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Physiotherapists’ treatment techniques in New Zealand for management of acute nonspecific low back pain and its relationships with treatment outcomes: a pilot study.
- Source :
-
Physical Therapy Reviews . Feb-Apr2017, Vol. 22 Issue 1/2, p95-100. 6p. - Publication Year :
- 2017
-
Abstract
- Background:Physiotherapy plays an important role in management of acute nonspecific low back pain (NSLBP). However, there is a relative dearth of information about the current clinical practice for management of NSLBP and its relationships with clinical outcomes of pain and function. Objective:To investigate the current physiotherapy practice patterns in management of acute NSLBP in New Zealand (NZ), and determine its relationships with clinical outcomes of pain and function. Methods:A prospective observational cohort study, using data from private physiotherapy clinics, was conducted. Physiotherapists at each clinic completed a treatment summary form at time of discharge. Treatment techniques used and clinical outcome of pain [numeric pain rating scale (NPRS)] and function [Patient-specific Function scale (PSFS)] were extracted from recorded notes. Raw values of NPRS and PSFS were converted to percentage of available change scores and used for further analysis. Results and Conclusions:A total of 199 data-sets of acute NSLBP patients were included in the analysis. A wide variety of treatment techniques were used by NZ physiotherapists, with joint mobilization being the most popular form of treatment choice (88%), often combined with specific exercises and massage (21%). Linear regression analysis demonstrated a significant positive association between joint mobilization and massage and patient’s function, and pain and function, respectively; whereas, a significant negative association between specific exercises and patient’s function. The most popular form of treatments used by NZ physiotherapists’ lacks support from evidence-based clinical guidelines, but still seems to be effective in reducing pain and improving function. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10833196
- Volume :
- 22
- Issue :
- 1/2
- Database :
- Academic Search Index
- Journal :
- Physical Therapy Reviews
- Publication Type :
- Academic Journal
- Accession number :
- 123914271
- Full Text :
- https://doi.org/10.1080/10833196.2017.1282073