The Efficacy and Treatment Fidelity of Kinesiology Taping in Conjunction With Conservative Treatment Interventions Among Individuals With Shoulder Pain: A Systematic Review with Meta-Analysis

# Purpose Kinesiology taping is a common intervention used to treat individuals with shoulder pain. While there have been several studies published to date evaluating the effectiveness of this intervention, a systematic review with meta-analysis synthesizing the collective effectiveness of kinesiology taping is not available. Therefore, the purpose of this study was to perform a systematic review with meta-analysis investigating the efficacy and treatment fidelity of kinesiology taping (KT) in combination with conservative interventions for shoulder pain. # Methods Databases (PubMed, EMBASE, SportDiscus, CINAHL) of studies published in English meeting criteria were searched to October 2019. Methodologic quality was assessed utilizing the Modified Downs and Black checklist. Treatment fidelity was evaluated using a modified fidelity tool. Random effects meta-analyses were performed when an outcome (disability, pain, range of motion (ROM)) was reported by two or more studies. Overall effect size (pooled random effects) was estimated for studies with acceptable clinical homogeneity. # Results When KT was used with conservative treatments, meta-analysis revealed large effect sizes for improvements in disability (standard mean difference (SMD) = -1.35; 95% CI, -2.09 to -0.60) and ROM (SMD = 0.96; 95% CI, 0.60-1.33) with no significant effects for pain. The average Modified Downs & Black score for bias was 11.5 ± 3.9. Of 10 retained studies, only two had good treatment fidelity. # Conclusions Adding KT to interventions performed in clinical settings appears to demonstrate efficacy regarding disability and ROM when compared to conservative interventions alone. However, despite reasonably good methodologic quality, fidelity was lacking in a majority of studies. Because of its impact on the implementation of evidence-based practice, lower fidelity should be considered when interpreting results

Volatilised pyrene: A phase 1 study demonstrating a new method of visualising fingermarks with comparisons to iodine fuming

Pyrene is a fluorescent polycyclic aromatic hydrocarbon that can be volatilised under mild conditions. When fumed, pyrene is rapidly absorbed into the sebaceous residues of fingermarks, enabling their fluorescent visualisation upon excitation with ultraviolet radiation. This new means of fluorescent fingermark detection is more sensitive than the non-fluorescent iodine fuming approach for nonporous surfaces. This is demonstrated here in a phase 1 study using split-print comparisons on metal and glass surfaces. Pyrene-treated fingermarks also retain the volatile fluorophore for comparably long time periods relative to iodine fuming (in the order of hours). The phase 1 study comprised four donors, and 80 natural fingermarks that were grouped into two time periods; aged 24 h and 1 week. Iodine fuming was chosen as a reference to showcase the effectiveness of pyrene given it is the most closely-related chemical fuming method in routine use. This study demonstrates that pyrene fuming increases the quantity and quality of fingermark visualisations relative to iodine fuming, and is free of many of the latter method’s drawbacks. Preliminary results shown here also show the effectiveness of pyrene fuming on highly patterned surfaces, and its compatibility with the use of gelatine lifters. Pyrene fuming is thus easy to effect, low-cost, and shows great promise as a new means of visualising fingermarks on non-porous surfaces

Developing a conceptual framework for an evaluation system for the NIAID HIV/AIDS clinical trials networks

Globally, health research organizations are called upon to re-examine their policies and practices to more efficiently and effectively address current scientific and social needs, as well as increasing public demands for accountability

Personality Type and Chronic Pain: The Relationship between Personality Profile and Chronic Low Back Pain Using Eysenck’s Personality Inventory

Background: Personality type plays a key role in how individuals respond to a variety of stimuli; however, it is unclear if there is a significant influence on pain perception. While pain is associated with many conditions, chronic low back pain (cLBP) is one of the most prevalent and debilitating problems in modern society. Treating this condition can be a challenge and clinicians must understand all factors that can influence pain perception. Purpose: The present study investigated the relationship between personality type and pain experience in patients experiencing cLBP. Methods: One hundred twenty-four participants completed the Eysenck Personality Inventory (EPI), which identifies two major components of the human personality, neuroticism, and extraversion. Participants also completed the Oswestry Disability Index (ODI), the Tampa Scale for Kinesiophobia (TSK), the Numeric Pain Rating Scale (NPRS), and the Pain Catastrophizing Scale (PCS). The association between pain and personality was determined with a Spearman Rank Correlation Coefficient. A hierarchical cluster analysis with Ward’s clustering method examined for subgroups of individuals based on these variables. Results: The neuroticism score (EPI-N) was found to have a statistically significant relationship with all pain outcome measures. This suggests that people exhibiting a neurotic personality type are likely to have more fear of movement (p = 0.001), greater catastrophizing behavior (p < 0.001), higher self-reported levels of disability (p < 0.001), and higher overall reported levels of pain (p = 0.046) than those with other, more stable personality types. Three clusters were derived with varying levels of pain-related factors and personality. Conclusions: Personality type appears to have an influence on many of the attributes associated with cLBP and may be a useful determinate in both prognosis and interventions

Development of a clinical prediction rule to identify patients with neck pain that may benefit from education and exercise

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy [Physical Therapy]

Influence of Lumbosacral Pathology on Hip Pain: Differential Diagnosis

https://nsuworks.nova.edu/hpd_pt_facbooks/1002/thumbnail.jp

Improving Muscle Performance Of The Deep Neck Flexors

Cervical disorders affect up to 70% of the population and have a recurrence rate of up to 38%. Researchers have reported an association between impaired muscle performance of the deep neck flexors and cervical disorders. The authors present a three stage program designed to improve strength, endurance, and activation of the deep neck flexors that is applicable to the broad athletic population. © National Strength and Conditioning Association