The stigma and shame associated with mental illness can prevent people from seeking help. This can lead to much poorer outcomes as patients may often miss out on vital treatment early on in their illness. A number of theories have been put forward to explain why certain groups (e.g. young people, men, refugees) seem less [read the full story…]
Early intensive behavioural intervention (EIBI) involves 20-40 hours of individualised instruction each week for children with autism. The therapy usually begins at age 4 or younger and continues for 2-3 years. The technique was pioneered by Dr. Ivar Lovaas and colleagues in the 1970s. A new systematic review from the Cochrane Developmental, Psychosocial and Learning Problems [read the full story…]
There is an increasing body of research that suggests that inflammation plays an important role in the development of schizophrenia. It is therefore logical to consider using anti-inflammatory drugs as a component within the overall treatment approach for people with schizophrenia. This new systematic review and meta-analysis carried out by researchers from the University Medical [read the full story…]
When the keep-fit Elf was on holiday recently her replacement introduced us to a new exercise. We all enthusiastically participated in the ‘power lunges’ (more like wobbling really) but over the next few days the front of my knee hurt climbing stairs, kneeling or bending down. What was wrong? Would exercising make it worse? How [read the full story…]
There are many different antidepressants to choose from when treating acute depression, so it’s always helpful to see a systematic review that looks at the efficacy, acceptability and tolerability of the different drugs. This new Cochrane review compares duloxetine hydrochloride (one of the newer drugs) with other antidepressants and finds little high quality evidence upon [read the full story…]
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…]
In the low back pain (LBP) research there has been quite an interest in recent years as to which psychosocial factors are the most predictive of a poor outcome, both in terms of activity limitations and work absence. A systematic review by Iles et al (2009) showed that recovery expectations measured within three weeks of the onset [read the full story…]
Saturday 20 October is World Osteoporosis day raising awareness about osteoporosis and fragile bones. In a previous blog The Musculoskeletal Elf discussed Best risk assessment advice for people with fragility fractures. However, despite the availability of effective treatments it appears that the majority of people presenting with a minimal trauma fracture (also known as ‘osteoporotic’, [read the full story…]
There is a great deal of interest in using information and communication technology (ICT) to support and treat people with mental health conditions. In the broadest sense, ICT includes not just computers, but also telephones, TV and radio; essentially any medium that can communicate information in a multimedia format. ICT interventions can be delivered at [read the full story…]
Governments across the world are increasingly realising the importance of science, technology, engineering and maths (STEM) in determining the success of economic futures. Postgraduates of STEM subjects can play an important role in steering the economy in the right direction by driving innovation, undertaking significant research and providing much-needed entrepreneurship. Teachers who are confident with [read the full story…]
