Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Unraveling the Mechanisms of Manual Therapy
- And Finally, a Story about Reducing sedentary behaviour to decrease chronic low back pain
For HealthBeat …. This is Dr. Todd Eglow.
Welcome to HealthBeat Podcast #623 recorded February 16, 2018
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Unraveling the Mechanisms of Manual Therapy
Manual therapy interventions are popular among individual health care providers and their patients; however, systematic reviews do not strongly support their effectiveness.
Small treatment effect sizes of manual therapy interventions may result from a “one-size-fits-all” approach to treatment.
Mechanistic-based treatment approaches to manual therapy offer an intriguing alternative for identifying patients likely to respond to manual therapy. However, the current lack of knowledge of the mechanisms through which manual therapy interventions inhibit pain limits such an approach.
The nature of manual therapy interventions further confounds such an approach, as the related mechanisms are likely a complex interaction of factors related to the patient, the provider, and the environment in which the intervention occurs.
Therefore, a model to guide both study design and the interpretation of findings is necessary.
In this clinical commentary, the authors of this study published in the Journal of Orthopedic and Sports Physical Therapy, provide a narrative appraisal of the model and recommendations to advance the study of manual therapy mechanisms.
Surf to our Show Notes for Links – https://www.jospt.org/doi/pdfplus/10.2519/jospt.2018.7476
Reducing sedentary behaviour to decrease chronic low back pain
The Stand Back study, recently published in the journal Occupational and Environmental Medicine, evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP).
This randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) >10% and desk jobs (sitting ≥20 hours/week).
The study concluded that an intervention coupling behavioural counselling targeting reduced sedentary behaviour and pain self-management is a translatable treatment strategy that shows promise for treating chronic LBP in desk-bound employees.
Surf to our Show Notes for Links – http://oem.bmj.com/content/early/2018/01/12/oemed-2017-104732
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.