Related Experiment Video
Updated: Jul 28, 2025
06:28
Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
581
Advice to remain active with arm pain reduces disability
K Walker-Bone1,2, G J Macfarlane3,4, K Burton5
1Monash Centre for Occupational and Environmental Health, University of Monash, Melbourne, Victoria, Australia.
Occupational Medicine (Oxford, England)
|June 1, 2023
Summary
Advice to remain active is effective for reducing arm pain disability in employed adults. This approach may be more beneficial than advising rest, especially for manual laborers or those with work-related symptom beliefs.
Area of Science:
- Occupational health
- Musculoskeletal disorders
- Clinical trials
Background:
- Arm pain is a prevalent issue among working-age adults, leading to significant work disability.
- Previous research (ARM trial) indicated that remaining active reduces disability at six months.
Purpose of the Study:
- To validate the ARM trial's findings specifically within a population of paid employees.
- To investigate the impact of different advice strategies on work disability.
Main Methods:
- A secondary analysis of the ARM trial data was conducted on employed participants.
- Participants with distal arm pain were randomized to receive advice to rest, remain active, or undergo early physiotherapy.
- The primary outcome measured was the absence of disability at 26 weeks.
Main Results:
- Among employed participants, 43% advised to remain active were disability-free, compared to 37% advised to rest.
- Waiting for physiotherapy resulted in 40% disability-free individuals, versus 35% in the early physiotherapy group.
- Advice to rest was linked to poorer recovery in manual laborers and those believing work caused their pain.
Conclusions:
- Advising activity appears as beneficial, and potentially superior, to advising rest for reducing work disability in employed individuals.
- Interventions addressing unhelpful beliefs about symptom causation could further enhance recovery and reduce disability.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
14
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
14
01:26Peripheral Artery Disease IV: Nursing Management
15
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
15
01:27Peripheral Artery Disease III: Interprofessional Care
14
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
14
01:23Atherosclerosis IV: Nursing Management
28
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
28
01:26Atherosclerosis III: Management
16
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
16
01:25Aortic Regurgitation III: Medical Management
27
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
27