Hi, Thank you for visiting my blog ! Here is a little introduction to who I am and what this blog is about. My name is Clément NOËL. I am a French physiotherapist who loves to question, ask, learn, and teach about physiotherapy everyday. I graduated in 2015, did some courses around different topics and… Continue reading Welcome & Introduction
You may wonder why a French Physiotherapist decided to write his personal blog in English ... There are my reasons why I chose to write my blog in English and I will explain them here. In order to enter my Master of Science (MSc) program at Brighton University in the United-Kingdom; I had to take… Continue reading Read In English Please !
You will find below the list and links of the papers I have summarized. I strongly advise you to read the full article if one paper's summary caught your attention. All of the papers posted here are helpful and shed light on some aspects of clinical practice. Enjoy the Bibliography Clément Clinical Reasoning: Person-Centred Care:… Continue reading Summary of Papers
(Lee & Evans, 1992) Aims: Among others, to evaluate the effects of cyclic and sustained PA loadings, and on loading rate on PA mobility. Method: N = 28, 18 – 23 yo, 50/50 male/female. Assessed mobility of L3-L5 (max 150N), three cyclic loadings on L4 (150N) and sustained loading on L4 (100N in two min).… Continue reading Creep and hysteresis / preconditioning : Load displacement time characteristics of the spine under PA mob
(Furlan, Giraldo, Baskwill, Irvin, & Imamura, 2015) Aims: To assess the effects of massage therapy for people with non-specific LBP. Methods: RCTs, LBP, Inactive (supposed to be ineffective) or active modalities. Outcomes measures = pain and functional status, < or > to 6months. Secondary outcome = overall improvement, patient satisfaction, quality of life and work-related… Continue reading Massage for LBP
(Neal, Barton, Gallie, O’Halloran, & Morrissey, 2016) Aims: To synthesise prospective, observational and intervention studies that measure clinical and biomechanical outcomes in symptomatic running populations. Methods: SR, 2 independent reviewers, 28 studies, PeDro scale for quality. Results: Very limited prospective evidence indicates that increased peak hip adduction is a risk factor for PFP development in… Continue reading Runners with PFP have altered biomechanics which targeted interventions can modify
(Van Der Heijden et al., 2015) Aims: To investigate differences in patellofemoral cartilage composition between patients with PFP and healthy control sub- jects using quantitative MRI Methods: Cross-sectional case-control study, PFP group symptom duration from 2 months to 2 years, 14 to 40 yo. 64 patients and 70 controls. Results: No significant differences were found… Continue reading No difference in quantitative MRI in PFP cartilage composition between patients with PFP and healthy controls
(Van der Heijden, Lankhorst, Van Linschoten, Bierma-Zeinstra, & Van Middelkoop, 2015) Aim: To assess the effects (benefits and harms) of exercise therapy aimed at reducing knee pain and improving knee function for people with patellofemoral pain syndrome. Methods: Cochrane Review of RCT and quasi RCT about exercise for PFP, 2 indep reviewers, outcomes : pain… Continue reading Exercise for treating PFPS Review
(Lack, Barton, Sohan, Crossley, & Morrissey, 2015) Aims: This review (1) evaluates the efficacy of proximal musculature rehabilitation for patients with PFP; (2) compares the efficacy of various rehabilitation protocols; and (3) identifies potential biomechanical mechanisms of effect in order to optimise outcomes from proximal rehabilitation in this problematic patient group. Methods: SR, 2 independent… Continue reading Proximal muscle rehabilitation is effective for PFP: A SR with MA.
(Kalauokalani, Cherkin, Sherman, Koepsell, & Deyo, 2001) Aims: To evaluate the association of a patient’s expectation for benefit from a specific treatment with improved functional outcome. Methods: Secondary analysis from a RCT comparing massage, acupuncture, and self-care material (control group) used for patients with chronic LBP. 135 patients, 10 treatments within 10 weeks. The participants… Continue reading Lessons from a trial of acupuncture & massage for LBP: patient expectations & treatment effects.
(Greenhalgh, Finucane, Mercer, & Selfe, 2018) Aim: The purpose of this paper is to highlight the many challenges faced by clinicians in recognising and managing CES and offer guidance on the evidence-based management of these patients. Methods: Masterclass Results: The early symptoms of CES are often subtle and vague. 1. Bilateral neurogenic sciatica - Pain… Continue reading Assessment and management of CES
(Greenhalgh & Selfe, 2009) Aims: To explore the experiential knowledge of experienced palliative care clinicians in the field of serious spinal pathology. Methods: Qualitative study: Nominal group technique + focus group. Results: Limitations: Qualitative study, experts’ experience, only in one service in UK. Recall bias. In Practice: Band-like trunk pain, vague non-specific lower limb symptoms… Continue reading A qualitative investigation of Red Flags for serious spinal pathology
(Finucane, Greenhalgh, & Selfe, 2017) Aim: Discuss red flags. Methods: Author’s insight Limitations: Low level evidence, author’s opinion. In practice: Patients with a past history of cancer that has an affinity to bone such as lung, prostate and breast cancer, who present with new symptoms that persist should be thoroughly evaluated with a high suspicion… Continue reading What are the Red Flags to aid the early detection of metastatic bone disease as a cause of back pain?