| Titre : | Modernizing patient-centered manual therapy: Findings from a Delphi study on orthopaedic manual therapy application (2023) |
| Auteurs : | Damian Keter ; David Griswold ; Kenneth Learman ; Chad Cook |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 65, June 2023) |
| Article en page(s) : | 102777 |
| Note générale : | https://doi.org/10.1016/j.msksp.2023.102777 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Education pour la santé ; Manipulations de l'appareil locomoteur ; Orthopédie |
| Mots-clés: | Manipulations musculo-squelettiques |
| Résumé : | Background Recent literature challenges the process by which orthopaedic manual therapy (OMT) has traditionally been applied. Progressive understanding of the complexities surrounding OMT analgesia and the decreased reliance on technique specific characteristics in determining treatment effectiveness promotes an update to training paradigms related to OMT. Objectives: The purpose of this Delphi study was to establish consensus on what trainees should be focusing on when demonstrating OMT techniques and how candidates for OMT should be identified. Design An international three-round Delphi study following recommended guidelines for conducting and reporting of Delphi studies (CREDES) was performed. Methods One-hundred sixty-four expert manual therapy educators were identified for participation across four countries. Participants were asked to provide what concepts trainees should be focusing on when demonstrating OMT techniques and how candidates for OMT should be identified. Twenty-one themes were identified for each question. Results Twenty-eight participants completed all three rounds of the Delphi. Consensus was reached on nineteen themes and eighteen themes respectively. Results from this Delphi stress patient-centered care within a biopsychosocial pain management model. Representation across all pillars of evidence-based practice were represented. Themes reaching consensus within this study favored the importance of neurophysiological, psychological, and biomechanical principles. Conclusion This Delphi presents consensus-based recommendations for what manual therapy trainees should focus on when demonstrating OMT techniques and on how candidates for OMT should be identified. These findings in collaboration with previous consensus recommendations on concepts to focus on within OMT education promote restructuring of OMT curriculum to evidence-based patient-centered care models. |
| Disponible en ligne : | Oui |
| En ligne : | https://www.sciencedirect.com/science/article/pii/S2468781223000620 |
Bibliothèques HE Vinci
