Hamstring strains rank among the most common injuries in high-speed running sports. The recurrence rates of previous decades, reaching 20% and 33%, appear to be on the decline, due to improved utilisation of the most effec tive physiotherapy protocols.1 Still today, recurrence rates appear high, and interest in improving outcomes continues.2
Sports wherein the athlete’s hand frequently goes over the athlete’s head see high frequencies of shoulder injuries. Such athletes are sometimes referred to as “overhead athletes.”
Type 2 diabetes has risen to the level of a global pandemic.1 In the presence of a foot ulcer, five-year mortality rates climb to 44%.2 Additionally, the economic burden of diabetic foot disease costs Australia 1.6 billion annually.3
The World Health Organization estimates that 27.5% of people are not getting enough exercise,1 and a separate analysis published in the Lancet attributes 9% of global premature deaths to inactivity.2 Clearly, when sedentary patients increase physical activity, the risks posed by cardiovascular disease are greatly mitigated, but what is the role of the primary care practitioner in this? Moreover, what is the difference between a physical activity recommendation and prescribed exercise?
As many as one out of ten patients in Australia’s primary care settings deal with peripheral artery disease (PAD).1 The Australian Institute of Health and Welfare associates PAD with nearly 60,000 hospitalisations annually, as well as 1,900 deaths
Until recently, diabetic peripheral neuropathy (DPN) was considered a contraindication for exercise walking and other weightbearing exercise. The concern was that such exercise would increase the risk of foot injury and the serious consequences such injuries can introduce where there is DPN.
Osteoarthritis (OA) ranks as the most common category of joint disease as well as the leading source of pain among older patients.1
One in twenty Australians age 45+ live with COPD.1 The resulting dyspnoea, reduced exercise tolerance, and communication hindrance strongly impact quality of life. What’s more, each year, roughly one in five people with moderate to severe COPD experience an acute exacerbation requiring urgent care.
Patellofemoral pain (PFP) proves to be a pervasive and recalcitrant challenge for healthcare professionals.
Sarcopenia leads to functional impairment including poor endurance, slow gait, and reduced mobility. Moreover, the condition predicts falls, poor quality of life, disability, and mortality.1
Australia sees almost 150 hospitalisations for opioid harms daily
Due to an aging population and increasing obesity, the prevalence of knee osteoarthritis (KOA) has more than doubled in the past ten years, pointing to an impending endemic state.1,2
An aging population suggests we can expect an increasing incidence of cognitive impairment and dementia through year 2050.
The Dose-Response Relationship to Therapeutic Exercise Dementia ranks as a leading cause of disability for elderly patients, and the prevalence is expected to quadruple over the next three decades.1
Physiotherapists at Cairo University recently produced a first-of-its kind study offering important insight into the correlation between forward-head posture and reduced respiratory function
At the turn of the century, adolescent low back pain was considered uncommon.1 In 2016, this bulletin reported the prevalence at 5%.2
With roughly one out of ten cases of shoulder pain being attributable to adhesive capsulitis, frozen shoulder ranks as the most common cause of shoulder dysfunction.1
Physiotherapists at Cairo University recently produced a first-of-its kind study offering important insight into the correlation between forward-head posture and reduced respiratory function.
Susan Hardy, MD and colleagues recruited 439 adults age 65 and older to assess multiple possible predictors of mortality that could be used in primary care.1
Australians are living longer, yet the growing burden of chronic disease means society is living longer but in poorer health. Osteoarthritis of the knee (KOA) is a primary contributor to this situation.
In 2017, low-back pain (LBP) caused 65 million years lived with disability. That was 17.5% worse than in 2007.
2022 Journal of the American Medical Association
In 2017, low-back pain caused 65 million years lived with disability. That was 17.5% worse than in 2007.1
hiplash associated disorder (WAD) encompasses a syndrome of symptoms that may result from an acceleration/deceleration injury of the neck - especially disability and neck pain.
While healthcare has been rapidly building knowledge about COVID-19, data regarding post-COVID, long-term pulmonary sequelae is only beginning to trickle in.
Physiotherapy Proves to be a Viable First-line Treatment
Delayed PT Associated with Better Results Rotator cuff tears are a common cause of shoulder pain.
Affecting an estimated 2% to 5% of the general population, adhesive capsulitis (also known as frozen shoulder) ranks as the leading cause of pain at the shoulder joint among the middle-age and older.1
Exercise Protocols that Achieve Triple the Results with the Same or Smaller Time Investment
ffecting an estimated 2% to 5% of the general population, adhesive capsulitis (also known as frozen shoulder) ranks as the leading cause of pain at the shoulder joint among the middle-age and older
In the past few years, scientific journals have seen an explosion of interest in diabetes remission.It is well established that gastric sleeve surgery can put diabetes into remission.
Australians are living longer, yet the growing burden of chronic disease means society is living longer but in poorer health.
A report published recently in the Medical Journal of Australia finds that Australia has the highest incidence of anterior cruciate ligament (ACL) reconstruction surgeries in the world.1
Meniscal tears seem to occur as part of a degenerative process in the knee. More than half of people age 50+ have meniscal tears without pain.1
Workers’ compensation records show that in New South Wales, before decompression surgery, more than a quarter of patients receive no physiotherapy. Nearly another quarter of patients receive only one to eight physiotherapy sessions before decompression surgery
Fibromyalgia (FM) is a “syndrome of widespread pain, decreased pain threshold, and characteristic symptoms that include non-restorative sleep, fatigue, stiffness, mood disturbance, irritable bowel syndrome, headache, paraesthesia and other less common features.”1.
Takeaways for Outpatient Providers -While not unusual in Australia, dedicated emergency department physiotherapists remain relatively new. The concept is novel in other parts of the world.
he Indian Journal of Orthopaedics recently published a first-of-its-kind study comparing four proven treatment approaches to plantar fasciosis (previously referred to as plantar fasciitis).
Roughly six out of ten patients seeking primary care for back pain also report back-related leg pain.1 That number includes both leg pain characterized by nerve root entrapment (sciatica) and referred leg pain without nerve. root involvement.
In our November bulletin, we described a study out of the U.K. that is reversing a decade’s old consensus opinion that sciatica has a good prognosis, with the majority of paincomplaints resolving within four weeks.
Joseph Pilates developed the exercise system bearing his name to be a low-impact fitness routine that would be suitable for anyone and that could also enhance mindfulness and mood.
In February, the Journal of the American Medical Association (JAMA) published a review of groin pain syndrome.
In our November bulletin, we described a study out of the U.K. that is reversing a decade’s old consensus opinion that sciatica has a good prognosis, with the majority of pain complaints resolving within four weeks.1,2 In the U.K. study, Kika Konstantinou et al. found that patients went from an average pain intensity of 5.2 on a 10-point scale to 2.4 after one year. Other measures of pain and disability showed strong persistence as well.
Breast Cancer is one of the most commonly diagnosed cancer in women.1 Survival rate has increased as a result of advancement in diagnosis and treatment, with a five-year survival rate of 91% in Australia.[2] Women are living longer after their cancer diagnosis, but are faced with many long-term side effects of the disease and associated treatment.[3]
Joseph Pilates developed the exercise system bearing his name to be a low-impact fitness routine that would be suitable for anyone and that could also enhance mindfulness and mood.
Despite relative uniformity in clinical guidelines, the care Australians receive for osteoarthritis is variable and often divergent from the guidelines, according to Martin Basedow (University of South Australia) and his research team.
Across Australia, the cost of low back pain is on the rise, but outcomes are not improving.1 The healthcare community continues to search for methods that will improve outcomes for patients.
In New South Wales, fall injury deaths are on the rise. Compared to 2001, fallrelated mortality among people age 65+ is up 72%.1 In addition to the personal toll these injuries levy on our patients, they create significant medical expenses
Osteoarthritis (OA) is the most common form of arthritis. As the population ages and obesity becomes more prevalent, the number of Australians with arthritis is expected to rise from 2.2 million in 2015 to 3.1 million by 2030.1
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