Active clinical trials for "Musculoskeletal Diseases"

This study aims a determine the responsiveness of sonoelastography in the tendinopathy-affected supraspinatus tendon.

This study is being done to demonstrate the feasibility of using a nasal endoscope to perform intraoperative angiography of surgical field, with the goals to evaluate anatomical landmarks and tumor characteristics during skull base surgery and publish a technical note.

The aim of this clinical trial is to evaluate the difference of analgesic potency of sevoflurane and desflurane at equi-minimum alveolar concentration using a surgical pleth index.

Sickness absenteeism caused by MSDs is a persistent and expensive health challenge in all industrial countries including Switzerland. Despite much progress as to the cause and prevention of MSDs, they continue to be some of the most prevalent and challenging health problems with respect to the work-place and to socio-economic burden. To improve the situation, several recent reviews recommended interventions based on the bio-psycho-social model. Work-hardening and industrial rehabilitation programs focused more on the in balance between physical and mental demands of work on one side and capacities of the individual on the other side. Therefore we propose to merge the two models into one. The result is an interdisciplinary intervention strategy witch includes work hardening, medical trainings, a cognitive behavioural approach and work place intervention.

The aim of the study is to evaluate the diagnostic accuracy of an instrument (semi-structured interview) called Workload Analysis Instrument (WAI) (Análisis de Carga de Trabajo ACT), in detecting the presence of occupational risk in patients presenting an upper-limb musculoskeletal disorder. The test instrument was developed by Asociación Chilena de Seguridad (ACHS). This instrument will be applied to the worker when he or she visits the ACHS health care facility. The test administration is performed by an ergonomics specialist previously trained in WAI. WAI is the index test and the gold standard will be the Estudio de Puesto de Trabajo (EPT) resolution. The hypothesis of the study is that WAI is able to correctly label the occupational origin (rule in or rule out) of an upper-limb musculoskeletal disorder. Sensitivity, specificity and positive predictive value will be established.

Background: Physiotherapists (PTs) in primary health care manage patients with a large variation in medical diagnosis, age, functional status, disability and prognosis. Lack of knowledge and systematically collected data about patients treated by PTs in primary health care has prompted this longitudinal observational physiotherapy project in Norway. This paper aims to describe a method for developing a database of patients managed by PTs in primary health care to study patients' characteristics, treatment courses and prognostic factors. The study is a longitudinal observational project, following patients through physiotherapy treatment periods in primary health care in Norway and until one year after inclusion. The project involves both private practice and municipally employed PTs working in primary health care in eight municipalities in Norway. The participants are recruited to three different parts of the project depending on age and whether they are referred to a private practice or a municipally employed PT. All data are recorded electronically, transferred and stored securely. All patients complete extensive questionnaires providing information about demographics, disability and function, pain related variables, treatment and evaluation of treatment as well as clinical tests. The PTs have access to their own patients' data. The investigators have also prepared for linkage to national patient registers and population-based studies to be able to gather further important data. This project will have important implications for physiotherapy services in primary health care. The database already contains almost 3000 patients, and data collection is ongoing. Preliminary analyses suggest that the patients included so far are representative of the larger population of patients treated by private practice or municipally employed PTs in Norway. This large scale prospective physiotherapy project will provide knowledge about the patient groups treated, treatment given as well as short and long term outcome of the patients.

Metric properties (convergent validity, predict validity, known-groups validity, responsiveness, floor and ceiling effects, minimal clinically important difference) of the de Morton Mobility Index (DEMMI) in patients with musculoskeletal impairments undergoing impatient rehabilitation will be investigated.

Environment which children live and grown is very important for the all development stages. In Turkey there is no measurement for home environment evaluation so our aim is to investigate the Psychometric Properties of the Turkish version of Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) in a sample of Turkısh children.

Professional dancing requires an almost perfect control of technical skills, combined with a good physical condition. To meet the demands of choreography, dancers need an adequate aerobic endurance capacity, muscular strength as well as flexibility and motor control (Twitchett et al. 2009; Roussel et al. 2009). One could compare these requirements to those of an athlete. In contrasts to athletes, only few attention has been given to the prevention of injuries in dancers. Professional dancers are at high risk to develop musculoskeletal injuries, especially, soft tissue and overuse injuries to lower extremities and spine(Hincapié et al, 2008). Several potential risk factors for injury have been suggested, such as a reduced level of aerobic fitness, lack of muscular strength, hypermobility of the joints and altered motor control of the lumbopelvic region but no conclusive evidence exists for any of these items separately. Applying sports science principles to dance training may improve the performances of the dancers (Twitchett et al. 2009). Dancers demonstrate low aerobic fitness and muscle strength, in contrast to the high demands. Aerobic endurance of dancers is for example comparable to healthy adults with a sedentary life style. Fitness programs, additional to regular dance classes, have only recently been considered (Twitchett et al. 2009). The advantages of additional training in athletes is beyond questioning. Nevertheless, this concept is relatively new for dancers. On the one hand, professional dancers do not consider themselves as a sportsmen but as artists (Wyon et al, 2007). On the other hand, choreographers and dancers fear the negative influence of training on body aesthetics. Additional fitness training could improve physical fitness & motor control and may help with stress coping during public performances. Therefore, the purpose of this randomized controlled trial is to examine whether an additional intervention to regular dance lessons influences the physical condition and musculoskeletal injury rate in professional dancers.

The Shanghai Elbow Dysfunction Score (SHEDS) is originally developed in English to evaluate elbow function in patients with elbow stiffness. The purpose of this study is to translate and cross-culturally adapt the SHEDS instrument into Turkish and investigate its psychometric properties.