Hayden et al. (Cochrane Review, 2021) Aim To evaluate the effectiveness of exercise therapy in adults with chronic non-specific low back pain, and to compare its effects with no treatment, usual care, and other conservative interventions. Methods This Cochrane review included 249 randomised controlled trials, representing more than 24,000 participants with chronic low back pain... Continue Reading →
Some months ago, a milestone quietly unfolded: my first ever scientific publication. Co-authored with the brilliant Dr. Clair Hebron from the University of Brighton, this piece represents more than a research project—it’s the culmination of long, sometimes challenging, but deeply rewarding work. The paper is now published in Musculoskeletal Care, and it’s open access—free for... Continue Reading →
(Greenhalgh, Finucane, Mercer, & Selfe, 2020) Aim: Promote safety-netting as best practice Methods: Editorial + clinical examples Limitations: Author's views In practice: - Working collaboratively with the person to monitor symptoms: Therapeutic alliance, Shared Decision Making- Use time as a reasoning tool: resolving symptoms or red flag developing- Clear communication required- Anticipating patient's at riskImportant... Continue Reading →
(Vuvan, Vicenzino, Mellor, Heales, & Coombes, 2019) Aims: To investigate the effect of an 8-week unsupervised program of isometric exercise compared to a wait-and-see approach on pain, disability, global improvement, and pain-free grip strength in participants with unilateral LET. Methods: RCT in Australia. Inclusion: 18-70 years old, unilateral LET >6 weeks, pain >2 on average,... Continue Reading →
(Hoogvliet, Randsdorp, Dingemanse, Koes, & Huisstede, 2013) Aims: To assess the evidence for effectiveness of exercise therapy and mobilisation techniques for both medial and lateral epicondylitis. Methods: SR on 4 DB, 2 reviewers independently extracted data and assessed the methodological quality. English, German, French, Dutch language. Quality assessed according to a scale (Furlan). Heterogeneity made... Continue Reading →
(Coombes, Bisset, & Vicenzino, 2015) Aims: To collate evidence and expert opinion on the pathophysiology, clinical presentation, and differential diagnosis of LET. Factors that might provide prognostic value or direction for physical rehabilitation are canvassed. Clinical recommendations for physical rehabilitation are provided, including the prescription of exercise and adjunctive physical therapy and pharmacotherapy. Methods: Not... Continue Reading →
(Smith, Hendrick, O Smith, & Al., 2017) Aims: To compare the effect of exercises where pain is allowed / encouraged compared with non-painful exercises on pain, function or disability in patients with chronic musculoskeletal pain within randomised controlled trials. Method: Systematic review on exercises into pain vs non-pain exercises on pain, function or disability. 9... Continue Reading →
(Takasaki et al., 2011) Aims: The purpose of this study was 1) to examine measurement reliability of segmental upper cervical movements using magnetic resonance imaging and 2) to investigate the content validity of the FRT Methods: MRI study measurement on 19 healthy women. Results: FRT is a valid and reliable (substantial reliability) measure of Upper... Continue Reading →
(Van Laarhoven et al., 2011) Aims: To study verbally induced nocebo and placebo effects on itch and pain. Methods: 105 healthy female subjects were randomly assigned to one of 4 groups: (Itch nocebo n=36 vs Control n=20 or Pain nocebo n=33 vs Control n=16). In itch / pain nocebo groups patients were told a verbal... Continue Reading →
(Walsh & Hall, 2009) Aim: The aim of this study was to determine the reliability, validity and diagnostic accuracy of manual palpation of the sciatic, tibial and common peroneal nerves in the examination of low-back related leg pain. Methods: 45 subjects. Palpation compared to SLR + Slump. Inclusion: presence of unilateral low-back related leg pain,... Continue Reading →
