Critically appraised paper: Intensive patient education is no more effective than placebo education for reducing pain intensity in patients with acute low back pain commentary
Publication date: Available online 9 November 2019Source: Journal of PhysiotherapyAuthor(s): Steven Z George
Publication date: Available online 3 December 2019Source: Journal of PhysiotherapyAuthor(s): Shankar Ganesh
Abstract The prolonged disability associated with musculoskeletal (MSK) pain represents an enormous health burden, for individuals as well as society. Promoting pain and disability management for patients with persistent MSK-related conditions can be very challenging for rehabilitation professionals. These often-complex conditions require the adoption of a biopsychosocial perspective in order to assess and address a vast array of potential factors affecting the patient. Fortunately, a self-management (SM) approach has been deemed effective in enhancing patients' control over their symptoms and disabilities. Howeve...
Condition: Chronic Low-back Pain Interventions: Other: Pain Neuroscience Education; Other: Conventional education Sponsors: University Hospital, Lille; Société Française de Physiothérapie (SFP). Not yet recruiting
Conclusion: Our results indicate that increase in disability level caused by LBP may lead to decrease in respiratory muscle strength and exercise capacity. So evaluating and training the respiratory muscle strength and exercise capacity is essential for this population and also may crucial for respiratory diseases who complains LBP.
Conclusions: Personal conflicts were identified between clinicians' descriptions of their wishes to "sell" their own perspectives to patients while simultaneously wanting to demonstrate a patient-focused approach and avoid the interpersonal conflicts which arose from clashes with patients' beliefs. Building a good initial rapport, showing empathy and adapting approaches in response to perceptions of patients' reactions were perceived as strategies to help mitigate the risks of failed communication, but this was something for which participants felt unprepared by their prior training. PMID: 31744369 [PubMed -...
To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP).
Publication date: Available online 9 November 2019Source: Journal of PhysiotherapyAuthor(s): Britt Elin Øiestad
ConclusionsThree out of every four published low back pain systematic reviews had critically low methodological quality. Journals with higher impact factor were associated with journals endorsing the PRISMA recommendations. Clinicians must know how to critically appraise reviews. Journals ’ editorial policies should include the assessment of study methodological quality and reporting in the review process of an article.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
CONCLUSION: Measuring task-specific sensitivity is predictive of pain intensity after 3 months in patients with LBP. The prognostic value appears limited in respect to disability. LEVEL OF EVIDENCE: Prognosis, level 1b. J Orthop Sports Phys Ther, Epub 30 Oct 2019. doi:10.2519/jospt.2020.8953. PMID: 31663814 [PubMed - as supplied by publisher]