Patient experiences of a combined exercise and acceptance and commitment therapy group based programme for chronic pain. a qualitative study
Background: Multidisciplinary pain management programmes (PMPs) are recommended for chronic pain. Exercise is well established as an effective treatment and there is emerging evidence to suggest that acceptance and commitment therapy (ACT) is an effective psychological approach for chronic pain. There is a notable lack of qualitative research in this area, particularly with regards to multidisciplinary PMPs which combine ACT with exercise interventions. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: M.-B. Casey, D. Lowry, C. Hearty, R. Neary, C. Doody Source Type: research
Psychological correlates of pain intensity and physical function in patients with osteoarthritis of the knee in Nigeria
Background: Osteoarthritis (OA) is a prevalent musculoskeletal condition of public health concern. It is mostly characterised by joint pain, joint limitation and decreased physical function. Clinical factors of OA such as pain intensity and physical function may be influenced by psychological factors such as kinesiophobia and pain catastrophizing. Published studies on the associations among these psychological and clinical factors are not readily available particularly in Nigeria. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: A. Odole, E. Ekediegwu, N. Odunaiya Source Type: research
Comparison of a stratified group intervention (start back) with usual group care in patients with low back pain: A non-randomised controlled trial
Background: Stratified care using the STarT Back system has demonstrated efficacy and greater cost effectiveness in individual physiotherapy care (Hill et al 2011). The management of low back pain patients in groups is common. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: S. Murphy, C. Blake, B. Fullen Source Type: research
Attitudes and beliefs concerning low back pain among physiotherapy students in Belgium: A cross-sectional study
Background: Health care practitioners' (HCPs) attitudes and beliefs affect their work and activity recommendations. It has been demonstrated that HCPs with a biomedical orientation are less likely to adhere to the clinical guidelines for the management of chronic low back pain (LBP) and give their patients the advice to restrict work and activities compared to HCPs with a more biopsychosocial approach (Rainville et al. 2000, Houben et al. 2005). (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: M. Leysen, J. Nijs, P. Van Wilgen, C. Demoulin, L. Danneels, L. Voogt, W. Dankaerts, L. Pitance, N.A. Roussel Source Type: research
Do peoples' beliefs regarding chronic low back pain change following cognitive functional therapy?
Background: Several studies have demonstrated that negative low back pain beliefs are related to chronic low back pain (CLBP) disability. Changing these negative beliefs is an integral part of CLBP management but an effective way to change beliefs has yet to be determined. Several treatment interventions such as simple education, psychological interventions, exercise and public campaigns have been shown to alter some peoples ’ beliefs but not all. Cognitive Functional Therapy (CFT) aims to provide biopsychosocial strategies to reduce pain and disability, with a specific focus on altering peoples’ negative beliefs. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: J. Hurley, S. Bunzli, K. O'Sullivan Source Type: research
The importance of the clinician-patient interaction on outcomes in musculoskeletal pain: A systematic review
Background: Clinicians and patients have commonly reported that the clinician-patient interaction is an important factor in the outcome of musculoskeletal pain. Clinician-patient interaction incorporates factors such as clinician empathy and listening, patient-clinician communication, shared goals, confidence and trust in clinicians, non-verbal communication, and spending enough time with the patient. Numerous studies have shown that clinician-patient interaction has a positive, albeit small, effect on outcomes after various forms of rehabilitation. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: J. Hurley, S. Bunzli, A. Synnott, I. Leahy, M. O'Keeffe, H. Purtill, K. McCreesh, P. O'Sullivan, K. O'Sullivan Source Type: research
Differing psychologically-derived clusters in people with chronic low back pain are associated with different multidimensional profiles
Background: Psychological factors are associated with pain/disability in chronic low back pain (CLBP). Psychological treatment outcomes in CLBP are moderate at best, possibly reflecting sample heterogeneity or because other dimensions associated with CLBP (e.g. lifestyle) are not targeted. While CLBP subgroups have been statistically-derived using psychological data, studies have examined limited measures making it unclear which psychological factors are most important for subgrouping. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: M. Rabey, A. Smith, D. Beales, H. Slater, P. O'Sullivan Source Type: research
The modern neuroscience approach to chronic spinal pain: Results from a large randomized controlled trial of a new physiotherapy approach
Background: Chronic Spinal Pain (CSP) has a high prevalence and is severely disabling and associated with great personal and socioeconomic impact. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: A. Malfliet, J. Nijs, M. Meeus, N. Roussels, L. Danneels, B. Cagnie, M. Dolphens, J. Kregel Source Type: research
Acceptance, committed action, anxiety and depression, and their relationship to physical disability in chronic low back pain
Background: Chronic low back pain (CLBP) is a prevalent health problem which has proved difficult to manage. Acceptance and Commitment Therapy (ACT) is a newer generation of Cognitive Behavioural Therapy, which has shown effectiveness for chronic pain. Normally delivered by psychologists, it has not been tested as a physiotherapy delivered intervention and now requires evaluation in a CLBP population. An ongoing randomised controlled trial will compare outcomes of conventional physiotherapy with physiotherapy informed by ACT (PACT) in CLBP. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: J. O'carroll, E. Godfrey, V. Wileman Source Type: research
Assessment of cerebral biochemistry in individuals with chronic idiopathic neck pain and healthy individuals: Evidence for central changes in the presence of chronic neck pain
Background: Chronic idiopathic neck pain is disabling and costly, and possible causes for recurrence are unknown. Evidence in other pain populations suggests central mechanisms may contribute to ongoing sequelae, and differences in neurochemistry in various cortical regions have been observed. However, no previous studies have investigated cerebral biochemistry in chronic idiopathic neck pain. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: S. Snodgrass, R. de Zoete, D. Rivett, P. Stanwell Source Type: research
Recognition of patients presenting with or at risk of craniocervical arterial dissection: Preliminary results of a prospective study
Background: Craniocervical arterial dissection (CAD) is a common cause of stroke in young people which in rare cases has been associated with cervical manipulative therapy. The mechanism is considered to involve pre-existing arterial susceptibility and a precipitating event. Pre-manipulative screening tests are limited in their ability to identify those at risk. In particular one difficulty is that the early features of CAD can mimic a painful musculoskeletal presentation and a patient may present for treatment of neck pain and headache with a dissection in progress. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: L. Thomas, J. Attia, C. Levi, D. Rivett Source Type: research
Are functional complaints relating to neck motion related to altered cervical kinematics in those with neck pain?
Background: Patients with neck pain often report difficulty with moving the neck fully, quickly and accurately relating to functional tasks such as driving, for example, reversing and performing shoulder checks. It is not known whether self-reported difficulty with neck motion is related to objective measures of neck kinematics. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: J. Treleaven, K. Croft, C. Carter, A. Hoddinott, H. Sarig-Bahat Source Type: research
Effectiveness of physiotherapy treatment for seniors with frequent intermittent headache: A Randomized controlled trial
Background: A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various frequent intermittent headache types when compared to seniors without headache. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for those with cervical musculoskeletal signs who are suspected of having transitional headache. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: S. Uthaikhup, J. Assapun, K. Watcharasaksilp, G. Jull Source Type: research
High-density EMG reveals altered masseter muscle activation during unilateral and bilateral jaw clenching tasks in people with chronic neck pain
Background: Altered behavior of masticatory muscles has been observed in people with temporomandibular disorders. Moreover, changes in neck muscle activation has been observed in people with temporomandibular disorders. On the contrary, little is known about the behavior of the masticatory muscles in people with chronic neck pain, although, it could be hypothesized that altered behavior of masticatory muscles would be identified in people with chronic neck pain, considering the close neurophysiological, biomechanical, and functional associations between the cervical and orofacial regions. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: T. Geri, M. Testa, L. Gizzi, F. Petzke, D. Falla Source Type: research
Clinical prediction rules in the prognosis of whiplash associated disorders: A systematic review
Background: Establishing an accurate prognosis has been increasingly recognized by the current knowledge base as an essential skill for healthcare practitioners as it can determine the course of action towards specific interventions. The ability to predict the outcome of several of the factors that have been identified to be fundamental in the clinical presentation of WAD is suggested to be the next step in the management of the condition. (Source: Manual Therapy)
Source: Manual Therapy - April 1, 2017 Category: Physiotherapy Authors: V. Georgopoulos, A. Taylor Source Type: research
