Musculoskeletal

Evaluating the STarTBack stratified treatment approach for low back pain: exploring study-level factors potentially explaining differences in results of studies – a literature review – Christopher S Han et al.

2024-07-31T11:32:31+10:00Back pain, Low back pain, Musculoskeletal, Pain, Physiotherapy, Primary Care, Publications, Randomised Control Trial (RCT), Research, Risk, Treatment|

Risk-based stratified care involves selecting treatments according to a participant's risk of persistent disabling pain, to maximise treatment benefit and reduce potential harm and wasted resources associated with unnecessary interventions. The STarTBack approach is a widely known and investigated example of a risk-based stratified care [...]

Perceptions of advice for acute low back pain: a content analysis of qualitative data collected in a randomised experiment – Lidiya Augustine et al.

2024-07-31T11:27:39+10:00Back pain, Clinical guidelines, Health professionals, Low back pain, Musculoskeletal, Pain, Publications|

Guidelines commonly recommend healthcare professionals to provide advice to people with acute LBP that explains the nature of LBP, its typically favourable prognosis, and also recommend that people are advised to stay active, avoid bed rest and remain at work. Two other approaches, advice based [...]

Paracetamol Combination Therapy for Back Pain and Osteoarthritis: A Systematic Review and Meta-Analyses – Zhiying Cao et al.

2024-07-31T11:22:35+10:00Back pain, Low back pain, Musculoskeletal, Osteoarthritis, Pain, Prescribing, Publications|

Although paracetamol (acetaminophen) combined with other analgesics can reduce pain intensity in some pain conditions, its effectiveness in managing low back pain and osteoarthritis is unclear. This systematic review investigated whether paracetamol combination therapy is more effective and safer than monotherapy or placebo in low [...]

Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial – Natasha C Pocovi et al.

2024-07-30T15:46:47+10:00Back pain, Low back pain, Musculoskeletal, Pain, Physiotherapy, Publications, Randomised Control Trial (RCT), Treatment|

Recurrence of low back pain is common and a substantial contributor to the disease and economic burden of low back pain. Exercise is recommended to prevent recurrence, but the effectiveness and cost-effectiveness of an accessible and low-cost intervention, such as walking, is yet to be [...]

Clinical indicators to monitor health care in low back pain: a scoping review – Vanessa L Dos Santos et al.

2024-07-30T15:39:34+10:00Back pain, Clinical quality, Imaging, Low back pain, Musculoskeletal, Publications, Treatment|

Clinical care indicators for low back pain can be used to monitor healthcare practices and consequently be used to evaluate success of strategies to improve care quality. The aim of this study was to identify the clinical care indicators that have been used to measure [...]

A Decision Aid for Patients Considering Surgery for Sciatica: Codesign and User-Testing With Patients and Clinicians – Julie Ayre et al.

2024-07-30T12:06:25+10:00Decision aids, Health literacy, Musculoskeletal, Pain, Publications, Shared decision making, Surgery, Treatment|

Surgery can help patients with leg pain caused by sciatica recover faster, but by 12 months outcomes are similar to nonsurgical management. For many the decision to have surgery may require reflection, and patient decision aids are an evidence-based clinical tool that can help guide [...]

Manual therapy and exercise for lateral elbow pain – Jason A Wallis et al.

2024-06-05T13:07:23+10:00Elbow, Musculoskeletal, Pain, Physiotherapy, Placebos, Publications, Treatment|

Compared with placebo (sham) manual therapy, manual therapy may reduce pain and disability at the end of treatment. Longer‐term effects are unknown. Compared with minimal or no treatment, manual therapy, prescribed exercises or both may slightly reduce pain and disability, and result in little to [...]

Risk of early revision in total hip arthroplasty: the relative contribution of the surgeon versus the hospital – Cameron Handford et al.

2024-06-05T13:03:06+10:00Hip, Musculoskeletal, Publications, Risk, Surgery|

Early revision for total hip arthroplasty is a serious adverse outcome. There are multiple contributing risk factors for early revision. Risk factors can exist at the level of the surgeon and the level of the institution. The primary research question of this study was to [...]

Implementation of supplemental physiotherapy following hip fracture surgery: a protocol for the process evaluation of a randomised controlled trial – Eleanor Raper et al.

2024-06-04T13:40:09+10:00Ageing, Hip, Musculoskeletal, Physiotherapy, Publications, Surgery|

Patient outcomes following low-trauma hip fracture are suboptimal resulting in increased healthcare costs and poor functional outcomes at 1 year. Providing early and intensive in-hospital physiotherapy could help improve patient outcomes and reduce costs following hip fracture surgery. The HIP fracture Supplemental Therapy to Enhance [...]

Effectiveness of implementation strategies for increasing clinicians’ use of five validated imaging decision rules for musculoskeletal injuries: a systematic review – Priti Kharel et al.

2024-08-09T15:49:31+10:00Audit and feedback, Choosing Wisely, Clinical guidelines, Decision aids, Health professionals, Imaging, Musculoskeletal, Overuse, Publications|

Strategies to enhance clinicians’ adherence to validated imaging decision rules and increase the appropriateness of imaging remain unclear. The objective of this study is to evaluate the effectiveness of various implementation strategies for increasing clinicians’ use of five validated imaging decision rules (Ottawa Ankle Rules, [...]

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