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dc.contributor.authorHohenschurz-Schmidt, David
dc.contributor.authorThomson, Oliver P.
dc.contributor.authorRossettini, Giacomo
dc.contributor.authorMiciak, Maxi
dc.contributor.authorNewell, Dave
dc.contributor.authorRoberts, Lisa
dc.contributor.authorVase, Lene
dc.contributor.authorDraper-Rodi, Jerry
dc.date.accessioned2023-03-08T15:27:56Z
dc.date.available2023-03-08T15:27:56Z
dc.date.issued2022
dc.identifier.citationHohenschurz-Schmidt, D., Thomson, O. P., Rossettini, G., Miciak, M., Newell, D., Roberts, L., Vase, l., & Draper-Rodi, J. (2022). Avoiding nocebo and other undesirable effects in chiropractic, osteopathy and physiotherapy: an invitation to reflect. Musculoskeletal Science and Practice. https://doi.org/10.1016/j.msksp.2022.102677en
dc.identifier.issn2468-7812
dc.identifier.urihttps://aecc.archive.knowledgearc.net/handle/123456789/182
dc.descriptionAvailable under License - Creative Commons Attribution: https://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.description.abstractIntroduction While the placebo effect is increasingly recognised as a contributor to treatment effects in clinical practice, the nocebo and other undesirable effects are less well explored and likely underestimated. In the chiropractic, osteopathy and physiotherapy professions, some aspects of historical models of care may arguably increase the risk of nocebo effects. Purpose In this masterclass article, clinicians, researchers, and educators are invited to reflect on such possibilities, in an attempt to stimulate research and raise awareness for the mitigation of such undesirable effects. Implications This masterclass briefly introduces the nocebo effect and its underlying mechanisms. It then traces the historical development of chiropractic, osteopathy, and physiotherapy, arguing that there was and continues to be an excessive focus on the patient's body. Next, aspects of clinical practice, including communication, the therapeutic relationship, clinical rituals, and the wider social and economic context of practice are examined for their potential to generate nocebo and other undesirable effects. To aid reflection, a model to reflect on clinical practice and individual professions through the ‘prism’ of nocebo and other undesirable effects is introduced and illustrated. Finally, steps are proposed for how researchers, educators, and practitioners can maximise positive and minimise negative clinical context.en
dc.language.isoenen
dc.publisherMusculoskeletal Science and Practiceen
dc.titleAvoiding nocebo and other undesirable effects in chiropractic, osteopathy and physiotherapy: an invitation to reflecten
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1016/j.msksp.2022.102677


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