Dallas Forex Mining Regulations: Navigating Standards – Rehabilitation of soft tissue injuries can be complex. Over the years, the acronyms guiding their management evolved from ICE to RICE[1], then PRICE[2] and POLICE[3]. Although widely known, the evidence for this treatment is limited. ICE/RICE/PRICE focuses on acute healing and ignores the acute and chronic phases of tissue healing.
We believe that two new abbreviations can optimize recovery. Our acronyms cover the continuum of rehabilitation from emergency care (PEACE) to post-care management (LOVE). PEACE & LOVE emphasizes the importance of patient education and addressing psychosocial factors to improve treatment. Furthermore, although anti-inflammatory drugs have shown benefits for pain and function, our findings highlight their potential detrimental effects on optimal tissue repair.[4] We recommend that they not be included in the standard management of soft tissue injuries.
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Do you agree with us? Let us know what you think! Tag us on Twitter with the hashtag #PeaceLove @blaisedubois @JFEsculier @BJSMPlus to continue the conversation.
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Blaise Dubois ( @blaisedubois ) is president and founder of The Running Clinic, an international continuing education organization. In clinic and research, Blaise is interested in the prevention and treatment of running injuries, with a particular focus on footwear and biomechanics. He is also an avid runner and co-owner of PCN Physiotherapy Clinics (Quebec City, Canada).
Jean-Francois Esculier ( @JFEsculier ) combines clinical research (University of British Columbia Department of Physiotherapy) with patient care (Allan McGavin Sports Medicine Clinic, Vancouver) and knowledge translation (The Running Clinic, Canada). She loves to educate and empower patients so that they can be key actors in their rehabilitation. Email: [email protected]
[1] van den Beckerom MPJ, Struijs PAA, Blankevoort L, et al. What is the evidence for rest, ice, compression, and elevation therapy in the treatment of foot sprains in adults?
[2] Bleakley CM, Glasgow PD, Phillips N, et al. Guidelines for the management of acute soft tissue injury with protective ice compression and elevation. London: ACPSM, 2011.
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[4] Vuurberg G, Hoorntje A, Wink LM, et al. Diagnosis, treatment, and prevention of ankle sprains: update of evidence-based clinical guidelines.
[5] Doherty C, Bleakley C, Delahunt E, et al. Treatment and prevention of acute and recurrent ankle sprains: an overview of systematic reviews with meta-analysis.
[6] Duchesne E, Dufresne SS, Dumont NA. Effects of inflammation and anti-inflammatory modalities on skeletal muscle healing: from basic research to the clinic.
[7] Yerhot P, Stensrud T, Wienkers B, et al. Efficacy of cryotherapy to improve functional outcomes after lateral ankle sprain.
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[8] Singh DP, Barani Lonbani Z, Woodruff MA, et al. Effects of local freezing on inflammation, angiogenesis, revascularization, and myofiber repair in skeletal muscle after contusion injury.
[9] Hansrani V, Khanbhai M, Bhandari S, et al. The role of compression in the management of soft tissue ankle injuries: a systematic review.
[10] Bleakley CM, O’Connor SR, Tully MA, et al. Effect of accelerated rehabilitation on function after ankle sprain: A randomized controlled trial.
[12] Lewis J, O’Sullivan P. Is it time to rethink how we care for people with non-traumatic musculoskeletal conditions?
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[13] Graves JM, Fulton-Kehoe D, Jarvik JG, et al. Healthcare utilization and costs associated with adherence to clinical practice guidelines for early magnetic resonance imaging among workers with acute occupational low back pain.
[14] Webster BS, Choi Y, Bauer AZ, et al. Cascade of health care services and longitudinal costs associated with noninvasive magnetic resonance imaging for low back pain.
[16] Lin I, Wiles L, Waller R, et al. What does best practice look like for musculoskeletal pain? Eleven consistent recommendations from high-quality clinical practice guidelines: A systematic review.
[17] Roy JS, Bouyer LJ, Langevin P, et al. Beyond the joint: The role of central nervous system remodeling in chronic musculoskeletal disorders.
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[18] Briet JP, Houwert RM, Hageman MGJS, et al. Factors associated with pain intensity and physical limitations after lateral ankle sprain.
[19] Bialoski JE, Bishop MD, Cleland JA. Personal Care: An Overlooked But Relevant Factor in the Treatment of People Experiencing Musculoskeletal Pain.
[20] Sculco AD, Paup DC, Fernhall B, et al. The effect of aerobic exercise on patients with low back pain.
From the latest research on sports injuries to the experiences and insights of those working in the world of Sports and Exercise, we aim to provide cutting-edge content to the Sports and Exercise Medicine community around the world.
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