Publications by authors named "P B Langevin"

Article Synopsis
  • The study aimed to identify prognostic factors for neck pain by reviewing multiple systematic reviews.
  • A comprehensive search across databases like PubMed and Scopus resulted in the inclusion of 16 studies, from which 44 prognostic factors for non-specific neck pain and 47 for trauma-related neck pain were extracted.
  • The findings indicated that most factors linked to worse outcomes related to cognitive-emotional aspects, socio-environmental influences, and condition characteristics, which can help clinicians personalize treatment approaches for patients with neck pain.
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Background: Physiotherapists often inconsistently adhere to clinical practice guidelines (CPGs) when managing musculoskeletal disorders (MSKDs), potentially due to discrepancies between patient-valued interventions and guideline recommendations. Since patients' expectations are important predictors of outcome, this disparity between CPGs recommendations and patient preferences could be problematic for the effective care of MSKDs.

Objectives: To assess patients' expectations and preferences for the interventions used in their MSKD management and to establish correspondence rates between patients' preferences and recommendations from CPGs.

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Article Synopsis
  • This study explored the recovery trajectories of Dizziness-Related Disability (DRD) in kids aged 8-17 who experienced concussions, using evaluations over 6 months.
  • Two main recovery groups were identified: a Low DRD group (79% of participants) and a High DRD group (21%).
  • Key factors predicting membership in the High DRD group included chronic neck pain, existing anxiety issues, and scores from a specific assessment tool (the 5P total score), highlighting the need for personalized treatment approaches.
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Purpose: To determine the feasibility of a randomized controlled trial (RCT) testing the efficacy of psychologically-informed physiotherapy (PIPT), which includes usual physiotherapy (UP) interventions, compared with UP, and to explore the preliminary effectiveness of the interventions.

Method: People with chronic low back pain at high risk of poor prognosis (using the STarT Back screening tool) were recruited and allocated to PIPT or UP. Effectiveness of recruitment strategies, adherence to intervention, risk of contamination, and specific challenges were assessed.

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Background: This systematic review and meta-analysis seeks to investigate the effectiveness and safety of manual therapy (MT) interventions compared to oral pain medication in the management of neck pain.

Methods: We searched from inception to March 2023, in Cochrane Central Register of Controller Trials (CENTRAL), MEDLINE, EMBASE, Allied and Complementary Medicine (AMED) and Cumulative Index to Nursing and Allied Health Literature (CINAHL; EBSCO) for randomized controlled trials that examined the effect of manual therapy interventions for neck pain when compared to medication in adults with self-reported neck pain, irrespective of radicular findings, specific cause, and associated cervicogenic headaches. We used the Cochrane Risk of Bias 2 tool to assess the potential risk of bias in the included studies, and the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach to grade the quality of the evidence.

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