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Musculoskeletal Care

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https://www.readbyqxmd.com/read/29327409/cultural-aspects-of-pain-a-study-of-indian-asian-women-in-the-uk
#1
Stephanie Holt, Jackie Waterfield
OBJECTIVES: Culture and ethnicity are acknowledged as important factors in the context of the biopsychosocial model. They may contribute to explaining the experience of pain, therapeutic encounters within healthcare, and the strategies that individuals use to cope with pain. The present study explored these issues in a sample of Indian Asian women in the UK. METHODS: Based on a phenomenological approach, 17 women participated in five semi-structured group interviews...
January 12, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29327405/from-non-encounters-to-autonomic-agency-conceptions-of-patients-with-low-back-pain-about-their-encounters-in-the-health-care-system
#2
Riikka Holopainen, Arja Piirainen, Ari Heinonen, Jaro Karppinen, Peter O'Sullivan
Low back pain is a considerable health problem which affects people around the world, causing major healthcare costs. The use of qualitative research methods enables us to describe and understand patients' experience of, and attitudes to, healthcare. The aim of the present phenomenographic study was to identify and describe the contextual nature of the conceptions of patients with low back pain of their encounters in the HCS. Seventeen patients with chronic or episodic low back pain classified as "high risk" were interviewed in open recall interviews, using videos of patients' initial physiotherapy sessions that had been recorded previously...
January 12, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29316201/women-s-situation-specific-strategies-in-managing-participation-restrictions-due-to-early-rheumatoid-arthritis-a-gender-comparison
#3
Gunnel Östlund, Mathilda Björk, Ingrid Thyberg, Eva Valtersson, Annette Sverker
INTRODUCTION: The present study explored how women describe their use of situation-specific strategies when managing rheumatoid arthritis (RA). The aim was also to compare women's strategies with those of men, and see the extent to which they used the same strategies. METHODS: The data were collected using semi-structured interviews based on the critical incident technique. The sample consisted of women with early rheumatic arthritis (n = 34), and the results were compared with data reported in a previous study on men (n = 25) from the same cohort...
January 9, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29314556/barriers-and-reinforcing-factors-to-self-management-behaviour-in-rheumatoid-arthritis-patients-a-qualitative-study
#4
M Chaleshgar-Kordasiabi, B Enjezab, M Akhlaghi, I Sabzmakan
OBJECTIVE: The aim of the present study was to explore the view of rheumatoid arthritis (RA) patients about the barriers and reinforcing factors in practising self-management behaviour (SMB). METHODS: This was a qualitative study based on directed content analysis of in-depth semi-structured interviews with 30 patients. The participants were selected using a purposeful sampling approach. The interviews continued until data saturation was reached. The study was conducted over 6 months in 2014-2015 at the Rheumatology Clinic of Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran...
January 5, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29266659/negative-perceptions-of-illness-and-health-are-associated-with-frequent-use-of-physiotherapy-in-primary-healthcare
#5
Gro Opseth, Astrid Klopstad Wahl, Gustav Bjørke, Anne Marit Mengshoel
BACKGROUND: There is growing concern that an ageing population and increasing number of patients with chronic illnesses in the future will foster a need for health services beyond the resources available in society. Patients with chronic illnesses are reported to be frequent users of physicians' services in the primary health sector. Therapies for patients with chronic musculoskeletal illnesses are delivered by physiotherapists in this sector. However, we know little about the use of physiotherapy services and the factors that may explain their use...
December 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29235264/reconceptualizing-motivation-for-smoking-cessation-among-people-with-rheumatoid-arthritis-as-incentives-and-facilitators
#6
Megan E Gath, Lisa K Stamp, Pip Aimer, Simon Stebbings, Gareth J Treharne
OBJECTIVES: Smokers with rheumatoid arthritis (RA) may have different motivations for, and barriers to, quitting. Understanding the motivations of smokers and ex-smokers with RA will help in the design and implementation of targeted smoking cessation interventions for people with RA that are not based solely on extrapolation from the general population or populations with other chronic illnesses. METHODS: Twenty-nine smokers and 10 recent ex-smokers with RA participated in semi-structured interviews via telephone 18 months after being offered a smoking cessation intervention in Aotearoa/New Zealand...
December 13, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29235242/the-effect-of-an-educational-intervention-based-on-clinical-simulation-on-the-diagnosis-of-rheumatoid-arthritis-and-osteoarthritis
#7
Daniel G Fernández-Ávila, Álvaro J Ruiz, Fabián Gil, Sergio A Mora, Carlos Tobar, Juan M Gutiérrez, Diego Rosselli
OBJECTIVE: The aim of the present study was to evaluate the effectiveness of an educational tool for general physicians, based on rheumatological clinical simulation, for the diagnosis of rheumatoid arthritis and osteoarthritis. METHODS: A randomized clinical study was carried out, in which the physician research subjects were assigned to one of two groups: the experimental group (educational intervention for rheumatoid arthritis with clinical simulation) or the control group (educational intervention for the basic aspects of the diagnosis and treatment of osteoporosis)...
December 13, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29218808/the-feasibility-and-acceptability-of-a-physical-activity-intervention-for-older-people-with-chronic-musculoskeletal-pain-the-ipopp-pilot-trial-protocol
#8
E L Healey, C Jinks, N E Foster, C A Chew-Graham, T Pincus, L Hartshorne, K Cooke, E Nicholls, J Proctor, M Lewis, S Dent, S Wathall, E M Hay, J McBeth
INTRODUCTION: This pilot trial will inform the design and methods of a future full-scale randomized controlled trial (RCT) and examine the feasibility, acceptability and fidelity of the Increasing Physical activity in Older People with chronic Pain (iPOPP) intervention, a healthcare assistant (HCA)-supported intervention to promote walking in older adults with chronic musculoskeletal pain in a primary care setting. METHODS AND ANALYSIS: The iPOPP study is an individually randomized, multicentre, three-parallel-arm pilot RCT...
December 8, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29193705/orthopaedic-medical-tourism
#9
Adam E M Eltorai, Roja Garimella
No abstract text is available yet for this article.
November 29, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29124882/the-prevalence-of-back-pain-in-patients-in-one-australian-tertiary-hospital-population
#10
Diane Dennis, Brigitte Tampin, Angela Jacques, Tracy Hebden-Todd, Vicki Carter, Michelle McLintock, Elizabeth Hurn, Ian Cooper
OBJECTIVES: The aims of the present study were to provide back pain (BP) point prevalence data from inpatients at an Australian tertiary hospital on one day, and compare this with Australian non-hospitalized population prevalence data; to collect data around the development of BP throughout hospital admission; and to analyse the association between BP and past history of BP, gender, age, admission specialty and hospital length of stay (LOS). METHODS: This was a single-site, prospective, observational study of hospitalized inpatients on one day during 2016, with a subsequent survey over the following 11 days (unless discharge or death occurred sooner)...
November 10, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/29076620/an-evaluation-of-a-pain-education-programme-for-physiotherapists-in-clinical-practice
#11
Jenni Monaghan, Nicola Adams, Melissa Fothergill
OBJECTIVE: The present study evaluated the implementation and acceptability of a pain education programme delivered to physiotherapists in clinical practice. METHODS: A pre-test/post-test design with 10 physiotherapists was employed. Descriptive and inferential statistics were used for outcome measure data. Focus groups were carried out with seven physiotherapists within 1 month post-intervention. These data were analysed using the framework approach. RESULTS: Ten musculoskeletal physiotherapists were recruited...
October 27, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28371175/exercise-for-chronic-musculoskeletal-pain-a-biopsychosocial-approach
#12
John Booth, G Lorimer Moseley, Marcus Schiltenwolf, Aidan Cashin, Michael Davies, Markus Hübscher
Chronic musculoskeletal pain (CMP) refers to ongoing pain felt in the bones, joints and tissues of the body that persists longer than 3 months. For these conditions, it is widely accepted that secondary pathologies or the consequences of persistent pain, including fear of movement, pain catastrophizing, anxiety and nervous system sensitization appear to be the main contributors to pain and disability. While exercise is a primary treatment modality for CMP, the intent is often to improve physical function with less attention to secondary pathologies...
December 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28009092/arthritis-management-in-primary-care-a-study-of-physiotherapists-current-practice-educational-needs-and-adherence-to-national-guidelines
#13
Siv Folkhammar Andersson, Stefan Bergman, Elisabet Welin Henriksson, Ann Bremander
BACKGROUND: With an increasing number of patients with osteoarthritis (OA) and rheumatoid arthritis (RA) in primary care, our aim was to investigate arthritis-related practice in physiotherapy and to study adherence to evidence-based care. METHODS: Seventy physiotherapists (PTs) working in primary care were emailed a questionnaire to investigate current practice and the number of roles assumed by PTs, the degree of confidence, educational needs and adherence to national guidelines in managing patients with OA or RA...
December 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28990333/a-truly-complementary-approach-a-qualitative-exploration-of-complementary-and-alternative-medicine-practitioners-views-of-treating-ankylosing-spondylitis
#14
Hannah Family, Abbie Jordan, Kelly Blaxall, Raj Sengupta
OBJECTIVE: Ankylosing spondylitis (AS) is a chronic inflammatory rheumatic disease in which individuals experience a long delay to diagnosis. Prior to diagnosis, individuals report frequent use of complementary and alternative medicine (CAM) therapies. While popularly used, there is a dearth of knowledge concerning the experiences of CAM practitioners in terms of treating individuals with AS. Addressing this knowledge gap, the present study provides a detailed exploration of how UK-based CAM practitioners treat individuals with AS...
October 9, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28967710/personalized-diet-and-exercise-recommendations-in-early-rheumatoid-arthritis-a-feasibility-trial
#15
Stephanie Garner, Tanis Fenton, Liam Martin, Caitlin Creaser, Carolyn Johns, Cheryl Barnabe
BACKGROUND: Physical activity and diet have a positive influence on disease activity and cardiovascular risk in patients with rheumatoid arthritis (RA). OBJECTIVE: We tested the feasibility and effect of a brief individualized counselling intervention on physical activity levels and fitness, and dietary intake, compared with standard of care. METHODS: Thirty patients with inflammatory arthritis (<1 year duration) were assigned to standard of care or the intervention, which consisted of individualized visits with a dietetic intern and physiotherapist at two time points, to review age-specific strategies on diet and exercise...
October 2, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28967235/addressing-rural-and-remote-access-disparities-for-patients-with-inflammatory-arthritis-through-video-conferencing-and-innovative-inter-professional-care-models
#16
Regina Taylor-Gjevre, Bindu Nair, Brenna Bath, Udoka Okpalauwaekwe, Meenu Sharma, Erika Penz, Catherine Trask, Samuel Alan Stewart
OBJECTIVE: The aim of the present study was to evaluate whether rheumatoid arthritis (RA) patients followed longitudinally using video-conferencing and inter-professional care support have comparable disease control to those followed in traditional in-person rheumatology clinics. METHODS: This was a randomized controlled trial for 85 RA patients allocated to either traditional in-person rheumatology follow-up or video-conferenced follow-up with urban-based rheumatologists and rural in-person physical therapist examiners...
October 2, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28952187/physiotherapists-utilizing-diagnostic-ultrasound-in-shoulder-clinics-how-useful-do-patients-find-immediate-feedback-from-the-scan-as-part-of-the-management-of-their-problem
#17
Gordon Lumsden, Kerry Lucas-Garner, Sarah Sutherland, Ron Dodenhoff
AIMS: Physiotherapists are beginning to utilize diagnostic ultrasound imaging in upper limb/shoulder clinics. The aim of the present study was to receive feedback on the views of the patients concerning the usefulness of the information obtained immediately from the scan in the management of their problem. METHODS: A questionnaire was offered to all patients attending a physiotherapist-led upper limb/shoulder clinic who underwent ultrasound imaging as part of a shoulder assessment over a 6-month period...
September 27, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/27860255/what-impact-does-written-information-about-fatigue-have-on-patients-with-autoimmune-rheumatic-diseases-findings-from-a-qualitative-study
#18
Ruth I Hart, Wan-Fai Ng, Julia L Newton, Katie L Hackett, Richard P Lee, Ben Thompson
OBJECTIVES: Although fatigue is a common symptom for people with rheumatic diseases, limited support is available. This study explored the impact of written information about fatigue, focusing on a booklet, Fatigue and arthritis. METHODS: Thirteen patients with rheumatic disease and fatigue were recruited purposively from a rheumatology outpatient service. They were interviewed before and after receiving the fatigue booklet. Two patients, plus six professionals with relevant interests, participated in a focus group...
September 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/27860218/treatment-effectiveness-and-fidelity-of-manual-therapy-to-the-knee-a-systematic-review-and-meta-analysis
#19
Paul Salamh, Chad Cook, Michael P Reiman, Charles Sheets
Manual therapy (MT) is a commonly used treatment for knee osteoarthritis (OA) but to date only one systematic review has explored its effectiveness. The purpos e of the present study was to perform a systematic review and meta-analysis of the literature, to determine the effectiveness and fidelity of studies using MT techniques in individuals with knee OA. Relevant studies were assessed for inclusion. Effectiveness was measured using effect sizes, and methodological bias and treatment fidelity were both explored...
September 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/27605495/patients-perspectives-on-the-psychological-impact-of-inflammatory-arthritis-and-meeting-the-associated-support-needs-open-ended-responses-in-a-multi-centre-survey
#20
Emma Dures, Isobel Fraser, Celia Almeida, Alice Peterson, Judy Caesley, Jon Pollock, Nicholas Ambler, Marianne Morris, Sarah Hewlett
OBJECTIVES: Psychological support for inflammatory arthritis is recommended in rheumatology treatment guidelines. Previous research found that high numbers of patients would access such support but that provision is often inconsistent and inadequate. The present study explored patients' perspectives on the nature of the psychological impact of inflammatory arthritis and how to meet the associated support needs. METHODS: A cross-sectional survey was conducted, using questionnaires which included three open-ended questions about helpful and unhelpful psychological support...
September 2017: Musculoskeletal Care
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