ERECTOR SPINAE AND SCOLIOSIS IN A POPULATION WITH CEREBRAL PALSY: A PRELIMINARY STUDY

ABSTRACT Objective: To verify the relation of muscular response to the vestibular stimulation of the erector spinae, specifically longissimus thoracis and iliocostalis lumborum, with the origin of scoliosis in a population of individuals with level V cerebral palsy of the Gross Motor Function Classification System (GMFCS). Methods: Cross-sectional study of 12 individuals aged between four and 14 years. The muscular activity of the longissimus thoracis and iliocostalis lumborum was recorded by electromyography in the presence of anteroposterior and lateral imbalances, comparing it with that obtained in sitting position without imbalances. Scoliosis was assessed by radiological study following Cobb method. Results: Statistically significant differences were found between correct responses of both muscles to anteroposterior imbalances and absence of right thoracolumbar scoliosis (p=0.005; p=0.028), left thoracic scoliosis (p=0.005; p=0.046) and right lumbar scoliosis (p=0.005; p=0.046). Conclusions: The symmetry of muscular responses to anteroposterior imbalances, both of longissimus thoracis and iliocostalis lumborum, seems to be one of the factors that prevent the development of spine deviations in this population. Level of evidence: IV. Type of Study: Case series

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Assessment and Trends in the Methodological Quality of the Top 50 Most Cited Articles in Shoulder Instability

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120967082 ◽

2020 ◽

Vol 8 (12) ◽

pp. 232596712096708

Author(s):

Avinesh Agarwalla ◽

Kaisen Yao ◽

Anirudh K. Gowd ◽

Nirav H. Amin ◽

J. Martin Leland ◽

...

Keyword(s):

Bone Loss ◽

Shoulder Instability ◽

Methodological Quality ◽

Surgical Techniques ◽

Case Series ◽

Cross Sectional Study ◽

Retrospective Case ◽

Level Of Evidence ◽

Cross Sectional ◽

Number Of Citations

Background: Citation counts have often been used as a surrogate for the scholarly impact of a particular study, but they do not necessarily correlate with higher-quality investigations. In recent decades, much of the literature regarding shoulder instability is focused on surgical techniques to correct bone loss and prevent recurrence. Purpose: To determine (1) the top 50 most cited articles in shoulder instability and (2) if there is a correlation between the number of citations and level of evidence or methodological quality. Study Design: Cross-sectional study. Methods: A literature search was performed on both the Scopus and the Web of Science databases to determine the top 50 most cited articles in shoulder instability between 1985 and 2019. The search terms used included “shoulder instability,” “humeral defect,” and “glenoid bone loss.” Methodological scores were calculated using the Modified Coleman Methodology Score (MCMS), Jadad scale, and Methodological Index for Non-Randomized Studies (MINORS) score. Results: The mean number of citations and mean citation density were 222.7 ± 123.5 (range, 124-881.5) and 16.0 ± 7.9 (range, 6.9-49.0), respectively. The most common type of study represented was the retrospective case series (evidence level, 4; n = 16; 32%) The overall mean MCMS, Jadad score, and MINORS score were 61.1 ± 10.1, 1.4 ± 0.9, and 16.0 ± 3.0, respectively. There were also no correlations found between mean citations or citation density versus each of the methodological quality scores. Conclusion: The list of top 50 most cited articles in shoulder instability comprised studies with low-level evidence and low methodological quality. Higher-quality study methodology does not appear to be a significant factor in whether studies are frequently cited in the literature.

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FUNCTIONAL INDEPENDENCE OF PEDIATRIC PATIENTS WITH MUCOPOLYSACCHARIDOSES

Acta Ortopédica Brasileira ◽

10.1590/1413-785220192704187274 ◽

2019 ◽

Vol 27 (4) ◽

pp. 212-215

Author(s):

Paloma Silva Lopes ◽

Diógenes Pires Serra Filho ◽

Marcos Antônio Almeida Matos

Keyword(s):

Pediatric Patients ◽

Case Series ◽

Functional Independence Measure ◽

Functional Independence ◽

Cross Sectional Study ◽

Cognitive Domain ◽

Level Of Evidence ◽

Cross Sectional ◽

Documentary Analysis ◽

The Mean

ABSTRACT Objective: To measure the functional independence to perform activities of daily living of pediatric patients diagnosed with mucopolysaccharidoses. Methods: A descriptive cross-sectional study was carried out with the population of pediatric patients with a confirmed enzymatic diagnosis of mucopolysaccharidoses, enrolled in the Orthopedics outpatient clinic of a hospital in the State of Bahia. The data were collected between October 2016 and March 2017, based on the documentary analysis of the assessment forms used in the department. The variables of this study comprised sex, age, type of MPS and level of functional independence, measured by the Functional Independence Measure scale. Results: Twenty-six patients participated in the study. These were predominantly male (61.5%), with a mean age of 10 ± 4.5 years, affected by MPS VI (73.1%). In the motor domain, the mean score was 65 (± 19.9 points); the cognitive domain obtained a mean score equal to 28 (± 8.2 points); and the total FIM score was 93 (± 26.5). Conclusion: Impaired functional independence was observed among children and adolescents with mucopolysaccharidoses. Tasks related to dressing, toileting, bathing, problem solving and social interaction were those that required the most assistance and/or supervision. Level of Evidence IV, Case Series.

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Mentoring for urologists

Journal of Clinical Urology ◽

10.1177/2051415818802440 ◽

2018 ◽

Vol 12 (2) ◽

pp. 158-162 ◽

Cited By ~ 1

Author(s):

Tim Terry ◽

Nancy Redfern ◽

Gordon French

Keyword(s):

Systematic Review ◽

Case Series ◽

General Medical Council ◽

Cross Sectional Study ◽

Medical Council ◽

Level Of Evidence ◽

Cross Sectional ◽

Trained Staff ◽

The Uk ◽

Based Medicine

Trainee and established urologists are familiar with ‘generic mentoring’ as a potpourri of helping aids that include supervision, coaching, buddying, career advice, counselling and patronage to enable mentees to develop professionally. However, most are unfamiliar with ‘developmental mentoring’ as a highly specific learnt technique through which mentors help mentees, by interactive dialogue, to choose their own agendas and arrive at their own solutions to career/professional/personal opportunities or difficulties as distinct from the paternalistic mentor approach typified by the downward flow of information generated by ‘generic mentoring’. This paper is a systematic review of developmental mentoring as pertains to urologists in the UK, and reports outcomes of 1-hour taster sessions between Egan-trained mentors and urologists offered at British Association of Urological Surgeons (BAUS) annual general meetings since 2013. Both the General Medical Council and the Royal College of Surgeons of England imply that ‘mentoring’ is mandatory for both trainees and trained urologists, but fail to clarify what they mean by a ‘mentor’, which potentially creates a void in providing ‘developmental mentoring’ since the later requires specific training and is costly to provide. Currently, most ‘developmental mentoring’ is performed by trained staff in Local Education and Training Boards or National Health Service Trusts. BAUS has an opportunity to offer ‘developmental mentoring’ through a portal on its website to manage opportunities and difficulties experienced by its members. Level of evidence: This paper is a systematic review as pertains to the place of mentoring in current urological practice. By its nature, it has reviewed previous narrative reviews and its highest level of evidence is a contemporary paper from 2016, which was a comparative cross-sectional study; other case series were reviewed. Overall, this amounts to level 4 with a recommendation of C as per the Oxford Centre for Evidence-based Medicine Levels of Evidence.

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LONGITUDINAL DEVELOPMENT OF THE SPINE AND SPINAL CORD IN HUMAN FETUSES

Coluna/Columna ◽

10.1590/s1808-185120201901221678 ◽

2020 ◽

Vol 19 (1) ◽

pp. 8-12

Author(s):

PATRICIO MANZONE ◽

JUAN ARMANDO GUIDOBONO ◽

DANIEL FORLINO

Keyword(s):

Spinal Cord ◽

Case Series ◽

Lumbar Vertebra ◽

Cross Sectional Study ◽

Foramen Magnum ◽

Longitudinal Growth ◽

Human Fetuses ◽

Level Of Evidence ◽

Cross Sectional ◽

The Difference

ABSTRACT Objective The spinal cord extends from the foramen magnum to the sacrum in the human fetus at the beginning of the 2nd quarter. However, the medullary cone is located at or above the level of the second lumbar vertebra at birth. The objective is to determine the difference between the rates of longitudinal growth of the spinal cord and the spine in human fetuses from the 13th to the 22nd week of gestation (WoG) using magnetic resonance imaging (MRI). Methods Descriptive observational cross-sectional study of 24 stillbirths (13 ♂, 11 ♀), between the 13th and 22nd WoG, using spinal MRI. We recorded spine and spinal cord lengths in millimeters from the foramen magnum to the coccyx for the former and to the medullary cone for the latter. We identified the position of the medullary cone according to vertebral level and its correlation with the gestational age and the literature. Results The spinal cord increased in length from 50 to 93 mm, the spine from 57 to 137 mm, and the medullary cone rose from S1 to L2. The rate of growth was 1.2 mm/day for the spine and 0.6 mm/day for the spinal cord. Conclusions Discordance in the rate of normal longitudinal growth of the spine and spinal cord caused the medullary cone to rise from S1 level to L2 in the second trimester of pregnancy. These results allow an understanding of normal development and certain congenital malformations. Level of evidence IV; Case series.

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OVERLAPPING OF FUNCTIONAL ESOPHAGEAL DISORDERS AND IRRITABLE BOWEL SYNDROME, IN MUSICIANS AND ATHLETES

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220182401169835 ◽

2018 ◽

Vol 24 (1) ◽

pp. 69-72

Author(s):

Sebastian Nedelcut ◽

Daniel-Corneliu Leucuta ◽

Dan Lucian Dumitrascu

Keyword(s):

Associated Factors ◽

Functional Gastrointestinal Disorders ◽

Case Series ◽

Cross Sectional Study ◽

Control Group ◽

Level Of Evidence ◽

Cross Sectional ◽

Functional Heartburn ◽

Irritable Bowel Disease ◽

Irritable Bowel

ABSTRACT Introduction: Functional gastrointestinal disorders (FGIDs) are the most common disorders in the general population. These disorders can overlap, decreasing the quality of life. Objective: We analyzed the prevalence of functional esophageal disorders (FED) and irritable bowel disease (IBS), and their overlapping and associated factors in musicians and athletes. Methods: A cross-sectional study was conducted using FGID and associated factors questionnaires administered to four groups: instrumentalists, singers, athletes, and a control group of healthy volunteers. Results: Of the 161 subjects, 62 (38.51%) had only FED, 76 (47.2%) had only IBS, and 23 (14.29%) had FED-IBS overlap. Subjects with FED-IBS overlap had more severe symptoms of IBS, especially hard and lumpy stools and constipation, compared to those with IBS alone. IBS subtype was more frequent in the overlap group, while not specified IBS type was less frequent. Regarding FED, we found that subjects with FED-IBS overlap had more functional heartburn and less functional dysphagia symptoms. There was a higher risk of overlap in instrumentalists and smokers. Conclusions: FED and IBS are frequently encountered in musicians and athletes. Subjects with FED-IBS overlap presented more frequent and severe symptoms. Instrumentalists and smokers are at higher risk of overlap. Level of Evidence IV; Case series.

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CHARACTERISTICS OF PHYSICAL ACTIVITY AMONG HEALTHY SERBIAN ADOLESCENTS

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220202601187598 ◽

2020 ◽

Vol 26 (1) ◽

pp. 30-33 ◽

Cited By ~ 1

Author(s):

Maja Nikolić ◽

Radmila Jovanović ◽

Aleksandra Stanković

Keyword(s):

Physical Activity ◽

Population Level ◽

Cross Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Metabolic Equivalent ◽

Recommended Guidelines ◽

The City ◽

Modern Era ◽

Activity Questionnaire

ABSTRACT Introduction: Physical activity (PA) remains the most important modifiable risk factor in the prevention of chronic diseases that are major killers in the modern era. However, many young people today do not meet the recommended guidelines on PA. Few studies were found on the levels of physical activity among adolescents from transitional countries. Objective: To determine the levels of physical activity in a representative sample of healthy adolescents from Pančevo (Serbia), and the factors that determine these level. Methods: This cross-sectional study included 401 randomly selected adolescents (191 boys and 210 girls) from the city of Pančevo, Serbia. The long version of the International Physical Activity Questionnaire (IPAQ), validated for Serbia, was applied. PA was expressed as metabolic equivalent-minute per week (MET-min/week) and classified as low, moderate, or high. Results: The median PA for the whole sample was 2049.18 MET-min/week. The average PA score in boys was higher (2680 MET-min/week) than in girls (1479 MET-min/week). The prevalence of respondents with inadequate PA was 53.9%, and was higher in girls than in boys. Boys showed the higher values for intense and moderate PA, while the prevalent type of PA among girls was walking. Level of PA did not depend on the adolescent's nutritional status. The most important predictors of PA among the participants were sex, father's PA, and hours spent on sedentary activities like using a computer and watching television. Conclusion: Adolescents in Pančevo do not practice enough physical activity, especially girls. Better strategies are needed, to increase levels of PA, considering the main predictors in the adolescent population. Level of Evidence II; Retrospective study.

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PERCUTANEOUS INSTRUMENTATION WITHOUT ARTHRODESIS FOR THORACOLUMBAR BURST FRACTURES (A3/A4, B): A RETROSPECTIVE STUDY

Coluna/Columna ◽

10.1590/s1808-185120212004250462 ◽

2021 ◽

Vol 20 (4) ◽

pp. 295-299

Author(s):

Pedro Henrique Cortat Proba Couri ◽

Leandro Duil Kim ◽

William Zarza Santos ◽

Rodrigo Góes Medéa de Mendonça ◽

Nelson Astur ◽

...

Keyword(s):

Oswestry Disability Index ◽

Treatment Options ◽

Cross Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Thoracolumbar Burst Fractures ◽

Percutaneous Instrumentation ◽

Burst Fractures ◽

Minimally Invasive Fixation ◽

Cobb Method

ABSTRACT Objective: There is still no consensus as to the treatment options for thoracolumbar burst fractures, although these fractures are widely described in the literature. The aim of this study was to evaluate the clinical and radiological outcomes of percutaneous instrumentation without arthrodesis as a method of fixation of these lesions. Methods: This retrospective, cross-sectional study evaluated 16 patients by measuring regional kyphosis using the Cobb method and the scores for quality of life and return to work (Oswestry Disability Index, VAS, SF-36 and Denis). Results: Six months after surgical treatment, 62.5% of all patients showed minimal disability according to the Oswestry Disability Index, maintenance of regional kyphosis correction and no synthesis failure. Conclusions: The clinical and radiological outcomes of the study suggest that minimally invasive fixation is indicated for the treatment of thoracolumbar burst fractures. Level of evidence IV; Observational study: retrospective cohort.

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EPIDEMIOLOGY OF ORTHOPEDIC INJURIES IN JIU-JITSU ATHLETES

Acta Ortopédica Brasileira ◽

10.1590/1413-785220212901236466 ◽

2021 ◽

Vol 29 (1) ◽

pp. 49-53

Author(s):

ALEXANDRE PEDRO NICOLINI ◽

NATHÁLIA ABOLIS PENNA ◽

GABRIEL TANIGUTI DE OLIVEIRA ◽

MOISES COHEN

Keyword(s):

Case Series ◽

Personal Data ◽

Cross Sectional Study ◽

Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Male And Female ◽

History Of ◽

Orthopedic Injuries

ABSTRACT Objective: This study aims to identify the epidemiology of orthopedic injuries in jiu-jitsu practitioners. Methods: Ninety-six jiu-jitsu practitioners aged between 18 and 45 years, male and female, answered a questionnaire addressing personal data and history of injuries related to the sport during the last 24 months. Results: In the period cover, 85% of the sample presented injuries related to the practice of jiu-jitsu, with an average of 60 days of absenteeism from sports practice. Fingers, shoulders, and knees were the joints most affected by orthopedic injuries. Conclusion: Orthopedic injuries are quite prevalent among jiu-jitsu practitioners, often distancing athletes from the sport. Level of Evidence IV, case series / cross sectional study.

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KNEE INJURIES PREVALENCE IN BRAZILIAN JIU-JITSU: EPIDEMIOLOGICAL STUDY

Acta Ortopédica Brasileira ◽

10.1590/1413-785220212906240726 ◽

2021 ◽

Vol 29 (6) ◽

pp. 327-330

Author(s):

JOSÉ MARTINS JULIANO EUSTAQUIO ◽

AMANDA LARUZO RABELO ◽

PEDRO DEBIEUX ◽

CAMILA COHEN KALEKA ◽

OCTÁVIO BARBOSA NETO

Keyword(s):

Sports Injuries ◽

Knee Injuries ◽

Case Series ◽

Cross Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Joint Stress ◽

Body Contact ◽

Morbidity Index ◽

Epidemiological Characteristics

ABSTRACT Objective: To evaluate the epidemiological and clinical characteristics of knee injuries in Brazilian Jiu-Jitsu (BJJ) practitioners. Methods: Cross-sectional study, using a mixed questionnaire, based on the Referred Morbidity Index. Results: 198 amateur and professional BJJ fighters, of both sexes, aged between 18 and 60 years, participated in the study. The majority (88%) of the fighters had only one knee injury (p < 0.001). In total, 29.8% proportion of knee injuries (p < 0.001) was identified, which were mainly from the medial collateral ligament (38%), caused by a sprain mechanism (86%) and conservative treatment (65%). Conclusion: A high prevalence of knee injuries in JJB fighters was found, compared to other sports that also perform rotational movements and have great body contact, such as mixed martial arts (MMA), judo, soccer, basketball and handball. Some JJB strikes, such as the key and the projection, can cause greater knee joint stress, both in the attacking fighter and in the opponent. The knowledge of the epidemiological characteristics of sports injuries is important in the elaboration of prevention and training protocols more specific to the sport and for the understanding of the complex mechanisms involved with this outcome in sport. Level of Evidence IV, Case Series.

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Eating Disorders and the Internet: A Descriptive Cross-Sectional Study Monitoring The Pro Ana Phenomenon in An Italian Sample.

10.21203/rs.3.rs-362238/v1 ◽

2021 ◽

Author(s):

Lucia Rossi ◽

Paola Tizzano ◽

Elisabetta Malaspina ◽

Filomena Moscano ◽

Paola Gualandi ◽

...

Keyword(s):

Eating Disorders ◽

Case Series ◽

Cross Sectional Study ◽

The Internet ◽

Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Sectional Analysis ◽

Italian Sample ◽

Study Monitoring

Abstract Background: The Internet is a significant source of information for adolescents, affecting their life and health. The online Pro Anorexia (Pro Ana) phenomenon is a growing danger. The purpose of this study is to evaluate the presence of the Pro Ana phenomenon in an Italian sample of patients affected by Eating Disorders.Methods: This study is a descriptive cross-sectional analysis that examines two different samples of patients affected by eating disorders at different points in time, in 2017 and 2020. This study was conducted by using a seven-item anonymous questionnaire specifically developed by the authors to collect data on knowledge and visitation of websites and Social Networks Sites related to "pro-ana" and "thinspiration" content. Results: More than 80% of the respondents in both samples use the Internet daily. From 2017 to 2020 we observed a rise of the phenomenon among the adolescents of our sample. In 2020 76% of the patients knew of sites emphasizing a marked thinness as an ideal of beauty, 60% knew of Pro Ana sites and 22% visited them. Conclusions: Our data confirm that in Italy too, Pro Ana is a diffused phenomenon, of which clinicians need to be consistently aware especially when treating adolescents with ED. Patients with ED mainly visit diet and nutrition sites, and it is important to acknowledge this practice in order to prevent and address ED in early adolescence. Although few subjects claim to visit Pro Ana websites, the majority is aware of these sites and therefore they are potential users. Many patients assert that they are familiar with websites promoting excessive thinness as ideal beauty, which supports the bio-psycho-social etiopathogenetic model of Anorexia Nervosa. Information sharing and prevention work are important forms of interventions for families, teachers and clinicians, who together care for adolescent patients with ED.Level of evidence: Level IV (descriptive, cross-sectional study examining case series of patients with Eating Disorders)

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