Les professionnels de la santé de la première ligne de soins ont-ils un impact sur l’activité physique de la population générale ?

editorial reviewe

Psychological interventions influence patients' attitudes and beliefs about their chronic pain.

Background: Patients' changing attitudes and beliefs about pain are considered as improvements in the treatment of chronic pain. Multidisciplinary approaches to pain allow modifications of coping strategies of patients, from passive to active. Methods: We investigate how two therapeutic treatments impact patients' attitudes and beliefs regarding pain, as measured with the Survey of Pain Attitudes (SOPA). We allocated 415 patients with chronic pain either to psychoeducation combined with physiotherapy, self-hypnosis combined with self-care learning, or to control groups. Pain intensity, global impression of change, and beliefs and attitudes regarding pain were assessed before and after treatment. Results: Our main results showed a significant effect of psychoeducation/physiotherapy on control, harm, and medical cure SOPA subscales; and a significant effect of self-hypnosis/self-care on control, disability and medical cure subscales. Correlation results showed that pain perception was negatively associated with control, while positively associated with disability, and a belief that hurt signifies harm. Patients' impression of improvement was associated with greater control, lower disability, and lower belief that hurt signifies harm. Conclusions: The present study showed that self-hypnosis/self-care and psychoeducation/physiotherapy were associated with patients' evolution of coping strategies from passive to active, allowing them to reduce pain perception and improve their global impression of treatment effectiveness. Keywords: Chronic pain, Hypnosis, Psychoeducation, Coping, Pain belief

CLINICAL ASSESSMENT OF THE CERVICAL EXTENSOR MUSCLES DYSFUNCTIONS: A SCOPING REVIEW

Neck pain is a major cause of disability worldwide and frequently associated with changes in muscle function. These changes, which may persist after the symptoms have disappeared, could explain recurrent or chronic neck pain. Given the functional alterations of the cervical extensors muscles (CEM) observed in subjects with neck pain1 , a review of the clinical ways to highlight these deficits is relevant. To identify the various clinical tests assessing CEM dysfunctions in patients with chronic neck pain (CNP)

Évaluer l’endurance des muscles extenseurs cervicaux chez les cervicalgiques chroniques : quels critères cliniques discriminants ?

peer reviewe

MAXIMUM ISOMETRIC STRENGTH OF THE TRUNK MUSCLES : DEVELOPMENT OF NORMATIVE VALUES IN ADULT WOMEN

editorial reviewe

Pourquoi et comment les techniques "hands-on" restent-elles utiles pour les douleurs cervicales non spécifiques ?

editorial reviewedNeck pain is one of the most common musculoskeletal conditions worldwide, and is associated with a high socio-economic burden in terms of diagnosis, management, and work disability. Non-specific neck pain (NS-NP) can be defined as “pain perceived in the posterior region of the cervical spine, between the superior nuchal line and the first thoracic spinous process, without a known pathological basis as the underlying cause of the complaints. Current evidence suggests that manual therapy is effective in reducing pain and improving function in patients with NS-NP. Manual therapists use various hands-on techniques, such as mobilization and manipulation of the cervical and/or thoracic spine, soft tissue and myofascial techniques, and neural mobilization to manage non-specific NP. The effects of these techniques can vary depending on the specific technique and the individual’s condition but generally include the following: improving range of motion, decreasing muscle spasm and pain, breaking adhesions, removing cellular exudates, and improving circulation. Although there are many hypotheses regarding the mechanisms of action of manual techniques, the prevailing thought suggests that these mechanisms are multifaceted and include specific and non-specific factors related to the intervention, patient, provider, and environment in which the intervention is provided. Manual therapy hands-on techniques are recommended for acute and chronic NS-NP to improve range of motion, activate pain modulation mechanisms, and prepare more active treatments. However, a multimodal and tailored approach based on manual techniques, therapeutic exercises, and pain education appears to be the best therapeutic weapon for patients with NS-NP