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Total 4596 results found since Jan 2013.

Level of pain catastrophising determines if patients with long-standing subacromial impingement benefit from more resistance exercise: predefined secondary analyses from a pragmatic randomised controlled trial (the SExSI Trial)
Conclusion Additional resistance exercise added to usual care was not superior to usual care alone in improving pain mechanisms or pain catastrophising. Additional exercise was, however, superior in improving self-reported disability in patients with lower levels of pain catastrophising at baseline. Trial registration number NCT02747251
Source: British Journal of Sports Medicine - July 6, 2023 Category: Sports Medicine Authors: Clausen, M. B., Rathleff, M. S., Graven-Nielsen, T., Bandholm, T., Christensen, K. B., Hölmich, P., Thorborg, K. Tags: Open access, BJSM Original research Source Type: research

Terminology and diagnostic criteria used in studies investigating patients with subacromial pain syndrome from 1972 to 2019: a scoping review
Conclusion The terminology varied considerably across studies and time. The diagnostic criteria were often based on a cluster of physical examination tests. Imaging was primarily used to exclude other pathologies but was not used consistently. Patients with full-thickness supraspinatus tears were most often excluded. In summary, studies investigating SAPS are heterogeneous to an extent that makes it difficult, and often impossible, to compare studies.
Source: British Journal of Sports Medicine - July 6, 2023 Category: Sports Medicine Authors: Witten, A., Mikkelsen, K., Wagenblast Mayntzhusen, T., Clausen, M. B., Thorborg, K., Hölmich, P., Barfod, K. W. Tags: BJSM Reviews with MCQs, BJSM Source Type: research

Do biomechanical foot-based interventions reduce patellofemoral joint loads in adults with and without patellofemoral pain or osteoarthritis? A systematic review and meta-analysis
Conclusion Minimalist footwear may reduce peak patellofemoral joint loads slightly compared with conventional footwear during running only. Medial support insoles may not alter patellofemoral joint loads during walking or running and the evidence is very uncertain about the effect of rocker-soled shoes during walking and running combined. Clinicians aiming to reduce patellofemoral joint loads during running in people with patellofemoral pain or osteoarthritis may consider minimalist footwear.
Source: British Journal of Sports Medicine - July 6, 2023 Category: Sports Medicine Authors: Kayll, S. A., Hinman, R. S., Bryant, A. L., Bennell, K. L., Rowe, P. L., Paterson, K. L. Tags: Editor's choice, BJSM Reviews with MCQs, BJSM Systematic review Source Type: research

Towards a meaningful self-management intervention to improve long-term prognosis for adolescents with patellofemoral pain (PhD Academy Award)
What did I do? This doctoral thesis (higher doctorate) consists of nine papers that were written during a period of 10 years. The aim of this thesis was to apply the biopsychosocial model to understand and improve management of adolescent patellofemoral pain, one of the most common overused, sports-related complaints in adolescents. Why did I do it? Prior to this thesis, there was a dearth of evidence surrounding adolescent patellofemoral pain. This knowledge gap impeded evidence-based treatment of this common condition that affects 6%–7% of adolescents in schools and up twice as many sports-active adolescents. How d...
Source: British Journal of Sports Medicine - July 6, 2023 Category: Sports Medicine Authors: Rathleff, M. S. Tags: BJSM PhD Academy Award Source Type: research

Are Patients With Morbid Obesity at Increased Risk of Pulmonary Embolism or Proximal Deep Vein Thrombosis After Lower Limb Arthroplasty? A Large-database Study
CONCLUSION: Increased BMI should not preclude individuals from lower limb arthroplasty based on suspected risk of clinically important VTE. National VTE risk stratification tools should be based on evidence assessing clinically relevant VTE (specifically, proximal DVT, PE, or death of thromboembolism) only.LEVEL OF EVIDENCE: Level III, therapeutic study.PMID:37404124 | DOI:10.1097/CORR.0000000000002742
Source: Clinical Orthopaedics and Related Research - July 5, 2023 Category: Orthopaedics Authors: Rachel Thompson Roslyn Cassidy Janet Hill Meng Leeann Bryce Richard Napier David Beverland Source Type: research

A Novel Proteomic Panel For The Exclusion Of Coronary Artery Disease
Introduction: For patients with chest pain and suspected but not yet known coronary artery disease (CAD), the 2016 United Kingdom National Institute for Health and Care Excellence recommended abandoning pre-test probability scores, instead undertaking first-line coronary CT angiography (CCTA). In a real world setting, however, this approach translates to a “no visible CAD” on CCTA rate of 39% [1]. In these patients, benefits of CCTA may be outweighed by risks of radiation, costs, and rates of incidental findings.
Source: Journal of Cardiovascular Computed Tomography - July 1, 2023 Category: Radiology Authors: C. Maxwell, D. Jones, P. Rao, T. Cao, O. Slingsby, A. Moss, N. Samani, G. McCann, L. Ng, G. Gulsin Source Type: research

Navigating cultural competence in district nursing
This article aims to provide an outline of key areas for exploration in cultural competence. It will highlight communication, pain, end of life, nutrition and health disparities to consider barriers and challenges for district nursing practice.PMID:37369434 | DOI:10.12968/bjcn.2023.28.7.338
Source: British Journal of Community Nursing - June 27, 2023 Category: Nursing Authors: Lucy Reeve Joanna Lavery Source Type: research