STOPS back pain @stopsbackpain
Jon Ford and team optimising patient outcomes by teaching practitioners the most effective methods for treating low back pain stops.physio [email protected] Joined February 2012-
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Some interesting responses to our just out sys rev on specific muscle activation from researchers at the University of Sydney
Some interesting responses to our just out sys rev on specific muscle activation from researchers at the University of Sydney
TrA is a controversial Rx for LBP. SR haven't included relevant trials. Our just out SR (Musculoskeletal Science and Practice) shows clinically important effects compared with exercise, multi-modal physiotherapy, conservative medical management and placebo bit.ly/3o1GOC2
Here's an example of motivational interviewing in brief consultations from one of the MI founders in Stephen Rollnick. Listening, empathy, reflection leading to readiness to change ow.ly/OUKj50AANI7
This infographic has helpful and nuanced summaries of current evidence for the mechanisms, epidemiology, diagnosis, outlook, and recommended management for low back pain. Ref: Vlaeyen et al. (2018), Nature Reviews Disease Primers. nature.com/articles/s4157…
Lanier & Neal’s thought-provoking “daring discourse" (2020) contends that true academic debate involves decorum, declaring conflicts of interest, and avoiding publication in a different journal to the original research. Read more at pubmed.ncbi.nlm.nih.gov/31831629/
It’s interesting how behaviour is changed…Soon et al (2019) demonstrated presenting the high-value options as “default" to GPs in simulated vignettes reduced the odds of low-value LBP mx options being selected by 44%. qualitysafety.bmj.com/content/28/7/5…
Have you had low back pain for more than 2 years? Participants are required for a study involving PET/MRI scan and sensory assessment in Clayton, Victoria. Reimbursement of $100 for time (2 sessions of 2-4 hours) and travel. Contact Muath Shraim at [email protected] for details
Anger is common when dealing with pain symptoms. These frustrations are often justified. Unfortunately if a person over-focuses on an issue or has no anger management techniques, the result is often increased pain.youtube.com/watch?v=BsVq5R… A simple introduction to anger management
AProf Jon Ford’s presentation from today at the World LBP Congress in Antwerp presenting new data on the STOPS approach and comparing clinical importance with STarT Back and Cognitive Functional Therapy slideshare.net/stopsbackpain/…
Does imaging cause harm? Potentially - but this meta-analysis shows that routine imaging for low back pain patients on initial assessment does not have any clinically important adverse impact on outcome ow.ly/aTgp50wehsk
Petersen et al (2017) have developed a best evidence guide to clinical diagnostic rules for identifying common types of low back disorders. Worth consideration within a biopsychosocial approach; ow.ly/qD1v50vEje7
Ford et al (2019) presents and discusses a series of studies on the Specific Treatment of Problems of the Spine (STOPS) approach and highlights the evolving case supporting individualised physiotherapy for low back pain. Full text available mdpi.com/2077-0383/8/9/…
A simple and concise video for patients suffering from persistent pain. Interesting however to read the comments from sufferers of persistent pain. “Information” alone and without empathetic connection from a practitioner can be threatening. youtube.com/watch?time_con…
Da Silva et al 2019 confirm that recurrence rate of low back pain is high. Prognostic factors included exposure to awkward posture, longer time sitting, and more than two previous episodes of low back pain. Factors potentially related to disc mechanics? sciencedirect.com/science/articl…
What are the attitudes and beliefs of exericise-based practitioners towards chronic low back pain in Australia? Have your say.
What are the attitudes and beliefs of exericise-based practitioners towards chronic low back pain in Australia? Have your say.
A 2018 RCT published in BMJ concluded that parachute use did not reduce death or major traumatic injury when jumping from an aircraft… the importance of reading a paper in full before advocating change in practice! bmj.com/content/363/bm…
Peng et al (2010)(ow.ly/Qwyg30nOrT6) reported remarkable effects of intradiscal methylene blue injections compared with placebo on pain intensity in patients with chronic discogenic low back pain. These were not replicated by Kallewaard et al (2019)(ow.ly/hwz230nOrS3)
A beautifully animated resource from National Geographic to help explain to your patients the potential effects of opioid use youtube.com/watch?v=NDVV_M…
ow.ly/OyLX30nlls2 2018 SR highlights moderate evidence for a positive association between certain pro-inflammatory biomarkers & severity/presence of NsLBP. Identifying subgroups in which inflammation plays a role could allow for specific treatment, e.g. anti-inflammatories.
Should guidelines include advice as 1st line care for acute low back pain? This SR evaluated RCTs evaluating over the counter interventions & advice for management of acute LBP. Advice had no statistically & clinically important effects at any time point. ow.ly/uZ1i30nfUBJ
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796 Followers 2K Following Friends call me the Eco Mattress Man who's mad as hell. Why am I so mad - overpriced green mattresses. Visit our site to learn more.@giovanni_ef @BelavySpine @KarimKhan_IMHA @BJSM_BMJ @stopsbackpain @PhysioMeScience I think twitter comment is fine; but a letter may permit a more in depth critique AND give @stopsbackpain a chance to defend the work.
@CorKinetic @BelavySpine @KarimKhan_IMHA @BJSM_BMJ @stopsbackpain @CGMMaher @PhysioMeScience Not at all - y not: 1) ask for PDF and read & then 2) connect and discuss?
Reasonable argument, respectful author response and subsequent discourse. The author even retweeted. Good to see. Remember, every rebuttal is not a personal attack
A new systematic review showing the superiority of motor control exercises for low back pain has just come out, and I thought I would highlight some aspects of this review that made me a bit sceptical of their (overplayed) conclusion. bit.ly/2GXOTHz
Motor control and back pain "Special Issue" of @JOSPT is out. Thanks to all of the contributors from the State-of-the-Art in Spine Control II meeting, and to the editor Guy Simoneau for his support (and endurance) jospt.org/toc/jospt/49/6
To other regions. Won’t argue that persistent conditions probably lean more towards central factors. In an era when individualised approaches are advocated surely this means the potential that local pathology plays a large part in some cases. Just need some balance 3/3
Response to Travers et al on the STOPS trial - you can’t always believe what you read on Twitter. Correct recovery trajectories attached bjsm.bmj.com/content/early/… … @LaTrobeSEM @apaphysio @BJSM_BMJ @DrTaniaPizzari
@mattgmking1 @stopsbackpain @Knee_Howells @ASemciw @function2fitnes Fascinating how we consume research these days. Is fast food (twitter) better or worse than starvation (no reading at all). Huge responsibility on those disseminating to provide proper representation of research.
Positive of twitter: disseminate the message, negative: is you can't always believe what you read in limited characters... @stopsbackpain response to statistical comments made about their RCT... A must read for clinicians and researchers @Knee_Howells @ASemciw @function2fitnes x.com/stopsbackpain/…
Response to Travers et al on the STOPS trial - you can’t always believe what you read on Twitter. Correct recovery trajectories attached bjsm.bmj.com/content/early/… … @LaTrobeSEM @apaphysio @BJSM_BMJ @DrTaniaPizzari
@CGMMaher @stopsbackpain @LaTrobeSEM @apaphysio @BJSM_BMJ @DrTaniaPizzari @MervTravers @dlcarey88 @RodWhiteley @LuciolaMCosta I don't believe that is what the response is asking... I agree @LuciolaMCosta has a great paper, no errors i can see. I believe the response is questioning are there errors in the @MervTravers paper and does that therefore bring into question the conclusions drawn?
Study suggests treatment based on O’Sullivan's motor control impairment is no more effective than general exercise. ow.ly/w3iu30aVMbt
10K views: Paul Hodges on core stability @paulwhodges Free, 9 mins. Balance between movement & stiffness youtu.be/hplw6Lg95SY #BackPain
Well done @LukeSurkitt! Support for #McKenzie @McKenzieUSA @McKenzieInstUK @mck_inst_aust x.com/stopsbackpain/…
Latest STOPS trial published! Directional preference management works for reducible discogenic #backpain! #physio ow.ly/d/4ZkL
Individual #physio Rx incredibly more cost effective. @stopsbackpain
@stopsbackpain - thankyou for your contribution to the profession #mvws
Excellent paper RT @BJSM_BMJ:Hodges 08 'views of the elephant' paper has >12000 readers tiny.cc/cy0zlw #transversus #core #backpain