Background Prescription behavior in low back pain (LBP) differs between physical therapists with a biomedical versus a biopsychosocial belief, despite the presence of clinical guidelines. Objective To examine (1) the beliefs of physical therapy students and their adherence to clinical LBP guidelines …

Background Exercise, a cornerstone in current treatments for people with musculoskeletal pain, elicits a phenomenon called exercise‐induced hypoalgesia (EIH), which may result in reduced pain intensity and/or increased pain thresholds. However, EIH can be impaired in patients with musculoskeletal pain, …

Study Design Systematic review and meta-analysis. Background Quantitative mechanical sensory testing (QST) assesses sensory functioning and detects functional changes in (central) nociceptive processing. In the current low back pain literature it has been hypothesized that these functional changes …

Background Disorders of the rotator cuff are a common musculoskeletal pain presentation in the general population, and treatment by a physiotherapist is often prescribed. In 2011, 2016, surveys of physiotherapy practice in the United Kingdom (UK) were performed, which reported that advice and exercise …

Het wetenschappelijk bewijs voor het effect van fysiotherapie in de langdurige zorg is matig. Echter, interventies zoals beschreven in publicaties betreffen vaak standaardprogramma’s. Dit komt niet overeen met de dagelijkse praktijk in verpleeghuizen waar fysiotherapeuten in een multidisciplinair team …

Purpose: In the era of value-based healthcare, one strives for the most optimal outcomes and experiences from the perspective of the patient. So, patient experiences have become a key quality indicator for healthcare. While these are supposed to drive quality improvement (QI), their use and effectiveness …

In dit artikel belichten de auteurs de waarde van kennis uit het vakgebied van Disability Studies voor de pijnrevalidatie en staan ze specifiek stil bij het belang van 'ervaringskennis' en het zoeken van bronnen van 'veerkracht'.

Chronic low back pain (CLBP) has major public health implications, and underlying mechanisms are still unclear. Sensorimotor incongruence (SMI)—an ongoing mismatch between top-down motor output and predicted sensory feedback—may play a role in the course of chronic nonspecific low back pain. The hypothesis …

Objectives Central sensitization (CS) implies increased sensitivity of the nervous system, resulting in increased pain sensitivity as well as widespread pain. Recently, the Central Sensitization Inventory (CSI) was developed to assess symptoms of CS and central sensitivity syndromes. The aim of this …

Conservative, surgical and pharmacological strategies for chronic low back pain (CLBP) management offer at best modest effect sizes in reducing pain and related disability, indicating a need for improvement. Such improvement may be derived from applying contemporary pain neuroscience to the management …