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Physiotherapy Modalities used in the Management of Chronic Low Back Pain

机译:物理疗法治疗慢性下腰痛

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Chronic low back pain (CLBP) is a costly andcommon medical problem accounting for 75-90% of compensationcosts as a result of repeated treatments, long term work absenteeismand social support-unemployment compensation. Physiotherapytreatment modalities are commonly used in the management ofCLBP. Data on the management of CLBP by physiotherapists inlow income countries are scarce.A cross-sectional survey was used to investigate the managementof CLBP by physiotherapists in Kwazulu-Natal (KZN). Theobjectives of the study were to establish: the commonly used physiotherapymodalities; reasons; and the evidence base used for their choice. Six hundred and eighty-five self-administeredquestionnaires were posted to all registered physiotherapists in KZN.Of 213 returned questionnaires, 141 (20.6%) met the inclusion criteria as they managed patients with CLBP.General exercises (30%); spinal mobilisation (28%); myofascial release (18%), education (12%) and training oflocal stabilisers(12%) were the commonly used treatment modalities. Key reasons for the selection of the treatmentmodalities were undergraduate education received; own clinical experience and the attendance of postgraduate courses/physiotherapy conferences.From the reasons specified for the selection of treatment modalities, the use of written current available literaturethrough reading of journal articles was sparsely utilized.
机译:由于反复治疗,长期缺勤和社会支持-失业补偿,慢性下腰痛(CLBP)是一项昂贵且常见的医疗问题,占补偿成本的75-90%。物理疗法的治疗方式通常用于CLBP的管理中。低收入国家中物理治疗师对CLBP的管理的数据很少。横断面调查用于调查夸祖鲁-纳塔尔省(KZN)物理治疗师对CLBP的管理。该研究的目的是建立:常用的理疗方式;原因;以及用于选择的证据基础。向KZN的所有注册物理治疗师发布了685份自我管理问卷。在213份返回的问卷中,有141份(20.6%)在处理CLBP患者时符合纳入标准。一般锻炼(30%);脊柱动员(28%);肌筋膜释放(18%),教育程度(12%)和局部稳定剂的培训(12%)是常用的治疗方式。选择治疗方式的主要原因是接受了本科教育;拥有自己的临床经验和参加研究生课程/理疗会议。出于选择治疗方式的特定原因,很少利用通过阅读期刊文章获得的现有书面文献。

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