PhysioUpdate News 3rd October 2023


Researchers may have exaggerated the risks of long Covid due to using flawed methods, study says

The true risks of developing long Covid may have been exaggerated because many of the studies that have been published so far are riven with ‘major flaws’, according to an analysis published today (26 September) in BMJ Evidence Based Medicine.

Some findings have unnecessarily fuelled anxiety among members of the public anxiety and influenced healthcare spending priorities, suggest first author Tracy Beth Høeg, who works in Epidemiology and Biostatistics at the University of California at San Francisco, and two colleagues. Other consequences include misdiagnoses and funds being diverted from people with other genuine long-term conditions linked to a Covid-19 infection, the authors note.

Their analysis suggests that researchers have used broad definitions or have failed to find appropriate, or any, comparison groups, when looking at the incidence, prevalence, and control of the condition. The problems have been further compounded by the inclusion of poorly conducted studies into systematic reviews and pooled data analyses that end up overstating risk, Dr Høeg and her colleagues note.

Overly broad definitions and a lack of comparator groups have distorted the risks

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Research raises questions over the relevance of current guidelines on treating hand osteoarthritis

Taking steroids and painkillers by mouth are much more likely to be effective in tackling the symptoms of hand osteoarthritis than joint injections, according a pooled data analysis of the evidence that is published today (28 September) in the open access journal RMD Open.

Indeed, the authors, led by Anna Døssing from the Bispebjerg and Frederiksberg Hospital at the University of Copenhagen and the Parker Institute in Copenhagen, found that joint injections were no more effective than placebos, while the effectiveness of topical creams and gels were uncertain.

In response, they issued a call for a review of the evidence supporting current recommendations on joint injections for hand osteoarthritis, which affects around one woman in six and one man in 12 over the age of 40.

Stock image highlights degenerative osteoarthritis disease; painful areas coloured red

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International Olympic Committee issues a consensus statement to help athletes at risk of REDs

The International Olympic Committee (IOC) has issued a consensus statement on the topic of Relative Energy Deficiency in Sport (REDS) in the latest edition of the British Journal of Sports Medicine, which was published today (27 September).

Concern about the effect of REDS – a syndrome of health and performance harms caused by prolonged and/or severe mismatches between the calories that athletes eat and burn during exercise – has grown in recent years.

The statement was drawn up by an international multidisciplinary 17-member team led by Professor Margo Mountjoy from McMaster University in Ontario, Canada, who is an IOC Games Group member. No physiotherapists seem to be listed as authors. A British contributor is Richard Budgett, a former Olympic athlete who is based at the International Olympic Committee’s Medical and Scientific Department in Lausanne, Switzerland.

IOC Medical Director Dr Budgett noted: ‘IOC consensus statements have a central role to play in the translation of research and theory into clinical practice. And this statement will do much to protect athletes’ health through improvements in both the prevention and management of REDs.’

REDS can go unrecognised and may be exacerbated by 'sports culture' (stock image)

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Keep pace with Olympian Sally Gunnell and become an ambassador for Cancer Support UK

Olympic gold medallist Sally Gunnell Champion has joined Cancer Support UK as a Workplace Cancer Support Ambassador – and the charity is keen for physiotherapists to follow her lead.

Sally said the training she received in order to become an ambassador was ‘invaluable’, giving her a ‘more profound knowledge of the physical and mental effects of cancer’.

‘It also equips me with the confidence to talk to a wide range of audiences about the importance of providing the right levels of support for cancer patients in the workplace,' she noted

Sally attributes her sporting success – which came to a peak in 1992 in Barcelona when she struck Olympic gold in the 400 metres hurdles event – to having a ‘hard-working ethos and a positive mindset’. Sally become a familiar figure on TV programmes after retiring from athletics, and now runs corporate wellbeing programmes and supports a range of healthy and active family initiatives.


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