114 results on '"Caneiro, J. P."'
Search Results
2. Process of change for people with knee osteoarthritis undergoing cognitive functional therapy: a replicated single-case experimental design study.
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Caneiro, J. P., O'Sullivan, Peter, Tan, Jay-Shian, Klem, Nardia-Rose, de Oliveira, Beatriz I. R., Choong, Peter F., Dowsey, Michelle, Bunzli, Samantha, and Smith, Anne
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KNEE osteoarthritis , *HEALTH services accessibility , *QUALITATIVE research , *RESEARCH funding , *INTERVIEWING , *PSYCHOLOGICAL adaptation , *BEHAVIOR , *ATTITUDE (Psychology) , *EXPERIMENTAL design , *THEMATIC analysis , *PAIN management , *TOTAL knee replacement , *RESEARCH methodology , *CONVALESCENCE , *COGNITIVE therapy , *CHANGE , *BIOPSYCHOSOCIAL model - Abstract
To examine the applicability and process of change of Cognitive Functional Therapy (CFT) in the management of pain and disability in people with knee osteoarthritis who were offered knee replacement surgery and had risk factors for poor response to surgery. Single-case experimental design with a mixed-methods, repeated measures approach was used to investigate the process of change through CFT in four participants. Qualitative interviews investigated beliefs, behaviours and coping responses, and self-reported measures assessed pain, disability, psychological factors, and function at 25 timepoints. Study registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12619001491156). Qualitative data indicate that CFT promoted helpful changes in all participants, with two responses observed. One reflected a clear shift to a biopsychosocial conceptualisation of osteoarthritis, behavioural re-engagement and the view that a knee replacement was no longer necessary. The other response reflected a mixed conceptualisation with dissonant beliefs about osteoarthritis and its management. Psychological and social factors were identified as potential treatment barriers. Overall, quantitative measures supported the qualitative findings. The process of change varies between and within individuals over time. Psychological and social barriers to treatment have implications for future intervention studies for the management of knee osteoarthritis. Cognitive Functional Therapy is applicable in the management of knee osteoarthritis. Reconceptualisation of osteoarthritis reflected a helpful change. Psychological and social factors emerged as barriers to recovery. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Co‐development and evaluation of the Musculoskeletal Telehealth Toolkit for physiotherapists.
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Ezzat, Allison M., King, Matthew G., De Oliveira Silva, Danilo, Pazzinatto, Marcella F., Caneiro, J. P., Gourd, Stephanie, McGlasson, Rhona, Malliaras, Peter, Dennett, Amy, Russell, Trevor, Kemp, Joanne L., and Barton, Christian J.
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SOCIAL media ,PROFESSIONAL practice ,PHYSICAL therapists' attitudes ,RESEARCH funding ,TEACHING aids ,MUSCULOSKELETAL system diseases ,QUESTIONNAIRES ,CONFIDENCE ,CHI-squared test ,DESCRIPTIVE statistics ,TELEMEDICINE ,THEMATIC analysis ,PROFESSIONS ,PROFESSIONAL employee training ,RESEARCH methodology ,RESEARCH ,ADULT education workshops ,WEBINARS ,PROFESSIONAL competence - Abstract
Introduction: In‐person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time‐intensive responsibilities. The COVID‐19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co‐developed and evaluated a web‐based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions. Methods: A mixed‐methods exploratory sequential design applied modified experience‐based co‐design methods (physiotherapists [n = 13], clinic administrators [n = 2], and people with musculoskeletal conditions [n = 7]) to develop an evidence‐informed toolkit. Semi‐structured workshops were conducted, recorded, transcribed, and thematically analysed, refining the toolkit prototype. Subsequently, the toolkit was promoted via webinars and social media. The usability of the toolkit was examined with pre‐post surveys examining changes in confidence, knowledge, and perceived telehealth competence (19 statements modelled from the theoretical domains framework) between toolkit users (>30 min) and non‐users (0 min) using chi‐squared tests for independence. Website analytics were summarised. Results: Twenty‐two participants engaged in co‐design workshops. Feedback led to the inclusion of more patient‐facing resources, increased assessment‐related visual content, streamlined toolkit organisation, and simplified, downloadable infographics. Three hundred and twenty‐nine physiotherapists from 21 countries completed the baseline survey, with 172 (52%) completing the 3‐month survey. Toolkit users had greater improvement in knowledge, confidence, and competence than non‐users in 42% of statements. Seventy‐two percentage of toolkit users said it changed their practice, and 95% would recommend the toolkit to colleagues. During the evaluation period, the toolkit received 5486 total views. Discussion: The co‐designed web‐based Musculoskeletal Telehealth Toolkit is a professional development resource that may increase physiotherapist's confidence, knowledge, and competence in telehealth. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Process of change for people with knee osteoarthritis undergoing cognitive functional therapy: a replicated single-case experimental design study
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Caneiro, J. P., O’Sullivan, Peter, Tan, Jay-Shian, Klem, Nardia-Rose, de Oliveira, Beatriz I. R., Choong, Peter F., Dowsey, Michelle, Bunzli, Samantha, and Smith, Anne
- Abstract
To examine the applicability and process of change of Cognitive Functional Therapy (CFT) in the management of pain and disability in people with knee osteoarthritis who were offered knee replacement surgery and had risk factors for poor response to surgery. Single-case experimental design with a mixed-methods, repeated measures approach was used to investigate the process of change through CFT in four participants. Qualitative interviews investigated beliefs, behaviours and coping responses, and self-reported measures assessed pain, disability, psychological factors, and function at 25 timepoints. Study registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12619001491156). Qualitative data indicate that CFT promoted helpful changes in all participants, with two responses observed. One reflected a clear shift to a biopsychosocial conceptualisation of osteoarthritis, behavioural re-engagement and the view that a knee replacement was no longer necessary. The other response reflected a mixed conceptualisation with dissonant beliefs about osteoarthritis and its management. Psychological and social factors were identified as potential treatment barriers. Overall, quantitative measures supported the qualitative findings. The process of change varies between and within individuals over time. Psychological and social barriers to treatment have implications for future intervention studies for the management of knee osteoarthritis.IMPLICATIONS FOR REHABILITATIONCognitive Functional Therapy is applicable in the management of knee osteoarthritis.Reconceptualisation of osteoarthritis reflected a helpful change.Psychological and social factors emerged as barriers to recovery. Cognitive Functional Therapy is applicable in the management of knee osteoarthritis. Reconceptualisation of osteoarthritis reflected a helpful change. Psychological and social factors emerged as barriers to recovery.
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- 2023
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5. Broken Machines or Active Bodies? Part 3. Five Recommendations to Shift the Way Clinicians Communicate With People Who Are Seeking Care for Osteoarthritis.
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BUNZLI, SAMANTHA, TAYLOR, NICHOLAS F., O'BRIEN, PENNY, WALLIS, JASON A., CANEIRO, J. P., WOODWARD-KRON, ROBYN, HUNTER, DAVID J., CHOONG, PETER F., DOWSEY, MICHELLE M., and SHIELDS, NORA
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In parts 1 and 2 of this series, we highlighted the dominant impairment way of talking about osteoarthritis: talking that frames osteoarthritis as a disease of cartilage worsened by physical activity that can only be "cured" by replacing the joint. An alternative understanding that counters common misconceptions about osteoarthritis, and links physical activity and healthy lifestyles to improvements in symptoms is likely a prerequisite for sustainable behavior change. It is insufficient to tell people with osteoarthritis that regular physical activity is important; people need to understand and experience how physical activity can help. Here, we offer suggestions for how clinicians can shift from focusing on what people cannot do because of osteoarthritis, toward focusing on what people can do to improve their health and maintain "active bodies." [ABSTRACT FROM AUTHOR]
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- 2023
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6. Broken Machines or Active Bodies? Part 2. How People Talk About Osteoarthritis and Why Clinicians Need to Change the Conversation.
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BUNZLI, SAMANTHA, TAYLOR, NICHOLAS F., O'BRIEN, PENNY, WALLIS, JASON A., CANEIRO, J. P., WOODWARD-KRON, ROBYN, HUNTER, DAVID J., CHOONG, PETER F., DOWSEY, MICHELLE M., and SHIELDS, NORA
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KNEE osteoarthritis ,LIFESTYLES ,FOOD habits ,CAREGIVERS ,ACTIVE aging ,SOCIAL support ,CONVERSATION ,PATIENTS ,STRENGTH training - Abstract
How people talk about osteoarthritis may impact outcomes, including uptake of guideline recommendations related to activity-based lifestyles and interventions. In this editorial, we describe 2 key ways of talking, based on findings from our systematic review of 62 qualitative studies exploring the perceptions of people with knee osteoarthritis (n = 1208), their carers (n = 28), and clinicians (n = 2403). Among raw quotes extracted from the studies, we observed a dominant impairment-based way of talking and a participatory based way of talking. These ways of talking form a novel framework to help clinicians understand what people think and do about osteoarthritis. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Understanding Discrepancies in a Person's Fear of Movement and Avoidance Behavior: A Guide for Musculoskeletal Rehabilitation Clinicians Who Support People With Chronic Musculoskeletal Pain.
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DE BAETS, LIESBET, MEULDERS, ANN, VAN DAMME, STEFAAN, CANEIRO, J. P., and MATHEVI, THOMAS
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CHRONIC pain ,INTERVERTEBRAL disk displacement ,AVOIDANCE conditioning ,ATTITUDES of medical personnel ,MOTIVATION (Psychology) ,SELF-evaluation ,FEAR ,PATIENT-centered care ,INTERVIEWING ,COGNITION ,BACKACHE ,MAGNETIC resonance imaging ,RADICULOPATHY ,MUSCULOSKELETAL pain ,EMOTIONS ,PAIN management - Abstract
* BACKGROUND: Generic self-report measures do not reflect the complexity of a person's pain- related behavior. Since variations in a person's fear of movement and avoidance behavior may arise from contextual and motivational factors, a person-centered evaluation is required--addressing the cognitions, emotions, motivation, and actual behavior of the person. * CLINICAL QUESTION: Most musculoskeletal rehabilitation clinicians will recognize that different people with chronic pain have very different patterns of fear and avoidance behavior. However, an important remaining question for clinicians is "How can I identify and reconcile discrepancies in fear of movement and avoidance behavior observed in the same person, and adapt my management accordingly?" * KEY RESULTS: We frame a clinical case of a patient with persistent low back pain to illustrate the key pieces of information that clinicians may consider in a person-centered evaluation (ie, patient interview, self-report measures, and behavioral assessment) when working with patients to manage fear of movement and avoidance behavior. * CLINICAL APPLICATION: Understanding the discrepancies in a person's fear of movement and avoidance behavior is essential for musculoskeletal rehabilitation clinicians, as they work in partnership with patients to guide tailored approaches to changing behaviors. [ABSTRACT FROM AUTHOR]
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- 2023
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8. Process of Change in Pain-Related Fear: Clinical Insights From a Single Case Report of Persistent Back Pain Managed With Cognitive Functional Therapy
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CANEIRO, J. P., SMITH, ANNE, RABEY, MARTIN, MOSELEY, LORIMER G., and O’SULLIVAN, PETER
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- 2017
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9. Pain in elite athletes—neurophysiological, biomechanical and psychosocial considerations: a narrative review
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Hainline, Brian, Turner, Judith A, Caneiro, J P, Stewart, Mike, and Lorimer Moseley, G
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- 2017
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10. Predicting Knee Joint Kinematics from Wearable Sensor Data in People with Knee Osteoarthritis and Clinical Considerations for Future Machine Learning Models
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Tan, Jay-Shian, primary, Tippaya, Sawitchaya, additional, Binnie, Tara, additional, Davey, Paul, additional, Napier, Kathryn, additional, Caneiro, J. P., additional, Kent, Peter, additional, Smith, Anne, additional, O’Sullivan, Peter, additional, and Campbell, Amity, additional
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- 2022
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11. From Fear to Safety: A Roadmap to Recovery From Musculoskeletal Pain
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Caneiro, J P, primary, Smith, Anne, additional, Bunzli, Samantha, additional, Linton, Steven, additional, Moseley, G Lorimer, additional, and O’Sullivan, Peter, additional
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- 2021
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12. An investigation of implicit bias about bending and lifting
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Krug, Roberto Costa, primary, Silva, Marcelo Faria, additional, Lipp, Ottmar V., additional, O’Sullivan, Peter B., additional, Almeida, Rosicler, additional, Peroni, Ian Sulzbacher, additional, and Caneiro, J. P., additional
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- 2021
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13. Broken Machines or Active Bodies? Part 1. Ways of Talking About Health and Why It Matters.
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BUNZLI, SAMANTHA, TAYLOR, NICHOLAS F., O'BRIEN, PENNY, WALLIS, JASON A., CANEIRO, J. P., WOODWARD-KRON, ROBYN, HUNTER, DAVID J., CHOONG, PETER F., DOWSEY, MICHELLE M., and SHIELDS, NORA
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PHYSICIAN-patient relations ,HEALTH attitudes ,HEALTH behavior ,OSTEOARTHRITIS - Abstract
SYNOPSIS: This editorial series raises awareness among clinicians about how ways of talking about orthopaedic conditions can influence what people who are seeking health care (1) think about their health and (2) what they do to manage their health. In part 1, we introduce you to ways of talking about health, using osteoarthritis as a case study. In part 2, we describe 2 contrasting ways of talking about osteoarthritis and how changing the way you share information and ideas with people seeking care may impact clinical decisions. In part 3, we offer strategies to help you shift the way you communicate with people with osteoarthritis to promote uptake of best practice recommendations and support healthy, active lifestyles. [ABSTRACT FROM AUTHOR]
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- 2023
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14. 2021 consensus statement for preventing and managing low back pain in elite and subelite adult rowers
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Wilson, Fiona, primary, Thornton, Jane S, additional, Wilkie, Kellie, additional, Hartvigsen, Jan, additional, Vinther, Anders, additional, Ackerman, Kathryn E, additional, Caneiro, J P, additional, Trease, Larissa, additional, Nugent, Frank, additional, Gissane, Conor, additional, McDonnell, Sarah-Jane, additional, McGregor, Alison, additional, Newlands, Craig, additional, and Ardern, Clare L, additional
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- 2021
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15. An investigation of implicit bias about bending and lifting.
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Krug, Roberto Costa, Silva, Marcelo Faria, Lipp, Ottmar V., O'Sullivan, Peter B., Almeida, Rosicler, Peroni, Ian Sulzbacher, and Caneiro, J. P.
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Objectives: Previous studies in a high-income country have demonstrated that people with and without low back pain (LBP) have an implicit bias that bending and lifting with a flexed lumbar spine is dangerous. These studies present two key limitations: use of a single group per study; people who recovered from back pain were not studied. Our aims were to evaluate: implicit biases between back posture and safety related to bending and lifting in people who are pain-free, have a history of LBP or have current LBP in a middle-income country, and to explore correlations between implicit and explicit measures within groups. Methods: Exploratory cross-sectional study including 174 participants (63 pain-free, 57 with history of LBP and 54 with current LBP). Implicit biases between back posture and safety related to bending and lifting were assessed with the Implicit Association Test (IAT). Participants completed paper-based (Bending Safety Belief [BSB]) and online questionnaires (Tampa Scale of Kinesiophobia; Back Pain Attitudes Questionnaire). Results: Participants displayed significant implicit bias between images of round-back bending and lifting and words representing "danger" (IATD-SCORE: Pain-free group: 0.56 (IQR=0.31-0.91; 95% CI [0.47, 0.68]); history of LBP group: 0.57 (IQR=0.34-0.84; 95% CI [0.47, 0.67]); current LBP group: 0.56 (IQR=0.24-0.80; 95% CI [0.39, 0.64])). Explicit measures revealed participants hold unhelpful beliefs about the back, perceiving round-back bending and lifting as dangerous (BSB
thermometer : Pain-free group: 8 (IQR=7-10; 95% CI [7.5, 8.5]); history of LBP group: 8 (IQR=7-10; 95% CI [7.5, 9.0]); current LBP group: 8.5 (IQR=6.75-10; [7.5, 9.0])). There was no correlation between implicit and explicit measures within the groups. Conclusions: In a middle-income country, people with and without LBP, and those who recovered from LBP have an implicit bias that round-back bending and lifting is dangerous. [ABSTRACT FROM AUTHOR]- Published
- 2022
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16. Treating low back pain in athletes: a systematic review with meta-analysis
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Thornton, Jane S, primary, Caneiro, J P, additional, Hartvigsen, Jan, additional, Ardern, Clare L, additional, Vinther, Anders, additional, Wilkie, Kellie, additional, Trease, Larissa, additional, Ackerman, Kathryn E, additional, Dane, Kathryn, additional, McDonnell, Sarah-Jane, additional, Mockler, David, additional, Gissane, Conor, additional, and Wilson, Fiona, additional
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- 2020
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17. 'You’re the best liar in the world’: a grounded theory study of rowing athletes’ experience of low back pain
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Wilson, Fiona, primary, Ng, Leo, additional, O'Sullivan, Kieran, additional, Caneiro, J P, additional, O'Sullivan, Peter PB, additional, Horgan, Alex, additional, Thornton, Jane S, additional, Wilkie, Kellie, additional, and Timonen, Virpi, additional
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- 2020
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18. There is more to pain than tissue damage: eight principles to guide care of acute non-traumatic pain in sport
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Caneiro, J P, primary, Alaiti, Rafael Krasic, additional, Fukusawa, Leandro, additional, Hespanhol, Luiz, additional, Brukner, Peter, additional, and O'Sullivan, Peter PB, additional
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- 2020
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19. Infographic. Roadmap to managing a person with musculoskeletal pain irrespective of body region
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Caneiro, J P, primary, Roos, Ewa M, additional, Barton, Christian J, additional, O'Sullivan, Kieran, additional, Kent, Peter, additional, Lin, Ivan, additional, Choong, Peter, additional, Crossley, Kay M, additional, Hartvigsen, Jan, additional, Smith, Anne J, additional, Wernli, Kevin, additional, and O’Sullivan, Peter B, additional
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- 2020
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20. It is time to move beyond ‘body region silos’ to manage musculoskeletal pain: five actions to change clinical practice
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Caneiro, J P, primary, Roos, Ewa M, additional, Barton, Christian J, additional, O'Sullivan, Kieran, additional, Kent, Peter, additional, Lin, Ivan, additional, Choong, Peter, additional, Crossley, Kay M, additional, Hartvigsen, Jan, additional, Smith, Anne Julia, additional, and O'Sullivan, Peter, additional
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- 2019
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21. The Relationship Between Changes in Movement and Activity Limitation or Pain in People With Knee Osteoarthritis: A Systematic Review.
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TAN, JAY-SHIAN, TIKOFT, EDWARD, O'SULLIVAN, PETER, SMITH, ANNE, CAMPBELL, AMITY, CANEIRO, J. R., and KENT, PETER
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OBJECTIVE: To report whether changes in knee joint movement parameters recorded during functional activities relate to change in activity limitation or pain after an exercise intervention in people with knee osteoarthritis (OA) DESIGN: Etiology systematic review. LITERATURE SEARCH: Four databases (MED- LINE, Embase, CINAHL and AMED) were searched up to January 22,2021 STUDY SELECTION CRITERIA: Randomized controlled trials or cohort studies of exercise in- terventions for people with knee OA that assessed change in knee joint movement parameters (mo- dements, kinematics, or muscle activity) and clinical outcomes (activity limitation or pain). DATA SYNTHESIS: A descriptive synthesis of functional activities, movement parameters, and outclinical outcomes. RESULTS: From 3182 articles, 22 studies met the inclusion criteria, and almost all were of low quality. Gait was the only investigated functional activity. After exercise, gait parameters changed 26% of the time, and clinical outcomes improved 90% of the time. A relationship between group-level changes in gait parameters and clinical outcomes occurred 24.5% of the time. Two studies directly investigated an individual-level relationship, reporting only 1 signifi- cant association out of 8 correlations tested. '* CONCLUSION: Most studies reported no change in gait-related movement parameters de- spite improvement in clinical outcomes, challeng- ing the belief that changing movement parameters is always clinically important in people with knee OA. [ABSTRACT FROM AUTHOR]
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- 2021
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22. Treating low back pain in athletes: a systematic review with meta-analysis.
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Thornton, Jane S., Caneiro, J. P., Hartvigsen, Jan, Ardern, Clare L., Vinther, Anders, Wilkie, Kellie, Trease, Larissa, Ackerman, Kathryn E., Dane, Kathryn, McDonne, Sarah-Jane, Mockler, David, Gissane, Conor, Wilson, Fiona, and McDonnell, Sarah-Jane
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LUMBAR pain ,ATHLETES ,CHRONIC pain ,PSYCHOTHERAPY ,BRAIN concussion - Abstract
Objective: To summarise the evidence for non-pharmacological management of low back pain (LBP) in athletes, a common problem in sport that can negatively impact performance and contribute to early retirement.Data Sources: Five databases (EMBASE, Medline, CINAHL, Web of Science, Scopus) were searched from inception to September 2020. The main outcomes of interest were pain, disability and return to sport (RTS).Results: Among 1629 references, 14 randomised controlled trials (RCTs) involving 541 athletes were included. The trials had biases across multiple domains including performance, attrition and reporting. Treatments included exercise, biomechanical modifications and manual therapy. There were no trials evaluating the efficacy of surgery or injections. Exercise was the most frequently investigated treatment; no RTS data were reported for any exercise intervention. There was a reduction in pain and disability reported after all treatments.Conclusions: While several treatments for LBP in athletes improved pain and function, it was unclear what the most effective treatments were, and for whom. Exercise approaches generally reduced pain and improved function in athletes with LBP, but the effect on RTS is unknown. No conclusions regarding the value of manual therapy (massage, spinal manipulation) or biomechanical modifications alone could be drawn because of insufficient evidence. High-quality RCTs are urgently needed to determine the effect of commonly used interventions in treating LBP in athletes. [ABSTRACT FROM AUTHOR]- Published
- 2021
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23. Prevalence and risk factors for back pain in sports: a systematic review with meta-analysis.
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Wilson, Fiona, Ardern, Clare L., Hartvigsen, Jan, Dane, Kathryn, Trompeter, Katharina, Trease, Larissa, Vinther, Anders, Gissane, Conor, McDonnell, Sarah- Jane, Caneiro, JP, Newlands, Craig, Wilkie, Kellie, Mockler, David, Thornton, Jane S., and Caneiro, J P
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SPORTS injuries ,BACK injuries ,BACKACHE ,CHRONIC pain - Abstract
Objectives: We aimed to determine the prevalence of low back pain (LBP) in sport, and what risk factors were associated with LBP in athletes.Design: Systematic review with meta-analysis.Data Sources: Literature searches from database inception to June 2019 in Medline, Embase, Cumulated Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Scopus, supplemented by grey literature searching.Eligibility Criteria: Studies evaluating prevalence of LBP in adult athletes across all sports.Results: Eighty-six studies were included (30 732, range 20-5958, participants), of which 45 were of 'high' quality. Definitions of LBP varied widely, and in 17 studies, no definition was provided. High-quality studies were pooled and the mean point prevalence across six studies was 42%; range 18%-80% (95% CI 27% to 58%, I2=97%). Lifetime prevalence across 13 studies was 63%; range 36%-88% (95% CI 51% to 74%, I2=99%). Twelve-month LBP prevalence from 22 studies was 51%; range 12%-94% (95% CI 41% to 61%, I2=98%). Comparison across sports was limited by participant numbers, study quality and methodologies, and varying LBP definitions. Risk factors for LBP included history of a previous episode with a pooled OR of 3.5; range 1.6-4.0 (95% CI 1.9 to 6.4). Statistically significant associations were reported for high training volume, periods of load increase and years of exposure to the sport.Conclusion: LBP in sport is common but estimates vary. Current evidence is insufficient to identify which sports are at highest risk. A previous episode of LBP, high training volume, periods of load increase and years of exposure are common risk factors. [ABSTRACT FROM AUTHOR]- Published
- 2021
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24. 'You're the best liar in the world': a grounded theory study of rowing athletes' experience of low back pain.
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Wilson, Fiona, Leo Ng, O'Sullivan, Kieran, Caneiro, J. P., O'Sullivan, Peter P. B., Horgan, Alex, Thornton, Jane S., Wilkie, Kellie, Timonen, Virpi, Ng, Leo, and O'Sullivan, Peter Pb
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LUMBAR pain ,ATHLETES with disabilities ,GROUNDED theory ,THERAPEUTIC alliance ,OLDER athletes ,ATHLETES ,CHRONIC pain ,PAIN catastrophizing - Abstract
Objectives: Low back pain (LBP) is common in rowers and leads to considerable disability and even retirement. The athlete voice can help clinicians to better understand sport-related pain disorders. We aimed to capture the lived experience of LBP in rowers.Methods: Cross-sectional qualitative study using a grounded theory approach. Adult competitive rowers with a rowing-related LBP history were recruited in Australia and Ireland. Data were collected through interviews that explored: context around the time of onset of their LBP and their subsequent journey, experiences of management/treatment, perspectives around present beliefs, fears, barriers and expectations for the future.Results: The 25 rowers (12 women/13 men) who participated were aged 18-50 years; they had a mean 12.1 years of rowing experience. They discussed a culture of concealment of pain from coaches and teammates, and fear of being judged as 'weak' because of the limitations caused by LBP. They reported fear and isolation as a result of their pain. They felt that the culture within rowing supported this. They reported inconsistent messages regarding management from medical staff. Some rowers reported being in a system where openness was encouraged-they regarded this a leading to better outcomes and influencing their LBP experience.Conclusions: Rowers' lived experience of LBP was influenced by a pervasive culture of secrecy around symptoms. Rowers and support staff should be educated regarding the benefits of early disclosure and rowers should be supported to do so without judgement. [ABSTRACT FROM AUTHOR]- Published
- 2021
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25. Pain can be conditioned to voluntary movements through associative learning: an experimental study in healthy participants.
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Alaiti, Rafael Krasic, Zuccolo, Pedro Fonseca, Hunziker, Maria Helena Leite, Caneiro, J. P., Vlaeyen, Johan W. S., da Costa, Marcelo Fernandes, Fernandes da Costa, Marcelo, and Leite Hunziker, Maria Helena
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- 2020
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26. Clinicopathological features of peripheral ossifying fibroma in a series of 41 patients.
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Lázare, H., Peteiro, A., Pérez Sayáns, M., Gándara-Vila, P., Caneiro, J., García-García, A., Antón, I., Gándara-Rey, J.M., and Suárez-Peñaranda, J.M.
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CEMENTUM ,FIBROMAS ,CELL proliferation ,WOMEN patients ,BONE growth ,SMOOTH muscle ,MEDICAL records - Abstract
Peripheral ossifying fibromas are benign mesenchymal lesions that usually arise in the anterior maxilla of young female patients. Histologically they consist of spindle cell proliferation with focal mineralisation. We reviewed 48 specimens from 41 patients and recorded the clinical data, sex, and age of the patients, site and size of the lesions, treatment, and postoperative outcome. Histologically the presence of mature, woven bone, cementum, and calcifications were evaluated and evaluated immunohistochemically. Lesions were more frequent in female patients in the third and fourth decade, and were usually in the lower maxilla and smaller than 2 cm. All lesions were conservatively excised, and they relapsed in eight patients. Histopathologically, the lesions were poorly circumscribed, moderately cellular proliferations, with no discernible architectural pattern. All tumours showed some degree of mineralisation, the presence of immature bone being the most common. Immunohistochemical examination showed staining of tumoural cells for smooth muscle actin and CD68. Lesions tended to occur more commonly in female patients, but one decade later than usually reported. We found a higher recurrence rate in lesions that contained cementum-like material but without bone formation, suggesting a lack of maturation in this group. Immunohistochemical results were consistent with myofibroblastic differentiation but they added no information about the behaviour of the lesions. [ABSTRACT FROM AUTHOR]
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- 2019
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27. Cognitive Functional Therapy: An Integrated Behavioral Approach for the Targeted Management of Disabling Low Back Pain
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O’Sullivan, Peter B, primary, Caneiro, J P, additional, O’Keeffe, Mary, additional, Smith, Anne, additional, Dankaerts, Wim, additional, Fersum, Kjartan, additional, and O’Sullivan, Kieran, additional
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- 2018
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28. Commentary: Trunk Muscle Activity during Drop Jump Performance in Adolescent Athletes with Back Pain
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Palsson, Thorvaldur S., primary, Caneiro, J. P., additional, Hirata, Rogerio Pessoto, additional, Griffin, Derek, additional, Gibson, William, additional, and Travers, Mervyn J., additional
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- 2018
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29. There is more to pain than tissue damage: eight principles to guide care of acute non-traumatic pain in sport.
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Caneiro, J. P., Alaiti, Rafael Krasic, Fukusawa, Leandro, Hespanhol, Luiz, Brukner, Peter, O'Sullivan, Peter P. B., and O'Sullivan, Peter Pb
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SPORTS injuries ,PAIN ,SPORTS physicians ,SPORTS participation - Published
- 2021
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30. Patient-centred care: the cornerstone for high-value musculoskeletal pain management.
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Lin, Ivan, Wiles, Louise, Waller, Rob, Caneiro, J. P., Nagree, Yusuf, Straker, Leon, Maher, Chris G., and O'Sullivan, Peter P. B.
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PAIN management ,BEHAVIOR ,PAIN ,MEDICAL personnel ,THERAPEUTIC alliance - Published
- 2020
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31. Back to basics: 10 facts every person should know about back pain.
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O'Sullivan, Peter B., Caneiro, J. P., O'Sullivan, Kieran, Lin, Ivan, Bunzli, Samantha, Wernli, Kevin, and O'Keeffe, Mary
- Subjects
BACKACHE ,LUMBAR pain ,CHRONIC pain ,BACK injuries ,HEALTH attitudes ,PATIENT education - Published
- 2020
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32. Three steps to changing the narrative about knee osteoarthritis care: a call to action.
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Caneiro, J. P., O'Sullivan, Peter B., Roos, Ewa M., Smith, Anne J., Peter Choong, Dowsey, Michelle, Hunter, David J., Kemp, Joanne, Rodriguez, Jorge, Lohmander, Stefan, Bunzli, Samantha, Barton, Christian J., and Choong, Peter
- Subjects
KNEE ,MEDICAL care ,SPORTS medicine ,ANTERIOR cruciate ligament ,EXERCISE therapy - Published
- 2020
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33. Cognitive Functional Therapy: An Integrated Behavioral Approach for the Targeted Management of Disabling Low Back Pain.
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O'Sullivan, Peter B., Caneiro, J. P., O'Keeffe, Mary, Smith, Anne, Dankaerts, Wim, Fersum, Kjartan, and O'Sullivan, Kieran
- Subjects
- *
COGNITIVE therapy , *MEDICAL needs assessment , *NEUROSCIENCES , *PHYSICAL therapy , *LIFESTYLES , *FUNCTIONAL training , *TREATMENT effectiveness , *LUMBAR pain , *PSYCHOLOGY - Abstract
Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of the spine and a failure to target the interplay among multiple factors that contribute to pain and disability may partly explain this situation. Although many approaches and subgrouping systems for disabling LBP have been proposed in an attempt to deal with this complexity, they have been criticized for being unidimensional and reductionist and for not improving outcomes. Cognitive functional therapy was developed as a flexible integrated behavioral approach for individualizing the management of disabling LBP. This approach has evolved from an integration of foundational behavioral psychology and neuroscience within physical therapist practice. It is underpinned by a multidimensional clinical reasoning framework in order to identify the modifiable and nonmodifiable factors associated with an individual's disabling LBP. This article illustrates the application of cognitive functional therapy to provide care that can be adapted to an individual with disabling LBP. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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34. Consensus statement for preventing and managing low back pain in elite and sub-elite adult rowers.
- Author
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Ackerman, K., Ardern, C., Caneiro, J., Gissane, C., Hartvigsen, J., McDonnell, S., McGregor, A., Newlands, C., Nugent, F., Thornton, J., Trease, L., Vinther, A., Wilkie, K., and Wilson, F.
- Published
- 2021
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- View/download PDF
35. A PERSON-CENTRED BIOPSYCHOSOCIAL APPROACH TO BACK PAIN IN SPORT.
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CANEIRO, J. P. and NG, LEO
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LUMBAR pain ,PSYCHOLOGICAL distress - Abstract
In this article, the author focuses on the concept of low back pain (LBP) that increases levels of distress and avoidant of physical activities and also mentions several biopsychosocial factors related to pain such as interactions between patho-anatomical and physical factors.
- Published
- 2016
36. 'It's not hands-on therapy, so it's very limited': Telehealth use and views among allied health clinicians during the coronavirus pandemic.
- Author
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Barton, C., Caneiro, J., Haines, T., Malliaras, P., Merolli, M., and Williams, C.
- Published
- 2021
- Full Text
- View/download PDF
37. It is time to move beyond 'body region silos' to manage musculoskeletal pain: five actions to change clinical practice.
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Caneiro, J. P., Roos, Ewa M., Barton, Christian J., O’Sullivan, Kieran, Kent, Peter, Lin, Ivan, Choong, Peter, Crossley, Kay M., Hartvigsen, Jan, Smith, Anne Julia, O’Sullivan, Peter, O'Sullivan, Kieran, and O'Sullivan, Peter
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PAIN management ,SILOS ,LUMBAR pain - Published
- 2020
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38. From Fear to Safety: A Roadmap to Recovery From Musculoskeletal Pain
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Caneiro, J P, Smith, Anne, Bunzli, Samantha, Linton, Steven, Moseley, G Lorimer, and O’Sullivan, Peter
- Abstract
Contemporary conceptualizations of pain emphasize its protective function. The meaning assigned to pain drives cognitive, emotional, and behavioral responses. When pain is threatening and a person lacks control over their pain experience, it can become distressing, self-perpetuating, and disabling. Although the pathway to disability is well established, the pathway to recovery is less researched and understood. This Perspective draws on recent data on the lived experience of people with pain-related fear to discuss both fear and safety-learning processes and their implications for recovery for people living with pain. Recovery is here defined as achievement of control over pain as well as improvement in functional capacity and quality of life. Based on the common-sense model, this Perspective proposes a framework utilizing Cognitive Functional Therapy to promote safety learning. A process is described in which experiential learning combined with “sense making” disrupts a person’s unhelpful cognitive representation and behavioral and emotional response to pain, leading them on a journey to recovery. This framework incorporates principles of inhibitory processing that are fundamental to pain-related fear and safety learning.
- Published
- 2022
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39. Human Activity Recognition for People with Knee Osteoarthritis—A Proof-of-Concept.
- Author
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Tan, Jay-Shian, Beheshti, Behrouz Khabbaz, Binnie, Tara, Davey, Paul, Caneiro, J. P., Kent, Peter, Smith, Anne, O'Sullivan, Peter, Campbell, Amity, and Iosa, Marco
- Subjects
HUMAN activity recognition ,STAIR climbing ,ARTIFICIAL neural networks ,CONVOLUTIONAL neural networks ,MEDICAL personnel ,OSTEOARTHRITIS ,KNEE - Abstract
Clinicians lack objective means for monitoring if their knee osteoarthritis patients are improving outside of the clinic (e.g., at home). Previous human activity recognition (HAR) models using wearable sensor data have only used data from healthy people and such models are typically imprecise for people who have medical conditions affecting movement. HAR models designed for people with knee osteoarthritis have classified rehabilitation exercises but not the clinically relevant activities of transitioning from a chair, negotiating stairs and walking, which are commonly monitored for improvement during therapy for this condition. Therefore, it is unknown if a HAR model trained on data from people who have knee osteoarthritis can be accurate in classifying these three clinically relevant activities. Therefore, we collected inertial measurement unit (IMU) data from 18 participants with knee osteoarthritis and trained convolutional neural network models to identify chair, stairs and walking activities, and phases. The model accuracy was 85% at the first level of classification (activity), 89–97% at the second (direction of movement) and 60–67% at the third level (phase). This study is the first proof-of-concept that an accurate HAR system can be developed using IMU data from people with knee osteoarthritis to classify activities and phases of activities. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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40. Ultrasound evaluation of asymptomatic senior and under-23 elite rowers’ forearms with reference to Intersection Syndrome.
- Author
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Drew, M., Trease, L., Lovell, G., Connell, D., Caneiro, J., Rice, T., Chin, O., and Hooper, I.
- Published
- 2013
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41. People with painful knee osteoarthritis hold negative implicit attitudes towards activity.
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Pulling BW, Braithwaite FA, Mignone J, Butler DS, Caneiro JP, Lipp OV, and Stanton TR
- Abstract
Abstract: Negative attitudes/beliefs surrounding osteoarthritis, pain, and activity contribute to reduced physical activity in people with knee osteoarthritis (KOA). These attitudes/beliefs are assessed using self-report questionnaires, relying on information one is consciously aware of and willing to disclose. Automatic (ie, implicit) assessment of attitudes does not rely on conscious reflection and may identify features unique from self-report. We developed an implicit association test that explored associations between images of a person moving/twisting their knee (activity) or sitting/standing (rest), and perceived threat (safe vs dangerous). We hypothesised that people with KOA would have greater implicit threat-activity associations (vs pain-free and non-knee pain controls), with implicit attitudes only weakly correlating with self-reported measures (pain knowledge, osteoarthritis/pain/activity beliefs, fear of movement). Participants (n = 558) completed an online survey: 223 had painful KOA (n = 157 female, 64.5 ± 8.9 years); 207 were pain free (n = 157 female, 49.3 ± 15.3 years); and 99 had non-KOA lower limb pain (n = 74 female, 47.5 ± 15.04 years). An implicit association between "danger" and "activity" was present in those with and without limb pain (KOA: 0.36, 95% CI 0.28-0.44; pain free: 0.13, 95% CI 0.04-0.22; non-KOA lower limb pain 0.11, 95% CI -0.03 to 0.24) but was significantly greater in the KOA group than in the pain free (P < 0.001) and non-KOA lower limb pain (P = 0.004) groups. Correlations between implicit and self-reported measures were nonsignificant or weak (rho = -0.29 to 0.19, P < 0.001 to P = 0.767). People with painful KOA hold heightened implicit threat-activity associations, capturing information unique to that from self-report questionnaires. Evaluating links between implicit threat-activity associations and real-world behaviour, including physical activity levels, is warranted., (Copyright © 2024 International Association for the Study of Pain.)
- Published
- 2024
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42. Co-development and evaluation of the Musculoskeletal Telehealth Toolkit for physiotherapists.
- Author
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Ezzat AM, King MG, De Oliveira Silva D, Pazzinatto MF, Caneiro JP, Gourd S, McGlasson R, Malliaras P, Dennett A, Russell T, Kemp JL, and Barton CJ
- Abstract
Introduction: In-person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time-intensive responsibilities. The COVID-19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co-developed and evaluated a web-based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions., Methods: A mixed-methods exploratory sequential design applied modified experience-based co-design methods (physiotherapists [n = 13], clinic administrators [n = 2], and people with musculoskeletal conditions [n = 7]) to develop an evidence-informed toolkit. Semi-structured workshops were conducted, recorded, transcribed, and thematically analysed, refining the toolkit prototype. Subsequently, the toolkit was promoted via webinars and social media. The usability of the toolkit was examined with pre-post surveys examining changes in confidence, knowledge, and perceived telehealth competence (19 statements modelled from the theoretical domains framework) between toolkit users (>30 min) and non-users (0 min) using chi-squared tests for independence. Website analytics were summarised., Results: Twenty-two participants engaged in co-design workshops. Feedback led to the inclusion of more patient-facing resources, increased assessment-related visual content, streamlined toolkit organisation, and simplified, downloadable infographics. Three hundred and twenty-nine physiotherapists from 21 countries completed the baseline survey, with 172 (52%) completing the 3-month survey. Toolkit users had greater improvement in knowledge, confidence, and competence than non-users in 42% of statements. Seventy-two percentage of toolkit users said it changed their practice, and 95% would recommend the toolkit to colleagues. During the evaluation period, the toolkit received 5486 total views., Discussion: The co-designed web-based Musculoskeletal Telehealth Toolkit is a professional development resource that may increase physiotherapist's confidence, knowledge, and competence in telehealth., (© 2023 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.)
- Published
- 2023
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43. Person-centered care for musculoskeletal pain: Putting principles into practice.
- Author
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Hutting N, Caneiro JP, Ong'wen OM, Miciak M, and Roberts L
- Subjects
- Humans, Patient-Centered Care, Communication, Musculoskeletal Pain therapy
- Abstract
Person-centered care specifically focuses on the whole person and is an important component of contemporary care for people with musculoskeletal pain conditions. Evidence suggests however, that some clinicians experience difficulties with integrating person-centered care principles into their clinical practice. Therefore, the purpose of this masterclass is to provide a framework that enables clinicians to incorporate person-centered principles in their management of people with musculoskeletal pain conditions. To support clinicians in overcoming some of the reported obstacles, we provide practical recommendations aimed at putting principles of person-centered care into practice. The framework supporting clinicians' delivery of person-centered care in practice consists of three key-principles: A) a biopsychosocial understanding of the person's experience; B) person-focused communication; and C) supported self-management. The framework includes three phases: 1) identification and goal setting, 2) coaching to self-management, and 3) evaluation. Building a therapeutic relationship underpins these phases and is an overarching element that weaves through the key-principles and phases of the framework. We use a clinical case to illustrate the practical implementation of these recommendations., Competing Interests: Declaration of competing interest None., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2022
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- View/download PDF
44. What Are the Mechanisms of Action of Cognitive-Behavioral, Mind-Body, and Exercise-based Interventions for Pain and Disability in People With Chronic Primary Musculoskeletal Pain?: A Systematic Review of Mediation Studies From Randomized Controlled Trials.
- Author
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Alaiti RK, Castro J, Lee H, Caneiro JP, Vlaeyen JWS, Kamper SJ, and da Costa MF
- Subjects
- Cognition, Exercise Therapy methods, Humans, Randomized Controlled Trials as Topic, Chronic Pain therapy, Musculoskeletal Pain therapy
- Abstract
Objectives: This systematic review examined studies that used mediation analysis to investigate the mechanisms of action of cognitive-behavioral, mind-body, and exercise-based interventions for pain and disability in people with chronic primary musculoskeletal pain., Materials and Methods: We searched 5 electronic databases for articles that conducted mediation analyses of randomized controlled trials to either test or estimate indirect effects., Results: We found 17 studies (n=4423), including 90 mediation models examining the role of 22 putative mediators on pain or disability, of which 4 had partially mediated treatment effect; 8 had mixed results, and 10 did not mediate treatment effect. The conditions studied were chronic whiplash-associated pain, chronic low back pain, chronic knee pain, and mixed group of chronic primary musculoskeletal pain., Discussion: We observed that several of the studies included in our systematic review identified similar mechanisms of action, even between different interventions and conditions. However, methodological limitations were common. In conclusion, there are still substantial gaps with respect to understanding how cognitive-behavioral, mind-body, and exercise-based interventions work to reduce pain and disability in people with chronic primary musculoskeletal pain., Competing Interests: This work was supported by the scholarship 168816 from the CNPq and FAPESP #04049-4. M.F.d.C. is a CNPq research fellow. The remaining authors declare no conflict of interest., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2022
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45. "There's definitely something wrong but we just don't know what it is": A qualitative study exploring rowers' understanding of low back pain.
- Author
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Casey MB, Wilson F, Ng L, O'Sullivan K, Caneiro JP, O'Sullivan PB, Horgan A, Thornton JS, Wilkie K, Timonen V, Wall J, and McGowan E
- Subjects
- Ergometry adverse effects, Humans, Risk Factors, Low Back Pain, Sports, Water Sports injuries
- Abstract
Objectives: Low back pain is highly prevalent in rowing and can be associated with significant disability and premature retirement. A previous qualitative study in rowers revealed a culture of concealment of pain and injury due to fear of judgement by coaches or teammates. The aim of this study was to explore rowers' perspectives in relation to diagnosis, contributory factors, and management of low back pain., Design: Qualitative secondary analysis., Methods: We conducted a secondary analysis of interview data previously collected from 25 rowers (12 in Australia and 13 in Ireland). A reflexive thematic analysis approach was used., Results: We identified three themes: 1) Rowers attribute low back pain to structural/physical factors. Most rowers referred to structural pathologies or physical impairments when asked about their diagnosis. Some participants were reassured if imaging results helped to explain their pain, but others were frustrated if findings on imaging did not correlate with their symptoms. 2) Rowing is viewed as a risky sport for low back pain. Risk factors proposed by the rowers were primarily physical and included ergometer training, individual technique, and repetitive loading. 3) Rowers focus on physical strategies for the management and prevention of low back pain. In particular, rowers considered stretching and core-strengthening exercise to be important components of treatment., Conclusions: Rowers' understanding of low back pain was predominantly biomedical and focused on physical impairments. Further education of rowers, coaches and healthcare professionals in relation to the contribution of psychosocial factors may be helpful for rowers experiencing low back pain., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
46. Patient-centered care in musculoskeletal practice: Key elements to support clinicians to focus on the person.
- Author
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Hutting N, Caneiro JP, Ong'wen OM, Miciak M, and Roberts L
- Subjects
- Humans, Physical Therapy Modalities, Patient-Centered Care, Self-Management
- Abstract
Musculoskeletal rehabilitation, including physiotherapy, needs to move towards a broader biopsychosocial understanding of musculoskeletal conditions and the delivery of high-value care for people with persistent pain conditions, in which a patient-centered approach is a key feature. However, it has been reported that clinicians experience difficulties with integrating patient-centered care principles into their clinical practice. Based on a focused symposium about patient-centered care for patients with musculoskeletal conditions, held during the online 2021 World Physiotherapy Congress, the purpose of this article is to share key elements of the content of this symposium with a wider audience, aimed at enabling clinicians to enhance patient-centeredness in their current practice. These key elements include establishing meaningful connections, deciding together and self-management support. Moreover, challenges on patient-centered care in low/middle income countries will be discussed and recommendations to implement patient-centered care in clinical practice will be provided., (Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
47. Shoulder pain across more movements is not related to more rotator cuff tendon findings in people with chronic shoulder pain diagnosed with subacromial pain syndrome.
- Author
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Alaiti RK, Caneiro JP, Gasparin JT, Chaves TC, Malavolta EA, Gracitelli MEC, Meulders A, and da Costa MF
- Abstract
Introduction: People with chronic shoulder pain commonly report pain during arm movements in daily-life activities. Pain related to movement is commonly viewed as an accurate representation of tissue damage. Thus, when a person reports pain across a variety of movements, this is often understood as indicative of greater damage., Objectives: We aimed to investigate if movement-related pain that occurs across a wider variety of movements was associated with the number or severity of rotator cuff tendons reported as abnormal on a magnetic resonance imaging (MRI). To answer this question, this study was designed in 3 phases., Methods: We recruited 130 individuals with chronic shoulder pain diagnosed with subacromial pain syndrome. First, a list of daily functional activities commonly reported as painful by people with chronic shoulder pain was generated from 3 well-established outcome measures with 30 individuals and a measurement tool was developed with data from further 100 individuals, which demonstrated to have acceptable content validity, construct validity, internal consistency, interrater reliability, and structural validity. Multiple linear regression was then used to evaluate the hypotheses of the study. A direct acyclic graph was used to select variables for linear regression modelling., Results: There was no association between movement-related pain occurrence across movements and the MRI findings., Conclusion: Our study provides evidence that neither the number of rotator cuff tendons reported as abnormal nor the severity of each tendon imaging finding were associated with pain occurrence across movements and activities commonly perceived as painful by people with chronic shoulder pain., Competing Interests: The authors have no conflict of interest to declare.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article., (Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The International Association for the Study of Pain.)
- Published
- 2021
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48. Back pain attitudes questionnaire: Cross-cultural adaptation to brazilian-portuguese and measurement properties.
- Author
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Krug RC, Caneiro JP, Ribeiro DC, Darlow B, Silva MF, and Loss JF
- Subjects
- Attitude, Brazil, Cross-Cultural Comparison, Humans, Pain Measurement, Portugal ethnology, Reproducibility of Results, Surveys and Questionnaires, Translating, Back Pain physiopathology
- Abstract
Background: The Back Pain Attitudes Questionnaire (Back-PAQ) was developed to evaluate attitudes and beliefs of the general public, people with back pain, and healthcare professionals about the spine., Objectives: To translate and cross-culturally adapt the Back-PAQ (34-item and 10-item versions) into Brazilian-Portuguese (Back-PAQ-Br) and test its measurement properties in a Brazilian sample., Methods: The cross-cultural adaptation and testing of the measurement properties followed the recommendations of international guidelines. Members of the general public, people with back pain, and healthcare professionals, for a total of 139 individuals, took part in the assessment of internal consistency, construct validity, and ceiling and floor effects. The Hospital Anxiety and Depression Scale (HADS) and the Brazilian-Portuguese version of the Tampa Scale of Kinesiophobia (TSK) were used to evaluate construct validity. Test-retest reproducibility was determined on 77 participants. Retest was performed a minimum of 1 week and a maximum of 2 weeks from the original test., Results: There was very high agreement between translators (88.2%). The Back-PAQ-Br showed excellent internal consistency (Cronbach's alpha 0.92) and excellent reproducibility (ICC 0.94; SEM 5.14 points on a 136 point scale), with a smallest detectable change (90% confidence level) of 11.93 points. There was strong correlation between Back-PAQ-Br and TSK (r = -0.72) and very weak correlation between Back-PAQ-Br and HADS (r = -0.23 for both depression and anxiety domains). No ceiling/floor effects were observed., Conclusion: The translation process and cross-cultural adaptation had very high agreement between translators. The Back-PAQ-Br has excellent measurement properties that are similar to the properties of the original version., (Copyright © 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
49. 'It's not hands-on therapy, so it's very limited': Telehealth use and views among allied health clinicians during the coronavirus pandemic.
- Author
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Malliaras P, Merolli M, Williams CM, Caneiro JP, Haines T, and Barton C
- Subjects
- Adult, Allied Health Personnel psychology, Australia, COVID-19 epidemiology, Cross-Sectional Studies, Female, Health Services Accessibility statistics & numerical data, Humans, Male, Middle Aged, Patient Acceptance of Health Care statistics & numerical data, Practice Patterns, Physicians' statistics & numerical data, Allied Health Personnel statistics & numerical data, Attitude of Health Personnel, COVID-19 rehabilitation, Musculoskeletal Diseases rehabilitation, Telemedicine statistics & numerical data
- Abstract
Background: Telehealth services have helped enable continuity of care during the coronavirus pandemic. We aimed to investigate use and views towards telehealth among allied health clinicians treating people with musculoskeletal conditions during the pandemic., Methods: Cross-sectional international survey of allied health clinicians who used telehealth to manage musculoskeletal conditions during the coronavirus pandemic. Questions covered demographics, clinician-related factors (e.g. profession, clinical experience and setting), telehealth use (e.g. proportion of caseload, treatments used), attitudes towards telehealth (Likert scale), and perceived barriers and enablers (open questions). Data were presented descriptively, and an inductive thematic content analysis approach was used for qualitative data, based on the Capability-Opportunity-Motivation Behavioural Model., Results: 827 clinicians participated, mostly physiotherapists (82%) working in Australia (70%). Most (71%, 587/827) reported reduced revenue (mean (SD) 62% (24.7%)) since the pandemic commenced. Median proportion of people seen via telehealth increased from 0% pre (IQR 0 to 1) to 60% during the pandemic (IQR 10 to 100). Most clinicians reported managing common musculoskeletal conditions via telehealth. Less than half (42%) of clinicians surveyed believed telehealth was as effective as face-to-face care. A quarter or less believed patients value telehealth to the same extent (25%), or that they have sufficient telehealth training (21%). Lack of physical contact when working through telehealth was perceived to hamper accurate and effective diagnosis and management., Conclusion: Although telehealth was adopted by allied health clinicians during the coronavirus pandemic, we identified barriers that may limit continued telehealth use among allied health clinicians beyond the current pandemic., (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
50. Beliefs about the body and pain: the critical role in musculoskeletal pain management.
- Author
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Caneiro JP, Bunzli S, and O'Sullivan P
- Subjects
- Disabled Persons, Humans, Pain Management, Musculoskeletal Pain
- Abstract
Background: Beliefs about the body and pain play a powerful role in behavioural and emotional responses to musculoskeletal pain. What a person believes and how they respond to their musculoskeletal pain can influence how disabled they will be by pain. Importantly, beliefs are modifiable and are therefore considered an important target for the treatment of pain-related disability. Clinical guidelines recommend addressing unhelpful beliefs as the first line of treatment in all patients presenting with musculoskeletal pain. However, many clinicians hold unhelpful beliefs themselves; while others feel ill-equipped to explore and target the beliefs driving unhelpful responses to pain. As a result, clinicians may reinforce unhelpful beliefs, behaviours and resultant disability among the patients they treat., Methods: To assist clinicians, in Part 1 of this paper we discuss what beliefs are; how they are formed; the impact they can have on a person's behaviour, emotional responses and outcomes of musculoskeletal pain. In Part 2, we discuss how we can address beliefs in clinical practice. A clinical case is used to illustrate the critical role that beliefs can have on a person's journey from pain and disability to recovery., Conclusions: We encourage clinicians to exercise self-reflection to explore their own beliefs and better understand their biases, which may influence their management of patients with musculoskeletal pain. We suggest actions that may benefit their practice, and we propose key principles to guide a process of behavioural change., (Copyright © 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
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