VONDT - en podcast om muskel- og skjelettplager

"Min medisin er fysisk aktivitet!". Dette slagordet stod på t-skjortene våre gjennom studietiden på fysioterapiutdanningen, og i lys av den kunnskapsmengden vi har i dag er det et slagord vi bør bære med stolthet. MEN; hvor godt kjenner vi den medisinen vi skriver ut? Hvor godt virker den, egentlig? Hvordan virker den? Hvordan øker vi sannsynligheten for at pasientene våre faktisk tar den?I tillegg til å utdype spørsmålene over er "Trening med mening" episoden der vi spør oss; "Hva er meningen? Og, hvor finner vi den?". Referanser:Babatunde, O.O., et al.: Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLoS One, 2017. 12(6): p. e0178621.Bialosky, J.E., et al.: Individual expectation: an overlooked, but pertinent, factor in the treatment of individuals experiencing musculoskeletal pain.Phys Ther, 2010. 90(9): p. 1345-55.Chester, R., et al.: Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Br J Sports Med, 2016.Cook, J.L., et al.: "Rehabilitation will increase the 'capacity' of your ...insert musculoskeletal tissue here...." Defining 'tissue capacity': a core concept for clinicians. Br J Sports Med, 2015. 49(23): p. 1484-5.Gabbett, T.J., et al.: High training workloads alone do not cause sports injuries: how you get there is the real issue. Br J Sports Med, 2016. 50(8): p. 444-5.Glasgow, P., et al.: Optimal loading: key variables and mechanisms. Br J Sports Med, 2015. 49(5): p. 278-9.Hoffmann, T.C., et al.: Patients' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med, 2014.Medina-Mirapeix, F., et al.: Predictive factors of adherence to frequency and duration components in home exercise programs for neck and low back pain: an observational study. BMC Musculoskelet Disord, 2009. 10: p. 155.Picha, K.J., et al.: A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy.Musculoskeletal Care, 2017.Pihl, K., et al.: Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery. Acta Orthop, 2016: p. 1-7.Rio, E., et al.: Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med, 2015. 49(19): p. 1277-83.Rossettini, G., et al.: Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain. BMC Musculoskelet Disord, 2018. 19(1): p. 27.Smith, B.E., et al.: Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med, 2017.Smith, B. E., et al.: Musculoskeletal pain and exercise—challenging existing paradigms and introducing new. British Journal of Sports Medicine. 2019Testa, M., et al.: Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes. Man Ther, 2016. 24: p. 65-74.Wroblewski, A.P., et al.: Chronic exercise preserves lean muscle mass in masters athletes. Phys Sportsmed, 2011. 39(3): p. 172-8.Zou, K., et al.: Examination of overall treatment effect and the proportion attributable to contextual effect in osteoarthritis: meta-analysis of randomised controlled trials. Ann Rheum Dis, 2016. 75(11): p. 1964-1970.MUSIKK: Joseph McDade-Mirrors 

I denne episoden diskuterer vi problemet rundt spesifisitet. Hvorfor diagnostiseres 90% av korsryggspasienter med "uspesifikke korsryggssmerter" mens vi i andre ledd er mer spesifikke med mindre forskning? Vi tar utgangspunkt i kvalitativ forskning på subakromielt impingement og diskuterer hvordan vi rammer inn budskapet i vår kommunikasjon med pasienten har mye å si for den konteksten vi skaper for behandling og ultimativt hvor vellykket vi er med vår rehabilitering.   Hvordan har den kulturelle bagasjen og finansieringen av intervensjoner formet skulderområdet? AKTUELL LITTERATUR:Cuff, A., et al.: Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study. Musculoskeletal Science and Practice, 2018. 33: p. 24-28.Neer, C.S., 2nd: Impingement lesions. Clin Orthop Relat Res, 1983(173): p. 70-7.Neer, C.S., 2nd: Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am, 1972. 54(1): p. 41-50.Brox, J.I., et al.: Arthroscopic surgery compared with supervised exercises in patients  with rotator cuff disease (stageII impingement syndrome). BMJ, 1993. 307(6909): p. 899-903.Ketola, S., et al.: Does arthroscopic acromioplasty provide any additional value in the treatment of shoulder impingement syndrome? A TWO-YEAR RANDOMISED CONTROLLED TRIAL. J Bone Joint Surg Br., 2009. 91(10): p. 1326-34.Ketola, S., et al.: Which patients do not recover from shoulder impingement syndrome, either with operative treatment or with nonoperative treatment? Acta Orthop, 2015. 86(6): p. 641-6.Ketola, S., et al.: Arthroscopic decompression not recommended in the treatment of rotator cuff tendinopathy: a final review of a randomised controlled trial at a minimum follow-up of ten years. Bone Joint J, 2017. 99-B(6): p. 799-805.Haahr, J.P., et al.: Exercises may be as efficient as subacromial decompression in patients with subacromial stage II impingement: 4-8-years' follow-up in a prospective, randomized study. Scand J Rheumatol, 2006. 35(3): p. 224-8.Haahr, J.P., et al.: Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up. Ann Rheum Dis, 2005. 64(5): p. 760-4.Paavola, M., et al.: Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial. BMJ, 2018. 362: p. k2860.Beard, D.: Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. The Lancet, 2017.MUSIKK: Joseph McDade-Mirrors

I denne første episoden prøver vi oss frem som nye poddere. Du blir litt bedre kjent med oss; hvem vi er, hva vi gjør og hvorfor vi starter denne podcasten. Vi utforsker "hvorfor?" spørsmålet videre og hvordan undring forhåpentligvis kan prege fagkulturen vår i årene fremover. Avslutningsvis diskuterer vi om det er på tide å rive bunnen ut av muskel- og skjelettsiloene og hvilke faktorer som predikerer et godt utfall av fysioterapi for pasienter med skulderplager.AKTUELLE LINKER OG ARTIKLER: Norsk innlegg basert på Caneiro-lederen:https://jevnehelse.no/2020/01/22/riv-bunnen-ut-av-siloeneCuff, A., et al.: Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study. Musculoskeletal Science and Practice, 2018. 33: p. 24-28.Lin, I., et al.: What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med, 2019.Caneiro, J.P., et al.: It is time to move beyond 'body region silos' to manage musculoskeletal pain: five actions to change clinical practice. Br J Sports Med, 2019.Chester, R., et al.: Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study.Br J Sports Med, 2016.Chester, R., et al.: Self-efficacy and risk of persistent shoulder pain: results of a Classification and Regression Tree (CART) analysis. Br J Sports Med, 2019. 53(13): p. 825-834.Chester, R., et al.: Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review. BMC Musculoskelet Disord, 2013. 14: p. 203.MUSIKK: Joseph McDade-Mirrors