Articles récents
Is therapeutic exercise as a standalone intervention effective in reducing kinesiophobia in adults with nonspecific chronic low back pain? A systematic review and meta-analysis with meta-regression
Melania Cardellat-González, Jose A Moral-Munoz, Alejandro Cuevas-Moreno, Luis González-Gómez, Laura Blanco-Heras, Álvaro-José Rodríguez-Domínguez
PURPOSE. Kinesiophobia is a psychosocial factor associated with pain persistence and disability in individuals with nonspecific chronic low back pain (NSCLBP). Although exercise therapy is commonly recommended, its isolated effect on kinesiophobia remains unclear. This systematic review and meta-analysis aimed to evalu…
Attitudes, perceptions and barriers around evidence-based practice in sports physiotherapy in Kenya
Thomas K Mwololo, Benita Olivier, Wallace M Karuguti, Joseph M Matheri
BACKGROUND. Healthcare practitioners are required to integrate clinical experience with the best research evidence for the benefit of the patient. OBJECTIVE. Determine the attitudes, perceptions and barriers regarding evidence-based practice (EBP) in sports physiotherapy in Kenya. METHOD. A quantitative crosssectional …
How to keep up to date with medical information using web-based resources: a systematised review and narrative synthesis
Konstantinos I Bougioukas, Emmanouil C Bouras, Konstantinos I Avgerinos, Theodore Dardavessis, Anna-Bettina Haidich
BACKGROUND. Keeping up to date with the latest medical information using Web-based resources has been sparsely described, and a comprehensive up-to-date review is needed. OBJECTIVES. To summarise the Web-based 'channels' that may assist the actors of the health care system (clinicians, medical researchers and students)…
Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials.
Searle A, Spink M, Ho A, Chuter V
OBJECTIVE. To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatments. DATA SOURCES. A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus, PsycINFO and The Cochrane Library was conducted up to October 2014. REVIEW METHODS. Databases…
Effects of compression at myofascial trigger points in patients with acute low back pain: A randomized controlled trial.
Takamoto K, Bito I, Urakawa S, Sakai S, Kigawa M, Ono T, Nishijo H
BACKGROUND. Although there is some evidence that massage therapy, especially compression at myofascial trigger points (MTrPs), is effective for sub-acute and chronic low back pain, the effectiveness of massage therapy with compression at MTrPs for acute low back pain has not been studied. METHODS. To evaluate the effec…
Effective implementation of research into practice: an overview of systematic reviews of the health literature
Annette Boaz, Juan Baeza, Alec Fraser
BACKGROUND. The gap between research findings and clinical practice is well documented and a range of interventions has been developed to increase the implementation of research into clinical practice. FINDINGS. A review of systematic reviews of the effectiveness of interventions designed to increase the use of researc…
Current state of evidence-based practice in clinical physiotherapy
Ronel Roos
UNLABELLED. Evidence-based practice (EBP) is a process that a clinician undertakes, implementing his or her clinical expertise while collaborating with the patient or client in the sociocultural context of care using the best available research evidence to inform practice. The approach has evolved over time in relation…
The association between risk of bias and effect sizes of spinal manipulative therapy in low back pain trials: meta-epidemiological protocol
Justine Tilborghs, Annemarie de Zoete, Michiel de Boer, Tiziano Innocenti, Javier Muñoz Laguna, Bayden J McKenzie, Raymond Ostelo, Casper Nim, Jan Hartvigsen, Sidney M Rubinstein
UNLABELLED. Systematic error undermines the internal validity of randomized controlled trials (RCTs). Elucidating how risk of bias (RoB) domains distort effect estimates strengthens evidence trustworthiness. Low back pain (LBP) research provides a representative field for this investigation, with spinal manipulative th…
Efficacy of exercise-based interventions for pain intensity in children and adolescents with nonspecific chronic low back pain: a systematic review with meta-analysis.
Jiang Z, Hou Y, Sun Y
BACKGROUND. Exercise interventions represent a widespread approach for managing nonspecific chronic low back pain (CLBP) in pediatric and adolescent populations, either as standalone treatments or in combination with supplementary therapies. However, the magnitude of their impact on pain severity has not been systemati…
Perceived impact of physiotherapy-related debates on the social platform "X" on physiotherapists' professional development and knowledge acquisition: a cross-sectional study
Maryam Alasfour, Zainab Lajami, Abdullah Algashami
BACKGROUND. In Saudi Arabia, the social media platform "X" (formerly known as "Twitter") is widely utilized by healthcare professionals. This study aimed to assess the perceived impact of physiotherapy-related debates on X on the professional development and knowledge acquisition of physiotherapists. METHODS. A cross-s…
Evidence for a shift towards a proinflammatory/pronociceptive signature of gut dysbiosis in patients with axial chronic low back pain: A preliminary cross-sectional analysis
Anitha Saravanan, Jinbing Bai, Prempreet Bajaj, Mark Khemmani, Adriana Rodriguez, Sonali Choudhury, Alan J Wolfe, Erin E Young
Nonspecific or axial-chronic low back pain is not attributed to specific pathology yet accounts for 80%- 90% of all chronic low back pain cases and is a major cause of disability affecting one in four adults with treatment costs and lost wages totaling $100-200 billion. Despite its prevalence, there is a knowledge gap …
Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions
Laura Scurlock-Evans, Penney Upton, Dominic Upton
BACKGROUND. Despite clear benefits of the Evidence-Based Practice (EBP) approach to ensuring quality and consistency of care, its uptake within physiotherapy has been inconsistent. OBJECTIVES. Synthesise the findings of research into EBP barriers, facilitators and interventions in physiotherapy and identify methods of …
Lowback Pain Management with a Combination of Uridine Triphosphate, Cytidine Monophosphate, and Hydroxocobalamin: A Systematic Review and Meta-Analysis
Marco Antonio N Mibielli, Mendel Suchmacher, Mauro Geller, Spyros G E Mezitis, Carlos P Nunes, Aline Sintoveter
Low back pain is a common complaint. This syndrome comprehends different underlying mechanisms, which are difficult to differentiate in a timely manner only through semiotic, laboratory, and imaging resources available in an emergency setting. Such circumstances make practitioners prone to an initial symptomatic approa…
Towards an Artificially Empathic Conversational Agent for Mental Health Applications: System Design and User Perceptions
Robert R Morris, Kareem Kouddous, Rohan Kshirsagar, Stephen M Schueller
BACKGROUND. Conversational agents cannot yet express empathy in nuanced ways that account for the unique circumstances of the user. Agents that possess this faculty could be used to enhance digital mental health interventions. OBJECTIVE. We sought to design a conversational agent that could express empathic support in …
Keeping up with evidence-based recommendations - a qualitative interview study with general practitioners in Germany on information-seeking behaviour in cardiovascular care
Christine Arnold, Patrick Hennrich, Michel Wensing, Charlotte Ullrich
BACKGROUND. Due to the nature of their work, general practitioners (GPs) need to be up to date with evidence in various medical domains. While much synthesised research evidence is easily accessible nowadays, in practice, the time to search for and review this evidence proposes a challenge. In German primary care, the …
"A great tool to open your eyes": new graduate physiotherapists' perceptions and use of social media for learning
Tsz Wun Ma, Letizia Leung, Romany Martin, Allison Mandrusiak, Roma Forbes
BACKGROUND. Social media offer opportunities for informal learning and are increasingly adopted by health professionals as learning tools. However, little is known of how new graduate physiotherapists engage with social media for learning. PURPOSE. This study aimed to explore new graduate physiotherapists' perceptions …
'It depends': what 86 systematic reviews tell us about what strategies to use to support the use of research in clinical practice
Annette Boaz, Juan Baeza, Alec Fraser, Erik Persson
BACKGROUND. The gap between research findings and clinical practice is well documented and a range of strategies have been developed to support the implementation of research into clinical practice. The objective of this study was to update and extend two previous reviews of systematic reviews of strategies designed to…
Evidence-Based Conservative Treatment Strategies for Lumbar Radiculopathy: A Systematic Review
Aishwarya P Shinde, Akshaya V Joshi, Sandeep B Shinde, Mebin S Thomas
Lumbar radiculopathy is a prevalent and debilitating spinal condition that causes severe pain, functional impairment, and diminished quality of life. Although conservative treatments are widely recommended as first-line management, establishing their comparative effectiveness remains challenging due to substantial hete…
Preoperative fasting guidelines: A narrative review
Maud De Meyer, Carolina S Romero, Marc Van de Velde
Preoperative fasting has long been a cornerstone of perioperative care, primarily aimed at minimising the risk of pulmonary aspiration during anaesthesia. The historical 'nil per os from midnight' policy, once universally adopted, has undergone considerable re-evaluation in recent decades. Growing evidence supporting t…
Fascial Manipulation® for chronic aspecific low back pain: a single blinded randomized controlled trial
Mirco Branchini, Francesca Lopopolo, Ernesto Andreoli, Ivano Loreti, Aurélie M Marchand, Antonio Stecco
BACKGROUND. The therapeutic approach to chronic aspecific low back pain (CALBP) has to consider the multifactorial aetiology of the disorder. International guidelines do not agree on unequivocal treatment indications. Recommendations for fascial therapy are few and of low level evidence but several studies indicate str…
Clinical Efficacy Evaluation of Tuina Combined Medicated Oil in the Treatment of Nonspecific Low Back Pain: Protocol for a Randomized Controlled Trial.
Yuan M, Guo G, Wang S, Yao F, Wang G, Xu H
BACKGROUND. Nonspecific low back pain (NSLBP) is a significant global public health concern that affects the health and well-being of individuals across different age groups, limiting their daily activities and reducing their quality of life. As Tuina (Chinese therapeutic massage) therapy and medicated oil are widely u…
Effectiveness of fascial manipulation on pain and disability in musculoskeletal conditions. A systematic review.
Arumugam K, Harikesavan K
OBJECTIVE. To review the effectiveness of Stecco's fascial manipulation technique in patients with musculoskeletal pain. DESIGN. Systematic review of interventional studies. METHODS. A systematic search of literatures was performed in the electronic databases: PubMed, Cochrane, Scopus, ScienceDirect, and Ovid from Janu…
Evidence-Based Physiotherapy Practice in Paediatric Subdiscipline: A Cross-Sectional Study in Saudi Arabia
Mshari Alghadier, Ragab K Elnaggar, Muneera I Alasraj, Najwa Khan, Aseil Almeiman, Reem Albesher
This cross-sectional study explored the behaviour, knowledge, skills and resources, opinion, and perceived barriers of paediatric physiotherapists practising in Saudi Arabia regarding evidence-based practice (EBP). Sixty-eight paediatric physiotherapists from Saudi Arabia participated. Data were collected by electronic…
Internet use for information seeking in clinical practice: a cross-sectional survey among French general practitioners
Erik Bernard, Michel Arnould, Olivier Saint-Lary, Didier Duhot, Gilles Hebbrecht
BACKGROUND. Medical information needs regarding patient care are particularly large for general practitioners (GPs). The Internet seems to be a relevant but underused tool to seek medical information. OBJECTIVE. We aimed to describe the characteristics of the French GPs using the Internet for information seeking, to id…
Evidence-based practice among physiotherapists in India: a nationwide survey of knowledge, attitude, and implementation behavior
Mohammad Sidiq, Jyoti Sharma, Balamurugan Janakiraman, Faizan Kashoo, Aksh Chahal, Ruchi Varshney, Sumbul Ansari, Akriti Pandey, Richa Hirendra Rai, Abdulqader Khormi, Imran Khan, Mohammed M Alshehri, Monira I Aldhahi
BACKGROUND. Physiotherapy services are often integrated within the broader healthcare system in India. Unlike in developed countries, physiotherapy is still limited to indirect access and needs a referral from other healthcare providers, which potentially limits physiotherapists. The purpose of this study was to explor…
Readiness and Implementation of Evidence-Based Practice Among Physiotherapists: A Cross-Sectional Study and Evidence-Based Practice Questionnaire Validation
Christi Ojaste, Jarek Mäestu, Kadri Medijainen
Background/Objectives: Evidence-based practice (EBP) is a core competence in physiotherapy, yet its implementation in routine clinical practice remains inconsistent. This study aimed to describe self-reported EBP competencies among physiotherapists and to examine factors associated with daily EBP and readiness to imple…
The "Health Benefit Basket" in France
Martine M Bellanger, Veneta Cherilova, Valérie Paris
The French "Health Benefit Basket" is defined principally by positive lists of reimbursed goods and services; however, global budget-financed hospital-delivered services are more implicitly defined. The range of reimbursable curative care services is defined by two coexisting positive lists/fee schedules: the Classific…
Redesigning Journal Clubs to Staying Current with the Literature
Roland N Dickerson, G Christopher Wood, Joseph M Swanson, Rex O Brown
Staying current with the literature is of paramount importance to the pharmacist engaged in an evidence-based clinical practice. Given the expanding roles and responsibilities of today's pharmacists combined with exponential growth in new medical and health sciences literature, staying current has become an extremely d…
Effects of a home-based telerehabilitation exercise program in non-specific chronic low back pain: Integration of clinical scales and wearable sensor assessment
F Caramia, L Pérez-Espallargas, E D'Angelantonio, L Lucangeli, D Lapuente-Hernández, V Camomilla, P Herrero
BACKGROUND. Non-specific chronic low back pain (NSCLBP) is a multifactorial condition associated with disability and reduced quality of life. Telerehabilitation may enhance access to exercise-based care; however, existing evidence is heterogeneous, and objective outcome assessments are often limited. METHODS. This stud…
The Influence of Standing-Induced Low Back Pain on Spatiotemporal Gait Variables and Trunk-Pelvis Kinematics
Kaitlin M Gallagher, Abigail C Schmitt, Erika Nelson-Wong, Samantha Throckmorton, Kailee Aston, Gary Austin
Standing-induced low back pain (LBP), wherein individuals with no LBP history report pain during prolonged standing, can be prevented by altered lumbopelvic posture and/or increased movement. Walking breaks can reduce standing-induced LBP. Although LBP and walking are typically studied in the context of chronic pain, t…
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