Posts – from the journals

This pages shows all the active blogs from the category, From the Journals. Posts in this category report and/or comment on published articles relevant to rehabilitation. Posts may cover any aspect of the paper, and the paper may cover any aspect of rehabilitation, or even not be specific to rehabilitation. There will always be a connection between the paper and rehabilitation.

Entrustability – what is it?

Mosr professions initially developed on the basis of trust. Examinations were rare. Doctors (and other professions) learned through experience. For healthcare, as science advanced and …
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Covid, FND, and models

“Helping the Public Understand Adverse Events Associated With COVID-19 Vaccinations. Lessons Learned From Functional Neurological Disorder.” (here) Published today (9th April 2021), I think this …
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NICE on chronic pain

Today, 7th April 2021, the National Institute for Health and Care Excellence, otherwise known as NICE, published its guideline on diagnosis and management of chronic …
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Reflection on progress

This post was precipitated by reading two papers and following references and links in the papers. The post draws attention to the serendipity that can …
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Randomised Comparison Trials

A recently published paper discusses placebos used in randomised controlled trials, referring to the placebo medication as “the Unknown Variable in a Controlled Trial”. The …
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AI and decision making

Rehabilitation decisions are complex because so many factors have an influence and we do not know the extent of the influence of each factors, nor …
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A surfeit of guidelines?

I am writing a syllabus for doctors training in Rehabilitation Medicine. The syllabus will cover, among other things, the knowledge people need. The working party …
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Learning from failure

Designing and completing a large, well-designed randomised study is hard work. It must be very depressing when the result is negative – your programme of …
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Back pain.

Patients with chronic low back pain often have a low quality of life and treatments are not very successful. Although the strong association between psychosocial …
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Systematic reviews – reviewed

Systematic reviews, with or without meta-analysis are attractive. They appear to offer much more secure answers, by taking ‘the totality of published evidence’. They can …
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Measuring activity over time

Whatever the cause, many people with a long-term disability move less than other people of a similar age. Short-term measurement with accelerometers can measure this, …
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Outcome measures

This post refers to two papers in the JAMA Journal of Internal Medicine: one is the report on a randomised controlled trial comparing equivalent times …
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Physician-assisted death

This is a controversial topic that is of direct relevance to rehabilitation. Many of our patients have lives that, to an outside observer at least, …
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Chronic pain

Patients who have chronic pain and who also (ab)use drugs and alcohol pose a challenge, especially as many become dependent on drugs due to over-prescription. An …
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Profession specific research

A recently published paper gave “Occupational therapy consensus recommendations for functional neurological disorder”. So what is this? Do occupation therapists have so much more experience, knowledge …
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Economic trial outcomes

It might be assumed that, if a trial showed no clinical benefit, then an economic evaluation would not be warranted. Not always true. There is …
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Being a carer

Rehabilitation professionals will interact with family carers every day as part of day-to-day work. And I am sure most of us, if asked, can give …
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