@article{pmid36444387,

title = {Distinct care trajectories among persons living with arthritic conditions: A two-year state sequence analysis},

author = {H. L. Nguena Nguefack and M. G. Pag\'{e} and M. Choini\`{e}re and A. Vanasse and S. Deslauriers and A. Angarita-Fonseca and M. A. Blanchette and A. Lacasse},

doi = {10.3389/fpain.2022.1014793},

issn = {2673-561X},

year  = {2022},

date = {2022-11-12},

urldate = {2022-01-01},

journal = {Front Pain Res (Lausanne)},

volume = {3},

pages = {1014793},

abstract = {OBJECTIVES: Developing solutions to optimize care trajectories (CareTs) requires examining patient journeys through the health care system. This study aimed to describe CareTs among people living with arthritis and evaluate their association with self-reported health outcomes.



METHODS: Analyses were conducted using the TorSaDE Cohort ( = 102,148), which connects the 2007 to 2016 Canadian Community Health Surveys (CCHS) with Quebec administrative databases (longitudinal claims). CareTs of participants living with arthritis according to CCHS ( = 16,631), over the two years before CCHS completion, were clustered using state sequence analysis (months as a time unit). CareT group membership was then put in association with self-reported outcomes (pain intensity and interference, self-perceived general and mental health).



RESULTS: The analysis revealed five CareT groups characterized predominantly by: (1) arthritis-related visits to a specialist ( = 2,756; 16.6%), (2) arthritis-related emergency department visits ( = 2,928; 17.6%), (3) very high all-cause health care utilization and arthritis-related hospitalizations ( = 1,570; 9.4%), (4) arthritis-related medical visits to general practitioners and specialists ( = 2,708; 16.3%), (5) low all-cause health care utilization ( = 6,669; 40.1%). Multivariable results revealed that CareT group membership was associated with higher levels of pain interference (CareT group #3 vs. #5: OR: 1.4, 95%CI: 1.1-1.8) and fair/poor self-perceived general health (CareT group #1 vs. #5: OR: 1.551, 95%CI: 1.319-1.824; #2 vs. #5: OR: 1.244, 95%CI: 1.062-1.457; #3 vs. #5: OR: 1.771, 95%CI: 1.451-2.162; #4 vs. #5: OR: 1.481, 95%CI: 1.265-1.735).



DISCUSSION: Sate sequence analysis is an innovative method of studying CareTs and valuable for making evidence-based decisions taking into account inter- and intra-individual variability.},

keywords = {Health services, Musculoskeletal system, Trends},

pubstate = {published},

tppubtype = {article}

}

@article{JA0322,

title = {Low back pain definitions: effect on patient inclusion and clinical profiles},

author = {H. Mass\'{e}-Alarie and A. Angarita-Fonseca and A. Lacasse and M. G. Pag\'{e} and P. T\'{e}treault and M. Fortin and L. S. Stone and Roy J. S. and Quebec Low Back Pain Consortium },

editor = {A. Angarita-Fonseca},

url = {https://journals.lww.com/painrpts/Fulltext/2022/04000/Low_back_pain_definitions__effect_on_patient.11.aspx, Pain Reports},

doi = {http://dx.doi.org/10.1097/PR9.0000000000000997},

year  = {2022},

date = {2022-03-22},

urldate = {2022-03-22},

journal = {Pain Reports},

volume = {7},

issue = {2},

pages = {e997},

abstract = {Introduction: 

Numerous definitions of acute low back pain (aLBP) exist. The use of different definitions results in variability in reported prevalence or incidence, conflicting data regarding factors associated with the transition to chronic LBP (cLBP), and hampers comparability among studies.



Objective: 

Here, we compare the impact of 3 aLBP definitions on the number of aLBP cases and participants' characteristics and explore the distribution of participants across definitions.



Methods: 

A sample of 1264 participants from the Quebec Low Back Pain Study was included. Three definitions of aLBP were used: (1) not meeting the National Institutes of Health (NIH) cLBP definition (“nonchronic”), (2) pain beginning \<3 months ago (“acute”), and (3) pain beginning \<3 months with a preceding LBP-free period (“new episode”).



Results: 

There were 847, 842, and 489 aLBP cases meeting the criteria for the 3 definitions, respectively. Participants included in the “nonchronic” had lower pain interference, greater physical function scores, and fewer participants reporting \>5 years of pain than in the other definitions. Half the participants meeting the “acute” definition and one-third of participants meeting the “new episode” definition were also classified as cLBP based on the NIH definition.



Conclusions: 

Our results highlight the importance of the definition used for aLBP. Different definitions influence the sample size and clinical profiles (group's characteristics). We recommended that cohort studies examining the transition from aLBP to cLBP ensure that the definitions selected are mutually exclusive (ie, participants included [aLBP] differ from the expected outcome [cLBP]).},

keywords = {Chronic Pain, Low Back Pain, Musculoskeletal system},

pubstate = {published},

tppubtype = {article}

}

@article{RN55,

title = {Analysis of the running pattern on artificial and natural surface in adolescent football players},

author = {B. L\'{o}pez-G\'{o}mez and D. P\'{e}rez-Mendoza and J. Guzm\'{a}n-Revelo and L. Rangel-Caballero and Y. Corzo-Vargas and T. d. P. Facioli and A. Angarita-Fonseca and J. Sanchez Delgado},

url = {https://recyt.fecyt.es/index.php/retos/article/view/72337},

year  = {2020},

date = {2020-01-01},

urldate = {2020-01-01},

journal = {Retos},

volume = {38},

number = {38},

pages = {109-113},

abstract = {Introduction: There is little evidence that details the behavior of each spatial-temporal variable of the running pattern using different surfaces.

Objective: To compare the spatial-temporal variables of the running pattern over two surfaces in adolescent soccer players. Method: A cross-sectional study involving 18 male soccer players was conducted (median [Me] age = 12 years; Interquartile range [IQR] 12-13). Speed, acceleration, contact time (Ct), flight time (Ft), contact phase, support phase, propulsion, stride, and cadence were evaluated through a 5-meter long optical measurement system. The assessments were initially carried out on Artificial Surface (AS) and, 24 hours later, on Natural Surface (NS). The Wilcoxon signed-rank test for paired data and the Spearman correlation coefficients were used.

Results: The support phase was greater in AS than NS (NS: Me = 0.05 IQR: 0.03; 0.06; AS: Me = 0.09 IQR 0.08; 0.10; p \<0.001). The Ft (NS: Me = 0.16 IQR: 0.14; 0.19; AS: Me = 0.04 IQR: 0.04; 0.05; p \<0.001), the contact phase (NS: Me = 0.02 IQR: 0.02; 0.03; AS: Me = 0.02 IQR: 0.01; 0.02; p = 0.040) and propulsion (NS: Me = 0.14 IQR: 0.09; 0.17; AS: Me = 0.07 IQR: 0.06; 0.09; p = \<0.001) were greater in NS than AS. An indirect relationship between speed and contact phase in NS was found. The Ft and the stride were indirectly associated with acceleration in AS.

Conclusion: The running pattern varies according to the surface used. The contact phase can explain the speed in the NS; while the Ft and the stride can explain the acceleration in AS.},

keywords = {Kinetics, Locomotion, Musculoskeletal system, Running, Soccer},

pubstate = {published},

tppubtype = {article}

}

@article{RN3,

title = {Factors associated with non-specific low back pain in children aged 10-12 from Bucaramanga, Colombia: A cross-sectional study},

author = {A. Angarita-Fonseca and M. Boneth-Collante and C. L. Ariza-Garcia and J. Parra-Pati\~{n}o and J. D. Corredor-Vargas and A. P. Villamizar-Ni\~{n}o},

url = {https://content.iospress.com:443/articles/journal-of-back-and-musculoskeletal-rehabilitation/bmr160561, IOS Press

https://angarita-fonseca.com/wp-content/uploads/2020/04/2019Angarita-LBP.pdf, Full text},

doi = {10.3233/BMR-160561},

year  = {2019},

date = {2019-01-01},

urldate = {2019-01-01},

journal = {Journal of Back and Musculoskeletal Rehabilitation},

volume = {32},

number = {5},

pages = {739-747},

abstract = {BACKGROUND: There are no Colombian studies published that assess non-specific low back pain (NSLBP) risk factors in children. OBJECTIVE: To determine the factors associated with NSLBP in 73 children (19.2% girls) aged 10\textendash12 years in one military school in Bucaramanga, Colombia. METHODS: A questionnaire was used to obtain information of risk factors. Subsequently, children’s weight and height were measured. The backpack was weighed at the beginning of each day from Monday to Friday. Crude and adjusted prevalence ratios were calculated, with their respective 95% confidence interval (CI). RESULTS: The one-month prevalence of NSLBP was 39.7% (95% CI 28.4\textendash51.9). In the multivariate analysis, carrying backpacks wearing between 12% and 20% of body weight, having a perception that the backpack is very heavy, and being a passive smoker increase the likelihood of NSLBP, while being 11-year-old compared to 10-year-old decreases the likelihood of having NSLBP, adjusted for gender, body mass index, and history of LBP in parents. CONCLUSIONS: High prevalence of low back pain was found in children between 10 and 12 years old. The study of the decisive factors of low back pain is important to identify children at risk, as well as to develop efficient primary prevention programs.},

key = {Backpack, children, low back pain, risk factors},

keywords = {Backpack, Children, Low Back Pain, Musculoskeletal system},

pubstate = {published},

tppubtype = {article}

}

@article{RN1,

title = {Stable prevalence of chronic back disorders across gender, age, residence, and physical activity in Canadian adults from 2007 to 2014},

author = {A. Angarita-Fonseca and C. Trask and T. Shah and B. Bath},

url = {https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7395-8},

doi = {10.1186/s12889-019-7395-8},

year  = {2019},

date = {2019-01-01},

urldate = {2019-01-01},

journal = {BMC Public Health},

volume = {19},

number = {1},

pages = {1121},

abstract = {Background: Chronic back disorders (CBD) are a global health problem and the leading cause of years lived with disability. The present study aims to examine overall and specific trends in CBD in the Canadian population aged 18 to 65 years.



Methods: Data from the Canadian Community Health Survey (CCHS), a cross-sectional study, from 2007 to 2014 (8 cycles) were used to calculate CBD prevalence across gender, age, geographical area (urban/rural and ten provinces and northern territories), and physical activity levels. CBD was defined in the CCHS as having back problems, excluding fibromyalgia and arthritis, which have lasted or are expected to last six months or more and that have been diagnosed by a health professional. Prevalence of CBD using survey weights and associated 95% confidence intervals (95% CI) were calculated yearly using balanced repeated replications technique. Trend tests were calculated using joinpoint regressions; ArcGIS software was used for mapping.



Results: Age-standardized CBD prevalence in 2007 and 2014 were 18.9% (95% CI = 18.4;19.5) and 17.8% (95% CI = 17.2,18.4), respectively. CBD prevalence was consistently higher in women, older age groups, rural dwellers, and people classified as inactive. Crude and age-standardized CBD prevalence decreased faster in people classified as physically active compared to those who were inactive (p \< 0.006). Although CBD slightly decreased over time, no statistically significant trends were found overall or by gender, area of residence, province or level of physical activity. The prevalence of CBD remained consistently high in the province of Nova Scotia, and consistently low in the province of Quebec over the eight CCHS cycles.



Conclusion: Despite prevention efforts, such as the Canadian back pain mass media campaign, CBD prevalence has remained stable between 2007 and 2014. Tailored prevention and management of CBD should consider gender, age, and geographical differences. Further longitudinal studies could elucidate the temporal relationship between potentially modifiable risk factors such as physical activity and CBD.},

keywords = {Back pain, Epidemiology, Joinpoint, Low Back Pain, Musculoskeletal system, Prevalence, Regression analysis, Spine, Trends},

pubstate = {published},

tppubtype = {article}

}

@article{RN29,

title = {Reproducibility of a functional assessment test of the dynamic balance and agility of elderly people},

author = {A. Angarita-Fonseca and C. L. Ariza Garcia and M. C. Boneth-Collante and J. Parra-Pati\~{n}o and R. N. Rojas-Santisteban and Y. T. Angarita-Carrascal},

url = {https://revistas.udea.edu.co/index.php/iatreia/article/view/14835/17321},

year  = {2014},

date = {2014-01-01},

urldate = {2014-01-01},

journal = {Iatreia},

volume = {27},

number = {3},

pages = {290-298},

abstract = {Background: The 8 foot up \& go test assesses the dynamic balance and agility in elderly people. Its reproducibility has been evaluated in American population, but it is unknown whether it would work similarly in a different population like the Colombian.



Objective: To evaluate the test-retest reliability and agreement level of the 8 foot up \& go test in a sample of older adults from Bucaramanga, Colombia.



Materials and methods: An evaluation of diagnostic tests was done in 114 elderly individuals. In the analysis, we assessed the test-retest reliability of the 8 foot up \& go test by the Intraclass Correlation Coefficient (ICC 2.1) with their respective confidence intervals at 95% (95% CI). The agreement level was established by the Bland-Altman method.



Results: The test-retest reliability of the 8 foot up \& go test was very good (ICC: 0.98; 95% CI: 0.98- 0.99). The agreement was good in females (mean difference [MD] = 0.04 seconds and limits of agreement [LA]: -1.27; 1.36 seconds), and in elderly institutionalized (MD = 0.04 seconds [LA]: -3.18; 3.27 seconds).



Conclusion: The 8 foot up \& go test has very good reliability and good agreement in Colombian local elderly population.},

key = {Elderly, 8 foot up \& go test, Postural Balance, Reliability},

keywords = {Elderly, Musculoskeletal system, Reproducibility of Results},

pubstate = {published},

tppubtype = {article}

}

@article{RN50,

title = {Grip strength in healthy workers from Manizales},

author = {P. C. Ramirez-Mu\~{n}oz and A. Angarita-Fonseca},

url = {http://doi.org/10.30788/REVCOLREH.V8.N1.2009.171},

doi = {10.30788/RevColReh.v8.n1.2009.171},

year  = {2009},

date = {2009-01-01},

urldate = {2009-01-01},

journal = {Revista Colombiana de Rehabilitaci\'{o}n},

volume = {8},

number = {1},

pages = {109-118},

abstract = {The aim of this study was to describe the grip strength in a sample of healthy workers in Manizales and evaluate possible associations with age, gender, occupation, and dominance. Participants: 199 healthy workers (39.8 ± 11.5 years); 53.8% female. The strength was measured by triplicate with a Jamar dynamometer, the natural logarithm (ln) of the averaged output variable. As explanatory variables included gender, age, occupation, and dominance. For the bivariate analysis test was used Wilcoxon sign rank. The associations were evaluated using simple linear models and multiple regression to estimate regression coefficients (β) and its standard error. Significance level α = 0.05. There was a difference of3.52 kg / FZA (95% CI 2.9, 4.1) for the strength of the right hand compared with the left. The gender difference was 9.17 kg / FZA (95% CI 6.5, 11.8) and 11.4 Kg / FZA (95% CI 9.04, 13.7) for right and left, respectively, both in favor of men. Multiple regression analysis showed significant coefficients (p\<0.0001) for males (β = 0.39 and 0.31) in the ln of the strength of the left and right hands, respectively. There was a significant trend (p \<0.0001) to decreased ln strength for each year of increasing age in both hands (β -0.010). There were no associations with occupation nor with dominance. These results show changes in grip strength associated with age and gender.},

keywords = {Muscle Strength, Musculoskeletal system, Occupational Health},

pubstate = {published},

tppubtype = {article}

}