Just published in @JOSPT Open
Two treatments for chronic neck pain: no clinically important difference between the two.
๐
Thank you @PhysioMeScience for sharing ๐
Chronic musculoskeletal (MSK) pain affects 1.7 billion people globally and costs hundreds of billions annually.
Exercise helps โ
โ ๏ธbut: evidence base is too imprecise to implement it well
What do ๐ค
โก๏ธEditorial in @BMJOpenSEMbmjopensem.bmj.com/content/1โฆ
By Nitin Arora ๐๐
The Path Forward
A 3-step approach for a stronger evidence base:
1๏ธโฃ Integrate reporting frameworks from design to publication
2๏ธโฃ Strengthen systematic review methodology
3๏ธโฃ Enforce reporting compliance across the ecosystem
Together, this enables precision exercise prescription
Final Takeaway
Once reporting and review standards improve, we can move beyond โsome exercise is better than noneโ toward tailored, evidence-driven, safe, and clinically meaningful exercise prescriptions for each MSK pain presentation.
โก๏ธ Moving forward, if sleep is important for a patient, other treatments need to be considered and evaluated ๐ฉ
๐ co-authors!
- Tanya Thwaite
- Emma Craige
- @NiamhMundell
- @ScottTags
- Kate Vincent
- Sally Ferguson
- Madeline Sprajcer
- @PatrickOwenPhD
- Grace Vincent
๐จJust published!
๐โโ๏ธ๐ Our study shows that a 12-week run-walk interval program can improve beliefs about running in adults with chronic low back pain
๐ก Implications for clinicians and researchers: let's rethink the stigma around running with LBP
#ChronicPain#ExerciseScience
Key factors that separated people with back pain from those without were:
- social function & psychological well-being
- Lower lumbar disc herniation & degeneration
- Neck & hip mobility
๐ง Caveat: Neck & hip mobility may be โnoiseโ; our study can't infer causality.
๐ Still, the data stand on their own.
๐ Next steps:
โ Follow-up in same individuals (causality)
โ Toward refined diagnostics & phenotyping in chronic non-specific back pain.
๐ Co-authors Frederick Junker, @DoedingRebekka, Maia Angelova, Chandan Karmakar, Luis Becker, Nima Taheri, Matthias Pumberger, Sandra Reitmaier, Hendrik Schmidt