115 results match your criteria neuromusculoskeletal approach

Intrinsic capacity and its associations with incident dependence and mortality in 10/66 Dementia Research Group studies in Latin America, India, and China: A population-based cohort study.

PLoS Med 2021 Sep 14;18(9):e1003097. Epub 2021 Sep 14.

Universidad de Ciencias Médicas de Matanzas, Matanzas, Cuba.

Background: The World Health Organization (WHO) has reframed health and healthcare for older people around achieving the goal of healthy ageing. The recent WHO Integrated Care for Older People (ICOPE) guidelines focus on maintaining intrinsic capacity, i.e. Read More

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September 2021

On the impact of the erroneous identification of inertial sensors' locations on segments and whole-body centers of mass accelerations: a sensitivity study in one transfemoral amputee.

Med Biol Eng Comput 2021 Oct 31;59(10):2115-2126. Epub 2021 Aug 31.

Arts et Métiers, Institut de Biomécanique Humaine Georges Charpak (IBHGC), 151 boulevard de l'Hôpital, 75013, Paris, France.

The kinematics of the body center of mass (bCoM) may provide crucial information supporting the rehabilitation process of people with transfemoral amputation. The use of magneto-inertial measurement units (MIMUs) is promising as it may allow in-the-field bCoM motion monitoring. Indeed, bCoM acceleration might be obtained by fusing the estimated accelerations of body segments' centers of mass (sCoM), the formers being computed from the measured accelerations by segment-mounted MIMUs and the known relative position between each pair of MIMU and underlying sCoM. Read More

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October 2021

Inferior Hypogastric Block for the Treatment of Chronic Pelvic Pain.

Anesth Pain Med 2021 Feb 16;11(1):e112225. Epub 2021 Feb 16.

LSU Health Shreveport, Department of Anesthesiology, Shreveport, LA.

Context: Pelvic pain is described as pain originating from the visceral or somatic system localizing to the pelvis, the anterior abdominal wall at the level of or below the umbilicus, lumbosacral back in either men or women.

Evidence Acquisition: Narrative review.

Results: Chronic pelvic pain can be a complex disorder that may involve multiple systems such as urogynecological, gastrointestinal, neuromusculoskeletal, and psychosocial systems. Read More

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February 2021

Blended teaching versus traditional teaching for undergraduate physiotherapy students at the University of the Witwatersrand.

S Afr J Physiother 2021 17;77(1):1544. Epub 2021 May 17.

Department of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Shifting from face-to-face teaching to incorporating technology may prepare students better for future work as health professionals. Evidence of blended teaching's effect on the academic performance of undergraduate physiotherapy students' performance is scarce.

Objective: The purpose of our study was to determine students' theoretical and clinical performance in a blended teaching module compared to their own performance in two knowledge areas taught face to face, and student perceptions of blended teaching in the third-year physiotherapy curriculum. Read More

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Diagnosing sarcopenia: Functional perspectives and a new algorithm from the ISarcoPRM.

J Rehabil Med 2021 Jun 21;53(6):jrm00209. Epub 2021 Jun 21.

Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey. E-mail:

Sarcopenia is an important public health problem, characterized by age-related loss of muscle mass and muscle function. It is a precursor of physical frailty, mobility limitation, and premature death. Muscle loss is mainly due to the loss of type II muscle fibres, and progressive loss of motor neurones is thought to be the primary underlying factor. Read More

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Electromyography-informed modeling for estimating muscle activation and force alterations in Parkinson's disease.

Comput Methods Biomech Biomed Engin 2021 May 17:1-13. Epub 2021 May 17.

Department of Information Engineering, University of Padua, Padova, Italy.

Electromyography (EMG)-driven neuromusculoskeletal modeling (NMSM) enables simulating the mechanical function of multiple muscle-tendon units as controlled by nervous system in the generation of complex movements. In the context of clinical assessment this may enable understanding biomechanical factor contributing to gait disorders such as one induced by Parkinson's disease (PD). In spite of the challenges in the development of patient-specific models, this preliminary study aimed at establishing a feasible and noninvasive experimental and modeling pipeline to be adopted in clinics to detect PD-induced gait alterations. Read More

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The effect of musculoskeletal model scaling methods on ankle joint kinematics and muscle force prediction during gait for children with cerebral palsy and equinus gait.

Comput Biol Med 2021 07 5;134:104436. Epub 2021 May 5.

Department of Exercise Sciences, The University of Auckland, Auckland, New Zealand. Electronic address:

Clinical gait analysis incorporated with neuromusculoskeletal modelling could provide valuable information about joint movements and muscle functions during ambulation for children with cerebral palsy (CP). This study investigated how imposing pre-calculated joint angles during musculoskeletal model scaling influence the ankle joint angle and muscle force computation. Ten children with CP and equinus gait underwent clinical gait analysis. Read More

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Neuromuscular taping treatment of diabetic foot: a concept analysis.

Clin Ter 2021 May;172(3):231-235

NeuroMuscular Taping Institute, Rome, Italy.

Objective: The definition of neuromuscular taping (NMT) has yet to be clearly analysed as a possible treatment for diabetic foot. Case studies, theoretical analysis and results of existing research may lead to varying perceptions on the definition of NMT and its possible effects on diabetic foot. This article aims to analyse the definition of the NMT concept and furthermore as a basis for future research development on diabetic foot. Read More

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Overuse-Related Injuries of the Musculoskeletal System: Systematic Review and Quantitative Synthesis of Injuries, Locations, Risk Factors and Assessment Techniques.

Sensors (Basel) 2021 Apr 1;21(7). Epub 2021 Apr 1.

Department of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Italian National Institute of Health, 00161 Rome, Italy.

Overuse-related musculoskeletal injuries mostly affect athletes, especially if involved in preseason conditioning, and military populations; they may also occur, however, when pathological or biological conditions render the musculoskeletal system inadequate to cope with a mechanical load, even if moderate. Within the MOVIDA (Motor function and Vitamin D: toolkit for risk Assessment and prediction) Project, funded by the Italian Ministry of Defence, a systematic review of the literature was conducted to support the development of a transportable toolkit (instrumentation, protocols and reference/risk thresholds) to help characterize the risk of overuse-related musculoskeletal injury. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach was used to analyze Review papers indexed in PubMed and published in the period 2010 to 2020. Read More

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Compensation due to age-related decline in sit-to-stand and sit-to-walk.

J Biomech 2021 06 2;122:110411. Epub 2021 Apr 2.

Department of Bioengineering, Imperial College London, London, UK. Electronic address:

Capacity is the physiological ability of the neuromusculoskeletal systems; this declines with age. This decline in capacity may result in the inability to stand up (sit-to-stand, sit-to-walk), which is an important movement for independent living. Compensation, as a result of functional redundancy, is key in understanding how much age-related decline can be tolerated before movement limitations arise. Read More

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A Randomized Clinical Trial on the Effect of Biofeedback on Pain and Quality of Life of Patients With Chronic Coccydynia.

Basic Clin Neurosci 2020 Nov-Dec;11(6):753-763. Epub 2020 Nov 1.

Neuromusculoskeletal Research Center, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Pelvic floor muscles dysfunction is one of the most important etiologies of coccydynia; therefore, manual therapies have been proposed as the first line of treatment. The purpose of this study was to investigate the effect of biofeedback as a new approach in the treatment of coccydynia.

Methods: Thirty women were randomized into two groups. Read More

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November 2020

Education in the Time of COVID: At-a-Distance Training in Neuromusculoskeletal Ultrasonography.

Arch Rehabil Res Clin Transl 2021 Mar 17;3(1):100098. Epub 2020 Dec 17.

Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, British Columbia, Canada.

Point of care ultrasound is important to the specialty of physical medicine and rehabilitation (PM&R) to aid in the diagnosis and treatment of a variety of neuromusculoskeletal conditions commonly seen in practice. However, across Canada, resident education of sonoanatomy skills is variable. There remain no standards in terms of how ultrasound is taught as part of the residency curriculum as set by the Royal College of Physicians and Surgeons of Canada. Read More

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Characteristics and treatment of geriatric patients in an osteopathic neuromusculoskeletal medicine clinic.

J Osteopath Med 2021 02 19;121(5):503-511. Epub 2021 Feb 19.

Department of Family Medicine, Preventive Medicine, and Community Health, Kirksville College of Osteopathic Medicine, A.T. Still University, Kirksville, MO, USA.

Context: Osteopathic manipulative medicine (OMM) is an adjunctive treatment approach available to geriatric patients, but few studies provide details about presenting conditions, treatments, and response to osteopathic manipulative treatment (OMT) in that patient population.

Objectives: To provide descriptive data on the presentation and management of geriatric patients receiving OMT at an outpatient osteopathic neuromusculoskeletal medicine (ONMM) clinic.

Methods: Data were retrospectively collected from electronic health records (EHR) at a single outpatient clinic for clinical encounters with patients over 60 years of age who were treated with OMT between July 1, 2016, and June 30, 2019. Read More

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February 2021

Effects of Mulligan Mobilization with Movement in Subacute Lateral Ankle Sprains: A Pragmatic Randomized Trial.

J Man Manip Ther 2021 Feb 26:1-12. Epub 2021 Feb 26.

Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique, Neuromusculoskeletal lab, Brussels, Belgium.

: In a pragmatic and randomized clinical trial, patients with lateral ankle sprains were assessed, under blinded conditions, for their responsiveness and improvements during Mulligan mobilization-with-movement (MWM) therapy. : Overall, 51 participants with subacute lateral ankle sprains (Grade I-II) were recruited. Following an MWM screening procedure, responders were randomized to either an intervention group (MWM) or a sham group. Read More

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February 2021

Remote management of musculoskeletal pain: a pragmatic approach to the implementation of video and phone consultations in musculoskeletal practice.

Pain Rep 2020 Nov-Dec;5(6):e878. Epub 2020 Dec 15.

Research Centre, University College of Osteopathy, London, United Kingdom.

Introduction: Remote consultations through phone or video are gaining in importance for the treatment of musculoskeletal pain across a range of health care providers. However, there is a plethora of technical options for practitioners to choose from, and there are various challenges in the adaptation of clinical processes as well as several special considerations regarding regulatory context and patient management. Practitioners are faced with a lack of high-quality peer-reviewed resources to guide the planning and practical implementation of remote consultations. Read More

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December 2020

Characteristics and Management of Pregnant Patients From a Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine Clinic.

J Am Osteopath Assoc 2020 Dec;120(12):913-920

Context: Osteopathic manipulative medicine (OMM) is considered beneficial in the treatment of pregnant women, but few studies have outlined the presenting complaints and diagnoses that warrant consideration and utilization of osteopathic manipulative treatment (OMT) in this population.

Objective: To describe the characteristics of pregnant patients receiving OMM at a neuromusculoskeletal medicine (NMM)/OMM specialty outpatient clinic, for the purpose of identifying patients who would benefit from referral to NMM specialty clinics or to be considered for treatment by DOs in non-NMM specialty clinics.

Methods: Electronic health records were reviewed from a single clinic for a 3-year period from October 2015 through September 2018 for patient encounters involving patients with an International Classification of Diseases 10th Revision code for pregnancy. Read More

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December 2020

Does Curved Walking Sharpen the Assessment of Gait Disorders? An Instrumented Approach Based on Wearable Inertial Sensors.

Sensors (Basel) 2020 Sep 14;20(18). Epub 2020 Sep 14.

Department of Movement, Human and Health Sciences, Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System, University of Rome "Foro Italico", Piazza Lauro de Bosis 15, 00135 Roma, Italy.

Gait and balance assessment in the clinical context mainly focuses on straight walking. Despite that curved trajectories and turning are commonly faced in our everyday life and represent a challenge for people with gait disorders. The adoption of curvilinear trajectories in the rehabilitation practice could have important implications for the definition of protocols tailored on individual's needs. Read More

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September 2020

Targeted Achilles Tendon Training and Rehabilitation Using Personalized and Real-Time Multiscale Models of the Neuromusculoskeletal System.

Front Bioeng Biotechnol 2020 12;8:878. Epub 2020 Aug 12.

School of Allied Health Sciences, Griffith University, Gold Coast, QLD, Australia.

Musculoskeletal tissues, including tendons, are sensitive to their mechanical environment, with both excessive and insufficient loading resulting in reduced tissue strength. Tendons appear to be particularly sensitive to mechanical strain magnitude, and there appears to be an optimal range of tendon strain that results in the greatest positive tendon adaptation. At present, there are no tools that allow localized tendon strain to be measured or estimated in training or a clinical environment. Read More

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A joint kinematics driven model of the pelvic soft tissue artefact.

J Biomech 2020 10 20;111:109998. Epub 2020 Aug 20.

Interuniversity Centre of Bioengineering of the Human Neuromusculoskeletal System, University of Rome "Foro Italico", Roma, Italy; Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Piazza de Bosis 15, 00135 Roma, Italy; Department of Mechanical Engineering, The University of Sheffield, Sir Frederick Mappin Building, Mappin Street, Sheffield S1 3JD, UK; INSIGNEO Institute for In Silico Medicine, The University of Sheffield, The Pam Liversidge Building, Sir Frederick Mappin Building, Mappin Street, Sheffield S1 3JD, UK.

When skin-markers trajectories are used in human movement analysis, compensating for their relative movement with respect to the underlying bone (soft tissue artefact, STA) is essential for accurate bone-pose estimation; information about the artefact is required in the form of a mathematical model. Such model, not available for pelvic artefacts, could allow pelvic STA compensation in routine gait analysis by embedding it in skeletal kinematics estimators and developing ad-hoc optimization problems for the estimate of subject-specific model parameters. It was developed as driven by adjacent body segment kinematics. Read More

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October 2020

Sensorized Assessment of Dynamic Locomotor Imagery in People with Stroke and Healthy Subjects.

Sensors (Basel) 2020 Aug 13;20(16). Epub 2020 Aug 13.

SMART Lab, Santa Lucia Foundation, Via Ardeatina 306, 00179 Rome, Italy.

Dynamic motor imagery (dMI) is a motor imagery task associated with movements partially mimicking those mentally represented. As well as conventional motor imagery, dMI has been typically assessed by mental chronometry tasks. In this paper, an instrumented approach was proposed for quantifying the correspondence between upper and lower limb oscillatory movements performed on the spot during the dMI of walking vs. Read More

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Neuromusculoskeletal Arm Prostheses: Personal and Social Implications of Living With an Intimately Integrated Bionic Arm.

Front Neurorobot 2020 24;14:39. Epub 2020 Jul 24.

Center for Bionics and Pain Research, Mölndal, Sweden.

People with limb loss are for the first time living chronically and uninterruptedly with intimately integrated neuromusculoskeletal prostheses. This new generation of artificial limbs are fixated to the skeleton and operated by bidirectionally transferred neural information. This unprecedented level of human-machine integration is bound to have profound psychosocial effects on the individuals living with these prostheses. Read More

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Longitudinal perioperative pain, neuromusculoskeletal complications and quality-of-life assessment in partial parotidectomy.

Eur Arch Otorhinolaryngol 2021 Jan 29;278(1):239-245. Epub 2020 Jul 29.

Department of Otorhinolaryngology, Sultan II. Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.

Aim: The aim of this study was to evaluate the pain, neuromusculoskeletal complications, and quality of life (QoL) in patients who had undergone partial parotidectomy (PP) for benign parotid tumors.

Patients And Methods: All patients were evaluated before (T0) and at 1 week (T1) and 1 month (T2) after surgery. The patients were assessed for cervical range of motion (ROM), neck pain (NRS), neuropathic pain (DN4), neck disability (NDI), facial disability (FDI), and the presence of facial neuropathy, and QoL. Read More

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January 2021

Therapeutic ultrasound for chronic low back pain.

Cochrane Database Syst Rev 2020 07 5;7:CD009169. Epub 2020 Jul 5.

Department of Orthopedics, School of Medicine, AJA University of Medical Sciences, Tehran, Iran.

Background: This is an update of a Cochrane Review published in 2014. Chronic non-specific low back pain (LBP) has become one of the main causes of disability in the adult population around the world. Although therapeutic ultrasound is not recommended in recent clinical guidelines, it is frequently used by physiotherapists in the treatment of chronic LBP. Read More

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Ultrasound-Guided Corticosteroid Injection in Carpal Tunnel Syndrome: Comparison Between Radial and Ulnar Approaches.

J Pain Res 2020 26;13:1569-1578. Epub 2020 Jun 26.

Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences (IUMS), Tehran, Iran.

Purpose: To compare two common approaches for ultrasonography (US)-guided injection.

Patients And Methods: Sixty patients with mild-to-moderate CTS were included in this double-blind randomized controlled trial (RCT). They received a single shot of corticosteroid injection through either the US-guided in-plane approach: radial or ulnar side. Read More

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Muscle contributions to tibiofemoral shear forces and valgus and rotational joint moments during single leg drop landing.

Scand J Med Sci Sports 2020 Sep 17;30(9):1664-1674. Epub 2020 Jun 17.

School of Behavioural and Health, Australian Catholic University, Melbourne, Vic, Australia.

Anterior cruciate ligament (ACL) injuries commonly occur during single-leg landing tasks and are a burdensome condition. Previous studies indicate that muscle forces play an important role in controlling ligamentous loading, yet these studies have typically used cadaveric models considering only the knee-spanning quadriceps, hamstrings, and gastrocnemius muscle groups. Any muscles (including non-knee-spanning muscles) capable of opposing the anterior shear joint reaction force and the valgus joint reaction moment are thought to have the greatest potential for protecting the ACL from injury. Read More

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September 2020

Telecommunication and rehabilitation for patients with multiple sclerosis: access and willingness to use. A cross-sectional study.

Eur J Phys Rehabil Med 2020 Aug 15;56(4):403-411. Epub 2020 Apr 15.

Service of Physical Medicine and Rehabilitation, Clinic University of Saint-Luc, Brussels, Belgium -

Background: Telerehabilitation is a promising approach for patients with multiple sclerosis (MS), but uncertainties regarding patients' access and preferences remain.

Aim: To investigate the access to telecommunication technologies and rehabilitation services of patients with MS, and their willingness to use these technologies for rehabilitation.

Design: Cross-sectional survey. Read More

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Characteristics and Treatment of Pediatric Patients in an Osteopathic Manipulative Medicine Clinic.

J Am Osteopath Assoc 2020 Mar;120(3):153-163

Context: Osteopathic manipulative medicine (OMM) is recognized as an adjunctive medical approach for the treatment of pediatric patients, but few studies have detailed the pediatric conditions that prompt the use of osteopathic manipulative treatment (OMT) or the types and frequency of OMT used.

Objective: To present descriptive data of pediatric patients receiving OMT from a neuromusculoskeletal medicine/OMM outpatient clinic.

Methods: Data were drawn from electronic health records from a single outpatient specialty clinic for pediatric clinical encounters involving OMT that took place between January 1, 2014, and December 31, 2016. Read More

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Musculoskeletal modeling to predict and reduce Antetrior Cruciate Ligament injury during single leg drop jump activity: Synergistic muscle co-activation approach.

Annu Int Conf IEEE Eng Med Biol Soc 2019 Jul;2019:4108-4112

This paper presents a `drop jump' modeling to study the effect of synergistic muscle activation on controlling Anterior Cruciate Ligament (ACL) injury. ACL injuries are mostly caused during high impact loading. A full body musculoskeletal model with knee ligaments have been developed in `OpenSim platform' to simulate ACL injury during drop jump activity. Read More

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Calibration and validation of accelerometry to measure physical activity in adult clinical groups: A systematic review.

Prev Med Rep 2019 Dec 6;16:101001. Epub 2019 Nov 6.

School of Sport and Exercise Sciences, Swansea University, Bay Campus, Fabian Way, SA1 8EN Swansea, Wales, United Kingdom.

A growing body of research calibrating and validating accelerometers to classify physical activity intensities has led to a range of cut-points. However, the applicability of current calibration protocols to clinical populations remains to be addressed. The aim of this review was to evaluate the accuracy of the methods for calibrating and validating of accelerometers to estimate physical activity intensity thresholds for clinical populations. Read More

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December 2019

Neuromusculoskeletal Modeling-Based Prostheses for Recovery After Spinal Cord Injury.

Front Neurorobot 2019 2;13:97. Epub 2019 Dec 2.

School of Allied Health Sciences, Griffith University, Gold Coast, QLD, Australia.

Concurrent stimulation and reinforcement of motor and sensory pathways has been proposed as an effective approach to restoring function after developmental or acquired neurotrauma. This can be achieved by applying multimodal rehabilitation regimens, such as thought-controlled exoskeletons or epidural electrical stimulation to recover motor pattern generation in individuals with spinal cord injury (SCI). However, the human neuromusculoskeletal (NMS) system has often been oversimplified in designing rehabilitative and assistive devices. Read More

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December 2019