Naprapathic Manual Therapy or Conventional Orthopedic Care for Outpatients on Orthopedic Waiting Lists?

Lilje, Stina; Friberg, Håkan; Wykman, Anders; Skillgate, Eva

doi:10.1097/ajp.0b013e3181d71ebd

Cited by 10 publications

(23 citation statements)

References 18 publications

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“…Positive effects from Naprapathic manual therapy (NMT) for LBP and other kinds of musculoskeletal disorders have been found in clinical trials. They include decreased pain, increased physical function, and perceived recovery, both in the short and in the long term [2-4]. The NMT concept is pragmatic; the patients’ knowledge about their disorders and their commitment to home exercises are believed to play an important role [5].…”

Section: Introductionmentioning

confidence: 99%

Experiences of Older Adults With Mobile Phone Text Messaging as Reminders of Home Exercises After Specialized Manual Therapy for Recurrent Low Back Pain: A Qualitative Study

Lilje

Olander

Berglund

et al. 2017

JMIR Mhealth Uhealth

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BackgroundClinical experience of manual therapy for musculoskeletal pain is that patients often suffer from recurrent pain and disorders, but that they do not continue to perform their physical home exercises when they are free from symptoms. The chance of positive long-term effects of manual therapy would probably increase if patients were reminded that they are to continue to perform their exercises. Mobile phone text messaging (short messaging service, SMS) is increasingly used as an innovative intervention to remind patient to exercise. However, there are only a few studies on such interventions in the field of low back pain (LBP). Qualitative studies of patients’ experiences of receiving text messages as reminders of home exercises after manual treatment for recurrent LBP have to the best of our knowledge never been published.ObjectivesThe aim of this study was to explore older persons’ common experiences of receiving reminders of home exercises through mobile phone text messaging after specialized manual therapy for recurrent LBP.MethodsA total of 7 men and 8 women (67-86 years), who had sought specialized manual therapy (Naprapathic manual therapy) for recurrent LBP were included in the study. Individual one-way text messages as reminders of home exercises (to be performed on a daily basis) were sent to each patient every third day for 3 weeks, then once a week for another 2 weeks. Semistructured interviews with 2 broad, open-ended questions were held and data were analyzed with systematic text condensation, based on Giorgi’s principles of psychological phenomenological analysis.ResultsThe participants appreciated the messages, which were perceived as timely and usable, and also stimulated memorizing. The messages made the participants reflect on the aim of the exercise, value of being reminded, and on their improvement in pain. During the interviews, the participants created their own routines for continued adherence to the exercises.ConclusionsIt seems plausible that mobile phone text messaging may serve as a useful tool for patient empowerment with regard to recurrent LBP in older persons. Further studies are needed to explore whether future compliance with the exercises will be as large if the participants are not being interviewed.

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Section: Introductionmentioning

confidence: 99%

Experiences of Older Adults With Mobile Phone Text Messaging as Reminders of Home Exercises After Specialized Manual Therapy for Recurrent Low Back Pain: A Qualitative Study

Lilje

Olander

Berglund

et al. 2017

JMIR Mhealth Uhealth

Self Cite

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“…Thereafter she had physiotherapy for 5 months, with only minor improvement, which was why she was referred to an orthopaedic outpatient department. By that time she agreed to participate in a clinical trial, and was randomised to the control group, (standard orthopaedic care1), 11 months after onset.…”

Section: Case Presentationmentioning

confidence: 99%

“…Naprapathic manual therapy1 is a combination of different manual techniques such as massage, stretching, treatment of myofascial trigger points, and specific mobilisation and manipulation techniques, combined with physical exercises. Naprapaths work under their own diagnostic and clinic responsibility, and since 1994 the naprapathic profession is a part of the Swedish health and medical care system, licenced by the National Board of Health and Welfare, for preventing, evaluating and treating patients with musculoskeletal pain and pain-related disability.…”

Section: Treatmentmentioning

confidence: 99%

“…Musculoskeletal impairments in the glenohumeral joint (GHJ) are one of the most common reasons for seeking orthopaedic medical care 1. One of these impairments is adhesive capsulitis (AC), also known as ‘frozen shoulder’, with a prevalence of 2–5% in the general population.…”

Section: Introductionmentioning

confidence: 99%

“…The case was included in a previously published clinical trial1 comparing conventional orthopaedic care with manual therapy. The patient was randomised to the control group, where she had mobilisation under anaesthesia; she was not cured until she had manual therapy of the acromioclavicular joint 1 year later.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pain relief in a young woman with adhesive capsulitis after manual manipulation of the acromioclavicular joint for remaining symptoms after mobilisation under anaesthesia

Lilje

Genberg²,

Aldudjaili³

et al. 2014

BMJ Case Reports

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Adhesive capsulitis is a painful condition with a prevalence of 2–5%. There is a lack of evidence for its aetiology and for conventional treatment and cost effects. This study describes the treatment effects of manual manipulation of the acromioclavicular joint for adhesive capsulitis in a young woman for persisting pain after mobilisation of the glenohumeral joint under anaesthesia. Primary outcomes were pain and physical function, measured by a visual analogue scale and the SF36 health survey. Secondary outcomes were sleep pattern, medication and perceived recovery. The mobility after manipulation under anaesthesia: elevation 55° and no improvement in pain. After manual manipulation: unrestricted elevation and significant pain relief. The patient no longer suffered from sleeping disorders and ceased all medication. Considering the lack of knowledge in aetiology and treatment, specialised manual examination of the acromioclavicular joint should be considered early in patients diagnosed with adhesive capsulitis.

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Predictive factors for reporting adverse events following spinal manipulation in randomized clinical trials – secondary analysis of a systematic review

Gorrell

Brown

Lystad

et al. 2017

Musculoskeletal Science and Practice

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Naprapathic Manual Therapy or Conventional Orthopedic Care for Outpatients on Orthopedic Waiting Lists?

Cited by 10 publications

References 18 publications

Experiences of Older Adults With Mobile Phone Text Messaging as Reminders of Home Exercises After Specialized Manual Therapy for Recurrent Low Back Pain: A Qualitative Study

Experiences of Older Adults With Mobile Phone Text Messaging as Reminders of Home Exercises After Specialized Manual Therapy for Recurrent Low Back Pain: A Qualitative Study

Pain relief in a young woman with adhesive capsulitis after manual manipulation of the acromioclavicular joint for remaining symptoms after mobilisation under anaesthesia

Predictive factors for reporting adverse events following spinal manipulation in randomized clinical trials – secondary analysis of a systematic review

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