Welcome to this month's issue of The Latest MSK

This month we have some research on telehealth interventions in the Spine section, an International Olympic Committee consensus statement on pain management in elite athletes in Sports and a Special Interest Topic of Paediatrics - think juvenile arthritis, youth sports and more. Check out a selection of all the latest research below.

We hope that you find this issue useful and that you enjoy The Latest this month.


Is 10 Minutes Too Much to Ask?

Brisk walking is walking at the speed you feel your heart pumping. During the past week walking has been hitting the headlines in the UK. This is because the health benefits of 10 minutes of brisk walking a day are evident, easily achievable and should be done by everybody right? Surprisingly 6.3 million britons between 40-60 years old don’t even achieve a measly 10 minutes of brisk walking a month.

Get to Grips with the Cervical Spine

The NEW neck course began on the 4th September – make sure you don’t miss out! Neck pain is debilitating and disorientating. It is frustrating as physiotherapists when we don’t know how to help our patients. Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability.

Access the Neck Pain course here!
Effectiveness of telehealth-based interventions in the management of non-specific low back pain: a systematic review with meta-analysis. Dario AB, et al. Spine J. 2017 Sep;17(9):1342-1351. Epub 2017 Apr 13. Review.

Reliability of physical functioning tests in patients with low back pain: a systematic review. Denteneer L, Van Daele U, Truijen S, De Hertogh W, Meirte J, Stassijns G. Spine J. 2017 Sep 4. pii: S1529-9430(17)30974-9. [Epub ahead of print] Review.

Associations of prolonged standing with musculoskeletal symptoms-A systematic review of laboratory studies. Coenen P, et al. Gait Posture. 2017 Aug 24;58:310-318. [Epub ahead of print] Review.

Communication Skills Training for Practitioners to Increase Patient Adherence to Home-Based Rehabilitation for Chronic Low Back Pain: Results of a Cluster Randomized Controlled Trial. Lonsdale C, et al. Arch Phys Med Rehabil. 2017 Sep;98(9):1732-1743.e7. Epub 2017 Mar 28.

The patient's experience with non-surgical treatment for lumbar spinal stenosis: a qualitative study. Bove AM, Lynch AD, Ammendolia C, Schneider M.  Spine J. 2017 Sep 1. pii: S1529-9430(17)30971-3. [Epub ahead of print]

Effectiveness of postoperative home-exercise compared with usual care on kinesiophobia and physical activity in spondylolisthesis: A randomized controlled trial. Ilves O, et al. J Rehabil Med. 2017 Sep 1. [Epub ahead of print] Full text

Effectiveness of subgroup-specific pain rehabilitation: a randomized controlled trial in patients with chronic back pain. Verra ML, et al. Eur J Phys Rehabil Med. 2017 Aug 29. [Epub ahead of print] Full text

'I call it stinkin' thinkin'': A qualitative analysis of metacognition in people with chronic low back pain and elevated catastrophizing. Schütze R, Rees C, Slater H, Smith A, O'Sullivan P. Br J Health Psychol. 2017 Sep;22(3):463-480. Epub 2017 Apr 3.

Does Familial Aggregation of Chronic Low Back Pain Affect Recovery?: A Population-Based Twin Study. Zadro JR, Shirley D, Sánchez-Romera JF, Ordoñana JR, Ferreira PH. Spine (Phila Pa 1976). 2017 Sep 1;42(17):1295-1301.

Overcoming the tyranny of distance: An audit of process and outcomes from a pilot telehealth spinal assessment clinic. Beard M, Orlando JF, Kumar S. J Telemed Telecare. 2017 Sep;23(8):733-739. Epub 2016 Aug 17.
Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis. Tedesco D, et al. JAMA Surg. 2017 Aug 16:e172872. [Epub ahead of print]

Considerations of the Principles of Resistance Training in Exercise Studies for the Management of Knee Osteoarthritis: A Systematic Review. Minshull C, Gleeson N. Arch Phys Med Rehabil. 2017 Sep;98(9):1842-1851. Epub 2017 Mar 31. Review.

Effectiveness of conservative, surgical, and post-surgical interventions for Trigger finger, Dupuytren's disease, and De Quervain's disease. A systematic review. Huisstede BM, Gladdines S, Randsdorp MS, Koes BW. Arch Phys Med Rehabil. 2017 Aug 28. pii: S0003-9993(17)31018-3. [Epub ahead of print] Review.

Effectiveness of a Group Physiotherapy Intervention in Nontraumatic, Inoperable Painful Shoulder: A Randomized Clinical Trial. Asensio-García MDR, Bernabeú-Casas RC, Palazón-Bru A, Tomás-Rodríguez MI, Nouni-García R. Am J Phys Med Rehabil. 2017 Aug 29. [Epub ahead of print]

Randomised controlled trial to evaluate a physiotherapy-led functional exercise programme after total hip replacement. Monaghan B, Cunningham P, Harrington P, Hing W, Blake C, O' Dohertya D, Cusack T. Physiotherapy. 2017 Sep;103(3):283-288. Epub 2016 Feb 15.

Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial. Rabelo NDDA, Costa LOP, Lima BM, Dos Reis AC, Bley AS, Fukuda TY, Lucareli PRG. Gait Posture. 2017 Aug 18;58:280-286. [Epub ahead of print]

Effect of Modified Otago Exercises on Postural Balance, Fear of Falling, and Fall Risk in Older Fallers with Knee Osteoarthritis and Impaired Gait and Balance: A Secondary Analysis. Mat S, et al. PM R. 2017 Aug 18. pii: S1934-1482(17)30007-2. [Epub ahead of print]

Functional Outcome of Acute Achilles Tendon Rupture With and Without Operative Treatment Using Identical Functional Bracing Protocol. Lim CS, Lees D, Gwynne-Jones DP. Foot Ankle Int. 2017 Sep 1:1071100717728687. [Epub ahead of print]

Acute changes of hip joint range of motion using selected clinical stretching procedures: A randomized crossover study. Hammer AM, Hammer RL, Lomond KV, O'Connor P. Musculoskelet Sci Pract. 2017 Sep 1;32:70-77. [Epub ahead of print]

Potential Functional Benefit From Light Intensity Physical Activity in Knee Osteoarthritis. White DK, Lee J, Song J, Chang RW, Dunlop D. Am J Prev Med. 2017 Aug 28. pii: S0749-3797(17)30384-7. [Epub ahead of print]
Manual Therapy
Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Steuri R, et al. Br J Sports Med. 2017 Sep;51(18):1340-1347. Epub 2017 Jun 19. Review. Full text

Treatment effectiveness and fidelity of manual therapy to the knee: A systematic review and meta-analysis. Salamh P, Cook C, Reiman MP, Sheets C. Musculoskeletal Care. 2017 Sep;15(3):238-248. Epub 2016 Nov 18.

Clinical benefits of joint mobilisation on ankle sprains: a systematic review and meta-analysis. Weerasekara I, Osmotherly P, Snodgrass S, Marquez J, de Zoete R, Rivett DA. Arch Phys Med Rehabil. 2017 Sep 4. pii: S0003-9993(17)31067-5. [Epub ahead of print] Review.

Physiological effects of physical therapy interventions on lumbar intervertebral discs: A systematic review. Mitchell UH, Helgeson K, Mintken P. Physiother Theory Pract. 2017 Sep;33(9):695-705. Epub 2017 Jul 17.

A comparison of the effects of exercises plus connective tissue massage to exercises alone in women with fibromyalgia syndrome: a randomized controlled trial. Toprak Celenay S, et al. Rheumatol Int. 2017 Aug 24. [Epub ahead of print]

Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain? Cook C, Petersen S, Donaldson M, Wilhelm M, Learman K. Physiother Theory Pract. 2017 Sep;33(9):716-724. Epub 2017 Jul 20.

Neuroendocrine Response Following a Thoracic Spinal Manipulation in Healthy Men. Sampath KK, et al. J Orthop Sports Phys Ther. 2017 Sep;47(9):617-627. Epub 2017 Jul 13.

Treatment of axillary web syndrome using instrument assisted soft tissue mobilization and thoracic manipulation for associated thoracic rotation dysfunction: A case report. Crane P, Ladden J, Monica D. Physiother Theory Pract. 2017 Aug 30:1-5. [Epub ahead of print]
International Olympic Committee consensus statement on pain management in elite athletes. Hainline B, et al. Br J Sports Med. 2017 Sep;51(17):1245-1258.

Activity Demands During Multi-Directional Team Sports: A Systematic Review. Taylor JB, Wright AA, Dischiavi SL, Townsend MA, Marmon AR. Sports Med. 2017 Aug 12. [Epub ahead of print] Review.

Resistance Training in Youth: Laying the Foundation for Injury Prevention and Physical Literacy. Zwolski C, Quatman-Yates C, Paterno MV. Sports Health. 2017 Sep/Oct;9(5):436-443. Epub 2017 Apr 27.

The preventive effect of the bounding exercise programme on hamstring injuries in amateur soccer players: the design of a randomized controlled trial. Van de Hoef S, Huisstede BMA, Brink MS, de Vries N, Goedhart EA, Backx FJG. BMC Musculoskelet Disord. 2017 Aug 22;18(1):355. Full text

Pain in elite athletes-neurophysiological, biomechanical and psychosocial considerations: a narrative review. Hainline B, Turner JA, Caneiro JP, Stewart M, Lorimer Moseley G. Br J Sports Med. 2017 Sep;51(17):1259-1264. Review.

Elite Distance Runners: A 45-Year Follow-Up. Everman S, Farris JW, Bay RC, Daniels JT. Med Sci Sports Exerc. 2017 Aug 16. [Epub ahead of print]

Can chronic stretching change the muscle-tendon mechanical properties? A review. Freitas SR, Mendes B, Le Sant G, Andrade RJ, Nordez A, Milanovic Z. Scand J Med Sci Sports. 2017 Aug 12. [Epub ahead of print] Review.

Effects of Femoral Rotational Taping on Dynamic Postural Stability in Female Patients With Patellofemoral Pain. Song CY, Lin JJ, Chang AH. Clin J Sport Med. 2017 Sep;27(5):438-443.

Nonoperative Management of Labral Tears of the Hip in Adolescent Athletes: Description of Sports Participation, Interventions, Comorbidity, and Outcomes. Cianci A, Sugimoto D, Stracciolini A, Yen YM, Kocher MS, dʼHemecourt PA. Clin J Sport Med. 2017 Aug 16. [Epub ahead of print]
The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis. Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W. J Orthop Sports Phys Ther. 2017 Sep;47(9):593-615. Epub 2017 Jul 13.

A randomized controlled trial on the long-term effects of proprioceptive neuromuscular facilitation training, on pain-related outcomes and back muscle activity, in patients with chronic low back pain. Areeudomwong P, Wongrat W, Neammesri N, Thongsakul T. Musculoskeletal Care. 2017 Sep;15(3):218-229. Epub 2016 Oct 28.

Facilitatory and inhibitory pain mechanisms are altered in patients with carpal tunnel syndrome. Soon B, Vicenzino B, Schmid AB, Coppieters MW. PLoS One. 2017 Aug 30;12(8):e0183252. eCollection 2017. Full text

Feeling stiffness in the back: a protective perceptual inference in chronic back pain. Stanton TR, Moseley GL, Wong AYL, Kawchuk GN. Sci Rep. 2017 Aug 29;7(1):9681. Full text

The association between sleep quality, low back pain and disability: A prospective study in routine practice. Kovacs FM, et al. Eur J Pain. 2017 Aug 27. [Epub ahead of print]

The clinical implementation of pain neuroscience education: A survey study. Louw A, Puentedura EJ, Zimney K, Cox T, Rico D. Physiother Theory Pract. 2017 Aug 18:1-11. [Epub ahead of print]

Making Sense of Low Back Pain and Pain-Related Fear. Bunzli S, Smith A, Schütze R, Lin I, O'Sullivan P. J Orthop Sports Phys Ther. 2017 Sep;47(9):628-636. Epub 2017 Jul 13.

Acceptance in chronic neck pain: associations with disability and fear avoidance beliefs. Thompson DP, Woby SR. Int J Rehabil Res. 2017 Sep;40(3):220-226.

Cold Pain Threshold Identifies a Subgroup of Individuals With Knee Osteoarthritis That Present With Multimodality Hyperalgesia and Elevated Pain Levels. Wright A, Benson HAE, Will R, Moss P. Clin J Pain. 2017 Sep;33(9):793-803.

Neuropathic pain's biopsychosocial effects. Dogru Huzmeli E, Melek I. Neurol Sci. 2017 Aug 19. [Epub ahead of print]
Special Interest Topic: Paediatrics
In the News

Exercise Therapy in Juvenile Idiopathic Arthritis: A Systematic Review and Meta-Analysis. Kuntze G, et al. Arch Phys Med Rehabil. 2017 Jul 18. pii: S0003-9993(17)30464-1. [Epub ahead of print] Review.

Feedback Leads to Better Exercise Quality in Adolescents with Patellofemoral Pain. Riel H, Matthews M, Vicenzino B, Bandholm T, Thorborg K, Rathleff MS. Med Sci Sports Exerc. 2017 Aug 25. [Epub ahead of print]

Gait and its components in typically developing preschoolers. Verbecque E, Vereeck L, Van de Heyning P, Hallemans A. Gait Posture. 2017 Aug 12;58:300-306. [Epub ahead of print]

Comics as an educational tool for children with juvenile idiopathic arthritis. Mendelson A, Rabinowicz N, Reis Y, Amarilyo G, Harel L, Hashkes PJ, Uziel Y. Pediatr Rheumatol Online J. 2017 Sep 2;15(1):69. Full text

Overweight and obese children do not consult their general practitioner more often than normal weight children for musculoskeletal complaints during a 2-year follow-up. van Leeuwen J, van Middelkoop M, Paulis WD, Bueving HJ, Bindels PJE, Koes BW. Arch Dis Child. 2017 Aug 18. pii: archdischild-2017-313118. [Epub ahead of print]

Resistance Training in Youth: Laying the Foundation for Injury Prevention and Physical Literacy. Zwolski C, Quatman-Yates C, Paterno MV. Sports Health. 2017 Sep/Oct;9(5):436-443.Epub 2017 Apr 27.

It just feels weird!: a qualitative study of how children aged 10-18 years describe neuropathic pain. Yeung KK, Engle L, Rabel A, Adamson K, Schwellnus H, Evans C. Disabil Rehabil. 2017 Aug;39(17):1695-1702. Epub 2016 Aug 16.

Development of an observational measure of therapy engagement for pediatric rehabilitation. King G, Chiarello LA, Thompson L, McLarnon MJW, Smart E, Ziviani J, Pinto M. Disabil Rehabil. 2017 Sep 10:1-12. [Epub ahead of print]

Nonoperative Management of Labral Tears of the Hip in Adolescent Athletes: Description of Sports Participation, Interventions, Comorbidity, and Outcomes. Cianci A, Sugimoto D, Stracciolini A, Yen YM, Kocher MS, dʼHemecourt PA. Clin J Sport Med. 2017 Aug 16.  [Epub ahead of print]

Physical and mechanical therapies for lower limb problems in juvenile idiopathic arthritis: a systematic review with meta- analysis. Fellas A, Coda A, Hawke F. J Am Podiatr Med Assoc. 2017 Jul 24. [Epub ahead of print]
Read more on Paediatrics in Physiopedia
Please Note:
Inclusion in this evidence update does not suggest that articles should contribute to our professional evidence base. This service is provided to highlight research that may be of interest to you from the plethora of publications from the previous month. We do not have full access to the publications so are unable to critique individual articles (we wish we could!). It is for each reader to assess the impact of the evidence and to use their professional judgement to decide if it is appropriate to integrate into their clinical practice. 
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