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Musculoskeletal Science & Practice

Ian Cowell, Peter O'Sullivan, Kieran O'Sullivan, Ross Poyton, Alison McGregor, Ged Murtagh
BACKGROUND: Physiotherapists have been urged to embrace a patient-oriented biopsychosocial (BPS) framework for the management of non-specific chronic low back pain (NSCLBP). However, recent evidence suggests that providing broader BPS interventions demonstrates small differences in pain or disability compared to usual care. Little is known about how to integrate a BPS model into physiotherapy practice and the challenges it presents. OBJECTIVE: To explore the perceptions of physiotherapists' in primary care in England adopting a BPS approach to managing NSCLBP patients...
November 1, 2018: Musculoskeletal Science & Practice
Anita Gross
No abstract text is available yet for this article.
October 19, 2018: Musculoskeletal Science & Practice
Ion Lascurain-Aguirrebeña, Di J Newham, Xabat Casado-Zumeta, Aitana Lertxundi, Duncan J Critchley
BACKGROUND: Neck pain is prevalent, costly and disabling. Cervical mobilisations are frequently used to treat it but their effectiveness has been questioned by several systematic reviews. Evidence suggests that better outcomes are achieved with mobilisations when they are applied to specific patient subgroups. A criteria for patients suitable for neck mobilisations has been proposed, but the effectiveness on this patient subgroup has not been tested. OBJECTIVE: To assess the effectiveness of cervical mobilisations applied to a subgroup of patients with neck pain who fulfil specific criteria...
October 13, 2018: Musculoskeletal Science & Practice
Fernando C M Siqueira, Paulo H Ferreira, Amabile B Dario, Alison Harmer, Vinicius Cunha Oliveira, Hercules Ribeiro Leite
BACKGROUND: Musculoskeletal conditions are common health issues with great impact on individuals. Although many factors have been associated with the development of musculoskeletal pain, such as perinatal factors, its aetiology is still poorly understood. OBJECTIVE: To systematically investigate whether perinatal factors can increase the risk of having musculoskeletal pain across the lifespan. METHODS: MEDLINE, CINAHL, Scopus, Web of Science and EMBASE databases were searched from their inception to December 2017...
October 5, 2018: Musculoskeletal Science & Practice
Sarah Manns, Fiona Cramp, Rachel Lewis, Emma M Clark, Shea Palmer
BACKGROUND: The Bristol Impact of Hypermobility (BIoH) questionnaire is a condition-specific patient-reported outcome measure developed for adults with Joint Hypermobility Syndrome (JHS). It has previously demonstrated strong concurrent validity with the Short-Form 36 health questionnaire and excellent test-retest reliability. OBJECTIVES: This study aimed to evaluate its appropriateness, validity, acceptability, feasibility and interpretability. DESIGN: A qualitative evaluation using semi-structured telephone interviews, incorporating a 'think aloud' exercise and additional prompts...
October 5, 2018: Musculoskeletal Science & Practice
Michelle A Cottrell, Shaun P O'Leary, Patrick Swete-Kelly, Bula Elwell, Sally Hess, Mary-Ann Litchfield, Ian McLoughlin, Rebecca Tweedy, Maree Raymer, Anne J Hill, Trevor G Russell
OBJECTIVE: To determine the level of agreement between a telehealth and in-person assessment of a representative sample of patients with chronic musculoskeletal conditions referred to an advanced-practice physiotherapy screening clinic. DESIGN: Repeated-measures study design. PARTICIPANTS: 42 patients referred to the Neurosurgical & Orthopaedic Physiotherapy Screening Clinic (Queensland, Australia) for assessment of their chronic lumbar spine, knee or shoulder condition...
October 4, 2018: Musculoskeletal Science & Practice
Carlos H S de Andrade, Renata C L Bitencourt, Ruanna K G de Freitas, Larissa F da Cunha, Daniela C Matos, Pedro I C Lira, Leila Barbosa, Andrea Lemos
BACKGROUND: Due to biological immaturity and unfavorable psychosocial conditions, it is conjectured that teenage pregnancy may be associated with disorders such as pelvic girdle pain. The evidence for risk factors for pelvic girdle pain in pregnant adolescents remains unclear. OBJECTIVES: To evaluate the factors associated with pelvic girdle pain related to pregnancy in adolescents. DESIGN: Case-control study. METHOD: Seventy three pregnant women with presence of pelvic girdle pain (case group) and 331 pregnant women without pelvic girdle pain (control group) aged between 10 and 19 years, with gestational age between 28 and 40 weeks were included...
September 25, 2018: Musculoskeletal Science & Practice
Lluch E, D Pecos-Martín, V Domenech-García, P Herrero, T Gallego-Izquierdo
BACKGROUND: Passive oscillatory mobilizations are often employed by physiotherapists to reduce shoulder pain and increase function. However, there is little data about the neurophysiological effects of these mobilizations. OBJECTIVES: To investigate the initial effects of an anteroposterior (AP) shoulder joint mobilization on measures of pain and function in overhead athletes with chronic shoulder pain. DESIGN: Double-blind, controlled, within-subject, repeated-measures design...
September 25, 2018: Musculoskeletal Science & Practice
Arpassanan Wiyanad, Pakwipa Chokphukiao, Patcharawan Suwannarat, Thiwabhorn Thaweewannakij, Pattra Wattanapan, Chitanongk Gaogasigam, Pipatana Amatachaya, Sugalya Amatachaya
BACKGROUND: Hyperkyphosis may be frequently found nowadays due to the change in current lifestyles of sustained flexion postures and age-related system decline. The occiput-wall distance (OWD) is a practical measure that is commonly used to screen and monitor thoracic hyperkyphosis in epidemiologic studies. However, there was no clear evidence to support the clinical utility of the tool as compared to the data from direct standard measures. OBJECTIVES: To investigate psychometric properties-including validity, reliability, and appropriate cut-off point-of the OWD to determine the presence of thoracic hyperkyphosis, as compared to a standard Cobb's method...
September 25, 2018: Musculoskeletal Science & Practice
Gwendolen Jull, Toby Hall
Neck pain commonly accompanies migraine and tension-type headache, but the literature is divided on whether this neck pain is a headache symptom or is associated with cervical musculoskeletal dysfunction. Clarification is essential for hypotheses on the pathogenesis of these headaches and their variants and for decisions on suitability of local neck treatments, both from research and clinical practice perspectives. Reasons for disparate findings could relate to participant selection in headache studies and/or the bases on which decisions on the presence of cervical musculoskeletal dysfunction are reached...
September 25, 2018: Musculoskeletal Science & Practice
Sarah Ely, Siobhán Stynes, Reuben Ogollah, Nadine E Foster, Kika Konstantinou
BACKGROUND: Criticisms about overuse of MRI in low back pain are well documented. Yet, with the exception of suspicion of serious pathology, little is known about factors that influence clinicians' preference for magnetic resonance imaging (MRI) at first consultation. OBJECTIVE: To explore factors associated with physiotherapists' preference for MRI for patients consulting with benign low back and leg pain (LBLP) including sciatica. DESIGN: Cross-sectional cohort study...
September 20, 2018: Musculoskeletal Science & Practice
Stephen May, Nils Runge, Alessandro Aina
BACKGROUND: Centralization and directional preference are common management and prognostic factors in spinal symptoms. OBJECTIVE: To update the previous systematic review. DESIGN: Systematic review to synthesis multiple aspects of centralization and directional preference. METHOD: Contemporary search was made of multiple databases using relevant search terms. Abstracts and titles were filtered by two authors; relevant articles were independently reviewed by two authors for content, data extraction, and quality...
September 18, 2018: Musculoskeletal Science & Practice
Lucy Thomas, Juanita Low, Kalos Chan, Gail Durbridge
BACKGROUND: Cervical arterial dissection, can occur spontaneously and is a rare but catastrophic adverse event associated with neck manipulation. Pathophysiology involves altered integrity of the arterial wall increasing its vulnerability to minor trauma. Those at risk are difficult to detect. Previous screening investigated blood flow but altered mechanical properties as stiffness of cervical arterial wall could provide a more valid indication of arterial integrity or even early dissection...
September 18, 2018: Musculoskeletal Science & Practice
Simon J Summers, Siobhan M Schabrun, Lucy S Chipchase
OBJECTIVES: To explore the type of exercise prescribed by Australian health professionals for LBP, and whether the exercises prescribed are pain-free or into pain. METHODS: A survey of physiotherapists and exercise physiologists was conducted from all states/territories in Australia. The survey contained two chronic LBP vignettes with different pain mechanisms (dominant nociceptive or central sensitisation pain) and one acute LBP vignette. Respondents were asked if they would prescribe advice to stay active and exercise...
September 17, 2018: Musculoskeletal Science & Practice
Jeannette Saner, Esther M Bergman, Rob A de Bie, Judith M Sieben
BACKGROUND: Adherence to an exercise programme impacts the outcome of physiotherapy treatment in patients with non-specific low back pain. OBJECTIVES: The aim of this study was to explore the patients' perspectives on long term adherence to such exercise programmes. DESIGN: This qualitative study was embedded in a randomised controlled trial (RCT) which compared the effectiveness of two types of exercise programme on patients with nonspecific low back pain...
September 15, 2018: Musculoskeletal Science & Practice
Joan M Kelly, Samantha Bunzli, Carrie Ritchie, Justin Kenardy, Rob Smeets, Michele Sterling
BACKGROUND: Formally trained and accredited physiotherapists delivered Stress Inoculation Training (SIT) integrated with guideline-based physiotherapy management to individuals with acute whiplash associated disorders (WAD) as part of a randomised controlled trial. The delivery of SIT by physiotherapists is new. OBJECTIVES: To investigate physiotherapists' perspectives on delivering SIT as part of the trial and in routine practice. DESIGN: Qualitative descriptive...
September 6, 2018: Musculoskeletal Science & Practice
Helios De Rosario, María José Vivas, María Isabel Sinovas, Álvaro Page
BACKGROUND: Biomechanical measures quantify motor control and functional deficits in Whiplash Associated Disorders (WAD), but few studies relate those measures to the clinical scales that are routinely used to assess patients. Most studies are limited to chronic neck pain, and report poor to moderate correlations. OBJECTIVE: To define a statistical model that relates measures of neck kinematics with clinical scales of neck pain, in WAD patients during the rehabilitation process in the acute phase (less than 3 months since the accident)...
September 6, 2018: Musculoskeletal Science & Practice
Tracey Pons, Edward A Shipton, Jonathan Williman, Roger T Mulder
There are no validated clinical models to show a reliable pathway of guaranteeing an effective recovery for Complex Regional Pain Syndrome (CRPS) with physiotherapy management. An array of medical, psychological and physiotherapy intervention methods show weak benefit. Spearman correlations, with significance p < 0.05, from an observational, prospective, longitudinal, multi-centre study of regional standard physiotherapy CRPS management showed complete recovery to be potentially associated with baseline factors of: better mental health; better functional ability and quality of life; higher scores of extraversion personality trait; lower scores of intraversion personality trait; and interventions such as concurrent prescription of the anticonvulsant secondary analgesia group and a higher intensity of physiotherapy education intervention...
September 5, 2018: Musculoskeletal Science & Practice
Shin-Tsu Chang, Kuo-Lung Lai, Fang-Chuan Kuo, Yu-San Kao
BACKGROUND: The effects of sacroiliitis and syndesmophyte formation on the cross-correlation between spine and hip joint kinematics in ankylosing spondylitis (AS) are poorly understood. OBJECTIVE: To investigate the cross-correlation between spine and hip joint kinematics differs in healthy individuals and ankylosing spondylitis patients during trunk lateral flexion. METHODS: Fifty AS patients and thirty-nine healthy adults (controls) were recruited from a medical center...
September 5, 2018: Musculoskeletal Science & Practice
Mariana R C Aquino, Bruna S Avelar, Paula L Silva, Juliana M Ocarino, Renan A Resende
No abstract text is available yet for this article.
October 2018: Musculoskeletal Science & Practice
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