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This edition of Spinal Columns explores management of pain from multiple directions, from the mechanics of joint loading and bone density to the social determinants shaping recovery for injured workers. The issue examines patient experience and satisfaction with evolving models of care, including advanced practice physiotherapy. Further articles consider the quality of clinical guidelines for managing complex pain, student perspectives on educational pathways, and the return-to-work experiences of specific professions.
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What drives patient satisfaction with advanced physiotherapy?
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A comprehensive evaluation of patient satisfaction with advanced practice physiotherapy across different international settings is currently unavailable. To address this, researchers conducted a systematic review of existing studies from databases and other literature, synthesizing both quantitative and qualitative data. (Summary)
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Davis, C., Noblet, T., Breach, J., Mistry, J., Maddigan, K., Kowalski, K., & Rushton, A. (2026). Patient satisfaction with advanced practice physiotherapy internationally: A systematic mixed studies review. PLOS One, 21(2), e0342674. https://doi.org/10.1371/journal.pone.0342674
Alison Rushton
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How do patients experience advanced physiotherapy for low back pain?
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Although advanced practice physiotherapy is used within care pathways for low back pain, the experience of patients receiving this care has not been explored. To address this, researchers will conduct case studies in Ontario, Canada and England, United Kingdom, using questionnaires and interviews with patients and physiotherapists. (Summary)
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Davis, C., Kowalski, K., Noblet, T., & Rushton, A. (2026). Patient experience of advanced practice physiotherapy within low back pain care pathways in Canada and the United Kingdom: A multiple case-study protocol. PLOS One, 21(2), e0342152. https://doi.org/10.1371/journal.pone.0342152
Alison Rushton
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How reliable are the guidelines for treating a complex pain condition without drugs?
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Various clinical practice guidelines offer direction on how to manage complex regional pain syndrome (CRPS) using non-pharmacological, conservative approaches. Researchers systematically searched for these guidelines to evaluate their quality and compare their treatment recommendations. (Summary)
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Shafiee, E., MacDermid, J., Packham, T., Grewal, R., Walton, D., & Farzad, M. (2026). A Systematic Critical Appraisal of Clinical Practice Guidelines for Non‐Pharmacological Conservative Management of Complex Regional Pain Syndrome (CRPS) Using the AGREE‐II Instrument. Journal of Evaluation in Clinical Practice, 32(4). https://doi.org/10.1111/jep.70417
David Walton
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Do injury prediction tools work the same for everyone?
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Tools that predict recovery from musculoskeletal injuries may not work equally well for all people, as social factors like age, gender, and income could affect their accuracy. To investigate this, researchers analyzed data from injured workers who completed surveys about their pain, distress, and demographics. (Summary)
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Bayattork, M., Abadi, S. S., Carter, T., Cooper, L., & Walton, D. M. (2026). Social determinants of pain, distress, and quality of life in injured workers: A cross-sectional and longitudinal analysis of patient-reported outcomes. PLOS One, 21(4), e0346697. https://doi.org/10.1371/journal.pone.0346697
David Walton
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CANSpine
Faculty of Health Science, School of Physical Therapy, Western University
Rm. EC1408 1201 Western Rd., London, ON N6G 1H1, Canada
canspinear@uwo.ca
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Some components of this newsletter were generated using AI.
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