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*OBJECTIVE: To assess the effectiveness of patient education with "myths and facts" versus "facts only" on recall of back pain information and fear-avoidance beliefs in patients with chronic low back pain (LBP). * DESIGN: Randomized Study Within A Trial. * METHODS: One hundred fifty-two participants with chronic LBP were included. Participants allocated to the "facts only" group received an information sheet with 6 LBP facts, whereas those allocated to the "myths and facts" group received the same information sheet, with each myth refuted by its respective fact. The primary outcome was a correct recall of back pain facts, and the secondary outcome was the physical activity component of the Fear-Avoidance Beliefs Questionnaire (FABQ-PA), 2 weeks after the provision of the information sheet. * RESULTS: There was no evidence of a difference in the proportion of participants with a correct recall between the "myths and facts" and "facts only" groups (odds ratio = 0.98; 95% confidence interval [CI]: 0.48, 1.99) and no significant difference in FABQ-PA mean scores between groups (-1.58; 95% CI: -3.77, 0.61). Sensitivity analyses adjusted for prognostic factors showed no difference in information recall but a larger difference in FABQ-PA scores (-2.3; 95% CI: -4.56, -0.04). * CONCLUSION: We found no overall difference in the recall of back pain information for patients provided with "myths and facts" compared with that for patients provided with "facts only" and a slight reduction in fear-avoidance beliefs for physical activity using "myths and facts" compared with that using "facts only," but the meaningfulness of this result is uncertain. [ABSTRACT FROM AUTHOR]

BLUF: Tactial athletes who perform better on FMS core stability outcomes also perform better on triple hop performance testing. INTRODUCTION: Policing is a demanding occupation, in which physical tasks such as leaping, jumping and running are performed regularly are improved performance in these tasks is necessary (1). The FMS has gained much traction within the tactical strength and conditioning profession. It is not clear, however, exactly what components of the FMS impact on performance measures specific to operational employment. Previous authors have demonstrated associations of lower body FMS elements and jumping performance (2). Core stability measures, however, have been previously shown to be poor predictors or performance (3). The purpose of this study was to investigate the link between different elements of the Functional Movement Screen (FMS) and a validated test of performance, the triple hop. The null hypothesis of this study was that no elements of the FMS would have any correlation with triple hop performance measures. METHODS: Healthy tactical athletes (n=61) (males=39, females=22, age=32.5 ± 3.9yrs, height= 170.8 ±15.7cm, mass= 71.2 ± 17.9kg) voluntarily undertook the FMS and a battery of occupationally specific performance tests. Testing was performed on the same day and by the same strength and conditioning coach. This was a within-subjects correlational study, in a performance environment during pre-screening before a personalised intervention program. For each individual, two variables were created; 1) lower limb FMS tests (LLFMS) by combining the scoring value of Overhead Deep Squat, In-Line lunge, Hurdle Step-Over and Active Straight Leg Raise and 2) trunk stability FMS tests (Trunk FMS) (Trunk Stability Push Up, Trunk Rotatory Stability) and these were analysed against triple hop performance (left triple hop (LTH) and right triple hop (RTH)). SOFA statistical package was used to perform linear regression analysis on the two variables using Pearson coefficient correlation; significance was set at p < 0.001. RESULTS: LFMS was not associated with RTH (r=0.193, p=0.13). LLFMS demonstrated a very small association with LTH, which approached statistical significance (r=0.267, p= 0.03). Trunk FMS, however, was associated with both LTH (r=0.454, p <0.001) and RTH (r=0.511, p <0.001). DISCUSSION: Although widely used, the FMS still lacks evidentiary support for use in performance prediction or injury prevention. Additionally, at this time, there is no clear consensus on which tests are most useful when considering a performance program. The results of this study present a surprising result, which demonstrate correlation between core stability and performance tests; to the authors knowledge this has not been done before. One proposed mechanism for a correlation between the two variables may be that improved performance on FMS testing components may result from improved transfer and control of force and motion to and from terminal segments during an integrated kinetic chain activity such as the triple hop. PRACTICAL APPLICATION: An important practical application of this study is to advise the strength and conditioning coach of the most appropriate and meaningful tests to perform in order to create an efficient and informative performance battery. It may be that other elements of the FMS are surplus to requirement and time could be better spent on more informative measures of operational capacity. This study may inform the strength and conditioning coach that improving measures of trunkal stability may also improve other measures of performance like triple hop and other dynamic tasks necessary for tactical employment. Trunkal FMS scores plotted with Left Triple Hop (LTH) distance LEFT and Right Triple Hop (RTH) distance RIGHT with regression line inputted. [ABSTRACT FROM AUTHOR]

Objectives: To develop a physiotherapist-led consensus statement on the definition and provision of high-value care for people with musculoskeletal conditions., Design: We performed a three-stage study using Research And Development/University of California Los Angeles Appropriateness Method methodology. We reviewed evidence about current definitions through a rapid literature review and then performed a survey and interviews with network members to gather consensus. Consensus was finalised in a face-to-face meeting., Setting: Australian primary care., Participants: Registered physiotherapists who are members of a practice-based research network (n=31)., Results: The rapid review revealed two definitions, four domains of high value care and seven themes of high-quality care. Online survey responses (n=26) and interviews (n=9) generated two additional high-quality care themes, a definition of low-value care, and 21 statements on the application of high value care. Consensus was reached for three working definitions (high value, high-quality and low value care), a final model of four high value care domains (high-quality care, patient values, cost-effectiveness, reducing waste), nine high-quality care themes and 15 statements on application., Conclusion: High value care for musculoskeletal conditions delivers most value for the patient, and the clinical benefits outweigh the costs to the individual or system providing the care. High-quality care is evidence based, effective and safe care that is patient-centred, consistent, accountable, timely, equitable and allows easy interaction with healthcare providers and healthcare systems., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objective: To assess the effectiveness of patient education with "myths and facts" versus "facts only" on recall of back pain information and fear-avoidance beliefs in patients with chronic low back pain (LBP)., Design: Randomized Study Within A Trial., Methods: One hundred fifty-two participants with chronic LBP were included. Participants allocated to the "facts only" group received an information sheet with 6 LBP facts, whereas those allocated to the "myths and facts" group received the same information sheet, with each myth refuted by its respective fact. The primary outcome was a correct recall of back pain facts, and the secondary outcome was the physical activity component of the Fear-Avoidance Beliefs Questionnaire (FABQ-PA), 2 weeks after the provision of the information sheet., Results: There was no evidence of a difference in the proportion of participants with a correct recall between the "myths and facts" and "facts only" groups (odds ratio = 0.98; 95% confidence interval [CI]: 0.48, 1.99) and no significant difference in FABQ-PA mean scores between groups (-1.58; 95% CI: -3.77, 0.61). Sensitivity analyses adjusted for prognostic factors showed no difference in information recall but a larger difference in FABQ-PA scores (-2.3; 95% CI: -4.56, -0.04)., Conclusion: We found no overall difference in the recall of back pain information for patients provided with "myths and facts" compared with that for patients provided with "facts only" and a slight reduction in fear-avoidance beliefs for physical activity using "myths and facts" compared with that using "facts only," but the meaningfulness of this result is uncertain. J Orthop Sports Phys Ther 2022;52(9):586-594. Epub: 9 July 2022. doi:10.2519/jospt.2022.10989 .