Sep
5
2023
Stretching before a run neither prevents nor causes injury, according to a study presented at the 2011 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).
Recently there has been controversy regarding whether runners should stretch before running, or not at all. Another new study included 2,729 runners who run 10 or more miles per week. Of these runners, 1,366 were randomized to a stretch group, and 1,363 were randomized to a non-stretch group before running. Runners in the stretch group stretched their quadriceps, hamstrings, and gastrocnemius/soleus muscle groups. The entire routine took 3 to 5 minutes and was performed immediately before running.
The study found that stretching before running neither prevents nor causes injury. In fact, the most significant risk factors for injury included the following:
history of chronic injury or injury in the past four months;
higher body mass index (BMI); and
switching pre-run stretching routines (runners who normally stretch stopping and those who did stretch starting to stretch before running).
“As a runner myself, I thought stretching before a run would help to prevent injury,” said Daniel Pereles, MD, study author and orthopaedic surgeon from Montgomery Orthopedics outside Washington, DC. “However, we found that the risk for injury was the same for men and women, whether or not they were high or low mileage runners, and across all age groups. But, the more mileage run or the heavier and older the runner was, the more likely he or she was likely to get injured, and previous injury within four months predisposed to even further injury,” he added.
Runners who typically stretch as part of their pre-run routine and were randomized not to stretch during the study period were far more likely to have an injury. “Although all runners switching routines were more likely to experience an injury than those who did not switch, the group that stopped stretching had more reported injuries, implying that an immediate shift in a regimen may be more important than the regimen itself,” he added.
The most common injuries sustained were groin pulls, foot/ankle injuries, and knee injuries. There was no significant difference in injury rates between the runners who stretched and the runners who didn’t for any specific injury location or diagnosis.
Sep
5
2023
Disability and related factors in patients with chronic cervical myofascial pain
Duyur Çakit, B., Genç, H., Altunta?, V., Erdem, H.R. 2009 Clinical Rheumatology, pp. 1-8
The aim of this study is to detect whether cervical myofascial pain leads to disability and to determine factors associated with disability in patients with chronic cervical myofascial pain.
One hundred-three female patients with chronic cervical myofascial pain and 30 age-matched healthy females participated. Main outcome measurements are visual analog scale, Neck Pain and Disability scale, Beck Depression Inventory and pain pressure threshold measurements from the most usual trigger-point locations of trapezius, levator scapula, multifidus, and splenius capitis muscles. The Neck Pain and Disability scale and Beck Depression Inventory scores of the patient group were higher than controls.
In the patient group, the total Neck Pain and Disability scale scores were significantly correlated with the pain pressure threshold values of the trapezius and levator scapula muscles and Beck Depression Inventory scores.
Regression analyses showed that increased disease duration (R2 = 0.37), decreased pain pressure threshold values of trapezius muscle (R2 = 0.04), unilateral disease (R2 = 0.02) and increased Beck Depression Inventory scores (R2 = 0.02) were associated with higher disability.
Cervical myofascial pain is a reason for disability in chronic neck pain population. Disease duration was found as the strongest predictor of disability.
Sep
5
2023
Often, a gentle hand on your shoulder when you’re upset is all it takes to ease your mind and calm your nerves. Now, UC researchers are looking at a similar occurrence by pairing a complementary therapy known as Healing Touch with mild sedation to see if the technique truly calms patients undergoing minor procedures.
Healing Touch is a series of techniques that balance energy for wholeness within a person’s body, mind and soul. It is an energy therapy that can be used in conjunction with other traditional medical treatments.
Nathan Schmulewitz, MD, the lead author of this investigator-initiated study and assistant professor of digestive diseases, says people undergoing procedures often have problems falling asleep because of anxiety.
Schmulewitz specializes in endoscopic ultrasound (EUS), a technique for imaging and accessing deep structures in the chest and abdomen which are near the GI tract. EUS is used as a screening tool for cancer or other suspicious polyps.
He says if a patient is unable to fall asleep with intravenous sedation, it might be necessary to use stronger anesthesia which is expensive and not often covered by insurance companies.
“In addition, stronger sedation can prolong recovery for the patient and can cause slight amnesia following the procedure,” Schmulewitz says.
This study is looking at whether coupling Healing Touch with mild sedation prior to an EUS procedure can help relax patients, avoiding problems with anesthesia and making the procedure run more smoothly.
Judy Bowers, a nurse at University Hospital, Healing Touch practitioner and co-author of the study, has been doing this therapy for about seven years and has administered it to over 40 patients involved in this study.
“By restoring balance within the energy system, you create an optimal environment for healing,” Bowers says. “This is complementary medicine, not alternative medicine, so it can be easily incorporated in a medical model.”
Although there are many healing touch therapies, this study is only looking at three: the Chakra Connection, which facilitates movement of energy from one energy center to another, Magnetic Clearing, which clears the field of congested energy, and Mind Clearing, which involves a light touch on the face, head and neck.
As part of the study, a third party calls the patient two days after the procedure to ask a number of questions about how Healing Touch affected the patient during the EUS and recovery.
The results are being analyzed, but Bowers says she’s observed some fairly positive responses.
“Some of the patients are asleep before they even receive the intravenous sedation,” she says, noting that she stays with patients throughout the procedure in order to continue sharing her energy with them and maintaining the balance.
Schmulewitz says if the results are positive, this could be an inexpensive, effective way to reduce costs and improve care at University Hospital.
“It will be a fairly easy way to enhance patient care with acceptable and specific means and without increased risk of injury,” he says.
