1,721,091 research outputs found
Response to “Comments on the article “Physiotherapy-led care versus physician-led care for persons with low back pain: A systematic review” by Severijns et al. (Clin Rehabil. 2024 Dec;38(12):1571-1589)
No full textAccès direct à la kinésithérapie pour la lombalgie aiguë en Belgique : protocole et résultats préliminaire.
No full textN° JFK25-542 Accès direct à la kinésithérapie pour la lombalgie aiguë en Belgique : protocole et résultats préliminaire
Accès direct à la kinésithérapie pour la lombalgie aiguë en Belgique : protocole et résultats préliminaire.
No full textN° JFK25-542 Accès direct à la kinésithérapie pour la lombalgie aiguë en Belgique : protocole et résultats préliminaire
Physiotherapy-led care for acute low back pain in Belgium: Protocol with preliminary results
No full textAbstract
Background
Low back pain (LBP) is the leading cause of disability worldwide, presenting a substantial societal burden. This calls for the optimization of care pathways to enhance the efficacy of the management of LBP. Physiotherapists (PT), who have unique expertise in movement and the musculoskeletal system, can adopt a central role in the primary care for LBP. International research has shown that PT-led care for musculoskeletal conditions improved clinical efficacy, reduced waiting times, resulted in higher satisfaction among patients and referrers, and was not associated with increased harm. However, PT-led care still needs to be explored in Belgium despite its acceptance in 72% of World Confederation for Physical Therapy (WCPT) member countries, encompassing various European nations.
Purpose
The primary objective is to examine the clinical efficacy of PT-led care compared to General Practitioner (GP)-led care for patients with acute LBP in Belgium. The secondary objective is to identify which patients’ biopsychosocial factors determine the clinical efficacy of PT-led care.
Methods
In a quasi-randomized controlled trial, 640 subjects with acute LBP will receive PT-led care or GP-led care. Demographics and risk of chronicity (Start Back Tool [SBT]) will be assessed at baseline. LBP-related disability (Oswestry Disability Index [ODI]), pain intensity (Numeric Pain Rating Scale [NRS]) and pain extent (Pain Drawing) will be evaluated at baseline, every week from the first to the sixth week and at three months, six months, one year and two years. Attitudes and beliefs (Fear-Avoidance Beliefs Questionnaire [FABQ] and Back Pain Attitudes Questionnaire [Back-PAQ]) and self-efficacy (General Self-Efficacy Scale [GSES]) will be assessed at baseline, three months, six months, one year and two years. Baseline group characteristics will be displayed using descriptive statistics. Based on a data normality check, parametric or non-parametric statistics will be performed and the significance level of α=0.05 will be used. Clinical efficacy of PT-led care will be assessed with linear mixed models and multiple linear regression analysis for variable relationships.
Results
In October 2023, 26 participants were included (French-speaking: n= 14, Dutch-speaking: n= 12) and directly allocated to PT-led care. Within-group improvement was found at 3 months for NRS (-3.9, SD = 2.7, P < 0.01) and ODI (- 19.9, SD = 15.6, p < 0.01), with a prominent improvement in the first week (P < 0.001). Moreover, the improvement in NRS was associated with baseline pain extent (P < 0.001), FABQ (P < 0.001), Back-PAQ (P < 0.001) and GSES (P < 0.001) scores. Improvement in ODI is associated with the SBT subgroup (P = 0.032), pain extent (P = 0.002) and Back-PAQ (P = 0.002).
Conclusion
Preliminary results indicate that PT-led care is effective for acute LBP in reducing pain and disability and seems a promising and feasible pathway, deserving further investigation in Belgium.
Implication
Study findings may pave the way for enhancing acute LBP treatment and influence policy changes regarding direct access to PT in Belgium.The study is funded by RIZIV-INAMI, the National Institute for Health and Disability Insurance in Belgium
Physiotherapy-led care for acute low back pain in Belgium: Protocol with preliminary results
No full textAbstract
Background
Low back pain (LBP) is the leading cause of disability worldwide, presenting a substantial societal burden. This calls for the optimization of care pathways to enhance the efficacy of the management of LBP. Physiotherapists (PT), who have unique expertise in movement and the musculoskeletal system, can adopt a central role in the primary care for LBP. International research has shown that PT-led care for musculoskeletal conditions improved clinical efficacy, reduced waiting times, resulted in higher satisfaction among patients and referrers, and was not associated with increased harm. However, PT-led care still needs to be explored in Belgium despite its acceptance in 72% of World Confederation for Physical Therapy (WCPT) member countries, encompassing various European nations.
Purpose
The primary objective is to examine the clinical efficacy of PT-led care compared to General Practitioner (GP)-led care for patients with acute LBP in Belgium. The secondary objective is to identify which patients’ biopsychosocial factors determine the clinical efficacy of PT-led care.
Methods
In a quasi-randomized controlled trial, 640 subjects with acute LBP will receive PT-led care or GP-led care. Demographics and risk of chronicity (Start Back Tool [SBT]) will be assessed at baseline. LBP-related disability (Oswestry Disability Index [ODI]), pain intensity (Numeric Pain Rating Scale [NRS]) and pain extent (Pain Drawing) will be evaluated at baseline, every week from the first to the sixth week and at three months, six months, one year and two years. Attitudes and beliefs (Fear-Avoidance Beliefs Questionnaire [FABQ] and Back Pain Attitudes Questionnaire [Back-PAQ]) and self-efficacy (General Self-Efficacy Scale [GSES]) will be assessed at baseline, three months, six months, one year and two years. Baseline group characteristics will be displayed using descriptive statistics. Based on a data normality check, parametric or non-parametric statistics will be performed and the significance level of α=0.05 will be used. Clinical efficacy of PT-led care will be assessed with linear mixed models and multiple linear regression analysis for variable relationships.
Results
In October 2023, 26 participants were included (French-speaking: n= 14, Dutch-speaking: n= 12) and directly allocated to PT-led care. Within-group improvement was found at 3 months for NRS (-3.9, SD = 2.7, P < 0.01) and ODI (- 19.9, SD = 15.6, p < 0.01), with a prominent improvement in the first week (P < 0.001). Moreover, the improvement in NRS was associated with baseline pain extent (P < 0.001), FABQ (P < 0.001), Back-PAQ (P < 0.001) and GSES (P < 0.001) scores. Improvement in ODI is associated with the SBT subgroup (P = 0.032), pain extent (P = 0.002) and Back-PAQ (P = 0.002).
Conclusion
Preliminary results indicate that PT-led care is effective for acute LBP in reducing pain and disability and seems a promising and feasible pathway, deserving further investigation in Belgium.
Implication
Study findings may pave the way for enhancing acute LBP treatment and influence policy changes regarding direct access to PT in Belgium.The study is funded by RIZIV-INAMI, the National Institute for Health and Disability Insurance in Belgium
Capacité des kinesithérapeutes à suspecter, détecter et référer une cause spécifique de lombalgie: résultats préliminaires de l’étude Direct Physio.
No full textN° JFK25-515 Capacité des kinésithérapeutes à suspecter, détecter et référer une cause spécifique de lombalgie : résultats préliminaires de l'étude DirectPhysio Type de présentation souhaité : Communication orale Souhaitez-vous participer à un prix ? : Oui Merci de préciser : Trophée Gérard Pierron, Grand Prix de la SFP Introduction : La lombalgie est une problématique mondiale qui devrait malheureusement augmenter dans les années à venir [1]. La première étape recommandée par les consensus scientifiques (guidelines) pour la prise en charge des lombalgies est le triage diagnostique [2,3]. Cependant, des études antérieures ont mis en évidence des résultats préoccupants quant à la capacité des kinésithérapeutes à utiliser le triage diagnostique chez les patients souffrant de lombalgie [4,5]. L'objectif de cette étude était d'évaluer les kinésithérapeutes recrutés dans le cadre de l'étude DirectPhysio sur leur capacité à suspecter, détecter et orienter les patients avec une cause spécifique de lombalgie
Capacité des kinesithérapeutes à suspecter, détecter et référer une cause spécifique de lombalgie: résultats préliminaires de l’étude Direct Physio.
No full textN° JFK25-515 Capacité des kinésithérapeutes à suspecter, détecter et référer une cause spécifique de lombalgie : résultats préliminaires de l'étude DirectPhysio Type de présentation souhaité : Communication orale Souhaitez-vous participer à un prix ? : Oui Merci de préciser : Trophée Gérard Pierron, Grand Prix de la SFP Introduction : La lombalgie est une problématique mondiale qui devrait malheureusement augmenter dans les années à venir [1]. La première étape recommandée par les consensus scientifiques (guidelines) pour la prise en charge des lombalgies est le triage diagnostique [2,3]. Cependant, des études antérieures ont mis en évidence des résultats préoccupants quant à la capacité des kinésithérapeutes à utiliser le triage diagnostique chez les patients souffrant de lombalgie [4,5]. L'objectif de cette étude était d'évaluer les kinésithérapeutes recrutés dans le cadre de l'étude DirectPhysio sur leur capacité à suspecter, détecter et orienter les patients avec une cause spécifique de lombalgie
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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