Daniela Silva Magalhães , James H McAuley , Chris G Maher , Erica de Matos Reis Ferreira , Tadeu Emanuel Prado Oliveira , Mario Efrain Recinos Mastahinich , Fabianna Resende de Jesus-Moraleida , Leandro Fukusawa , Marcia Rodrigues Franco , Rafael Zambelli Pinto
{"title":"An e-learning program improves low back pain beliefs of physiotherapists: a randomised trial","authors":"Daniela Silva Magalhães , James H McAuley , Chris G Maher , Erica de Matos Reis Ferreira , Tadeu Emanuel Prado Oliveira , Mario Efrain Recinos Mastahinich , Fabianna Resende de Jesus-Moraleida , Leandro Fukusawa , Marcia Rodrigues Franco , Rafael Zambelli Pinto","doi":"10.1016/j.jphys.2024.11.014","DOIUrl":"10.1016/j.jphys.2024.11.014","url":null,"abstract":"<div><h3>Question</h3><div>How effective is an e-learning program based on international clinical guidelines in promoting beliefs more aligned with the current evidence for the management of low back pain among physiotherapists?</div></div><div><h3>Design</h3><div>Randomised controlled trial with concealed allocation and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>106 physiotherapists who treat patients with low back pain.</div></div><div><h3>Interventions</h3><div>The experimental group received access to an e-learning program, based on recommendations of clinical practice guidelines for the management of low back pain, over a 6-week period. The program consisted of six units, totalling 15 hours, and was offered in a self-instructional and self-paced format. The control group was instructed to continue their activities as usual.</div></div><div><h3>Outcome measures</h3><div>The primary outcome was beliefs about low back pain measured using the Modified Back Beliefs Questionnaire (MBBQ, –50 worst to 50 best). Secondary outcomes included the Back Pain Attitudes Questionnaire (Back-PAQ, –20 worst to 20 best) and agreement with two statements (1: X-rays or scans are necessary to get the best medical care for low back pain; 2: Everyone with low back pain should have spine imaging). Participants were evaluated at baseline and 6 weeks.</div></div><div><h3>Results</h3><div>Out of 53 participants allocated to the e-learning program, two completed only the first unit and one did not complete any units, resulting in an overall adherence rate of 94%. Compared with control, the e-learning program improved the MBBQ (MD 8 points, 95% CI 5 to 10) and the Back-PAQ score (MD 3.1 points, 95% CI 1.8 to 4.3). For the imaging beliefs statements, the e-learning program was able to increase the proportion of participants with beliefs aligned with the current evidence (statement 1: RD 38%, 95% CI 21 to 52; statement 2: RD 17%, 95% CI 7 to 29) compared with the control group.</div></div><div><h3>Conclusion</h3><div>The e-learning program based on recommendations of clinical practice guidelines for the management of low back pain improved physiotherapists’ beliefs about the management of low back pain.</div></div><div><h3>Registration</h3><div>NCT05661968.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Pages 35-41"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Appraisal of Clinical Practice Guideline: Growth, Health and Developmental Follow-up for Children Born Very Preterm","authors":"Amanda Kwong","doi":"10.1016/j.jphys.2024.08.002","DOIUrl":"10.1016/j.jphys.2024.08.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 318"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critically appraised paper: In people with advanced lung cancer, aerobic exercise and tai chi improve sleep quality, depression and exercise capacity compared with physical activity advice","authors":"Vinicius Cavalheri","doi":"10.1016/j.jphys.2024.07.004","DOIUrl":"10.1016/j.jphys.2024.07.004","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 313"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
El-Sayed Essam El-Sayed Felaya , Eman Hassan Abd Al-Salam , Alshaymaa Shaaban Abd El-Azeim
{"title":"Response to Nam et al","authors":"El-Sayed Essam El-Sayed Felaya , Eman Hassan Abd Al-Salam , Alshaymaa Shaaban Abd El-Azeim","doi":"10.1016/j.jphys.2024.09.002","DOIUrl":"10.1016/j.jphys.2024.09.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 325"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physiotherapy management of people with spinal cord injuries: an update","authors":"Joanne V Glinsky , Lisa A Harvey","doi":"10.1016/j.jphys.2024.09.008","DOIUrl":"10.1016/j.jphys.2024.09.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 256-264"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critically appraised paper: Telerehabilitation is non-inferior to in-person care for chronic knee pain [commentary]","authors":"","doi":"10.1016/j.jphys.2024.05.014","DOIUrl":"10.1016/j.jphys.2024.05.014","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 311"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critically appraised paper: In young children with cerebral palsy, intensive child-initiated mobility training with variability and error is as effective as conventional therapist-directed training for improving gross motor skills. [commentary]","authors":"Hércules Ribeiro Leite","doi":"10.1016/j.jphys.2024.08.001","DOIUrl":"10.1016/j.jphys.2024.08.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 314"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafael Baeske , Toby Hall , Rafael Rodrigues Dall’Olmo , Marcelo Faria Silva
{"title":"In people with shoulder pain, mobilisation with movement and exercise improves function and pain more than sham mobilisation with movement and exercise: a randomised trial","authors":"Rafael Baeske , Toby Hall , Rafael Rodrigues Dall’Olmo , Marcelo Faria Silva","doi":"10.1016/j.jphys.2024.08.009","DOIUrl":"10.1016/j.jphys.2024.08.009","url":null,"abstract":"<div><h3>Question</h3><div>In people with shoulder pain, what is the effect of adding mobilisation with movement (MWM) to a standard exercise program on function and pain compared with sham MWM and the same exercise program?</div></div><div><h3>Design</h3><div>A randomised trial with concealed allocation, blinded outcome assessment and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>Seventy people with chronic atraumatic rotator cuff related pain, with a mean age 48 years (SD 10).</div></div><div><h3>Interventions</h3><div>The experimental group received MWM plus exercise and the control group received sham MWM plus exercise. Treatments were delivered twice per week for 5 weeks.</div></div><div><h3>Outcome measures</h3><div>The primary outcome measures were function (0 to 100 Shoulder Pain and Disability Index) and pain (0 to 10 Numerical Pain Rating Scale). Secondary outcomes were self-efficacy, perceived improvement and active pain-free range of movement. Assessment time points were at baseline (week 0), the end of the treatment period (week 5) and a follow-up 1 month after the end of treatment (week 9).</div></div><div><h3>Results</h3><div>At week 5, the experimental group improved more than the control group in function (MD –15 points, 95% CI –24 to –7), pain at night (MD –2.1, 95% CI –3.1 to –1.1), pain on movement (MD –1.5, 95% CI –2.5 to –0.6) and active range of movement in flexion (MD 16 deg, 95% CI 1 to 30), abduction (MD 23 deg, 95% CI 6 to 40), external rotation (MD 11 deg, 95% CI 4 to 17) and hand behind back (MD 20 deg, 95% CI 8 to 32). At week 9, benefits were seen in the Shoulder Pain and Disability Index (MD –9 points, 95% CI –17 to –1), pain at night (MD –1.9, 95% CI –2.9 to –0.8) and on movement (MD –1.3, 95% CI–2.3 to –0.3). The effects of the experimental intervention on other outcomes were mostly unclear due to wide confidence intervals. Blinding was successful.</div></div><div><h3>Conclusions</h3><div>Adding MWM to exercise improved function, pain and active range of movement in people with shoulder pain. These benefits were not placebo effects.</div></div><div><h3>Registration</h3><div>NCT04175184.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 288-293"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}