Distribution and symmetrical patellofemoral pain patterns as revealed by high-resolution 3D body mapping: a cross-sectional study

描述疼痛症状可能是一项艰巨的任务。patelo股疼痛（PFP）是一个广义术语，用于描述膝盖，the骨和膝盖的疼痛和僵硬，从而难以进行日常活动。这会影响大量的青少年和年轻人。PFP的原因可能源自膝盖的几个成分，但是经历疼痛的患者通常没有意识到膝盖疼痛的原因，因此交流PFP可以像指向膝盖周围的区域一样一般。

In an attempt to overcome this issue, Shellie A. Boudreau developed a new system which allows patients to communicate pain through visual representation using high resolution 3D body mapping in conjunction with 2D line drawings. Together with Micheal Rathleff, PFP expert, and colleagues they have used this technique to acquire 2D drawings of pain patterns and also symmetrical pain patterns in adolescents and young adults with PFP.

结果发现，大多数投诉在较低的Peripatellar地区很常见。大多数出现双侧膝盖疼痛的受试者表现出对称的膝盖疼痛模式。这项研究为PFP内可能存在的疼痛模式提供了一个窗口，并提供了一个理论，以进一步探索这些膝盖疼痛模式在较大的队列中的重要性。

腰痛中的临床分类：基于系统评价的最佳证据诊断规则

Low back pain is a common problem that affects most people at some point in their life and can stem from several parts of the lumbar spine, including the intervertebral discs, sacroiliac joints, facet joints, bone, muscles, nerve roots, muscles, peripheral nerve tissue, and central nervous system sensitization. So how we do we classify diagnosis and treatment strategies for the different sub-groups of low back pain?

汤姆·彼得森（Tom Petersen），马克·兰斯莱特（Mark Laslett）和卡斯滕·贾尔（Carsten Juhl）有了更好的证据来识别病原体的解剖学，对诊断准确性研究进行了系统的综述，试图开发基于证据的临床诊断规则（CDRS），以识别降低腰痛的常见来源和原因。为了鉴定腰椎中最常见的病原体疾病用于临床实践，彼得森的小组确定了64个研究，成功地为有症状的脊椎椎间盘，s骨关节，脊椎滑落，椎骨椎间盘椎间盘进行了椎间盘椎间盘，神经根参与和脊柱ster虫的症状。

In some of these categories sufficient evidence was found to recommend a CDR, whilst other categories had preliminary evidence and will require further studies. Therefore the findings of this study suggest that evidence-based clinical diagnosis can potentially reduce the need for invasive or expensive diagnostic methods; however, further research is necessary to evaluate these findings in a primary care setting.

丹麦（GLA：D™）骨关节炎的美好生活：全国认证的物理治疗师提供的基于证据的教育和受监督的神经肌肉运动

Osteoarthritis is considered one of the leading causes of disability, and substantial evidence increasingly supports the use of exercise as a first line of treatment for the disease. In this study, Soren Skou and Ewa Roos from the University of Southern Denmark have evaluated the aims of Good Life with osteoArthritis in Denmark (GLA:D), which is a training scheme established in 2013 to reduce hip/knee pain caused by osteoarthritis, reduce the number of people taking painkillers, improve physical function, improve quality of life and reduce the number of patients on sick leave.

A total of 9,825 participants from the GLA:D registry were included and the findings show that education and supervised exercise improved pain intensity and quality of life. Moreover, the results show that fewer patients took painkillers and were on sick leave following the scheme. Given its positive impact, GLA:D has now been established nationwide and emphasizes the importance of exercise as a lifestyle change to improve general health and quality of life.

The transverse abdominal muscle is excessively active during active straight leg raising in pregnancy-related posterior pelvic girdle pain: an observational study

骨盆腰围疼痛（PGP）是一种通常会影响妊娠期间骨盆关节的疾病，并引起疼痛和不适。为了研究骨盆中肌肉的收缩模式，Jan Mens和Annelies Pool-Goudzwaard进行了一项横截面观察性研究，以使用PGP的女性进行超声成像检查横向腹部肌肉（TRA）的厚度。（ASLR）。在他们的队列中，PGP在怀孕期间以84％的参与者和16％的参与者的三周后开始怀孕。

The authors observed no significant differences in the mean TrA thickness at rest between women with and without PGP; however, interestingly, a significant excessive contraction of the TrA was observed during ASLR in patients with PGP. Therefore these findings appear to suggest that exercise may not be the solution for patients with long-lasting pregnancy-related PGP.

个人对持续或经常性下背痛的解释：横断面调查

据估计，全球约有40％的人会经历腰痛。尽管大多数研究都调查了腰痛的身体原因，但澳大利亚卫生与康复科学学院的Setchell和同事采用了一种新颖的方法来探索有关导致下背痛的个人信念系统的持续存在。

研究表明,持续的下腰痛is perceived as structural with “no mechanical fix”, permanent and complex, and often described as very negative. Interestingly, it also appears that these beliefs about low back pain stemmed overwhelmingly from health professionals and the internet as a source of understanding of their LBP. The findings of this study highlight the importance of understanding underlying causes of low back pain, perhaps shifting the thinking within healthcare and looking beyond singular causes.

肩峰撞击综合征的特定或一般运动策略 - 重要吗？系统文献综述和元分析

Subacromial impingement syndrome (SIS) accounts for up to 50-70% of shoulder pain and occurs when the tendons of the rotator cuff become trapped and compressed during shoulder movement. Using a systematic review and meta-analysis approach, Alison Shire and colleagues identified six randomized control trials (a total of 231 patients) that used specific exercise strategies to treat patients experiencing symptoms of SIS. They evaluated whether implementing specific exercises resulted in a more superior effect, as determined by improvements in pain, function and quality of life (QoL), compared with general exercises in a resistance training program.

有趣的是，结果没有明显的差异来支持使用SIS患者的结果指标中的特定练习而不是一般练习。低质量和不一致的数据被指示为无法检测差异的主要原因之一，作者为未来试验的设计提供了建议，以解决此问题。