492 results match your criteria Musculoskeletal Care[Journal]


Exploring thoughts about pain and pain management: Interviews with South Asian community members in the UK.

Musculoskeletal Care 2019 Apr 17. Epub 2019 Apr 17.

Staffordshire University, Stoke on Trent, UK.

Objective: This research sought to explore the pain management beliefs of members of the South Asian community living in the UK. In particular, their understanding of the key components of cognitive behavioural therapy (CBT) informed pain management programmes (PMPs) was explored.

Methods: Snowball sampling was used to recruit 10 participants from a South Asian background for interview. Read More

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http://dx.doi.org/10.1002/msc.1400DOI Listing
April 2019
1 Read

The skills, knowledge and attributes needed as a first-contact physiotherapist in musculoskeletal healthcare.

Authors:
Neil Langridge

Musculoskeletal Care 2019 Apr 17. Epub 2019 Apr 17.

Lymington Hospital, Lymington, UK.

Objectives: The provision of musculoskeletal assessment and pathway management by physiotherapists in primary care is an expanding innovation within the UK National Health Service. This new model of care is challenging physiotherapists to work in new ways, and so an understanding of these roles is timely and wil contribute to the growing knowledge regarding these practitioners and their impact.

Methods: This qualitative study aimed to improve the understanding of the clinical practice of first-contact clinicians in musculoskeletal healthcare. Read More

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http://dx.doi.org/10.1002/msc.1401DOI Listing

Development of a methotrexate educational guide/information/monitoring booklet for inflammatory arthritis.

Musculoskeletal Care 2019 Apr 17. Epub 2019 Apr 17.

Department of Rheumatology, University Hospital Waterford, Waterford, Ireland.

Introduction: There are over 40,000 people living in Ireland with inflammatory arthritis (IA), a condition that is potentially destructive in nature and can have personal, social and economic consequences. Although we have witnessed dramatic changes in the treatment of IA in the last two decades, methotrexate (MTX) remains the first-line treatment for patients with a diagnosis of IA. Despite the fact that MTX is so commonly prescribed, there is a lack of educational materials both for healthcare professionals (HCPs) and patients. Read More

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http://dx.doi.org/10.1002/msc.1398DOI Listing

Implementation of person-centred practice principles and behaviour change techniques after a 2-day training workshop: A nested case study involving physiotherapists.

Musculoskeletal Care 2019 Apr 12. Epub 2019 Apr 12.

Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

Objectives: The aims of the present study were to determine how well physiotherapists implemented person-centred practice principles and behaviour change techniques after a workshop, and to evaluate whether self-audit of performance differed from audits of an experienced training facilitator.

Methods: Eight physiotherapists each completed a 2-day workshop followed by two telephone consultations with four patients with knee osteoarthritis. The training facilitator audited audio-recordings of all consultations, and therapists self-audited 50% of consultations using a tool comprising: (a) 10 person-centred practice principles rated on a numerical rating scale of 0 (need to work on this) to 10 (doing really well); and (b) seven behaviour change techniques rated with an ordinal scale (using this technique effectively; need to improve skill level; or need to learn how to apply this technique). Read More

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http://dx.doi.org/10.1002/msc.1395DOI Listing
April 2019
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Routine X-rays for suspected frozen shoulder offer little over diagnosis based on history and clinical examination alone.

Musculoskeletal Care 2019 Mar 29. Epub 2019 Mar 29.

Integrated Physiotherapy, Orthopaedic and Pain Service, Samuel Johnson Hospital, Lichfield, UK.

Introduction: Frozen shoulder is a common condition, and current guidelines state that it is a diagnosis of exclusion. Along with a history and clinical examination, routine X-ray is mandated, to rule out any "masquerading" pathology such as fracture, dislocation, metastatic lesions or severe osteoarthritis. Despite the certainty of the guidelines there is a lack of evidence to support the use of routine X-rays in this situation. Read More

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http://dx.doi.org/10.1002/msc.1396DOI Listing
March 2019
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Economic and objective burden of caregiving on informal caregivers of patients with systemic vasculitis.

Musculoskeletal Care 2019 Mar 22. Epub 2019 Mar 22.

Division of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.

Introduction: Systemic vasculitis (SV) is associated with substantial economic impact to patients and the healthcare system but little is known about the burden of SV on informal caregivers. We evaluated the objective caregiving burden experienced by informal caregivers of patients with SV.

Methods: We surveyed adult patients and their informal caregivers on the physical, emotional, social and economic impacts of SV. Read More

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http://dx.doi.org/10.1002/msc.1394DOI Listing

Health-related quality of life in children with early-stage juvenile idiopathic arthritis.

Musculoskeletal Care 2019 Mar 12. Epub 2019 Mar 12.

Department of Pediatrics, Siriraj Hospital, Bangkok, Thailand.

Background: Juvenile idiopathic arthritis (JIA) is a chronic inflammatory disease resulting in physical and psychological disability. This study aimed to measure the health-related quality of life (HRQOL) and identify factors influencing the HRQOL.

Methods: We conducted a cross-sectional study in Thai children with JIA and their parents between January and December 2015, using the Thai version of the Pediatrics Quality of Life (PedsQL) 4. Read More

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http://doi.wiley.com/10.1002/msc.1393
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http://dx.doi.org/10.1002/msc.1393DOI Listing
March 2019
5 Reads

A qualitative study exploring the views of individuals with knee osteoarthritis on the role of physiotherapists in weight management: A complex issue requiring a sophisticated skill set.

Musculoskeletal Care 2019 Mar 1. Epub 2019 Mar 1.

Centre for Health, Exercise and Sports Medicine, University of Melbourne, Parkville, VIC, Australia.

Objectives: The aim of the present study was to explore the attitudes of individuals with knee osteoarthritis (OA) towards the role of physiotherapists in weight management in knee OA.

Methods: The study took the form of a qualitative semi-structured telephone interview study. Participants included 13 purposively sampled individuals with symptomatic knee OA who were overweight or obese by body mass index. Read More

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http://dx.doi.org/10.1002/msc.1391DOI Listing
March 2019
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Experienced barriers in shared decision-making behaviour of orthopaedic surgery residents compared with orthopaedic surgeons.

Musculoskeletal Care 2019 Feb 27. Epub 2019 Feb 27.

School of Health Professions Education, Maastricht University, Maastricht, the Netherlands.

Introduction: In shared decision-making (SDM), physicians encourage the patient to participate in the care process. The theory of planned behaviour describes that behaviour is dependent on intention. In its turn, intention is explained by attitude, subjective norm and perceived behavioural control. Read More

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http://dx.doi.org/10.1002/msc.1390DOI Listing
February 2019

The views of people with joint hypermobility syndrome on its impact, management and the use of patient-reported outcome measures. A thematic analysis of open-ended questionnaire responses.

Musculoskeletal Care 2019 Feb 22. Epub 2019 Feb 22.

Department of Allied Health Professions, Faculty of Health & Applied Sciences, University of the West of England, Bristol, UK.

Introduction: Joint hypermobility syndrome (JHS) has been reported to have widespread impacts on people with the condition. However, our understanding of those impacts is still developing and we do not know if they can be captured effectively using patient-reported outcome measures. The aim of the present study was to explore written qualitative comments from previously administered questionnaires, to identify the impacts of JHS and any issues related to using patient-reported outcome measures to assess those impacts. Read More

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http://dx.doi.org/10.1002/msc.1387DOI Listing
February 2019

Outcomes in the elderly patient following enhanced recovery pathways for elective lower-limb arthroplasty surgery.

Musculoskeletal Care 2019 Feb 22. Epub 2019 Feb 22.

Wrexham Maelor Hospital, Wrexham, UK.

Introduction: Enhanced recovery pathways (ERPs) have been shown to reduce both morbidity and mortality, as well as length of stay, in very elderly patients undergoing joint replacement surgery. However, their impact on patient-reported outcome measures (PROMs) in this vulnerable cohort of patients has not previously been investigated.

Methods: Oxford Hip and Knee Scores were collected pre- and postoperatively for patients undergoing joint replacement surgery at Wrexham Maelor Hospital, along with data on patient demographics. Read More

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http://dx.doi.org/10.1002/msc.1389DOI Listing
February 2019

A preliminary biopsychosocial analysis of online information on causes of neck pain.

Musculoskeletal Care 2019 Feb 14. Epub 2019 Feb 14.

Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Objective: The aim of the present study was to analyse the freely available online information on the causes of neck pain based on the biopsychosocial model of pain.

Methods: A preliminary biopsychosocial analysis tool was developed, after an extensive literature review of the pathoanatomical and psychosocial contributors for neck pain. The websites that commonly appeared after the search term "causes of neck pain" in the first two pages of the search engines (Google, Yahoo and Bing) were selected for the biopsychosocial analysis. Read More

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http://dx.doi.org/10.1002/msc.1388DOI Listing
February 2019

An investigation of healthcare utilization and its association with levels of health literacy in individuals with chronic pain.

Musculoskeletal Care 2019 Feb 14. Epub 2019 Feb 14.

University College Dublin, Dublin, Ireland.

Objective: Chronic pain patients are frequent and recurrent users of health services, which may have an impact on levels of health literacy (HL). Therefore, the aim of the present study was to investigate associations between healthcare utilization and varying levels of HL in individuals with and without chronic pain.

Methods: A cross-sectional questionnaire was distributed in three pain clinics in Dublin, Ireland, comprising a demographic section, a validated HL assessment tool (Newest Vital Sign) and self-reported healthcare utilization in the previous year (i. Read More

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http://dx.doi.org/10.1002/msc.1386DOI Listing
February 2019

Factors associated with physical activity engagement among adults with rheumatoid arthritis: A cross-sectional study.

Musculoskeletal Care 2019 Feb 6. Epub 2019 Feb 6.

Centre for Sports and Exercise Medicine, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Mile End Hospital, London, UK.

Objectives: Physical activity (PA) has a number of benefits for rheumatoid arthritis (RA) patients. However, these patients are more physically inactive than the general population. The primary aim of this study was to investigate factors associated with PA engagement among RA patients. Read More

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http://dx.doi.org/10.1002/msc.1385DOI Listing
February 2019
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Psychologically informed approaches to chronic low back pain: Exploring musculoskeletal physiotherapists' attitudes and beliefs.

Musculoskeletal Care 2019 Jan 30. Epub 2019 Jan 30.

University of Manchester, Manchester, UK, England, United Kingdom.

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http://dx.doi.org/10.1002/msc.1384DOI Listing
January 2019
7 Reads

A lifestyle management programme focused on exercise, diet and physiotherapy support for patients with hip or knee osteoarthritis and a body mass index over 35: A qualitative study.

Musculoskeletal Care 2019 03 24;17(1):145-151. Epub 2019 Jan 24.

North Wales Centre for Primary Care Research, Bangor Institute for Health and Medical Research, Bangor University, Wrexham, UK.

The Lifestyle Management Programme (LMP) is an exercise and weight management programme with physiotherapy support for people with hip or knee osteoarthritis (OA) and a body mass index (BMI) over 35. This qualitative study explored views and experiences of the LMP among patients and professionals, and offers insight for future programmes. Five referring clinicians and six delivering professionals participated in focus groups. Read More

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http://dx.doi.org/10.1002/msc.1382DOI Listing
March 2019
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How do UK physiotherapists address weight loss among individuals with hip osteoarthritis? A mixed-methods study.

Musculoskeletal Care 2019 03 21;17(1):133-144. Epub 2019 Jan 21.

Arthritis Research UK Primary Care Centre, Institute for Primary Care and Health Sciences, Keele University, Newcastle-under-Lyme, England.

Background: Weight loss is recommended as a core treatment for individuals with hip osteoarthritis who are overweight or obese. Physiotherapists play an important role in managing patients with hip osteoarthritis, but little is known about how they address weight. We aimed to explore how UK-based physiotherapists currently address weight loss among individuals with hip OA. Read More

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http://dx.doi.org/10.1002/msc.1383DOI Listing
March 2019
3 Reads

A systematic review with meta-analysis on functional changes associated with neck pain in adolescents.

Musculoskeletal Care 2019 03 10;17(1):23-36. Epub 2019 Jan 10.

School of Health Sciences, University of Aveiro, Aveiro, Portugal.

Background: Neck pain (NP) is highly prevalent in young people, but there has been no systematic review synthetizing the functional changes associated with this in adolescents. The aim of the present study was to identify and assess critically the evidence on the functional changes associated with NP in adolescents, specifically for: (a) posture; (b) postural control; (c) range of motion; (d) proprioception; (e) muscle function; and (f) sensory threshold.

Methods: We searched PubMed, ScienceDirect, Web of Science, PEdro, Scielo, Scopus and Academic Search Premier databases for relevant studies. Read More

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http://dx.doi.org/10.1002/msc.1377DOI Listing
March 2019
2 Reads

Needle placement approach to subacromial injection in patients with subacromial impingement syndrome: A systematic review.

Authors:
Collins Ogbeivor

Musculoskeletal Care 2019 03 8;17(1):13-22. Epub 2019 Jan 8.

Rehabilitation Department, John Hopkins Healthcare Aramco, Dhahran, Kingdom of Saudi Arabia.

Background: Subacromial impingement syndrome (SAIS) is the most common cause of shoulder pain and is costly, in terms of disability and health service provision. Research evidence suggests that, generally, the anterior, lateral and posterior approaches are used by clinicians for subacromial injection. However, it is uncertain which of these approaches is more effective than the other in the management of SAIS. Read More

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http://dx.doi.org/10.1002/msc.1375DOI Listing
March 2019
3 Reads

Obesity, depression and hip pain.

Musculoskeletal Care 2019 03 8;17(1):126-132. Epub 2019 Jan 8.

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, Germany.

Introduction: Up to 64% of the general population reports experiencing chronic pain, with the hip being one of the most frequent sites. An association has been shown between chronic back pain, obesity and depression. To date, a similar association has not been investigated with chronic hip pain. Read More

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http://dx.doi.org/10.1002/msc.1380DOI Listing
March 2019
2 Reads

Patient-reported outcomes use during orthopaedic surgery clinic visits improves the patient experience.

Musculoskeletal Care 2019 03 7;17(1):120-125. Epub 2019 Jan 7.

Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York, USA.

Objectives: The Patient-Reported Outcomes Measurement Information System (PROMIS) is growing in popularity as healthcare shifts towards a value-based system. However, it remains unclear if PROMIS use improves the patient experience. The aim of the present study was to determine if PROMIS use as part of routine orthopaedic clinical care is associated with improved patient experience, as measured by the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) survey. Read More

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http://dx.doi.org/10.1002/msc.1379DOI Listing
March 2019
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Risk of post-traumatic knee osteoarthritis after knee injury in military service members.

Musculoskeletal Care 2019 03 4;17(1):113-119. Epub 2019 Jan 4.

Leidos, San Diego, California, USA.

Purpose: The aims of the present study were: (a) to identify the incidence of osteoarthritis (OA) after a traumatic knee injury; (b) identify the risk of post-traumatic osteoarthritis (PTOA) based on the type of injury; and (c) identify the time from injury to OA diagnosis.

Patients And Methods: The Expeditionary Medical Encounter Database, containing healthcare utilization for all deployment injuries sustained by military service members, was queried for traumatic knee injuries between 2001 and 2016. Subsequent diagnosis of knee OA was identified, defined as PTOA. Read More

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http://doi.wiley.com/10.1002/msc.1378
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http://dx.doi.org/10.1002/msc.1378DOI Listing
March 2019
5 Reads

Nurse telephone education for promoting a treat-to-target approach in recently diagnosed rheumatoid arthritis patients: A pilot project.

Musculoskeletal Care 2019 03 5;17(1):156-160. Epub 2018 Dec 5.

Larner College of Medicine, University of Vermont, Burlington, Vermont, US.

Objective: The aim of the present study was to implement a nurse telephone education programme for patients with recently diagnosed rheumatoid arthritis (RA) that promotes shared decision-making and a treat-to-target approach.

Methods: This was a pilot project of newly diagnosed adult RA patients conducted between November 2015 and December 2016. A rheumatology clinic nurse telephoned patients to offer disease education. Read More

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http://dx.doi.org/10.1002/msc.1376DOI Listing
March 2019
3 Reads

Callers' perceptions of their contact with a rheumatology telephone helpline.

Musculoskeletal Care 2019 03 23;17(1):105-112. Epub 2018 Nov 23.

School of Health and Welfare, Halmstad University, Halmstad, Sweden.

Background: Telephone helplines are useful for improving patients' access to healthcare services and reducing the need for frequent face-to-face contact with healthcare professionals. Little is known about how people who phone a helpline perceive the encounter.

Objectives: The aims of the present study were to describe the variation in how callers perceive their encounter with a rheumatology telephone helpline. Read More

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http://dx.doi.org/10.1002/msc.1374DOI Listing
March 2019
17 Reads

The perspectives of physiotherapists on managing nonspecific low back pain following a training programme in cognitive functional therapy: A qualitative study.

Musculoskeletal Care 2019 03 23;17(1):79-90. Epub 2018 Nov 23.

Department of Surgery and Cancer, Imperial College London, London, UK.

Background: It has long been acknowledged that nonspecific chronic low back pain (NSCLBP) is associated with a complex combination of biopsychosocial (BPS) factors, and recent guidelines advocate that the management of back pain should reflect this multidimensional complexity. Cognitive functional therapy (CFT) is a behaviourally oriented intervention that targets patients' individual BPS profiles. Although the efficacy of CFT has been demonstrated in primary care, little evidence exists about the training requirements of this approach. Read More

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http://dx.doi.org/10.1002/msc.1370DOI Listing
March 2019
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"I actually just really need to stop work sometimes": Exploring fatigue-related barriers to employment among people with rheumatic diseases.

Musculoskeletal Care 2019 03 23;17(1):97-104. Epub 2018 Nov 23.

Department of Psychology, University of Otago, Dunedin, Aotearoa/New Zealand.

Purpose: Fatigue is a common symptom of many rheumatic diseases (RDs), but more research is needed to explore the experience of fatigue and its impact on employment among people with RDs. The aim of the present study was to investigate experiences of fatigue, its impact on employment and strategies that people with RD use to continue working.

Method: Semi-structured in-depth interviews were conducted with five participants with a range of RDs living in New Zealand (three women, two men; aged 45-64 years). Read More

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http://dx.doi.org/10.1002/msc.1373DOI Listing
March 2019
8 Reads

Evaluation of the effect of foot disease activity on Boolean remission in Japanese patients with rheumatoid arthritis: A cross-sectional study.

Musculoskeletal Care 2019 03 12;17(1):152-155. Epub 2018 Nov 12.

Tokyo National Hospital, National Hospital Organization, Tokyo, Japan.

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http://dx.doi.org/10.1002/msc.1371DOI Listing
March 2019
3 Reads

Developing a surgeon-patient communication checklist for total knee arthroplasty.

Musculoskeletal Care 2019 03 12;17(1):91-96. Epub 2018 Nov 12.

Orthopaedic Unit, The Moncton Hospital, Moncton, New Brunswick, Canada.

Background: Total knee arthroplasty (TKA) is a well-established surgical procedure with high rates of clinical success, yet up to 20% of patients are dissatisfied with their outcomes. Surgeon-patient communication is an important contributor to patient satisfaction, particularly in the area of setting or resetting postoperative expectations that are reasonable and achievable for individual patients.

Objective: The goal of the present research was to develop a communication checklist for surgeons to use with their patients, to enhance communication in order better to manage postoperative expectations and increase patient satisfaction with TKA. Read More

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http://doi.wiley.com/10.1002/msc.1372
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http://dx.doi.org/10.1002/msc.1372DOI Listing
March 2019
14 Reads

A qualitative study of the experiences and perceptions of adults with chronic musculoskeletal conditions following a 12-week Pilates exercise programme.

Musculoskeletal Care 2019 03 6;17(1):54-62. Epub 2018 Nov 6.

Brian Blatchford Building, University of Salford, Salford, UK.

Introduction: The aim of the present study was to explore the experiences and perceptions of adult patients with chronic musculoskeletal conditions following a Pilates exercise programme. A qualitative approach was taken to both data collection and analysis, with alignment to the philosophy of interpretive phenomenology. Participants included 15 women and seven men with a range of chronic musculoskeletal conditions, including nonspecific low back pain, peripheral joint osteoarthritis and a range of postsurgical conditions. Read More

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http://doi.wiley.com/10.1002/msc.1365
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http://dx.doi.org/10.1002/msc.1365DOI Listing
March 2019
14 Reads

Dose reduction of biologic therapy in inflammatory arthritis: A qualitative study of patients' perceptions and needs.

Musculoskeletal Care 2019 03 6;17(1):63-71. Epub 2018 Nov 6.

Rheumatology Unit, North Bristol NHS Trust, Bristol, UK.

Objective: Successful biologic disease-modifying anti-rheumatic drug (bDMARD) dose reduction appears increasingly possible from clinical trials. The present study aimed to understand the patient perspective of bDMARD dose reduction.

Methods: Patients with rheumatoid arthritis, ankylosing spondylitis or psoriatic arthritis who were self-administering subcutaneous bDMARDs therapy at two National Health Service trusts participated in semi-structured interviews. Read More

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http://dx.doi.org/10.1002/msc.1367DOI Listing
March 2019
24 Reads

A single session of visual feedback improves range of motion in patients with chronic idiopathic neck pain: A randomized and controlled study.

Musculoskeletal Care 2019 03 31;17(1):72-78. Epub 2018 Oct 31.

School of Health Sciences, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.

Introduction: Chronic pain is associated with cortical reorganization, and interventions targeting cortical remapping, such as visual feedback of the painful body segment, seem promising. The primary aim of the present study was to evaluate the impact of visual feedback of the neck, using mirrors on pain intensity. Secondary aims were to evaluate the impact of visual feedback on neck range of motion and unadjusted cognitive processes. Read More

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http://doi.wiley.com/10.1002/msc.1369
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http://dx.doi.org/10.1002/msc.1369DOI Listing
March 2019
2 Reads

A retrospective analysis of postrehabilitation outcomes following total knee arthroplasty.

Musculoskeletal Care 2019 03 25;17(1):37-43. Epub 2018 Oct 25.

Regina Qu'Appelle Health Region, Regina, Canada.

Background And Purpose: Total knee arthroplasty (TKA) is one of the most frequently performed orthopaedic procedures in Canada. Despite the frequency at which TKAs are performed, few studies have examined the association between postoperative outcomes and long-term functional outcomes following group-based rehabilitation in Canada. The primary objective of the present study was to examine changes in flexion and extension from intake to discharge from rehabilitation in patients in Saskatchewan, Canada. Read More

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http://doi.wiley.com/10.1002/msc.1352
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http://dx.doi.org/10.1002/msc.1352DOI Listing
March 2019
13 Reads

Is it time to screen for osteoarthritis?

Musculoskeletal Care 2018 Oct 23. Epub 2018 Oct 23.

Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore.

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http://dx.doi.org/10.1002/msc.1368DOI Listing
October 2018
2 Reads

Fibromyalgia and myofascial pain syndrome: Two sides of the same coin? A scoping review to determine the lexicon of the current diagnostic criteria.

Musculoskeletal Care 2019 03 23;17(1):3-12. Epub 2018 Oct 23.

Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, Canada.

Objective: Consistent terminology to describe the diagnostic criteria for fibromyalgia (FM) and myofascial pain syndrome (MPS) is required to address the reported inadequacies in diagnosis. The present review investigated intervention studies in FM and MPS populations to determine the lexicon of the current diagnostic criteria used to identify chronic musculoskeletal pain patients.

Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a scoping review to review systematically the literature obtained from five scientific databases between 1997 and February 2017. Read More

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http://dx.doi.org/10.1002/msc.1366DOI Listing
March 2019
4 Reads

Treatment adherence in systemic sclerosis: A cross-sectional study.

Musculoskeletal Care 2019 03 9;17(1):44-53. Epub 2018 Oct 9.

Department of Rheumatology, University Hospitals Leuven, KU Leuven, Belgium.

Background: Treatment adherence is an important medical and pharmaco-economical phenomenon, influenced by multiple variables. Treatment adherence in systemic sclerosis (SSc) has been poorly studied.

Objective: The aim of the present study was to assess treatment adherence in SSc patients and to identify factors associated with good and poor adherence. Read More

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http://doi.wiley.com/10.1002/msc.1363
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http://dx.doi.org/10.1002/msc.1363DOI Listing
March 2019
6 Reads

Measurements of self-efficacy in musculoskeletal rehabilitation: A systematic review.

Musculoskeletal Care 2018 12 20;16(4):471-488. Epub 2018 Sep 20.

Department of Rehabilitation Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky, USA.

Objectives: Low self-efficacy is a barrier to rehabilitation adherence. Before an intervention can be implemented to improve self-efficacy, assessment is required. It is currently unknown if a standard measure of self-efficacy has been used to assess this in patients with musculoskeletal conditions, specifically for home exercise programmes (HEPs). Read More

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http://dx.doi.org/10.1002/msc.1362DOI Listing
December 2018
5 Reads

Medication taking in people with hip and knee osteoarthritis: An analysis of the English Longitudinal Study of Ageing.

Musculoskeletal Care 2018 12 30;16(4):450-457. Epub 2018 Aug 30.

School of Pharmacy, University of East Anglia, Norwich, UK.

Objectives: Osteoarthritis (OA) is a highly prevalent condition seen across primary care services. Although evidence-based guidelines have encouraged the prescription of medications, including analgesics, for this population, there remains uncertainty as to which types of individuals actually take prescribed or over-the-counter medications. The purpose of the present study was to determine whether there is a difference in characteristics between people who take medicines for OA compared with those who do not. Read More

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http://dx.doi.org/10.1002/msc.1359DOI Listing
December 2018
41 Reads

An exploration of the experiences of rheumatology nurses counselling patients on methotrexate therapy.

Musculoskeletal Care 2018 12 30;16(4):463-470. Epub 2018 Aug 30.

Department of Research and Development, Northumbria Healthcare NHS Foundation Trust, UK.

Objectives: Methotrexate is commonly used to treat patients with inflammatory arthritis. A key role of a rheumatology nurse is to educate patients on how to take this drug safely prior to the commencement of treatment. The objective of the present study was to explore the experiences of rheumatology nurses conducting this role, focusing on the content of the consultation and training received to perform the role. Read More

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http://dx.doi.org/10.1002/msc.1361DOI Listing
December 2018
3 Reads

Patient self-reported utility of hand surgery online patient education materials.

Musculoskeletal Care 2018 12 30;16(4):458-462. Epub 2018 Aug 30.

Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Objective: Online patient education materials in orthopaedic surgery are consistently written above the recommended grade level. However, no algorithmic measure of readability has been validated in a medical context. The primary objective of the present study was to determine whether Flesch-Kincaid readability scores correlate with patient self-reported utility of online education materials from the American Society for Surgery of the Hand (ASSH). Read More

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http://doi.wiley.com/10.1002/msc.1360
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http://dx.doi.org/10.1002/msc.1360DOI Listing
December 2018
4 Reads

Advanced musculoskeletal physiotherapy: Barriers and enablers to multi-site implementation.

Musculoskeletal Care 2018 12 16;16(4):440-449. Epub 2018 Aug 16.

Department of Physiotherapy, Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3052, Australia.

Objectives: Advanced musculoskeletal physiotherapy (AMP) services are a safe, effective model of care, but without broad-scale healthcare implementation to date. The aim of the present study was to identify the barriers and enablers to implementation of 12 AMP services from the perspective of clinical staff.

Methods: In a qualitative study, 12 participants (physiotherapists), from 12 different healthcare networks (seven metropolitan, three regional, two rural), were included. Read More

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http://doi.wiley.com/10.1002/msc.1358
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http://dx.doi.org/10.1002/msc.1358DOI Listing
December 2018
28 Reads

An evaluation of diagnostic agreement rates between advanced practice physiotherapists and paediatric orthopaedic consultants for children with musculoskeletal complaints.

Musculoskeletal Care 2018 12 15;16(4):433-439. Epub 2018 Aug 15.

UCD School of Public Health, Physiotherapy and Sport Science, University College Dublin (UCD), Dublin, Ireland.

Purpose: The purpose of the present study was to establish diagnostic agreement rates between orthopaedic consultants and advanced practice physiotherapists (APPs) for paediatric orthopaedic patients, examine the appropriateness of referrals by APPs to consultants and report on the surgical conversion rate (SCR).

Methods: A retrospective review of all patients referred from an APP clinic to orthopaedic consultants was conducted for 2013, with a 3-year longitudinal follow-up through to the end of 2016. Study participants were two APPs and four orthopaedic consultants at a single site. Read More

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http://dx.doi.org/10.1002/msc.1357DOI Listing
December 2018
16 Reads

Promoting self-management in older people with arthritis: Preliminary findings of the Northern Ireland Staying Connected Programme.

Musculoskeletal Care 2018 12 9;16(4):489-493. Epub 2018 Jul 9.

Leeds Institute of Rheumatic & Musculoskeletal Medicine & NIHR Leeds Biomedical Research Centre, University of Leeds, Leeds, UK.

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https://onlinelibrary.wiley.com/doi/abs/10.1002/msc.1353
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http://dx.doi.org/10.1002/msc.1353DOI Listing
December 2018
5 Reads

The accessibility and usability of an Australian web-based self-management programme for people with lower health literacy and joint pain in the UK: A qualitative interview study.

Musculoskeletal Care 2018 12 4;16(4):500-504. Epub 2018 Jul 4.

Faculty of Health Sciences, Southampton University, 104 Burgess Rd, Southampton, England, UK, SO17 1BJ.

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http://dx.doi.org/10.1002/msc.1355DOI Listing
December 2018
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Securely collecting multidimensional health information from patients with rheumatoid arthritis using smart device technology: Beneficial effect for physicians and patients.

Musculoskeletal Care 2018 12 28;16(4):494-499. Epub 2018 Jun 28.

Department of Internal Medicine and Rheumatology, Juntendo University Urayasu Hospital, Chiba, Japan.

Aim: A challenge to the medical care of patients with rheumatoid arthritis (RA) is the management of the wide variety of information, including medication history and disease status, obtained from multiple sources to inform treatment decisions. To address this important clinical issue, we developed a data management system, based on smart device technology, and evaluated the benefit of this information to medical experts in helping them to form an impression of patients' health and disease, and treatment status before examination.

Methods: Fifty-seven patients with RA input relevant information about their condition and responses to a self-report health assessment questionnaire into a smart device template before their scheduled examination. Read More

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http://dx.doi.org/10.1002/msc.1354DOI Listing
December 2018
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Advanced musculoskeletal physiotherapy practice in Ireland: A National Survey.

Musculoskeletal Care 2018 12 21;16(4):425-432. Epub 2018 Jun 21.

School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.

Background: Since 2011, advanced practice physiotherapists (APPs) have triaged the care of patients awaiting orthopaedic and rheumatology consultant/specialist doctor appointments in Ireland. APP services have evolved across the major hospitals (n = 16) and, after 5 years, profiling and evaluation of APP services was warranted. The present study profiled the national musculoskeletal APP services, focusing on service, clinician and patient outcome factors. Read More

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http://dx.doi.org/10.1002/msc.1351DOI Listing
December 2018
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Are measures of pain sensitivity associated with pain and disability at 12-month follow up in chronic neck pain?

Musculoskeletal Care 2018 12 14;16(4):415-424. Epub 2018 Jun 14.

Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia.

Objectives: Pain sensitivity and psychosocial issues are prognostic of poor outcome in acute neck disorders. However, knowledge of associations between pain sensitivity and ongoing pain and disability in chronic neck pain are lacking. We aimed to investigate associations of pain sensitivity with pain and disability at the 12-month follow-up in people with chronic neck pain. Read More

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http://dx.doi.org/10.1002/msc.1247DOI Listing
December 2018
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Patients' experiences of frequent encounters with a rheumatology nurse-A tight control study including patients with rheumatoid arthritis.

Musculoskeletal Care 2018 06 28;16(2):305-312. Epub 2018 May 28.

Research and Development Department at Region Halland, Halmstad, Sweden.

Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease that is treated with both pharmacological and nonpharmacological methods. The treatment works well for patients who are knowledgeable about their disease and situation. However, this may be different for others as, among other things, it depends on how well informed the patients are in relation to their condition. Read More

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http://dx.doi.org/10.1002/msc.1348DOI Listing
June 2018
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Effects of postural taping on pain, function and quality of life following osteoporotic vertebral fractures-A feasibility trial.

Musculoskeletal Care 2018 09 28;16(3):345-352. Epub 2018 May 28.

Musculoskeletal Research Unit, University of Bristol, Southmead Hospital, Bristol, UK.

Objective: Osteoporotic vertebral fractures (OVFs) are common and present a significant burden to patients and healthcare services. Poor posture can increase vertebral pressure, pain and the risk of further fractures. The aim of the present study was to investigate the effects of postural taping on pain, function and quality of life when used in addition to usual care. Read More

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http://dx.doi.org/10.1002/msc.1350DOI Listing
September 2018
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Initial derivation of diagnostic clusters combining history elements and physical examination tests for symptomatic knee osteoarthritis.

Musculoskeletal Care 2018 09 21;16(3):370-379. Epub 2018 May 21.

School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, QC, Canada.

Introduction: The aim of the present study was to assess the validity of clusters combining history elements and physical examination tests to diagnose symptomatic knee osteoarthritis (SOA) compared with other knee disorders.

Methods: This was a prospective diagnostic accuracy study, in which 279 consecutive patients consulting for a knee complaint were assessed. History elements and standardized physical examination tests were obtained independently by a physiotherapist and compared with an expert physician's composite diagnosis, including clinical examination and imaging. Read More

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http://dx.doi.org/10.1002/msc.1245DOI Listing
September 2018
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Reliability of the Animated Activity Questionnaire for assessing activity limitations of patients with hip and knee osteoarthritis.

Musculoskeletal Care 2018 09 17;16(3):363-369. Epub 2018 May 17.

Department of Epidemiology and Biostatistics and the Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, the Netherlands.

Objective: The aim of the study was to determine the internal consistency, test-retest reliability and measurement error of the Animated Activity Questionnaire (AAQ) for assessing activity limitations in hip and knee osteoarthritis (HKOA) patients.

Methods: A total of 1,177 patients, from six countries (the Netherlands, UK, France, Denmark, Italy and Spain), completed the AAQ, a questionnaire consisting of videos displaying 17 activities with 3-5 levels of performance, from which patients choose the video that best matches their own performance. Unidimensionality was assessed by means of confirmatory factor analysis (CFA), using the following fit indices: the Tucker-Lewis index (TFI) >0. Read More

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http://dx.doi.org/10.1002/msc.1349DOI Listing
September 2018
5 Reads