Pain, pitfalls, and pavé: Paris-Roubaix is just around the corner – so don't miss a moment of Hell on GCN+ Sponsored
The spring classics are coming at us quicker than the next cobbled berg at the Tour of Flanders, which means only one thing – Paris-Roubaix and Paris-Roubaix Femmes Avec Zwift, arguably the most hotly-anticipated weekend of racing on the cycling calendar, is just around the corner.
At the Tour of Flanders last weekend, two-time Tour de France winner Pogačar added to his ever-growing palmarès with a resounding solo ride, while home hero Lotte Kopecky went two-from-two at the Ronde with a similarly virtuoso performance.All that and we still have a trip to the famous Roubaix Velodrome to look forward to.
A key addition to the calendar two years ago, who will become the next woman to write her name in the history books by following in Lizzie Deignan and Elisa Longo Borghini's muddy and dust-filled tyre tracks?For all of SD Worx's dominance, this is a race that has thus far eluded them, but with the new queen of the classics Lotte Kopecky looking imperious at Flanders, could a maiden Roubaix, and famous double, be on the...
GCN+ will bring you every unmissable moment from the rest of the classics campaign, as well as every attack, split, mechanical mishap, and sprint from the rest of the racing season.
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The association between psychosocial factors and mental health symptoms in cervical spine pain with or without radiculopathy on health outcomes: a systematic review - BMC Musculoskeletal DisordersBackground Neck pain, with or without radiculopathy, can have significant negative effects on physical and mental wellbeing. Mental health symptoms are known to worsen prognosis across a range of musculoskeletal conditions. Understanding the association between mental health symptoms and health outcomes in this population has not been established. Our aim was to systematically review the association between psychosocial factors and/or mental health symptoms on health outcomes in adults with neck pain, with or without radiculopathy. Methods A systematic review of published and unpublished literature databases was completed. Studies reporting mental health symptoms and health outcomes in adults with neck pain with or without radiculopathy were included. Due to significant clinical heterogeneity, a narrative synthesis was completed. Each outcome was assessed using GRADE. Results Twenty-three studies were included (N = 21,968 participants). Sixteen studies assessed neck pain only (N = 17,604 participants); seven studies assessed neck pain with radiculopathy (N = 4,364 participants). Depressive symptoms were associated with poorer health outcomes in people with neck pain and neck pain with radiculopathy. These findings were from seven low-quality studies, and an additional six studies reported no association. Low-quality evidence reported that distress and anxiety symptoms were associated with poorer health outcomes in people with neck pain and radiculopathy and very low-quality evidence showed this in people with neck pain only. Stress and higher job strain were negatively associated with poorer health outcomes measured by the presence of pain in two studies of very low quality. Conclusions Across a small number of highly heterogenous, low quality studies mental health symptoms are negatively associated with health outcomes in people with neck pain with radiculopathy and neck pain without radiculopathy. Clinicians should continue to utilise robust clinical reasoning whe
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