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"Min medisin er fysisk aktivitet!". Dette slagordet stod på t-skjortene våre gjennom studietiden på fysioterapiutdanningen, og i lys av den kunnskapsmengden vi har i dag er det et slagord vi bør bære med stolthet. MEN; hvor godt kjenner vi den medisinen vi skriver ut? Hvor godt virker den, egentlig? Hvordan virker den? Hvordan øker vi sannsynligheten for at pasientene våre faktisk tar den?I tillegg til å utdype spørsmålene over er "Trening med mening" episoden der vi spør oss; "Hva er meningen? Og, hvor finner vi den?". Referanser:Babatunde, O.O., et al.: Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PLoS One, 2017. 12(6): p. e0178621.Bialosky, J.E., et al.: Individual expectation: an overlooked, but pertinent, factor in the treatment of individuals experiencing musculoskeletal pain.Phys Ther, 2010. 90(9): p. 1345-55.Chester, R., et al.: Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Br J Sports Med, 2016.Cook, J.L., et al.: "Rehabilitation will increase the 'capacity' of your ...insert musculoskeletal tissue here...." Defining 'tissue capacity': a core concept for clinicians. Br J Sports Med, 2015. 49(23): p. 1484-5.Gabbett, T.J., et al.: High training workloads alone do not cause sports injuries: how you get there is the real issue. Br J Sports Med, 2016. 50(8): p. 444-5.Glasgow, P., et al.: Optimal loading: key variables and mechanisms. Br J Sports Med, 2015. 49(5): p. 278-9.Hoffmann, T.C., et al.: Patients' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med, 2014.Medina-Mirapeix, F., et al.: Predictive factors of adherence to frequency and duration components in home exercise programs for neck and low back pain: an observational study. BMC Musculoskelet Disord, 2009. 10: p. 155.Picha, K.J., et al.: A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy.Musculoskeletal Care, 2017.Pihl, K., et al.: Over-optimistic patient expectations of recovery and leisure activities after arthroscopic meniscus surgery. Acta Orthop, 2016: p. 1-7.Rio, E., et al.: Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy. Br J Sports Med, 2015. 49(19): p. 1277-83.Rossettini, G., et al.: Clinical relevance of contextual factors as triggers of placebo and nocebo effects in musculoskeletal pain. BMC Musculoskelet Disord, 2018. 19(1): p. 27.Smith, B.E., et al.: Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med, 2017.Smith, B. E., et al.: Musculoskeletal pain and exercise—challenging existing paradigms and introducing new. British Journal of Sports Medicine. 2019Testa, M., et al.: Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes. Man Ther, 2016. 24: p. 65-74.Wroblewski, A.P., et al.: Chronic exercise preserves lean muscle mass in masters athletes. Phys Sportsmed, 2011. 39(3): p. 172-8.Zou, K., et al.: Examination of overall treatment effect and the proportion attributable to contextual effect in osteoarthritis: meta-analysis of randomised controlled trials. Ann Rheum Dis, 2016. 75(11): p. 1964-1970.MUSIKK: Joseph McDade-Mirrors