Firas Mourad

Navigating expectation–evidence tensions in musculoskeletal physiotherapy

Nathan Hutting, Firas Mourad, Glykeria Skamagki, Joletta Belton et autres

INTRODUCTION: Patient expectations influence clinical outcomes in musculoskeletal physiotherapy, acting both as prognostic factors and as active contributors to treatment effects. These expectations are shaped by previous healthcare experiences, digital and verbal information, and social context. However, patient expectations may be misaligned …

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Predictors of Response to Spinal Manipulative Therapy, Dry Needling and Exercise in Patients with Cervicogenic Headache

James Dunning, Ian Young, Joshua Prall, Firas Mourad et autres

Red flags for extracranial vertebral artery dissections in patients with neck pain: a scoping review

Daniel FELLER, Firas Mourad, Filippo Maselli, Graziana Lullo et autres

OBJECTIVES: Neck pain is common and generally benign, but in rare cases it may be the early symptom of vertebral artery dissection (VAD). To date, no published secondary analysis addressing red flags for VADs in patients whose primary complaint is neck pain, …

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Reframing conservative neck pain management: from techniques to integrated, person-centered care

Nathan Hutting, Giacomo Rossettini, Mauro Crestani, Chad Cook et autres

1. Neck pain represents one of the most prevalent and disabling musculoskeletal conditions worldwide, encompassing a heterogeneous group of disorders characterized by pain localized in the cervical...

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Modern teaching for clinical education involving manual therapy: a 6-pillar approach

Kenneth J. Young, Roger Kerry, Cecilia Bergström, Sylwia Borowicz et autres

BACKGROUND: Musculoskeletal (MSK) conditions remain a leading source of global disability, and manual therapy (MT) features in multimodal guideline concordant care; however, teaching in clinical programs that involve MT often remains technique-centric and insufficiently aligned with contemporary, person-centred teaching and practice. The …

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Pre-treatment risk factor assessment and safe management of the cervical spine: a survey among physical therapists

Nathan Hutting, Firas Mourad, Alan Taylor, Wilfred Wilbrink et autres

BACKGROUND: Previous research has raised the question of the extent to which physical therapists possess sufficient knowledge of cervical vascular pathologies and blood flow limitations and the clinical reasoning skills to appropriately identify a patient who is having an underlying vascular pathology. …

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Resolution of Refractory Headache Symptoms Following Cervical Spinal Manipulation and Electrical Dry Needling in an Adolescent Female: A Case Report

Ian Young, April Martino, James Dunning, Joshua Prall et autres

Cervicogenic headache (CGH) in adolescents is poorly understood. The overlap in signs and symptoms between CGH, tension-type headaches and migraine headaches complicate the differential diagnosis. Furthermore, poor outcomes for CGH with conventional pharmacology is not uncommon. Adolescents presenting with cephalgia should be …

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Medial Elbow Pain as an Umbrella Term: Definitions, Diagnostic Criteria, and Conservative Management Strategies — A Scoping Review

Matteo Valentini, Marco Marinelli, Mariangela Lorusso, Antonella D’Aversa et autres

The primary aim of this scoping review is to map the literature on the definition of Medial Elbow Pain (MEP), its clinical diagnosis, and its conservative management. Specifically, we will assess whether diagnostic criteria, characteristic signs or symptoms, and clinical tests for …

Vascular pathologies and dysfunctions of the neck and head

Wendy GM; id_orcid 0000-0002-4409-9554 Scholten-Peeters, Nathan Hutting, Firas Mourad

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Temporomandibular Disorders and Orofacial Outcomes in Subjects with Neck Pain and/or Cervicogenic Headache: A Systematic Review with Meta-Analysis

Paolo Costa Bizzarri, Andrea Giusti, Marco Pernici, Paolo Bulzacca et autres

Introduction: Temporomandibular disorders (TMDs), neck pain (NP), and cervicogenic headache (CGH) frequently co-occur. We aimed to assess TMD prevalence and orofacial clinical features in adults with NP or CGH versus asymptomatic controls. Methods: We searched PubMed, CINAHL, Web of Science, and Scopus …

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Self-management support for people with non-specific low back pain: a qualitative survey among Italian physiotherapists

Matteo Cioeta, Gabriele Giannotta, Domenico Carbotti, Davide Cicinelli et autres

BACKGROUND: Non-specific low back pain (NSLBP) is the leading cause of global disability, and self-management is considered a key component of care. However, physiotherapists' approaches to supporting self-management can be improved. OBJECTIVE: To explore how Italian physiotherapists conceptualize and enact self-management support …

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A population-based survey of beliefs about neck pain and its associated disorders: a cross-sectional study

Federica Nasti, Stefano Schiavone, Matteo Cioeta, Graziana Lullo et autres

BACKGROUND: Neck pain and whiplash are prevalent disorders with high socio-economic burden. Beliefs and expectations influence their prognosis, causing chronicisation. We aimed to investigate the perspective of the Italian population. METHODS: We conducted an online survey among Italian adults recruited through social …

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