Non-exercise physical therapies for musculoskeletal conditions

被引:27
作者
Hurley, Michael V. [1 ]
Bearne, Lindsay M. [1 ]
机构
[1] Kings Coll London, Acad Dept Physiotherapy, Dulwich Commun Hosp, Rehabil Res Unit, London SE22 8PT, England
来源
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2008年 / 22卷 / 03期
关键词
non-exercise physical therapy; musculoskeletal conditions;
D O I
10.1016/j.berh.2008.01.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Management of musculoskeletal conditions by physiotherapy delivers a package of health care designed to reduce pain and improve function. Health-care interventions should be safe, effective, acceptable to patients, deliverable by clinicians, and affordable by health-care providers. Physiotherapy is very safe and popular with patients. While there is good evidence that exercise relieves pain, improves function, and is cost-effective, evidence supporting the use of non-exercise physiotherapeutic interventions is much weaker. There is some support for the efficacy of thermotherapy, transcutaneous electrical neuromuscular stimulation, and massage, all of which are relatively inexpensive and easy to self-administer. There is little evidence to support the efficacy of electrotherapy, acupuncture or manual therapy, which need to be delivered by a therapist, making them expensive and encouraging long-term reliance on others. Despite lack of efficacy, the popularity and powerful placebo effects of physiotherapeutic modalities may have some utility in making more burdensome physiotherapeutic interventions (exercise and self-management advice) more acceptable.
引用
收藏
页码:419 / 433
页数:15
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