Articles that have received the most social media attention. Number of times they have been referenced in the last 3 years.
663
Beliefs about the body and pain: the critical role in musculoskeletal pain managementJ.P. Caneiro, Samantha Bunzli, Peter O'Sullivan
Braz J Phys Ther. 2021;25:17-29
663
Highlights
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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.
639
Has physical therapists’ management of musculoskeletal conditions improved over time?Joshua R. Zadro, Giovanni Ferreira
Braz J Phys Ther. 2020;24:458-62
639
Highlights
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Physical therapists’ use of recommended care has not changed since 1990s.
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Physical therapists’ use of treatments of unknown value appears to be increasing.
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One explanation for these trends is the challenge of keeping up to date with evidence.
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Other explanations include increased exposure to treatments of unknown value and not seeing value in research.
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Strategies to replace non-recommended care with recommended care are needed.
259
Self-management at the core of back pain care: 10 key points for cliniciansAlice Kongsted, Inge Ris, Per Kjaer, Jan Hartvigsen
Braz J Phys Ther. 2021;25:396-406
259
Highlights
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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
142
Interventions used for Rehabilitation and Prevention of Patellar Tendinopathy in athletes: a survey of Brazilian Sports Physical TherapistsLuciana De Michelis Mendonça, Natália Franco Netto Bittencourt, Laís Emanuelle Meira Alves, Renan Alves Resende, Fábio Viadanna Serrão
Braz J Phys Ther. 2020;24:46-53
142
Highlights
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Education, joint stabilization, and myofascial release were most used for patellar tendinopathy rehabilitation.
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Quadriceps eccentrics, education, joint stabilization and lumbo-pelvic stabilization and hamstrings stretching were frequently used for patellar tendinopathy prevention.
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Brazilian physical therapists consider pain, function and functional test results to discharge an athlete.
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Our results revealed an inconsistency between interventions used in clinical practice and interventions recommended by the best available evidence.
137
Attitudes and beliefs on low back pain in physical therapy education: A cross-sectional studyMarijke Leysen, Jo Nijs, Paul Van Wilgen, Christophe Demoulin, Wim Dankaerts, Lieven Danneels, Lennard Voogt, Albère Köke, ... Nathalie Roussel
Braz J Phys Ther. 2021;25:319-28
137
Highlights
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Guideline adherence for low back pain is very low among physical therapy students.
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Fourth year students show more biopsychosocial beliefs and more guideline adherent recommendations than 2nd-year students.
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Biomedical beliefs are associated with poor adherence to evidence based guidelines.
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A personal history of low back pain is not associated with beliefs or attitudes.
121
Higher order thinking about differential diagnosisChad E. Cook, Simon Décary
Braz J Phys Ther. 2020;24:1-7
121
Highlights
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Diagnosis is designed to improve communication and documentation about a patient's condition and should help refine treatment options for patients. A diagnosis allows clinicians to “cross-talk” and reduce variability of care.
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Higher order thinking is a form of thinking and learning that requires greater cognitive processing and indirectly requires different forms of learning beyond memorization, facts and, concepts. Higher order thinking occurs after one makes a diagnosis.
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Diagnostic metrics are either internal (in that they provide information about the test only) or external (in that they provide information about post-test decision making). The best tests influence post-test decision making.
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Overdiagnosis may lead to overtreatment. A caveat exists that over-pursuing diagnoses may lead to worse outcomes.
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Within a diagnosis are specific phenotypes. Thus, multiple patients may have a single diagnosis but present markedly differently and respond to different outcomes.