Long term adherence to exercise and LBP: seems to be a trendy topic on twitter land to take shots on (separate from all research sucks, researchers have no idea, nothing changes my practice) so I thought I'd put out my experiences and some musings based on my published work PhD pilot and main study, I didn't think much beyond 'have to do a follow-up, will changes stick?': didn't quantify adherence, so all anecdotal, but the people I gave Swiss balls to (took them away) stopped doing anything,
pubmed.ncbi.nlm.nih.gov/16949944/ pubmed.ncbi.nlm.nih.gov/18586132/

Noted my colleagues @DrTMDune @DoktorGen raising the ongoing issue for academics of EMAIL😞: I manage my inbox extremely well, even after periods of leave (routinely take 3-4 weeks off in December), and typically have <5 'active' emails in my inbox, so here's what works for me 1. delete liberally-you don't need to read every policy/research/teaching/digital learning update, when you need to know, ask for help, & you'll get the right directions

Another interesting observation of our monitoring work in people with low back pain (year in their life, every 3 mths): alot report seeking 'treatment' for a 'flare-up', but actually, its something they always just do b/c its part of their identity now (its there every 3 months) it's informed alot of my change in practice/teaching-what are we doing as clinicians that might be reinforcing a negative perception? as ex professionals, its the words we use 'weak spine' 'unstable spine' 'firing problems' that reinforce this, and we need to change that

I've been looking at data from probably over a thousand people with back pain in last 4 years since I changed tack with tackling this problem (cross-sectional, clinic data, monitoring, interventions etc) and a few things have jumped out (I’m getting onto publishing) @GregLehman 1. we CAN fix this, people do get better 😀, 2. Catastrophizing isn’t a consistent ‘mediator’ for changes in disability, it’s certainly linked to pain, but seems influenced by what patients choose to do