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Lorimer Moseley

Darren Beales, Kal Fried, Michael Nicholas, Fiona Blyth, Damien Finniss, G Lorimer Moseley
Models of Care (MoCs) for injured workers in the compensation environment recommend adoption of biopsychosocial management approaches. Still, widespread dominance of biomedical constructs at the system, organisational and individual levels of the compensation system prevails, contributing to suboptimal management practices and outcomes for injured workers. Efforts to implement contemporary MoCs in the compensation environment show some promise in improving outcomes. Areas of promise at the organisational level, particularly in the workplace, and at the system level are discussed...
June 2016: Best Practice & Research. Clinical Rheumatology
G Lorimer Moseley
Innovation involves asking new questions, or taking new approaches to old questions. For a problem as old as back pain, one might expect innovations to be rare. That back pain has been the most burdensome non-fatal health condition for over 25 years, and that the treatments that are available are not very effective, clearly points to the need for innovative approaches. The most eye-catching innovations of the last decade have taken novel approaches to the intervertebral disk, but the disconnect between back pain and structural pathology of the spine suggest that the impact of any so targeted approaches will be limited...
November 21, 2016: Pain
Valeria Bellan, Helen R Gilpin, Tasha R Stanton, Lilja K Dagsdóttir, Alberto Gallace, G Lorimer Moseley
When vision and proprioception are rendered incongruent during a hand localisation task, vision is initially weighted more than proprioception in determining location, and proprioception gains more weighting over time. However, it is not known whether, under these incongruency conditions, particular areas of space are also weighted more heavily than others, nor whether explicit knowledge of the sensory incongruence (i.e. disconfirming the perceived location of the hand) modulates the effect. Here, we hypothesised that both non-informative inputs coming from one side of space and explicit knowledge of sensory incongruence would modulate perceived location of the limb...
October 24, 2016: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
Victoria J Madden, Leslie N Russek, Daniel S Harvie, Johan W S Vlaeyen, G Lorimer Moseley
OBJECTIVE : Associative learning has been proposed as a mechanism behind the persistence of pain after tissue healing. The simultaneous occurrence of nociceptive and non-nociceptive input during acute injury mimics the pairings thought to drive classical conditioning effects. However, empirical evidence for classically conditioned allodynia is lacking. We aimed to manipulate pain thresholds with a classical conditioning procedure that used non-nociceptive somatosensory stimuli as conditioned stimuli (CS) and nociceptive stimuli as unconditioned stimuli...
September 28, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Carolyn Berryman, Vikki Wise, Tasha R Stanton, Alexander McFarlane, G Lorimer Moseley
OBJECTIVE: Somatic hypervigilance describes a clinical presentation in which people report more, and more intense, bodily sensations than is usual. Most explanations of somatic hypervigilance implicate altered information processing, but strong empirical data are lacking. Attention and working memory are critical for information processing, and we aimed to evaluate brain activity during attention/working memory tasks in people with and without somatic hypervigilance. METHOD: Data from 173 people with somatic hypervigilance and 173 controls matched for age, gender, handedness, and years of education were analyzed...
August 24, 2016: Journal of Clinical and Experimental Neuropsychology
Hopin Lee, James H McAuley, Markus Hübscher, Steven J Kamper, Adrian C Traeger, G Lorimer Moseley
No abstract text is available yet for this article.
September 2016: Pain
Megan L Auld, Leanne M Johnston, Remo N Russo, G Lorimer Moseley
INTRODUCTION: This replicated randomized controlled crossover case series investigated the effect of mirror-based tactile and motor training on tactile registration and perception in children with unilateral cerebral palsy (UCP). METHODS: Six children with UCP (6-18 years; median 10 years, five male, three-left hemiplegia, four-manual ability classification system (MACS) I, one MACS II and one MACS III) participated. They attended two 90-minute sessions - one of mirror-based training and one of standard practice, bimanual therapy - in alternated order...
August 17, 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Adrian C Traeger, Ian W Skinner, Markus Hübscher, Nicholas Henschke, G Lorimer Moseley, James H McAuley
OBJECTIVE: Professional appearance is easily modifiable, and might alter the effects of a clinical encounter. We aimed to determine whether professional attire influences a patient's perception of treatment credibility. METHODS: We performed a single-blind randomized controlled study on 128 patients with acute non-specific low back pain who were about to receive treatment in primary care. The treating clinician was randomly allocated to wear formal attire (experimental condition) or casual attire (control condition) to the consultation...
August 8, 2016: Patient Education and Counseling
Ebonie Rio, Mathijs van Ark, Sean Docking, G Lorimer Moseley, Dawson Kidgell, Jamie E Gaida, Inge van den Akker-Scheek, Johannes Zwerver, Jill Cook
OBJECTIVE: This study aimed to compare the immediate analgesic effects of 2 resistance programs in in-season athletes with patellar tendinopathy (PT). Resistance training is noninvasive, a principle stimulus for corticospinal and neuromuscular adaptation, and may be analgesic. DESIGN: Within-season randomized clinical trial. Data analysis was conducted blinded to group. SETTING: Subelite volleyball and basketball competitions. PARTICIPANTS: Twenty jumping athletes aged more than 16 years, participating in games/trainings 3 times per week with clinically diagnosed PT...
August 10, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Victoria J Madden, Valeria Bellan, Leslie N Russek, Danny Camfferman, Johan W S Vlaeyen, G Lorimer Moseley
UNLABELLED: A classical conditioning framework is often used for clinical reasoning about pain that persists after tissue healing. However, experimental studies demonstrating classically conditioned pain in humans are lacking. The current study tested whether non-nociceptive somatosensory stimuli can come to modulate pain thresholds after being paired with painful nociceptive stimuli in healthy humans. We used a differential simultaneous conditioning paradigm in which one nonpainful vibrotactile conditioned stimulus (CS(+)) was simultaneously paired with an unconditioned painful laser stimulus, and another vibrotactile stimulus (CS(-)) was paired with a nonpainful laser stimulus...
October 2016: Journal of Pain: Official Journal of the American Pain Society
Andrea Polli, Lorimer G Moseley, Elisabetta Gioia, Tim Beames, Alfonc Baba, Michela Agostini, Paolo Tonin, Andrea Turolla
BACKGROUND: Graded Motor Imagery (GMI) is a new approach that is thought to promote graded cortical brain activation and may promote motor recovery after stroke. AIM: This non-randomised controlled trial investigated the feasibility and clinical effect of GMI in motor recovery after stroke. DESIGN: Non-randomised controlled trial. SETTING: Inpatient subjects of neurorehabilitation hospital. POPULATION: Twenty-eight patients (i...
July 21, 2016: European Journal of Physical and Rehabilitation Medicine
G Lorimer Moseley
No abstract text is available yet for this article.
October 2016: Pain
K Jane Chalmers, Victoria J Madden, Mark R Hutchinson, G Lorimer Moseley
OBJECTIVE: To synthesize and critically evaluate all available evidence investigating whether localized, provoked vestibulodynia is associated with a specific inflammatory profile at both a local and a systemic level. DATA SOURCES: Comprehensive electronic searches were performed in MEDLINE, EMBASE, Scopus, PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Collaboration databases, and The search strategy was developed using MeSH terms related to localized, provoked vestibulodynia, and inflammatory markers...
August 2016: Obstetrics and Gynecology
Valeria Bellan, Sarah B Wallwork, Tasha R Stanton, Carlo Reverberi, Alberto Gallace, G Lorimer Moseley
The tendon vibration illusion has been extensively used to manipulate the perceived position of one's own body part. However, findings from previous research do not seem conclusive sregarding the perceptual effect of the concurrent stimulation of both agonist and antagonist tendons over one joint. On the basis of recent data, it has been suggested that this paired stimulation generates an inconsistent signal about the limb position, which leads to a perceived shrinkage of the limb. However, this interesting effect has never been replicated...
2016: PloS One
Adrian C Traeger, Nicholas Henschke, Markus Hübscher, Christopher M Williams, Steven J Kamper, Christopher G Maher, G Lorimer Moseley, James H McAuley
BACKGROUND: Low back pain (LBP) is a major health problem. Globally it is responsible for the most years lived with disability. The most problematic type of LBP is chronic LBP (pain lasting longer than 3 mo); it has a poor prognosis and is costly, and interventions are only moderately effective. Targeting interventions according to risk profile is a promising approach to prevent the onset of chronic LBP. Developing accurate prognostic models is the first step. No validated prognostic models are available to accurately predict the onset of chronic LBP...
May 2016: PLoS Medicine
Dianne Wilson, Shylie Mackintosh, Michael K Nicholas, G Lorimer Moseley
Cognitive-behavioral therapy, an effective management strategy for chronic pain, is frequently conducted in groups. Although clinicians often report 'knowing when a group will go well or badly', investigations of the effect that group composition might have on outcomes is lacking. Conceptual models, explanatory theories and experiments have been developed in fields of psychotherapy, organizational, social and educational psychology, but there has been no attempt to take on this issue in our field. The current hypothesis-generating review synthesizes these substantial bodies of literature to identify common themes across fields and integrate them with current concepts of cognitive-behavioral therapy-based pain management...
April 2016: Pain Management
Daniel S Harvie, Ann Meulders, Emily Reid, Danny Camfferman, Russell S A Brinkworth, G Lorimer Moseley
Learning to initiate defenses in response to specific signals of danger is adaptive. Some chronic pain conditions, however, are characterized by widespread anxiety, avoidance, and pain consistent with a loss of defensive response specificity. Response specificity depends on ability to discriminate between safe and threatening stimuli; therefore, specificity might depend on sensory precision. This would help explain the high prevalence of chronic pain in body areas of low tactile acuity, such as the lower back, and clarify why improving sensory precision may reduce chronic pain...
June 2016: Psychophysiology
Adrian C Traeger, Markus Hübscher, Nicholas Henschke, Christopher M Williams, Christopher G Maher, G Lorimer Moseley, Hopin Lee, James H McAuley
PURPOSE: To determine whether emotional distress reported at the initial consultation affects subsequent healthcare use either directly or indirectly via moderating the influence of symptoms. METHODS: Longitudinal observational study of 2891 participants consulting primary care for low back pain. Negative binomial regression models were constructed to estimate independent effects of emotional distress on healthcare use. Potential confounders were identified using directed acyclic graphs...
September 2016: European Spine Journal
Emily Reid, Sarah B Wallwork, Daniel Harvie, K Jane Chalmers, Alberto Gallace, Charles Spence, G Lorimer Moseley
Pathological limb pain patients show decreased attention to some stimuli on the painful limb and increased attention to others, a paradox that has dogged the field for over a decade. We hypothesized that pathological pain involves a spatial inattention confined to bodily representations. Patients showed inattention to the painful side for visual processing of body parts but not letters, tactile processing but not auditory, and body-part bisection tasks but not line bisection tasks. We propose the new term "somatospatial inattention" to describe bodily-specific spatial inattention associated with pathological limb pain...
April 2016: Annals of Neurology
Victoria J Madden, Daniel S Harvie, Romy Parker, Karin B Jensen, Johan W S Vlaeyen, G Lorimer Moseley, Tasha R Stanton
BACKGROUND:   Clinical scenarios of repeated pain usually involve both nociceptive and non-nociceptive input. It is likely that associations between these stimuli are learned over time. Such learning may underlie subsequent amplification of pain, or evocation of pain in the absence of nociception. METHODS:   We undertook a systematic review and meta-analysis to evaluate the evidence that allodynia or hyperalgesia can be a classically conditioned response. A sensitive search of the literature covered Medline, Embase, CINAHL, AMED, PubMed, Scopus, PsycArticles, PsycINFO, Cochrane Library, and Web of Science...
June 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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