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Comment on Manual Therapy Best Alternative Treatment for Neck Pain Relief Study
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Comment on Manual Therapy Best Alternative Treatment fo... - September 4, 2002 9:34:00 PM
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johnjfraser
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From: Staten Island, NY
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Comment on Manual Therapy Best Alternative Treatment for Neck Pain Relief Study
from Medscape Family Medicine
Posted 08/29/2002
John J. Fraser, PT, MS
Dear Editor,
I am writing to comment on the study "Manual Therapy, Physical Therapy, or Continued Care by a General Practitioner for Patients With Neck Pain. A Randomized, Controlled Trial."[1] Physical therapists provide services to patients/clients who have impairments, functional limitations, disabilities, and changes in physical function and health status resulting from injury, disease, or other causes. Physical therapy is executed through the skilled examination, evaluation, diagnosis, prognosis, and intervention of the musculoskeletal, neuromuscular, cardiovascular/pulmonary, and integumentary systems. The interventions are purposeful interactions of the physical therapist with the patient/client and, when appropriate, with other individuals in the patient/client care realm. Various physical therapy procedures and techniques are used to produce changes in the condition that are consistent with the diagnosis and prognosis.
I believe the authors of this study misrepresented physical therapy when limiting intervention exclusively to exercise in this study. This is surprising since the authors utilized physical therapists as the practitioners providing the manual therapy.
John J. Fraser, PT, MS
Editor's Note: This letter is in response to a study summarized in the July edition of the Family Medicine Journal Scan, currently available at [URL=http://www.medscape.com/viewarticle/438382_2.]http://www.medscape.com/viewarticle/438382_2.[/URL]
Medscape Family Medicine 2(2), 2002. © 2002 Medscape
[This message has been edited by johnjfraser (edited September 05, 2002).]
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Re: Comment on Manual Therapy Best Alternative Treatmen... - September 5, 2002 9:07:00 PM
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Brad Stevens
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From: Australia
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As Rothstein pointed out, what is the difference between manual therapy and physical therapy anyway?
Brad
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Re: Comment on Manual Therapy Best Alternative Treatmen... - September 6, 2002 2:29:00 PM
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johnjfraser
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From: Staten Island, NY
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[QUOTE]Originally posted by Brad Stevens:
As Rothstein pointed out, what is the difference between manual therapy and physical therapy anyway?
Brad[/QUOTE]
That is the point, that physical therapy is a profession that utilizes manual therapy techniques in the rehabilitation of functional limitations caused by musculoskeletal impairments. The article defined physical therapy specifically as exercise, and that is where I had a problem. And if I am correct, Rothstein's point in the editorial is that as a profession, we should not identify ourselves by the interventions that we provide, such as manual therapists, but by our professional designation as Physical Therapists.
------------------
John J Fraser, PT, MS
johnjfraser@yahoo.com
John Fraser's Physical Therapy
[URL=http://www.geocities.com/johnjfraser]http://www.geocities.com/johnjfraser[/URL]
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Re: Comment on Manual Therapy Best Alternative Treatmen... - September 6, 2002 6:14:00 PM
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Bournephysio
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Joined: April 25, 2002
From: Calgary
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Someone made an interesting comment about this at another site (I believe it was NOI). Where the study was done (Netherlands?) manual therapists are a subset of physiotherapists with additional training. This is well known to the public and physicians. Therefore, in the author's minds it was an unambigous title.
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Re: Comment on Manual Therapy Best Alternative Treatmen... - October 28, 2002 4:34:00 PM
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swoodard23
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Joined: March 18, 2002
From: Abilene
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Interesting fact,
the techniques used in the study were developed by a MD (James Cyriax), and two physical therapists (Freddy Kaltenborn and James Mennell)
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Re: Comment on Manual Therapy Best Alternative Treatmen... - May 15, 2003 4:31:00 PM
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steve
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Joined: May 14, 2003
From: victoria, bc Canada
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Interestingly this study was used by massage therapists where I live (Canada) as a means of profiling their profession as being more efficacious than PT. Thats what happens when distinctions are not clearly made. I think a similar scenario was evident in the 1999 study in Seattle comparing Chiropractic with physiotherapy. In that study physiotherapy was limited to extension exercises only for low back pain and the chiro group was allowed manipulation, exercise and modalities. More of a stink would have been made with that study but the two groups effect difference was not significant.
Steve
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