A comparison between the treatment and management approaches of osteopaths and physiotherapists towards acute lumbar disc prolapse
Item
- Title
- A comparison between the treatment and management approaches of osteopaths and physiotherapists towards acute lumbar disc prolapse
- Title
- A comparison between the treatment and management approaches of osteopaths and physiotherapists towards acute lumbar disc prolapse
- Author(s)
- Khambay Muntej
- Abstract
- Objective: To compare and contrast the treatment and management strategies employed by osteopaths and physiotherapists towards acute lumbar disc prolapse (LDP) and to evaluate the adherence to the clinical knowledge summaries (2009) for lumbar radiculopathy (CKSLR) by both professions. Method: A postal questionnaire was sent to 122 osteopaths and 122 physiotherapists along with an invitation letter to take part in the study and a stamped self-addressed envelope. Questions about treatment and management were asked in relation to a clinical case scenario. Responses were based on a likert-scale and yes or no answers. Results: The total response rate was 24%. Physiotherapists placed significantly greater importance on remaining active, advising analgesics to counter pain and cardio respiratory exercise; this in line with CKSLR (2009) guidance. Osteopaths placed significantly more importance on referral of the patient for MRI; this was not coherent with CKSLR (2009). Significantly more osteopaths would use high velocity thrust (HVT)/Maintland grade V (MMGV) and manual traction to treat the patient, modalities not recommended by the CKSLR (2009). Conclusions: Statistically significant differences between the osteopathic and physiotherapist approaches have been identified. While the latter conforms to the CKSLR, the former does not. This study highlights a fundamental need for understanding the factors considered in the assessment of success of LDP treatments by physiotherapists, osteopaths and NHS CKSLR.
- Abstract
- Objective: To compare and contrast the treatment and management strategies employed by osteopaths and physiotherapists towards acute lumbar disc prolapse (LDP) and to evaluate the adherence to the clinical knowledge summaries (2009) for lumbar radiculopathy (CKSLR) by both professions. Method: A postal questionnaire was sent to 122 osteopaths and 122 physiotherapists along with an invitation letter to take part in the study and a stamped self-addressed envelope. Questions about treatment and management were asked in relation to a clinical case scenario. Responses were based on a likert-scale and yes or no answers. Results: The total response rate was 24%. Physiotherapists placed significantly greater importance on remaining active, advising analgesics to counter pain and cardio respiratory exercise; this in line with CKSLR (2009) guidance. Osteopaths placed significantly more importance on referral of the patient for MRI; this was not coherent with CKSLR (2009). Significantly more osteopaths would use high velocity thrust (HVT)/Maintland grade V (MMGV) and manual traction to treat the patient, modalities not recommended by the CKSLR (2009). Conclusions: Statistically significant differences between the osteopathic and physiotherapist approaches have been identified. While the latter conforms to the CKSLR, the former does not. This study highlights a fundamental need for understanding the factors considered in the assessment of success of LDP treatments by physiotherapists, osteopaths and NHS CKSLR.
- presented at
- British School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 3.2.2012 00:00:00
- Type
- osteo_thesis
- Language
- English
- Pub-Identifier
- 15069
- Inst-Identifier
- 780
- Keywords
- Osteopaths, physiotherapists, lumbar disc prolapse, sciatica, lumbar radiculopathy, treatment, management, clinical guidelines, evidence
- Recommended
- 0
- Item sets
- Thesis
Khambay Muntej, “A comparison between the treatment and management approaches of osteopaths and physiotherapists towards acute lumbar disc prolapse”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathic-research.com/s/orw/item/1767