Factors that contribute to the perceived treatment effect of spinal manipulative therapy in a chiropractic teaching clinic: a qualitative study DOI Creative Commons
Patrick Boylan

Chiropractic & Manual Therapies, Journal Year: 2024, Volume and Issue: 32(1)

Published: Dec. 18, 2024

Abstract Background Despite the progress made in better understanding potential mechanisms of spinal manipulative therapy (SMT) and its treatment effects, a knowledge gap continues to exist when identifying specific factors that contribute perceived effect associated with SMT. The purpose study was explore perceptions chiropractic clinicians, interns, patients regarding what during doctor-patient encounter Methods This used convenience sampling enroll participants from teaching clinic United States. Semi-structured interviews were as main form data collection, which took place January-April 2024. subsequently analyzed using thematic analysis organized into themes through an iterative open coding process. Results Six rounds conducted for total 18 interviews. Each round consisted one patient who received including SMT, intern performed treatment, clinician oversaw treatment. After analyzing interview data, following five identified: Treatment Outcome, Therapeutic Alliance, Adjunctive Therapies, Significance Cavitation, Psychomotor Skills. theme multiple subthemes mentioned by participant groups at varying frequencies. Patients frequently importance improvement symptoms well good communication skills use adjunctive therapies. Interns valued functional change while clinicians focused on confidence levels psychomotor skills. There differing views significance cavitation, ranging indifference indication successful Conclusion qualitative identified several describe may In addition required perform educators practitioners should consider such therapeutic alliance between provider, therapies, assessment outcome intervention.

Language: Английский

Exercise therapy and physical activity in the paradigm shift from a tissue- and disease-based pain management approach towards multimodal lifestyle interventions for chronic pain DOI
Jo Nijs, Kenza Mostaqim, R.A.B. Oostendorp

et al.

Brazilian Journal of Physical Therapy, Journal Year: 2024, Volume and Issue: 28(4), P. 101101 - 101101

Published: July 1, 2024

Language: Английский

Citations

4
Implementation of the International IFOMPT Cervical Framework: a survey among IFOMPT organisations DOI Creative Commons
Firas Mourad, Rik Kranenburg,

Wilfred Wilbrink

et al.

Journal of Bodywork and Movement Therapies, Journal Year: 2025, Volume and Issue: 42, P. 693 - 697

Published: Jan. 30, 2025

Language: Английский

Citations

0
Supported biopsychosocial self-management for back-related leg pain: a randomized feasibility study integrating a whole person perspective DOI Creative Commons

Brent Leininger,

Roni Evans, Carol M. Greco

et al.

Chiropractic & Manual Therapies, Journal Year: 2025, Volume and Issue: 33(1)

Published: Feb. 5, 2025

Abstract Background There is limited high-quality research examining conservative treatments for back-related leg pain (BRLP). This feasibility study was done in preparation a full-scale trial comparing whole-person supported self-management intervention to medical care chronic BRLP. Methods Participants were randomized 12 weeks of individualized delivered by physical therapists and chiropractors or consisting guideline-based pharmacologic care. Supported based on behavioral model that used whole person approach enhance participants capabilities, opportunities, motivations engage self-care. It combined BRLP education with psychosocial strategies (e.g., relaxed breathing, progressive muscle relaxation, guided imagery, communication skills) modalities such as exercise spinal manipulation therapy. Providers trained address participants’ needs use behavior change motivational techniques develop therapeutic alliance facilitate self-management. Feasibility assessed using pre-specified targets recruitment enrollment, delivery, data collection over the six-month period. In addition, areas potential refinement optimization processes protocols assessed. Results We met exceeded nearly all targets. Forty-two enrolled period 2022 very few individuals declined participation due preferences one treatment. All but participant received treatment 95% attended minimum number visits (self-management = 6, 2). At weeks, group reported engaging practices learned program 77% taking medications prescribed. Satisfaction high 85% reporting satisfaction overall. Self-management providers required activities at 72% visits. also noted some challenges navigating shared decision-making process deciding what tools prioritize. Over period, completion rates 91% monthly surveys 86% weekly surveys. Conclusion able demonstrate feasible identified important optimization.

Language: Английский

Citations

0
Insights into how manual therapists incorporate the biopsychosocial-enactive model in the care of individuals with CLBP: a qualitative study DOI Creative Commons
Marco Bianchi, Giacomo Rossettini, Francesco Cerritelli

et al.

Chiropractic & Manual Therapies, Journal Year: 2025, Volume and Issue: 33(1)

Published: Feb. 18, 2025

Abstract Background Chronic low back pain (CLBP) presents a significant challenge for manual therapists. Recent advancements in research have highlighted the limitations of traditional biomedical and biopsychosocial models, prompting exploration alternatives. The biopsychosocial-enactive (BPS-E) model has emerged as promising alternative. This study aims to explore application BPS-E by therapists managing CLBP initiate meaningful dialogue about its use. Methods adhered Standards Reporting Qualitative Research. Guided constructivist grounded theory, we conducted semi-structured interviews with ten who are experts model. Data collection, conceptualization, analysis were systematically carried out identify key themes insights. Results core theme identified was “The person-centred approach,” three subthemes: “Opportunities implementing model”, “Utilizing Integrating Diverse Skills Holistic Care”, “Challenges model”. Conclusion provides insights into how incorporate their practice, demonstrating advantages over findings highlight need further training effectively implement clinical settings. begins an essential discussion on potential enhance care patients.

Language: Английский

Citations

0
Lessons learned from the digital transformation of Physiotherapy education: A phenomenological study. DOI Creative Commons
Laura Eccott,

A. Moulson,

Karen Atkinson

et al.

International journal of osteopathic medicine, Journal Year: 2025, Volume and Issue: unknown, P. 100759 - 100759

Published: March 1, 2025

Language: Английский

Citations

0
The mechanisms of manual therapy: A living review of systematic, narrative, and scoping reviews DOI Creative Commons
Damian Keter, Joel E. Bialosky,

Kevin Brochetti

et al.

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(3), P. e0319586 - e0319586

Published: March 18, 2025

Introduction Treatment mechanisms are the underlying process or pathway through which a treatment influences body. This includes molecular, cellular and physiological processes pathways contributing to effect. Manual therapy (MT) evokes complex mechanistic responses across body systems, interacting with individual patient context promote response. Challenges arise as studies spread multiple professions, settings populations. The purpose of this review is summarize that have been reported occur MT application. Methods Four electronic databases were searched (Medline, CINAHL, Cochrane Library, PEDro) for reviews investigating during/post application MT. was registered priori PROSPERO (CRD42023444839). Methodological quality (AMSTAR-2) risk bias (ROBIS) assessed systematic scoping reviews. Data synthesized by domain. Results Sixty-two included. Systematic (n = 35), narrative 24), 4) asymptomatic 37), symptomatic 43), non-specified human subjects 7) animals Reviews moderate supported neurovascular, neurological, neurotransmitter/neuropeptide changes. low neuroimmunce, neuromuscular, neuroendocrine critically support biomechanical Conclusions Findings evidence multisystem occurring peripheral, segmental spinal, supraspinal MT, can be measured directly indirectly. clinical value these findings has not well established. While proven an effective intervention treat conditions such pain, current literature leaves uncertainty ‘why’ interventions work, future research should look better define (or combinations mechanisms) mediators

Language: Английский

Citations

0
The Effects of Exercise and Manual Manipulation on Sacroiliac Joint Dysfunction: A Critically Appraised Topic DOI

Christopher J. Joyce,

Kallie Nowell,

Michelle C. Boling

et al.

Journal of Sport Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 8

Published: Jan. 1, 2025

Clinical Scenario : Sacroiliac joint dysfunction (SIJD) is pain in the sacroiliac region that can be debilitating and difficult to treat. Many interventions used treat SIJD, including exercise manual manipulation. The effectiveness of these treatments by themselves, or conjunction, not well understood. Question In active individuals with an intervention, manipulation, a combination 2 effective reducing improving function? Summary Key Findings Three studies were included this critically appraised topic. One study found both therapy manipulation decreased improved function, but no between-group differences. other therapy, decreasing function participants. Bottom Line results suggested therapies patients SIJD. While techniques alone may SIJD short term, more long term. Strength Recommendation: There appears level B evidence supporting use for treatment This recommendation based on inconsistent limited quality patient-oriented presented 3 studies, as defined Recommendation Taxonomy.

Language: Английский

Citations

0
Tradition-Dismissive vs. Tradition Reconceptualization Approaches in Musculoskeletal Care: The Example of Osteopathic Care DOI Creative Commons
Giandomenico D’Alessandro, Christian Lunghi, Giacomo Consorti

et al.

Applied Sciences, Journal Year: 2025, Volume and Issue: 15(7), P. 3828 - 3828

Published: March 31, 2025

Background: Musculoskeletal conditions with multisystem comorbidities present significant challenges in terms of prevention and rehabilitation. Despite advances instrumental technologies for diagnosis treatment, a gap remains between biomedical research practical application. Strengthening the therapeutic alliance involves improving patients’ understanding diagnostics while emphasizing face-to-face interactions. A team healthcare professionals, promoting an integrated approach combining manual movement therapies—such as physiotherapy, chiropractic, osteopathic care—can bridge this gap, well-being through person-centered framework. Emerging highlights role cognitive, neurophysiological, sociocultural factors body perception health, need inclusive, culturally sensitive care within practice. Methods: We synthesize available evidence expert insights to address gaps literature. Our integrates conceptual analysis emerging research, applying Driscoll’s reflective model generate framework rooted principles clinical experiences. Results: propose integrative incorporating narrative-based sense-making, shared decision-making, mindfulness, active participation. By blending historical modern evidence, aims enhance health resilience, reduce unnecessary interventions, establish holistic Conclusions: Integrating diverse approaches refines practices, ensuring more person-centered, sensitive, musculoskeletal This bridges tradition enhancing outcomes fostering inclusive system.

Language: Английский

Citations

0
Understanding the challenges and opportunities for orthopedic manual physical therapy in Filipino physical therapy practice: An exploratory survey DOI Creative Commons
Oliver Ang, Lily Ann Bautista,

Maria Carmela Gerella

et al.

Philippine Journal of Physical Therapy, Journal Year: 2025, Volume and Issue: 4(1), P. 27 - 40

Published: April 1, 2025

Introduction: Orthopedic manual physical therapy (OMPT) is renowned for its positive biophysical and psychosocial effects, making it an important tool in clinical practice. Although OMPT has long been a stable intervention used developed countries, adoption spiked developing including the Philippines. Despite this progress, no comprehensive study explored factors that may hinder or enable Filipino therapists (PTs) from utilizing into their daily The aim of was to conduct thorough behavioral analysis determine PTs' capabilities, opportunities, motivations using orthopedic practice, Theoretical Domains Framework (TDF) Behavioral Change Wheel model. Methods: This research cross-sectional survey employed validated TDF questionnaire covering various domains, knowledge, skills, social/professional role identity, beliefs about optimism, consequences, reinforcements, intentions, memory/attention decision processes, environmental context resources, social influences, emotions, regulation, goals. PTs were purposefully recruited participate in-person CE courses, conferences, symposiums, through media. Results: There 331 respondents survey. revealed five dominant themes enabling clinicians use therapy. These included Social/Professional identity (n=311, 94%), optimism (n=307, 93%), belief consequences (n=304, 92%), knowledge (n=289, 87%), goal (n=288, 87%) practicing more frequently. top 5 barriers legal implications (environmental resources) (n=263, 79%), which also provoked fear causing injury patients (emotions) (n=171, 52%). Furthermore, received same less insurance reimbursement (n=161, 49%) out-of-pocket payment (n=135, 41%) did not have necessary materials effectively safely perform techniques context) (n=125, 38%). Conclusion: determined principal essential mapping facilitators among clinicians. utilization allows specific recommendations options stakeholders change behaviors, will be crucial becoming staple PT Funding: authors receive any external funding study.

Language: Английский

Citations

0
vARtebrae: Medical Simulation for Spinal Mobilisation Employing Mechanical Metamaterials and Extended Reality DOI

Kiichiro Tatsuzawa,

Jiayi Wu,

Jo Eann Chong

et al.

Published: April 23, 2025

Language: Английский

Citations

0