Articles récents
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 …
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…
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…
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 …
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…
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…
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…
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…
Information-seeking behaviour of primary care clinicians in Singapore at the point-of-care: A qualitative study
Mauricette Moling Lee, Wern Ee Tang, Helen Elizabeth Smith, Lorainne Tudor Car
BACKGROUND. Clinicians' information-seeking behaviours impact patient care quality. Earlier studies indicated that barriers to accessing information deter clinicians from seeking answers to clinical questions. OBJECTIVES. To explore primary care clinicians' information-seeking behaviour at point-of-care, focusing on wh…
Information-seeking behaviour of primary care clinicians in Singapore at the point-of-care: A qualitative study
Mauricette Moling Lee, Wern Ee Tang, Helen Elizabeth Smith, Lorainne Tudor Car
BACKGROUND. Clinicians' information-seeking behaviours impact patient care quality. Earlier studies indicated that barriers to accessing information deter clinicians from seeking answers to clinical questions. OBJECTIVES. To explore primary care clinicians' information-seeking behaviour at point-of-care, focusing on wh…
Transforming academic medicine through social media: why isn't it working for me?
Kikelomo Babata, Daniel O'Reilly, Damian Roland
Physicians significantly underutilize social media despite its potential for global medical communication and public education. Purposeful use of social media-with strategic content, optimized timing, and platform-specific approaches-can dramatically improve research dissemination and clinical influence. We outline cha…
Evidence-based physiotherapy and the use of PEDro: Re: Condon C, McGrane N, Mockler D, et al. Ability of physiotherapists to undertake evidence-based practice steps: a scoping review
Matthew L Stevens, Anne M Moseley, Mark R Elkins, Chung-Wei C Lin, Chris G Maher
Résumé non disponible.
Evidence-based physiotherapy and the use of PEDro: Re: Condon C, McGrane N, Mockler D, et al. Ability of physiotherapists to undertake evidence-based practice steps: a scoping review
Matthew L Stevens, Anne M Moseley, Mark R Elkins, Chung-Wei C Lin, Chris G Maher
Résumé non disponible.
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…
Progress in evidence-based medicine: a quarter century on
Benjamin Djulbegovic, Gordon H Guyatt
In response to limitations in the understanding and use of published evidence, evidence-based medicine (EBM) began as a movement in the early 1990s. EBM's initial focus was on educating clinicians in the understanding and use of published literature to optimise clinical care, including the science of systematic reviews…
Low back pain: what is the long-term course? A review of studies of general patient populations
Lise Hestbaek, Charlotte Leboeuf-Yde, Claus Manniche
It is often claimed that up to 90% of low back pain (LBP) episodes resolve spontaneously within 1 month. However, the literature in this area is confusing due to considerable variations regarding the exact definitions of LBP as well as recovery. Therefore, the claim--attractive as it might be to some--may not reflect r…
Promoting physical therapists' use of research evidence to inform clinical practice: part 2--a mixed methods evaluation of the PEAK program
Julie K Tilson, Sharon Mickan, Jonathan C Sum, Maria Zibell, Jacquelyn M Dylla, Robbin Howard
BACKGROUND. Clinicians need innovative educational programs to enhance their capacity for using research evidence to inform clinical decision-making. This paper and its companion paper introduce the Physical therapist-driven Education for Actionable Knowledge translation (PEAK) program, an educational program designed …
What supports physiotherapists' use of research in clinical practice? A qualitative study in Sweden
Petra Dannapfel, Anneli Peolsson, Per Nilsen
BACKGROUND. Evidence-based practice has increasingly been recognized as a priority by professional physiotherapy organizations and influential researchers and clinicians in the field. Numerous studies in the past decade have documented that physiotherapists hold generally favorable attitudes to evidence-based practice …
Promoting physical therapists' use of research evidence to inform clinical practice: part 2--a mixed methods evaluation of the PEAK program
Julie K Tilson, Sharon Mickan, Jonathan C Sum, Maria Zibell, Jacquelyn M Dylla, Robbin Howard
BACKGROUND. Clinicians need innovative educational programs to enhance their capacity for using research evidence to inform clinical decision-making. This paper and its companion paper introduce the Physical therapist-driven Education for Actionable Knowledge translation (PEAK) program, an educational program designed …
Hyaluronan within fascia in the etiology of myofascial pain.
Stecco C, Stern R, Porzionato A, Macchi V, Masiero S, Stecco A, De Caro R
The layers of loose connective tissue within deep fasciae were studied with particular emphasis on the histochemical distribution of hyaluronan (HA). Samples of deep fascia together with the underlying muscles were taken from neck, abdomen and thigh from three fresh non-embalmed cadavers. Samples were stained with hema…
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