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A modern way to tea...
A modern way to teach and practice manual therapy
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- Kerry, Roger (author)
- School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, United Kingdom
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- Young, Kenneth J. (author)
- Allied Health Research Unit, University of Central Lancashire, Preston, United Kingdom
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- Evans, David W. (author)
- Centre of Precision Rehabilitation for Spinal Pain, School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom
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- Lee, Edward (author)
- School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, United Kingdom; Nottingham CityCare Partnership, Bennerley Rd, Nottingham, United Kingdom
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- Georgopoulos, Vasileios (author)
- School of Health Sciences, Queens Medical Centre, University of Nottingham, Nottingham, United Kingdom; School of Medicine, University of Nottingham, Queens Medical Centre, Nottingham, United Kingdom
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- Meakins, Adam (author)
- Department of Orthopaedics, West Herts Hospitals Trust, Watford, United Kingdom
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- McCarthy, Chris (author)
- School of Physiotherapy, Manchester Metropolitan University, Manchester, United Kingdom
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- Cook, Chad (author)
- Department of Orthopaedics, Duke University, 200 Morris Street, NC, Durham, United States
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- Ridehalgh, Colette (author)
- School of Sport and Health Sciences, University of Brighton, Darley Rd, Eastbourne, United Kingdom; Clinical Neuroscience, Trafford Building, Brighton and Sussex Medical School, University of Sussex, Brighton, United Kingdom
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- Vogel, Steven (author)
- University College of Osteopathy, 275 Borough High St, London, United Kingdom
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- Banton, Amanda (author)
- University College of Osteopathy, 275 Borough High St, London, United Kingdom
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- Bergström, Cecilia (author)
- Umeå universitet,Obstetrik och gynekologi
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- Mazzieri, Anna Maria (author)
- The School of Soft Tissue Therapy, Devon, Exmouth, United Kingdom
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- Mourad, Firas (author)
- Department of health, LUNEX, Differdange, Luxembourg; Luxembourg Health & amp; Sport Sciences Research Institute A.s.b.l., 50, Avenue du Parc des Sports, Differdange, Luxembourg
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- Hutting, Nathan (author)
- Department of Occupation and Health, School of Organization and Development, HAN University of Applied Sciences, Nijmegen, Netherlands
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(creator_code:org_t)
- Springer Nature, 2024
- 2024
- English.
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In: Chiropractic and Manual Therapies. - : Springer Nature. - 2045-709X. ; 32:1
- Related links:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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Abstract
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- Chiropractic
- Evidence-based healthcare
- Manual Therapy
- Osteopathy
- Person-centred healthcare
- Physiotherapy
- Soft-tissue therapy
Publication and Content Type
- ref (subject category)
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- By the author/editor
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Kerry, Roger
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Young, Kenneth J ...
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Evans, David W.
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Lee, Edward
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Georgopoulos, Va ...
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Meakins, Adam
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show more...
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McCarthy, Chris
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Cook, Chad
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Ridehalgh, Colet ...
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Vogel, Steven
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Banton, Amanda
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Bergström, Cecil ...
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Mazzieri, Anna M ...
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Mourad, Firas
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Hutting, Nathan
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Physiotherapy
- Articles in the publication
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Chiropractic and ...
- By the university
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Umeå University