Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Jan 2018
Review Meta Analysis Comparative StudyEvidence for Dry Needling in the Management of Myofascial Trigger Points Associated With Low Back Pain: A Systematic Review and Meta-Analysis.
To evaluate the current evidence of the effectiveness of dry needling of myofascial trigger points (MTrPs) associated with low back pain (LBP). ⋯ Moderate evidence showed that dry needling of MTrPs, especially if associated with other therapies, could be recommended to relieve the intensity of LBP at postintervention; however, the clinical superiority of dry needling in improving functional disability and its follow-up effects still remains unclear.
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Arch Phys Med Rehabil · Jan 2018
Review Meta AnalysisEffect of Soft Braces on Pain and Physical Function in Patients With Knee Osteoarthritis: Systematic Review With Meta-Analyses.
To systematically review and synthesize the effects of soft braces on pain and on self-reported and performance-based physical function in patients with knee osteoarthritis. ⋯ Currently available evidence indicates that soft braces have moderate effects on pain and small to moderate effects on self-reported physical function in knee osteoarthritis. These findings highlight the importance of soft braces as a technique to improve pain and physical function in both the short- and long-term. Additional high-quality studies are warranted to improve confidence in the findings.
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Arch Phys Med Rehabil · Jan 2018
Can Primary Care for Back and/or Neck Pain in the Netherlands Benefit From Stratification for Risk Groups According to the STarT Back Tool Classification?
To evaluate whether current Dutch primary care clinicians offer tailored treatment to patients with low back pain (LBP) or neck pain (NP) according to their risk stratification, based on the Keele STarT (Subgroup Targeted Treatment) Back-Screening Tool (SBT). ⋯ Current Dutch primary care for patients with nonspecific LBP, NP, or both does not correspond to the recommended stratified-care approach based on the SBT, as most patients receive medium-risk treatment. Most low-risk patients are overtreated, and most high-risk patients are undertreated. Although the stratified-care approach has not yet been validated in Dutch primary care, these results indicate there may be substantial room for improvement.
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Arch Phys Med Rehabil · Jan 2018
Observational StudyPsychological Features and Their Relationship to Movement-Based Subgroups in People Living With Low Back Pain.
To determine the distribution of higher psychological risk features within movement-based subgroups for people with low back pain (LBP). ⋯ Movement-based subgrouping alone cannot inform on individuals with higher psychological risk features.
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Arch Phys Med Rehabil · Jan 2018
Kinesiophobia and Its Association With Health-Related Quality of Life Across Injury Locations.
To compare baseline kinesiophobia levels and their association with health-related quality of life across injury locations. ⋯ Kinesiophobia levels appear elevated and negatively associated with health-related quality of life at initial physical therapy evaluation regardless of injury location. These findings suggest that physical therapists in outpatient orthopedic settings should implement routine kinesiophobia assessment and provide stratified care based on kinesiophobia levels across musculoskeletal conditions.