Thread by @carlosgeversdc

1⃣/9⃣ #COVID19 lockdowns disrupted normal life, including access to healthcare. We conducted 3⃣studies📰 on chiropractic #patients in Spain 🇪🇸 who were isolated & couldn't receive their usual care 👩‍⚕️.

🌟Here's what we found…👇👀

2⃣/9⃣ We gathered observational cross-sectional data from 648 #patients across Spain 🇪🇸 during the strictest phase of the #COVID19 lockdown (April 2020).

🔴Participants were experiencing acute or chronic #pain at the time of the survey.

nature.com/articles/s4159… @SciReports👇

3⃣/9⃣ 🦠 #COVID19 wasn't just a #PhysicalHealth crisis. Influenced by multiple factors, including #anxiety & pandemic-related outcomes, pain worsened ⬆️ during lockdown 😰💭

🔴Time to consider the #biopsychosocial implications of the #pandemic & lockdowns!
#MentalHealth👇

4⃣/9⃣📊 #NetworkAnalysis revealed fascinating differences between acute and #ChronicPain patients during #lockdown. Understanding these 🕸️ patterns can help us better support those living with pain in these challenging times. 💡💪
👇

5⃣/9⃣ Next, we explored how hands-on care👐 was adapted to the #remote delivery 🖥️ of a #SelfManagement program in a chiropractic teaching clinic @RCU_EMC.

🔴Key finding? Kinesiophobia plays a crucial role in pain reduction 📉 #Telehealth

onlinelibrary.wiley.com/doi/full/10.10… @EFIC_org 👇

6⃣/9⃣🎯 Motivation matters! 🤩

🔴#Motivation moderated the association between adherence to the program & relief. To boost adherence & improve outcomes from #remote self-management strategies during #COVID19, we need to consider cognitive 🧠 #motivational 💪 factors
👇

7⃣/9⃣ 📈 As #COVID19 restrictions eased, we followed patients transitioning back to in-person #chiropractic care.

🔴Good news? #Pain intensity & its interference w activity significantly decreased ⬇️, especially after >1 encounter. 👩‍⚕️👨‍⚕️👐

onlinelibrary.wiley.com/doi/10.1002/ej… @EFIC_org 👇

8⃣/9⃣🧩 Crucial insight: relationships btw kinesiophobia, reductions in pain intensity & interference were mediated by catastrophizing.

🔴Our findings? In-person care 👐 during a pandemic may provide important benefits & be prioritized based on clinical⚕️ & cognitive🧠factors.

9⃣/9⃣🔑 In sum, our studies underscore the need for #PersonalizedCare during a pandemic, be it #Remote, #InPerson, focused on #MentalHealth or #HandsOn, the goal is to improve access & outcomes🎯.
🔴There's no one-size-fits-all solution, especially in challenging times. #COVID19

Shoutout to everyone involved in this international collaboration effort 🇪🇸🇨🇦🇬🇧🇮🇷 @AliiKhatibi @ortega_arantxa @Deb_Falla @Zoha_Deldar @adfurlan @elazarfisio @fmconesa91, Bernard Liew, Erfan Ghalibaf & Ignacio Mahillo-Fdez

Big thanks to our sponsors who made these studies possible @QuiropracticAEQ @AEUQ_quiroprac @CprSpine @unibirmingham @RCU_EMC

AND to the journals for publishing our work @SciReports @EFIC_org 📰
onlinelibrary.wiley.com/doi/10.1002/ej…
onlinelibrary.wiley.com/doi/full/10.10…
nature.com/articles/s4159…