Os mais citados
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Beliefs are an important target for the management of musculoskeletal pain.
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Behavioural learning is key to elicit and disconfirm unhelpful beliefs.
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We propose key principles to guide clinicians in promoting behavioural change.
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A case illustrates the role beliefs have on musculoskeletal pain management.
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Patient education, physical exercise, and weight maintenance constitute the first-line knee osteoarthritis treatment approach.
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There is still neglect of evidence-based strategies in clinical practice.
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Less than 40% of patients with knee OA receive first-line treatment.
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The use of adjunct therapies, isolated or in association with gold-standard treatments, is questionable.
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Surgery is typically a last resort for the management of knee osteoarthritis.
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Self-management support is person-centred care reinforcing patient autonomy.
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Avoid strong clinician control and help patients developing self-efficacy.
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Let patients’ value-based goals and shared decisions guide management.
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Help patients make sense of symptoms and reframe unhelpful perspectives.
Use supervised exercises as a tool to practice problem-solving skills
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Trials investigating abdominal and PFM exercises on DRA have mostly been performed on women with mild DRA.
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The abdominal and PFM exercise programs identified were heterogenous in terms of type of exercises and training dose.
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We found low quality evidence that TrA and curl-up training are more effective than minimal intervention for treating DRA.
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There is low to very low evidence that PFM training is not more effective than minimal intervention.
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The Spanish FMA-LE can be recommended for evaluation of motor impairment in stroke.
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Intra- and interrater reliability of the Spanish FMA-LE was excellent.
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Wider use of FMA-LE would allow worldwide comparisons of stroke recovery.
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In recent years virtual reality (VR) has been used alone and as an adjunct intervention in the treatment of patients with cerebral palsy (CP).
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VR plus conventional rehabilitation can improve upper limb function and lower limb strength in patients with CP.
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VR alone is no better than other treatments to improve upper and lower limb function in patients with CP.
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VR alone can improve postural control, balance, and lower limb function in patients with CP.
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Further research is needed to better define the effectiveness of VR in patients with CP.
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Therapeutic ultrasound (US) is commonly used as an adjunctive treatment in rehabilitation focused on pain management.
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Therapeutic US may provide benefits for knee osteoarthritis, but its isolated effects have not been systematically assessed.
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High-quality randomized controlled trials are needed to confirm the efficacy of therapeutic US for knee osteoarthritis.
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The combination of heat and TENS significantly improves pain pressure thresholds.
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The combination of heat and TENS does not affect maximum and average pain, nor movement-evoked pain (MEP).
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There is a need for standardized and sensitive assessment tools for measuring MEP.
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The JH-HLM has excellent reliability when used by physical therapists in the ICU.
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The JH-HLM has excellent reliability across several types of ICUs.
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Trained physical therapists can use the JH-HLM to reliably measure observed patient mobility in the ICU.