Laypersons’ Expectations of Recovery and Beliefs About Whiplash Injury: A Cross-Cultural Comparison Between Australians and Singaporeans.
Laypersons’ expectations of recovery and beliefs about whiplash injury: A cross-cultural comparison between Australians and Singaporeans.
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Eur J Pain. 2012 Dec 17;
Ng TS, Bostick G, Pedler A, Buchbinder R, Vicenzino B, Sterling M
BACKGROUND: Beliefs and expectations are thought to influence outcome following whiplash injury. Studies have proposed a link between rates of chronic whiplash and laypersons’ expectations about outcome following a motor vehicle accident. The prevalence of chronic whiplash is relatively high in Australia and apparently low in Singapore. This study’s objectives were to compare laypersons’ beliefs and expectations of recovery of whiplash injury in Brisbane and Singapore and to assess the effect of demographic factors on whiplash beliefs. METHODS: A cross-sectional study using online surveys was conducted on adult Internet users in Brisbane (Australia) and Singapore. The 14-item whiplash beliefs questionnaire (WBQ) was used to evaluate whiplash beliefs. Two additional items assessed expectations of recovery. Individual items of WBQ, WBQ score and expectations of recovery were analysed. Stratified analysis was performed to adjust for sampling bias due to quota sampling. RESULTS: A total of 402 participants from Singapore and 411 participants from Brisbane, Australia, completed the survey. While participants from Singapore demonstrated slightly more negative whiplash beliefs than participants from Brisbane [t((811)) ?=?-5.72; p?0.0001], participants from both samples were similar in their expectations of quick recovery and return to normal activities following whiplash injury. Only gender had a significant effect on whiplash beliefs [estimated marginal means of WBQ score for men?=?21.5; standard error (SE)?=?0.20; women?=?22.5; SE?=?0.20; F((1,810)) ?=?11.2; p?=?0.001]. CONCLUSIONS: Laypersons' expectations of recovery and beliefs about whiplash injury in Brisbane and Singapore were generally similar and mostly positive. Our results demonstrate that cultural differences reflected by laypersons' beliefs may not reflect the differences in prevalence of chronic whiplash between countries. HubMed – rehab
The Chimera of Low Back Pain Etiology: A Clinical Rehabilitation Perspective.
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Am J Phys Med Rehabil. 2013 Jan; 92(1): 93-97
Negrini S, Zaina F
ABSTRACT:
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No (Rehabilitation) Gain Without Pain (Management).
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Am J Phys Med Rehabil. 2013 Jan; 92(1): 90-92
Kress HG, Casale R
ABSTRACT:
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The physiatrists’ crucial role in the development and implementation of a longitudinal musculoskeletal physical examination curriculum in a medical school.
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Am J Phys Med Rehabil. 2013 Jan; 92(1): 84-9
Newcomer KL, Laskowski ER, Grande JP, Dyrbye LN
ABSTRACT: The musculoskeletal physical examination (MSK PE) is a critical clinical skill that should be mastered by all medical students. The authors believe that physiatrists should have a crucial role in undergraduate musculoskeletal education. This article outlines the successful integration of an MSK PE curriculum taught by physiatrists into the first 2 yrs of medical school. During year 1, a basic MSK PE is taught concomitantly with the human anatomy course and focuses on anatomical correlation with physical examination maneuvers. In year 2, the MSK PE is taught concomitantly with the musculoskeletal didactic block. Special musculoskeletal tests, basic neurologic evaluation, and case correlation are also added to expand on the examination skills learned in the first year. At the end of the second year and before beginning third-year clinical rotations, students take a practical test to demonstrate their competency in the MSK PE. The authors believe that an important component of their MSK PE educational sessions is a low student-to-instructor ratio (4:1), with ample hands-on supervision of physical examination skills practice. Residents in the Department of Physical Medicine and Rehabilitation assist with the teaching. With their intensive training and clinical experience in musculoskeletal medicine, physiatric staff and residents are ideal faculty for teaching the MSK PE. The authors are hopeful that this article encourages other physiatrists to construct similar programs aimed to develop MSK PE skills in medical students.
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