David M. Walton
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View article: Implementing pain competencies in Canadian physiotherapy education: Challenges, barriers, and opportunities
Implementing pain competencies in Canadian physiotherapy education: Challenges, barriers, and opportunities Open
Background The Pain Education in Physiotherapy (PEP) competency profile provides a structured framework for integrating pain management competencies into Canadian physiotherapy (PT) curricula. Despite widespread endorsement, the integratio…
View article: Core outcome sets for spinal and associated limb, trunk, abdomen or pelvic pain: A systematic review
Core outcome sets for spinal and associated limb, trunk, abdomen or pelvic pain: A systematic review Open
Background Spinal pain is a significant global health issue, affecting millions and ranking as one of the leading causes of disability worldwide. Despite the wide scope of research conducted on spinal and associated pain, the lack of stand…
View article: Physical measures of physical functioning as prognostic factors to predict outcomes in low back pain: A systematic review and narrative synthesis
Physical measures of physical functioning as prognostic factors to predict outcomes in low back pain: A systematic review and narrative synthesis Open
Background Low back pain (LBP) remains a major global health challenge. Effective management of LBP requires prognostic research to identify people at risk of poor outcome, enabling timely and targeted interventions. Objective To synthesiz…
View article: Development of a pain management competency assessment for physiotherapy students: Integrating simulation and written assessments
Development of a pain management competency assessment for physiotherapy students: Integrating simulation and written assessments Open
This assessment represents an important advancement in the assessment of pain management competencies. Its rigorous development process, partner engagement, and promising initial evaluation underscore its potential to identify gaps in pain…
View article: Current applications and outcomes of AI-driven adaptive learning systems in physical rehabilitation science education: A scoping review protocol
Current applications and outcomes of AI-driven adaptive learning systems in physical rehabilitation science education: A scoping review protocol Open
Rationale Integrating artificial intelligence (AI) into education has introduced transformative possibilities, particularly through adaptive learning systems. Rehabilitation science education stands to benefit significantly from the integr…
View article: Structural and clinical disease severity in thumb osteoarthritis: A pilot study integrating imaging analysis and pain mechanisms
Structural and clinical disease severity in thumb osteoarthritis: A pilot study integrating imaging analysis and pain mechanisms Open
Despite limited generalizability due to small sample size, these preliminary findings suggest biological contributors---such as local bone density loss and nociceptive pain dominance---to clinical disease severity in thumb osteoarthritis.
View article: Associations between military sexual trauma and chronic pain in men and women active military members and veterans
Associations between military sexual trauma and chronic pain in men and women active military members and veterans Open
MST exposures are much more common among women, but the associations of MST with severe pain and PHQ-4 scores are similar across genders. Differences in operational trauma and occupational trauma may influence occupational stress injuries …
View article: Integrated care for adults with chronic musculoskeletal disorders: scoping review protocol
Integrated care for adults with chronic musculoskeletal disorders: scoping review protocol Open
Objective: This protocol aims to guide the process to conduct scoping review on synthesizing the extent of the use, approaches, and evidence behind the implementation of integrated care approaches for people with chronic musculoskeletal di…
View article: Types, method, and mode of implementation of pain/symptom maps in musculoskeletal pain rehabilitation: A scoping review protocol
Types, method, and mode of implementation of pain/symptom maps in musculoskeletal pain rehabilitation: A scoping review protocol Open
Introduction Pain maps are tools used for assessing the extent, location, or distribution of pain or symptoms for clinical or research purposes. Pain mapping involves a transformational representation of patients’ experiences of pain into …
View article: Physical measures of physical functioning as prognostic factors in predicting outcomes for neck and thoracic pain: Protocol for a systematic review
Physical measures of physical functioning as prognostic factors in predicting outcomes for neck and thoracic pain: Protocol for a systematic review Open
Background Spinal pain is prevalent and burdensome worldwide. A large proportion of patients with neck and thoracic pain experience chronic symptoms, which can significantly impact their physical functioning. Therefore, it is important to …
View article: MuscleMap: An Open-Source, Community-Supported Consortium for Whole-Body Quantitative MRI of Muscle
MuscleMap: An Open-Source, Community-Supported Consortium for Whole-Body Quantitative MRI of Muscle Open
Disorders affecting the neurological and musculoskeletal systems represent international health priorities. A significant impediment to progress in trials of new therapies is the absence of responsive, objective, and valid outcome measures…
View article: How is recovery defined and measured in patients with low back pain? A mixed study systematic review
How is recovery defined and measured in patients with low back pain? A mixed study systematic review Open
For patients living with LBP, the concept of recovery continues to lack consensus for its definition and measurement in patients with LBP. The perspectives of patients were mostly not preserved in making recovery determinations. Urgent act…
View article: Is educational attainment associated with the onset and outcomes of low back pain? a systematic review and meta-analysis
Is educational attainment associated with the onset and outcomes of low back pain? a systematic review and meta-analysis Open
Background Low back pain (LBP) is the leading global cause of years lived with disability. Of the biopsychosocial domains of health, social determinants of LBP remain under-researched. Socioeconomic status (SES) may be associated with the …
View article: Nature-based interventions for physical health conditions: A systematic review and meta-analysis
Nature-based interventions for physical health conditions: A systematic review and meta-analysis Open
Nature-based interventions (NBIs) are activities, strategies, or programs taking place in natural settings, such as exercising in greenspaces, to improve the health and well-being of people by integrating the benefits of nature exposure wi…
View article: Association between clinical biomechanical metrics of cervical spine function and pain or disability in people with neuromusculoskeletal neck pain: Protocol for a systematic review and planned meta-analysis
Association between clinical biomechanical metrics of cervical spine function and pain or disability in people with neuromusculoskeletal neck pain: Protocol for a systematic review and planned meta-analysis Open
Introduction/Background Neck pain is a burdensome condition associated with pain, disability, and economic cost. Neck pain has been associated with observable changes in neuromuscular function and biomechanics. Prior research shows impairm…
View article: Latent Profile Analysis of Canadian Military Veterans With Chronic Pain Identifies 5 Meaningful Classes Through Self-Report Measures
Latent Profile Analysis of Canadian Military Veterans With Chronic Pain Identifies 5 Meaningful Classes Through Self-Report Measures Open
The purpose of this study was to identify meaningful response patterns in self-report survey data collected from Canadian military veterans with chronic pain and to create an algorithm intended to facilitate triage and prioritization of ve…
View article: Predispose, precipitate, perpetuate, and protect: how diet and the gut influence mental health in emerging adulthood
Predispose, precipitate, perpetuate, and protect: how diet and the gut influence mental health in emerging adulthood Open
Medicine often employs the 4Ps of predisposing, precipitating, perpetuating , and protective factors to identify salient influences on illness states, and to help guide patient care. Mental illness is a significant cause of morbidity and m…
View article: Piloting a Virtual Arts-Based Methodology to Explore Children’s Experiences of Chronic Pain: Methodological Insights and Lessons Learned
Piloting a Virtual Arts-Based Methodology to Explore Children’s Experiences of Chronic Pain: Methodological Insights and Lessons Learned Open
In the field of childhood pain, the knowledge and expertise of children has long been overlooked. Instead, adult knowledge has been privileged over child knowledge, despite contemporary understandings that the experience of pain is subject…
View article: Diagnostic utility of diagnostic investigations to identify neuropathic pain in low back-related leg pain: protocol for a systematic review
Diagnostic utility of diagnostic investigations to identify neuropathic pain in low back-related leg pain: protocol for a systematic review Open
Introduction Neuropathic pain in low back-related leg pain has gained increasing interest in contemporary research. Identification of neuropathic pain in low back-related leg pain is essential to inform precision management. Diagnostic inv…
View article: Physical measures of physical functioning as prognostic factors to predict outcomes in low back pain: Protocol for a systematic review
Physical measures of physical functioning as prognostic factors to predict outcomes in low back pain: Protocol for a systematic review Open
Background Low back pain (LBP) is a highly prevalent condition that substantially impairs individuals’ physical functioning. This highlights the need for effective management strategies to improve patient outcomes. It is, therefore, crucia…
View article: Use it or lose it: The relationship between two image-based biomarkers in better understanding osteoarthritis progression in the wrist
Use it or lose it: The relationship between two image-based biomarkers in better understanding osteoarthritis progression in the wrist Open
Bone tissue is influenced by its mechanical environment and adapts in response to its mechanical load. This is supported by studies analyzing bone adaptation in the knee and hip. Changes to the bone have also been found to precede cartilag…
View article: The Soft X-ray Imager (SXI) on the SMILE Mission
The Soft X-ray Imager (SXI) on the SMILE Mission Open
The Soft X-ray Imager (SXI) is part of the scientific payload of the Solar wind Magnetosphere Ionosphere Link Explorer (SMILE) mission. SMILE is a joint science mission between the European Space Agency (ESA) and the Chinese Academy of Sci…
View article: Lateral Talar Subluxation Measurements in Non-Operatively Managed Weber B Ankle Fractures
Lateral Talar Subluxation Measurements in Non-Operatively Managed Weber B Ankle Fractures Open
Category: Ankle; Trauma Introduction/Purpose: Isolated Weber B ankle fractures are common orthopedic injuries; however, indications for surgical management can be controversial. Stress radiographs have been utilized to evaluate the compete…
View article: Systemic pro- and anti-inflammatory profiles in acute non-specific low back pain: An exploratory longitudinal study of the relationship to six-month outcome
Systemic pro- and anti-inflammatory profiles in acute non-specific low back pain: An exploratory longitudinal study of the relationship to six-month outcome Open
Objectives Pro-inflammatory molecules are thought to underpin the development of chronic low back pain (LBP). Although research has begun to explore the association between pro-inflammatory molecules in acute LBP and long-term outcome, no …
View article: Understanding the Experiences of Clinicians Accessing Electronic Databases to Search for Evidence on Pain Management Using a Mixed Methods Approach
Understanding the Experiences of Clinicians Accessing Electronic Databases to Search for Evidence on Pain Management Using a Mixed Methods Approach Open
The act of searching and retrieving evidence falls under the second step of the EBP process—tracking down the best evidence. The purpose of this study is to understand the competencies of clinicians accessing electronic databases to search…
View article: Reporting of sex and gender in clinical trials of opioids and rehabilitation in military and Veterans with chronic pain
Reporting of sex and gender in clinical trials of opioids and rehabilitation in military and Veterans with chronic pain Open
LAY SUMMARY This study aimed to understand how well published research on pain management in Veterans considered reporting results based on sex and gender differences. The review identified studies that included active duty military or Vet…
View article: Two Puzzles, a Tour Guide, and a Teacher: The First Cohorts’ Lived Experience of Participating in the MClSc Interprofessional Pain Management Program
Two Puzzles, a Tour Guide, and a Teacher: The First Cohorts’ Lived Experience of Participating in the MClSc Interprofessional Pain Management Program Open
(1) Background: The Master of Clinical Science program (MClSc) in Advanced Healthcare Practice at (University) introduced a new “Interprofessional Pain Management” (IPM) field in September 2019. The purpose of this study is to inquire into…
View article: Exploring sex as a moderator of other prognostic variables in whiplash associated disorder: An observational study
Exploring sex as a moderator of other prognostic variables in whiplash associated disorder: An observational study Open
Background Prognostic variables for assessing people with whiplash associated disorder (WAD) following a motor vehicle collision (MVC) have been evaluated in numerous studies. However, there is minimal evidence assessing how these variable…