Perfectionism and Burnout in Sport and Dance

2020 ◽  
Vol 59 (03) ◽  
pp. 135-140
Author(s):  
Marlena Skwiot ◽  
Zbigniew Śliwiński ◽  
Grzegorz Eugeniusz Śliwiński
Keyword(s):  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Chronic Musculoskeletal Pain ◽  
Soccer Players ◽  
Football Players ◽  
Study Group ◽  
Personal Standards ◽  
Low Level ◽  
Athlete Burnout ◽  
High Level

Abstract Objectives The aim of the present study was to evaluate the interaction between perfectionism and symptoms of burnout in athletes and dancers and examine the influence of chronic musculoskeletal pain on burnout levels. Design Two structured questionnaires were used. Methods We studied a group of 207 athletes and dancers (75 females and 132 males) aged 18-25 years (mean=21.4, SD=2.3). The study group comprised of 82 dancers, 72 football (soccer) players and 53 Kyokushin Karate fighters. The level of perfectionism was evaluated utilising the Sport-Multidimensional Perfectionism Scale-2, and the level of burnout was evaluated with the Athlete Burnout Questionnaire. Results No significant differences between total burnout levels were noted between the dancers (M=2.88, SD=0.45), Kyokushin Karate fighters (M=2.81, SD=0.41) and football players (M=2.93, SD=0.44) (p=0.318). Athletes with a high level of perfectionism who experienced chronic pain had the highest levels of burnout (M=2.37, SD=0.68) compared to those characterised by a low level of perfectionism and experiencing pain and those not in pain. Conclusions The athletes and dancers participating in the study set great store by meeting personal standards, which suggests that their coaches should ensure a high level of efficiency in order to prevent perfectionism contributing to burnout.

Pain and Psychological Outcomes Among Iraq and Afghanistan Veterans with Chronic Pain and PTSD: ESCAPE Trial Longitudinal Results

Pain Medicine ◽  
2020 ◽  
Vol 21 (7) ◽  
pp. 1369-1376
Author(s):  
Matthew J Bair ◽  
Samantha D Outcalt ◽  
Dennis Ang ◽  
Jingwei Wu ◽  
Zhangsheng Yu
Keyword(s):  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Pain Catastrophizing ◽  
Psychological Outcomes ◽  
Stepped Care ◽  
Chronic Musculoskeletal Pain ◽  
Pain Severity ◽  
Analysis Of Covariance ◽  
Escape Trial ◽  
Care Intervention

Abstract Objective To compare pain and psychological outcomes in veterans with chronic musculoskeletal pain and comorbid post-traumatic stress disorder (PTSD) or pain alone and to determine if veterans with comorbidity respond differently to a stepped-care intervention than those with pain alone. Design Secondary analysis of data from the Evaluation of Stepped Care for Chronic Pain (ESCAPE) trial. Setting Six Veterans Health Affairs clinics. Subjects Iraq and Afghanistan veterans (N = 222) with chronic musculoskeletal pain. Methods Longitudinal analysis of veterans with chronic musculoskeletal pain and PTSD or pain alone and available baseline and nine-month trial data. Participants randomized to either usual care or a stepped-care intervention were analyzed. The pain–PTSD comorbidity group screened positive for PTSD and had a PTSD Checklist–Civilian score ≥41 at baseline. Results T tests demonstrated statistically significant differences and worse outcomes on pain severity, pain cognitions, and psychological outcomes in veterans with comorbid pain and PTSD compared with those with pain alone. Analysis of covariance (ANCOVA) modeling change scores from baseline to nine months indicated no statistically significant differences, controlling for PTSD, on pain severity, pain centrality, or pain self-efficacy. Significant differences emerged for pain catastrophizing (t = 3.10, P < 0.01), depression (t = 3.39, P < 0.001), and anxiety (t = 3.80, P < 0.001). The interaction between PTSD and the stepped-care intervention was not significant. Conclusions Veterans with the pain–PTSD comorbidity demonstrated worse pain and psychological outcomes than those with chronic pain alone. These findings indicate a more intense chronic pain experience for veterans when PTSD co-occurs with pain. PTSD did not lead to a differential response to a stepped-care intervention.

scholarly journals Patients’ Views on Self-Management of Chronic Musculoskeletal Pain

2020 ◽  
Vol 5 (4) ◽  
pp. 254-266
Author(s):  
Barbka Huzjan ◽  
Ivana Hrvatin
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Health Care Providers ◽  
Multidisciplinary Approach ◽  
Research Question ◽  
Chronic Musculoskeletal Pain ◽  
Self Management ◽  
Care Providers ◽  
The Individual

Research Question (RQ): Chronic musculoskeletal pain is a complex condition and one of the most important causes of suffering of modern times. Self-management refers to the individual’s ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition. The research question is; what is the view on the selfmanagement of chronic musculoskeletal pain from the patient's perspective? Purpose: The purpose of this literature review was to review original articles that reported how selfmanagement educational programmes are viewed from the patient’s perspective. Method: We used an integrative review of the literature. The search was conducted from November 2019 to March 2020 on the PubMed, PEDro and OTseeker databases. We included original studies, written in English that examined the patients’ point of view on self-management. The included studies, needed to be conducted on adult patients of both sexes, that were suffering from chronic pain and were educated on self-management of their pain. Two authors independently searched for original studies. Results: Nine article were included in the review. Most of the studies included a multidisciplinary approach. Patients reported they more frequently used passive strategies to manage their pain. They want to be included in the management and be able to communicate with the provider of selfmanagement. There are several positive aspects of a multidisciplinary and groups approach. Organization: Health care providers can encourage an individual to proactively behave through ongoing processes of communication, partnerships and the creation of appropriate self-management plans over time. Society: We assume that the analysis will help to identify the social responsibility of the individual and society in the common concern for the health of the population and the individual within it. Originality: The research provides an up-to-date, new overview of the patients' perspective on self management on chronic pain. The review can be helpful to health care providers s they can compare their expectations with patients's. Limitations / further research: Further research would focus on high quality studies, and specific forms of multidisciplinary approach, and finding what patients use at a home setting and how to help them continue in the self management of their pain. Limitations of this review include the lack of risk of bias assessment and the fact that this is not a systematic review.

scholarly journals Central neurobiological effects of physical exercise in individuals with chronic musculoskeletal pain: a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036151
Author(s):  
Rutger M J de Zoete ◽  
Kenneth Chen ◽  
Michele Sterling
Keyword(s):  
Systematic Review ◽  
Chronic Pain ◽  
High Risk ◽  
Physical Exercise ◽  
Clinical Outcomes ◽  
Musculoskeletal Pain ◽  
Exercise Intervention ◽  
Risk Of Bias ◽  
Chronic Musculoskeletal Pain ◽  
Brain Areas

ObjectivePrimary objectives: to investigate the central neurobiological effects (using MRI) of physical exercise in individuals with chronic pain. Secondary objectives: (1) to investigate the associations between central changes and clinical outcomes and (2) to investigate whether different types and dosages of physical exercise exert different central changes.DesignSystematic review searching four electronic databases up to September 2018: AMED, CINAHL, Embase and MEDLINE. Two reviewers independently assessed the methodological quality of included studies using the Cochrane Collaboration’s Risk of Bias in Non-Randomised Studies-I tool. A standardised extraction table was used for data extraction, which was performed by two reviewers.InterventionsStudies reporting any physical exercise intervention in any chronic musculoskeletal pain condition were included. Eligibility of 4011 records was screened independently by two reviewers, and four studies were included in the review.Primary and secondary outcome measuresPrimary outcome: any brain outcome assessed with any MR technique. Secondary outcomes: any self-reported clinical outcomes, and type and dosage of the exercise intervention.ResultsAll four studies had high risk of bias. There was heterogeneity between the brain areas studied and the types of exercise interventions delivered. All studies reported functional MRI changes in various brain areas following an exercise intervention. Insufficient data were available to conduct a meta-analysis or to answer the secondary aims.ConclusionsOnly a limited number of studies were available and all were at high risk of bias. None of the studies was randomised or included blinded assessment. Exercise may exert effects on brain neurobiology in people with chronic pain. Due to the high risk of bias, future studies should use a randomised study design. Investigation of morphological brain changes could be included.PROSPERO registration numberCRD42018108179.

scholarly journals Correlación entre pensamiento táctico y el desarrollo de las habilidades técnicas y físicas de jugadores de fútbol infantil (Correlation between tactical thought and the development of the technical and physical skills of child soccer players)

Retos ◽  
2020 ◽  
pp. 138-142
Author(s):  
Saúl Ignacio Vega Orozco ◽  
Fernando Bernal Reyes ◽  
Omar Ivan Gavotto Nogales ◽  
Hector Manuel Sarabia Sainz ◽  
Mario Alberto Horta Gim
Keyword(s):  
Training Program ◽  
Soccer Players ◽  
Football Players ◽  
Positive Correlation ◽  
Low Level ◽  
Numerical Equality ◽  
Positive Correlations ◽  
Physical Skills ◽  
Los Grupos

 El presente trabajo pretende evidenciar la correlación entre el nivel de pensamiento táctico de los jugadores de fútbol infantil de nivel iniciación en la mejora de las habilidades técnicas y físicas. Metodología: participaron 26 jugadores de fútbol infantil de ocho y nueve años con dos grupos: un grupo con desigualdad numérica y otro con igualdad, ambos con 13 participantes. A los dos grupos se les aplicó una batería de pruebas físicas y técnicas, así como el test del conocimiento táctico ofensivo en el fútbol (TCTOF). Los grupos estuvieron expuestos a un programa de entrenamiento de 16 sesiones. Resultados: Los jugadores pertenecientes al nivel muy bajo, solo mostraron cambios significativos negativos en la correlación flexibilidad-fuerza en piernas y pase-conducción del grupo con igualdad numérica. Los jugadores de nivel bajo mostraron cambios significativos positivos en las correlaciones de flexibilidad-fuerza en piernas, flexibilidad-cabeceo y cabeceo-fuerza en piernas. En cambio, los participantes de nivel regular (el más elevado en nuestra investigación) produjeron correlaciones significativas positivas entre golpeo de pierna no dominante-flexibilidad y este mismo golpeo con la resistencia aeróbica en el grupo con igualdad numérica. Por su parte, el grupo con igualdad numérica presentó diferencias significativas entre la fuerza-flexibilidad, velocidad-flexibilidad, pase-flexibilidad, pase-fuerza en piernas, pase-velocidad, pase-resistencia, pase-cabeceo, golpeo-regate, golpeo-conducción y golpeo con pierna no dominante-cabeceo. Conclusión: existe una correlación positiva entre el nivel de pensamiento táctico ofensivo en el fútbol con el desarrollo de las habilidades técnicas y físicas, es decir, mientras mayor sea este nivel, mayores cambios significativos se producirán en sus habilidades.  Abstract. This work aims to evidence the correlation between the level of tactical thinking of the starting level children's football players in improving technical and physical skills. Methodology: 26 eight- and nine-year-old children's football players participated with two groups: one group with numerical inequality and one with equality, both with 13 participants. The two groups were given a battery of physical and technical tests, as well as the test of tactical offensive knowledge in football (TCTOF). The groups were exposed to a 16-session training program. Results: Players at the very low level only showed changes significant negative in the correlation the flexibility and strength of the legs and pass and running of the ball in the group with numerical equality. Low-level players showed significant positive changes in correlations of flexibility and strength in legs, flexibility and heading, and heading and strength in legs. In contrast, regular-level participants (the highest in our research) produced significant positive correlations between shooting the ball with the non-dominant leg and flexibility and this same shooting the ball with the non-dominant leg with the aerobic resistance in the group with numerical equality. For its part, the group with numerical equality presented significant differences between strength and flexibility, speed and flexibility, pass the ball and flexibility, pass the ball and force in legs, pass the ball and speed, pass the ball and resistance, pass and heading the ball, shoot the ball with dominant leg and dribbling, shoot the ball with dominant leg and running with the ball, and heading the ball with shoot the ball non-dominant leg. Conclusion: there is a positive correlation between the level of tactical offensive thinking in football with the development of technical and physical skills, the higher this level, the greater significant changes in your skills.

scholarly journals Exploring Patient Perceptions of Repetitive Transcranial Magnetic Stimulation as a Treatment for Chronic Musculoskeletal Pain: A Qualitative Study

2021 ◽  
Author(s):  
G Stillianesis ◽  
R Cavaleri ◽  
SJ Summers ◽  
CY Tang
Keyword(s):  
Chronic Pain ◽  
Transcranial Magnetic Stimulation ◽  
Qualitative Study ◽  
Musculoskeletal Pain ◽  
Treatment Option ◽  
Magnetic Stimulation ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Structured Interview ◽  
Patient Perceptions ◽  
Chronic Musculoskeletal Pain

Abstract Background: Repetitive transcranial magnetic stimulation (rTMS), a form of non-invasive brain stimulation, represents a novel avenue for the management of chronic musculoskeletal pain. Despite evidence for the effectiveness of rTMS in chronic pain conditions, the clinical uptake of rTMS remains limited. One plausible reason for this discrepancy may be a lack of understanding regarding patient perceptions and their willingness to engage with rTMS. Therefore, this study aimed to explore patient perceptions of rTMS as a treatment for chronic musculoskeletal pain. Methods: Using a phenomenological approach, this qualitative study utilised a semi-structured interview to explore overall knowledge, pre-conceived concerns and attitudes regarding rTMS as a treatment for chronic musculoskeletal pain. All participants had a diagnosis of chronic musculoskeletal pain, a history of seeking treatment, and no prior experience with rTMS. The interviews were transcribed verbatim and analysed thematically. Results: Majority of the participants were willing to consider the use of rTMS as a treatment option, with most having high expectations regarding the effectiveness of the treatment due to its sophisticated appearance. Acceptance to utilise rTMS was influenced by knowledge of pain, cost and travel, and the perceived sophistication of the intervention.Conclusions: This is the first qualitative study to the authors’ knowledge that explores the perception of rTMS as a treatment among people with chronic musculoskeletal pain, a key gap in the current literature. Repetitive transcranial magnetic stimulation appears to be accepted as a treatment option amongst individuals with chronic musculoskeletal pain. Adequate levels of funding support, accessibility and the need for medical professions to endorse the treatment are important considerations that influenced uptake. Developing targeted strategies to address these considerations may encourage use of rTMS in a clinical chronic pain setting.

scholarly journals Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS)

2016 ◽  
Vol 4 (14) ◽  
pp. 1-440 ◽  
Author(s):  
Stephanie JC Taylor ◽  
Dawn Carnes ◽  
Kate Homer ◽  
Tamar Pincus ◽  
Brennan C Kahan ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Social Integration ◽  
Usual Care ◽  
Musculoskeletal Pain ◽  
Primary Outcome ◽  
Research Programme ◽  
Clinical Effectiveness ◽  
Chronic Musculoskeletal Pain ◽  
Self Management ◽  
Management Support

BackgroundChronic musculoskeletal pain is a common problem that is difficult to treat. Self-management support interventions may help people to manage this condition better; however, there is limited evidence showing that they improve clinical outcomes. Our overarching research question was ‘Does a self-management support programme improve outcomes for people living with chronic musculoskeletal pain?’.AimTo develop, evaluate and test the clinical effectiveness and cost-effectiveness of a theoretically grounded self-management support intervention for people living with chronic musculoskeletal pain.MethodsIn phase 1 we carried out two systematic reviews to synthesise the evidence base for self-management course content and delivery styles likely to help those with chronic pain. We also considered the psychological theories that might underpin behaviour change and pain management principles. Informed by these data we developed the Coping with persistent Pain, Evaluation Research in Self-management (COPERS) intervention, a group intervention delivered over 3 days with a top-up session after 2 weeks. It was led by two trained facilitators: a health-care professional and a layperson with experience of chronic pain. To ensure that we measured the most appropriate outcomes we reviewed the literature on potential outcome domains and measures and consulted widely with patients, tutors and experts. In a feasibility study we demonstrated that we could deliver the COPERS intervention in English and, to increase the generalisability of our findings, also in Sylheti for the Bangladeshi community. In phase 2 we ran a randomised controlled trial to test the clinical effectiveness and cost-effectiveness of adding the COPERS intervention to a best usual care package (usual care plus a relaxation CD and a pain toolkit leaflet). We recruited adults with chronic musculoskeletal pain largely from primary care and musculoskeletal physiotherapy services in two localities: east London and Coventry/Warwickshire. We collected follow-up data at 12 weeks (self-efficacy only) and 6 and 12 months. Our primary outcome was pain-related disability (Chronic Pain Grade disability subscale) at 12 months. We also measured costs, health utility (European Quality of Life-5 Dimensions), anxiety, depression [Hospital Anxiety and Depression Scale (HADS)], coping, pain acceptance and social integration. Data on the use of NHS services by participants were extracted from NHS electronic records.ResultsWe recruited 703 participants with a mean age of 60 years (range 19–94 years); 81% were white and 67% were female. Depression and anxiety symptoms were common, with mean HADS depression and anxiety scores of 7.4 [standard deviation (SD) 4.1] and 9.2 (SD 4.6), respectively. Intervention participants received 85% of the course content. At 12 months there was no difference between treatment groups in our primary outcome of pain-related disability [difference –1.0 intervention vs. control, 95% confidence interval (CI) –4.9 to 3.0]. However, self-efficacy, anxiety, depression, pain acceptance and social integration all improved more in the intervention group at 6 months. At 1 year these differences remained for depression (–0.7, 95% CI –1.2 to –0.2) and social integration (0.8, 95% CI, 0.4 to 1.2). The COPERS intervention had a high probability (87%) of being cost-effective compared with usual care at a threshold of £30,000 per quality-adjusted life-year.ConclusionsAlthough the COPERS intervention did not affect our primary outcome of pain-related disability, it improved psychological well-being and is likely to be cost-effective according to current National Institute for Health and Care Excellence criteria. The COPERS intervention could be used as a substitute for less well-evidenced (and more expensive) pain self-management programmes. Effective interventions to improve hard outcomes in chronic pain patients, such as disability, are still needed.Trial registrationCurrent Controlled Trials ISRCTN22714229.FundingThe project was funded by the National Institute for Health Research Programme Grants for Applied Research programme and will be published in full inProgramme Grants for Applied Research; Vol. 4, No. 14. See the NIHR Journals Library website for further project information.

scholarly journals PO-300 Investigation On Dietary Nutrition Status of Chinese Elite Male Young Soccer Player

2018 ◽  
Vol 1 (5) ◽  
Author(s):  
Dan Zeng ◽  
Qirong Wang ◽  
Zilong Fang
Keyword(s):  
Dietary Intake ◽  
Soccer Player ◽  
Nutrition Knowledge ◽  
Dietary Behaviors ◽  
Dietary Quality ◽  
Soccer Players ◽  
Average Score ◽  
Low Level ◽  
Kap Survey ◽  
High Level

Objective To evaluate the dietary nutritional of Chinese Elite male young soccer player through the knowledge, attitude, behavior (KAP) survey and an adjusted dietary balance index （DBI）. Methods Explored the dietary nutritional status of 30 Chinese Elite male young soccer players through the knowledge, attitude, behavior (KAP) survey. Diet status of 30 Chinese Elite male young soccer players was collected by food-weighing method. The dietary index of DBI-low bound score（LBS），DBI-high bound score （HBS） and DBI-diet quality distance （DQD） in the adjusted DBI-07 system and nutrient analysis were used to evaluate the dietary quality of athletes. Results The average score of nutrition knowledge (general nutrition and sports nutrition knowledge) in the KAP questionnaire of Chinese Elite young players was 16.90±2.49, and the average score of nutritional attitude was 14.07±2.27. The mean score of the dietary behavior was 39.67±2.65. The total score average was 70.63±4.58.The results of the dietary intake survey showed that the percentage of calorie intake of Chinese Elite male young soccer players who eat three meals a day and snacks were 24.19%, 34.93%, 27.43%, and 13.45%. The proportion of energy intake of carbohydrates, fats, and proteins to total energy were 54.93%, 32.18%, and 11.53%, respectively. The results of the dietary quality survey showed that the median score of LBS of Chinese Elite male young soccer players was 21, the proportion of players with low level of intake was 83.3%, and the proportion of people with moderate and high levels of inadequacy was 16.7%. The median of HBS was 7.5,90.0% of players had low levels of dietary intake in excess, and 10.0% of players had moderate levels of dietary intake in excess. The median of DQD was 34.5. Among the players, 46.7% of athletes have low-level dietary imbalances, and 53.3% of players had moderate-to-high-level dietary imbalances. Conclusions The score of nutritional attitudes and dietary behaviors of 30 Chinese elite male young soccer players are relatively better than that of nutrition knowledge. Young soccer players have unreasonable dietary behaviors. Excessively intake too much fat in the three major nutrients and snacks.The intake of protein, vitamin A, vitamin C, calcium, iron and zinc was inadequate .In terms of dietary intake, most players have high-level dietary imbalances, and players have inadequate dietary intake and excessive dietary intake.  

scholarly journals Study protocol for a randomised, double-blind, placebo-controlled clinical trial of duloxetine for the treatment and prevention of musculoskeletal pain: altering the transition from acute to chronic pain (ATTAC pain)

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025002 ◽  
Author(s):  
Daniel H Strauss ◽  
Divya R Santhanam ◽  
Samuel A McLean ◽  
Francesca L Beaudoin
Keyword(s):  
Chronic Pain ◽  
Rhode Island ◽  
Musculoskeletal Pain ◽  
Scientific Journal ◽  
Current Treatment ◽  
Drop Out ◽  
Chronic Musculoskeletal Pain ◽  
Controlled Clinical Trial ◽  
Double Blind

IntroductionChronic musculoskeletal pain affects a substantial portion of adults visiting the emergency department (ED). Current treatment is limited in scope and does not effectively reduce musculoskeletal pain in patients. The study will evaluate the use of duloxetine, a serotonin-norepinephrine reuptake inhibitor Food and Drug Administration approved for the treatment of chronic pain, as a promising option in its prevention. The proposed study may present a well-tolerated and effective non-opioid treatment for patients with acute musculoskeletal pain that may also be effective in preventing the transition to persistent or chronic musculoskeletal pain.Methods and analysisThe primary outcome of this study will be to assess the tolerability and preliminary effectiveness of duloxetine in patients with acute musculoskeletal pain. The study will take place at two EDs in Rhode Island, USA. The study will involve randomisation to one of three arms: duloxetine 30 mg, duloxetine 60 mg or placebo. Tolerability will be assessed by comparing the proportion of participants that report an adverse event and that drop-out across the three study arms. Effectiveness will be determined by self-reported pain over 6 weeks of follow-up. Specifically, we will compare the proportion of participants with persistent pain (ongoing pain at 6-week follow-up), across the three study arms. 60 adults (aged 18–59) presenting to the ED with acute axial musculoskeletal pain within 7 days of onset are expected to be enrolled in the proposed study.Ethics and disseminationEthics approval was obtained by the Institutional Review Board (IRB). These results will be published in a peer reviewed scientific journal and presented at one or more scientific conferences.Trial registration numberNCT03315533.

Efficiency of 1-on-1 play situations for high-level soccer players during the World and European championships in relation to position on the pitch and match time

2017 ◽  
Vol 12 (4) ◽  
pp. 495-503 ◽  
Author(s):  
Andrzej Szwarc ◽  
Krzysztof Kromke ◽  
Łukasz Radzimiński ◽  
Zbigniew Jastrzębski
Keyword(s):  
High Performance ◽  
Soccer Players ◽  
Football Players ◽  
Middle Zone ◽  
World Cup ◽  
Third Place ◽  
The Third ◽  
Early Stages ◽  
The World ◽  
High Level

The aim of the study was to assess the efficiencies of players in 1-on-1 situations in terms of their position on the pitch and the match time during the final matches of the World Cup and European Championships from 1990 to 2014. The research was conducted on a sample of 1012 football players whose teams competed in the semi-finals, finals and the third place matches during the Football World Cup and European Championships from 1990 to 2014. The study included the performances of 506 players in 1-on-1 situations during 46 matches that were terminated at the regulation 90 min. The study revealed that during an average match, the players performed 231 times in 1-on-1 situations with 51% accuracy. The level of accuracy in 1-on-1 situations was significantly higher (p ≤ 0.05) in winning teams than in losing teams particularly at the beginning of the game and in the middle zone of the pitch. Moreover, the results of our study showed that the highest effectiveness of the duels was noted in the defence zone and was decreasing along with moving the actions closer to the opponent’s goal. The players competed with similar frequencies on both defence (114 duels on average with 51% accuracy) and attack (113 duels on average with 52% accuracy). The players of the elite football teams exhibited high performance efficiencies in the 1-on-1 duels, especially on their own half of the field and during the early stages of both halves of the match. The accuracy of duels of their performances decreased when the action moved closer to the opponent’s goal and with the time in the game.

scholarly journals A theoretical framework to improve the construct for chronic pain disorders using fibromyalgia as an example

2021 ◽  
Vol 13 ◽  
pp. 1759720X2096649
Author(s):  
Dinesh Kumbhare ◽  
Luigi Tesio
Keyword(s):  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Research Agenda ◽  
Theoretical Framework ◽  
Chronic Musculoskeletal Pain ◽  
Medical Community ◽  
Pain Medicine ◽  
Promising Candidate ◽  
Reciprocal Interactions ◽  
The Ideal

Fibromyalgia (FM) is a frequent, complex condition of chronic musculoskeletal pain with no evidence for biological correlates. For this reason, despite many efforts from the medical community, its construct still appears ill defined. Promising candidate biomarkers are critically reviewed. A research agenda is proposed for developing a clearer construct of FM. The ideal theoretical framework is one of overcoming the illness–disease dichotomy and considering reciprocal interactions between biology and behaviour. This approach may foster research in other fields of pain medicine and of medicine in general.

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