Temporomandibular disorders – management with psychological therapies

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This Cochrane review of the effects of psychological therapies in people (aged 12 years and over) with painful temporomandibular disorders (TMD)lasting 3 months or longer included 22 RCTs. Cognitive behaviour therapy (CBT) was the most frequently studied but overall there was insufficient evidence on which to base a reliable judgement about the efficacy of psychological therapies for painful TMD

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Subacromial impingement syndrome effectiveness of physiotherapy and manual therapy

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Some of our Elf friends who are regular swimmers have been suffering from sore shoulders. One of them has been diagnosed as having subacromial impingement syndrome (SIS). In this blog, Tracey Howe considers a best evidence review on SIS effectiveness of physiotherapy and manual therapy.

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Musculoskeletal physiotherapists' views and use of psychological interventions

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In her first guest blog, Larissa Kempenar, lecturer in physiotherapy at Glasgow Caledonian University, discusses a systematic review of musculoskeletal physiotherapists’ perceptions and use of psychological interventions. The review also examined how skilled physiotherapists felt to use these interventions within their practice.

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Manual therapy and exercise for adhesive capsulitis

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This systematic review examines the effectiveness of manual therapy and exercise on adhesive capsulitis (frozen shoulder) a common cause of shoulder pain and stiffness.

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CBT based strategies, physiotherapy and low back pain

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Can CBT (cognitive behavioural therapy) based treatment strategies be delivered by physiotherapists and other healthcare professionals? Heather Gray reports on a systematic review.

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Physiotherapy led falls pathway service for adults with learning disabilities showed reduced falls in evaluation

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Recent NICE guidance suggested that 30% of people over 65 and 50% of people over older than 80 fall at least once a year and there is evidence that in people with learning disabilities there is some increased risk and this impacts on people of younger age. Finlayson, in a prospective cohort study suggested that [read the full story…]

“Inactivity costs the NHS an estimated £1.06 billion…” according to report

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Introduction This guidance has been prepared for commissioners and all staff providing lifestyle advice in primary care, including community health and allied health professionals, such as physiotherapists. It aims to raise awareness of the issues caused by inactivity, not just for individuals, but for the health service and economy as a whole, and provides a [read the full story…]

The Effectiveness of Physiotherapy Exercises in Subacromial Impingement Syndrome

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As MSK elves we already know shoulder pain is one of the most common presenting musculoskeletal conditions accounting for between 7 -26% of general practitioner consultations in the UK. There are a variety of causes of shoulder pain and some of our previous blogs have discussed challenges to developing an acurate diagnosis. Once we have our appropriately [read the full story…]

Clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder

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Have you ever had a painful shoulder? Did it get better on its own? I have a friend, not another Elf, who had bilateral frozen shoulders. It was a most functionally limiting and painful problem. Fortunately intra-articular steroid injections saved the day and made a huge difference to both pain and function. If you have [read the full story…]

Exercise for rotator cuff tendinopathy

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All MSK Elves know that shoulder pain is one of the most common complaints referred for assessment and therapeutic intervention both in the acute and primary sectors. The reason for the development of the pain is often blamed on degenerative changes in the rotator cuff. Prescribing the most appropriate form of exercise based on evidence [read the full story…]