Bandung, Indonesia
Joined June 2016
- Tweets10.5K
- Following504
- Followers1.3K
- Likes16.3K
Firmansyah Purwanto retweeted
๐ข OPEN ACCESS - buff.ly/I8y9slM - ๐ค How can we rethink self-management support to prioritise patient-centred outcomes, address contextual barriers, and drive sustainable change in healthcare? #SelfManagement #PatientCentredCare #HealthcareInnovation #ImplementationScience
Firmansyah Purwanto retweeted
Difficult-to-treat RA is a heterogeneous condition that remains challenging to stratify in clinical practice.
New Notes From the Field in Arthritis & Rheumatology looks at the potential role of ultrasound in disease stratification & treatment decision-making
Proposed framework for the use of ultrasound in D2T-RA. All images are longitudinal greyscale ultrasound with power Doppler (PD). Synovial hypertrophy appears hypoechoic and is indicated by double dagger (โก), while bone cortex appears hyperechoic. PD signal is shown as red/orange spots and indicates vascularity. Arrows indicate osteophytes, and arrowheads indicate bone erosions. Images A, B, and D show the second metacarpophalangeal (MCP2) joint, whereas image C shows the MCP4 joint. Ultrasound positive images show โactiveโ inflammation, with PD signal and synovial hypertrophy, whereas ultrasound-negative images show synovial hypertrophy without PD signal and structural damage (enthesophyte in Figure B and bone erosions in Figure D). The boxed regions indicate the area of PD assessment
doi.org/10.1002/art.70381
ALT Proposed framework for the use of ultrasound in D2T-RA. All images are longitudinal greyscale ultrasound with power Doppler (PD). Synovial hypertrophy appears hypoechoic and is indicated by double dagger (โก), while bone cortex appears hyperechoic. PD signal is shown as red/orange spots and indicates vascularity. Arrows indicate osteophytes, and arrowheads indicate bone erosions. Images A, B, and D show the second metacarpophalangeal (MCP2) joint, whereas image C shows the MCP4 joint. Ultrasound positive images show โactiveโ inflammation, with PD signal and synovial hypertrophy, whereas ultrasound-negative images show synovial hypertrophy without PD signal and structural damage (enthesophyte in Figure B and bone erosions in Figure D). The boxed regions indicate the area of PD assessment
Firmansyah Purwanto retweeted
Updates on Pathophysiology of Discogenic Back Pain
pmc.ncbi.nlm.nih.gov/articleโฆ
Firmansyah Purwanto retweeted
Interconnected, dynamic systems. Pain can be a symptom/maker of systemic dysregulation and not always a result of injury/damage.
sciencedirect.com/science/arโฆ
Firmansyah Purwanto retweeted
A few graphics illustrating NSLBP, the evidence for CFT, and some common observations I see in clinic, described in the accompanying text
Scroll down ๐
Firmansyah Purwanto retweeted
Red flags for extracranial vertebral artery dissections in patients with neck pain: a scoping review. 2026. share.google/JMOKsRGoPMoyYb8โฆ
Firmansyah Purwanto retweeted
"Clinicians must move beyond the assumption that hypermobility is benign, beyond purely passive care, and beyond discharging patients simply because pain persists"
"Managing Patients with #Hypermobility Disorders" is our August #Editorial ๐ ow.ly/EHVC50Zwq2Q
#yourJOSPT
Firmansyah Purwanto retweeted
Just published ๐ฅ
๐๐ฎ๐ฟ๐น๐ ๐๐
๐ฒ๐ฟ๐ฐ๐ถ๐๐ฒ ๐๐ณ๐๐ฒ๐ฟ ๐ฅ๐ผ๐๐ฎ๐๐ผ๐ฟ ๐๐๐ณ๐ณ ๐ฅ๐ฒ๐ฝ๐ฎ๐ถ๐ฟ? ๐๐ฎ๐ป ๐๐ฒ๐ฟ๐ ๐น๐ผ๐-๐น๐ผ๐ฎ๐ฑ ๐ฟ๐ฒ๐ต๐ฎ๐ฏ๐ถ๐น๐ถ๐๐ฎ๐๐ถ๐ผ๐ป ๐ฟ๐ฒ๐ฑ๐๐ฐ๐ฒ ๐ฝ๐ฎ๐ถ๐ป ๐๐ถ๐๐ต๐ผ๐๐ ๐ฐ๐ผ๐บ๐ฝ๐ฟ๐ผ๐บ๐ถ๐๐ถ๐ป๐ด ๐ฐ๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐ฟ๐ฒ๐ฐ๐ผ๐๐ฒ๐ฟ๐?
pubmed.ncbi.nlm.nih.gov/4245โฆ
Firmansyah Purwanto retweeted
Associations Between Graft Choice and Return to Sports After Primary Anterior Cruciate Ligament (ACL) Reconstruction in Athletes pmc.ncbi.nlm.nih.gov/articleโฆ
ACL-HS retear rate was 38% but cleared at 25 weeks RTS
ACL-QT retear rate was 10.7% and cleared at 37.6 weeks
ACL-PTG retear rate was 9.6% and cleared at 41.1 weeks after surgery
Firmansyah Purwanto retweeted
I feel that the words are... Beautiful and useful
...and free
With @stefanopalermi
@mechomeca Gulraiz Ahmad and Justin Lee
journal.aspetar.com/en/archiโฆ
Firmansyah Purwanto retweeted
Should we stop labeling #treatments as โactiveโ or โpassiveโ?
This latest paper examines the limitations of this widely used distinction in #rehabilitation and proposes a more person-centred approach to treatment planning that prioritizes both evidence and patient specific factors. #physiotherapy, #activetreatment, #passivetreament, #patientcentrecare.
Firmansyah Purwanto retweeted
Low Back Pain: A Review | 2026 share.google/L0bfDsPPziRXR3pโฆ
Firmansyah Purwanto retweeted
๐โโ๏ธ Does exercise reduce chronic low back pain by lowering inflammation?
This secondary analysis of the ASTEROID randomized controlled trial explored whether a 12-week, digitally delivered runโwalk program could modify systemic inflammatory markers in adults with chronic low back pain.
To read the intriguing findings: buff.ly/IHYHwjf
#Exercise training #Physical activity #Jogging #Interval training #Inflammation
Firmansyah Purwanto retweeted
Biologising the psychosocial.
pnas.org/doi/10.1073/pnas.25โฆ
Firmansyah Purwanto retweeted
Manual therapy treatment mechanisms are complex: Challenges and a call to action sciencedirect.com/science/arโฆ
Firmansyah Purwanto retweeted
Spinal Manipulation and Clinician-Supported Self-Management for Preventing Chronic Low Back Pain Impact: The PACBACK Randomized Clinical Trial
๐๐๐
pubmed.ncbi.nlm.nih.gov/4222โฆ
Firmansyah Purwanto retweeted
Our review of 32 primary care guidelines for low back pain has been published today in @TheLancetRheum
We compared current recommendations for low back pain and explored how they have changed over the last 30 years
thelancet.com/journals/lanrhโฆ
A few key findings ๐งต๐1/8
Firmansyah Purwanto retweeted
A meta-model of low back pain to examine collective expert knowledge of treatment effects and their mechanisms
link.springer.com/article/10โฆ
Firmansyah Purwanto retweeted
Great overview of the bidirectional association between sleep & pain and the neuroimmune mechanisms.
thelancet.com/journals/ebiomโฆ
Firmansyah Purwanto retweeted
If exercise is โMEDICINEโ for fibromyalgia then which type, should we prescribe?
The message is clear. There is no single โBESTโ exercise. Instead, the optimal choice may depend on timing, patient preference, and long-term adherence. Notably, modalities such as dance may offer additional benefits through enjoyment, social engagement, and sustainability.
However, clinicians should interpret these rankings cautiously, as evidence certainty remains low to moderate and heterogeneous. This paper reinforces a key principle in rehabilitation. Exercise selection should be individualised, meaningful, and sustainable, rather than protocol driven.
#Exercise therapy #Fibromyalgia #Fibromyalgia impact questionnaire #Pain
Read more here: buff.ly/smqFepo
