Risk Factors for the Onset of Nonspecific Low Back Pain in Office Workers: A Systematic Review

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Although most Musculoskeletal Elves lead very physically active lives there are a small minority of Elves who are office based. Occasionally I hear them complain of episodes of low back pain and they have enquired of me as to what contributed to its onset. Although I felt I had a reasonable idea as to the main [read the full story…]

Cholinesterase inhibitors should not be recommended for mild cognitive impairment, says Cochrane review

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Early diagnosis and effective treatment of dementia will help large numbers of the population remain independent for longer. Cholinesterase inhibitors are one of the anti-dementia drugs that are used to treat Alzheimer’s disease, and they are often used immediately after diagnosis. This new systematic review from the Cochrane Dementia and Cognitive Improvement Group, looks at [read the full story…]

Modifying patterns of movement in people with low back pain – does it help? A systematic review

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On returning home from a recent Pilates class I wondered to myself as to what effect, if any, the exercises had on my movement and posture. I reflected also on the fact that nearly every exercise class that I had been to recently seemed to emphasise the importance of having a good ‘core’. Physiotherapists are [read the full story…]

Small but potential benefits of cryotherapy following total knee replacement surgery

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Osteoarthritis of the knee is a common condition and typically presents with painful and restricted function and sometimes varus (bow legs) and valgus (knock knees) deformity of the knee. Once the condition and pain worsens knee joint replacement surgery is a treatment option. Patients typically improve in terms of pain and function but there is [read the full story…]

Short-term use of second-generation antipsychotics can cause side effects in children and adolescents

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Over the last few years, we have seen more and more children and young people being prescribed antipsychotic drugs. The theory behind this increase is that the newer antipsychotic drugs have fewer side effects than the older typical antipsychotics. However, some small and relatively short duration studies have shown that the newer drugs may also [read the full story…]

Is advanced practice physiotherapy equal or better care to physicians in patients with musculoskeletal disorders?

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Can you imagine how frustrating for patients it must be to wait for a surgical consultation only to be told you don’t need surgery and then be sent away. Then enter the Advanced Physiotherapy Practitioner whose roles beyond those of a regular physiotherapist include activities traditionally the role of medical staff such as; screening patients [read the full story…]

Estimated prevalence of sleep problems in adults with learning disabilities varies widely says systematic review

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Life expectancy in people with learning disabilities has increased over recent years, and sleep problems become more common in people who are advancing in years. Sleep problems are also generally more common in people with learning disabilities than those without. The authors of this systematic review were interested to look at the way in which [read the full story…]

Structured exercise reduces depression in older people, according to new systematic review

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Regular readers of the Mental Elf will recall the blogs (Here is the evidence for exercising if you are depressed and New Cochrane review shows that exercise helps with depression) I wrote back in June and July about the evidence for exercising if you have depression. A new systematic review was published in the British [read the full story…]

Psychological therapies can help reduce pain in children with painful conditions

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Any parent whose child has a chronic or life-threatening illness will attest to the fact that it can be a worrying, stressful and exhausting journey. Parents can struggle to juggle caring for their child with work, social and other commitments. This can lead to parents suffering from mental health problems themselves, in addition to the [read the full story…]

Is Work Load a Risk Factor for Osteoarthritis of the Hip? A Systematic Review

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A previous blog by one of our industrious Musculoskeletal Elves looked at how osteoarthritis (OA) of the hip or knee affected work participation. This got me thinking about the converse situation – can work be a predisposing factor for the development of OA? We Elves are involved in quite a lot of heavy lifting, particularly around Christmas [read the full story…]