This is a category taken from the full feed of Musculoskeletal and Arthritis news provided by ARMA's members.

Research

The State of Musculoskeletal Health 2018 is a resource for health professionals, policy makers, public health leads and anyone interested in musculoskeletal health. We believe that with the best information you can build awareness, make more informed decisions, feel more confident and ultimately help more people with musculoskeletal conditions. The resource was put together by Arthritis Research UK.

Using the best available data on prevalence, risk factors and comorbidities, the report lays out the key factors affecting musculoskeletal health, the economic benefits of musculoskeletal research, and describes the scale and impact of the problem.

You can read more details on the report from the arthritisresearchuk.org website and download the full set of statistics (PDF 2.9 MB).

The Faculty of Sport and Exercise Medicine has updated its position statement Physical Activity in Adolescence. The statement is a useful reference document for both the Sport and Exercise Medicine community and all health professionals, with evidence-informed recommendations for health-related physical activity.

The statement highlights recent objective studies, which have collected data using accelerometry, indicate that less than 25% of adolescents accumulate an average of 60 min per day of moderate physical activity. The guidelines include information on muscle strength, skeletal health, obesity, mental health and wellbeing with recommendations for the type and length of regular physical activity in this population. Read Physical Activity in Adolescence here.

Guest blog by David Albury, Board Director Innovation Unit

Why have so many innovations in the NHS failed to make the impact they might because they remain in isolated pockets and never spread? Here at the Innovation Unit we decided to look at this question from a more positive angle and ask where innovation has spread and what made that possible?

There is broad agreement that the pressures and challenges currently facing the NHS can only be addressed through developing and scaling innovations that significantly improve outcomes whilst significantly reducing costs. This is as true in musculoskeletal services as in other sectors.

But proven innovations and best practice tend to spread slowly in the NHS. Innovations such as first contact physiotherapist or ESCAPE-pain remained as isolated pockets of good practice long after they had been shown to be effective. ESCAPE-Pain is now rolling out in many areas, thanks to a grant from Sport England, but the first evidence that it worked was as long ago as 2007.

The barriers to spreading innovation have gained a lot of attention. The Innovation Unit, in collaboration with the Health Foundation, wanted to look at the enablers – what will help the spread of good practice. We looked at ten examples of successful spread of innovation in the NHS. Our report identifies common factors that enabled their spread. Whilst none of the case studies were in MSK, the key enablers we identified will apply equally well to MSK innovation.

Our eight key enablers

In pursuit of spread:
1. Building demand through existing networks and narratives
2. Using evidence to build demand
3. Balancing fidelity, quality and adaptability
4. Scaling vehicles rather than lone champions

Creating the conditions for spread:
5. Capitalising on national and local system priorities
6. Using policy and financial levers to kick start momentum
7. Commissioning for sustainable spread
8. External funding to support spread

Read Against the Odds for more on the eight key enablers and some provocations for system leaders, funders and innovators. We hope you will find it useful as you face the challenges of how to spread innovation and good practice in MSK across the NHS.

EULAR has funded a project aimed at understanding the development, evaluation and implementation of mobile phone applications for self-management in patients with rheumatic diseases.

Following a systematic literature teview, the project task force is now at a stage where it would like to gain insights into the patient’s views, perceptions and current use of health apps for self-management.

EULAR therefore kindly asks you to fill in the following survey:
surveymonkey.com/mHealthAppsSurvey
It takes 5 to 10 minutes to complete.

Pain Alliance Europe are asking for responses to the 2018 edition of the Survey on Chronic Pain, which highlights how pain can affect the work-life of pain patients.

The charities who are members of Pain Alliance Europe (PAE) are inviting people with chronic pain or their carers to fill in this short survey on the effect of their chronic pain on their quality of life, their work situation and about any financial help they receive. The survey starts with some basic questions.

This is the second survey that PAE has created on the theme of chronic pain, in a series of annual surveys on the impact of pain. With each survey, PAE will analyse a different aspect of the impact of pain on the quality of life of the chronic pain patients in Europe.

A report will be created at the end of this survey, comparing the pain patients’ experiences in different countries. This report will be publicised by Pain Alliance Europe in order to reinforce their actions and promotions in order to make politicians and policy makers more aware of the important issue of chronic pain.

You can also follow @pain_europe on Twitter and share the poster [PDF].

 

The University of Salford and the James Lind Alliance are leading a Priority Setting Partnership (PSP) which will ensure the perspectives of patients, carers and health care practitioners inform future research priorities for charities and funding agencies (such as NIHR). This PSP is an important step forward in understanding the current foot health research priorities across the UK, bringing patients, their carers and clinicians together to identify and prioritise unanswered questions about the effects of treatments (‘treatment uncertainties’) in specific conditions or areas of healthcare need.

The Steering Group is hoping ARMA members will participate in this unique exercise.

A PSP allows clinicians and patients to decide what research should be done, rather than researchers. The James Lind Alliance provides a specific methodology to achieve this and has become a trusted partner to many major charities across the UK. The top ten research priorities will inform all future research spending by the William M. Scholl Endowment Trust (who is also funding the PSP) and it

is expected that other agencies will also adhere to the outcomes (such as NIHR).

This is therefore an opportunity to help guide how millions of pounds will be spend on research over the next decade. As part of the James Lind Alliance methodology a small (12-15) but influential Steering Group is used and its role is to support the leadership of the PSP. Steering group members with direct relevant experience as patients, carers or health care professionals will be invited to participate in the priority setting exercise.

Where does the ARMA membership come in? Taking part in the PSP, by completing the survey when it has been developed later this year, will be a unique opportunity to help shape and address the focus of future foot health research questions that really matter. This is a chance to ensure that foot health research has direct relevance to those that matter; and that there is a clear, transparent pathway to a lasting impact on the future of foot health management.

On the James Lind Alliance website you can read about the JLA and PSPs past and present to help you understand the process and outcomes of the priority setting agenda in more detail.

The Foot Health PSP web site is here: www.foothealthpsp.org.

The recently published results of a LUPUS UK survey have revealed that lupus patients in the UK experience an average delay of 6.4 years between developing initial symptoms and reaching a diagnosis. In addition, the survey showed no change in this delay to diagnosis over recent decades despite efforts to improve identification and diagnosis of the disease.

The results of this survey, which was a collaboration between Manchester researchers and LUPUS UK, demonstrate that further work is needed to raise awareness of lupus amongst both healthcare professionals and patients in the UK to recognise the early symptoms and signs of the disease.

Almost three-quarters of individuals with lupus experience symptoms that limit their ability to carry out their daily activities, so a delay in diagnosis and treatment are having a significant impact on patients’ long-term physical, emotional, and financial wellbeing. These findings suggest a clear agenda for further patient focused research to increase awareness of lupus, identify better and more effective therapies and improve support for patients and overall quality of life.

Studies have shown that lupus affects approximately 25-96 per 100,000 people in the UK, but it is not known how many more cases of lupus are currently undiagnosed due to poor awareness and a lack of specialist referrals.

A summary of the key findings from the survey can be found on the LUPUS UK website.

ESCAPE-pain is a 6 week rehabilitation programme for individuals with knee and hip osteoarthritis which aims to educate participants on their condition, self-management and coping strategies as well as exercise. The Health Innovation Network, the Academic Health Science Network, has been working hard for the past 3+ years to spread the adoption of ESCAPE-pain across the U.K, and recently, has been awarded a grant by Sport England as part of their ‘Active Ageing’ project to target inactive adults in particular and increase access to the programme.

As part of our preliminary research efforts to identify new potential settings in which to deliver ESCAPE-pain, we have put together a very short survey of only 6 questions, to try and understand potential user preferences. If you are an adult aged 55+ and have experience of living with osteoarthritis, or any other exercise restricting condition, we would really appreciate it if you could take just 3 minutes to complete it by following this link: www.surveymonkey.co.uk/ESCAPEpain.

The survey will not ask any personal questions, and will be kept completely anonymous.
For more information please visit our website.