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Strategies for Evaluation and Treatment of Acute Low Back Pain
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Strategies for Evaluation and Treatment of Acute Low Ba... - May 11, 2007 6:25:00 PM
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jbeneciuk
Posts: 112
Joined: November 26, 2004
From: Jacksonville, FL
Status: offline
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I was a bit surprised as I opened an e-mail from a link which i receive weekly updates. This is a reputable link, however I do not want to mention which site it is...some of you may also receive this weekly update.
Regardless, these findings were listed as part of a continueing education course for among other professions....physicians
What was so shocking to me was the fact that if this is the information that physicians are receiving; it is no wonder that quite a few of them are unaware of what the profession of Physical-Therapy can provide.
Below are some of the listed "facts" listed as part of this CE unit.
It will be interesting to hear what some of you think about this topic...
1) For patients with acute LBP, specific back exercises are not helpful (level A).
2)For patients with acute LBP, heat therapy may reduce pain and increase function (level B).
3)Spinal manipulative therapy may offer some short-term benefits for acute LBP, but it probably is no more effective than usual medical care (level B).
3) The McKenzie method of physical therapy has been found to be superior to other treatments for short-term improvement of pain and disability, but long-term benefits have not been shown.
4)The US Preventive Services Task Force found insufficient evidence to recommend for or against the routine use of exercise interventions to prevent back pain.
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Re: Strategies for Evaluation and Treatment of Acute Lo... - June 11, 2007 8:40:00 AM
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hansam
Posts: 2
Joined: June 10, 2007
Status: offline
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spondylolithesis assesment
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Re: Strategies for Evaluation and Treatment of Acute Lo... - June 11, 2007 5:36:00 PM
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jlharris
Posts: 478
Joined: April 12, 2006
From: Nebraska
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I believe I read the same article. Temper it with the understanding that it is going to GP's and based on reviews of ALL trials that fit the reviewers criteria.
Example,
The specific exercise review did not include subgrouping of patients. So, finding is a no brainer.
I don't know how they came up with #3. Wonder if it's a nod towards avoiding acknowledgment that anything a chiro could do is beneficial. The evidence is out there that it IS at least as beneficial as "usual care" and more cost effective. *edit* For a specific subgroup.
McKenzie is the most studied. Plain and simple.
_____________________________
Jason L. Harris, PT, DPT
My PT Blog
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