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For chronic low back pain, massage therapy was no better than no treatment for both pain and function, though only in the short-term. [118] The overall quality of the evidence was low and the authors conclude that massage therapy is generally not an effective treatment for low back pain. [118]
As a result, McKenzie principles are used by many physical therapists in the treatment of low back pain, whereas Williams Exercises are no longer taught as a physical therapy protocol. This is supported by evidence which demonstrates improved functional outcomes for the McKenzie approach in comparison to the Williams exercises.
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
A few low-quality studies have suggested that the activator may be as effective as manual adjustment in treatment of back pain. [20] A single high-quality study has suggested that activator-assisted manipulation directed by leg-length testing was significantly inferior to manual spinal manipulation guided by palpation and was more similar to ...
The Association's membership swelled to 8,000, and the number of physical therapy education programs across the U.S. increased from 16 to 39. During the mid-1940s, the association adopted its current name, hired a full-time staff, and opened its first national office in New York City.
Physical therapy addresses the illnesses or injuries that limit a person's abilities to move and perform functional activities in their daily lives. [3] PTs use an individual's history and physical examination to arrive at a diagnosis and establish a management plan and, when necessary, incorporate the results of laboratory and imaging studies like X-rays, CT-scan, or MRI findings.
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
In 2002–03, the majority of those who sought chiropractic did so for relief from back and neck pain and other neuromusculoskeletal complaints; [19] most do so specifically for low back pain. [ 19 ] [ 224 ] The majority of U.S. chiropractors participate in some form of managed care. [ 8 ]
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