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Critically appraised paper: An individualised, progressive walking and education intervention reduces the risk of low back pain recurrence [commentary]. 经过严格评审的论文:个性化、渐进式步行和教育干预可降低腰背痛复发风险[评论]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-02 DOI: 10.1016/j.jphys.2024.09.007
Jackson Linke
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引用次数: 0
Appraisal of Clinical Practice Guideline: Growth, Health and Developmental Follow-up for Children Born Very Preterm 临床实践指南评估:早产儿的生长、健康和发育跟踪。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.08.002
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引用次数: 0
Critically appraised paper: In people with advanced lung cancer, aerobic exercise and tai chi improve sleep quality, depression and exercise capacity compared with physical activity advice 经过严格评审的论文:与体育锻炼建议相比,有氧运动和太极拳可改善晚期肺癌患者的睡眠质量、抑郁和运动能力[内容提要]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.07.004
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引用次数: 0
Critically appraised paper: An individualised, progressive walking and education intervention reduces the risk of low back pain recurrence [synopsis]. 经过严格评审的论文:个性化、渐进式步行和教育干预可降低腰背痛复发风险[内容提要]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.09.006
Nina Østerås
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引用次数: 0
Aims and scope / Editorial Board 目标和范围 / 编辑委员会
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/S1836-9553(24)00099-7
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引用次数: 0
Response to Nam et al 对 Nam 等人的回应
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.09.002
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引用次数: 0
Physiotherapy management of people with spinal cord injuries: an update 脊髓损伤患者的物理治疗管理:最新进展。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.09.008
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引用次数: 0
Critically appraised paper: Telerehabilitation is non-inferior to in-person care for chronic knee pain [commentary] 经过严格评审的论文:远程康复治疗慢性膝关节疼痛的效果不逊于面对面治疗[评论]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.05.014
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引用次数: 0
Critically appraised paper: In young children with cerebral palsy, intensive child-initiated mobility training with variability and error is as effective as conventional therapist-directed training for improving gross motor skills. [commentary] 经过严格评审的论文:在脑瘫幼儿中,由儿童主动进行的具有可变性和误差的强化移动训练与传统的由治疗师指导的训练对改善大运动技能同样有效。[评论]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.08.001
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引用次数: 0
In people with shoulder pain, mobilisation with movement and exercise improves function and pain more than sham mobilisation with movement and exercise: a randomised trial 在肩痛患者中,通过运动和锻炼进行动员比通过运动和锻炼进行假动员更能改善功能和疼痛:一项随机试验。
IF 9.7 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-10-01 DOI: 10.1016/j.jphys.2024.08.009

Question

In people with shoulder pain, what is the effect of adding mobilisation with movement (MWM) to a standard exercise program on function and pain compared with sham MWM and the same exercise program?

Design

A randomised trial with concealed allocation, blinded outcome assessment and intention-to-treat analysis.

Participants

Seventy people with chronic atraumatic rotator cuff related pain, with a mean age 48 years (SD 10).

Interventions

The experimental group received MWM plus exercise and the control group received sham MWM plus exercise. Treatments were delivered twice per week for 5 weeks.

Outcome measures

The primary outcome measures were function (0 to 100 Shoulder Pain and Disability Index) and pain (0 to 10 Numerical Pain Rating Scale). Secondary outcomes were self-efficacy, perceived improvement and active pain-free range of movement. Assessment time points were at baseline (week 0), the end of the treatment period (week 5) and a follow-up 1 month after the end of treatment (week 9).

Results

At week 5, the experimental group improved more than the control group in function (MD –15 points, 95% CI –24 to –7), pain at night (MD –2.1, 95% CI –3.1 to –1.1), pain on movement (MD –1.5, 95% CI –2.5 to –0.6) and active range of movement in flexion (MD 16 deg, 95% CI 1 to 30), abduction (MD 23 deg, 95% CI 6 to 40), external rotation (MD 11 deg, 95% CI 4 to 17) and hand behind back (MD 20 deg, 95% CI 8 to 32). At week 9, benefits were seen in the Shoulder Pain and Disability Index (MD –9 points, 95% CI –17 to –1), pain at night (MD –1.9, 95% CI –2.9 to –0.8) and on movement (MD –1.3, 95% CI–2.3 to –0.3). The effects of the experimental intervention on other outcomes were mostly unclear due to wide confidence intervals. Blinding was successful.

Conclusions

Adding MWM to exercise improved function, pain and active range of movement in people with shoulder pain. These benefits were not placebo effects.

Registration

NCT04175184.
问题对于肩部疼痛患者,在标准锻炼计划中加入运动移动疗法(MWM)与假性运动移动疗法和相同的锻炼计划相比,对患者的功能和疼痛有何影响?随机试验,采用隐蔽分配、盲法结果评估和意向治疗分析:70名慢性肩袖外伤性疼痛患者,平均年龄48岁(SD 10):实验组接受肌肉萎缩疗法加锻炼,对照组接受假性肌肉萎缩疗法加锻炼。治疗每周两次,持续 5 周:主要结果测量指标为功能(0 至 100 肩痛与残疾指数)和疼痛(0 至 10 数字疼痛评分量表)。次要结果为自我效能、感知改善和主动无痛活动范围。评估时间点为基线(第 0 周)、治疗期结束(第 5 周)和治疗结束后 1 个月(第 9 周)的随访:结果:第 5 周时,实验组在功能(MD -15 分,95% CI -24 至 -7)、夜间疼痛(MD -2.1,95% CI -3.1 至 -1.1)、活动时疼痛(MD -1.5,95% CI -2.5 至 -0.6)和活动时疼痛(MD -1.5,95% CI -2.5 至 -0.6)方面的改善程度均高于对照组。6)以及屈曲(MD 16 度,95% CI 1 至 30)、外展(MD 23 度,95% CI 6 至 40)、外旋(MD 11 度,95% CI 4 至 17)和手背(MD 20 度,95% CI 8 至 32)的主动活动范围。第9周时,肩部疼痛和残疾指数(MD -9分,95% CI -17至-1)、夜间疼痛(MD -1.9,95% CI -2.9至-0.8)和运动时疼痛(MD -1.3,95% CI -2.3至-0.3)均有改善。由于置信区间较大,实验干预对其他结果的影响大多不明确。研究成功地进行了盲法:结论:在锻炼的基础上添加MWM可改善肩痛患者的功能、疼痛和活动范围。这些益处并非安慰剂效应:NCT04175184。
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引用次数: 0
期刊
Journal of Physiotherapy
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