Musculoskeletal Science and Practice最新文献

{"title":"Concerns beyond ankle symptoms predominate healthcare professionals’ views of patients with ankle osteoarthritis: A qualitative study","authors":"Sultan Ayyadah Alanazi ,&nbsp;Bill Vicenzino ,&nbsp;Michelle D. Smith","doi":"10.1016/j.msksp.2024.102946","DOIUrl":"https://doi.org/10.1016/j.msksp.2024.102946","url":null,"abstract":"<div><h3>Objectives</h3><p>Explore healthcare professionals’ perspectives on the main problems that their patients with ankle osteoarthritis experience and to propose health-related domains.</p></div><div><h3>Methods</h3><p>A qualitative study using semi-structured interviews was conducted with an international multidisciplinary group of healthcare professionals identified as ankle experts. Eligibility criteria were aged ≥18 years, and a certified healthcare professional with ≥ 5-year experience post-qualification in working with ankle osteoarthritis and/or chronic ankle pain. Interviews were recorded, transcribed verbatim and thematically analysed.</p></div><div><h3>Results</h3><p>Twenty-one healthcare professionals (20 males; mean (range) age 49 (34–72) years) from four professions (orthopaedic surgeons (n = 9), athletic trainers (n = 5), physiotherapists (n = 4) and podiatrists (n = 3)) were interviewed. Four main themes were identified: 1) people with ankle osteoarthritis have difficulty with weight-bearing activities; 2) symptoms of pain and stiffness predominate, alongside swelling, instability, weakness and poor balance; 3) chronic pain in ankle osteoarthritis has psychosocial consequences; and 4) the loss of activities of daily living and independence compromises quality of life. We proposed 15 health-related domains that emerge from the interview data.</p></div><div><h3>Conclusion</h3><p>Healthcare professionals recognise that ankle osteoarthritis patients have difficulty in physical, sporting, and occupational weight-bearing activities, and they live with persistent ankle pain, stiffness and other symptoms that have physical and psychosocial consequences. The health-related domains derived from interviews with expert healthcare professionals will contribute to the development of a core domain set for ankle osteoarthritis.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000419/pdfft?md5=78a7ac9b2c07cdf93e80529e58355acd&pid=1-s2.0-S2468781224000419-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140345241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of footwear preferences, attitudes and beliefs in people with knee osteoarthritis: A qualitative study","authors":"Michelle D. Smith ,&nbsp;Ruth McKendry ,&nbsp;Simran Shah ,&nbsp;Vaibhavi Desai ,&nbsp;AbdelRahman Abouzed ,&nbsp;Blake Byrnes ,&nbsp;Stacey Farmer ,&nbsp;Carl Glyde ,&nbsp;Peter R. Lawrenson ,&nbsp;Megan H. Ross ,&nbsp;Natalie J. Collins","doi":"10.1016/j.msksp.2024.102948","DOIUrl":"10.1016/j.msksp.2024.102948","url":null,"abstract":"<div><h3>Background</h3><p>Although footwear can improve pain and function in individuals with knee osteoarthritis (OA), perspectives about footwear in this population have not been explored.</p></div><div><h3>Objectives</h3><p>This qualitative study explored preferences, attitudes and beliefs about footwear in adults with knee OA.</p></div><div><h3>Methods</h3><p>Twenty individuals with a clinical diagnosis of knee OA (aged 45–79 years, 65% women) participated in semi-structured interviews about factors which influence footwear selection, the effect of footwear on knee symptoms, and footwear modifications. Data were analysed thematically.</p></div><div><h3>Results</h3><p>Four themes, with sub-themes, were identified: i) <em>there are specific footwear characteristics people look for, with comfort as their top priority;</em> ii) <em>shoe appearance is important;</em> iii) <em>footwear can aggravate or ease symptoms;</em> and iv) <em>people with knee OA find footwear in a variety of ways</em>. Participants related built-in arch support, a cushioned insole and low/no heel, without addition of foot orthoses, to comfort, and were willing to pay more for comfort and quality. Appearance was also a consideration, and participants indicated they would tolerate short periods of symptom aggravation for aesthetic shoes. Participants felt that footwear choice affected their knee symptoms and risk of slipping/twisting. Participants reported that their footwear choices were determined through trial-and-error, and sometimes on advice from health professionals or shoe store salespersons.</p></div><div><h3>Conclusions</h3><p>There are specific footwear features important to individuals with knee OA. Knowledge of these features can be used by health professionals to inform footwear discussions with knee OA patients and serve as considerations when developing footwear targeted for this population.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000432/pdfft?md5=74886fdeaeab199137bf106e235aafd6&pid=1-s2.0-S2468781224000432-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying and navigating suspected serious pathologies: New-graduate physiotherapists' perspectives and developmental needs","authors":"Rachel Phua ,&nbsp;Allison Mandrusiak ,&nbsp;Lakhvir Singh ,&nbsp;Romany Martin ,&nbsp;Roma Forbes","doi":"10.1016/j.msksp.2024.102944","DOIUrl":"https://doi.org/10.1016/j.msksp.2024.102944","url":null,"abstract":"<div><h3>Background</h3><p>Physiotherapists in Australia play a vital first-contact role in identifying suspected serious pathologies and navigating their management pathways. Current literature highlights challenges faced by physiotherapists including implications of ineffective identification and management of suspected serious pathologies, yet the perspectives of new-graduate physiotherapists related to this area of practice remain unknown.</p></div><div><h3>Objective</h3><p>The aim of this study was to explore new-graduate physiotherapists’ perspectives and developmental needs related to identifying suspected serious pathologies and navigating their management pathways in patients with musculoskeletal complaints.</p></div><div><h3>Design</h3><p>and Method: A qualitative study using a reflexive thematic analytical approach was undertaken. Eighteen semi-structured interviews were conducted. Thematic analysis was utilized on the interview data.</p></div><div><h3>Results</h3><p>Four key themes were generated: (1) Physiotherapists as advocates; (2) Navigating uncertainties and complexities; (3) Safe and accessible workplace support builds confidence; and (4) Importance of direct learning opportunities.</p></div><div><h3>Conclusion</h3><p>New-graduate physiotherapists recognize their imperative role as first-contact practitioners in identifying and navigating suspected serious pathologies yet also experience significant uncertainties. The findings highlight key developmental needs, including supportive workplaces, established referral frameworks and direct learning opportunities during pre-professional training.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000390/pdfft?md5=95c140061a0205ac13f658ae5c3dea7f&pid=1-s2.0-S2468781224000390-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140187920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning models for classifying non-specific neck pain using craniocervical posture and movement","authors":"Ui-jae Hwang ,&nbsp;Oh-yun Kwon ,&nbsp;Jun-hee Kim ,&nbsp;Sejung Yang","doi":"10.1016/j.msksp.2024.102945","DOIUrl":"10.1016/j.msksp.2024.102945","url":null,"abstract":"<div><h3>Objective</h3><p>Physical therapists and clinicians commonly confirm craniocervical posture (CCP), cervical retraction, and craniocervical flexion as screening tests because they contribute to non-specific neck pain (NSNP). We compared the predictive performance of statistical machine learning (ML) models for classifying individuals with and without NSNP using datasets containing CCP and cervical kinematics during pro- and retraction (CKdPR).</p></div><div><h3>Design</h3><p>Exploratory, cross-sectional design.</p></div><div><h3>Setting and participants</h3><p>In total, 773 public service office workers (PSOWs) were screened for eligibility (NSNP, 441; without NSNP, 332).</p></div><div><h3>Methods</h3><p>We set up five datasets (CCP, cervical kinematics during the protraction, cervical kinematics during the retraction, CKdPR and combination of the CCP and CKdPR). Four ML algorithms–random forest, logistic regression, Extreme Gradient boosting, and support vector machine–were trained.</p></div><div><h3>Main outcome measures</h3><p>Model performance were assessed using area under the curve (AUC), accuracy, precision, recall and F1-score. To interpret the predictions, we used Feature permutation importance and SHapley Additive explanation values.</p></div><div><h3>Results</h3><p>The random forest model in the CKdPR dataset classified PSOWs with and without NSNP and achieved the best AUC among the five datasets using the test data (AUC, 0.892 [good]; F1, 0.832). The random forest model in the CCP dataset had the worst AUC among the five datasets using the test data [AUC, 0.738 (fair); F1, 0.715].</p></div><div><h3>Conclusion</h3><p>ML performance was higher for the CKdPR dataset than for the CCP dataset, suggesting that ML algorithms are more suitable than classical statistical methods for developing robust models for classifying PSOWs with and without NSNP.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140181767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of cupping therapy in musculoskeletal disorders: A cross-sectional study on the profile, training, and practice of Brazilian physical therapists","authors":"Wesley Rodrigo Costa Rios ,&nbsp;Hugo Jario Almeida Silva ,&nbsp;Nayara Silva Pontes ,&nbsp;André Pontes-Silva ,&nbsp;Mariana Arias Avila ,&nbsp;Bruno Tirotti Saragiotto ,&nbsp;José Jailson de Almeida Júnior ,&nbsp;Germanna Medeiros Barbosa ,&nbsp;Marcelo Cardoso de Souza","doi":"10.1016/j.msksp.2024.102943","DOIUrl":"10.1016/j.msksp.2024.102943","url":null,"abstract":"<div><h3>Introduction</h3><p>Cupping therapy is a widely used technique in Brazilian physical therapy for the treatment of musculoskeletal disorders. However, there is limited scientific evidence to support its effectiveness.</p></div><div><h3>Objective</h3><p>To investigate the profile, training, clinical practice, and scientific updates of Brazilian Physical Therapists who use cupping therapy as a therapeutic resource for musculoskeletal disorders.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted through an online questionnaire, including 646 Physical Therapists who use cupping therapy in their practice. All data were analysed descriptively.</p></div><div><h3>Results</h3><p>Cupping therapy is a technique that has been widely adopted in clinical practice by Physical Therapists, particularly among young, female professionals who have recently graduated from private universities. The primary reason for interest in this technique among these Physical Therapists is the high demand from patients. Additionally, it is often used in conjunction with other manual therapeutic techniques. They identified easy access, low cost, and ease of use as the key factors that make cupping therapy an attractive option. However, a lack of high-quality scientific evidence, as described in the literature, was identified as a major barrier to its use.</p></div><div><h3>Conclusion</h3><p>The Physical Therapists included in this study use cupping therapy in their clinical practice, relying heavily on their own experience and the preferences of their patients, rather than utilizing the third pillar of evidence-based practice, which is to rely on the best available evidence. This study suggests that these Physical Therapists are currently implementing a technique without current scientific recommendations for its use in the treatment of musculoskeletal disorders.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health coaching intervention with or without the support of an exercise buddy to increase physical activity of people with chronic low back pain compared to usual care: a feasibility and pilot randomised controlled trial","authors":"Carolina G. Fritsch ,&nbsp;Manuela L. Ferreira ,&nbsp;Mark H. Halliday ,&nbsp;Katharine Roberts ,&nbsp;Josielli Comachio ,&nbsp;Manasi Mittinty ,&nbsp;Louise Sharpe ,&nbsp;Nadine E. Foster ,&nbsp;Emmanuel Stamatakis ,&nbsp;Paul J. Mork ,&nbsp;Andrew J. McLachlan ,&nbsp;Paulo H. Ferreira","doi":"10.1016/j.msksp.2024.102941","DOIUrl":"10.1016/j.msksp.2024.102941","url":null,"abstract":"<div><h3>Background</h3><p>Exercise buddies (people to exercise together with) might support people with low back pain (LBP) to become active. However, involving buddies in randomised controlled trials (RCT) might challenge recruitment, data collection and follow-up.</p></div><div><h3>Objectives</h3><p>To explore the feasibility of the intervention, recruitment and data collection approaches and potential effects of a health coaching intervention (focused on physical activity) with or without exercise buddies’ support on physical activity of people with chronic LBP versus usual discharge care.</p></div><div><h3>Design</h3><p>Feasibility and pilot RCT.</p></div><div><h3>Methods</h3><p>Adults (n = 30) discharged from LBP treatment were randomised to the Buddy-Assisted (health coaching intervention with exercise buddy's support), Individual-Only (health coaching only), or usual care groups. Data were collected at baseline, three and six months. The feasibility of trial's procedures was assessed through recruitment rate (acceptable if &gt;70%), data completion rate (acceptable if ≤ 20% missing data), and follow-up rate (successful if ≥ 85%). The intervention's acceptability was assessed via feedback questionnaires. Preliminary effects on physical activity and other outcomes were also explored.</p></div><div><h3>Results</h3><p>Recruitment and baseline data completion were acceptable. However, data collection and follow-up rates post-randomisation were not. 85% of the Buddy-Assisted Group believed the buddies helped them to increase physical activity and would recommend the intervention. 70% of the Individual-Only and Control groups believed exercise buddies would help them to become further active.</p></div><div><h3>Conclusion</h3><p>The data collection and follow-up approaches were not successful and need amending before a large-scale RCT. Nonetheless, the buddy-assisted intervention was well-accepted. A future RCT will focus on differences in clinical outcomes.</p></div><div><h3>Trial registration</h3><p>The study was registered at the Australian New Zealand Clinical Trial Registry (ACTRN12620001118998).</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000365/pdfft?md5=3bc8a0ee401997382fa5a01ab724ac46&pid=1-s2.0-S2468781224000365-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediators and moderators of a walking intervention to prevent neck pain among high-risk office workers: a secondary analysis of a randomized controlled trial","authors":"Nipaporn Akkarakittichoke ,&nbsp;Mark P. Jensen ,&nbsp;Ekalak Sitthipornvorakul ,&nbsp;Prawit Janwantanakul","doi":"10.1016/j.msksp.2024.102939","DOIUrl":"10.1016/j.msksp.2024.102939","url":null,"abstract":"<div><h3>Objectives</h3><p>To test hypothesized mediators and moderators of the benefits of an app-provided walking intervention for preventing neck pain in high-risk office workers.</p></div><div><h3>Methods</h3><p>Ninety-one office workers at risk for developing neck pain participated in the primary clinical trial. Two hypothesized mediators (the total number of steps taken and the number of days that participants exceed the number of recommended steps) were tested using a smartphone application every month during a 6-month period. Four hypothesized moderators (number of working hours, level of work psychological demands, chair height adjustability, and body mass index) were assessed at baseline. Parallel mediation and moderation analyses were conducted using the Hayes PROCESS macro, model 4 and 1, respectively, with post-hoc Johnson-Neyman techniques.</p></div><div><h3>Results</h3><p>The number of days that participants exceeded the recommended steps ‒ the specific number was tailored to each participant, but averaged 7735 steps/day ‒ mediated the benefits of the walking intervention for reducing the risk for neck pain at each of six assessment points (<em>B's range</em> −0.63 to −0.89, all <em>p</em>'s &lt; 0.05) over 6-month period. None of the hypothesized moderators evidenced statistically significant moderator effects of the walking intervention.</p></div><div><h3>Conclusion</h3><p>Workers should walk at rates greater than recommended levels on as many days as possible, rather than attempt to maximize walking within a limited number of days. Given that the walking program studied appeared to be similarly effective across multiple groups of workers, the findings suggest that regular walking can reduce the risk for developing neck pain among high-risk office workers.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swimming for low back pain: A scoping review","authors":"Deborah M. Wareham ,&nbsp;Joel T. Fuller ,&nbsp;Tayla J. Douglas ,&nbsp;Christopher S. Han ,&nbsp;Mark J. Hancock","doi":"10.1016/j.msksp.2024.102926","DOIUrl":"10.1016/j.msksp.2024.102926","url":null,"abstract":"<div><h3>Background</h3><p>Guidelines recommend exercise for treatment of chronic low back pain and prevention, but the amount and quality of evidence for different exercise modes is highly variable. Swimming is commonly recommended by health professionals, but the extent and quality of research supporting its relationship with back pain is not clear.</p></div><div><h3>Objectives</h3><p>The aim of this scoping review was to map the extent, characteristics and findings of research investigating the relationship between swimming and low back pain.</p></div><div><h3>Design</h3><p>Scoping review.</p></div><div><h3>Method</h3><p>Four electronic databases (MEDLINE, EMBASE, CINAHL, and SPORT Discus) were searched from inception to February 2023. We included primary studies and reviews that reported an association between swimming and low back pain. Hydrotherapy studies were excluded.</p></div><div><h3>Results</h3><p>3093 articles were identified, and 44 studies included. Only one randomised controlled trial and one longitudinal cohort study were included. Most studies were cross-sectional (37/44; 84.1%), included competitive athletes (23/39; 59.0%), and did not primarily focus on the association between swimming and low back pain in the aims (41/44; 93.2%). Instead, most data available were largely incidentally collected or a secondary outcome. The reported associations between swimming and low back pain were highly variable regardless of whether the comparison was to other sports (odds ratio: 0.17 to 17.92) or no sport (odds ratio: 0.54 to 3.01).</p></div><div><h3>Conclusion</h3><p>Most available literature investigating swimming and low back pain is cross-sectional in design. We did not identify any clear pattern of association between swimming and low back pain, based on the available literature.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000213/pdfft?md5=40067160b964cbf27a5998c99d444d71&pid=1-s2.0-S2468781224000213-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilisation and experience of emergency medical services by patients with back pain: A scoping review","authors":"Matt Capsey ,&nbsp;Cormac Ryan ,&nbsp;Jagjit Mankelow ,&nbsp;Denis Martin","doi":"10.1016/j.msksp.2024.102928","DOIUrl":"10.1016/j.msksp.2024.102928","url":null,"abstract":"<div><h3>Background</h3><p>Back pain is recognised as a common reason for people to access emergency medical services (EMS). EMS focus on identifying and treating serious and life-threatening conditions. Back pain frequently has a non-specific cause, however back pain is also a symptom for potentially serious pathology best suited for management by EMS.</p></div><div><h3>Objectives</h3><p>This scoping review explores how and why patients with back pain access EMS, the care provided, and patients' and clinicians’ perceptions of EMS.</p></div><div><h3>Methods</h3><p>The established methodology advocated by the Joanna Briggs Institute was followed. Literature was identified via a comprehensive search of six databases as well as grey literature searching. Data was extracted to form a narrative review supported by summary tables and figures.</p></div><div><h3>Results</h3><p>The review included 144 papers across the last 36 years, with half the papers published since 2018, the majority from the USA and Australia. Rates of back pain presentation range from 1 to 9% depending on the definition used, with the rate of serious pathology higher than in primary care. Patients present due to concerns about their condition, positive perceptions of the care provided by EMS and difficulty in accessing primary care. Imaging and opioids are widely used, blood markers may aid diagnosis of serious pathology, whilst physiotherapists in Emergency Departments may support management of patients without serious pathology.</p></div><div><h3>Conclusions</h3><p>Back pain is a common reason for EMS presentation. Whilst non-specific back pain is the most common diagnosis further research to support the recognition and care of serious cases would be beneficial.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000237/pdfft?md5=ed674e22733608c05a5a666354b0f8b0&pid=1-s2.0-S2468781224000237-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Musculoskeletal physiotherapists’ experiences of using remote consultations during the COVID-19 pandemic: A qualitative study","authors":"Darren Cook,&nbsp;Jennifer Pearson","doi":"10.1016/j.msksp.2024.102930","DOIUrl":"10.1016/j.msksp.2024.102930","url":null,"abstract":"<div><h3>Background</h3><p>The coronavirus (COVID-19) pandemic resulted in the rapid implementation of remote consultations to maintain musculoskeletal physiotherapy services. However, little is known about UK musculoskeletal physiotherapists' experiences of providing services during the COVID-19 pandemic.</p></div><div><h3>Objectives</h3><p>To explore musculoskeletal physiotherapists’ experiences of using remote consultations in one area of England during the COVID-19 pandemic.</p></div><div><h3>Design</h3><p>Qualitative study using hermeneutic phenomenology based on the approach of Gadamer.</p></div><div><h3>Methods</h3><p>Semi-structured interviews with twelve musculoskeletal physiotherapists were conducted online using Microsoft Teams. Data were analysed using frameworks based on the philosophical concepts of Gadamer's hermeneutics.</p></div><div><h3>Findings</h3><p>Musculoskeletal physiotherapists' experience of using remote consultations during the COVID-19 pandemic was framed by three concepts: therapeutic relationship, transformational change, and uncertainty. These concepts are underpinned by four main themes capturing their experiences: (1) Disconnection: Difficulties building a rapport and reduced non-verbal communication affected building an effective therapeutic relationship, (2) Necessity: Transformation of services to remote consultations was positive, although technology and connectivity issues had a negative impact, (3) Loss of control: Diagnostic uncertainty, being unprepared, and experience affected physiotherapists' clinical practice, (4) Protection: Peer support and the use of technology facilitated a feeling of protection for physiotherapists.</p></div><div><h3>Conclusion</h3><p>The findings of this study contribute to a better understanding of musculoskeletal physiotherapists' experience of using remote consultations during the COVID-19 pandemic. Implications for practice include the need to provide training for all musculoskeletal physiotherapists and undergraduates to enable the effective delivery of remote physiotherapy. Furthermore, digital infrastructure should be optimised to support future delivery of remote musculoskeletal physiotherapy services.</p></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468781224000250/pdfft?md5=5459b0b0bb253b7eb2b956430f73c540&pid=1-s2.0-S2468781224000250-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}