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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_10 | Pages 5 - 5
1 May 2017
Marley J McDonough S Tully M Bunting B O'Hanlon J Porter-Armstrong A
Full Access

Background

Chronic musculoskeletal pain increases an individual's risk of developing many chronic diseases and the risk of all-cause early mortality. There is irrefutable evidence supporting the role of physical activity (PA) in reducing these risks. Sustaining changes to PA behaviours is challenging and efforts are needed to understand the barriers and facilitators of change. Understanding these factors is a vital step in developing behaviour change interventions.

Objectives

Explore barriers and facilitators to engaging in PA in adults accessing pain services.

Explore barriers and facilitators to promoting PA by healthcare professionals, exercise professionals and charity staff/expert patients.


Orthopaedic Proceedings
Vol. 97-B, Issue SUPP_2 | Pages 16 - 16
1 Feb 2015
Campbell C Kerr D McDonough S Murphy M Tully M
Full Access

Background and purpose

To identify methods used to measure free living sedentary behaviour in people with back pain and review the validity and reliability of identified measures.

Methods

Databases including CINAHL, EMBASE, MEDLINE, AMED, PsycINFO, SPORTDiscus and the Sedentary Behaviour and Research Network website (www.sedentarybehaviour.org) were searched for relevant published articles up to June 2014. Studies which measured sedentary behaviour in people with back pain were included. Quality of the included studies was assessed using the Newcastle Ottawa Scale. The Consensus-based Standards for the Selection of Measurement Instruments (COSMIN) Checklist was used to assess psychometric properties.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_I | Pages 6 - 6
1 Jan 2012
O'Connor S Tully M Ryan B Baxter G Bradley J McDonough S
Full Access

Aims/background

Current treatment recommendations advocate various exercise modalities for people with chronic Low Back Pain (cLBP)1. Walking appears to represent an inexpensive and readily accessible activity for a range of individuals, including those who were previously sedentary. However, the effectiveness of such interventions are uncertain in cLBP.

Methods

A systematic review was undertaken to examine the effectiveness of walking interventions across a range of chronic musculoskeletal pain conditions, including LBP. Six electronic databases were searched for relevant studies. Data for pain and self reported function were extracted and where appropriate, results were pooled and analysed using RevMan (v.5).


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_I | Pages 8 - 8
1 Jan 2012
Hurley D Eadie J Tully M van Mechelen W Boreham C McDonough S Lonsdale C Daly L
Full Access

Background and purpose

Sleep disturbance is a prevalent symptom in people with chronic low back pain (CLBP >12 weeks), but there is currently no knowledge of the effectiveness of physiotherapy for this problem. This study evaluated the feasibility of a randomised controlled trial (RCT) exploring the effects of physiotherapy on sleep disturbance in CLBP [Current controlled trial ISRCTN 54009836].

Methods

A sample of 60 consenting patients with CLBP [23 M, 37 F; mean (SD) age = 44.93 (13.41) years] were recruited in Beaumont Hospital, Dublin and randomly allocated to one of three groups [supervised exercise class (SEC), walking programme (WP) and usual physiotherapy (UP)] in a concealed manner. The main outcomes were sleep quality, functional disability, pain, and quality of life at baseline, 3 and 6 months.