Musculoskeletal

Establishing a hierarchy of total knee arthroplasty patients’ goals and its congruity to health professionals’ perceptions: a cohort study – Sascha Karunaratne et al.

2024-04-07T16:49:13+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, Publications, Risk, Shared decision making, Surgery, Treatment|

This study established a hierarchy of the goals most important to patients, identifying key goals as improving mobility, reducing pain, and improving daily tasks. Health professionals involved in the recommendation of knee arthroplasty were generally found to be able to identify what patients wanted to [...]

A Virtual Hospital Model of Care for Low Back Pain, Back@Home: Protocol for a Hybrid Effectiveness-Implementation Type-I Study A Virtual Hospital Model of Care for Low Back Pain, Back@Home: Protocol for a Hybrid Effectiveness-Implementation Type-I Study – Alla Melman et al.

2024-04-07T14:21:05+10:00Audit and feedback, Low back pain, Musculoskeletal, Pain, Publications, Virtual Care/Telehealth|

The primary aim of the Back@Home study is to assess the effectiveness of a virtual hospital model of care to reduce the length of admission in people presenting to ED with musculoskeletal LBP. A secondary aim is to evaluate the acceptability and feasibility of the [...]

A content analysis of the interventions for low back pain promoted on the websites of Australian pain clinics – Chris G. Maher et al.

2024-04-07T14:17:16+10:00Health literacy, Low back pain, Musculoskeletal, Pain, Public comprehension, Publications, Treatment|

The Internet is a widely used source of health information, yet the accuracy of online information can be low. This is the case for low back pain (LBP), where much of the information about LBP treatment is poor. This research conducted a content analysis to [...]

Remotely delivered physiotherapy is as effective as face-to-face physiotherapy for musculoskeletal conditions (REFORM): a randomised trial – Hannah G Withers et al.

2024-04-07T14:10:21+10:00Musculoskeletal, Physiotherapy, Publications, Randomised Control Trial (RCT), Research, Virtual Care/Telehealth|

The REFORM trial was a randomised, controlled non-inferiority trial in which participants were randomised to either remotely delivered physiotherapy or usual care . The assessor and statisticians were blinded. The protocol was published and the trial was prospectively registered. Participants were recruited from five public [...]

Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics – Simon P Vella et al.

2024-04-07T13:51:47+10:00Clinical guidelines, Emergency Department, Health literacy, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Pain, Physiotherapy, Publications, Treatment|

Internationally, non-traumatic low back pain (LBP) is an increasingly common presentation to ambulance services. Consequently, paramedics are often the first providers of care for people with LBP. Australian guidelines for paramedic management of LBP recommend the use of simple analgesia, hot/cold therapy and for people [...]

RECITAL: a non-inferiority randomised control trial evaluating a virtual fracture clinic compared with in-person care for people with simple fractures (study protocol) – Min Jiat Teng et al.

2024-04-07T13:15:38+10:00Imaging, Musculoskeletal, Pain, Physiotherapy, Publications, Surgery, Treatment, Virtual Care/Telehealth|

Most simple undisplaced fractures can be managed without surgery by immobilising the limb with a splint, prescribing medication for pain, and providing advice and early rehabilitation. Recent systematic reviews based on retrospective observational studies have reported that virtual fracture clinics can deliver follow-up care that [...]

Are clinically unimportant findings qualified as benign in lumbar spine imaging reports? A content analysis of plain X-ray, CT and MRI reports – Caitlin Farmer et al.

2024-04-07T13:09:31+10:00Disease labels, Imaging, Low back pain, Musculoskeletal, Overdiagnosis, Overtreatment, Overuse, Pain, Publications, Radiology reports, Spinal|

Lumbar spine diagnostic imaging reports may cause patient and clinician concern when clinically unimportant findings are not explicitly described as benign. Our primary aim was to determine the frequency that common, benign findings are reported in lumbar spine plain X-ray, computed tomography (CT) and magnetic [...]

Clinical care standards for the management of low back pain: a scoping review – Gabriel S. Alves et al.

2024-04-07T13:01:17+10:00Clinical guidelines, Clinical quality, Imaging, Low back pain, Musculoskeletal, Opioids, Pain, Publications, Spinal, Treatment|

The objective of this study is to compare and contrast the quality statements and quality indicators across clinical care standards for low back pain. Searches were performed in Medline, guideline databases, and Google searches to identify clinical care standards for the management of low back [...]

Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial – Gemma Altinger et al.

2024-04-05T13:06:47+11:00Back pain, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Overuse, Pain, Publications|

Opioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two [...]

HIP fracture Supplemental Therapy to Enhance Recovery (HIPSTER): a protocol for a randomised controlled trial – Lara A Kimmel et al.

2024-02-13T14:11:15+11:00Ageing, Hip, Musculoskeletal, Physiotherapy, Publications, Surgery, Treatment|

Hip fractures result in substantial health impacts for patients and costs to health systems. Many patients require prolonged hospital stays and up to 60% do not regain their prefracture level of mobility within 1 year. Physical rehabilitation plays a key role in regaining physical function [...]

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