scholarly journals Risk Factors for Upper Limb Injury in Tennis Players: A Systematic Review

2020 ◽  
Vol 17 (8) ◽  
pp. 2744
Author(s):  
Afxentios Kekelekis ◽  
Pantelis Theodoros Nikolaidis ◽  
Isabel Sarah Moore ◽  
Thomas Rosemann ◽  
Beat Knechtle
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Upper Limb ◽  
Time Course ◽  
Research Question ◽  
Complex Nature ◽  
Scapular Dyskinesis ◽  
Multiple Perspectives ◽  
Tennis Players ◽  
Limb Injury

Studies in tennis injuries have successfully identified the incident rate, the location, and the type of the injury. The majority of the studies have multiple perspectives (epidemiology, biomechanics, performance), however only a few studies were able to identify risk factors or mechanisms that contribute to tennis injuries. Until now, there has not been a systematic literature review that identifies risk factors for tennis injuries. The objective of this review was to identify and critically appraise the evidence related to risk factors for upper limb injury in tennis players. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, using a research question developed by the Patient Problem, (or Population) Intervention, Comparison or Control, and Outcome (PICO) methodology. The quality of the studies included was moderate to low, indicating prolonged tennis (exposure to tennis), scapular dyskinesis, muscle fatigue, scapulothoracic properties, shoulder kinetics or kinematics, skill level, and technique as risk factors for upper limb injury in tennis players. In this review, it is evidenced that the majority of tennis injuries are associated with overuse and a chronic time course, however, tennis injuries do not arise from a linear combination of isolated and predictive factors. Therefore, the multifactorial and complex nature of tennis injuries has to be further examined. The necessity of more randomized control trial studies is highly recommended.

scholarly journals The Ipsilesional Upper Limb Can Be Affected following Stroke

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Gemma H. Kitsos ◽  
Isobel J. Hubbard ◽  
Alex R. Kitsos ◽  
Mark W. Parsons
Keyword(s):  
Systematic Review ◽  
Upper Limb ◽  
Functional Capacity ◽  
Control Measure ◽  
Research Question ◽  
Neurological Dysfunction ◽  
Inclusion Criteria ◽  
Data Source ◽  
The Impact ◽  
The Brain

Objective. Neurological dysfunction commonly occurs in the upper limb contralateral to the hemisphere of the brain in which stroke occurs; however, the impact of stroke on function of the ipsilesional upper limb is not well understood. This study aims to systematically review the literature relating to the function of the ipsilesional upper limb following stroke and answer the following research question: Is the ipsilesional upper limb affected by stroke?Data Source. A systematic review was carried out in Medline, Embase, and PubMed.Review Methods. All studies investigating the ipsilesional upper limb following stroke were included and analysed for important characteristics. Outcomes were extracted and summarised.Results. This review captured 27 articles that met the inclusion criteria. All studies provided evidence that the ipsilesional upper limb can be affected following stroke.Conclusion. These findings demonstrate that clinicians should consider ipsilesional upper limb deficits in rehabilitation and address this reduced functional capacity. Furthermore, the ipsilesional upper limb should not be used as a “control” measure of recovery for the contralateral upper limb.

scholarly journals Risk factors for musculoskeletal injuries in elite junior tennis players: a systematic review

2018 ◽  
Vol 37 (2) ◽  
pp. 131-137 ◽  
Author(s):  
Jacobien H.F. Oosterhoff ◽  
Vincent Gouttebarge ◽  
Maarten Moen ◽  
J. Bart Staal ◽  
Gino M.M.J. Kerkhoffs ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Musculoskeletal Injuries ◽  
Tennis Players ◽  
Junior Tennis

scholarly journals Interventions for the prevention of risk factors and incidence of type 2 diabetes in the work environment: a systematic review

2019 ◽  
Vol 53 ◽  
pp. 101 ◽  
Author(s):  
Jorge Inolopú ◽  
Nélida Hilario-Huapaya ◽  
Martín Alonso Tantaleán-Del-Águila ◽  
Yamilee Hurtado-Roca ◽  
Cesar Ugarte-GilI
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Body Weight ◽  
Web Of Science ◽  
Research Question ◽  
Work Environments ◽  
Metabolic Parameter ◽  
Quasi Experimental

OBJECTIVE: To evaluate the effectiveness of interventions aimed at the prevention of risk factors and incidence of type 2 diabetes in the workers population. METHODS: Systematic review of interventions aimed at adult workers at risk of type 2 diabetes published in Medline, Embase, Web of Science, Central Cochrane Registry of Controlled Trials, and Lilacs. Randomized trials, quasi-experimental research and cohort studies were selected; in English, Spanish and Portuguese; published from 2000 to 2017. Intervention effectiveness was evaluated concerning the incidence of type 2 diabetes and a significant reduction in body weight, or another anthropometric or metabolic parameter. RESULTS: 3,024 articles were generated, of which 2,825 that did not answer the research question were eliminated, as well as 130 that did not evaluate original interventions, 57 carried out outside the workplace and two reviews; so that 10 selected items remained. Interventions based on structured programs previously evaluated and integrated into the workplace had a favorable impact on the reduction of body weight and other risk factors. CONCLUSIONS: The effectiveness of lifestyle interventions for the prevention of type 2 diabetes should be based on structured programs with proven effectiveness and adapted to the workplace, with employer participation in the provision of schedules and work environments.

scholarly journals Risk Factors for Hemorrhage in The Third Stage of Labor: A Systematic Review Protocol

2021 ◽  
Author(s):  
Maria de Lourdes de Souza ◽  
Adalia Edna Fernando Chipindo ◽  
Eneida Patrícia Teixeira ◽  
Anna Carolina Raduenz Huf Souza ◽  
Rita de Cássia Teixeira Rangel ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Maternal Death ◽  
Meta Analysis ◽  
Research Question ◽  
Eligibility Criteria ◽  
Assessment Development ◽  
The Third ◽  
Third Stage Of Labor ◽  
Third Stage

Abstract BackgroundPostpartum hemorrhage (PPH) is the most common form of obstetric hemorrhage. This is the main cause of maternal death around the world: the incidence varies among countries and accounts for 27% (in some countries, more than 50%) of direct obstetric maternal deaths, mainly in the postpartum period. Recognizing risk factors for PPH in prenatal care and during childbirth care is the first stage to prevent maternal death from PPH. The objective this review is: To identify the risk factors for hemorrhage in the third stage of labor described in the literature from 2000 to 2020. MethodsA protocol for a Systematic Review and Meta-analysis study was developed, supported by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and, registered in the International Prospective Register of Systematic Reviews (PROSPERO). The research question for conducting the review was structured according to the PEOS strategy (P — Populations/People/Patient/ Problem, E — Exposure (s), O — Outcome, S — Study design): P — women aged from 10 to 49 years, in labor; E — risk factors for hemorrhage in the third stage of labor; O — women with hemorrhage during birth and postpartum; S — observational studies (case control and cohort). Thus, the defined question was: what are the risk factors for hemorrhage in the third stage of labor described in the literature from 2000 to 2020? As for the planning of electronic searches, databases were consulted by using the platform of the Coordination for the Improvement of Higher Education Personnel in Brazil (CAPES, as per its Portuguese acronym). Due to the characteristics of each database, specific search strategies were chosen for each database. After applying the eligibility criteria, the articles that are selected will have the quality of the evidence evaluated by applying the Grading of Recommendations, Assessment, Development and Evaluation (GRADE), with the online tool GRADEpro GDT.Discussion Prevention and control of hemorrhage must be initiated in the prenatal period, requiring competent professionals to carry out the appropriate clinical evaluation to classify the degree of risk to which the woman is exposed. This systematic review will support the studies of professionals who working in Angola and Brazil.Systematic review registrationPROSPERO available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021219303

scholarly journals Risk factors of hypertension in Indian adults: a systematic review (1994-2014)

2021 ◽  
Vol 8 (4) ◽  
pp. 2020
Author(s):  
Sameer H. Deshmukh ◽  
Amitava Acharyya
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Alcohol Consumption ◽  
Salt Intake ◽  
Research Question ◽  
Adult Population ◽  
Significant Risk ◽  
Screening Strategy ◽  
Chewing Tobacco ◽  
The People

Hypertension is among the most common non-communicable diseases globally. In India the incidence of hypertensive cases has been on the rise. Among the last few decades not only hypertension has become common in elderly but recently many cases have been reported in the young adults in India. Despite this emerging as one of the future public health concerns, there has been limited research regarding the factors that may be responsible for causing hypertension involving young and middle-aged adults and the findings remain inconclusive. The main aim of this study was to identify the risk factors responsible for developing hypertension in Indian adults. A systematic review of the available literature around the research question was carried out. Total 9 primary studies were identified after a thorough search of databases and screening strategy. Studies published between the years 1994 to 2014 and looking into risk factors of hypertension in the Indian adult population were considered. Data from each of the 9 included studies was extracted using MS Excel spreadsheets. The main risk factors of hypertension found in adults were smoking and chewing tobacco, alcohol consumption, obesity, sedentary activities, excessive salt intake and lifestyle. Along with these risk factors illiteracy, unawareness of diseases, neglecting attitude towards health and male dominating culture were also significant risk factors. Hypertension is increasing health problem in adults in India especially in this era of urbanization. People are adapting to the western culture and hence the lifestyle is changing drastically. The main risk factors leading to hypertension are smoking, alcohol consumption, obesity and excessive salt intake. This signifies that there is a need to improve the knowledge and attitudes of the people related with Hypertension prevention and management in order to live a better and healthy life.

scholarly journals Risk Factors for Mortality in Patients with Covid-19: A Systematic Review

2020 ◽  
Author(s):  
Ratna Yustinawati ◽  
◽  
Anhari Achadi ◽  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Systematic Review ◽  
Organ Failure ◽  
Sofa Score ◽  
Clinical Characteristics ◽  
Research Question ◽  
Master Of Public Health ◽  
Epidemiological Characteristics ◽  
D Dimer

ABSTRACT Background: SARS-CoV-2, a new strain of the coronavirus, caused a global outbreak of fatal acute pneumonia. Globally, WHO has recorded 709,511 deaths from COVID-19, and the number is increasing. This study aimed to determine the risk factors for mortality in COVID-19 patients. Subjects and Method: A systematic review was conducted by searching for articles from ScienceDirect, PubMed, SpringerLink, Scopus, and Google Scholar databases. The inclusion criteria were open access, English-language, and full-text articles published in journals between 20019 and 2020. The keywords were (Coronavirus Disease 2019 AND clinical characteristics AND epidemiological characteristics AND comorbidities) OR (COVID-19 AND clinical characteristics AND epidemiological characteristics AND comorbidities). A total of eight articles was reviewed to answer the research question. The data were analyzed by PRISMA flow chart. Results: Based on the reports from China and Korea, a total of 1,314 (100%) COVID-19 patients who died was aged ≥60 years with comorbidity, in which 845 (64%) were male patients. Before the death of patients, the increase D-dimer level of ≥1 μg/ mL and Sequential Organ Failure Assessment (SOFA) score of ≥4 were reported. It indicated the occurrence of multi-organ failure and Acute Respiratory Distress Syndrome (ARDS). Most of the comorbidities were hypertension, diabetes mellitus, and cardiovascular diseases. Conclusion: Risk factors for mortality in COVID-19 patients include age at ≥60 years, male, and presence of comorbidity. The clinical features are D-dimer levels ≥1 μg / mL, high SOFA score (≥4), and ARDS. Comprehensive efforts are needed to identify risk factors early and conduct effective treatment timely to reduce the mortality of COVID-19 patients. Keywords: SARS-CoV-2, COVID-19, risk factors, mortality, comorbidity Correspondence: Ratna Yustinawati. Master of Public Health Program, Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia. Email: [email protected]. Mobile: +628179324304. DOI: https://doi.org/10.26911/the7thicph.01.26

scholarly journals Smoothness metrics for reaching performance after stroke. Part 1: which one to choose?

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mohamed Irfan Mohamed Refai ◽  
Mique Saes ◽  
Bouke L. Scheltinga ◽  
Joost van Kordelaar ◽  
Johannes B. J. Bussmann ◽  
...  
Keyword(s):  
Systematic Review ◽  
Upper Limb ◽  
Time Course ◽  
Rate Of Change ◽  
Reach To Grasp ◽  
Stroke Research ◽  
Reaching Tasks ◽  
Paretic Limb ◽  
Linear Transform ◽  
Mathematical Definitions

Abstract Background Smoothness is commonly used for measuring movement quality of the upper paretic limb during reaching tasks after stroke. Many different smoothness metrics have been used in stroke research, but a ‘valid’ metric has not been identified. A systematic review and subsequent rigorous analysis of smoothness metrics used in stroke research, in terms of their mathematical definitions and response to simulated perturbations, is needed to conclude whether they are valid for measuring smoothness. Our objective was to provide a recommendation for metrics that reflect smoothness after stroke based on: (1) a systematic review of smoothness metrics for reaching used in stroke research, (2) the mathematical description of the metrics, and (3) the response of metrics to simulated changes associated with smoothness deficits in the reaching profile. Methods The systematic review was performed by screening electronic databases using combined keyword groups Stroke, Reaching and Smoothness. Subsequently, each metric identified was assessed with mathematical criteria regarding smoothness: (a) being dimensionless, (b) being reproducible, (c) being based on rate of change of position, and (d) not being a linear transform of other smoothness metrics. The resulting metrics were tested for their response to simulated changes in reaching using models of velocity profiles with varying reaching distances and durations, harmonic disturbances, noise, and sub-movements. Two reaching tasks were simulated; reach-to-point and reach-to-grasp. The metrics that responded as expected in all simulation analyses were considered to be valid. Results The systematic review identified 32 different smoothness metrics, 17 of which were excluded based on mathematical criteria, and 13 more as they did not respond as expected in all simulation analyses. Eventually, we found that, for reach-to-point and reach-to-grasp movements, only Spectral Arc Length (SPARC) was found to be a valid metric. Conclusions Based on this systematic review and simulation analyses, we recommend the use of SPARC as a valid smoothness metric in both reach-to-point and reach-to-grasp tasks of the upper limb after stroke. However, further research is needed to understand the time course of smoothness measured with SPARC for the upper limb early post stroke, preferably in longitudinal studies.

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