Musculoskeletal care
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Musculoskeletal care · Dec 2014
Observational StudyMultidisciplinary rehabilitation for chronic widespread musculoskeletal pain: results from daily practice.
Evidence for the efficacy of a multi-component approach for chronic widespread musculoskeletal pain (CWP) has been reported, although the effects are overall moderate and this approach has rarely been investigated in real life. ⋯ In daily rehabilitation practice, a 15-week multidisciplinary treatment programme for patients with CWP showed statistically significant improvements in pain, activities and participation over time. Future studies are needed further to substantiate the long-term cost-effectiveness, and to identify the patients who benefit the most.
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Musculoskeletal care · Dec 2014
Managing osteoarthritis in primary care: exploring healthcare professionals' views on a multiple-joint intervention designed to facilitate self-management.
Osteoarthritis (OA) is one of the most common musculoskeletal conditions and a major cause of chronic pain and disability. Self-management of OA through education and exercise are recommended as core treatments. Current research has demonstrated the effectiveness of these approaches, but most trials tailor interventions for specific joints. The aim of the present study was to explore healthcare professionals' views on a group-based exercise intervention designed to facilitate the self-management of OA in the lower limbs and/or lower back. ⋯ Healthcare professionals saw the intervention as an acceptable and feasible approach to facilitate the self-management of OA. This study has implications for developing and implementing cost-effective interventions in primary care settings.
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Musculoskeletal care · Sep 2014
A survey of psychological support provision for people with inflammatory arthritis in secondary care in England.
The consequences of inflammatory arthritis can include depression, anxiety and low mood, reducing patients' quality of life and increasing pressure on the healthcare system. Treatment guidelines recommend psychological support, but data are lacking on the provision available. ⋯ Rheumatology units viewed psychological support provision as part of their remit but rated their overall provision as inadequate, despite some team members using psychological skills. To improve provision, clinicians' training needs must be addressed and organizational support generated, and further research needs to define adequate psychological support provision from the patient perspective.