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Musculoskeletal Care

Y V Raghava Neelapala, Riya Raja, Aishwarya Bhandary
OBJECTIVE: The aim of the present study was to analyse the freely available online information on the causes of neck pain based on the biopsychosocial model of pain. METHODS: A preliminary biopsychosocial analysis tool was developed, after an extensive literature review of the pathoanatomical and psychosocial contributors for neck pain. The websites that commonly appeared after the search term "causes of neck pain" in the first two pages of the search engines (Google, Yahoo and Bing) were selected for the biopsychosocial analysis...
February 14, 2019: Musculoskeletal Care
Laura M Mackey, Catherine Blake, Linda Squiers, Maire-Brid Casey, Camillus Power, Ray Victory, Conor Hearty, Brona M Fullen
OBJECTIVE: Chronic pain patients are frequent and recurrent users of health services, which may have an impact on levels of health literacy (HL). Therefore, the aim of the present study was to investigate associations between healthcare utilization and varying levels of HL in individuals with and without chronic pain. METHODS: A cross-sectional questionnaire was distributed in three pain clinics in Dublin, Ireland, comprising a demographic section, a validated HL assessment tool (Newest Vital Sign) and self-reported healthcare utilization in the previous year (i...
February 14, 2019: Musculoskeletal Care
Xiang Li Tan, Gemma Pugh, Frances Humby, Dylan Morrissey
OBJECTIVES: Physical activity (PA) has a number of benefits for rheumatoid arthritis (RA) patients. However, these patients are more physically inactive than the general population. The primary aim of this study was to investigate factors associated with PA engagement among RA patients. The secondary aim was to identify their preference for PA support. METHODS: There were 96 participants, 76 of whom were female, with a mean age of 56.9 years (range = 34-72 years) and a median RA disease duration of 5 years (interquartile range = 2-12)...
February 6, 2019: Musculoskeletal Care
Doré Young, Michael Callaghan, Carianne Hunt, Michelle Briggs, Jane Griffiths
No abstract text is available yet for this article.
January 30, 2019: Musculoskeletal Care
Rebecca-Jane Law, Sadia Nafees, Julia Hiscock, Cathy Wynne, Nefyn Howard Williams
The Lifestyle Management Programme (LMP) is an exercise and weight management programme with physiotherapy support for people with hip or knee osteoarthritis (OA) and a body mass index (BMI) over 35. This qualitative study explored views and experiences of the LMP among patients and professionals, and offers insight for future programmes. Five referring clinicians and six delivering professionals participated in focus groups. Three referring GPs and nine patients who attended the LMP took part in semi-structured interviews...
January 24, 2019: Musculoskeletal Care
Melanie Ann Holden, Jackie Waterfield, Rebecca Whittle, Kim Bennell, Jonathan George Quicke, Linda Chesterton, Christian David Mallen
BACKGROUND: Weight loss is recommended as a core treatment for individuals with hip osteoarthritis who are overweight or obese. Physiotherapists play an important role in managing patients with hip osteoarthritis, but little is known about how they address weight. We aimed to explore how UK-based physiotherapists currently address weight loss among individuals with hip OA. METHODS: We carried out a mixed-methods study. A cross-sectional questionnaire was mailed to 3,126 UK-based musculoskeletal physiotherapists...
January 21, 2019: Musculoskeletal Care
Rosa Andias, Anabela G Silva
BACKGROUND: Neck pain (NP) is highly prevalent in young people, but there has been no systematic review synthetizing the functional changes associated with this in adolescents. The aim of the present study was to identify and assess critically the evidence on the functional changes associated with NP in adolescents, specifically for: (a) posture; (b) postural control; (c) range of motion; (d) proprioception; (e) muscle function; and (f) sensory threshold. METHODS: We searched PubMed, ScienceDirect, Web of Science, PEdro, Scielo, Scopus and Academic Search Premier databases for relevant studies...
January 10, 2019: Musculoskeletal Care
Collins Ogbeivor
BACKGROUND: Subacromial impingement syndrome (SAIS) is the most common cause of shoulder pain and is costly, in terms of disability and health service provision. Research evidence suggests that, generally, the anterior, lateral and posterior approaches are used by clinicians for subacromial injection. However, it is uncertain which of these approaches is more effective than the other in the management of SAIS. OBJECTIVES: The aim of the present study was to determine the effectiveness of the anterior, lateral approach to subacromial injection compared with the posterior approach for the treatment of SAIS...
January 8, 2019: Musculoskeletal Care
Martin Schwarze, Winfried Häuser, Gabriele Schmutzer, Elmar Brähler, Nicholas A Beckmann, Marcus Schiltenwolf
INTRODUCTION: Up to 64% of the general population reports experiencing chronic pain, with the hip being one of the most frequent sites. An association has been shown between chronic back pain, obesity and depression. To date, a similar association has not been investigated with chronic hip pain. METHODS: A total of 2,515 subjects were chosen as a representative cross-section of the German population. Each was provided with a questionnaire that included the Regional Pain Scale, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), Beck Depression Inventory-Primary Care and Winkler social class index...
January 8, 2019: Musculoskeletal Care
David N Bernstein, Kathleen Fear, Addisu Mesfin, Warren C Hammert, David J Mitten, Paul T Rubery, Judith F Baumhauer
OBJECTIVES: The Patient-Reported Outcomes Measurement Information System (PROMIS) is growing in popularity as healthcare shifts towards a value-based system. However, it remains unclear if PROMIS use improves the patient experience. The aim of the present study was to determine if PROMIS use as part of routine orthopaedic clinical care is associated with improved patient experience, as measured by the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) survey...
January 7, 2019: Musculoskeletal Care
Daniel I Rhon, Katheryne G Perez, Susan L Eskridge
PURPOSE: The aims of the present study were: (a) to identify the incidence of osteoarthritis (OA) after a traumatic knee injury; (b) identify the risk of post-traumatic osteoarthritis (PTOA) based on the type of injury; and (c) identify the time from injury to OA diagnosis. PATIENTS AND METHODS: The Expeditionary Medical Encounter Database, containing healthcare utilization for all deployment injuries sustained by military service members, was queried for traumatic knee injuries between 2001 and 2016...
January 4, 2019: Musculoskeletal Care
Siobhan Farley, Bonita Libman, Melinda Edwards, Carl J Possidente, Amanda G Kennedy
OBJECTIVE: The aim of the present study was to implement a nurse telephone education programme for patients with recently diagnosed rheumatoid arthritis (RA) that promotes shared decision-making and a treat-to-target approach. METHODS: This was a pilot project of newly diagnosed adult RA patients conducted between November 2015 and December 2016. A rheumatology clinic nurse telephoned patients to offer disease education. A toolkit was mailed to patients. Measures included call attempts, call time, a qualitative description of free-text notes and the proportion of patients who adhered to their next clinic visit...
December 5, 2018: Musculoskeletal Care
Susann Arvidsson, Maria L Nylander, Stefan Bergman
BACKGROUND: Telephone helplines are useful for improving patients' access to healthcare services and reducing the need for frequent face-to-face contact with healthcare professionals. Little is known about how people who phone a helpline perceive the encounter. OBJECTIVES: The aims of the present study were to describe the variation in how callers perceive their encounter with a rheumatology telephone helpline. METHODS: The study had a descriptive, qualitative design and used a phenomenographic approach, comprising 27 semi-structured telephone interviews with callers to Rheuma Direct, a rheumatology telephone helpline with specially trained nurses...
November 23, 2018: Musculoskeletal Care
Ian Cowell, Peter O'Sullivan, Kieran O'Sullivan, Ross Poyton, Alison McGregor, Ged Murtagh
BACKGROUND: It has long been acknowledged that nonspecific chronic low back pain (NSCLBP) is associated with a complex combination of biopsychosocial (BPS) factors, and recent guidelines advocate that the management of back pain should reflect this multidimensional complexity. Cognitive functional therapy (CFT) is a behaviourally oriented intervention that targets patients' individual BPS profiles. Although the efficacy of CFT has been demonstrated in primary care, little evidence exists about the training requirements of this approach...
November 23, 2018: Musculoskeletal Care
Caitlin Helme, Roisin S M Hegarty, Simon Stebbings, Gareth J Treharne
PURPOSE: Fatigue is a common symptom of many rheumatic diseases (RDs), but more research is needed to explore the experience of fatigue and its impact on employment among people with RDs. The aim of the present study was to investigate experiences of fatigue, its impact on employment and strategies that people with RD use to continue working. METHOD: Semi-structured in-depth interviews were conducted with five participants with a range of RDs living in New Zealand (three women, two men; aged 45-64 years)...
November 23, 2018: Musculoskeletal Care
Kenichiro Tokunaga, Atsushi Shiraishi, Noboru Hagino, Hideto Oshikawa, Jinju Nishino, Shigeto Tohma
No abstract text is available yet for this article.
November 12, 2018: Musculoskeletal Care
Sylvia Gautreau, Odette N Gould, Catherine Aquino-Russell, Michael E Forsythe
BACKGROUND: Total knee arthroplasty (TKA) is a well-established surgical procedure with high rates of clinical success, yet up to 20% of patients are dissatisfied with their outcomes. Surgeon-patient communication is an important contributor to patient satisfaction, particularly in the area of setting or resetting postoperative expectations that are reasonable and achievable for individual patients. OBJECTIVE: The goal of the present research was to develop a communication checklist for surgeons to use with their patients, to enhance communication in order better to manage postoperative expectations and increase patient satisfaction with TKA...
November 12, 2018: Musculoskeletal Care
Lynne Gaskell, Anita E Williams
INTRODUCTION: The aim of the present study was to explore the experiences and perceptions of adult patients with chronic musculoskeletal conditions following a Pilates exercise programme. A qualitative approach was taken to both data collection and analysis, with alignment to the philosophy of interpretive phenomenology. Participants included 15 women and seven men with a range of chronic musculoskeletal conditions, including nonspecific low back pain, peripheral joint osteoarthritis and a range of postsurgical conditions...
November 6, 2018: Musculoskeletal Care
Sarah Hewlett, Andrew Haig-Ferguson, Emily Rose-Parfitt, Serena Halls, Samuel Freke, Paul Creamer
OBJECTIVE: Successful biologic disease-modifying anti-rheumatic drug (bDMARD) dose reduction appears increasingly possible from clinical trials. The present study aimed to understand the patient perspective of bDMARD dose reduction. METHODS: Patients with rheumatoid arthritis, ankylosing spondylitis or psoriatic arthritis who were self-administering subcutaneous bDMARDs therapy at two National Health Service trusts participated in semi-structured interviews. To capture multiple experiences, patients were purposefully sampled for a range of age, gender, disease duration, reducing/not reducing bDMARDs and either within 3-12 months of bDMARD initiation or ≥12 months and in remission/low disease activity...
November 6, 2018: Musculoskeletal Care
Daniela Ribeiro, Anabela G Silva
INTRODUCTION: Chronic pain is associated with cortical reorganization, and interventions targeting cortical remapping, such as visual feedback of the painful body segment, seem promising. The primary aim of the present study was to evaluate the impact of visual feedback of the neck, using mirrors on pain intensity. Secondary aims were to evaluate the impact of visual feedback on neck range of motion and unadjusted cognitive processes. METHODS: Pain intensity, range of motion, fear of movement, catastrophizing and anxiety were assessed before and after 10 repetitions of each of the neck movements, with (experimental group; n = 21) and without (control group; n = 21) visual feedback of the neck...
October 31, 2018: Musculoskeletal Care
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