scholarly journals Physiotherapy for tennis elbow: a survey of knowledge and practice within the UK and Ireland

2020 ◽  
Vol 27 (11) ◽  
pp. 1-8
Author(s):  
Nicholas Harland ◽  
Nick Livadas

Background/Aims The purpose of the survey was to investigate the current state of knowledge and practice regarding tennis elbow within a physiotherapy population. A secondary purpose was to explore attitudes towards emerging electrotherapeutic technologies in the treatment of tennis elbow and to ascertain if culturally, within physiotherapy, there could be bias against such technologies because of a historic lack of high-quality evidence surrounding them. Methods The survey was undertaken entirely online using an e-mail cascade and 253 responses were gained. Results Overall, respondents overestimated the strength of evidence supporting a list of common treatment modalities. Where electrotherapeutic modalities were concerned, however, the vast majority of the sample thought the evidence was poor. Where diagnosis and management were concerned the majority of respondents appeared to practice in an evidence-based fashion. Conclusions Perhaps the most important finding of the study is that a third of respondents thought they might be biased against new electrotherapeutic technologies, even if they were using them within a research setting. The implications of this are discussed in the context of how factors such as communication and therapist affects may change treatment outcomes.

2020 ◽  
Vol 31 (8) ◽  
pp. 344-351
Author(s):  
Andrew Booth

Andrew Booth offers a comprehensive look into national and international guidelines surrounding the diagnosis and management of asthma National and international guidelines provide evidence-based advice on the diagnosis and management of asthma. There are now three potential asthma guidelines to follow, each taking its own unique, and sometimes conflicting direction, creating a total of over 700 pages of high-quality evidence. A puzzle is thus presented to the busy health professional: which guideline do I follow? This article compares and contrasts two national and one international asthma guideline, focusing particularly on diagnosis and pharmacological management. Mortality from asthma is increasing in the UK, making the need for a conjoined guideline more urgent than ever.


2017 ◽  
Vol 31 (2) ◽  
pp. 69-78
Author(s):  
Małgorzata Starzec ◽  
Aleksandra Truszczyńska

Abstract Introduction: Pregnancy-related lumbopelvic pain is a common complaint which often limits everyday activity of a pregnant woman. Accurate and individualized treatment is needed as, if ignored, pain can become a long term condition. The aim of this article is to present the current state of knowledge about possible treatment modalities for pregnancy-related lumbopelvic pain. Summary: Current knowledge gives us a variety of effective tools which help reduce pain and functional limitations with no harm to a mother and foetus. There is no single and most effective treatment strategy. A combination of evidence-based methods produces the best treatment outcomes.


2020 ◽  
Vol 29 (13) ◽  
pp. 730-736
Author(s):  
Andrew Booth

National and international guidelines provide evidence-based advice on the diagnosis and management of asthma. There are now three potential asthma guidelines to follow, each taking its own its own unique, and sometimes conflicting direction, creating a total of over 700 pages of high-quality evidence. A puzzle is thus presented to the busy health professional: which guideline do I follow? This article compares and contrasts two national and one international asthma guideline, focusing particularly on diagnosis and pharmacological management. Mortality from asthma is increasing in the UK, making the need for a conjoined guideline more urgent than ever.


2002 ◽  
Vol 35 (1) ◽  
pp. 119-134 ◽  
Author(s):  
David Carter

Within the UK NHS (National Health Service) there is an increasing emphasis on evidence based practice in psychological therapies. This article discusses the political challenges and practical dilemmas this raises for group analysis, first by examining questions that might be asked by the principal stakeholders in group analysis as practised within the NHS. Such questions relate to one central issue: `What is the point of group analysis?' and might be regarded as different angles on this shared, core question, as seen from the perspectives of outcome, process and theory. The literature relating to outcome and process in group analysis will be discussed and the current state of group-analytic theory examined, with emphasis on group analysis as a `broad church'. The article will discuss issues of research, and argue that, due to the relatively undeveloped state of group-analytic theory, it is necessary to look to qualitative research methods as a means of helping to build a more clearly defined group-analytic theory and proving its worth.


Author(s):  
Chris Perriam ◽  
Darren Waldron

This book advances the current state of film audience research and of our knowledge of sexuality in transnational contexts, by analysing how French LGBTQ films are seen in Spain and Spanish ones in France, as well as how these films are seen in the UK. It studies films from various genres and examines their reception across four languages (Spanish, French, Catalan, English) and engages with participants across a range of digital and physical audience locations. A focus on LGBTQ festivals and on issues relating to LGBTQ experience in both countries allows for the consideration of issues such as ageing, sense of community and isolation, affiliation and investment, and the representation of issues affecting trans people. The book examines films that chronicle the local, national and sub-national identities while also addressing foreign audiences. It draws on a large sample of individual responses through post-screening questionnaires and focus groups as well as on the work of professional film critics and on-line commentators.


2020 ◽  
Author(s):  
Hikari Takashina ◽  
Kengo Yokomitsu

There are thousands of mobile apps delivering information and offering support and intervention in situations of daily life. The aim of this study was to identify the current state of apps for depressive symptoms or prevention of depression within the official Android and iOS app stores in Japan. The 47 apps for depression available for download from the app stores were evaluated by the App Evaluation Model regarding background information, risk/ privacy and security, evidence, ease of use, and interoperability. Also, we evaluated their primary purpose, technology components, and cognitive-behavioral therapy components. The results suggest that in general few apps have been developed that are evidence-based, secure, and provide the services that users expect. In the future, it will be necessary to develop a framework for developing and disseminating more effective apps. This study is the first review of apps for depression available in Japan and seeks to help create a framework for such apps.


Author(s):  
Marina Kochiyeva

Data on modern methodological approaches that are used in screening for cancer are summarized. General principles of organizing screening studies are examined from the perspective of evidence-based medicine, target population, research methods, and effectiveness of the implemented screening programs for breast cancer, cervical cancer, and colon cancer are determined.


Author(s):  
Shalini S ◽  
Ravichandran V ◽  
Saraswathi R ◽  
BK Mohanty ◽  
Dhanaraj S K

 Aspire of the Drug Utilization Studies (DUS) is to appraise factors related to the prescribing, dispensing, administering and taking of medication, and it’s associated. Since the middle of twentieth century, interest in DUS has been escalating, first for market-only purposes, then for appraising the quality of medical prescription and comparing patterns of use of specific drugs. The scope of DUS is to evaluate the current state and future trends of drug usage, to estimate roughly disease pervasiveness, drug expenditures, aptness of prescriptions and adherence to evidence-based recommendations. The increasing magnitude of DUS as a valuable investigation resource in pharmacoepidemiology has been bridging it with other health allied areas, such as public health, rational use of drug, evidence based drug use, pharmacovigilance, pharmacoeconomics, eco-pharmacovigilance and pharmacogenetics.


2017 ◽  
Vol 46 (2) ◽  
pp. 182-194 ◽  
Author(s):  
Laura Pass ◽  
Carl W. Lejuez ◽  
Shirley Reynolds

Background: Depression in adolescence is a common and serious mental health problem. In the UK, access to evidence-based psychological treatments is limited, and training and employing therapists to deliver these is expensive. Brief behavioural activation for the treatment of depression (BATD) has great potential for use with adolescents and to be delivered by a range of healthcare professionals, but there is limited empirical investigation with this group. Aims: To adapt BATD for depressed adolescents (Brief BA) and conduct a pilot study to assess feasibility, acceptability and clinical effectiveness. Method: Twenty depressed adolescents referred to the local NHS Child and Adolescent Mental Health service (CAMHs) were offered eight sessions of Brief BA followed by a review around one month later. Self- and parent-reported routine outcome measures (ROMs) were collected at every session. Results: Nineteen of the 20 young people fully engaged with the treatment and all reported finding some aspect of Brief BA helpful. Thirteen (65%) required no further psychological intervention following Brief BA, and both young people and parents reported high levels of acceptability and satisfaction with the approach. The pre–post effect size of Brief BA treatment was large. Conclusions: Brief BA is a promising innovation in the treatment of adolescent depression. This approach requires further evaluation to establish effectiveness and cost effectiveness compared with existing evidence-based treatments for adolescent depression. Other questions concern the effectiveness of delivery in other settings and when delivered by a range of professionals.


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