scholarly journals Clinical Practice Guideline for Physical Therapy Assessment and Treatment in Patients With Nonspecific Neck Pain

2017 ◽  
Vol 98 (3) ◽  
pp. 162-171 ◽  
Author(s):  
Jasper D Bier ◽  
Wendy G.M Scholten-Peeters ◽  
J Bart Staal ◽  
Jan Pool ◽  
Maurits W van Tulder ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Neck Pain ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Therapy Assessment ◽  
Assessment And Treatment

scholarly journals The development and evaluation of an online educational tool for the evidence-based management of neck pain by chiropractic teaching faculty

2020 ◽  
Author(s):  
Leslie Verville ◽  
Pierre Côté DC ◽  
Diane Grondin ◽  
Silvano Mior DC ◽  
Robin Kay
Keyword(s):  
Clinical Practice ◽  
Neck Pain ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Thinking Skills ◽  
Faculty Members ◽  
Evidence Based ◽  
Learning Design ◽  
Educational Tool ◽  
Learning Tool

Objective To develop an online, interactive educational tool to deliver an evidence-based clinical practice guideline to faculty members at a Canadian chiropractic college. Second, to evaluate the learning, design, and engagement constructs of the tool in a sample of chiropractic faculty members. Methods Using an integrated knowledge translation methodology and the Knowledge to Action Framework, we developed an evidence-based online learning tool. The context of the tool focused on a clinical practice guideline on the management of neck pain. We evaluated the learning, design, and engagement constructs in a sample of faculty members and residents using the Learning Object Evaluation Scale for Students. Participants were also asked to provide suggestions for improvement of the tool. Results Sixteen participants completed the evaluation. Most (68.8%) participants were chiropractors, 75% were male and 56% were between the ages of 25 and 44 years. At least 75% of participants agreed that the learning, design, and engagement constructs of the learning tool were adequate. The open-ended suggestions unveiled 3 pedagogical themes, relating to multimedia, thinking skills, and learner control, within the tool that could benefit from further development. These themes informed recommendations to improve the tool. Conclusion Our online, interactive, module-based learning tool has sound pedagogical properties. Further research is needed to determine if its use is associated with a change in knowledge.

scholarly journals Application of the Joint Trauma System Clinical Practice Guideline for Pain, Anxiety, and Delirium in a Combat Support Hospital in Iraq

2019 ◽  
Vol 185 (5-6) ◽  
pp. e573-e578
Author(s):  
Sandeep T Dhanjal ◽  
Kalyn C Jannace ◽  
Nicholas A Giordano ◽  
Krista B Highland
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Pain Intensity ◽  
Acute Pain ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Clinical Characteristics ◽  
Trauma System ◽  
Pain Anxiety ◽  
Joint Trauma

Abstract Introduction The 2017 Joint Trauma System Clinical Practice Guideline for Pain, Anxiety, and Delirium (JTS CPG) provides an evidence-based framework for managing pain, anxiety, and delirium in combat settings. In this study, we evaluate the use of multimodal analgesia and assess pain outcomes, as indicated by the JTS CPG, at the combat support hospital (CSH). Materials and Methods In this quality improvement project, data were collected for all patients, presenting to the CSH in Baghdad, Iraq, who received consultation from the acute pain service from October 10, 2017 to February 27, 2018. Univariate analyses described patient demographic and clinical characteristics. Defense and Veterans Pain Rating Scale (DVPRS) scores, physical therapy completion, and sleep duration were recorded for each patient daily. Correlations assessed relationships between variables, including clinical characteristics and DVPRS scores. Results 34 patients were included in this study. About 65% of the patients included in this study were Iraqi military, while the other 35% were U.S. or Coalition Forces. Over half received more than one class of analgesic medication. The majority of patients received regional anesthesia, with 17 different techniques utilized. The DVPRS had acceptable internal consistency (Cronbach alpha = 0.87, 95% CI 0.80, 0.95). There was a significant difference in median DVPRS pain intensity scores between those who met physical therapy goals and those who did not. Sleep duration was negatively correlated with both the DVPRS pain intensity and sleep scores. Conclusions This report indicates that acute pain service teams integrated in a CSH can feasibly implement JTS CPGs using a team-based approach. Given the military’s emphasis on managing complex pain and disability among survivors beginning in the combat environment, it is imperative that innovations and best practices, like the JTS CPG, be assessed in the combat setting.

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