Biomekanisk og biopsykososial tilnærming til korsryggsmerter - Sigbjørn Hjorthaug

Uspesifikke ryggsmerter kan være utfordrende å lære og håndtere på en evidensbasert og trygg måte. Sigbjørn Hjorthaug forteller om sine tanker knyttet til biopsykososial og biomekanisk tilnærming til pasienter med korsryggsmerter.  Vi prater om musculoskeletal translation framework og typiske mønstre for mer biomekanisk betingede rygg smerter. Spalten "gråsone fleip eller fakta" er tilbake med avsløring av myter i forhold til prolaps. Til slutt får vi høre et par "aha-opplevelser" Sigbjørn har hatt med sine pasienter med korsryggsmerter. 
Kilder:
1. L5: The back course - Sigbjørn Hjorthaug

2. Musculoskeletal Clinical Translation Framework (Scheme)

3. Back pain- Separating fact from fiction - Prof Peter O'Sullivan

4. sh@gtt.no

5. REFERANSER TIL SIGBJØRNS LUMBALKURS: ALMEIDA ET AL (2018) PRIMARY CARE MANAGEMENT OF NON-SPECIFIC LOW BACK PAIN: KEY MESSAGES FROM RECENT CLINICAL GUIDELINES” BALAJI ET AL (2014) RECOVERY OF SEVERE MOTOR DEFICIT SECONDARY TO HERNIATED LUMBAR DISC PROLAPSE: IS SURGICAL INTERVENTION IMPORTANT? A SYSTEMATIC REVIEW BABATUNDE ET AL (2017) EFFECTIVE TREATMENT OPTIONS FOR MUSCULOSKELETAL PAIN IN PRIMARY CARE: A SYSTEMATIC OVERVIEW OF CURRENT EVIDENCE BARKER ET AL (2009) USE OF LANGUAGE BY HEALTH PROFESSIONALS BHATT ET AL (2015) CORRELATION OF FEAR AVOIDANCE BELIEFS WITH PAIN AND PHYSICAL FUNCTION IN SUBJECTS WITH OSTEOARTHRITIS OF KNEE (OA KNEE) BUCHBINDER ET AL (2013) PLACING THE GLOBAL BURDEN OF LOW BACK PAIN IN CONTEXT BUNZLI ET AL (2015) BELIEFS UNDERLYING PAIN-RELATED FEAR AND HOW THEY EVOLVE: A QUALITATIVE INVESTIGATION IN PEOPLE WITH CHRONIC BACK PAIN AND HIGH PAIN-RELATED FEAR BUCHBINDER ET AL (2013) PLACING THE GLOBAL BURDEN OF LOW BACK PAIN IN CONTEXT CHIU ET AL (2015). THE PROBABILITY OF SPONTANEOUS REGRESSION OF LUMBAR HERNIATED DISC: A SYSTEMATIC REVIEW. CLINICAL REHABILITATION, 29(2), 184-195. CLARK ET AL (2014)  THE POWER OF THE MIND: THE CORTEX AS A CRITICAL DETERMINANT OF MUSCLE STRENGTH/WEAKNESS. JOURNAL OF NEUROPHYSIOLOGY, 2014; 112 (12): 3219 DOI: DECETY & JEANNEROD (1995) MENTALLY SIMULATED MOVEMENTS IN VIRTUAL REALITY: DOES FITTS'S LAW HOLD IN MOTOR IMAGERY? BEHAVIOURAL BRAIN RESEARCH, 72(1-2), 127–134 FELTZ & LANDERS(1983). THE EFFECTS OF MENTAL PRACTICE ON MOTOR SKILL LEARNING AND PERFORMANCE: A META-ANALYSIS. JOURNAL OF SPORT PSYCHOLOGY, 5, 25-57. FERSUM ET AL (2019) COGNITIVE FUNCTIONAL THERAPY IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN-A RANDOMIZED CONTROLLED TRIAL 3-YEAR FOLLOW-UP FERSUM ET AL (2013) COGNITIVE FUNCTIONAL THERAPY IN PATIENTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN-A RANDOMIZED CONTROLLED FINUCANE ET AL (2020) INTERNATIONAL FRAMEWORK FOR RED FLAGS FOR POTENTIAL SERIOUS SPINAL PATHOLOGIES FRY ET AL 2003 EFFECT OF KNEE POSITION ON HIP AND KNEE TORQUES DURING THE BARBELL SQUAT GOOM ET AL (2016)  PROXIMAL HAMSTRING TENDINOPATHY:  CLINICAL ASPECTS OF ASSESSMENT AND MANGEMENT.  J ORTHOP SPORTS PHYS THER.  2016;45(6):483-493. GRIMALDI ET AL (2015) GLUTEAL TENDINOPATHY: A REVIEW OF MECHANISMS, ASSESSMENT AND MANAGEMENT HANCOCK ET AL (2011) WHAT HAPPENED TO THE “BIO” IN BIO-PSYCHO-SOCIAL HALL AM(2010) THE INFLUENCE OF THE THERAPIST-PATIENT ON TREATMENT OUTCOME HASENBRING ET AL (2011) PAIN-RELATED AVOIDANCE VERSUS ENDURANCE IN PRIMARY CARE PATIENTS WITH SUBACUTE BACK PAIN: PSYCHOLOGICAL CHARACTERISTICS AND OUTCOME AT A 6-MONTH FOLLOW-UP HARTVIGSEN ET AL (2018)  THE LANCET SERIES HARGROVE TODD (2014) A GUIDE TO BETTER MOVEMENT HILL ET AL (2011) COMPARISON OF STRATIFIED PRIMARY CARE MANAGEMENT FOR LOW BACK PAIN WITH CURRENT BEST PRACTICE (START BACK): A RANDOMISED CONTROLLED TRIAL HERBERT ET AL (2005) PRACTICAL EVIDENCE-BASED PHYSIOTHERAPY JARVIK ET AL (2005) THREE-YEAR INCIDENCE OF LOW BACK PAIN IN AN INITIALLY ASYMPTOMATIC COHORT: CLINICAL AND IMAGING RISK FACTORS JINKINS ET AL (2005) UPRIGHT, WEIGHT-BEARING, DYNAMIC-KINETIC MRI OF THE SPINE: INITIAL RESULTS KINGMA ET AL (2010) HOW TO LIFT A BOX THAT IS TOO LARGE TO FIT BETWEEN THE KNEES LASLETT, M. (2008) EVIDENCE-BASED DIAGNOSIS AND TREATMENT OF THE PAINFUL SACROILIAC JOINT. J MAN MANIP THER 2008;16:142-52. LEE ET AL (2015) LUMBAR STENOSIS: A RECENT UPDATE BY REVIEW OF LITERATUR LAIRD ET AL (2014) COMPARING LUMBO-PELVIC KINEMATICS IN PEOPLE WITH AND WITHOUT BACK PAIN: A SYSTEMATIC REVIEW AND META-ANALYSIS LOUW ET AL (2015) THE SHORT TERM EFFECTS OF PREOPERATIVE NEUROSCIENCE EDUCATION FOR LUMBAR RADICULOPATHY: A CASE SERIES LOUW (2017) A CLINICAL PERSPECTIVE ON A PAIN NEUROSCIENCE EDUCATION APPROACH TO MANUAL THERAPY LOUW & PUENTEDURA (2013) THERAPEUTIC NEUROSCIENCE EDUCATION, PAIN, PHYSIOTHERAPY AND THE PAIN NEUROMATRIX MCCULLOUGH ET AL (2012) LUMBAR MR IMAGING AND REPORTING EPIDEMIOLOGY: DO EPIDEMIOLOGIC DATA IN REPORTS AFFECT CLINICAL MANAGEMENT? MITCHELL ET AL (2018) MUSCULOSKELETAL CLINICAL TRANSLATION FRAMEWORK FROM KNOWING TO DOING MODIC ET AL (1988). DEGENERATIVE DISK DISEASE: ASSESSMENT OF CHANGES IN VERTEBRAL BODY MARROW WITH MR IMAGING. RADIOLOGY. 1988;166(1 PT 1):193–9. DOI: 10.1148/RADIOLOGY.166.1.3336678 MOSELEY ET AL (2008) THINKING ABOUT MOVEMENT HURTS MOSELEY ET AL (2012) THE GRADED MOTOR IMAGERY HANDBOOK MOSELEY & BUTLER (2017) EXPLAIN PAIN SUPERCHARGED NOLAN ET AL (2017)WHAT DO PHYSIOTHERAPISTS AND MANUAL HANDLING ADVISORS CONSIDER THE SAFEST LIFTING POSTURE, AND DO BACK BELIEFS INFLUENCE THEIR CHOICE? PITTROF  & RUBENSTEIN (2008)  THE THINKING DOCTOR’S GUIDE TO PLACEBOS. BMJ 2008;336:1020 (3 MAY.) SACKETT ET AL (1996) EVIDENCE BASED MEDICINE: WHAT IT IS AND WHAT IT ISN'T SHIMO ET AL (2011) VISUALIZATION OF PAINFUL EXPERIENCES BELIEVED TO TRIGGER THE ACTIVATION OF AFFECTIVE AND EMOTIONAL BRAIN REGIONS IN SUBJECTS WITH LOW BACK PAIN SPENCE, D. (2016). EVIDENCE BASED MEDICINE IS BROKEN.  STENNER ET AL (2018)WHAT MATTERS MOST TO PEOPLE IN MUSCULOSKELETAL PHYSIOTHERAPY CONSULTATIONS? A QUALITATIVE STUDY SANER ET AL (2012) A TAILORED EXERCISE PROGRAM VERSUS GENERAL EXERCISE FOR A SUBGROUP OF PATIENTS WITH LOW BACK PAIN AND MOVEMENT CONTROL IMPAIRMENT: SHORT-TERM RESULTS OF A RANDOMISED CONTROLLED TRIAL SHNAYDERMAN I (2013) AN AEROBIC WALKING PROGRAMME VERSUS MUSCLE STRENGTHENING PROGRAMME FOR CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRIAL. CLIN REHABIL. MAR;27(3):207-14 SHIMO ET AL (2011) VISUALIZATION OF PAINFUL EXPERIENCES BELIEVED TO TRIGGER THE ACTIVATION OF AFFECTIVE AND EMOTIONAL BRAIN REGIONS IN SUBJECTS WITH LOW BACK PAIN SPENCE, D. (2016). EVIDENCE BASED MEDICINE IS BROKEN.  SULLIVAN ET AL (2018) COGNITIVE FUNCTIONAL THERAPY: AN INTEGRATED BEHAVIORAL APPROACH FOR THE TARGETED MANAGEMENT OF DISABLING LOW BACK PAIN  STENNER ET AL (2018)WHAT MATTERS MOST TO PEOPLE IN MUSCULOSKELETAL PHYSIOTHERAPY CONSULTATIONS? A QUALITATIVE STUDY STUGE ET AL (2004) THE EFFICACY OF A TREATMENT PROGRAM FOCUSING ON SPECIFIC STABILIZING EXERCISES FOR PELVIC GIRDLE PAIN AFTER PREGNANCY: A RANDOMIZED CONTROLLED TRIAL SYNNOT ER AL (2016) PHYSIOTHERAPISTS REPORT IMPROVED UNDERSTANDING OF AND ATTITUDE TOWARD THE COGNITIVE, PSYCHOLOGICAL AND SOCIAL DIMENSIONS OF CHRONIC LOW BACK PAIN AFTER COGNITIVE FUNCTIONAL THERAPY TRAINING: A QUALITATIVE STUDY PITTROF  & RUBENSTEIN (2008)  THE THINKING DOCTOR’S GUIDE TO PLACEBOS. BMJ 2008;336:1020 (3 MAY.) TESTA & ROSSETTINI (2016) ENHANCE PLACEBO, AVOID NOCEBO: HOW CONTEXTUAL FACTORS AFFECT PHYSIOTHERAPY OUTCOME TOUSIGNANT-LAFLAMME ET AL (2017) REHABILITATION MANAGEMENT OF LOW BACK PAIN – IT’S TIME TO PULL IT ALL TOGETHER! TUTTLE N (2005): DO CHANGES WITHIN A MANUAL THERAPY TREATMENT SESSION PREDICT BETWEEN-SESSION CHANGES FOR PATIENTS WITH CERVICAL SPINE PAIN? AUSTRALIAN JOURNAL OF PHYSIOTHERAPY 51: 42–47. VLEEMING ET AL (2008) EUROPEAN GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF PELVIC GIRDLE PAIN YORIMITSU ET AL (2001) LONG-TERM OUTCOMES OF STANDARD DISCECTOMY FOR LUMBAR DISC HERNIATION: A FOLLOW-UP STUDY OF MORE THAN 10 YEARS

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Sigbjørn Hjorthaug
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Fredrik Sjøberg

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