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Sensors (Basel) 2022 Jun 11;22(12). Epub 2022 Jun 11.

Faculty of Electrical Engineering and Computer Science, University of Maribor, Koroška Cesta 046, 2000 Maribor, Slovenia.

The purpose of this article is to present the use of a previously validated wearable sensor device, Armbeep, in a real-life application, to enhance a tennis player's training by monitoring and analysis of the time, physiological, movement, and tennis-specific workload and recovery indicators, based on fused sensor data acquired by the wearable sensor-a miniature wearable sensor device, designed to be worn on a wrist, that can detect and record movement and biometric information, where the basic signal processing is performed directly on the device, while the more complex signal analysis is performed in the cloud. The inertial measurements and pulse-rate detection of the wearable device were validated previously, showing acceptability for monitoring workload and recovery during tennis practice and matches. This study is one of the first attempts to monitor the daily workload and recovery of tennis players under real conditions. Read More

Int J Mol Sci 2022 Jun 13;23(12). Epub 2022 Jun 13.

Center for Translational Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.

The effectiveness of manual therapy in reducing the catabolic effects of performing repetitive intensive force tasks on bones has not been reported. We examined if manual therapy could reduce radial bone microstructural declines in adult female Sprague-Dawley rats performing a 12-week high-repetition and high-force task, with or without simultaneous manual therapy to forelimbs. Additional rats were provided 6 weeks of rest after task cessation, with or without manual therapy. Read More

Biology (Basel) 2022 May 25;11(6). Epub 2022 May 25.

Division of Hand Surgery, Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zurich, Switzerland.

The aim of this study was to describe the nonoperative treatment outcomes of finger flexor tenosynovitis in sport climbers and to evaluate the association with baseline measures and therapy contents. Sixty-five sport climbers (49 males, mean age 34.1 years) diagnosed with tenosynovitis of the finger flexors were retrospectively asked about injury triggers, therapy contents and outcomes. Read More

Orthop J Sports Med 2022 Jun 15;10(6):23259671221104793. Epub 2022 Jun 15.

Stanford Medical Center, Redwood City, California, USA.

Background: Bone stress injury (BSI) is a common reason for missed practices and competitions in elite track and field runners.

Hypothesis: It was hypothesized that, after accounting for medical risk factors, higher plantar loading during running, walking, and athletic movements would predict the risk of future BSI in elite collegiate runners.

Study Design: Cohort study; Level of evidence, 2. Read More

Rev Bras Med Trab 2021 Oct-Dec;19(4):465-471. Epub 2021 Dec 30.

Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo, Vitória, Espírito Santo, Brazil.

Introduction: Musculoskeletal symptoms can affect workers' quality of life and work productivity, leading to sick leave and company losses.

Objectives: To identify the prevalence of musculoskeletal symptoms among administrative workers at a hospital in the state of Espírito Santo, the most frequent complaints, and the associated personal and occupational factors.

Methods: This is an observational, cross-sectional study. Read More

Transl Psychiatry 2022 Jun 22;12(1):259. Epub 2022 Jun 22.

Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Depression and psychosis are often comorbid; they also have overlapping genetic and environmental risk factors, including trauma and area-level exposures. The present study aimed to advance understanding of this comorbidity via a network approach, by (1) identifying bridge nodes that connect clusters of lifetime depression and psychosis symptoms and (2) evaluating the influence of polygenic and environmental risk factors in these symptoms. This study included data from European ancestry participants in UK Biobank, a large population-based sample (N = 77,650). Read More

Zhongguo Gu Shang 2022 Jun;35(6):538-42

Department of Orthopaedics, People's Hospital of Wuxing District, Huzhou 313000, Zhejiang, China.

Objective: To explore clinical effects of carpal canal endoscopy in treating patients with plantar fasciopathy who failed by conservative treatment.

Methods: From August 2018 to August 2019, 50 patients with plantar fascia were divided into two groups and 25 patients in each group. In carpal canal endoscopy group, included 11 males and 14 females, aged from 39 to 67 years old with an average of(57. Read More

Spinal Cord Ser Cases 2022 Jun 22;8(1):61. Epub 2022 Jun 22.

Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Introduction: Entrapment neuropathies, typically carpal tunnel syndrome and ulnar neuropathy, frequently occur in patients with spinal cord injury (SCI). Upper limb impairments due to entrapment neuropathy can be particularly debilitating in this population. Anterior interosseous nerve (AIN) neuropathy has not been previously described in the SCI population. Read More

BMC Musculoskelet Disord 2022 Jun 21;23(1):596. Epub 2022 Jun 21.

Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, 901 87, Umeå, Sweden.

Background: Cold exposure is an underrecognized occupational hazard that may increase the risk of peripheral nerve entrapment. The aim of this study was to determine if self-reported occupational exposure to contact and ambient cooling was associated with symptoms of carpal tunnel syndrome (CTS).

Methods: In this mainly cross-sectional study, surveys were conducted on a population-based sample of men and women between 18 and 70 years of age, living in northern Sweden. Read More

Pain Res Manag 2022 8;2022:1975803. Epub 2022 Jun 8.

Department of Physical Therapy, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.

Background: Carpal tunnel syndrome (CTS) is the symptomatic compression neuropathy of the median nerve at the wrist level that may become a reason for upper limb disability, in the women and men population.

Objective: This study aimed to compare the efficacy of the neurodynamic technique (NT) and carpal bone mobilization technique (CBMT) incorporated with tendon gliding exercises (TGE) as an effect-enhancing adjunct while managing the participants with chronic CTS.

Methods: The study followed a two-arm parallel-group randomized comparative design. Read More

J Bodyw Mov Ther 2022 Jul 18;31:102-112. Epub 2022 Mar 18.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus. Electronic address:

Background: Little attention has been given to support the use of slider and tensioner neural mobilization (NM) techniques for upper quadrant pain (UQP). The purpose of this study was to systematically review the effectiveness of these techniques in patients with UQP.

Method: The PubMed, Cochrane Library and EBSCOhost were searched without chronological restriction to identify randomized clinical trials (RCTs) that assessed pain changes following NM in the upper quadrant. Read More

Clin J Sport Med 2022 Jan 5. Epub 2022 Jan 5.

Department of Orthopedics, Orthopedic Hand Surgery-Board Certified, Good Samaritan Regional Medical Center, Corvallis, Oregon.

The young, overhead throwing athlete is prone to overuse injuries because of their variable skeletal maturity and often improper technique. An overuse injury to the digit(s) in the overhead throwing athlete, Little Leaguer's Finger, has never been discussed in the literature to our knowledge. We present a case of a 14-year-old man with atraumatic pain, swelling, and edema to his dominant pitching index finger after throwing greater than 90 pitches in one setting. Read More

Depress Anxiety 2022 Jun 16. Epub 2022 Jun 16.

Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University, Bethesda, Maryland, USA.

Background: Although much has been learned about the physical and psychological impacts of deployment and combat injury on military service members, less is known about the effects of these experiences on military spouses.

Methods: The present study examined self-reported mental health symptoms (using the Brief Symptom Inventory [BSI]-18 and the posttraumatic stress disorder [PTSD] Checklist [PCL-C]) in wives of service members who were combat-injured (CI; n = 60); noninjured with cumulative deployment longer than 11 months (NI-High; n = 51); and noninjured with cumulativel deployment less than 11 months (NI-Low; n = 53).

Results: 36. Read More

Am J Phys Med Rehabil 2022 Jul 4;101(7):685-692. Epub 2021 Oct 4.

From the Ankara Şereflikoçhisar State Hospital, Ankara, Turkey (HÖD); Kirşehir Ahi Evran University Education and Research Hospital, Kirşehir, Turkey (FT); Ankara City Hospital, Ankara, Turkey (HD); and High Specialization University, Ankara, Turkey (HRE).

Objective: The aim of the study was to compare the effectiveness of radial extracorporeal shock wave therapy and local corticosteroid injection on pain, function, and nerve conduction studies in the treatment of idiopathic carpal tunnel syndrome.

Design: A total of 72 patients who were diagnosed as having carpal tunnel syndrome were included in the study. The radial extracorporeal shock wave therapy group received radial extracorporeal shock wave therapy, the local corticosteroid injection group received local corticosteroid injection, and the control group only used a resting hand splint. Read More

J Athl Train 2022 May;57(5):510-516

Department of Kinesiology, University of Wisconsin, Madison.

Context: With 8 million annual US high school student-athletes, the epidemiology of sport-related injuries has garnered significant interest. The most recent studies examining overuse injury rates in high school sports were based on data from 2012 to 2013 and, therefore, may not reflect current overuse injury rates in high school sports.

Objective: To (1) determine overuse time-loss (TL) and non-time-loss (NTL) injury rates among high school student-athletes using National Athletic Treatment, Injury and Outcomes Network Surveillance Program (NATION-SP) data collected from 2014-2015 to 2018-2019 and (2) compare overuse injury rates based on student-athlete sex defined by whether it was a boys' sport or a girls' sport, the sport itself, and the injury location. Read More

J Athl Train 2022 May;57(5):470-477

Department of Exercise Science, University of South Carolina, Columbia.

Context: Swimmers are known for experiencing high training loads and a high incidence of overuse injuries, but few researchers have investigated the relationship between the two at the collegiate level.

Objective: To determine the association between workload and noncontact musculoskeletal injury in collegiate swimmers.

Design: Prospective cohort study. Read More

Ann Plast Surg 2022 06;88(5 Suppl 5):S495-S497

From the Prisma Health/University of South Carolina School of Medicine, Columbia, SC.

Background: A thorough knowledge of normal and variant anatomy of the wrist and hand is fundamental to avoiding complications during carpal tunnel release. The purpose of this study was to document variations of the surface anatomy of the hand to identify a safe zone in which the initial carpal tunnel incision could be placed. The safe zone was identified as the distance between the radial side of hook of hamate and the ulnar edge of the origin of the motor branch of the median nerve (MBMN). Read More

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):253-262. Epub 2022 Jun 10.

University of Western Ontario Roth|McFarlane Hand and Upper Limb Center.

Cubital tunnel syndrome is one of the most common upper extremity nerve entrapment conditions. Clinical examination and electrodiagnostic studies assist in the diagnosis. Mild cases can be successfully treated conservatively, aiming to reduce traction and compression on the nerve. Read More

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):236-243. Epub 2022 Jun 10.

BG Unfallklinik Ludwigshafen Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Klinik für Plastische Chirurgie der Universität Heidelberg.

Carpal tunnel syndrome (CTS) is one of the most common compression neuropathies. The therapeutic concept should be tailored to each patient individually, with initial non-surgical treatment being the standard of care for early CTS. Primary surgical intervention should be considered in more advanced diseases stages, in case of concomitant pathologies (including space-occupying lesions, complex regional pain syndrome or diabetic neuropathy), if non-surgical strategies have failed or in pregnancy-related CTS. Read More

Praxis (Bern 1994) 2022 ;111(8):483-484

Universitätsspital Zürich, Zürich, Schweiz.

J Can Chiropr Assoc 2022 Apr;66(1):33-42

Private practice.

Objective: We aimed to determine the feasibility of conducting a cross-sectional study to estimate the one-week prevalence of overuse-related shoulder pain and activity limitation in competitive tennis players.

Methods: Eligible for the study were competitive adult tennis players who reside in Toronto. Using a convenience sample, the Oslo Sports Trauma Research Centre Overuse Shoulder Injury Questionnaire (OSIQ) was administered online to provide preliminary estimates of the prevalence of shoulder pain and activity limitation, injury severity and pain intensity. Read More

Front Neurol 2022 17;13:895476. Epub 2022 May 17.

Department of Human Physiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.

Introduction: Monoclonal antibodies (mAbs) showed efficacy in migraine prevention. The aim of this study was to check if baseline clinical parameters and cerebral blood flow (CBF) measured by transcranial Doppler (TCD) may help predict mAbs efficacy.

Methods: Electronic charts of migraineurs treated with erenumab or fremanezumab, with baseline TCD evaluations were collected, including data on migraine type, pain localization, monthly migraine days (MMD), medication overuse headache (MOH), mean blood flow velocity (Vm), and pulsatility index (PI) in cerebral arteries. Read More

Sci Rep 2022 Jun 2;12(1):9217. Epub 2022 Jun 2.

Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, 308232, Singapore, Singapore.

Median nerve cross-sectional area (CSA) was used for screening and diagnosis of neuropathy, but few studies have suggested reference range. Hence, this systematic review was performed to evaluate a normative values of median nerve CSA at various landmarks of upper limb based on ultrasonography. PubMed and Web of science were used to search relevant articles from 2000 to 2020. Read More

Sci Rep 2022 Jun 1;12(1):9122. Epub 2022 Jun 1.

AUVA - Trauma Hospital (UKH) Styria | Graz, Teaching Hospital of the Medical University of Graz, Göstinger Straße 24, 8020, Graz, Austria.

We sought to evaluate the findings of our anatomically landmarks based mini-open procedure (MCTR) through a palmar approach and to compare its outcome and practicability to the conventional method (OCTR). The study consisted of 100 matched patients (n = 50 MCTR, n = 50 OCTR) with a minimum follow-up of three years. The outcome was characterized via the Disabilities of Arm, Shoulder and Hand Score (DASH), Symptom Severity Scale (SSS), Functional Status Scale (FSC), and Visual Analogue Scale (VAS). Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):213-217

The objective of this study was to determine the role of ad- junctive surgical procedures on the median nerve for carpal tunnel syndrome as measured by somatosensory evoked potentials (SEPs) on the nerve. Fifty-five median nerves in 47 patients were studied. In each patient, a base-line SEP was recorded in the operating room prior to incision and then intraoperatively following each of three sequential pro- cedures: division of the transverse carpal ligament, an epi- neurolysis of the nerve, and finally, either an epineurotomy or epineurectomy that we refer to as a "limited internal neu- rolysis" since it did not involve any intraneural dissection of fascicles. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):209-212

Background: Cubital tunnel syndrome and the resulting loss of hand dexterity and strength may necessitate surgical management. Studies have demonstrated no difference in outcome between surgical techniques. In an attempt to leave more ulnar nerves in situ while providing for stability within the cubital tunnel, we suggest a surgical treatment approach. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):200-208

Introduction: Carpal tunnel syndrome and ulnar nerve compression at the elbow (e.g., cubital tunnel syndrome) are the most common upper extremity compressive neuropa- thies treated by hand surgeons. Read More

Medicina (Kaunas) 2022 May 19;58(5). Epub 2022 May 19.

Department of General Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan.

Night wrist splinting has been a conservative treatment for carpal tunnel syndrome. The addition of extracorporeal shock wave therapy provides an alternative treatment. However, strong evidence on the clinical effectiveness of extracorporeal shock wave therapy for carpal tunnel syndrome is still lacking. Read More

Scand J Med Sci Sports 2022 May 27. Epub 2022 May 27.

UKK Institute, Tampere, Finland.

The aim of this study was to investigate physical fitness, football-specific skills, and their association with injury risk in youth football. Altogether 447 male and female players aged 9-14 years (median 12 years) participated in performance tests and prospective follow-up. The physical fitness tests included five-jump test for distance, 30-m sprint, football-specific figure of eight agility, countermovement jump, and Yo-Yo intermittent endurance test level 1. Read More