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Specific Treatment of Problems of the Spine (STOPS) Group



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25.01.2022 A 2018 RCT published in BMJ concluded that parachute use did not reduce death or major traumatic injury when jumping from an aircraft the importance of reading a paper in full before advocating change in practice! https://www.bmj.com/content/363/bmj.k5094



24.01.2022 A simple and concise video for patients suffering from persistent pain. Interesting however to read the comments from sufferers of persistent pain. Information alone and without empathetic connection from a practitioner can be threatening. www.youtube.com/watch?time_continue=37&v=jIwn9rC3rOI

21.01.2022 Peng et al (2010)(http://ow.ly/Qwyg30nOrT6) reported remarkable effects of intradiscal methylene blue injections compared with placebo on pain intensity in patients with chronic discogenic low back pain. These were not replicated by Kallewaard et al (2019)(http://ow.ly/hwz230nOrS3)

19.01.2022 Prepare to be nudged! It’s interesting how clinician behaviour can be changed (improved?)... Soon et al. (2019) demonstrated presenting the high-value options as default" to GPs in simulated vignettes (see Figure 1) reduced the odds of low-value LBP mx options being selected by 44%. Clinical education has been largely ineffective for changing clinician behaviour to reduce low-value LBP care. Might embedding behaviour nudges" into clinical decision support tools improve pat...ient care while preserving clinician autonomy? https://qualitysafety.bmj.com/content/28/7/547



14.01.2022 ***STUDY COMPLETED*** Have you had low back pain for more than 2 years? Participants are required for a study involving PET/MRI scan and sensory assessment in Clayton, Victoria.

12.01.2022 Ford et al (2019) presents and discusses a series of studies on the Specific Treatment of Problems of the Spine (STOPS) approach and highlights the evolving case supporting individualised physiotherapy for low back pain. Full text available https://www.mdpi.com/2077-0383/8/9/1334

12.01.2022 Petersen et al (2017) have developed a best evidence guide to clinical diagnostic rules for identifying common types of low back disorders. Worth consideration within a biopsychosocial approach; http://ow.ly/qD1v50vEje7



10.01.2022 Anger is common when dealing with pain symptoms. These frustrations are often justified. Unfortunately if a person over-focuses on an issue or has no anger management techniques, the result is often increased pain.https://www.youtube.com/watch?v=BsVq5R_F6RA A simple introduction to anger management

10.01.2022 Da Silva et al 2019 confirm that recurrence rate of low back pain is high. Prognostic factors included exposure to awkward posture, longer time sitting, and more than two previous episodes of low back pain. Factors potentially related to disc mechanics? https://www.sciencedirect.com//artic/pii/S1836955319300591

07.01.2022 AProf Jon Ford’s presentation from today at the World LBP Congress in Antwerp presenting new data on the STOPS approach and comparing clinical importance with STarT Back and Cognitive Functional Therapy https://www.slideshare.net//world-lbp-congress-antwerp-ple

07.01.2022 Does imaging cause harm? Potentially - but this meta-analysis shows that routine imaging for low back pain patients on initial assessment does not have any clinically important adverse impact on outcome http://ow.ly/aTgp50wehsk

05.01.2022 A beautifully animated resource from National Geographic to help explain to your patients the potential effects of opioid use https://www.youtube.com/watch?v=NDVV_M__CSI



03.01.2022 sheer mass of critics is no guarantee that the criticisms [of original clinical research] have validity Lanier & Neal’s thought-provoking daring discourse" (2020) contends that true academic debate involves decorum, declaring conflicts of interest, and avoiding publication in a different journal to the original research. Read more at http://ow.ly/Q1Hr50A9TTJ

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