A comparison of analgesic prescribing among ED back and neck pain visits receiving physical therapy versus usual care

Selective sentinel lymph node biopsy (SLNB) represents a minimally invasive surgery in patients with breast cancer. The purpose of this study was to explore the possible effect of an early physiotherapy intervention for the recovery of the upper limb and the surgical scars after SLNB in comparison with usual care. A total of 40 patients were enrolled in either the control group (n = 20) or the experimental group (n = 20). The intervention group performed an early physiotherapy program based on functional exercises, scar manual therapy, and educational tips. The control group received usual care. Shoulder range of motion (ROM), grip strength, upper limb pain and disability (SPADI), scar recovery (POSAS), myofascial adhesions (MAP-BC), quality of life (EORTCQLA-BR-23) and the presence of axillary web syndrome (AWS) and lymphoedema were assessed at baseline and immediately after intervention. A follow-up period of 6 months was performed for lymphoedema surveillance. Between groups significant differences in favor of the intervention were found for ROM (r = 0.43), grip strength (r = 0.32), SPADI (d = 0.45), POSAS (d = 1.28), MAP-BC (d = 1.82) and EORTCQLQ-BR 23 general function subscale (d = 0.37) (p < 0.05 for all variables). Our results suggest that an early physical therapy program seems to be more effective than usual care in women after SLNB. However, results should be interpreted with caution and future randomized trial with a larger sample size is needed.

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Intensity of usual care physical therapy during inpatient rehabilitation for people with neurologic diagnoses

PM&R ◽

10.1002/pmrj.12577 ◽

2021 ◽

Author(s):

Jake DiPasquale ◽

Molly Trammell ◽

Kelly Clark ◽

Hayden Fowler ◽

Librada Callender ◽

...

Keyword(s):

Physical Therapy ◽

Usual Care ◽

Inpatient Rehabilitation

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Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial

Chiropractic & Manual Therapies ◽

10.1186/s12998-017-0141-3 ◽

2017 ◽

Vol 25 (1) ◽

Cited By ~ 9

Author(s):

Ruud Groeneweg ◽

Luite van Assen ◽

Hans Kropman ◽

Huco Leopold ◽

Jan Mulder ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Physical Therapy ◽

Neck Pain ◽

Manual Therapy ◽

Controlled Trial ◽

Randomized Controlled

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Individually tailored self-management app-based intervention (selfBACK) versus a self-management web-based intervention (e-Help) or usual care in people with low back and neck pain referred to secondary care: protocol for a multiarm randomised clinical trial

BMJ Open ◽

10.1136/bmjopen-2020-047921 ◽

2021 ◽

Vol 11 (9) ◽

pp. e047921

Author(s):

Anna Marcuzzi ◽

Kerstin Bach ◽

Anne Lovise Nordstoga ◽

Gro Falkener Bertheussen ◽

Ilya Ashikhmin ◽

...

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Usual Care ◽

Secondary Care ◽

Self Management ◽

Low Back ◽

Musculoskeletal Health ◽

Web Based ◽

Management Intervention ◽

Management Interventions

IntroductionLow back pain (LBP) and neck pain (NP) are common and costly conditions. Self-management is a key element in the care of persistent LBP and NP. Artificial intelligence can be used to support and tailor self-management interventions, but their effectiveness needs to be ascertained. The aims of this trial are (1) to evaluate the effectiveness of an individually tailored app-based self-management intervention (selfBACK) adjunct to usual care in people with LBP and/or NP in secondary care compared with usual care only, and (2) to compare the effectiveness of selfBACK with a web-based self-management intervention without individual tailoring (e-Help).Methods and analysisThis is a randomised, assessor-blind clinical trial with three parallel arms: (1) selfBACK app adjunct to usual care; (2) e-Help website adjunct to usual care and (3) usual care only. Patients referred to St Olavs Hospital, Trondheim (Norway) with LBP and/or NP and accepted for assessment/treatment at the multidisciplinary outpatient clinic for back or neck rehabilitation are invited to the study. Eligible and consenting participants are randomised to one of the three arms with equal allocation ratio. We aim to include 279 participants (93 in each arm). Outcome variables are assessed at baseline (before randomisation) and at 6-week, 3-month and 6-month follow-up. The primary outcome is musculoskeletal health measured by the Musculoskeletal Health Questionnaire at 3 months. A mixed-methods process evaluation will document patients’ and clinicians’ experiences with the interventions. A health economic evaluation will estimate the cost-effectiveness of both interventions’ adjunct to usual care.Ethics and disseminationThe trial is approved by the Regional Committee for Medical and Health Research Ethics in Central Norway (Ref. 2019/64084). The results of the trial will be published in peer-review journals and presentations at national and international conferences relevant to this topic.Trial registration numberNCT04463043.

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Alexander Technique Lessons, Acupuncture Sessions or usual care for patients with chronic neck pain (ATLAS): study protocol for a randomised controlled trial

Trials ◽

10.1186/1745-6215-14-209 ◽

2013 ◽

Vol 14 (1) ◽

pp. 209 ◽

Cited By ~ 11

Author(s):

Hugh MacPherson ◽

Helen E Tilbrook ◽

Stewart J Richmond ◽

Karl Atkin ◽

Kathleen Ballard ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Neck Pain ◽

Usual Care ◽

Study Protocol ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Alexander Technique ◽

Randomised Controlled

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Trigger Point Treatment with Radial Shock Waves in Musicians with Nonspecific Shoulder-Neck Pain: Data from a Special Physio Outpatient Clinic for Musicians

Medical Problems of Performing Artists ◽

10.21091/mppa.2011.4034 ◽

2011 ◽

Vol 26 (4) ◽

pp. 211-218 ◽

Cited By ~ 6

Author(s):

Malika Damian ◽

Christoff Zalpour

Keyword(s):

Shock Wave ◽

Physical Therapy ◽

Neck Pain ◽

Reference Group ◽

Trigger Point ◽

Intervention Group ◽

Shock Wave Therapy ◽

Pain Disability Index ◽

Pain Disability ◽

High Level

Musicians often suffer from disorders of the musculoskeletal system that are related to their instrument playing. Among the most frequent symptoms are complaints in the shoulder-neck area. Radial shock wave therapy is increasingly used in trigger point treatment, but only few high-level studies have examined of shock wave therapy used together with physical therapy in the treatment of musicians. METHODS: This randomized blinded study in musicians (n = 26) with nonspecific shoulder-neck problems was done to examine the effect of shock wave therapy in addition to current physical therapy on the symptoms and quality of life of the musicians as well as their habits of playing musical instruments (intervention group shock wave vs reference group placebo). The effects were documented by a pain VAS and other instruments. A questionnaire designed specifically for musicians (with initial and final questions) recorded intensity and manifestation of pain and handicaps in daily life, especially when practicing and playing. The Shoulder Pain and Disability Index (SPADI) and the Neck Pain Disability Index Questionnaire (NPDIQ) were also used. RESULTS: Both groups reported subjective improvement in pain, but significance was found only for the intervention group for the SPADI and NPDIQ. CONCLUSIONS: Trigger point treatment with radial shock wave used in combination with physical therapy makes the subjects feel temporarily relieved of neck and shoulder pains. The effects of radial shock wave without physical therapy will need to be examined in further studies.

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