The overall tone reflects moderate engagement and curiosity, with discussions about the study's relevance, such as mentions of 'selection bias' and 'external validity,' and references to previous studies. Words like 'questioning,' 'criticize,' and 'supportive' show critical yet engaged attitudes, indicating a nuanced evaluation of the publication's significance in the field.
AgreementNeither agree nor disagree
Discussions are mixed, with some critics questioning external validity and bias, while others reference supportive studies, indicating neither strong support nor disagreement overall.
InterestModerate interest
The discussions show a moderate level of curiosity, particularly around the study's methodology, bias, and implications, but lack of deep technical detail limits higher interest.
EngagementModerate engagement
Participants ask questions, reference other studies, and debate methodology, reflecting thoughtful engagement but not intense or highly detailed dialogue.
ImpactModerate impact
The conversations acknowledge the importance of the study's findings but largely focus on methodological critiques and theoretical implications rather than immediate clinical or societal change.
Abstract in brief
A large study tested whether personalized exercises based on a patient's specific low back pain response can improve outcomes, finding that matching exercises to a person's pain response led to better pain relief, less medication use, and faster recovery.
The study identified a subgroup of low back pain patients with a directional preference (DP), meaning their pain improved immediately with certain movements, and these patients responded significantly better to exercises that matched their DP.
Overall, tailoring exercise prescriptions to individual patient responses could be an effective approach in managing low back pain, emphasizing the importance of personalized treatment strategies.]
I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directional preference methods to say directional preference is superior!
Isn’t this obvious selection bias?
Jun 25, 2022 · 59 likes · 3 shares · 107,611 followersView post →
Dec 8, 2020 · 8 likes · 1 share · 5,719 followersView post →
ɹP
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X
Strangely enough this is the only study of this type where people are tested prior to randomisation for treatment effect that is positive, then randomised.
https://t.co/voyzCJ8s0f
Does it Matter Which Exercise?
A Randomized Control Trial of Exercise for Low Back Pain https://t.co/2tX6nloZlw
Oct 9, 2021 · 5 likes · 26,360 followersView post →
CM
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X
@adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exercise matters https://t.co/ows6cy6eqx
Jun 25, 2021 · 5 likes · 2 shares · 543 followersView post →
CM
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X
@adamjh95 @marklaslett_NZ If you identify discogenic pain unresponsive to mechanics you might consider this study/center’s work on identifying better candidates for TESI and then taking another look at them post injection https://t.co/ows6cy6eqx
Jun 25, 2021 · 4 likes · 1 share · 543 followersView post →
TM
thinkin_mkdeabh
@thinkin_mkdeabh · X
@GeekNfit @__PatK__ En fait, les McKenzistes s'agrippent très très fort à une étude de 2004, qui est bien construite mais manque de cohérence externe (c'est à dire que les résultats trouvés dans les autres études ne vont pas dans le même sens du tout).
https://t.co/i92epYBlGG
A large study tested whether personalized exercises based on a patient's specific low back pain response can improve outcomes, finding that matching exercises to a person's pain response led to better pain relief, less…
Spine Phila Pa 1976 2004 Dec 129232593602 doi 10109701brs0000146464230072a Does it matter which exercise A randomized control trial of exercise for low back pain. The study highlights the benefits of tailoring exercises…
This video discusses a landmark study testing personalized exercises based on patients' specific low back pain responses, showing improved pain relief, reduced medication use, and faster recovery through tailored…
In conclusion, this study provides evidence that patient specific treatment is superior to others when you are able to find a DP and that some exercises can actually be counterproductive to relieving pain.
10.1097/01.brs.0000146464.23007.2a
Clinical Trial Spine (Phila Pa 1976)
. 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a.
Does it matter which exercise? A randomized control trial of exercise for low back pain
Audrey Long 1, Ron Donelson, Tak Fung
参考論文
Clinical Trial Spine (Phila Pa 1976)
. 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a.
Does it matter which exercise? A randomized control trial of exercise for low back pain
Audrey Long 1, Ron Donelson, Tak Fung
参考論文
Spine (Phila Pa 1976)
. 2004 Dec 1;29(23):2593-602. doi: 10.1097/01.brs.0000146464.23007.2a.
Does it matter which exercise? A randomized control trial of exercise for low back pain
Audrey Long 1, Ron Donelson, Tak Fung
@GeekNfit @__PatK__ En fait, les McKenzistes s'agrippent très très fort à une étude de 2004, qui est bien construite mais manque de cohérence externe (c'est à dire que les résultats trouvés dans les autres études ne vont pas dans le même sens du tout).
https://t.co/i92epYBlGG
RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…
Jun 25, 2022 · 3 shares · 118 followersView post →
SB
Salim Javed Ali Baig
@salimjaved_pt · X
Does it matter which exercise? A randomized control trial of exercise for low back pain https://t.co/QSWzkTBHLY
Jun 25, 2022 · 3 likes · 1,963 followersView post →
AD
Adam Dobson
@adamdobson123 · X
RT @AdamMeakins: I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directi…
Jun 25, 2022 · 3 shares · 12,687 followersView post →
TP
The Sp⚽️rts Physio
@AdamMeakins · X
I really struggle to understand a lot of Mckenzie Method research that only includes subjects who respond to their directional preference methods to say directional preference is superior!
Isn’t this obvious selection bias?
Jun 25, 2022 · 59 likes · 3 shares · 107,611 followersView post →
MA
Mark Aarts
@Mark_AartsSE · X
@adamdobson123 Here are two papers that indicate MDT based care is superior to other care for patients that showed a DP.
Long 2014:
https://t.co/VHEA4kxPq6
Long 2018:
https://t.co/oHpJvH21Qg
Jun 25, 2022 · 1 like · 1 share · 80 followersView post →
TM
thinkin_mkdeabh
@thinkin_mkdeabh · X
@buzzastley @joshlavalleeMK Oui totalement, c'est fait par exemple dans l'étude de Long 2004, ils ont juste fait ça un poil trop tôt à mon sens, ils auraient, je crois, mieux fait d'attendre l'allocation des traitements
https://t.co/i92epYBlGG
Jan 10, 2022 · 1 like · 2,185 followersView post →
MA
Mark Aarts
@Mark_AartsSE · X
@AdamMeakins @marklaslett_NZ For "derangement" a couple of weeks usually does it.
According to Long 2014:
https://t.co/VHEA4kxPq6
@Retlouping @giovanni_ef @JSagorro Yes this is a bad trial. MDT has another one that is similar to this that is much larger and also a bad trial. They report baseline characteristics in table 3 and results in table 6
Oct 10, 2021 · 1 like · 1,518 followersView post →
ɹP
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X
Strangely enough this is the only study of this type where people are tested prior to randomisation for treatment effect that is positive, then randomised.
https://t.co/voyzCJ8s0f
Does it Matter Which Exercise?
A Randomized Control Trial of Exercise for Low Back Pain https://t.co/2tX6nloZlw
Oct 9, 2021 · 5 likes · 26,360 followersView post →
ɹP
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X
@BarryPhysio @84SantosP @AdamMeakins @PaulBliton https://t.co/voyzCJ8s0f
Does it Matter Which Exercise?
A Randomized Control Trial of Exercise for Low Back Pain https://t.co/Fp1qig6muN
Aug 30, 2021 · 2 likes · 26,360 followersView post →
GD
Geoffrey Daigle
@geoffrey_daigle · X
RT @chrisB0Y3R: @adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exer…
RT @chrisB0Y3R: @adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exer…
Jun 25, 2021 · 2 shares · 9,413 followersView post →
CM
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X
@adamjh95 @marklaslett_NZ If you identify discogenic pain unresponsive to mechanics you might consider this study/center’s work on identifying better candidates for TESI and then taking another look at them post injection https://t.co/ows6cy6eqx
Jun 25, 2021 · 4 likes · 1 share · 543 followersView post →
CM
Chris Boyer, DPT, OCS, Dip.MDT
@chrisboyerPT · X
@adamjh95 @marklaslett_NZ If you see centralization of symptoms in the spine you can bet it’s discogenic. Direction of exercise matters https://t.co/ows6cy6eqx
Jun 25, 2021 · 5 likes · 2 shares · 543 followersView post →
M
McKenzieSweden
@McKenzieSweden · X
@DerekGriffin86 @MaryOKeeffe007 @Pain_NeuRa @AidanCashin That wasn't the specific question of this trial but I would say it kind of shows that it does make a difference.
https://t.co/Ug0kFP2BW0
And this:
https://t.co/ZqOVrzNEO7
Do you agree?
Dec 8, 2020 · 8 likes · 1 share · 5,719 followersView post →
ML
Mark Laslett
@marklaslett_NZ · X
@floteichert @MSmith_DPT @DerekGriffin86 Good questions Florian. I have had these Twitter discussions before. see https://t.co/F0OA6nUw3R and https://t.co/rIwyjtzDgA
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