SPINOPELVIC VARIABILITY ACCORDING TO THE ROUSSOULY CLASSIFICATON CURVE TYPE

ABSTRACT Objective To evaluate the variability of spinopelvic sagittal parameters and the distribution of lordosis in the lumbar spine in a sample of patients. Methods This is a cross-sectional study considering full-spine radiographs of a patient sample. The patients were classified according to the Roussouly classification and both radiographic spinopelvic alignment parameters and the lordosis measurement of each lumbar spinal segment were considered. The radiographic parameters were correlated with the Roussouly classification type. Results Ninety patients were included in the study. There was significant correlation between pelvic incidence (PI) and lumbar lordosis (LL) (R=0.89; p<0.0001). The values of PI were significantly higher in Roussouly types 3 and 4 than in types 1 and 2 (p<0.001), as were the values of LL L1-S1(p<0.001). Considering the total sample, 67% of LL L1-S1 was located between L4-S1, but with variations by the Roussouly classification curve types. Conclusion This study demonstrated a high correlation between the values of PI and LL, as well as the importance of the distal lumbar segment (L4-S1) in the overall value of LL L1-S1, which was even higher in patients with a lower PI value (Roussouly types 1 and 2). Level of evidence II; Retrospective analysis of a prospective database (Cohort); Diagnostic study.

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EVALUATION OF NEUROPATHIC PAIN SCALE KNOWLEDGE

Coluna/Columna ◽

10.1590/s1808-185120191802195408 ◽

2019 ◽

Vol 18 (2) ◽

pp. 130-133

Author(s):

Marcos Antônio Ribeiro de Menezes Lopes ◽

Maurício Alcântara Angelim ◽

Davi Dominguez Sousa

Keyword(s):

Neuropathic Pain ◽

Clinical Practice ◽

Clinical Diagnosis ◽

Somatosensory System ◽

Total Sample ◽

Cross Sectional Study ◽

Pain Scale ◽

Level Of Evidence ◽

Cross Sectional ◽

Method Of Evaluation

ABSTRACT Objectives: Neuropathic pain (ND) is defined as “one that results from injury or disease that directly affects the somatosensory system”, differing from other types of pain in terms of symptoms, mechanisms and therapeutics, being the early diagnosis prerequisite for the appropriate management. Pain evaluation scales are very useful in clinical diagnosis. It is critical that orthopedic doctors are familiar with such tools. The objective was to evaluate whether the orthopedic physicians in Salvador know the tools of evaluation and clinical diagnosis of neuropathic pain (ND), as well as to determine which method of evaluation of ND is most used in their clinical practice. Methods: Data were analyzed from 74 orthopedic physicians working in the city of Salvador, who were interviewed from January to November 2017. Data were collected through a structured questionnaire consisting of subjective and objective questions and analyzed with SPSS 22.0 software. Results: Among the interviewed physicians, 41.9% knew some of the scales and, of these, 64.5% used in their clinical practice, being 70.3% of the total sample. The LANSS scale was used by 25.8% of the physicians in their practice as a tool to diagnose neuropathic pain, 22.6% used DN4 and 35.5% did not use any. Conclusions: The orthopedic physicians know little about the tools of evaluation and diagnosis of neuropathic pain and those with greater time of activity know less these tools than those who have less time. Many who know the tools do not use them in their clinical practice. LANSS and DN4 are the most commonly used scales. Level of Evidence III; Cross Sectional Study.

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ANALYSIS OF CERVICAL SAGITTAL PARAMETERS IN PATIENTS WITH RHEUMATOID ARTHRITIS

Coluna/Columna ◽

10.1590/s1808-185120212002235702 ◽

2021 ◽

Vol 20 (2) ◽

pp. 94-97

Author(s):

Kaio Rodrigo Barreto Ramiro ◽

Sylvio Mystro Neto ◽

Ivan Guidolin Veiga ◽

André Frazão Rosa ◽

Mauricio Coelho Lima ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Sagittal Plane ◽

Epidemiological Data ◽

Cross Sectional Study ◽

Control Group ◽

Chi Square ◽

Level Of Evidence ◽

Cross Sectional ◽

Thoracic Inlet ◽

Sagittal Parameters

ABSTRACT Objective: To analyze the cervical sagittal parameters of patients with rheumatoid arthritis (RA) and compare them with the parameters obtained from healthy patients in a sample of the Brazilian population. Methods: Epidemiological data were collected and 72 radiographs of the cervical spine in the sagittal plane were evaluated by measuring the cervical sagittal parameters COG-C7 (distance measured between the center of gravity of the head and the C7 plumb line -cranial offset), C2-C7 lordosis (vertebrae from C2 to C7), T1S (T1 slope), TIA (thoracic inlet angle) and NT (neck tilt). Statistical analysis was performed using the Student’s t and chi-square tests. Results: The TIA and NT values in the RA group were 88.8° ± 12.6° and 54.5° ± 9.3°, respectively, while for the control group, they were 77.7° ± 7.9° and 50.5° ± 7.7°, respectively, the RA group values being statistically higher than the control group values (p <0.001 and p = 0.050, respectively). The values obtained for COG-C7, C2-C7 lordosis and T1S for the RA group were 9.4 ± 16.4mm, 25° ± 22.4° and 2.6° ± 10.1°, respectively, while for the control group they were 11.8 ± 17.6mm, 26.8° ± 12.5° and 30.9° ± 8.4°, respectively. Conclusions: Patients with RA present changes in the thoracic inlet parameters as compared to the control group, with a statistically significant increase in the TIA and NT values, outlining a characteristic compensatory pattern for maintaining cervical sagittal balance. Level of evidence III; Controlled cross-sectional study.

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COMPARATIVE ANALYSIS OF ADHERENCE TO THE MEDITERRANEAN DIET AMONG GIRLS AND ADOLESCENTS WHO PERFORM RHYTHMIC GYMNASTICS

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220192504175283 ◽

2019 ◽

Vol 25 (4) ◽

pp. 280-284

Author(s):

Mercedes Vernetta Santana ◽

Isabel Montosa Mirón ◽

Leopoldo Ariza Vargas ◽

Jesús López Bedoya

Keyword(s):

Waist Circumference ◽

Mediterranean Diet ◽

Eating Habits ◽

Age Groups ◽

Total Sample ◽

Diagnostic Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Rhythmic Gymnastics ◽

The Mediterranean

ABSTRACT Introduction: Eating habits are one of the underlying aspects in rhythmic gymnastics as a sport with an aesthetic component. Objective: To evaluate adherence to the Mediterranean diet (MD) in girls and adolescents who perform rhythmic gymnastics, and the relationship of this adherence with Body Mass Index (BMI) and waist circumference. Methods: A prospective, descriptive comparative cross-sectional study with the participation of 221 gymnasts aged between 7 and 17 years. Adherence to the Mediterranean diet was analyzed using the KIDMED test. The waist circumference, height and weight of each gymnast were measured and the BMI calculated. Results: 41.63%, 52.94% and 5.43% of the total sample exhibited high, medium and low adherence, respectively, to the Mediterranean diet. The Mann-Whitney U test indicated significant differences in the rate of adherence to the Mediterranean diet between the two age groups, U = 5007.0, p = .016, r = .162. The adolescent gymnasts had greater adherence than the younger gymnasts. The total sample showed a positive correlation of the rate of adherence with weight (Rho = .143, p = .034), BMI (Rho = .152, p = .024) and waist circumference (Rho = .180, p = .007). Conclusions: The eating habits of adolescent gymnasts with regard to the Mediterranean diet are healthier than those of the younger gymnasts. All participants had normal BMI values. The KIDMED values of the total sample were related to weight and BMI. The high percentages of younger gymnasts with mean adherence to the MD evidenced the need to approximate their eating habits with Mediterranean standards. Level of evidence II; Comparative diagnostic study.

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Health Status of Senior Citizens: A Cross-sectional study

Indian Journal of Health and Wellbeing ◽

10.15614/ijhw.v11i01.14 ◽

2020 ◽

Vol 11 (01) ◽

Author(s):

Priyanka Beniwal ◽

Chandrakala Singh

Keyword(s):

Health Status ◽

Senior Citizens ◽

Total Sample ◽

Cross Sectional Study ◽

Age Group ◽

Poor Health Status ◽

Cross Sectional ◽

Males And Females ◽

The Individual ◽

Average Health

Aging is a series of processes that begin with life and continue throughout the lifecycle. It represents the closing period in the lifespan, a time when the individual looks back on life, lives on past accomplishments and begins to finish off his life course. It represents the accumulation of changes in person over time. The study aims to investigate the health status of senior citizens. The present study was carried out in Hisar and Sirsa district of Haryana state. A total of 400 elderly equally representing both males and females of age group 65-70 years were selected randomly for the study. Modified inventory developed by Khan and Lal (2011) was used to assess health status of senior citizens. The results of the study elucidated that health status of senior citizens depicted that 54.25 per cent of the total respondents had average health status followed by good (25.25%) and poor health status (20.50%). The most common health problems reported by the senior citizens were joint pains, back pains, blood pressure, and chest pain etc. Gender wise comparison of total sample further pointed out that females were poor in their health against males.

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PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.2.10 ◽

2019 ◽

pp. 55-62

Author(s):

Vuong Diem Khanh Doan ◽

Ngoc Minh Chau Ho ◽

Thi Van Ngo ◽

Thi Bao Nga Phan ◽

Thi Hong Phan Nguyen

Keyword(s):

Quality Of Life ◽

The Elderly ◽

Total Sample ◽

Cross Sectional Study ◽

Physical Activities ◽

Social Activities ◽

Sectional Study ◽

Cross Sectional ◽

Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

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Prevalence of Morphological Variations Associated With Femoroacetabular Impingement According to Age and Sex: A Study of 1878 Asymptomatic Hips in Nonprofessional Athletes

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120977892 ◽

2021 ◽

Vol 9 (2) ◽

pp. 232596712097789

Author(s):

Rodolfo Morales-Avalos ◽

Adriana Tapia-Náñez ◽

Mario Simental-Mendía ◽

Guillermo Elizondo-Riojas ◽

Michelle Morcos-Sandino ◽

...

Keyword(s):

Femoroacetabular Impingement ◽

Alpha Angle ◽

Cross Sectional Study ◽

Level Of Evidence ◽

Crossover Sign ◽

Cross Sectional ◽

Radiographic Findings ◽

Morphological Variations ◽

Pelvic Radiographs ◽

Center Edge

Background: Radiographic findings related to the cam and pincer variants of femoroacetabular impingement (FAI) include measurements of the alpha angle and lateral center-edge angle (LCEA). The function of these radiographic findings has been put into question because of high heterogeneity in reported studies. Purpose: The aim of this study was 3-fold: (1) to determine the prevalence of cam and pincer variants according to sex and age on anteroposterior (AP) pelvic radiographs from an asymptomatic nonathletic population, (2) to identify the most common radiographic signs of cam- and pincer-type variants, and (3) to determine if there are variations in the prevalence of these radiographic signs according to sex and age. Study Design: Cross-sectional study; Level of evidence, 3. Methods: There were 3 independent observers who retrospectively analyzed the 939 AP pelvic radiographs (1878 hips) of patients aged 18 to 50 years who did not have hip symptoms and who were not professional athletes. The prevalence of the cam and pincer variants according to the alpha angle and LCEA, respectively, and the presence of other radiographic signs commonly associated with these variables were determined in the overall population and by subgroup according to sex and age group (18-30, 31-40, and 41-50 years). Descriptive and inferential statistics were used to analyze the study sample. Results: The mean age of the included population was 31.0 ± 9.2 years, and 68.2% were male. The prevalence of the cam-type variant was 29.7% (558/1878), and that of the pincer-type variant was 24.3% (456/1878). The radiographic signs that were most associated with the cam and pincer variants were a pistol-grip deformity and the crossover sign, respectively. Significant differences ( P < .001) in the prevalence of these variants were identified between men and women in both variants. No differences were observed in the alpha angle or LCEA according to sex or age. Conclusion: Radiographic findings suggestive of FAI had significant variations with respect to sex and age in this study sample. This study provides information to determine the prevalence of these anatomic variants in the general population.

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High Adherence to the Mediterranean Diet Is Associated with a Reduced Risk of Obesity among Adults in Gulf Countries

Nutrients ◽

10.3390/nu13030995 ◽

2021 ◽

Vol 13 (3) ◽

pp. 995

Author(s):

Israa M. Shatwan ◽

Eiman A. Alhinai ◽

Balqees Alawadhi ◽

Shelini Surendran ◽

Najlaa M. Aljefree ◽

...

Keyword(s):

Mediterranean Diet ◽

Total Sample ◽

Cross Sectional Study ◽

Inverse Association ◽

Protective Effects ◽

Hip Circumference ◽

Cross Sectional ◽

Gulf Countries ◽

The Mean ◽

The Mediterranean

The Mediterranean diet (MedDiet) is considered as a good example of a healthy dietary pattern that has protective effects on obesity. The aim of the present study was to assess the adherence of adults from three Gulf countries (Saudi Arabia, Oman, and Kuwait) to the MedDiet and its association with obesity risk. A cross-sectional study was conducted on 961 men and women (75.7%) aged 20–55 years old. Waist circumference (WC), and hip circumference (HC) were measured waist/hip ratio (WHR) and body mass index (BMI) were calculated. A validated 14-item Questionnaire was used to measure adherence to MedDiet. The mean of the adherence to MedDiet score was 5.9 ± 2.03 for the total sample. An inverse association was observed between the adherence to MedDiet and BMI after adjusting for potential confounders (p = 0.0003 in total participants, and p = 0.001 in women only). A protective effect was seen with a higher adherence to the MedDiet on HC, suggesting that a greater adherence to the MedDiet was associated with a decreased HC (p = 0.04 in total participants, and p = 0.01 in women only). In conclusion, low adherence to the MedDiet among participants from three gulf countries was associated with increased obesity indicators, BMI, and HC.

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Head Impact Biomechanics in Youth Flag Football: A Prospective Cohort Study

The American Journal of Sports Medicine ◽

10.1177/03635465211026643 ◽

2021 ◽

pp. 036354652110266

Author(s):

Landon B. Lempke ◽

Rachel S. Johnson ◽

Rachel K. Le ◽

Melissa N. Anderson ◽

Julianne D. Schmidt ◽

...

Keyword(s):

Mixed Model ◽

Linear Acceleration ◽

Cross Sectional Study ◽

Head Impact ◽

Rotational Acceleration ◽

Event Type ◽

Level Of Evidence ◽

Cross Sectional ◽

Head Impact Biomechanics ◽

Impact Biomechanics

Background: Youth flag football participation has rapidly grown and is a potentially safer alternative to tackle football. However, limited research has quantitatively assessed youth flag football head impact biomechanics. Purpose: To describe head impact biomechanics outcomes in youth flag football and explore factors associated with head impact magnitudes. Study Design: Cross-sectional study; Level of evidence, 3. Methods: We monitored 52 player-seasons among 48 male flag football players (mean ± SD; age, 9.4 ± 1.1 years; height, 138.6 ± 9.5 cm; mass, 34.7 ± 9.2 kg) across 3 seasons using head impact sensors during practices and games. Sensors recorded head impact frequencies, peak linear ( g) and rotational (rad/s2) acceleration, and estimated impact location. Impact rates (IRs) were calculated as 1 impact per 10 player-exposures; IR ratios (IRRs) were used to compare season, event type, and age group IRs; and 95% CIs were calculated for IRs and IRRs. Weekly and seasonal cumulative head impact frequencies and magnitudes were calculated. Mixed-model regression models examined the association between player characteristics, event type, and seasons and peak linear and rotational accelerations. Results: A total of 429 head impacts from 604 exposures occurred across the study period (IR, 7.10; 95% CI, 4.81-10.50). Weekly and seasonal cumulative median head impact frequencies were 1.00 (range, 0-2.63) and 7.50 (range, 0-21.00), respectively. The most frequent estimated head impact locations were the skull base (n = 96; 22.4%), top of the head (n = 74; 17.2%), and back of the head (n = 66; 15.4%). The combined event type IRs differed among the 3 seasons (IRR range, 1.45-2.68). Games produced greater IRs (IRR, 1.24; 95% CI, 1.01-1.53) and peak linear acceleration (mean difference, 5.69 g; P = .008) than did practices. Older players demonstrated greater combined event–type IRs (IRR, 1.46; 95% CI, 1.12-1.90) and increased head impact magnitudes than did younger players, with every 1-year age increase associated with a 3.78 g and 602.81-rad/s2 increase in peak linear and rotational acceleration magnitude, respectively ( P≤ .005). Conclusion: Head IRs and magnitudes varied across seasons, thus highlighting multiple season and cohort data are valuable when providing estimates. Head IRs were relatively low across seasons, while linear and rotational acceleration magnitudes were relatively high.

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Effect of the COVID-19 pandemic on the ability of level 1 trauma centers to meet American College of Surgeons research requirements

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2021-000692 ◽

2021 ◽

Vol 6 (1) ◽

pp. e000692

Author(s):

Robert M Madayag ◽

Erica Sercy ◽

Gina M Berg ◽

Kaysie L Banton ◽

Matthew Carrick ◽

...

Keyword(s):

Cross Sectional Study ◽

Trauma Centers ◽

Level Of Evidence ◽

Cross Sectional ◽

American College Of Surgeons ◽

The Usa ◽

Virus Exposure ◽

Level 1 ◽

Verification Process ◽

Question Survey

IntroductionThe COVID-19 pandemic has had major effects on hospitals’ ability to perform scientific research while providing patient care and minimizing virus exposure and spread. Many non-COVID-19 research has been halted, and funding has been diverted to COVID-19 research and away from other areas.MethodsA 28-question survey was administered to all level 1 trauma centers in the USA that included questions about how the pandemic affected the trauma centers’ ability to fulfill the volume and research requirements of level 1 verification by the American College of Surgeons (ACS).ResultsThe survey had a 29% response rate (40/137 successful invitations). Over half of respondents (52%) reported reduced trauma admissions during the pandemic, and 7% reported that their admissions dropped below the volume required for level 1 verification. Many centers diverted resources from research during the pandemic (44%), halted ongoing consenting studies (33%), and had difficulty fulfilling research requirements because of competing clinical priorities (40%).DiscussionResults of this study show a need for flexibility in the ACS verification process during the COVID-19 pandemic, potentially including reduction of the required admissions and/or research publication volumes.Level of evidenceLevel IV, cross-sectional study.

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Seroprevalence of hepatitis E virus in risk populations and blood donors in a referral hospital in the south of Brazil

Scientific Reports ◽

10.1038/s41598-021-85365-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Marisa Boff Costa ◽

Michele Soares Gomes Gouvêa ◽

Samira Chuffi ◽

Gustavo Hirata Dellavia ◽

Felipe Ornel ◽

...

Keyword(s):

Low Income ◽

Hepatitis E Virus ◽

Blood Donors ◽

Total Sample ◽

Hepatitis E ◽

Cross Sectional Study ◽

Elisa Test ◽

Confirmatory Test ◽

Cross Sectional ◽

Populations At Risk

AbstractThe prevalence of anti-hepatitis E virus (HEV) antibodies has a high heterogeneity worldwide. South American data are still scarce. The aim of this study was to evaluate the prevalence of HEV in populations at risk in comparison to blood donors (BD). A cross-sectional study was carried out in adults of different risk populations including crack users (CK), residents in a low income area (LIA), cirrhotic (CIR) and liver transplant patients (LT) compared with BD. The WANTAI HEV ELISA test was used and real-time PCR (in-house for screening and ALTONA as confirmatory test) for HEV RNA screening. A total of 400 participants were included. Anti-HEV IgG was positive in 19.5% of the total sample, reaching the highest rate in the CIR group, 22.5%, followed by CK, LT, and LIA (20%, 18.7%, and 17.5%, respectively). The prevalence found in BD individuals was of 18.7% (p = NS). Anti-HEV IgM was positive in only 1.5% of the sample (6/400). No blood or stools samples were positive for HEV RNA. The seroprevalence reported is among the highest rates ever found in Brazil. Considering the intense diagnostic investigation, data show that HEV circulation is more common that might be expected in our country.

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