Treatment and management approaches of UK osteopaths and physiotherapists to patients with persistent non-specific low back pain – NICE or not NICE?

Item

Title
Treatment and management approaches of UK osteopaths and physiotherapists to patients with persistent non-specific low back pain – NICE or not NICE?
Title
Treatment and management approaches of UK osteopaths and physiotherapists to patients with persistent non-specific low back pain – NICE or not NICE?
Author(s)
Yates Carly
Abstract
Objectives: To explore the management approaches of UK osteopaths and musculoskeletal physiotherapists to patients with persistent non-specific low back pain, and their attitudes to Evidence Based Practice and the NICE Persistent Non-Specific Low Back Pain Guidelines. Methods: Qualitative analysis of 10 semi-structured interviews using Thematic Analysis, consistent with elements of Grounded Theory Results: Five main themes were identified: Assessment Methods, Treatment Modalities, Management Approaches, Opinions on Evidence Based Practice and Practice Guidelines, and Opinions on the NICE Persistent Non-Specific Low Back Pain Guidelines. More differences were found in treatment and management approaches between individual practitioners than between the professions of osteopathy and musculoskeletal physiotherapy. Practitioners reported a difficulty with adhering to guidelines because they were too research-based and not sufficiently patient-centred. Clinical experience was employed with individual patients to provide a patient-specific approach to the treatment and management of an individual patient’s persistent non-specific low back pain Conclusions: It is suggested that current guidelines need to acknowledge the needs of individual patients and adopt a more biopsychosocial approach to patient care.
Abstract
Objectives: To explore the management approaches of UK osteopaths and musculoskeletal physiotherapists to patients with persistent non-specific low back pain, and their attitudes to Evidence Based Practice and the NICE Persistent Non-Specific Low Back Pain Guidelines. Methods: Qualitative analysis of 10 semi-structured interviews using Thematic Analysis, consistent with elements of Grounded Theory Results: Five main themes were identified: Assessment Methods, Treatment Modalities, Management Approaches, Opinions on Evidence Based Practice and Practice Guidelines, and Opinions on the NICE Persistent Non-Specific Low Back Pain Guidelines. More differences were found in treatment and management approaches between individual practitioners than between the professions of osteopathy and musculoskeletal physiotherapy. Practitioners reported a difficulty with adhering to guidelines because they were too research-based and not sufficiently patient-centred. Clinical experience was employed with individual patients to provide a patient-specific approach to the treatment and management of an individual patient’s persistent non-specific low back pain Conclusions: It is suggested that current guidelines need to acknowledge the needs of individual patients and adopt a more biopsychosocial approach to patient care.
Date Accepted
2011
Date Submitted
3.2.2012 00:00:00
Type
osteo_thesis
Language
English
Pub-Identifier
15120
Inst-Identifier
780
Keywords
Low Back Pain, Osteopathy, Physiotherapy, Clinical Practice Guidelines, Management
Recommended
0
Item sets
Thesis

Yates Carly, “Treatment and management approaches of UK osteopaths and physiotherapists to patients with persistent non-specific low back pain – NICE or not NICE?”, Osteopathic Research Web, accessed May 2, 2025, https://www.osteopathic-research.com/s/orw/item/1720