Orthopaedics Horizon Scanning | Just another WordPress.com site.
The latest edition of the Orthopaedics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
An NHS Athens account may be required to view this article in full.
Background We investigated socioeconomic differences in patient-reported outcomes after a hip or knee replacement and the contribution of health differences beforehand.
Orthopaedics Horizon Scanning.
The latest edition of the Orthopaedics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
Abstract
Objectives To assess the clinical effectiveness, effect on waiting times, and patient acceptability of PhysioDirect services in patients with musculoskeletal problems, compared with usual care. Continue reading
The first community based service for treating a common orthopaedic problem has been found to improve patient experience and reduce costs, and been awarded funding to spread nationally.
via Community physio 'first' awarded funding to spread | News | Health Service Journal.
This article is solely the work of the HSJ. For a full copy of the article please contact the library.
Orthopaedics Horizon Scanning.
The latest edition of the Orthopaedics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
Orthopaedics Horizon Scanning.
The latest edition of the Orthopaedics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
Description:
NICE summary of review conclusions
Evidence shows that joint lavage, used alone, without debridement, for patients with knee osteoarthritis is not effective and should not be used.
Stopping joint lavage alone in patients with osteoarthritis of the knee is likely to improve quality of patient care and result in productivity savings by avoiding an intervention with no proven benefit and unknown potential for serious side effects. Continue reading
Orthopaedics Horizon Scanning.
The latest edition of the Orthopaedics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
NHS North West Libraries are proud to present topic-based horizon scanning bulletins for evidence based health-care decision making.
What is Horizon Scanning?
Horizion Scanning is “bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
What Horizon Scanning Bulletins are available?
You can also ‘subscribe’ to bulletin to ensure that you are always kept up-to-date! Click on link above to find out how!
By clicking on this link, it will take you to the latest bulletins shared here on Bolton’s health Matters Informationist
An evidence summary produced by NHS Bolton Library. Please click on the link to view. This is an original piece of work. Please contact the library if you wish to re-use in any format.
via Hip resurfacing ‘not suitable’ for women – Health news – NHS Choices.
NHS Choices examines the science behind the newspaper headlines.
Conclusion The results of this large study are of concern, although the authors pointed out that “other considerations need to be taken into account” before dismissing hip resurfacing. For example, they said that resurfacing protects the quality of the femoral bone (by not removing it, as in total hip replacements), which may be an important advantage in the younger patients. Continue reading
An operation used instead of a full hip replacement has a high failure rate and, in most instances, should no longer be offered, warn doctors.
via BBC News – Hip resurfacing prone to failure, say doctors.
Light physical conditioning programmes for workers with back pain
Description:
NICE summary of review conclusions
Evidence shows that light physical conditioning programs are not effective and should not be used
Reducing or stopping light physical conditioning programs for workers with back pain is likely to have miminal impact on the quality of patient care in the NHS but is likely to result in productivity savings.
The Implications for practice section of the Cochrane review stated: Continue reading
Orthopaedics Horizon Scanning.
The latest edition of the Orthopeadics Horizon Scanning is out and available. Produced by NHS Libraries North West, Horizon Scanning is : “Bringing together best practice, innovation and future risks to support the commissioning process and service redesign.
Physiotherapy intervention in Parkinson’s disease: systematic review and meta-analysis | BMJ.
This article is available freely via Open Access. Please click on the above link to view it fully.
Abstract
Objective To assess the effectiveness of physiotherapy compared with no intervention in patients with Parkinson’s disease.
Design Systematic review and meta-analysis of randomised controlled trials.
Data sources Literature databases, trial registries, journals, abstract books, and conference proceedings, and reference lists, searched up to the end of January 2012.
via Management of osteoarthritis of the knee | BMJ.
An NHS Athens account may be required to view this article in full.
Summary Points
Osteoarthritis is a chronic disease; management should be patient centred and coordinated, with attention to modifiable risk factors and comorbidities Continue reading
Objective To evaluate the effectiveness of physiotherapy intervention following lumbar spinal fusion.
A new guide on sport and exercise medicine (SEM) outlines how it delivers improved quality of care and productivity.
SEM is the first new medical specialty for more than 25 years and its establishment was a London 2012 Games bid commitment.
‘Sport and Exercise Medicine: A Fresh Approach’ emphasises the importance of SEM in chronic disease management, the prescription of exercise to those patients with co-morbidity, the diagnosis and management of musculoskeletal injury and the education and training of allied professionals in these skills
via Importance of sport and exercise medicine outlined in new guide | Department of Health.
This article is available freely via Open Access. Please click on the above link to view it fully.
Objectives To analyse how comorbidity among patients with back pain, depression and osteoarthritis influences healthcare costs per patient. A special focus was made on the distribution of costs for primary healthcare compared with specialist care, hospital care and drugs.
An evidence summary produced by NHS Bolton Library. Please click on the link to view. This is an original piece of work. Please contact the library if you wish to re-use in any format.
An evidence summary produced by NHS Bolton Library. Please click on the link to view. This is an original piece of work. Please contact the library if you wish to re-use in any format.
via New approach to back pain management could save NHS £120m | News | Health Service Journal.
This article is solely the work of the HSJ. For a full copy of the article please contact the library.
Outcomes among back patients could be improved if a stratified management approach to providing primary care physiotherapy is adopted, research suggests.
This article is available freely via Open Access. Please click on the above link to view it fully.
Prevalence of low back pain (LBP) rises rapidly during adolescence, reaching adult levels by the age of 18. It has been suggested that adolescent LBP is benign with minimal impact, despite limited evidence.
The aim of this study was to investigate the impact of LBP and the influence of chronicity, gender and presence of other spinal pain comorbidities at age 17. Subjects (n = 1283) were categorised according to experiencing current and chronic LBP, gender and presence of other areas of spinal pain. LBP impact was ascertained via questions regarding seeking profession assistance, using medication, missing school/work, limited normal or recreational physical activity and health related quality of life (HRQOL).
12.3% of participants reported current but not chronic LBP, while 19.9% reported current chronic LBP. LBP was more commonly reported by females than males. Other spinal pain comorbidities were common in the LBP groups. Impact was greater in subjects with chronic LBP, in females and in those with other spinal pain comorbidities.
LBP, and particularly chronic LBP, has a significant negative impact at 17 years. It is commonly associated with care seeking, medication use, school absenteeism, and reduced HRQOL. These findings support that adolescent LBP is an important public health issue that requires attention.
Data suggests there has been a big rise in knee replacement operation rates, particularly for younger patients.
via BBC News – Rise in number of ‘younger’ knee replacements.
An evidence summary produced by NHS Bolton Library. Please click on the link to view. This is an original piece of work. Please contact the library if you wish to re-use in any format.
This article is solely the work of the HSJ. For a full copy of the article please contact the library.
Sheffield GPs have agreed to refer musculoskeletal patients to a new website with information about managing their condition.
Study finds yoga eases back pain – Health News – NHS Choices.
NHS Choices examines the science behind the newspaper headlines.
This well-conducted randomised controlled trial enrolled a reasonably large sample of people with low back pain, analysed them over one year with validated back pain questionnaires, and used a carefully designed yoga programme provided by qualified yoga practitioners.
The trial found that yoga led to a clear improvement in back function compared to usual care. However, there are some important points to note:
Usual care was not described in this study. Treatment for this type of non-specific (without disease cause) lower back pain, as currently recommended by NICE, follows a step-by-step approach. The initial focus of lower back pain management tends to be on encouraging the person to remain as active as possible, with the use of short-term painkillers (paracetamol or an anti-inflammatory drug) to control pain if required. If the person does not improve, the GP may then refer them for physical therapy, such as physiotherapy or an exercise programme.
The trial results do not demonstrate that the current standard care approach is ineffective or inappropriate. Rather, they lend support to the fact that physical activity can be beneficial for people with chronic low back pain. However, yoga itself may not necessarily be the most appropriate form of exercise for everyone, and people with back pain should continue to follow the advice given to them by their GP or physical therapist.
Yoga better for chronic back pain than standard NHS treatment, according to study. Mirror, November 1 2011
Yoga may work better for lower back pain than conventional treatments. The Guardian, November 1 2011
Yoga can improve your bad back (and get you active more quickly than just having physio). Daily Mail, November 1 2011
Cure back pain the yoga way. Daily Express, November 1 2011
Tilbrook HE, Cox H, Hewitt CE et al. Yoga for Chronic Low Back Pain: A Randomized Trial. Annals of Internal Medicine, November 1 2011
This article is available freely via Open Access. Please click on the above link to view it fully.
Only a few workplace initiatives among cleaners have been reported, even though they constitute a job group in great need of health promotion. The purpose of this trial was to evaluate the effect of either physical coordination training or cognitive behavioural training on musculoskeletal pain, work ability and sickness absence among cleaners.
A cluster-randomised controlled trial was conducted among 294 female cleaners allocated to either physical coordination training (PCT), cognitive behavioural training (CBTr) or a reference group (REF). Questionnaires about musculoskeletal pain and work ability were completed at baseline and after one year’s intervention. Sickness absence data were obtained from the managers’ records. Analyses were performed according to the intention-to-treat-principle (ITT).
No overall reduction in musculoskeletal pain, work ability or sickness absence from either PCT or CBTr compared with REF was found in conservative ITT analyses. However, explorative analyses revealed a treatment effect for musculoskeletal pain of the PCT. People with chronic neck/shoulder pain at baseline were more frequently non-chronic at follow-up after PCT compared with REF (p=0.05).
The PCT intervention appeared effective for reducing chronic neck/shoulder pain among the female cleaners. It is recommended that future interventions among similar high-risk job groups focus on the implementation aspects of the interventions to maximise outcomes more distal from the intervention such as work ability and sickness absence.
An NHS Athens account may be required to view this in full.
Background Chronic low back pain is a common problem lacking highly effective treatment options. Small trials suggest that yoga may have benefits for this condition. This trial was designed to determine whether yoga is more effective than conventional stretching exercises or a self-care book for primary care patients with chronic low back pain.
Methods A total of 228 adults with chronic low back pain were randomized to 12 weekly classes of yoga (92 patients) or conventional stretching exercises (91 patients) or a self-care book (45 patients). Back-related functional status (modified Roland Disability Questionnaire, a 23-point scale) and bothersomeness of pain (an 11-point numerical scale) at 12 weeks were the primary outcomes. Outcomes were assessed at baseline, 6, 12, and 26 weeks by interviewers unaware of treatment group.
Results After adjustment for baseline values, 12-week outcomes for the yoga group were superior to those for the self-care group (mean difference for function, –2.5 [95% CI, –3.7 to –1.3]; P < .001; mean difference for symptoms, –1.1 [95% CI, –1.7 to –0.4]; P < .001). At 26 weeks, function for the yoga group remained superior (mean difference, –1.8 [95% CI, –3.1 to –0.5]; P < .001). Yoga was not superior to conventional stretching exercises at any time point.
Conclusion Yoga classes were more effective than a self-care book, but not more effective than stretching classes, in improving function and reducing symptoms due to chronic low back pain, with benefits lasting at least several months.
Trial Registration clinicaltrials.gov Identifier: NCT00447668
