Owen:
Is there any evidence that conclusively supports what you seem to imply -
i.e. that physio is HIGHLY effective for low back pain? Feel free to use
any specific pathology that can be definitely ascertained by a physical
examination.Best of luck mate!!
I'm not being a smart__se, but the conclusion that PT is not that great is
quite reasonable, based on the research so far.
Michael Meddows
Virginia Beach
-----Original Message-----
From: Owen Allen [SMTP:[log in to unmask]]
Sent: Wednesday, February 24, 1999 4:43 AM
To: [log in to unmask]
Subject: Re: BACK CARE BIAS?
At 22:58 22/02/99 -0500, you wrote:
>..." But this is really not exactly fair. If I had a tumor, a
>kidney infection, etc, that caused back pain, I am sure I would be more
>satisfied with an MD. If I had a herniated disk unresponsive to
>chiropractic care or physical therapy, I would be more satified with a
>ortho or neuro surgeon. If I had "garden variety" low back pain, I would
>be most satisfied with doing some home exercises and walking either with
>instruction by a PT or a DC or an MD".
---------------------------------
In similar vein, last year I read a brief of a research report from a
professor of General Practice in Canada who purported to have studied the
effect of physiotherapy on low back pain, and found the efficacy to be low.
I was baffled by the suggestion in this report that 'physiotherapy' is a
treatment technique or protocol, and that low back pain is a specific
pathology. It is of great concern that leaders of health sciences either
fail to be rigorous in the definition of their research variables, or their
communication of that research. Whichever the case, in this era of
information it is a failure of duty of care for scientists to be that
sloppy. Although I would go so far as to suggest that some researchers
might
be downright mischievous, for their own gain.
Owen Allen
Atherton Hospital
P.O. Box 183
Atherton 4883
Queensland, Australia.
Ph: 07 40910261
F: 07 40913502
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