Does integrating systematic graded exposure improve chronic pain management group outcomes?

In the realm of chronic pain management, systematic graded exposure in vivo (GEXP) has emerged as a promising intervention to alleviate pain-related fear and disability. While individual cases have demonstrated its efficacy, its effectiveness within broader clinical settings, particularly in group-based treatments, remains uncertain. In 2007 a study by Vida V. Bliokas and colleagues sought to ascertain whether the integration of GEXP into a multidisciplinary … Continue reading Does integrating systematic graded exposure improve chronic pain management group outcomes?

Do participant treatment preferences shape shoulder pain trial outcomes?

In 2004, Thomas, et. al., conducted clinical trials, understanding the nuances of participant treatment preferences is pivotal, as they can significantly shape the outcomes observed. In a recent study focusing on shoulder pain management, researchers delved into how initial treatment preferences among participants influenced functional outcomes and subsequent treatment preferences. Led by Elaine Thomas and her colleagues, the study was nested within a larger multicenter … Continue reading Do participant treatment preferences shape shoulder pain trial outcomes?

Which therapy triumphs? Unraveling the efficacy of manual therapy vs. physiotherapy in persistent back and neck complaints

In 1993, Koes, et. al., conducted a randomized clinical trial in primary health care settings in the Netherlands, researchers aimed to assess the effectiveness of manual therapy and physiotherapy in subgroups of patients with persistent back and neck complaints. Additionally, the study sought to explore the correlation between three crucial outcome measures employed in the trial. The study enrolled 256 patients experiencing nonspecific back and … Continue reading Which therapy triumphs? Unraveling the efficacy of manual therapy vs. physiotherapy in persistent back and neck complaints

Can physiotherapy alone improve oral opening in oral submucous fibrosis?

In 2009, Cox, et. al., conducted study about Oral submucous fibrosis (OSF) which is a debilitating condition characterized by fibrous bands and painful mucosal burning, which severely restrict oral opening, impeding speech and eating. OSF predominantly affects communities where the consumption of areca nut is common, and its exact cause remains uncertain. Current treatment options, including surgery and medications, often offer limited success and are … Continue reading Can physiotherapy alone improve oral opening in oral submucous fibrosis?

Does psychological screening influence the outcome of manual therapy vs. active rehabilitation?

Clinical guidelines frequently advocate ‘manual therapy’ as a primary intervention for managing back pain, complemented by psychosocial screening and ‘active rehabilitation’ for individuals who do not experience improvement six weeks post-onset. However, the extent to which psychosocial factors can predict treatment outcomes remains an understudied area. In 2007, Hough, et. al., conducted a study to assess the feasibility of comparing the outcomes of manual therapy … Continue reading Does psychological screening influence the outcome of manual therapy vs. active rehabilitation?