scholarly journals Perception of yips among professional Japanese golfers: perspectives from a network modelled approach

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Gajanan S. Revankar ◽  
Yuta Kajiyama ◽  
Yasufumi Gon ◽  
Issei Ogasawara ◽  
Noriaki Hattori ◽  
...  
Keyword(s):  
Network Analysis ◽  
Movement Disorder ◽  
Musculoskeletal Symptoms ◽  
Complex Spectrum ◽  
Early Management ◽  
Performance Deficits ◽  
High Prevalence ◽  
Musculoskeletal Problems ◽  
Professional Golfers ◽  
Unclear Etiology

Abstract‘Yips’ in golf is a complex spectrum of anxiety and movement-disorder that affects competitive sporting performance. With unclear etiology and high prevalence documented in western literature, the perception and management of this psycho-neuromuscular problem among Japanese elite golfers is unknown. The objective of this study was to explore factors associated with yips, investigate the performance deficits and the strategies implemented to prevent yips. We surveyed approx. 1300 professional golfers on their golfing habits, anxiety and musculoskeletal problems, kinematic deficits, changes in training and their outcomes. Statistical procedures included multiple logistic regression and network analysis. 35% of the respondents had experienced yips in their career, their odds increasing proportionally to their golfing experience. Regardless of musculoskeletal symptoms, about 57% of all yips-golfers attributed their symptoms to psychological causes. Network analysis highlighted characteristic movement patterns, i.e. slowing, forceful or freezing of movement for putting, approach and teeing shots respectively. Golfers’ self-administered strategies to relieve yips were mostly inconsequential. Within the limits of our self-reported survey, most golfers perceived yips as a psychological phenomenon despite evidence pointing to a movement-disorder. While self-administered interventions were satisfactory at best, it may be imperative to sensitize golfers from a movement-disorder standpoint for early management of the problem.

scholarly journals Perception of yips among professional Japanese golfers: perspectives and challenges

2021 ◽  
Author(s):  
Gajanan S. Revankar ◽  
Yuta Kajiyama ◽  
Yasufumi Gon ◽  
Issei Ogasawara ◽  
Noriaki Hattori ◽  
...  
Keyword(s):  
Network Analysis ◽  
Movement Disorder ◽  
Symptom Relief ◽  
Musculoskeletal Symptoms ◽  
Complex Spectrum ◽  
Psychological Issue ◽  
Cross Sectional ◽  
Performance Deficits ◽  
Movement Disorder Specialist ◽  
Professional Golfers

AbstractBackgroundYips in golf is a complex spectrum of psychological anxiety and movement disorder that affects competitive sporting performance. Existing literature is limited to several western studies and the manifestations of this problem in Japanese golfers is currently unknown.ObjectiveTo quantify self-reported perception and manifestation of yips among Japanese golfers from the professional golfers’ association (PGA).MethodsWe analyzed 1271 (of 1356) elite golfers in a cross-sectional manner. Golfers were sensitized beforehand about yips by a movement-disorder specialist. Based on a positive history for yips, participants were categorized into yips and non-yips groups. Survey questionnaire focused on demographic information, golfing habits, anxiety and musculoskeletal problems, performance deficits during golfing, changes in training and their outcomes. Statistical procedures included multiple logistic regression and network analysis to assess factors associated with yips.Results35% (N=450) of the respondents had experienced symptoms of yips in their career, their odds increasing proportionally to their golfing experience. Severity of musculoskeletal symptoms were higher in those with yips. Regardless, about 57% of all yips-golfers attributed their symptoms to psychological causes. Putting, approach and teeing shots, in that order, were highly susceptible to movement problems. Network analysis highlighted characteristic movement patterns i.e. slowing, forceful or freezing of movement for putting, approach and teeing respectively. Golfers’ self-administered strategies to relieve yips symptoms were generally inconsequential, though improvements were seen only for approach-yips.ConclusionOur findings align firmly with prior studies on yips. Though aware of the problem, most Japanese golfers were untouched by yips. Those that were affected, perceived yips to be a psychological issue despite substantial evidence pointing to a movement-disorder. While self-administered interventions for symptom relief in such golfers is satisfactory at best, it may be imperative to sensitize golfers from a movement-disorder standpoint for early identification and management of the problem.

scholarly journals Prevalence of Work-related Musculoskeletal Symptoms among Dental Students at Ss. Cyril and Methodius University Dental School in Skopje

2021 ◽  
Vol 9 (D) ◽  
pp. 19-23
Author(s):  
Vasilka Rendzova ◽  
Julijana Nikolovska ◽  
Sonja Apostolska ◽  
Nikola Petričević
Keyword(s):  
Working Hours ◽  
Dental Students ◽  
Dental School ◽  
Musculoskeletal Symptoms ◽  
Low Back ◽  
Work Related ◽  
Significant Difference ◽  
High Prevalence ◽  
Musculoskeletal Problems ◽  
The Mean

AIM: The aim of the study was to investigate the prevalence of work-related musculoskeletal problems in 3rd, 4th, and final year of study in Ss. Cyril and Methodius University Dental School. METHODS: All 3rd, 4th, and final year regular dental students were invited to take part in the study, which involved completing the extended Nordic Musculoskeletal Questionnaire. This questionnaire facilitates an assessment of troubles (ache, pain, or discomfort) with neck, shoulders, upper back, elbows, wrists/hands, low back, hips/thighs, knees, and ankles/feet. RESULTS: Out of a maximum possible number of 146 students, 116 agreed to participate and completed the questionnaire (33 males and 83 females). The response rate was 79.5%. The mean age of students was 22.6 years (SD = 1.52), ranging from 20 to 26 years. During the past 12 months, students have problems mostly with neck 48 (41.4%), upper back 43 (37.1%), and low back 43 (37.1%). Working hours/week was 12 h for 3rd year, 20 h for 4th, and 30 h for 5th-year students. There is a significant difference between the students from third study year with these from 4th and 6th study year regarding the neck (χ2 (2)= 6.46, p < 0.05), upper back (χ2 (2) = 7.38, p < 0.05), and low back (χ2 (2)= 13.79, p < 0.05). CONCLUSIONS: This study reported high prevalence of musculoskeletal symptoms among the dental students. Preventive measures and more ergonomic recommendations are indicated.

scholarly journals Die vroeë kommunikasieontwikkeling van ’n groep babas met pediatriese MIV/VIGS in sorgsentrums

2003 ◽  
Vol 8 (2) ◽  
Author(s):  
Isabel Bam ◽  
Alta Kritzinger ◽  
Brenda Louw
Keyword(s):  
South Africa ◽  
Human Immunodeficiency Virus ◽  
Primary Prevention ◽  
Full Text ◽  
Unique Combination ◽  
Developmental Needs ◽  
Early Management ◽  
Secondary Interventions ◽  
Immunodeficiency Virus ◽  
High Prevalence

The high prevalence and serious sequelae of the pediatric human immunodeficiency virus (HIV/AIDS) in South Africa pose great challenges for clinicians involved in early intervention to develop appropriate interdisciplinary programmes for primary prevention of transmission of the virus as well as secondary interventions directed at the early management of the unique combination of serious health problems, neuro-developmental needs and caregiving circumstances of the infants. Opsomming Die hoë prevalensie en ernstige gevolge van die pediatriese menslike immuniteitsgebrek-virus (MIV/VIGS) in Suid-Afrika stel groot uitdagings aan klinici betrokke by vroeë intervensie om toepaslike interdissiplinêre programme te ontwikkel vir primêre voorkoming van oordrag van die virus asook sekondêre intervensies gerig op die vroeë hantering van die babas se unieke kombinasie van ernstige Gesondheids-probleme, neuro-ontwikkelingsbehoeftes en versorgingsomstandighede. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

The Effects of a Digital Health Program Using Chatbot Through a Mobile Messaging App on Musculoskeletal Problems: Randomized Controlled Trial of the Self-Management Program in Workers with Neck/Shoulder Pain/Stiffness and Low Back Pain (Preprint)

2021 ◽  
Author(s):  
Tomomi Anan ◽  
Shigeyuki Kajiki ◽  
Hiroyuki Oka ◽  
Tomoko Fujii ◽  
Kayo Kawamata ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Shoulder Pain ◽  
Health Program ◽  
Digital Health ◽  
Intervention Group ◽  
Musculoskeletal Symptoms ◽  
Control Group ◽  
Low Back ◽  
Musculoskeletal Problems

BACKGROUND Musculoskeletal symptoms, such as neck and shoulder pain and stiffness and low back pain, are common health problems in the working population. They are the leading causes of presenteeism (employees being physically present at work but unable to be fully engaged). However, current medical systems do not spare sufficient resources for non-specific musculoskeletal problems. OBJECTIVE This study aimed to evaluate the improvements in musculoskeletal symptoms after use of an exercise-based artificial intelligence (AI)-assisted interactive health promotion system that operates through a mobile messaging app (the AI-assisted health program). METHODS We conducted a two-armed, randomized, controlled, and unblinded trial in workers with neck/shoulder stiffness and/or low back pain. We recruited participants with these symptoms through email notifications. We obtained 48 participants in the intervention group and 46 in the control group. The intervention group received the AI-assisted health program, in which the chatbot sent messages to users with the exercise instructions at a fixed time every day through the smart phone’s chatting app (LINE) for 12 weeks. The exercises could be performed within 1 minute. The control group continued with their usual care routines, which included exercising for 3 minutes at recess time provided by the company to prevent stiff shoulders and back pain. We assessed the subjective severities of the neck and shoulder pain/stiffness and low back pain in participants using a scoring scale of 1 to 5 for both the intervention and the control group at baseline and after 12 weeks of intervention using an online form. RESULTS We analyzed 47 patients in the intervention group and 40 in the control group. The participants in the intervention group showed significant improvements in the severities of the neck/shoulder pain/stiffness and low back pain compared to those in the control group (OR 12.74, P <.001). Based on the subjective assessment of the improvement of the pain/stiffness at 12 weeks, 36 (77%) participants in the intervention group and 3 (8%) in the control group had improved (improved, slightly improved) (OR 54.23, P <.001). CONCLUSIONS This study showed that the short exercises provided by the AI-assisted health program improved both neck/shoulder pain/stiffness and low back pain in 12 weeks. Digital health programs are low cost and safe and can save experts’ working hours and labor costs. Further studies are needed to identify the elements of the AI-assisted health program that worked. CLINICALTRIAL University hospital Medical Information Network-Clinical Trials Registry (UMIN-CTR) 000033894; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038307.

scholarly journals Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Thanh Hai Nguyen ◽  
Duc Luan Hoang ◽  
Thi Giang Hoang ◽  
Minh Khue Pham ◽  
Julie Bodin ◽  
...  
Keyword(s):  
District Hospital ◽  
Social Systems ◽  
The Body ◽  
Musculoskeletal Symptoms ◽  
Hospital Nurses ◽  
Upper Arm ◽  
The Past ◽  
Lower Back ◽  
District Hospitals ◽  
High Prevalence

Background. Musculoskeletal disorders (MSDs) are commonly observed among workers around the world. These diseases not only affect the health of workers, their quality of life, and their performance, but the effects of such diseases also represent a great burden for the health and social systems. These issues are even more prevalent in developing countries, and nurses are no exception. Many studies worldwide have shown a high prevalence of work-related MSDs in each body position among nurses. However, there are very few studies that have mentioned multisite musculoskeletal symptoms (MMS). Objectives. To describe the prevalence and characteristics of MMS among district hospital nurses in Haiphong, Vietnam. Material and Methods. A cross-sectional study was carried out on 1179 nurses working in all 15 district hospitals using the Modified Nordic Questionnaire at 9 anatomical sites on the body (neck, shoulder/upper arm, elbow/forearm, wrist/hand, upper back, lower back, hip/thigh, knee/lower leg, and ankle/foot). The following main indicators were calculated: the prevalence of musculoskeletal symptoms (MS) (at least 1 of 9 sites), MMS (two or more sites), and widespread musculoskeletal symptoms (WMS) (MS of the upper limb, the lower limb, and the back or the neck). Results. The prevalence of MS during the past 12 months and symptoms lasting for at least 30 days was 60.6% and 17.2% in men and 77.6% and 21.5% in women, respectively. The lower back, neck, upper back, and shoulder/upper arm were the most common sites affected. In terms of MMS, the prevalence was 37.6% in men and 57.1% in women during the past 12 months while 8.6% of men and 11.3% of women reported that symptoms lasted for at least 30 days. The prevalence of MMS tended to increase with age, seniority, having a history of musculoskeletal diseases, and in nurses working in district hospitals located in urban areas. Nearly 90% of MMS concerned two or three anatomical regions during the past 12 months, and almost 80% of MMS lasting at least 30 days involved two or three anatomical regions. The prevalence of WMS was 10.4% in men and 18.6% in women during the past 12 months and 0.9% in men and 2.1% in women lasting at least 30 days. Conclusions. This study showed the high prevalence of MMS and WMS among nursing staff. Further and more extensive research is needed to improve our understanding of multisite musculoskeletal symptoms and act as the foundation for developing preventive measures for nurses.

scholarly journals Public Status and Prevalence of Acupuncture in Japan

2010 ◽  
Vol 7 (4) ◽  
pp. 493-500 ◽  
Author(s):  
Naoto Ishizaki ◽  
Tadashi Yano ◽  
Kenji Kawakita
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Musculoskeletal Symptoms ◽  
Low Back ◽  
Shoulder Stiffness ◽  
Face To Face ◽  
Western Countries ◽  
Public Status ◽  
Lifetime Experience ◽  
Musculoskeletal Problems

Acupuncture originated in China and is widespread throughout Asia. It is expected that a higher utilization of this remedy exists in these countries compared to Western countries. We conducted annual nationwide surveys from 2003 through 2006 on the utilization of acupuncture in Japan. Face-to-face interviews were conducted with 2000 individuals randomly chosen from the resident database. Annual utilization percentages, based on the number of respondents, from 2003 to 2006 were 6.5%, 4.8%, 6.4%, and 6.7%, respectively, while lifetime experiences determined in each surveys were estimated as 26.7, 19.4, 24.4 and 25.4, respectively. Respondents who had utilized acupuncture and/or moxibustion tended to be older than those who had no experience. Acupuncture was mainly used for musculoskeletal symptoms, and a detailed breakdown of the musculoskeletal symptoms identified in the 2005 survey showed 50.9% for low back pain, 35.9% for shoulder stiffness and 12.0% for knee pain. Reasons given for continuing therapy included the effective amelioration of symptoms, comfort of the procedure and low number of side-effects, while those who decided against continuing cited no improvement of symptoms, cost and lack of time for treatment. In conclusion, annual utilization of acupuncture and/or moxibustion was estimated at more than 6%, and the percentage of those with a lifetime experience was ∼25%, thus demonstrating the relatively higher utilization of the remedy in Japan over utilization in western countries. Application of the treatment for musculoskeletal problems and utilization by the older population were specific standouts of the use of acupuncture and/or moxibustion in Japan.

scholarly journals Treatment of Dystonia Using Trihexyphenidyl in Costello Syndrome

2020 ◽  
Vol 10 (7) ◽  
pp. 450
Author(s):  
Domenico M. Romeo ◽  
Alessandro Specchia ◽  
Alfonso Fasano ◽  
Chiara Leoni ◽  
Roberta Onesimo ◽  
...  
Keyword(s):  
Gait Analysis ◽  
Movement Disorder ◽  
Rating Scale ◽  
Costello Syndrome ◽  
Pharmacological Treatments ◽  
Musculoskeletal Problems ◽  
Skin Abnormalities ◽  
Hyperkinetic Movement Disorder ◽  
Dystonic Posture ◽  
Preliminary Study

Costello syndrome (CS), a rare syndrome with multisystemic involvement inherited as a dominant trait, is characterized by developmental delay, coarse facial appearance, cardiac defects including hypertrophic cardiomyopathy, skin abnormalities, brain complications, and a predisposition to certain malignancies. The musculoskeletal system is particularly affected in CS, with peculiar orthopedic anomalies that impact posture and gait. Dystonia has been recently documented to contribute to abnormal postures and musculoskeletal anomalies characterizing CS, suggesting the possible use of pharmacological treatments to treat these complications. We report the case of a child affected by CS displaying a particularly severe musculoskeletal involvement with dystonic posture especially in the arms and legs. The Movement Disorder-Childhood Rating Scale (MD-CRS) and a gait analysis were used to assess clinical patterns of hyperkinetic movement disorder and dystonia. The child was further treated with trihexyphenidyl for six months with a final dosage of 14 mg. MD-CRS and gait analysis assessments provided evidence for a significant improvement of posture and the related musculoskeletal problems with no side effects. Our preliminary study report provides first evidence that pharmacological anti-dystonia treatment significantly improves movement and posture disorders in patients with CS. Further studies enrolling larger cohorts of patients should be performed to validate these preliminary observations.

Are adequate fluid challenges prescribed for severe sepsis?

2014 ◽  
Vol 27 (8) ◽  
pp. 719-728 ◽  
Author(s):  
Michael Courtney ◽  
Bussa Gopinath ◽  
Matthew Toward ◽  
Rajesh Jain ◽  
Milind Rao
Keyword(s):  
Severe Sepsis ◽  
Fluid Challenge ◽  
Junior Doctors ◽  
Early Management ◽  
Content Type ◽  
First Case ◽  
Significant Difference ◽  
High Prevalence ◽  
Median Volume ◽  
Patient Responses

Purpose – Managing severe sepsis early has several benefits. Correct early management includes delivering an appropriate fluid challenge. The purpose of this paper is to assess whether junior doctors prescribe adequate fluid challenges to severely septic patients. Design/methodology/approach – A questionnaire outlining three scenarios, each involving a patient with severe sepsis, but with varying weights (50/75/100 kg), was distributed to junior doctors, working in two UK hospitals, managing surgical patients. Participants were asked the fluid volume challenge that they would prescribe for each patient. Responses were compared with the Surviving Sepsis Campaign's recommended volume during the study (20 ml/kg). Findings – Totally, 77 questionnaires were completed. There were 15/231 (6.5 per cent) correct responses. The median volume chosen in each scenario was 500 ml, equating to 5-10 ml/kg. There was no significant difference between doctor grades (FY1 and SHO) in any scenario. With most junior doctors (FY1), there was no difference in responses according to weight; for SHOs the only significant difference was between the 75 and 100 kg scenarios. Practical implications – Junior doctors are not following guidelines when prescribing fluid challenges to severely septic patients, giving too little and not adjusting volume according to body weight. This implies that high-prevalence, high-mortality conditions are not being treated appropriately by those most likely to treat these patients. More teaching, training and reassessment is required to improve care. Originality/value – This, the first case-based survey the authors could find, highlights an issue requiring significant improvement. The implications are likely to be relevant to clinicians in all UK hospitals.

ANALYSIS OF INTERVERTEBRAL ANGULATIONS AND MUSCULOSKELETAL SYMPTOMS OF THE SPINE IN THE MILITARY AIRCREWS OF TAIWAN

2017 ◽  
Vol 29 (02) ◽  
pp. 1750010
Author(s):  
Hsiang-Ho Chen ◽  
Cheng-Han Chung ◽  
Chi-Chen Lee ◽  
Cheng-Shu Yang ◽  
Yu-Shin Wen ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Lumbar Spine ◽  
Sagittal Plane ◽  
Musculoskeletal Symptoms ◽  
Low Back ◽  
Regular Group ◽  
High Prevalence ◽  
Tangent Method ◽  
Cobb Method ◽  
The Military

Background: The purpose of this study is to investigate the prevalence of neck and low back discomfort and its association with intervertebral angulations of cervical and lumbar during neutral and flexion among aircrews. Methods: There were 283 subjects participating in this survey. All participants finished one questionnaire each regarding complaints about musculoskeletal symptoms, and three sagittal plane radiographs. The measurements of intervertebral angulations were completed using the Cobb method for lumbar spine and the Harrison posterior tangent method for the cervical spine. Results: In the questionnaire, 26.5% subjects self-reported neck discomfort and 33.2% subjects self-reported low back discomfort. Based on categorization by self-reported complaints, there was significant decrease in two intervertebral flexion angles of the Discomfort group than those of the Regular group, including C3/C4 and C2/C7. Based on categorization by radiological diagnoses, the abnormal group revealed significant decreases in the regular range of motion from neutral to flexion at C3/C4 segment. Lordotic angles between L1 and L5 were also found to be significantly different between the Discomfort group and the Regular group. Conclusions: A high prevalence of neck and low back discomfort among the aircrews is revealed and needs more suitable intervention. A certain level of association between spinal discomfort and the intervertebral angulations of the lumbar spine and the cervical spine in aircrews was found when compared to the normal group.

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