Standardization of Adverse Event Terminology and Reporting in Orthopaedic Physical Therapy: Application to the Cervical Spine

Carlesso, Lisa C.; MacDermid, Joy C.; Santaguida, Lina

doi:10.2519/jospt.2010.3229

Cited by 95 publications

(64 citation statements)

References 44 publications

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“…40 Relying on memory has been shown to be problematic and can under-or overestimate incidence, 40 which may have led our respondents to under-or over-report their practice behaviours or beliefs. Another limitation in our findings is the lack of a standard definition of adverse events in manual therapy, 41 which means that respondents may have interpreted the term differently. This gap would be expected to contribute to random error to our estimations.…”

Section: Limitationsmentioning

confidence: 77%

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Carlesso¹,

MacDermid

Santaguida

et al. 2013

Physiotherapy Canada

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Purpose: This practice survey describes how Fellows of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) use spinal manipulation and mobilization and how they perceive their competence in performing spinal assessment; it also quantifies relationships between clinical experience and use of spinal manipulation. Methods: A cross-sectional survey was designed based on input from experts and the literature was administered to a random sample of the FCAMPT mailing list. Descriptive (including frequencies) and inferential statistical analyses (including linear regression) were performed. Results: The response rate was 82% (278/338 eligible FCAMPTs). Most (99%) used spinal manipulation. Two-thirds (62%) used clinical presentation as a factor when deciding to mobilize or manipulate. The least frequently manipulated spinal region was the cervical spine (2% of patients); 60% felt that cervical manipulation generated more adverse events. Increased experience was associated with increased use of upper cervical manipulation among male respondents (14% more often for every 10 years after certification; b, 95% CI ¼ 1.37, 0.89-1.85, p < 0.001) but not among female respondents. Confidence in palpation accuracy decreased in lower regions of the spine. Conclusion: The use of spinal manipulation/mobilization is prevalent among FCAMPTs, but is less commonly used in the neck because of a perceived association with adverse events.Key Words: beliefs; palpation; spinal manipulation; utilization. RÉ SUMÉObjectif: Cette enquê te sur la pratique explique comment les membres de la Canadian Academy of Manipulative Physiotherapy (CAMPT) utilisent la manipulation ou la mobilisation verté brale et comment ils perc¸oivent leur compé tence en é valuation verté brale. Elle visait é galement à quantifier la relation entre l'expé rience clinique et l'utilisation de la manipulation verté brale. Mé thode: Une enquê te transversale a é té conçue à partir des observations d'experts et de la litté rature. Son questionnaire a ensuite é té envoyé à un é chantillon alé atoire de membres de la CAMPT apparaissant sur la liste d'envoi de cet organisme. Des analyses descriptives (y compris les fré quences) et des analyses statistiques par infé rence (y compris une ré gression liné aire) ont é té ré alisé es. Ré sultats: Le taux de ré ponse é tait de 82% (278 de 338 membres admissibles de la CAMPT). La plupart des ré pondants (99%) ont recours à la manipulation verté brale. Les deux tiers (62%) ont utilisé la pré sentation clinique comme facteur au moment de dé cider de mobiliser ou de manipuler. La ré gion verté brale le moins fré quemment manipulé e é tait la colonne cervicale (2% des patients); 60% des ré pondants estiment que la manipulation cervicale engendre plus d'effets indé sirables. Une plus grande expé rience é tait associé e à une plus grande utilisation de la manipulation cervicale supé rieure chez les ré pondants de sexe masculin (14% plus souvent pour chaque tranche de 10 ans suivant l'agré ment); b1,37, IC de 95% ¼ 0,89-1,85, p <...

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Section: Limitationsmentioning

confidence: 77%

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Carlesso¹,

MacDermid

Santaguida

et al. 2013

Physiotherapy Canada

Self Cite

View full text Add to dashboard Cite

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“…Calls have been made to standardize terminology. 43 This variation in terminology makes comparisons between similar studies difficult.…”

Section: Discussionmentioning

confidence: 99%

Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists

Brady

McEvoy

Dommerholt

et al. 2013

Journal of Manual & Manipulative Therapy

128

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“…In the current study, an adverse event was defined as sequelae of 1 week in duration with any symptom perceived as distressing and unacceptable to the patient and that required further treatment. 4 Particular attention was given to the presence of post-DN soreness within the group receiving TrP DN. Patients were advised to report any increase in their symptoms after any session.…”

Section: Treatment Side Effectsmentioning

confidence: 99%

Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial

Espí-López¹,

Serra-Añó²,

Vicent-Ferrando³

et al. 2017

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Randomized controlled trial. Background Evidence suggests that multimodal interventions that include exercise therapy may be effective for patellofemoral pain (PFP); however, no study has investigated the effects of trigger point (TrP) dry needling (DN) in people with PFP. Objectives To compare the effects of adding TrP DN to a manual therapy and exercise program on pain, function, and disability in individuals with PFP. Methods Individuals with PFP (n = 60) recruited from a public hospital in Valencia, Spain were randomly allocated to manual therapy and exercises (n = 30) or manual therapy and exercise plus TrP DN (n = 30). Both groups received the same manual therapy and strengthening exercise program for 3 sessions (once a week for 3 weeks), and 1 group also received TrP DN to active TrPs within the vastus medialis and vastus lateralis muscles. The pain subscale of the Knee injury and Osteoarthritis Outcome Score (KOOS; 0–100 scale) was used as the primary outcome. Secondary outcomes included other subscales of the KOOS, the Knee Society Score, the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC), and the numeric pain-rating scale. Patients were assessed at baseline and at 15-day (posttreatment) and 3-month follow-ups. Analysis was conducted with mixed analyses of covariance, adjusted for baseline scores. Results At 3 months, 58 subjects (97%) completed the follow-up. No significant between-group differences (all, P>.391) were observed for any outcome: KOOS pain subscale mean difference, −2.1 (95% confidence interval [CI]: −4.6, 0.4); IKDC mean difference, 2.3 (95% CI: −0.1, 4.7); knee pain intensity mean difference, 0.3 (95% CI: −0.2, 0.8). Both groups experienced similar moderate-to-large within-group improvements in all outcomes (standardized mean differences of 0.6 to 1.1); however, only the KOOS function in sport and recreation subscale surpassed the prespecified minimum important change. Conclusion The current clinical trial suggests that the inclusion of 3 sessions of TrP DN in a manual therapy and exercise program did not result in improved outcomes for pain and disability in individuals with PFP at 3-month follow-up. Level of Evidence Therapy, level 1b. Prospectively registered July 27, 2015 at www.clinicaltrials.gov (NCT02514005). J Orthop Sports Phys Ther 2017;47(6):392–401. doi:10.2519/jospt.2017.7389

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Standardization of Adverse Event Terminology and Reporting in Orthopaedic Physical Therapy: Application to the Cervical Spine

Cited by 95 publications

References 44 publications

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Beliefs and Practice Patterns in Spinal Manipulation and Spinal Motion Palpation Reported by Canadian Manipulative Physiotherapists

Adverse events following trigger point dry needling: a prospective survey of chartered physiotherapists

Effectiveness of Inclusion of Dry Needling in a Multimodal Therapy Program for Patellofemoral Pain: A Randomized Parallel-Group Trial

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