, yet rarely described in the literature, injuries of the joint and muscle area in a physically active Caucasian population. Polish students (n = 114) were recruited and divided into the following two groups: students with (n = 53) and without (n = 61) injures. Genotyping was carried out using real-time PCR. The results obtained revealed a statistically significant association between rs1800012 COL1A1 and injury under an overdominant model. Specifically, when adjusted for age and sex, the GT heterozygotes had a 2.2 times higher chance of being injured compared with both homozygotes (TT and GG, 95% CI 0.59–5.07, p = 0.040). However, no significant interaction between the COL5A1 variants, either individually or in haplotype combination, and susceptibility to injury were found. In addition, the gene–gene interaction analysis did not reveal important relationships with the musculoskeletal injury status. It was demonstrated that rs1800012 COL1A1 may be positively associated with physical activity-related injuries in a Caucasian population. Harboring the specific GT genotype may be linked to a higher risk of being injured.

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Ball Impact Position in Recreational Male Padel Players: Implications for Training and Injury Management

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020435 ◽

2021 ◽

Vol 18 (2) ◽

pp. 435

Author(s):

Bernardino Javier Sánchez-Alcaraz ◽

Rafael Martínez-Gallego ◽

Salvador Llana ◽

Goran Vučković ◽

Diego Muñoz ◽

...

Keyword(s):

Motion Tracking ◽

Center Of Gravity ◽

Musculoskeletal Injuries ◽

Ball Impact ◽

Video System ◽

Injury Management ◽

Racket Sports ◽

Impact Position ◽

Proper Training

Racket sports such as padel are characterized by the repetition of unilateral gestures, which can lead to negative adaptations like asymmetries or overuse musculoskeletal injuries. The purpose of this study was to determine the differences in ball impact positions (i.e., forward or backward of the center of gravity) in nine stroke types in a sample of forty-eight recreational male padel players. The sample included 14,478 shots corresponding to 18 matches from six tournaments. Forty-eight male padel players were classified into two groups according to their level: trained (n = 24) and novice (n = 24). Type of stroke and ball impact position were registered using a computerized motion tracking video system. The ball impact position was computed from the distance (cm) between the coordinates of the ball and the player’s center of gravity. Results show that trained players hit the ball in a more backward position (from 11 to 25 cm, compared to novice) in serve and offensive strokes (volleys, trays, and smashes) but used more forward strokes (from 7 to 32 cm, compared to novice) in defensive shots (groundstrokes, wall strokes, and lobs). Because the current differential variables are trainable and demonstrated to be of relevance for performance, the findings of this study may assist padel coaches in designing proper training plans to improve effectiveness and to prevent musculoskeletal injuries regarding the type of stroke and ball impact position. Such knowledge may constitute a very important factor affecting technique, biomechanics, and injury management in padel players of different competitive levels.

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Exercise Counseling in Pregnancy: Do Women Perceive Receiving the Information They Need?

American Journal of Lifestyle Medicine ◽

10.1177/1559827621991851 ◽

2021 ◽

pp. 155982762199185

Author(s):

Connor Evins ◽

Jasmine Dennis ◽

Karson Mostert ◽

Shiv Patel ◽

David Enyart ◽

...

Keyword(s):

Health Care ◽

Pregnant Women ◽

Health Care Professionals ◽

Structural Barriers ◽

Exercise Frequency ◽

Exercise Counseling ◽

Care Survey ◽

Survey Results ◽

Disproportionate Number ◽

Exercise During Pregnancy

The American College of Obstetricians and Gynecologists recommends that women exercise throughout pregnancy unless they have a condition-related contraindication. This study’s purpose was to determine if pregnant women perceive receiving exercise counseling by their providers with details of frequency, intensity, type, and time (FITT principle). Women in 2 postpartum care units of a large health care system were invited to complete a voluntary, anonymous survey regarding whether they received exercise counseling during their prenatal care. Survey results were descriptively reported, stratified by demographic variables, and analyzed using Fisher’s exact tests. Of 224 postpartum women surveyed, 130 (58.0%) perceived receiving exercise counseling during pregnancy; 119 (91.5%) did not recall receiving counseling on exercise frequency. Though 165 (73.6%) exercised before becoming pregnant, 64 (38.8%) ceased exercise during pregnancy. Eighty-eight (39.3%) received advice from other sources/non–health care professionals. Privately insured women reported receiving exercise counseling at a higher rate (70.1%) than those on Medicaid (44.8%) or uninsured (40.0%; P = .004). A disproportionate number of pregnant women perceived not receiving adequate prenatal exercise counseling or received incomplete counseling. Women at a socioeconomic disadvantage may be vulnerable. As social determinants of health, structural barriers, and socioeconomic status likely contribute, women may benefit from more targeted inclusive and equitable messaging.

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