David Toomey

Why We Still Get Back Pain Wrong: Beliefs and Attitudes Towards Low Back Pain Among Austrian Physiotherapists and Healthcare Students: A Cross-Sectional Study pubmed.ncbi.nlm.nih.gov/41760402/

No Effect of a Single Session of Anodal Transcranial Direct Current Stimulation on Exercise-Induced Hypoalgesia in Knee Osteoarthritis: A Randomized Cross-Over Trial pubmed.ncbi.nlm.nih.gov/41774025/

Can a Targeted Pre-Exercise Education Intervention Enhance the Exercise-Induced Hypoalgesia (EIH) Response in Individuals With Knee Osteoarthritis (OA)? pubmed.ncbi.nlm.nih.gov/41804569/

@Mattjones0203 Thanks Matt! 🙌

Pre-Exercise Factors Associated with the Magnitude of Exercise-Induced Hypoalgesia in Individuals with Knee Osteoarthritis: A Cross-Sectional, Observational Study mdpi.com/2077-0383/14/2…

7/ CLINICAL TAKEAWAYS • EIH is common, not universal in knee OA • Explore + look to influence pre-ex anxiety & expectations (lots more to explore) • Don’t oversell exercise as magic pain relief; stay pro movement & activity Full text 👉 mdpi.com/2077-0383/14/2… Free to share 🙏

6/ HOW MUCH DID WE EXPLAIN? All those variables together explained <20% of the variance in EIH. Unobserved between-person factors accounted for much more. Short-term pain responses to exercise in knee OA are complex and not “one size fits all”.

📢“Pre-Exercise Factors Associated with the Magnitude of Exercise-Induced Hypoalgesia in Knee OA” in J Clin Med.📢 @JCM_MDPI Thanks to my co-authors 🙏 @David_dRice @JoNijsBE Gwyn Lewis, Nat Tuck, Usman Rashid and to @AUTuni Open access 👉 mdpi.com/2077-0383/14/2… 👇🧵

4/ WHAT DID WE LOOK AT We tested 13 pre-ex factors: age, sex, PPT order, max RPE, CPM, offset analgesia, temporal summation, HADS-A, HADS-D, PCS, TSK, belief that 1 exercise session can reduce pain, and expected change in knee pain.

3/ WHAT WE SAW On average, PPT increased after exercise at both the knee (local) and forearm (remote) → consistent with EIH. But individual responses varied a lot. A sizeable minority showed little change or even increased sensitivity (hyperalgesia).

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📢@NZPainSoc 2024 webinar series presents: 🗣️ "Conversations Inviting Change (CIC): An Introduction to Narrative Based Practice in Health Care" 🧑‍⚕️Clair Jacobs & Diarmuid Denneny 📅2 May 2024; 7-8:30 pm (NZST) @NZPainSoc & @AusPainSoc Members: Free Non-members $20

The WHO recommends muscle strength training at least 2 days/week for general health. Many people though are unsure what to do and/or short on time. If this is you, check out this nice guide on time efficient programmes for muscle strength & hypertrophy link.springer.com/article/10.100…