A modern way to teach and practice manual therapy.

Autor: Kerry R; School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, NG7 2HA, UK., Young KJ; Allied Health Research Unit, University of Central Lancashire, Preston, PR1 2HE, UK. kjyoung1@uclan.ac.uk., Evans DW; Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK., Lee E; School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, NG7 2HA, UK.; Nottingham CityCare Partnership, Bennerley Rd, Nottingham, NG6 8WR, UK., Georgopoulos V; School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, NG7 2HA, UK.; School of Medicine, University of Nottingham, Queens Medical Centre, Nottingham, NG7 2HA, UK., Meakins A; Department of Orthopaedics, West Herts Hospitals Trust, Watford, WD18 0HB, UK., McCarthy C; School of Physiotherapy, Manchester Metropolitan University, Manchester, M15 6GX, UK., Cook C; Department of Orthopaedics, Duke University, 200 Morris Street, Durham, NC, 27701, USA., Ridehalgh C; School of Sport and Health Sciences, University of Brighton, Darley Rd, Eastbourne, BN20 7UR, UK.; Clinical Neuroscience, Trafford Building, Brighton and Sussex Medical School, University of Sussex, Brighton, BN1 9PX, UK., Vogel S; University College of Osteopathy, 275 Borough High St, London, SE1 1JE, UK., Banton A; University College of Osteopathy, 275 Borough High St, London, SE1 1JE, UK., Bergström C; Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, S-90187, Umeå, Sweden., Mazzieri AM; The School of Soft Tissue Therapy, Exmouth, Devon, EX8 1DQ, UK., Mourad F; Department of health, LUNEX, Differdange, 4671, Luxembourg.; Luxembourg Health & Sport Sciences Research Institute A.s.b.l., 50, Avenue du Parc des Sports, Differdange, 4671, Luxembourg., Hutting N; Department of Occupation and Health, School of Organization and Development, HAN University of Applied Sciences, Nijmegen, the Netherlands.
Jazyk: angličtina
Zdroj: Chiropractic & manual therapies [Chiropr Man Therap] 2024 May 21; Vol. 32 (1), pp. 17. Date of Electronic Publication: 2024 May 21.
DOI: 10.1186/s12998-024-00537-0
Abstrakt: Background: Musculoskeletal conditions are the leading contributor to global disability and health burden. Manual therapy (MT) interventions are commonly recommended in clinical guidelines and used in the management of musculoskeletal conditions. Traditional systems of manual therapy (TMT), including physiotherapy, osteopathy, chiropractic, and soft tissue therapy have been built on principles such as clinician-centred assessment, patho-anatomical reasoning, and technique specificity. These historical principles are not supported by current evidence. However, data from clinical trials support the clinical and cost effectiveness of manual therapy as an intervention for musculoskeletal conditions, when used as part of a package of care.
Purpose: The purpose of this paper is to propose a modern evidence-guided framework for the teaching and practice of MT which avoids reference to and reliance on the outdated principles of TMT. This framework is based on three fundamental humanistic dimensions common in all aspects of healthcare: safety, comfort, and efficiency. These practical elements are contextualised by positive communication, a collaborative context, and person-centred care. The framework facilitates best-practice, reasoning, and communication and is exemplified here with two case studies.
Methods: A literature review stimulated by a new method of teaching manual therapy, reflecting contemporary evidence, being trialled at a United Kingdom education institute. A group of experienced, internationally-based academics, clinicians, and researchers from across the spectrum of manual therapy was convened. Perspectives were elicited through reviews of contemporary literature and discussions in an iterative process. Public presentations were made to multidisciplinary groups and feedback was incorporated. Consensus was achieved through repeated discussion of relevant elements.
Conclusions: Manual therapy interventions should include both passive and active, person-empowering interventions such as exercise, education, and lifestyle adaptations. These should be delivered in a contextualised healing environment with a well-developed person-practitioner therapeutic alliance. Teaching manual therapy should follow this model.
(© 2024. The Author(s).)
Databáze: MEDLINE
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