Researchers from Keele University undertook a study funded by the Arthritis Research Campaign involving over 300 people with knee pain. The participants (aged over 55), were split into three groups.
The first group took part in an ‘enhanced pharmacy review’ with up to 6 appointments with an experienced community pharmacist to monitor the appropriateness and effectiveness of medication. A second group received up to 6 sessions with a physiotherapist, which included general aerobic exercise and specific muscle strengthening and stretching exercises. A final ’control’ group received an information and advice leaflet – which was also issued to the other two groups – plus a telephone call to reinforce the information in the leaflet and address any specific concerns about putting the advice into practice.
When compared with the control group, those in the physiotherapy group reported a significant improvement in pain levels and in knee function after three months of treatment. Participants in the pharmacy group also reported improvements in pain levels. However, in the longer term (at six months and 12 months), there were no significant differences in pain or function between the physiotherapy, pharmacy and control group. The researchers suggest that this change may in part be due to a lack of adherence to the programme – as time goes by people may not be as strict about keeping up with their exercise programme or taking their medication.
However, there were differences between each groups’ usage of NSAIDs (non-steroidal anti-inflammatory drugs, e.g. asprin and ibuprofen). The study found that participants in the pharmacy and physiotherapy groups were less reliant on NSAIDs than the control group. At six months NSAID usage was 16% lower in the pharmacy group and 15% lower in the physiotherapy group than those in the control group, with no increase in pain reporting and high levels of patient satisfaction. The researchers say that this finding has ‘important safety implications’ as NSAIDs can cause adverse reactions and illness, and are not recommended for long-term use, particularly for older people.
The study also found that physiotherapy appeared to encourage a long-term shift in behaviour away from GP led care – with participants in the physiotherapy group less likely to consult their GP about knee pain than patients in the control group.
The authors conclude that further investigation is needed to how the early clinical benefits of physiotherapy and pharmacy can be sustained in the long-term.’
Chris Stone | alfa
Finnish research group discovers a new immune system regulator
23.02.2018 | University of Turku
Minimising risks of transplants
22.02.2018 | Friedrich-Alexander-Universität Erlangen-Nürnberg
A newly developed laser technology has enabled physicists in the Laboratory for Attosecond Physics (jointly run by LMU Munich and the Max Planck Institute of Quantum Optics) to generate attosecond bursts of high-energy photons of unprecedented intensity. This has made it possible to observe the interaction of multiple photons in a single such pulse with electrons in the inner orbital shell of an atom.
In order to observe the ultrafast electron motion in the inner shells of atoms with short light pulses, the pulses must not only be ultrashort, but very...
A group of researchers led by Andrea Cavalleri at the Max Planck Institute for Structure and Dynamics of Matter (MPSD) in Hamburg has demonstrated a new method enabling precise measurements of the interatomic forces that hold crystalline solids together. The paper Probing the Interatomic Potential of Solids by Strong-Field Nonlinear Phononics, published online in Nature, explains how a terahertz-frequency laser pulse can drive very large deformations of the crystal.
By measuring the highly unusual atomic trajectories under extreme electromagnetic transients, the MPSD group could reconstruct how rigid the atomic bonds are...
Quantum computers may one day solve algorithmic problems which even the biggest supercomputers today can’t manage. But how do you test a quantum computer to...
For the first time, a team of researchers at the Max-Planck Institute (MPI) for Polymer Research in Mainz, Germany, has succeeded in making an integrated circuit (IC) from just a monolayer of a semiconducting polymer via a bottom-up, self-assembly approach.
In the self-assembly process, the semiconducting polymer arranges itself into an ordered monolayer in a transistor. The transistors are binary switches used...
Breakthrough provides a new concept of the design of molecular motors, sensors and electricity generators at nanoscale
Researchers from the Institute of Organic Chemistry and Biochemistry of the CAS (IOCB Prague), Institute of Physics of the CAS (IP CAS) and Palacký University...
15.02.2018 | Event News
13.02.2018 | Event News
12.02.2018 | Event News
23.02.2018 | Physics and Astronomy
23.02.2018 | Health and Medicine
23.02.2018 | Physics and Astronomy