Musculoskeletal Care最新文献

{"title":"A study to evaluate the exercise prescription through video and brochure in telerehabilitation of patients with knee osteoarthritis","authors":"Sunidhi Rana, Bhawna Verma, Roop Singh, Priyanka Siwach","doi":"10.1002/msc.1857","DOIUrl":"https://doi.org/10.1002/msc.1857","url":null,"abstract":"Telerehabilitation is an easy and creative approach to rehabilitation treatments for osteoarthritis. In telerehabilitation, there are various modes through which exercises can be explained to the patients. Videos and brochures are commonly used to send patients exercise plans. Videos are easy to understand and can mimic live demonstrations and brochures are easy to create and customise for every patient's need. The present study aimed to evaluate the effectiveness of brochure and video methods of exercise prescription through telerehabilitation in terms of exercise acquisition and retention.The study design was a randomised clinical trial. A total of 110 knee osteoarthritis patients who agreed to participate in the telerehabilitation programme were recruited for the study. The patients were randomly assigned to a video and brochure group. After the initial consultation through videoconferencing, the prescribed exercises were sent on their phone in the form of video or electronic brochure. The participants were again contacted through video conferencing after 2 days and retention and acquisition tests were recorded.The comparison of both groups through ‘t’ test showed no significant difference in exercise retention and acquisition. The mean and SD of exercise acquisition in the brochure group was 26.3455, ±5.7998 and in the video group was 27.2, ±5.47181 and mean and SD of exercise retention in the brochure group was 7.8727, ±2.31784 and in the video group was 7.6, ±1.256. Further analysis revealed that the hamstring stretching exercise was retained better in the video group than in the brochure group (p = 0.031*).The study found no significant difference in exercise acquisition and retention between the video and brochure groups. Hence, an exercise brochure can be equally effective as a video for exercise prescription if the brochure is developed by keeping in mind the principles of readability and the use of proper instructions.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"68 3","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139445089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of anterior atlantoaxial subluxation and association with established rheumatoid arthritis","authors":"G. Alp, H. Cinaklı, Servet Akar, D. Solmaz","doi":"10.1002/msc.1859","DOIUrl":"https://doi.org/10.1002/msc.1859","url":null,"abstract":"Spinal involvement in rheumatoid arthritis (RA) is limited to the upper cervical spine, leading to cervical spine instability. This study aimed to evaluate the prevalence of anterior atlantoaxial subluxation (aAAS) and its associated risk factors in patients with RA.This single‐centre cross‐sectional study 240 patients consecutively were recruited. Radiographs of the cervical spine were obtained in the flexion and neutral neck positions and read by two blinded observers. The diagnosis of aAAS was based on the distance between the anterior aspect of the dens and the posterior aspect of the anterior arch of the atlas, which was >3 mm during flexion. Statistical analysis was performed to determine the predictive factors of aAAS.Two hundred and forty patients with a mean ± SD age of 56.4 ± 11.4 years were recruited, and 191 (78%) were female. The mean ± SD duration of the disease was 10.2 ± 8.5 years. Of all 25 cases (10.4%) diagnosed with aAAS, the mean anterior atlantodental interval in patients with AAS was 4.19 ± 1.20 mm. One in three patients with aAAS had no neck pain. Patients with aAAS had longer disease duration, lower age at diagnosis, lower body mass index, higher anti‐cyclic citrullinated peptide autoantibodies (anti‐CCP), more frequent erosion, joint restriction, and joint prostheses. In the multivariate regression model, joint limitation, history of joint prostheses, low BMI, and higher anti‐CCP levels were independent predictors of the aAAS.Thirty‐three percent of patients with cervical involvement do not experience neck pain. Cervical involvement should be considered even without neck pain, particularly in established diseases.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"28 6","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139448323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, behaviours, and barriers regarding tobacco use cessation guidelines by musculoskeletal clinicians","authors":"Geronimo Bejarano, Joshua R. Zadro, Claire Cagle, Emily T. Hébert","doi":"10.1002/msc.1860","DOIUrl":"https://doi.org/10.1002/msc.1860","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"7 35","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139380401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survey on help‐seeking process in patients with systemic lupus erythematosus","authors":"María Fernanda Eguez Del Pozo, Ana Cañizares Calderón, Paola Andrea Ávila, N. Fara, Lucrecia Garcia Faura, M. Micelli, Damaris Alvarez, G. Sequeira, E. Kerzberg","doi":"10.1002/msc.1858","DOIUrl":"https://doi.org/10.1002/msc.1858","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"9 6","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139380673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the cognitive processes of both Arabic and English‐speaking patients when completing the brief pain inventory: A qualitative study","authors":"Gopi Patel, Bernadette Brady, Matthew McMullan, Clarice Tang","doi":"10.1002/msc.1856","DOIUrl":"https://doi.org/10.1002/msc.1856","url":null,"abstract":"Brief Pain Inventory (BPI) is one of the most commonly used self‐initiated questionnaire for people with chronic pain. Although the questionnaire has been translated into multiple different languages and tested for its inter‐tester reliability, no study has currently explored the differences in interpretation of this questionnaire between non‐English speakers as compared to English‐speakers.Using the Arabic‐language group as the comparator, this study explored the interpretation of the English and Arabic language Brief Pain Inventory (BPI) among participants living with chronic neuromusculoskeletal pain from Arabic‐ and English‐speaking backgrounds.This qualitative study utilises the Think Aloud method to explore the differences in the interpretation of the BPI between two language groups. Consecutive consenting adults attending a tertiary pain clinic for management of a chronic neuromusculoskeletal pain condition and self‐identifying with a native English‐speaking (n = 15) or Arabic‐speaking (n = 15) background were included. Structured interviews using the think‐aloud method were conducted, audio‐recorded and analysed using coding and thematic analysis.Interpretation errors across three or more questions were recorded for all Arabic‐speaking participants and two English‐speaking participants. Three themes characterised appraisals of pain and interpretation of the BPI across the two cohorts: 1) pain constancy vs. variability, 2) the ability‐disability spectrum and 3) variance in expression of pain.Cross‐cultural differences in the appraisal of pain influenced participants' interpretation of the BPI. The cultural influences on conceptualisation of pain need to be considered when using the BPI across different cultures.","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"58 15","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139382001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular safety of Janus Kinase inhibitor therapy in a multi-ethnic population.","authors":"Kehinde Sunmboye, Tom Petrie, Maumer Durrani","doi":"10.1002/msc.1853","DOIUrl":"https://doi.org/10.1002/msc.1853","url":null,"abstract":"<p><strong>Background: </strong>Janus Kinase (JAK) inhibitors are a class of drugs that have been shown to be effective in treating a variety of autoimmune rheumatic diseases (ARDs). However, there have been concerns about their potential to increase the risk of cardiovascular events. Some studies have found no ethnic differences. This study aimed to assess the cardiovascular safety of JAK inhibitor therapy in a large multi-ethnic patient cohort and to identify if there is a correlation between the age of patients in the cohort with an increased risk of cardiovascular events.</p><p><strong>Methods: </strong>This retrospective cross-sectional study enrolled 309 patients with ARDs who were treated with JAK inhibitors. Cardiovascular events that occurred while on JAK inhibitor therapy were identified retrospectively.</p><p><strong>Results: </strong>The mean age of the study cohort was 59.3 years, and 73% were Caucasian and 25% were South Asian in ethnicity. There was a positive and statistically significant correlation between cardiovascular events and age of the patients (rpb = 0.12, n = 309, p = 0.036), but the correlation was weak based on the rpb value of 0.12.</p><p><strong>Conclusion: </strong>The results of this study suggest that JAK inhibitor therapy is generally safe in older patients with ARDs in a multi-ethnic population. However, further research is needed to identify any other patient factors that may increase the risk of cardiovascular events. The findings of this study could also have practise implications in the use of JAK inhibitor therapy in patients over 65 years of age.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138801616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing physiotherapy practice: A quality improvement project to train advanced practice physiotherapists to deliver caudal epidurals in a community setting","authors":"Stephanie Griffiths","doi":"10.1002/msc.1848","DOIUrl":"https://doi.org/10.1002/msc.1848","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"14 15","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138589353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are the attitudes and beliefs of Australian exercise-based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain?","authors":"Mitchell T Gibbs, Theo Last, Paul Marshall, Matthew D Jones","doi":"10.1002/msc.1852","DOIUrl":"https://doi.org/10.1002/msc.1852","url":null,"abstract":"<p><strong>Background: </strong>Practitioners' attitudes and beliefs towards chronic low back pain (CLBP) influence their clinical decision making, but few studies have investigated decision making outside the context of patient vignettes for a range of first- and second-line treatment options for CLBP, or in accredited exercise physiologists (AEPs).</p><p><strong>Methods: </strong>Using an online survey, Australian AEPs and physiotherapists rated their use of different treatments for CLBP (exercise, education, manual therapy, cognitive behavioural therapy) and their confidence in these treatments for reducing pain and disability. Their biomedical and biopsychosocial beliefs were also assessed using the Pain and Attitudes Beliefs Scale for Physiotherapists. Differences between disciplines in treatment use and confidence were analysed using Mann-Whitney U tests and independent t-tests, respectively. Multiple linear regression was used to explore factors associated with treatment choices.</p><p><strong>Results: </strong>Two-hundred thirty-three practitioners (n = 143 physiotherapists, n = 90 AEPs) completed the survey. Most practitioners were confident in treating CLBP, had a moderate-high level of confidence in the different treatments, and regularly used them in practice. Practitioners with higher biomedical beliefs had greater use of, and confidence in, specific exercise, manual therapy, and combined exercise and manual therapy. Practitioners with higher biopsychosocial beliefs were more confident in general exercise, cognitive behavioural therapy, pain education and combined exercise and pain education.</p><p><strong>Conclusion: </strong>Practitioner beliefs influence their use of, and confidence in different treatments for CLBP. These findings suggest a need for strategies to enhance biopsychosocial beliefs/reduce biomedical beliefs in Australian exercise-based practitioners.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescribing hand strengthening exercise for patients with rheumatoid arthritis; clinical cues influencing occupational therapists' and physiotherapists' judgements.","authors":"Graham Boniface, Nicola White, Christopher Tomlinson, Meriel Norris, Neil O'Connell, Esther Williamson, Priscilla Harries","doi":"10.1002/msc.1849","DOIUrl":"10.1002/msc.1849","url":null,"abstract":"<p><strong>Objective: </strong>To explore the clinical judgements of therapists in prescribing the intensity of hand strengthening exercise in rheumatoid arthritis (RA).</p><p><strong>Methods: </strong>Phase I: Eleven therapists knowledgeable in treating patients with RA subjectively identified seven clinical cues. These were incorporated into 54 hypothetical patient case scenarios.</p><p><strong>Phase ii: </strong>Therapists with ≥2 years post-registration experience and current or recent experience in treating patients with RA were asked to assess 69 case scenarios in total (54 + 15 repeats) and judge what intensity of hand strengthening exercise they would prescribe using the OMNI-Resistance Exercise Scale of perceived exertion. Using responses to the repeated cases, the Cochran-Weiss-Shanteau index of expertise was used to identify therapists who prescribed more consistently. Multiple regression was used to determine which clinical cues were most strongly associated with the intensity of exercise prescribed. A sub-group analysis explored differences between consistent and inconsistent prescribers.</p><p><strong>Results: </strong>Fifty-three therapists took part. Thirty completed all 69 case scenarios. Across all therapists, the three most important clinical cues associated with lower intensity of exercise prescribed were (1) Patient's reported pain intensity whilst practising the exercise (β = -1.150, p < 0.001), (2) Disease activity (β = -0.425, p < 0.001) and (3) average hand pain over the last week (β = -0.353 p < 0.001). Twelve therapists were categorised as consistent prescribers. This group relied on fewer clinical cues (three vs. seven) when judging what intensity of exercise to prescribe.</p><p><strong>Conclusion: </strong>This study provides insights into how therapists prescribe hand exercises. Intensity of hand strengthening exercise was influenced by three key clinical cues, including pain intensity and disease activity.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-development and evaluation of the Musculoskeletal Telehealth Toolkit for physiotherapists.","authors":"Allison M Ezzat, Matthew G King, Danilo De Oliveira Silva, Marcella F Pazzinatto, J P Caneiro, Stephanie Gourd, Rhona McGlasson, Peter Malliaras, Amy Dennett, Trevor Russell, Joanne L Kemp, Christian J Barton","doi":"10.1002/msc.1840","DOIUrl":"https://doi.org/10.1002/msc.1840","url":null,"abstract":"<p><strong>Introduction: </strong>In-person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time-intensive responsibilities. The COVID-19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co-developed and evaluated a web-based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions.</p><p><strong>Methods: </strong>A mixed-methods exploratory sequential design applied modified experience-based co-design methods (physiotherapists [n = 13], clinic administrators [n = 2], and people with musculoskeletal conditions [n = 7]) to develop an evidence-informed toolkit. Semi-structured workshops were conducted, recorded, transcribed, and thematically analysed, refining the toolkit prototype. Subsequently, the toolkit was promoted via webinars and social media. The usability of the toolkit was examined with pre-post surveys examining changes in confidence, knowledge, and perceived telehealth competence (19 statements modelled from the theoretical domains framework) between toolkit users (>30 min) and non-users (0 min) using chi-squared tests for independence. Website analytics were summarised.</p><p><strong>Results: </strong>Twenty-two participants engaged in co-design workshops. Feedback led to the inclusion of more patient-facing resources, increased assessment-related visual content, streamlined toolkit organisation, and simplified, downloadable infographics. Three hundred and twenty-nine physiotherapists from 21 countries completed the baseline survey, with 172 (52%) completing the 3-month survey. Toolkit users had greater improvement in knowledge, confidence, and competence than non-users in 42% of statements. Seventy-two percentage of toolkit users said it changed their practice, and 95% would recommend the toolkit to colleagues. During the evaluation period, the toolkit received 5486 total views.</p><p><strong>Discussion: </strong>The co-designed web-based Musculoskeletal Telehealth Toolkit is a professional development resource that may increase physiotherapist's confidence, knowledge, and competence in telehealth.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}