The short-term effects of graded activity versus physiotherapy in patients with chronic low back pain: A randomized controlled trial

Magalhães, Mauro Taveira; Muzi, Luzilauri Harumi; Comachio, Josielli; Burke, Thomaz Nogueira; França, Fábio Jorge Renovato; Ramos, Luiz Armando Vidal; Almeida, Gabriel Peixoto Leão; Silva, Ana Paula de Moura Campos Carvalho e; Marques, Amélia Pasqual

doi:10.1016/j.math.2015.02.004

Cited by 44 publications

(65 citation statements)

References 41 publications

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“…Instead, relief may be obtained through the descending pain control system by activation of motor areas. Actually, it has been reported pain is improved by exercise18 ) . However, severe pain experiences during exercise or joint moments are stored in the brain.…”

Section: Introductionmentioning

confidence: 99%

The influence of trait anxiety and illusory kinesthesia on pain threshold

et al. 2017

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[Purpose] It has also been reported that decreased activity in the reward pathway causes a decrease in brain activity in the descending pain control system in people with high trait anxiety. Activation of this system is dependent on both the reward pathway and motor areas. Recently, studies have also shown that motor areas are activated by illusory kinesthesia. It was aimed to explore whether anxiety trait modulates the influence of illusory kinesthesia on pain threshold. [Subjects and Methods] The pain threshold and trait anxiety at rest before vibratory tendon stimulation (the task) were measured. After the task, the pain threshold, the illusory kinesthesia angle, and the intensity of illusory kinesthesia for patients with and without illusory kinesthesia were measured. A total of 35 healthy right-handed students participated, among whom 22 and 13 were included in the illusion and no-illusion groups, respectively. [Results] There was a significant increase in the pain threshold after task completion in both groups; however, there was no statistically significant difference between the two groups. Correlational analysis revealed that State-Trait Anxiety Inventory-trait score correlated negatively with the pain threshold in the no-illusion group, but there was no correlation in the illusion group. [Conclusion] The pain threshold improved regardless of the size of trait anxiety in the illusion group, but did not improve merely through sensory input by vibratory stimulation in the no-illusion group. Thus, illusory kinesthesia has effect of increasing the pain threshold.

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Section: Introductionmentioning

confidence: 99%

The influence of trait anxiety and illusory kinesthesia on pain threshold

et al. 2017

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“…Magalhaes et al (2015) reported no significant effect of self-management among CLBP patients in physical activity, pain, and quality of life. These studies achieved acceptable levels of quality that may explain why all studies reporting significant improvement were low-quality studies, which usually include high risk of bias.…”

mentioning

confidence: 88%

“…Six of these articles were considered high-quality studies Ackerman et 44 al. 2012;Helminen et al 2014;Dziedzic et al 2015;Michaleff et al 2014;Magalhaes et al 2015).…”

Section: Effectiveness In Improving Physical Activitymentioning

confidence: 99%

“…Six high-quality studies reported no significant reduction in pain Ackerman et al 2012;Helminen et al 2014;Michaleff et al 2014;Dziedzic et al 2015;Magalhaes et al 2015). The majority of these studies followed participants for 12 months.…”

Section: Effectiveness In Reducing Painmentioning

confidence: 99%

“…The second most common leaders of self-management were physiotherapists Gustavsson et al 2010;;DA Silva et al 2015b;Magalhaes et al 2015;Michaleff et al2014). The least common developers or leaders of self-management were occupational therapists, psychologists, or nurses Niedermann et al 2012;Sharpe et al 2012;Dziedzic et al 2015).…”

Section: Professional Intervention and Settingmentioning

confidence: 99%

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Exploring self-management of chronic low back pain in Saudi Arabia

Mohammed¹

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Aim: The main purpose of this research project is to explore both patients' and physiotherapists' perceptions and understanding of self-management for chronic low back pain (CLBP) in the Kingdom of Saudi Arabia (KSA) and moreover, to explore current physiotherapy practice for managing CLBP in KSA. Methods:This research project used a mixed methods approach with sequential designs. The first section contains a quantitative study and the second section includes two qualitative studies. The quantitative section allowed exploration of current physiotherapy practices for CLBP management using a large population. The qualitative section has provided a more in-depth understanding of both patients' and physiotherapists' perceptions in regards to self-management and physiotherapy management for CLBP.Results: In the current study, physiotherapists acknowledged the importance of exercise and advice. Moreover, these represented the most common treatment methods used in daily practice. However, patients' preferences for passive approaches, such as rest, massage and modalities were frequently reported. This shows conflict between physiotherapists and patients with CLBP in terms of the preferred approach for managing the disorder.Physiotherapists' extensive use of modalities where evidence of effectiveness was lacking or insufficient was a common practice for physiotherapy management in patients with CLBP in the current research project. Moreover, physiotherapists and patients showed limited understanding of self-management as a concept. Conclusion:Promoting self-management in daily physiotherapy practice appears to be a complex issue. It involves various factors, such as promoting an evidencebased practice culture among physiotherapists; a patient-centred approach; access to guidelines and evidence; and organisational support through developing policy, local guidelines and CPD training. This research presents a platform of recommendations for future researchers, professionals, educators and policymakers to enhance the quality of care for patients with CLBP in the KSA in general and may increase the adoption of self-management.iii DECLARATION

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Managing chronic pain in primary care

Mills

Smith

2022

Clinical Pain Management

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The short-term effects of graded activity versus physiotherapy in patients with chronic low back pain: A randomized controlled trial

Cited by 44 publications

References 41 publications

The influence of trait anxiety and illusory kinesthesia on pain threshold

The influence of trait anxiety and illusory kinesthesia on pain threshold

Exploring self-management of chronic low back pain in Saudi Arabia

Managing chronic pain in primary care

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