To look for solutions to complex pain problems is noble. One must consider
the many sets of conditions that could be related to the pain. For instance
Maitland's concept of SINS has many permutations that make it difficult to
say there is only one way to treat some condition. BUT, on the other hand
we do follow certain "rules" of examination so that we have a baseline to
develop a hypothesis for our treatment rationale. This could in turn lead
one to use a "recipe" or model to treat certain conditions. So, I don't
think it's too far fetched to think that it's possible to develop protocols
for treating certain spinal conditions perhaps just very difficult.
Patrick Zerr
www.apluspt.com
The easiest way to prepare for the National PT Exam!
www.summitpt.com
Summit Physical Therapy; Tempe, Arizona
----- Original Message -----
From: "John Willenbruch" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, July 31, 2002 11:14 AM
Subject: Back pain recipe.
> I was chatting to a colleague today regarding the direction we felt PT
> should take in the future and something I felt was interesting came out
and
> I thought I would ask you lot your thoughts.
>
> I said I felt that hopefully good research would provide us with
> patterns/models of how low back pain presents, and then we could work out
> ways to accurately predict what treatments would be effective.
>
> She replied that she thought this would be a negative step as it reduces
> physio independence and creativity.
>
> So I guess the question is would you put up with a more prescriptive work
> ethic for more predictable (better???) results with patients?
>
> Any other thoughts on the idea of a "recipe book" method of
physiotherapy?
>
> Cheers,
>
> John Willenbruch
>
> Also does anyone else think I am sad for finding this really interesting.
> I do!!
>
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