scholarly journals Does a relationship exist between the number of training or competition hours and the presence of sonographic alterations in the shoulder of CrossFit athletes?

2019 ◽  
Vol 02 (01) ◽  
pp. 09-17
Author(s):  
Claudia Juan Vigar ◽  
Francesc Medina-Mirapeix
Keyword(s):  
Shoulder Pain ◽  
Structural Changes ◽  
Demographic Data ◽  
Injury Rate ◽  
Clinical History ◽  
Clinical Findings ◽  
Ac Joint ◽  
Cross Sectional ◽  
Long Head ◽  
Sonographic Pattern

Introduction CrossFit is a sport that is on the rise and has a known injury rate thanks to studies that have affirmed that the shoulder is the area that suffers the most damage. To date, no objective tool has been used to evaluate this. The aim of the present study was to determine the frequency of structural sonographic alterations in CrossFit athletes and its relationship with accumulated hours of practice and/or competition in the sport and shoulder pain. Material and Methods A cross-sectional descriptive study was conducted with sonographic assessments performed on 208 shoulders of 104 participants at official CrossFit gyms in Barcelona, between April and May 2017. The participants were requested to complete a specific questionnaire on CrossFit sports practice that included demographic data, the existence of pain, data on training routines, and clinical history. Ultrasound (US) examinations were made on the supraspinatus tendons (SST), on the long head of the biceps (LHB), and on the acromioclavicular (AC) joint. Results The presence of focal hypoechoic areas (FHAs) in the LHB (48.1%) and in the SST (60.6%) were the most common alterations in this sample, whereas, at the level of the AC joint, the most common disorder was the presence of cortical defects (30.3%). Shoulder pain was present in 37.5% of the participants. The probability of experiencing pain increased when the athletes accumulated > 1,000 hours of training (odds ratio [OR] = 2.0). In these athletes, the probability of presenting a focal hypoechoic area (FHA) decreased in the LHB (OR = 0.3), and the width of the SST increased a mean of 0.5 mm (p < 0.01). In athletes who participated in competitions, the sonographic pattern also presented an increased width of the SST and LHB tendons; however, this was not related with an increased probability of experiencing pain. Conclusions The sonographic pattern of the shoulder of CrossFit athletes presented structural changes in the SST and LHB tendons when subjects accumulated > 1,000 hours of training or when they participated in competitions. It is essential to relate the sonographic findings with the clinical findings of a patient to define whether these findings are, indeed, pathological. The probability of experiencing pain in the shoulder doubles when > 1,000 hours of CrossFit training are accumulated. This finding bears no relation with competing.

scholarly journals Ultrasonographic Evaluation of the Shoulders and Its Associations with Shoulder Pain, Age, and Swim Training in Masters Swimmers

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 29
Author(s):  
Yuta Suzuki ◽  
Noriaki Maeda ◽  
Junpei Sasadai ◽  
Kazuki Kaneda ◽  
Taizan Shirakawa ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Structural Changes ◽  
Partial Tear ◽  
Increased Risk ◽  
High Prevalence ◽  
History Of ◽  
Long Head ◽  
Competitive Swimmers ◽  
Rotator Cuff Tendinopathy

Background and objectives: The long head of the biceps (LHB) and rotator cuff tendinopathy is the major cause of shoulder pain in competitive swimmers. The risk of tendinopathy increases with aging; however, the structural changes of LHB and rotator cuff in populations of masters swimmers have not been well examined. The purpose of this study was to investigate the prevalence of ultrasonographic abnormalities of the shoulders in masters swimmers, and the association of pain, age, and swim training with structural changes in this population. Materials and Methods: A total of 60 subjects participated in this study, with 20 masters swimmers with shoulder pain, 20 asymptomatic masters swimmers, and 20 sex- and age-matched controls. All swimmers completed a self-reported questionnaire for shoulder pain, their history of competition, and training volume. Each subject underwent ultrasonographic examination of both shoulders for pathologic findings in the LHB tendon, rotator cuff (supraspinatus (SSP) and subscapularis (SSC)) tendons, and subacromial bursa (SAB) of both shoulders and had thickness measured. Results: The prevalence of tendinosis (LHB, 48.8%; SSP, 17.5%; SSC, 15.9%), partial tear (SSP, 35.0%), and calcification (SSC, 10.0%) were higher in swimmers than in controls. LHB and SSP tendinosis were associated with shoulder pain. Older age and later start of competition were associated with an increased risk of LHB tendinosis and SSC calcification. Earlier initiation of swimming and longer history of competition were associated with an increased risk of SSP and SSC tendinosis. The thicker SSP tendon significantly increased the risk of tendinosis and partial tear. Conclusions: A high prevalence of structural changes in the rotator cuff and biceps tendons in masters swimmers reflects the effect of shoulder symptoms, aging, and swim training.

scholarly journals Clinical and ultrasonographic evaluation of shoulder in elite waterpolo players a cross-sectional study

2019 ◽  
Author(s):  
Andrea Ruberti ◽  
Mario Ronga ◽  
Leonardo Callegari
Keyword(s):  
Rotator Cuff ◽  
Shoulder Pain ◽  
Structural Changes ◽  
Biceps Tendon ◽  
Power Doppler ◽  
Statistical Correlation ◽  
Cross Sectional ◽  
Structural Alterations ◽  
Overhead Throwing ◽  
Shoulder Score

Abstract Background: Rotator cuff structural changes are common in overhead throwing athletes, such as baseball, javelin, swimming, volleyball, by increasing the risk of shoulder pain and injury. The structural alterations in elite waterpolo players are not well known. In elite waterpolo athletes there are structural alterations of rotato cuff tendons due to overuse of the dominant shoulder compared to the non-dominant, like in oth er overhead disciplines, identifiable by ultrasound (US). Methods: Asymptomatic elite men waterpolo players were selected. All athletes were evaluated with standardized scales of shoulder pain and function (Oxford Shoulder Score, Constant Shoulder Score) and provided data of training, injury and shoulder pain history. Each athlete underwent clinical evaluation of shoulders followed by US of rotator cuff, biceps and bursas. Results : 23 athletes met the inclusion criteria, mean age 24.2±3.3. 14 athletes (60.9%) presented higher degeneration grade at the dominant supraspinatus compared to the contralateral, always in the same area in outfield pla yers: anterior, lateral, pre-insertional. In 22/23 (95.6%) the biceps tendon was damaged: 20/23 athletes (87%) bilaterally, 2/23 (8.7%) at the only dominant limb. The site was always at the bicipital groove in its insertion on the humerus. Power Doppler (PD) evidenced neovascularization in only 5/23 (21.7%) players at supraspinatus: 4 bilaterally, 1 only at the non-dominant. No statistical correlation was found between tendon degeneration and age, career years. Conclusion: Outfield waterpolo players have peculiar changes in supraspinatus at preinsertional level, as seen in other overhead throwing athletes. We found changes also in biceps, bilaterally, like in shoulders of elite swimmers. We suppose that these changes are predictive of shoulder pain and injury.

scholarly journals Prevalence of bacterial vaginosis and factors associated among women who have sex with women

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Mariana Alice de Oliveira Ignacio ◽  
Juliane Andrade ◽  
Ana Paula Freneda de Freitas ◽  
Gabriel Vitor da Silva Pinto ◽  
Marcia Guimarães da Silva ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Demographic Data ◽  
Clinical History ◽  
Vaginal Microbiota ◽  
Cross Sectional ◽  
Factors Associated ◽  
Papillomavirus Infection ◽  
High Prevalence ◽  
Vaginal Swabs ◽  
Polymerase Chain

ABSTRACT Objective: to describe the prevalence of bacterial vaginosis and factors associated among women who have sex with women. Method: cross-sectional, descriptive and analytical study with 150 women. The vaginal microbiota profile was analyzed by microscopic examination of vaginal swabs according to the Gram method. Endocervical samples were collected with cytobrush for the investigation of endocervicitis by Chlamydia trachomatis. The polymerase chain reaction was used to diagnosis Human Papillomavirus infection. Socio-demographic data, sexual behavior and clinical history were obtained through an interview. Logistic regression was performed to identify risk factors independently associated with bacterial vaginosis. Results: among the 150 participants, 71 (47.3%) presented some alteration in the vaginal microbiota, 54 (36.0%) bacterial vaginosis and 12 (8.0%) Flora II. The variable independently associated with bacterial vaginosis was the use of sexual accessories [2.37(1.13-4.97), p=0.022]. Conclusion: the high prevalence of bacterial vaginosis among women who have sex with women indicates the need for screening this population and association between use of sexual accessories and this disease suggests the possibility of transmission of sexual fluids between the partners during the sexual act, which demonstrates the need for educational actions on sexual and reproductive health.

scholarly journals Relationship between shoulder pain and weight of shoulder bags in young women

Motricidade ◽  
2018 ◽  
Vol 14 (2-3) ◽  
pp. 40-47
Author(s):  
Ana Paula Vasconcellos Abdon ◽  
Thais Erica Gonçalves Moraes ◽  
Mayara Prado e Sales ◽  
Renata Dos Santos Vasconcelos ◽  
Ticiana Sampaio Braga ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Shoulder Pain ◽  
Young Women ◽  
Demographic Data ◽  
Weight Ratio ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Squared

The present study aimed to assess the relationship between shoulder pain and weight of shoulder bags in young women. Cross-sectional study conducted with 316 women aged 18-35 years from February 2013 to July 2014. A questionnaire was used to collect demographic data and information on physical activity, sleeping habits, presence of pain and its characteristics, use of bags, and percentage of bag weight–body weight ratio (%bagweight). Pearson’s chi-squared test and Mann-Whitney test were used to check for associations between the dependent variable (presence of pain) and the independent variables, with a significance level of 5% (p<0.05). In all, 195 (61.7%) women complained of shoulder pain. These women carried heavier shoulder bags (p=0.01), weighing circa 4.02% of their body weight (p=0.050), and the pain was proportional to a higher bag weight (p=0.023) compared to the painless group. Lack of physical activity and inadequate sleep position influenced the occurrence of shoulder pain (p=0.008 and p=0.017, respectively). The weight of the shoulder bag represented a risk factor for the onset of shoulder pain and women should not carry bags weighing more than 4% of their body weight.

scholarly journals Prevalence of hypertension and associated factors in a rural community in Bayelsa State

2018 ◽  
Vol 6 (4) ◽  
pp. 1106 ◽  
Author(s):  
Oghenekaro G. Egbi ◽  
Dimie Ogoina ◽  
Abisoye Oyeyemi
Keyword(s):  
Rural Communities ◽  
Rural Community ◽  
Associated Factors ◽  
Demographic Data ◽  
Univariate Analysis ◽  
Clinical History ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Control Programmes

Background: Hypertension is considered among the most common non-communicable diseases globally with significant morbidity and mortality. Closely related to it is pre-hypertension, a category between hypertension and normotension which is believed to be a forerunner to hypertension and cardiovascular disease. Hypertension has been on the increase in recent times, even in rural communities which were previously less affected. The study was carried during the world health day as a screening exercise to determine the prevalence of hypertension and its associated factors in a rural community.Methods: This cross-sectional study was conducted in Ogboloma village, a small rural community in Bayelsa State, Ngeria Consecutive sampling of all eligible participants who presented for the screening exercise was done. Socio-demographic data, clinical history, anthropometry and blood pressure were taken. Data was stored and analyzed using SPSS version 20.0.Results: One hundred and thirty-one participants completed the study. There were 49(37.4%) males. The prevalence of hypertension was 50.4% while pre-hypertension was found in another 41.2%. Factors associated with hypertension on univariate analysis were age (p <0.001) body mass index (p=0.038) waist hip ratio (p=0.008) hyperglycemia (p=0.030) and smoking (p=0.009) However, only age (p=0.004) and smoking (p=0.037) remained significant on multivariate analysis.Conclusions: Hypertension and Pre-hypertension were highly prevalent in this rural community. Age and smoking were significant predictors of hypertension. Hypertension screening and control programmes should therefore target rural communities and smokers.

scholarly journals Prevalence of sleep disorders in Parkinson’s disease patients in two Neurology referral hospitals in Ethiopia

2019 ◽  
Author(s):  
Dereje Melka ◽  
Abenet Tafesse ◽  
James H. Bower ◽  
Demeke Assefa
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Sleep Disorders ◽  
Addis Ababa ◽  
Demographic Data ◽  
Clinical History ◽  
Sub Saharan Africa ◽  
Poor Sleep ◽  
Cross Sectional ◽  
Sub Saharan

Abstract Background: Non motor symptoms (NMS) of Parkinson’s disease (PD) are common and can be more disabling than motor symptoms.Sleep disorders can be seen in up to 98% of patients with Parkinson disease. Poor sleep quality has been associated with poverty and race, and yet there has been no prior report on sleep disorders in those with PD living in sub Saharan Africa. We wished to document the prevalence of sleep disorders in PD patients in Ethiopia. Methods: We conducted a cross-sectional point prevalence study from July 1 to October 30, 2015 of all patients attending the neurology outpatient department in Tikur Anbessa and Zewuditu Memorial Hospitals, Addis Ababa, Ethiopia. Demographic data, clinical history and physical examination findings were collected from participants using a structured questionnaire. We used the Parkinson’s disease sleep scale version two (PDSS-2) and Epworth Sleepiness Scale (ESS) to assess the sleep symptoms. Results: Of the 155 patients surveyed, all patients reported some sleep problem. Over 43.9% of patients had a PDSS score > 18. The median score of ESS was 9 (IQR = 5-12), with 77/155 (49.7%) of the patients having possible or definite excessive daytime somnolence. A high EDSS score significantly associated with a Hoehn & Yahr score > 4 (p= 0.02). Conclusions: In Ethiopian PD patients, the prevalence of those with severe sleep disorders is the highest reported to date. The prevalence of possible/definite EDS is amongst the highest in the world. Further investigation into whether poverty or race explains this finding is needed.

scholarly journals Study of electrolytes in patients of Dengue in a tertiary care hospital in India

2019 ◽  
Vol 6 (3) ◽  
pp. 763
Author(s):  
Prakash Ram Relwani ◽  
Neelam N. Redkar ◽  
Deepanshu Garg
Keyword(s):  
Demographic Data ◽  
Dengue Infection ◽  
Tertiary Care ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Electrolyte Disturbances ◽  
Low Platelet Count

Background: Dengue is a mosquito borne viral infection. It is the most common arboviral disease globally. In the year 2017, India had 1,53,635 cases of dengue with 226 deaths. Electrolyte disturbances reported in dengue infection are hyponatremia, hypokalaemia and hyperchloremia. Considering the serious nature of effects of dyselectrolytemias and high incidence of dengue in India, it is necessary to have a thorough understanding about electrolyte disturbances in Dengue, so as to predict, diagnose and treat them accordingly.Methods: This study was performed in a tertiary care centre in Mumbai, India. The study was a prospective observational cross-sectional study. 150 Patients diagnosed with Dengue were enrolled for the study. Patients’ demographic data, clinical history, examination findings and investigations including electrolyte values were recorded and analysed.Results: A higher incidence of dengue was seen in young age group among admitted patients (74%). Hyponatremia (45.33%) and Hypokalaemia (10.60%) were more commonly observed than hypernatremia (3.33%) and hyperkalaemia (3.33%). Hypochloraemia (6.66%) was seen slightly more than hyperchloraemia (6.00%). Fever was Present in 98.66%, retro orbital headache in 86.66%, vomiting in 56.00%, joint pain in 69.00%, lethargy in 70.66%, breathlessness in 36.00%, bleeding in 8.66%, abdominal pain /tenderness in 18.00%. 85.00% had low platelet count, 30.66% had low hemoglobin and 36.66% had leucopenia. Haematocrit was found to be less in 27.33% and high in 1.33%.Conclusions: From the above results we concluded that, there is a need to have a degree of suspicion about dyselectrolytemias while managing patients with Dengue. Also, patients need to be subjected to necessary lab investigations early during management so that if abnormalities are found, they can be promptly and appropriately managed as some of these abnormalities may lead to increased severity as well as mortality.

scholarly journals COMMON HEALTH PROBLEMS IN GERIATRIC PATIENTS: A CROSS-SECTIONAL HOSPITAL BASED STUDY

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Anup Singh
Keyword(s):  
Geriatric Patients ◽  
Demographic Data ◽  
Tertiary Care ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Categorical Variables ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Geriatric Clinic

Background: The health problems of elderly are often nonspecific and the pattern of disease keeps changing. Therefore, it is essential to know the burden of disease especially in developing countries so that policy could be made to overcome the morbidity associated with it. The present study was done to identify the geriatric health problems in Geriatric patients coming to Geriatric clinic in a tertiary care centre. Methods: A hospital based cross-sectional study was carried in Geriatric clinic with patients aged over 60 years in 100 patients. Basic demographic data and clinical history was taken by physician. Categorical variables were summarized by percentages. Associations were explored with odds ratio (OR) and 95% confidence intervals (CIs). Results: Out of 100 patients 61 were males and 39 were females. Visual impairment was the most common handicap with prevalence of 89%, with males more affected than females. Weight loss was there in 47% of patients. Forty two percent has depression and 41% has arthritis. Apart from these uncorrected hearing impairment was present in 46% of patients. Urinary complaints were more common in males. Conclusion: It was found that elderly population has all kind of ailments so a multidispliniary approach should be there in every Geriatric Clinic so that each co-morbid condition can be taken care off.

scholarly journals Prevalence of parasitic infections in surgically removed appendices: parasitological and histopathological studies

2018 ◽  
Vol 55 (1) ◽  
pp. 33-44 ◽  
Author(s):  
A. S. Amer ◽  
A. E. Saad ◽  
S. N. Antonios ◽  
E. A. Hasby
Keyword(s):  
Acute Appendicitis ◽  
Histopathological Examination ◽  
Intestinal Parasites ◽  
Demographic Data ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Lymphoid Hyperplasia ◽  
Stool Examination ◽  
Parasitic Infections ◽  
Cross Sectional

Summary Intestinal parasites may cause symptoms similar to acute appendicitis. Moreover, the diagnosis of parasitic infections is only done by post-operative histopathological examination of the appendices. Therefore, our aims are to assess the prevalence of intestinal parasitic infections among patients who were be appendectomized at Tanta Hospitals, Egypt and to investigate the possible association between these parasitic infections and appendicitis. To achieve these objectives, we performed a cross-sectional study including 65 patients chosen randomly who had undergone appendectomy over a period of one year from Oct 2015 to Oct 2016. Demographic data were retrieved. Complete blood picture was done. Moreover, appendiceal faecolith were examined macroscopically then by direct smear examination, formol-ether concentration technique, modified Ziehl-Nelseen stain and rapid immunochromatographic test. Histopathological examination of resected appendices was done. We found that parasitic infections were detected in 24.6 % of examined cases. Most of parasitic infections were prevalent in patients belonging to the school age group. Different parasitic infections were detected in the faecolith specimens. Moreover, Enterobious vermicularis adult female and Schistosoma mansoni granuloma were detected in histopathological sections. Also, a spectrum of pathological changes in the appendices was found ranging from lymphoid hyperplasia to acute inflammation with peritonitis. In conclusion, intestinal parasites may cause clinical picture similar to that of acute appendicitis. Therefore, careful attention to clinical history, stool examination and high eosinophilia may aid diagnosis and avoid unnecessary appendectomy. Moreover, the presence of different parasitic stages in the narrow lumen of the appendix may have a role in the development of appendicitis and this needs further studies.

scholarly journals Description of the linguistic and neurological findings of twins born preterm at twoyears of age

2019 ◽  
Vol 29 (3) ◽  
pp. 338-345
Author(s):  
Ana Carla Filgueira de Souza e Souza ◽  
Luciana Lyra Casais-e-Silva ◽  
Eduardo Pondé de Sena
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Language Development ◽  
Oral Language ◽  
Structural Changes ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Point Of View ◽  
Multiple Births ◽  
Cross Sectional

Introduction: Prematurity, low birth weight and multiple births are risk factors for structural changes in the brain, as well as deviations in motor, cognitive, social and language development. Objective: To describe language findings and investigate the presence of neurological changes in preterm twins born at two years of age. Method: This is a cross-sectional study based on data analysis of the medical records of six pairs of low birth weight preterm twins, of both sexes, at two years of age, attended to at the State Center for the Prevention and Rehabilitation of Persons withDisabilities - CEPRED, in Salvador-Bahia-Brazil. To this end, information regarding birth was collected; the clinical history; the imaging exams; and the speech, neurological and interdisciplinary assessments. Results: preterm twins had atypical language development and neurological changes that may compromise oral language development. From the neurological point of view, abnormalities common to the premature newborn, such as peri-intraventricular hemorrhage, were observed. Conclusion: Multiple births associated with prematurity and low birth weight may pose risks to the childs language acquisition.

Sign in / Sign up

Export Citation Format

Share Document