Physiotherapist, PhD. Main interests: MSK, self-management, shoulder pain, sports injuries
Oslo, Norway
Joined February 2012
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Still my favorite intervention for patients with subacromial pain. Designed by me (biased!!) and co-workers based on the SELF study by the great @ChrisLittlew00d!
Stop over-managing a self-manageable condition!
Check out the intervention here🔓
pilotfeasibilitystudies.biom…
Daniel H. Major retweeted
Read this …what are the mechanisms that underly CFT?
Great work @RobSchutze @MarkHancockPT @jpcaneiro @kieranosull
👇👇👇
How does #CognitiveFunctionalTherapy work? Mediation analysis of RESTORE trial points to improved self-efficacy, catastrophising, fear, and pain as CFT mechanisms for improving #BackPain disability: tinyurl.com/mry9fk37 @PeteOSullivanPT @MarkHancockPT @kieranosull @jpcaneiro
ALT "Mechanisms of change in cognitive functional therapy: A longitudinal mediation analysis of the RESTORE clinical trial for disabling chronic low back pain" (Behaviour Research and Therapy, https://doi.org/10.1016/j.brat.2025.104853). 62% of CFT's large effect on pain intensity at 1 year is caused by earlier improvements in self-efficacy, catastrophising and fear. This is the first causal evidence of CFT mechanisms within a clinical trial. To explain the rest of CFT's large effects on pain and disability we need to explore other likely mechanisms, like improvements in movement behaviours.
Daniel H. Major retweeted
Our 3-year follow up of the RESTORE trial shows sustained effects of CFT for chronic low back pain.
Paper out today in Lancet Rheumatology. Read here:thelancet.com/journals/lanrh…
@PeteOSullivanPT @CGMMaher @TheLancetRheum
Protocol for a national intervention programme aimed to reduce unwarranted variation and overuse of shoulder arthroscopy in Norway
Happy to be involved 😊
bmjopenquality.bmj.com/conte…
Daniel H. Major retweeted
Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies
pubmed.ncbi.nlm.nih.gov/3960…
Recently did a shoulder course in Oslo and shared how I manage patients with subacromial pain. Also revisited this tweet from @DerekGriffin86, which still makes me happy 😊 Check it out: …tfeasibilitystudies.biomedce……
@ChrisLittlew00d @PeteOSullivanPT
@RachelChesterPT
Really great trial protocol from @danielhmajor, @Prof_Littlewood et al. Sensible, pragmatic & shows great insight into how we might integrate the need for condition specific loading into a broader bio-psychosocial framework. pilotfeasibilitystudies.biom…
Daniel H. Major retweeted
The efficacy of high load-volume exercise versus low load-volume exercise for rotator cuff tendinopathy: A pilot and feasibility trial
pubmed.ncbi.nlm.nih.gov/3959…
Daniel H. Major retweeted
Great new paper looking at barriers & enablers to exercise
A real key message is that most things can be BOTH an enabler/barrier
✅ See & hear the individual
❌ Do not force a vision of exercise on people
pubmed.ncbi.nlm.nih.gov/3863…
Daniel H. Major retweeted
Which portion of physiotherapy treatments' effect is attributable to contextual effects in people with musculoskeletal pain?: A meta-analysis of randomised placebo-controlled trials | Journal of Orthopaedic & Sports Physical Therapy jospt.org/doi/10.2519/jospt.…
Daniel H. Major retweeted
Hard to imagine a more qualified team to write about this topic. Essential reading:
Surgery won’t fix my chronic back pain, so what will? theconversation.com/surgery-… via
@ConversationEDU
#4corners
The amount of snow in my face is perfectly correlated with my quality of life 🏂☃️
Context matters 😊
HAPPY EASTER 🐤🐣🐔🤘
Trying to find an editorial you wrote about "conflicting messages" @MaryOKeeffe007 and @PeteOSullivanPT. Think it was in @BJSM_BMJ. Can you send me the link if you understand which editorial I am looking for?
Daniel H. Major retweeted
Remotely delivered physiotherapy is as effective as face-to-face physi... sciencedirect.com/science/ar…
Daniel H. Major retweeted
A lovely illustration of the biopsychosocial contributions to persistent pain.
sciencedirect.com/science/ar…
Daniel H. Major retweeted
Super useful thread regarding how to interpret and communicate lumbar MRI scan's. Thankyou @DrJN_SportsMed
Daniel H. Major retweeted
Exercise combined with Acceptance and Commitment
Therapy for chronic pain: One-year follow-up from a
randomized controlled trial onlinelibrary.wiley.com/doi/…
Daniel H. Major retweeted
1/8 What do people with #chronic low back #pain say about their barriers and enablers to #exercise adherence?
Read on to find out #Tweetorial @PainIMPACTNeuRA
10.1016/j.jpain.2024.02.002
Daniel H. Major retweeted
Exercise is advocated by almost all guidelines to manage chronic low back pain. But adherence is often not ideal. @YannickGilanyi explores barriers and enables to exercise adherence in his great paper, summarised in the thread below
1/8 What do people with #chronic low back #pain say about their barriers and enablers to #exercise adherence?
Read on to find out #Tweetorial @PainIMPACTNeuRA
10.1016/j.jpain.2024.02.002