Physiotherapy modalities used in the management of chronic low back pain

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dc.contributor.authorNaidoo, Vaneshveri
dc.date.accessioned2009-10-15T08:10:39Z
dc.date.available2009-10-15T08:10:39Z
dc.date.issued2009-10-15T08:10:39Z
dc.descriptionM.Sc. (Physiotherapy), Faculty of Health Sciences, University of the Witwatersrand, 2009en_US
dc.description.abstractLow back pain (LBP) is one of the commonest and most costly medical problems in both the low and high income countries accounting for 75-90% of compensation costs. Compensation costs for LBP in South Africa in the year 2000 were approximately two hundred million rand and about 30 000 people suffer from neck and back problems on a daily basis. Physiotherapy treatment modalities are commonly used in the management of LBP but there is no consensus on the choice of treatment modalities. A cross-sectional survey was used to investigate the treatment modalities used by physiotherapists in Kwazulu-Natal (KZN) for the management of chronic low back pain (CLBP). The objectives of the study were to establish the commonly used physiotherapy modalities in the management of CLBP, the reasons behind the selection of those modalities and the extent to which the physiotherapists in KZN used evidence based modalities when managing CLBP. Self-Administered questionnaires were posted to all registered physiotherapists in KZN, that is, six hundred and eighty-five (685) physiotherapists. A 31% (213) response rate was achieved, of which 20.6% (141) met the inclusion criteria and 10.5% (72) were excluded. The results established that general exercises (30%); spinal mobilisation (28%); myofascial release (18%), education (12%) and training of local stabilisers (12%) were the commonly used treatment modalities in the management of CLBP. The key reasons for the selection of the treatment modalities were the undergraduate education received; own clinical experience and the attendance of postgraduate courses/physiotherapy conferences. Treatment modalities were not selected on the basis of the current available evidence hence evidence-based practice is not employed by physiotherapists in KZN in the management of patients with CLBP.en_US
dc.identifier.urihttp://hdl.handle.net/10539/7357
dc.language.isoenen_US
dc.subjectphysiotherapyen_US
dc.subjecttreatment modalities
dc.titlePhysiotherapy modalities used in the management of chronic low back painen_US
dc.typeThesisen_US
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