Overuse Problems Research Articles

Problematic smartphone use and mental health outcomes among Singapore residents: The health and lifestyle survey

BackgroundThe excessive use of smartphones and its association with adverse outcomes has been widely reported, with several studies showing an association between smartphone overuse, depression, anxiety, and sleep-related problems. MethodsThe study used data from the Health and Lifestyle Survey, a nationwide population survey. It examined the prevalence of Problematic Smartphone Use (PSU) and its association with mental health outcomes among Singapore residents aged 15–65 years. ParticipantsParticipants were assessed for PSU using the Smartphone Addiction Scale-Short Version, psychological distress with the Patient Health Questionnaire-9, and Generalised Anxiety Disorder −7 questionnaire, sleep problems using the Insomnia Severity Index, and positive mental health with Rapid Positive Mental Health Instrument. ResultsIn all, 6509 participants completed the survey, giving a survey response rate of 73.2 %. The prevalence of PSU was 30.2 % in the population. Individuals with PSU were more likely to have symptoms of moderate or severe depression (OR: 3.2, 95 % CI: 2.4–4.4), anxiety (OR: 3.4, 95 % CI: 2.4–4.8), insomnia (OR: 3.4, 95 % CI: 2.8–4.2), and poorer positive mental health (β: −0.3, 95 % CI: −0.4 to −0.2). ConclusionsThe study is the first to examine PSU in a national sample of Singaporeans across a wide age range. It provides valuable insights into mental health comorbidities among those with PSU, which is useful for practitioners.

Prevalence of self-reported lower limb overuse problems in highly trained track and field athletes during 12 weeks of pre-season training

Prevalence of self-reported lower limb overuse problems in highly trained track and field athletes during 12 weeks of pre-season training

A Review on Research Efforts on Internet Addiction

The fast development and expansion of the Internet has brought many conveniences to life and research, but has also brought multiple severe issues. For example, Internet addiction has come along as a problem of growing importance. Although many studies have proved the association between Internet overuse and many mental health problems such as depression and insomnia, there is a huge gap in the relating experimental studies, probably as correlated experiment brings serious ethical responsibilities. This paper will take a look at the current efforts done on the formation of Internet addiction and its correlations with common mental diseases through an inclusive review. The paper also offers some hypotheses and insight on Internet addiction to do with the latest Artificial Intelligence. After reviewing the mechanism, the criteria, and looking back at some correlational studies on the association between Internet addiction and psychological illnesses, some implications and potential improvements will be provided for conducting further experimental research in the future.

A-176 Barriers and Enablers to Laboratory Stewardship Across a 16 Hospital Regional System

Abstract Background Evidence indicates substantial inappropriate and inefficient use of resources in laboratory medicine. Commonly-used approaches that can be effective in improving practice include education, changes to processes or systems, and audit & feedback. The overall aims of this project were to survey the experiences of individuals implementing laboratory stewardship activities across a regional lab system, focusing on identifying key enablers and barrier to success. Methods We used a mixed methods approach beginning with a questionnaire to gather brief details about implementation efforts (what was done, how interventions were implemented, when, and by whom). These preliminary findings served as a precursor to conducting focus groups with implementation teams at each of the sites. We probed the implementation process, drivers of success, and barriers faced. Focus group transcripts were analyzed using thematic analysis. Results Forty individuals took part in the surveys and focus groups. Results revealed a range of progress with lab stewardship initiatives across sites, with a variety of initiatives having been implemented. A wide range of factors impacting progress with laboratory stewardship, both negatively and positively, were discussed. These were grouped into four broad topics: 1) Roles, responsibilities, and relationships—the “Who”; 2) Generating interest in stewardship—the “Why”; 3) Implementation strategies and processes—the “What”; 4) Project management and resources—the “How”. Key barriers identified included: lack of a clear vision which reduces relative priority, lack of resources, emphasis on financial outcomes, and that over-use problems have complex causes. Key enablers identified included active participation of hospital clinical and administrative champions, ability to implement system level changes (e.g., changing electronic orders and processes), focusing on patient safety outcomes, using established change methodologies which support systematic identification of root causes to help select appropriate change strategies as well as formal evaluation. Conclusion While some sites progressed with stewardship initiatives with relative ease, most faced challenges along the way. Surfacing these challenges supports the development of strategies to help address them such that lab stewardship activities can have maximal impact in improving quality of care. Structured and systematic approaches to laboratory stewardship are more likely to be successful than those without designed root cause analysis with targeted interventions and clear outcome metrics.

PREVALENCE OF MUSCULOSKELETAL OVERUSE INJURIES AMONG MALAYSIAN ELITE ATHLETES DURING THE PREPARATION PHASE FOR INTERNATIONAL SPORT COMPETITION

Intensive training with a high volume of training in preparation for the tournament may predispose athletes to overuse injuries. Therefore, this study aims to determine the prevalence of musculoskeletal overuse injuries among Malaysian athletes during the pre-competition phase. A 13-week prospective cohort study was conducted, including 100 elite athletes representing Malaysia at Commonwealth Games, Asian Games and World Championships. Data on overuse injuries were collected every second week using the Oslo Sports Trauma Research Center Overuse Injury Questionnaire. The average weekly prevalence of overuse injuries was calculated using the questionnaire results. A total of 119 cases of substantial overuse condition were reported, which were in the back (35 cases), knee (31 cases), ankle (28 cases), and shoulder (25 cases), affecting 100 athletes (100% of the cohort). About 42.5 % of the participants classified themselves as having substantial overuse problems, leading to a moderate (71%) or severe (29%) reduction in sports participation or performance or inability to participate in high-performance activities. The average weekly severity score for the back was 16, 12 cases for the shoulder, and the same score of 14 cases for the knee and ankle. Overuse injuries occurred among elite Malaysian athletes during the preparation and training phase for international competition due to the rapid intensity of the training. This study suggests that a guideline is needed for injury prevention strategies for the benefit of Malaysian athletes to prevent injuries.

Analyzing the Caregivers' behavioral patterns in managing their young Children's smartphone use in South Korea

PurposeAs the age of exposure to screen media has decreased, problematic smartphone usage is becoming more prevalent among younger children. As children's smartphone use is often determined by their caregivers, understanding their motivations for allowing young children to use smartphones is crucial. This study aimed to explore the behavioral patterns of main caregivers in South Korea related to their young children's smartphone usage and the underlying motivations. Design and methodsSemi-structured phone interviews were conducted, audio-recorded, transcribed, and analyzed using grounded theory methodology. ResultsFifteen participants from South Korea, identifying as main caregivers of young children under six years of age and expressing concerns about their children's smartphone usage patterns, were recruited. A core category describing caregiver’ behaviors of managing children to use smartphones was identified as “Maintaining a vicious cycle to seek comfort in parenting.” Their behavioral patterns appeared to be cyclical, alternating between permitting and restricting their children's smartphone use. They permitted their children to use smartphones to decrease their parenting burdens. However, this led to discomfort as they perceived the negative impacts of smartphones on their children and felt guilty. Consequently, they limited smartphone use, which increased their parental burden again. ConclusionParental education and policy efforts are essential to prevent risks associated with children's problematic smartphone usage. Practice implicationsDuring regular health checkups for young children, nurses should assess potential smartphone overuse and related problems, considering caregiver motivations.

The influence of job search stress on college students' addictive social media use: Seeking of social support and perceived social support as serial mediators and sense of coherence as a moderator.

Resulting from an enlarged number of graduating college students and shrinkage of work opportunities, stress in relation to job search and employment is becoming an increasingly noticeable issue in China. Previous psychiatry research has suggested that social support can be conducive to reducing stress from multiple sources, while the effectiveness hinges on whether it is actually recognized and perceived by the recipients. The prevalence of social media has greatly facilitated the communication and exchange of social support information. However, they can also lead to overuse and addiction problems. This study aims to investigate how job search stress affects graduating college students' social media addiction severity using a serial mediation model and test the potential moderation effect of sense of coherence. Based on a sample of graduating college students (n = 144), our findings point out a significant pathway for the impacts of stress sequentially through seeking of social support and perceived social support. Furthermore, job search stress seems to have pronounced effects on the psychological need for social support only at low- and mid-levels of sense of coherence.

Schulterschmerzen beim Sportler

Athletes have a relevant risk of shoulder problems that do not only affect the typical overhead sports. In most cases, these are overuse problems that can be treated with consistent therapy, training optimisation and temporary abstinence from sports if they are recognised promptly. In parallel, depending on the type of sport, traumatic shoulder injuries can be found, which are usually easier to recognise in diagnostics and sometimes also require surgical therapy. In this paper, we give an overview of the various diagnoses and the main features of treatment.

Do Comorbidities and Triggers Expedite Chronicity in migraine?

Background and Aim: Several factors are suggested to be associated with an increased risk of transforming from episodic migraine (EM) to chronic migraine (CM). We aimed to examine whether some specific attack triggers and comorbidities were associated with CM. Methods: Patients followed up with a diagnosis of definite migraine for at least 1 year were divided into two groups, EM (<15 attacks per month) and CM (>15 attacks per month). The demographic and clinical data, attack-triggering factors, and comorbid diseases were compared between the groups. Results: A total of 403 (286 females) patients were analyzed; 227 (56.3%) of the migraineurs had EM and 176 (43.7%) had CM. The mean age was 40.9 ± 11.3 years in EM, and 42.2 ± 11.7 years in CM. Disease duration was longer in CM compared with EM (P = 0.007). Missing meals (P = 0.044), exposure to heavy scents/perfumes (P = 0.012), intense physical activity (P = 0.037), and withdrawal of caffeine (P = 0.012) were reported significantly higher in CM than in EM. Comorbid history of medication overuse (P < 0.001), hypertension (P = 0.048), hyperlipidemia (P = 0.025), depression (P = 0.021), chronic painful health problems (P = 0.003), iron deficiency anemia (P = 0.006), and history of surgery (P = 0.006) were found significantly high in CM. Conclusion: This study demonstrates that attack-triggering factors, vascular comorbidities, depression, medication overuse, and chronic painful health problems pose significant risks for CM. Vascular comorbidities are independent risk factors for chronification in migraine and might increase the patient's lifetime morbidity and mortality. Therefore, prompt diagnosis of migraine before the transformation to chronicity and effective early management have the utmost importance.

People’s outdoor behavior and norm based on the Right of Public Access: a questionnaire survey in Sweden

ABSTRACT Forests in Sweden, as well as natural sites in other Northern European countries, are the center of various outdoor activities, such as picking berries and mushrooms. These activities are supported by the Right of Public Access. However, outdoor activities based on this right potentially cause overuse and free-rider problems and conflict between landowners and visitors. Previous studies have not explained how Swedish people maintain their tradition of outdoor activities. This study aimed to clarify people’s outdoor activities supported by the Right of Public Access. We conducted an on-site questionnaire survey with a special focus on picking berries and mushrooms. We found that the conflict between landowners and visitors related to picking was low and that the pickers have a strong awareness of the need to avoid conflict. Such behaviors and norms were found to have originated largely from family activities since early childhood. Therefore, for sustaining public access to nature, the picking practice configures an important opportunity for the succession of informal knowledge and formal education.

Role of Yoga in Sports Injury

Yoga has been around for around 5,000 years. Yoga has spawned a slew of schools and organisations throughout the years. Finding a yoga style that connects with you can be intimidating as first. If you're a competitive athlete, it's best to match your yoga practise to your training programme because some sports focus on developing specific muscle groups while neglecting others. Over time, this process produces muscle and joint imbalances, resulting in overuse problems. Yoga allows the muscles, tendons, and ligaments to move through their full range of motion, promoting balance and core strength, which is beneficial to players in their chosen sports. "I'm delighted I found yoga and added it to my weekly workout programme," Heidi Resiert, a triathlete from San Diego, said. I'm not only feeling stronger, but I'm also more confident that I won't be hurt again." Breath work is another important aspect of yoga (pranayama). One of the most essential benefits for athletes is paying attention to their breath while doing yoga. Learning to stay focused and centred in painful poses by focusing on even inhalations and exhalations prepares the athlete for a race or a difficult workout. Yoga's mind-body connection is crucial for athletes to improve their mental clarity and attention. Yoga also aids in the relaxation of not only tense muscles, but also worried and agitated minds. Yoga is beneficial not only in the sagittal plane, but also in the frontal and transverse planes, ensuring complete growth. Being more calm will also help you perform better in sports. So, why not integrate yoga to your training regimen today to improve your gaming performance and prevent injury?

Experience of Choosing Wisely in a Medical Center

<p>明智選擇(Choosing Wisely)可以提高照護的品質、降低成本，避免醫療照護發生使用過度(Overuse)及使用不當(Misuse)的醫療品質或醫療爭議相關問題，使健保與醫療體系永續經營。高雄醫學大學附設中和紀念醫院於2020年啟動明智選擇推動專案，作為醫療適當性的檢討與改善機制。經首長宣示、建立推動架構、依任務分組、教育訓練及定時召開進度會議，再由醫品病安管理中心及實證醫學中心邀請並協助臨床科的選題及執行。共有7個團隊完成明智選擇主題，已舉辦成果發表會及跨院分享，並在各科開啟專業對話及醫療適當性的討論。藉由本院推動明智選擇的經驗分享，提升醫療的適當性，減少不必要的檢查、診斷或治療，可作為醫學教育及醫療先進的參考。</p> <p> </p><p>Choosing Wisely improves quality of care, reduces medical expenses, prevents overuse and misuse problems of medical care in relation to healthcare quality or medical disputes, and increases the sustainability of the National Health Insurance and medical systems. Since 2020, Kaohsiung Medical University Chung-Ho Memorial Hospital has promoted the Choosing Wisely program as part of the review and improvement mechanism for medical services to ensure their adequacy. Started up by the vice superintendent, we assigned tasks to relevant departments, executed educational programs and held regular meetings. With the assistance of the Medical Safety Management Center and Evidence-Based Medicine Center, we performed topic selection and implemented the Choosing Wisely program for seven clinical teams. All the teams completed the tasks successfully. We held a competition, presentation session, and experience-sharing meetings with other hospitals. The initiation of Choosing Wisely in our hospital enabled clinical professionals to participate meaningfully in peer discussion regarding the adequacy of medical care. Herein, we present our experience and strategies in promoting Choosing Wisely at our hospital, which improved the adequacy of medical services and reduced unnecessary testing, diagnoses, and treatments. This study may serve as a reference for those involved in medical education and medical professions.</p> <p> </p>

Introducing Management Actions to Unmanaged Campsites in Daisetsuzan National Park, Japan: A Discussion Based on a Reservation System in Taiwan’s National Parks

A limit on use is often practiced overnight in mountain national parks to reduce users’ environmental impact on campgrounds and cabins or huts, where they spend most of their time. This study aims to propose an appropriate management system to mitigate the problems observed in Daisetsuzan National Park’s unmanaged campsites. We looked into three mountain national parks in Taiwan to learn about an established campground reservation system. We collected information on campgrounds and cabins in these three national parks through a literature review and internet surveys. The distribution of campgrounds and cabins was mapped using ArcMap 10.8.1. They effectively reduced the distance between adjacent campgrounds and controlled each campground’s area. This was done by tolerating some informal sites among online reservable campgrounds. The results of the interview surveys with the three park managers showed that the reservation system helped reduce the crowding problem. Introducing a lenient reservation system, with the support of related stakeholders and park users, would be a promising option to mitigate soil erosion and overuse problems in campsites in Daisetsuzan National Park’s alpine zone and in other campsites in fragile environments worldwide.

Association between training load, intensity, and overuse problems during pre‐season in Icelandic male handball

In this prospective cohort study, the aim was to examine any association between pre-season training load and overuse problems (OP) in low back, knee, and shoulder in Icelandic elite male handball players. A total of 139 players participated, answering the OSTRC overuse questionnaire weekly during a 6-week period. The training volume and intensity were registered by the coaches. The average weekly OP prevalence for shoulder was 40% (95% CI 36% to 44%), for knee 33% (95% CI 28% to 38%), and for low back 31% (95% CI 26% to 36%). Substantial overuse problems (SOP) were 14% (95% CI 11% to 17%) for shoulder, 11% (95% CI 10% to 12%) for knee, and 6% (95% CI 4% to 8%) for low back. The knee was most susceptible for OP with weekly number of training and training hours associated with OP and SOP. For individual training factors, running (OP; OR = 1.30, SOP; OR = 1.59), and shooting practice (OP; OR = 1.82, SOP; OR = 3.22) had the highest associations for knee problems. Jumping was associated with OP in low back (OR = 4.55). Handball players are most susceptible for OP in knees during their pre-season. Every week, 30% participated with (SOP), affecting their performance and participation.

Brazilian version of the OSTRC Questionnaire on health problems (OSTRC-BR): translation, cross-cultural adaptation and measurement properties

BackgroundThe Oslo Sports Trauma Research Center - Questionnaire on Health Problems (OSTRC-QHP) has been shown to be a valid and reliable questionnaire for monitoring athletes with acute, overuse, and illness problems. ObjectivesTo translate and cross-culturally adapt the OSTRC-QHP into Brazilian-Portuguese (OSTRC-BR), and investigate the measurement properties of this version. MethodsThe original (Norwegian) questionnaire was translated and culturally adapted following existing guidelines. Measurement properties of the OSTRC-BR were investigated in 134 athletes followed for 13 weeks. Reliability was analyzed via internal consistency and test-retest reliability. Responsiveness was assessed by effect size (ES) estimations, correlation of the OSTRC-BR severity score with the Global Perceived Effect scale (GPE) and the Numeric Pain Rating Scale (NPRS), and by the Receiver Operating Characteristic (ROC) Curve test based on the area under the curve (AUC). ResultsThe OSTRC-QHP has been translated and cross-culturally adapted successfully. The Cronbach's alpha was 0.93 (95% CI: 0.92, 0.94). Intrarater reliability (ICC2,1) of 0.96 (95% CI: 0.94, 0.98) was classified as excellent. ES estimation showed large effects (1.14 to 1.39). OSTRC-BR correlation was moderate (0.58 to 0.72) with the GPE and substantial (0.84 to 0.89) with the NPRS. The AUC values were above 0.70 when analysing all types of health problems. ConclusionsThe OSTRC-BR presented adequate measurement properties. The OSTRC-BR is a valid, reliable, responsive, and, therefore, an adequate tool for monitoring Brazilian athletes from different sports during training and competitions.

No relationship between a movement screening test and risk of overuse problems in low back, shoulder, and knee in elite handball players—A prospective cohort study

Many handball studies have reported injuries that cause absence from participation. In this prospective cohort study on elite Icelandic male players, the aim was to examine the prevalence of overuse problems in low back, knee, and shoulder. Sixteen Icelandic teams were invited. Thirteen teams agreed to participate. The OSTRC overuse questionnaire was distributed every second week during 32-week period. In addition, the 9+ Screening Test was performed on 130 players. In total, 229 players participated with a weekly average response rate of 72%. The average weekly prevalence for shoulder was 28% (95% CI 25% to 31%), for knee 33% (95% CI 30% to 36%), and for low back 32% (95% CI 29% to 35%). Substantial problems were 10% (95% CI 9% to 11%) in shoulder and knee and 11% (95%CI 10% to 12%) in low back. Only 1% (95% CI 1% to 2%) of the overuse problems caused time loss from participation. In total, 61% of the players played with at least one overuse problem and 25% with one affecting their performance. There was no association between the 9+ Screening Test score and overuse problems among Icelandic male handball players.

Epidemiology of Traumatic and Overuse Injuries in Swiss Professional Male Ice Hockey Players.

Background:Ice hockey injury patterns in Europe were last evaluated in the 1990s.Purpose:The aim of this study was to assess the frequency, type, location, and incidence of traumatic injuries, as well as the prevalence and relative effect of overuse injuries in professional male ice hockey players.Study Design:Descriptive epidemiology study.Methods:Traumatic injuries were assessed using a standardized injury report form over a 1-year period (including the preparatory phase and season). The Oslo Sports Trauma Research Centre Overuse Injury Questionnaire was used to determine overall and substantial overuse injuries and their relative effect on ice hockey players.Results:Five Swiss National League teams participated in the study. From a total of 321 recorded injuries, 179 led to time loss from sport. The game-related time-loss injury incidence during the season was 88.6/1000 player-game hours.Time-loss injuries affected mainly the hip/groin/thigh region (23%), followed by the head (17%). Most time-loss injuries were classified as muscle strains (24%), followed by concussions (18%). The most common injury mechanism involved collision with an opponent’s body (31%), and right forward players (23%) were most likely to report a game-related injury. Most injuries (27%) occurred within the defending zone along the boards. The average prevalence rates of all overuse and substantial overuse injuries were 49% and 13%, respectively. The hip/groin displayed the highest average prevalence for all overuse problems (16%), translating to the highest relative effect.Conclusion:Muscle strains and concussions were the most frequent time-loss injuries in Swiss professional ice hockey players. The hip/groin was the most affected region for both traumatic and overuse injuries.

Overuse injuries are prevalent in children’s competitive football: a prospective study using the OSTRC Overuse Injury Questionnaire

ObjectivesTo investigate the prevalence and burden of overuse injuries in children’s football as well as player characteristics and their association with overuse injury risk.MethodsThis investigation is based on the control...

Practice-based skill acquisition of pushrim-activated power-assisted wheelchair propulsion versus regular handrim propulsion in novices

BackgroundRegular handrim wheelchair (RHW) propulsion is straining for the upper extremities and wheelchair users often experience overuse problems. A recent advancement in wheelchair technology that could assist users is the pushrim-activated power-assisted wheelchair (PAPAW). PAPAWs are challenging to control, yet it is unclear how people learn to use a PAPAW. The purpose of this study is to examine early skill acquisition through practice in PAPAWs and compare it with RHWs.MethodsTwenty-four able-bodied novices were randomly allocated to either the RHW group or the PAPAW group. The experiment consisted of five sessions with three blocks of 4 min steady-state practice at 1.11 m/s and 0.21 W/kg. Finally, a transfer to the other mode was made. Data were collected with a drag-test, breath-by-breath spirometry, and a motion capture system. The last minute of each four-minute block was used for analysis. A mixed analysis of variance (ANOVA) was used to test for group, time, and interaction effects.ResultsBoth groups improved their (assisted) mechanical efficiency, reduced their stroke rate, right-left and forward-backward deviation on the treadmill, and had a lower rate of perceived exertion (RPE) over time. (Assisted) mechanical efficiency was higher for the PAPAW group than for the RHW group and RPE was lower. However, left-right and forward-backward deviation was also found to be higher in the PAPAW group.ConclusionsAt the group level the energetic cost of RHW and PAPAW propulsion can be lowered through low-intensity practice in novice users. The PAPAW is more ‘efficient’ than the RHW given the reduced energy requirement of the user from the motor assist, but more difficult to control. Future studies on PAPAWs should focus on the control needs of the user and their interaction with the power-assist technology.

A review of sports-related injuries: Head to toe spectrum

All sports come with a risk of injury, and in general, the more contact involved in the sports, the higher the risk of a more significant or traumatic injury. The most frequent types of sports injuries are sprains (ligament injuries), strains (muscle injuries), and stress fractures (bone injuries). In sports medicine, a catastrophic injury is defined as severe trauma to the human head, spine, or brain. Concussions in sports became a major issue in the 2000s as evidence connected repeated concussions and subconcussive hits with chronic traumatic encephalopathy and increased suicide risk. Overuse and repetitive stress injury problems associated with sports include jumper's knee, tennis elbow, and tendinosis. In this review article, we have made an attempt to describe the head to toe spectrum of sports-related injuries including traumatic injuries of the head and face, extremity injuries, soft-tissue injuries, and contact sports-related injuries.