Journal ArticleOsteoarthr Cartil Open · March 2026
OBJECTIVE: To characterize healthcare utilization in a younger population with glenohumeral osteoarthritis. METHODS: Adults seeking care for glenohumeral osteoarthritis between July 2013 and March 2019 were analyzed. Ambulatory visits, pharmacological, and ...
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Journal ArticleBMC Health Serv Res · October 16, 2025
BACKGROUND: Shoulder pain is common, can arise from various causes and has a highly variable prognosis. Treatment may differ based on the clinician delivering the care and initial care settings (primary, specialty, or emergency care). The purpose of this s ...
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Journal ArticleAnat Sci Educ · August 2025
Measuring self-efficacy can be a valuable means for instructors to predict student performance. However, it is crucial to measure self-efficacy within specific contexts to effectively gauge students' perceptions of their capabilities. This study evaluated ...
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Journal ArticlePain Med · July 25, 2025
OBJECTIVE: This study describes the enrollment and baseline characteristics of participants in the PROSPECTS cohort and explores subgroups of patients presenting for non-operative care. DESIGN: Cross-sectional study. SETTING AND SUBJECTS: We enrolled adult ...
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Journal ArticleArthroplasty · May 6, 2025
BACKGROUND: Outcomes from Total Joint Arthroplasty (TJA) are variable but generally favorable. However, the literature is lacking regarding direct comparisons of important outcomes across TJA sites. Such comparisons are of paramount importance to informing ...
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Journal ArticleContemp Clin Trials Commun · April 2025
BACKGROUND: Delivering evidence-based interventions remains challenging, particularly for complex conditions like chronic musculoskeletal pain. Non-pharmacologic treatments are recommended for many pain conditions, but implementing these can be difficult d ...
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Journal ArticleHSS J · January 8, 2025
Background: Clinical practice guidelines (CPGs) are developed to synthesize evidence into recommendations for clinical practice. Minimal evidence exists on the evaluation practice of physical therapists in the treatment of patients with neck pain. Purpose: ...
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Journal ArticleClin Epidemiol · 2025
BACKGROUND: Shoulder injuries are a prevalent form of musculoskeletal disorders and common reason to seek healthcare. Health system level care utilization patterns for shoulder disorders are unknown. Accordingly, we described the frequency and timing of di ...
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Journal ArticleThe international journal of medical robotics + computer assisted surgery : MRCAS · December 2024
BackgroundEndovascular procedures are the preferred method for treating peripheral arterial disease. However, limited imaging options during these procedures, such as X-rays and contrast media, expose patients and healthcare professionals to poten ...
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Journal ArticleJSES Int · November 2024
BACKGROUND: Identification of high-impact chronic pain (HICP) among patients receiving total shoulder arthroplasty (TSA) may allow for the design and implementation of tailored pain interventions to address the negative impact on postoperative outcomes and ...
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Journal ArticleJ Shoulder Elbow Surg · October 2024
BACKGROUND: The decision to treat shoulder osteoarthritis (OA) definitively with shoulder arthroplasty (SA) is multifactorial, considering objective findings, subjective information, and patient goals. The first goal of this study was to determine if Patie ...
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Journal ArticleJ Arthroplasty · October 2024
BACKGROUND: Acetabular and femoral offset play an important role in total hip arthroplasty (THA) for postoperative stability and biomechanical function. However, it is unknown whether offset impacts patient-reported outcomes (PROs). This study evaluated pa ...
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Journal ArticleInt J Comput Assist Radiol Surg · October 2024
PURPOSE: Robot-assisted systems offer an opportunity to support the diagnostic and therapeutic treatment of vascular diseases to reduce radiation exposure and support the limited medical staff in vascular medicine. In the diagnosis and follow-up care of va ...
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Journal ArticleBMC Med Educ · September 27, 2024
BACKGROUND: The Association of American Medical Colleges suggests an Experiences-Attributes-Metrics framework for holistic review, but there is minimal research on demographic and personal characteristic attributes and the interplay between these Attribute ...
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Journal ArticleJ Arthroplasty · September 2024
BACKGROUND: Increasing deformity of the lower extremities, as measured by the hip-knee-ankle angle (HKAA), is associated with poor patient outcomes after total hip and knee arthroplasty (THA, TKA). Automated calculation of HKAA is imperative to reduce the ...
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Journal ArticleArthritis Care Res (Hoboken) · September 2024
OBJECTIVE: Translation of knee osteoarthritis (KOA) clinical practice guidelines (CPGs) to practice remains suboptimal. The primary purpose of this systematic review was to describe the use of implementation strategies to promote KOA CPG-recommended care. ...
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Journal ArticleJ Arthroplasty · February 2024
BACKGROUND: Weight loss is commonly recommended before total knee arthroplasty (TKA) despite inconsistent evidence for better outcomes. This study sought to examine the impacts of preoperative weight loss on patient-reported and adverse outcomes among TKA ...
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Journal ArticleJ Pain Res · 2024
AIMS AND OBJECTIVE: The purpose of this pilot study was to explore whether AIH produces changes in pain sensitivity or in reports of self-reported pain intensity for individuals with low back pain. METHODS: In a quasi-experimental, cross-over design we com ...
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Journal ArticleJ Arthroplasty · December 2023
BACKGROUND: High body mass index (BMI) is associated with adverse outcomes after total knee arthroplasty (TKA). Thus, many patients are advised to lose weight before TKA. This study examined how weight loss before TKA is associated with adverse outcomes de ...
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Journal ArticleJ Patient Rep Outcomes · October 2, 2023
BACKGROUND: Understanding which patient-reported outcome measures are being collected and utilized in clinical practice and research for patients with neck pain will help to inform recommendations for a core set of measures that provide value to patients a ...
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Journal ArticleArthroplast Today · October 2023
BACKGROUND: Physical function and pain outcomes vary after arthroplasty. We investigated differences in postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) and pain interference (PI) scores for patients un ...
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Journal ArticleMayo Clin Proc Innov Qual Outcomes · October 2023
OBJECTIVE: To determine associations between post-emergency department (ED) management pathways and downstream opioid prescriptions in patients seeking care for incident neck and/or back pain. PATIENTS AND METHODS: We identified patients seeking first-time ...
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Journal ArticleJ Arthroplasty · June 2023
BACKGROUND: High impact chronic pain (HICP) is not typically measured following orthopedic surgeries, but has a substantial negative impact on postoperative quality of life. This analysis determined which Patient-Reported Outcome Measurement Information Sy ...
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Journal ArticleCureus · March 2023
INTRODUCTION: The volume of total knee arthroplasty (TKA) procedures continues to increase, including among United States (US) veterans, but there is little data characterizing recovery using validated knee-related questionnaires. METHODS: In this prospect ...
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Journal ArticleJ Orthop Surg Res · August 19, 2022
BACKGROUND: Patient-Reported Outcomes Measurement Information System (PROMIS) domains for sleep disturbance, anxiety, and dyspnea have been under-reported for total joint arthroplasty (TJA). The aims of this study were to report postoperative differences f ...
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Journal ArticleBMC Musculoskelet Disord · July 21, 2022
BACKGROUND: Lumbar spinal stenosis (LSS) is a common degenerative condition that contributes to back and back-related leg pain in older adults. Most patients with symptomatic LSS initially receive non-operative care before surgical consultation. However, t ...
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Journal ArticleImplement Sci Commun · June 3, 2022
BACKGROUND: Physical therapy for neck and low back pain is highly variable despite the availability of clinical practice guidelines (CPG). This review aimed to determine the impact of CPG implementation on patient-level outcomes for spinal pain. Implementa ...
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Journal ArticleJ Arthroplasty · June 2022
BACKGROUND: The Patient-Reported Outcome Measurement Information System (PROMIS) can be used to monitor patients in population-health-based programs. However, it is unknown which measures are most appropriate to differentiate patients who will undergo hip ...
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Journal ArticlePain Manag Nurs · April 2022
BACKGROUND: The purpose of this study was to describe the pre- and postsurgical opioid prescription rates and average morphine milligram equivalents (MME) per day in patients undergoing total shoulder replacement (TSR) procedures. METHODS: Patients undergo ...
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Journal ArticleJ Pain · March 2022
Hip, knee, and shoulder arthroplasty are among the most frequently performed orthopaedic procedures in the United States. High impact and bothersome chronic pain rates following total joint arthroplasty (TJA) are unknown; as are factors that predict these ...
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Journal ArticleOrthop Nurs · November 2021
The United States is facing an opioid epidemic that has only worsened with the COVID-19 pandemic. There is little evidence regarding patterns of opioid use among patients with total hip replacement (THR). Although the Centers for Disease Control and Preven ...
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Journal ArticleBMJ Open · September 2, 2021
OBJECTIVES: Characterise the health status of patients newly consulting an orthopaedic specialist across eight clinical subspecialties. DESIGN: Retrospective cohort. SETTING: 18 orthopaedic clinics, including 8 subspecialties (14 ambulatory and 4 hospital ...
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Journal ArticleBone Jt Open · July 2021
AIMS: Patient-reported outcome measures have become an important part of routine care. The aim of this study was to determine if Patient-Reported Outcomes Measurement Information System (PROMIS) measures can be used to create patient subgroups for individu ...
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Journal ArticleBMC health services research · June 2021
BackgroundThe integration of Patient Reported Outcome Measures (PROMs) into clinical care presents many challenges for health systems. PROMs provide quantitative data regarding patient-reported health status. However, the most effective model for ...
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ConferenceThe FASEB Journal · May 2021
IntroductionThe Anatomy Training Program (ATP), co‐sponsored by the Anatomical Society and American Association of Anatomy, is a program designed to train faculty and post ...
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Journal ArticleJ Bone Joint Surg Am · April 21, 2021
BACKGROUND: The transition to the new ICD-10 (International Classification of Diseases, Tenth Revision) coding system in the U.S. poses challenges to the ability to consistently and accurately measure trends in comorbidities and complications. We examined ...
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Journal ArticleJ Pain Res · 2021
RATIONALE: Risk assessment tools can improve clinical decision-making for individuals with musculoskeletal pain, but do not currently exist for predicting reduction of pain intensity as an outcome from physical therapy. AIMS AND OBJECTIVE: The objective of ...
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Journal ArticleJ Educ Eval Health Prof · 2021
PURPOSE: Rehabilitation science programs utilize cognitive and non-cognitive factors to select students who can complete the didactic and clinical portions of the program and pass the licensure exam. Cognitive factors such a prior grade point average and s ...
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Journal ArticleJ Orthop Surg Res · November 23, 2020
BACKGROUND: The Patient-Reported Outcomes Measurement Information SystemⓇ (PROMISⓇ) is a dynamic system of psychometrically sound patient-reported outcome (PRO) measures. There has been a recent increase in the use of PROMIS measures, yet little has been w ...
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Journal ArticleJ Orthop Sports Phys Ther · November 2020
OBJECTIVES: To determine the relationship between health care use and the magnitude of change in patient-reported outcomes in individuals who received treatment for subacromial pain syndrome. The secondary objective was to determine the value of care, as m ...
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ConferenceMusculoskelet Sci Pract · October 2020
BACKGROUND: It remains unclear as to what factors influence a patient's choice to seek care from a specific healthcare provider for low back and neck pain. OBJECTIVE: Utilize Andersen's Behavioral Model of Health Service Utilization as a conceptual framewo ...
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Journal ArticleArch Phys Med Rehabil · October 2020
OBJECTIVE: To investigate the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool for longitudinal monitoring of pain associated distress with the goal of improving prediction of 50% reduction in pain intensity and disabili ...
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Journal ArticleCurr Rev Musculoskelet Med · June 2020
PURPOSE OF REVIEW: The purpose of this systematic review is to evaluate the current literature in patients undergoing spine surgery in the cervical, thoracic, and lumbar spine to determine the available risk assessment tools to predict the patient-centered ...
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Journal ArticleBMC Health Serv Res · November 26, 2018
BACKGROUND: Patients seek care from physical therapists for neck pain but it is unclear what the association of the timing of physical therapy (PT) consultation is on 1-year healthcare utilization and costs. The purpose of this study was to compare the 1-y ...
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Journal ArticleMusculoskelet Sci Pract · February 2018
Neck pain affects 15.1% of the United States' general population every 3 months, and ranks fourth in global disability. Because of the tendency for neck pain to become a chronic issue, it is important to identify risk factors that could encourage preventio ...
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Journal ArticleMayo Clin Proc Innov Qual Outcomes · December 2017
OBJECTIVE: To examine patients seeking care for neck pain to determine associations between the type of provider initially consulted and 1-year health care utilization. PATIENTS AND METHODS: A retrospective cohort of 1702 patients (69.25% women, average ag ...
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Journal ArticleJ Pain · November 2017
UNLABELLED: The purpose of this study was to compare the immediate change in temporal summation of heat pain (TSP) between spinal manipulation (SMT) and spinal mobilization (MOB) in healthy volunteers. Ninety-two volunteers (24 male; 23.8 ± 5.3 years) were ...
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Journal ArticleEval Health Prof · December 2016
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In efforts to decrease practice variation, clinical practice guidelines for neck pain have been published. The purpose of this study was to determine the effect of receiving guideline adherent physical therapy (PT) on clinical outcomes, health care utiliza ...
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Journal ArticleBMC Health Serv Res · July 12, 2016
Featured Publication
BACKGROUND: Neck pain is one of the most common reasons for entry into the healthcare system. Recent increases in healthcare utilization and medical costs have not correlated with improvements in health. Therefore there is a need to identify management str ...
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Journal ArticleArch Phys Med Rehabil · October 2015
Featured Publication
OBJECTIVE: To determine the effect of clinical presentations of neck pain on short-term physical therapy outcomes. DESIGN: Retrospective analysis of pair-matched groups from a clinical cohort. SETTING: Thirteen outpatient physical therapy clinics in 1 heal ...
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Journal ArticleEur J Pain · January 2015
BACKGROUND: Although nearly everyone at some point in their lives experiences back pain; the amount of interference with routine activity varies significantly. The fear-avoidance (FA) model of chronic pain explains how psychological variables, such as fear ...
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Journal ArticleJ Orthop Sports Phys Ther · December 2014
Featured Publication
STUDY DESIGN: Retrospective analysis of episodes of care. OBJECTIVE: To assess the implications of practice setting (hospital outpatient settings versus private practice) on clinical outcomes and efficiency of care in the delivery of physical therapy servi ...
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Journal ArticleJ Pain · February 2014
UNLABELLED: Spinal manipulative therapy (SMT) is effective for some individuals experiencing low back pain; however, the mechanisms are not established regarding the role of placebo. SMT is associated with changes in pain sensitivity, suggesting related al ...
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Journal ArticlePain Res Treat · 2014
The purpose of this paper was to examine the relationship of sex and pain-related fear in pain intensity reports to thermal stimuli and whether sex differences in reported pain intensity were mediated by pain-related fear. 177 participants, 124 female (23. ...
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Journal ArticleISRN Pain · 2013
Background. The flexion relaxation ratio (FRR) has been suggested as a measure of muscular performance in patients with low back pain (LBP). The purpose of this study was to investigate whether the FRR was responsive to acute LBP produced from a delayed on ...
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Journal ArticleJ Pain Res · 2013
BACKGROUND: Muscle-biased therapies (MBT) are commonly used to treat pain, yet several reviews suggest evidence for the clinical effectiveness of these therapies is lacking. Inadequate treatment parameters have been suggested to account for inconsistent ef ...
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Journal ArticleSpine J · December 2011
BACKGROUND CONTEXT: Findings on imaging of noncontractile anatomic abnormalities and the intensity of low back pain have weak associations because of false-positive rates among asymptomatic individuals. This association might be stronger for contractile ti ...
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Journal ArticleClin J Pain · June 2011
OBJECTIVES: Our primary goals were to determine whether preexisting fear of pain and pain sensitivity contributed to post-exercise pain intensity. METHODS: Delayed-onset muscle pain was induced in the trunk extensors of 60 healthy volunteers using an exerc ...
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Journal ArticleBMC Musculoskelet Disord · February 2, 2011
BACKGROUND: Our purpose was to develop an induced musculoskeletal pain model of acute low back pain and examine the relationship among pain, disability and fear in this model. METHODS: Delayed onset muscle soreness was induced in 52 healthy volunteers (23 ...
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Journal ArticleJ Pain · February 2010
UNLABELLED: The purpose of this study was to determine whether session-specific measures of negative pain-related affect would account for longitudinal variability in the ratings of the evoked thermal pain. Pain-free subjects rated pain evoked on the poste ...
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