Download Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain PDF Free

Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain PDF
By:Jean J. Perez
Published on 2012 by

Background: The emergence of physical therapy manual technique as a treatment option for mechanical neck pain has been supported by positive claims by published literature in other countries. However, in the Philippines, there are limited, if not absent, studies that describes the practice of manual physical therapy as treatment for mechanical neck pain. Objectives: This paper aimed to (1) determine the proportion of physical therapists in rehabilitation centers in the city of Manila who use physical therapy manual technique, (2) determine the factors that influence them to use such technique, (3) determine different physical therapy manual techniques use, and (4) decribe the manner of application and parameters used in the application of manual physical therapy techniques on patients with mecahnical neck pain. Methods: This paper used mixed qualitative - quantitative study design utilizing a survey which combined observational methods to describe the use of manual physical therapy techniques on patients with mechanical neck pain. A survey questionnaire was drafted based on existing literature, face-validated by 2 physical therapy experts, and pilot-tested on 10 PTs in an identified institution, and self-administered to consenting physical therapists in the City of Manila. Eight physical therapists were observed and video recorded while treating patient in the second phase in order to document the details of techniques used. Video analyses were done by 2 experts in the technique. Results: A total 70 PTs from 14 different hospital-based rehabilitation centers responded to the survey questionnaire. Eighty percent (80%) of the respondents use manual physical therapy techniques (72.86% as an adjunct treatment; 7.14% as stand-alone treatment) and only 20% of them do not use the intervention. Factors that greatly influence them to in choosing such were MD prescpriptions (58.57%), positive effects in other patients (38.57%), published literature (32.86%), and influenced by coworkers (30.00%). Surprisingly, 37.14% of the respondents are not certain whose principle they are using, but among other choices, it was McKenzie (32.36%), Mulligan (30%) and Maitland (18.57%) principles that top as the most commonly cited. The use of pain scale (91.43%), ROM (65.71%), fucntional ability (62.86%), quality of the life (44.29%), muscle strength (25.71%) were the outcome measures used to determine the effectiveness of the technique. Clinical reasoning behind the choice of technique and parameter on patients with mechanical neck pain was based on the patient's evaluation and assessment according to the theme derived from the qualitative study. Conclusion/Recommendation: PTs in the City of Manila are aware and updated with the use physical therapy manual technique for patient with mechanical neck pain; however, more exposure and learning on the other techniques, and update on the advancement of the known and accepted principles should be given attention, in order to enhance the knowledge and skill of the PTs in the City of Manila in treating patient with mechanical neck pain using physical therapy manual technique. And because small sample size was used, it is recommended to further the research to other areas, either outside Manila and/or outside the hospital settings.

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Download Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain PDF Free

Download Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain Books Free

Download Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain Free

Download Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain PDF

Download Use of Physical Therapy Manual Techniques by Filipino Physical Therapists in the City of Manila for Mechanical Neck Pain Books