Diagnosing and treating upper back pain: insights from New Zealand's manipulative physiotherapists and osteopaths.
| Autor: | Kovanur Sampath K; Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand.; Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology Sydney, Sydney, Australia., Smith T; Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand., Belcher S; Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand., Farrell G; Centre for Health, Activity, and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Dunedin, New Zealand., Fryer G; College of Sport, Health and Engineering, Victoria University, Melbourne, Australia., Vaughan B; Department of Medical Education, University of Melbourne, Melbourne, Australia., Moran R; Centre for Health and Social Practice, Waikato Institute of Technology, Hamilton, New Zealand. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of manual & manipulative therapy [J Man Manip Ther] 2024 Dec 09, pp. 1-9. Date of Electronic Publication: 2024 Dec 09. |
| DOI: | 10.1080/10669817.2024.2438196 |
| Abstrakt: | Background: Manual therapy is routinely used in the management of upper back pain (UBP), a disabling condition. However, the approach to diagnosis and treatment techniques used by manipulative physiotherapists and osteopaths is largely unknown. Objectives: To explore knowledge about UBP, including diagnosis and treatment, by New Zealand (NZ) osteopaths and manipulative physiotherapists and to investigate differences (if any) in the self-reported approaches to diagnosis and management of UBP between the professions. Design: A cross-sectional survey administered through an online platform (Qualtrics) between September 2023 and January 2024. Participants: One hundred and ten NZ osteopaths and manipulative physiotherapists completed the survey. Results: Forty-eight percent ( n = 53) of respondents identified their profession as physiotherapists and 52% ( n = 57) as osteopaths. Over three-quarters of respondents (77%) 'strongly agreed' that a multimodal approach is essential for effective UBP management. Osteopaths were significantly more likely to often proffer 'wear and tear/degeneration' ( p < 0.01) and 'visceral referred pain' ( p = 0.02) as the cause of a patient's UBP. In terms of management, osteopaths were significantly more likely to use soft tissue techniques ( p < 0.01), spinal manipulations ( p < 0.01), rib manipulations ( p < 0.01), rib mobilizations ( p < 0.01), and visceral techniques ( p < 0.01), compared to physiotherapists. Conclusions: The survey highlights a strong consensus among respondents that a multimodal approach is essential for effective UBP management. The survey also identified profession-specific approaches to the diagnosis and management of UBP. Future research using qualitative methods is required to further explore these profession-specific differences and explore outcomes of care. |
| Databáze: | MEDLINE |
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