Vagner Miolla @vmiolla
Musculoskeletal Physiotherapist, MACP member London, England Joined April 2013-
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Important paper 👉49% of the change in pain is likely attributable to natural history. 👉18% may be attributable to placebo. 👉Only 33% of the effect relates to the specifics of the intervention.
Important paper 👉49% of the change in pain is likely attributable to natural history. 👉18% may be attributable to placebo. 👉Only 33% of the effect relates to the specifics of the intervention.
The 2nd in this 3-part series looks at how we might think differently about where #MSK #rehab/#physio views its role in multimorbidity. This piece follows our presented case further into rehabilitation. You can read the full piece here: bit.ly/4a2m1Gk 🧵1/6
"Our study shows that the MRI degenerative findings we examined, individually or in combination, do not have clinically important associations with LBP". ingentaconnect.com/content/wk/brs…
I'm looking for UK-Based Physiotherapists with experience in delivering lower limb rehabilitation for adults within the last 5 years to consider participating in my survey! Please consider participating & sharing! EDCA no: acHSK-CL-UH-05058(2) app.onlinesurveys.jisc.ac.uk/s/herts/msk-ph…
IMO this paper should be read by all clinicians: What does patient centred care look like? Its a partnership. 'I was able to co-create a new narrative that made sense of things in ways that made biological AND biographical sense.' chiromt.biomedcentral.com/articles/10.11…
Great to partner with @MarkHancockPT @APA and @medibank on their low back pain initiative medibank.com.au/livebetter/rew… What fantastic leadership from Australia's biggest private health insurer. Leading the way on positive health initiatives👏👏
How lesions to peripheral nerves or spinal nerve roots present with sensory and/or motor deficits in the upper limb 👇👇👇 neurology.org/doi/10.1212/NE…
When we really explore the complexity of sleep (loss), it is apparent why simple sleep hygiene advice is ineffective for many. Are we addressing the primary drivers? tandfonline.com/doi/full/10.10…
Introducing Australia’s clinical care standard for low back pain, which has been endorsed by 19 associations It includes 8 statements describing best practice for assessment, management and review and referral, plus indicators to support local monitoring sciencedirect.com/science/articl…
📣 #OriginalResearch 📄 90% patients with complete #ACL rupture showed signs of ACL continuity at 3 months on MRI when using the Cross Bracing Protocol This #OpenAccess article describes the impact this may have on future research and practice READ 👉 bit.ly/3qQAjbl
This week I spoke to Peter Stilwell a chiropractor and researcher. After speaking with him I thought I would share some thoughts. If you want to watch/listen to the episode check it out at modernpaincare(dot)com Embrace the Enactivism Approach • Begin by understanding the…
The Neck Series: Part 1 For #ClinicalInsight this week, we're sharing the 1st of 3 thought pieces on treating the neck - or rather, supporting self-mgt. 1st of these is on 'other' factors in neck pain. Full article: bit.ly/3Q0Zl0g @MattLowPT @PhysioMACP 🧵1/6
‘Do I need an X-ray or scan’ 🚨NEW INFOGRAPHIC to help the general public, people ć MSK pain+HCPs 🤝Co-produced by @LeeFraser16 @AndrewWindass Lorna R @GeorgeMcNamee @ChrisNewtonPT @kieranosull @gsingh1902 + @paintoolkit2 @LivingWellPain @loulouscorpio Pls share +DM for pdf
Well done to Daniela Vaz, @Peter_Stilwell @sconinxphil @CraigLiebenson - grateful to be part of the team @BrazJPhysTher Affordance-based practice: An ecological-enactive approach to chronic musculoskeletal pain management sciencedirect.com/science/articl… @BU_Orthopaedic @UHD_NHS
Share this - Quick guide for physios for the low back pain clinical care standard
Baxter's Nerve Entrapment can be identified by an MRI, with key indicators being fatty atrophy of the Abductor Digiti Quinti muscle. james-mccormack.com/advice-centre/…
What is cognitive functional therapy? How it can reduce back pain and get you moving. theconversation.com/what-is-cognit…
Visceral Fat is a giant risk factor for heart disease, diabetes, and various cancers. Here’s your 8-step roadmap to lose the visceral fat, fix your health, and save your life:
Must read paper (and its open access!) Exploration of 'ways to advance knowledge of the complex three-dimensional structure and properties of the Achilles tendon in vivo' sciencedirect.com/science/articl…
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⚠️ How much #PhysicalActivity is needed to reduce the detrimental health consequences of sedentary time? 🤔 Find out more in the latest #BJSMBlog 🔥 ⬇️ bit.ly/3GsBP8e
Final version of our letter is now available @PTJournal! David Nicholls’ concerns regarding psychologically informed practice disappear when we recognize false dichotomies and unnecessary antagonism (e.g., physical vs. mental, hands-on vs. hands-off care). academic.oup.com/ptj/article-ab…
@TDekkersPhysio v kind Thomas. though i am wondering what the hell i was doing/saying right then ;-)
What a great chat Prof Kieran O'Sullivan @kieranosull and I had last night on 'All Things Spinal'. We delved deep into the psychosocial world and had a lot of fun along the way. Massive thanks to Kieran-a true leader in the profession. And thank you to all who tuned in 🙏💪
The 2nd in this 3-part series looks at how we might think differently about where #MSK #rehab/#physio views its role in multimorbidity. This piece follows our presented case further into rehabilitation. You can read the full piece here: bit.ly/4a2m1Gk 🧵1/6
LBP affects most people at least once during their lifetime. For many it is a recurrent or persistent problem that is characterised by acute flare ups. The acute vs chronic LBP is an academic question, not really a clinical one. sciencedirect.com/science/articl…
Congratulations! @kiran_ptist Reliability and measurement properties of upper cervical flexion-extension range of motion testing in people with cervicogenic headache and asymptomatic controls tandfonline.com/doi/full/10.10…
Thanks @PhysioMACP for your support! 1 wk remaining to participate or to pick back up where you left off and submit your answers! ➡️ 1 clinical vignette ➡️ 3 short case scenarios Help understand how Physiotherapists deliver MSK Lower Limb Rehabilitation 🧠 🦵🏻 🦵🏻 🏋️♀️⛹️♀️
@FionaWilsonf @DrKateAckerman Yes, very enjoyable. Thanks to both of you for making it happen!
How to publish your first journal article:
Thanks @leehphysio & to those who have participated so far! Getting some nice feedback about the clinical vignette and case scenarios. Please continue to share your rehab experience and help improve understanding in this area! 🧠 🏋️♀️ ⛹️♀️ app.onlinesurveys.jisc.ac.uk/s/herts/msk-ph…
It's a wrap! I am officially retired today! 40 years a physio. I can hardly believe it! A great journey, helped by many great physios, including my best friend & colleague Kim Robinson. Thanks Pierre Trudelle for a final course in Paris. All best wishes. Goodnight & good luck
IMO this paper should be read by all clinicians: What does patient centred care look like? Its a partnership. 'I was able to co-create a new narrative that made sense of things in ways that made biological AND biographical sense.' chiromt.biomedcentral.com/articles/10.11…
Lucky to be coming back home yo where my physio journey began !
Lucky to have @PeteOSullivanPT visiting us in NZ in March
Great to partner with @MarkHancockPT @APA and @medibank on their low back pain initiative medibank.com.au/livebetter/rew… What fantastic leadership from Australia's biggest private health insurer. Leading the way on positive health initiatives👏👏
How lesions to peripheral nerves or spinal nerve roots present with sensory and/or motor deficits in the upper limb 👇👇👇 neurology.org/doi/10.1212/NE…
@DerekGriffin86 None of our therapies outdo the others - doesn't this suggest we should (1) use what the person is willing & ready for (2) be creative & non-dogmatic about the forms of therapy offered and (3) relish the opportunity to tailor combinations to suit individuals
When we really explore the complexity of sleep (loss), it is apparent why simple sleep hygiene advice is ineffective for many. Are we addressing the primary drivers? tandfonline.com/doi/full/10.10…