“Influence of the patient-therapist relationship on pain sensitivity in patient with non-specific neck pain treated by manipulation. A structured literature review”.
Item
- Title
- “Influence of the patient-therapist relationship on pain sensitivity in patient with non-specific neck pain treated by manipulation. A structured literature review”.
- Author(s)
- Pouriel. A
- Abstract
- Background: In physical therapy, treatment effectiveness may be influenced by other non-specific factors in addition to the specific treatment provided such as the therapeutic alliance (TA) or the consultation length. Objectives: The primary aim of this review is to evaluate whether there is a relationship between reported Patient-practitioner relationship (PP relationship) and effect on neck pain sensitivity in studies using thrust manipulation. The objectives are to assess the effect of patient-practitioner interactions associated with the duration of the consultation on clinical outcomes. Design: A structured literature review. Method: Three electronic databases were searched for the most recent literature within the last 10 years, there were keywords and filters applied. These filters were mainly consisting out of the inclusion and exclusion criteria. The quality of the trials was measured using Physiotherapy Evidence database. A non-valid scale was created to class and compare every study regarding the information reported about the duration of the intervention and the rapport between the patient and the therapist. Results: The average study quality of selected trials was good, with a mean Physiotherapy Evidence database score of 7.2. The amount of information reported about the PP relationship was poor, only exercises or advises were found to be reported. Studies graded with a score of three on the TA scale reached a higher pain rate changes than the mean value. Studies presenting a pain rate change value higher than the mean one also has an intervention length of 30 minutes or longer. Discussion: A correlation possibly exists between the therapeutic alliance and change in pain outcomes. However, the proportion of reported PP relationship information was very low making it difficult to evaluate this influence on clinical outcomes. Conclusion: An association can be made between TA, consultation length and pain outcome, however the patient-therapist relationship need to be taking more into consideration in practice and future research.
- presented at
- European School of Osteopathy
- Date Accepted
- 2019
- Date Submitted
- 19.11.2019 18:31:09
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16508
- Inst-Identifier
- 1229
- Keywords
- Consultation length, manipulation thrust, neck pain, patient-therapist relationship, Therapeutic alliance
- Recommended
- 0
- Item sets
- Thesis
Pouriel. A, ““Influence of the patient-therapist relationship on pain sensitivity in patient with non-specific neck pain treated by manipulation. A structured literature review”.”, Osteopathic Research Web, accessed April 29, 2024, https://www.osteopathic-research.com/s/orw/item/321