Can you be a manual therapist without using your hands?

Saragiotto, BT; Sandal, LF; Hartvigsen, J

Can you be a manual therapist without using your hands?

Saragiotto, BT Sandal, LF Hartvigsen, J

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Publisher:: Springer Science and Business Media LLC
Publication Type:: Journal Article
Citation:: Chiropr Man Therap, 2022, 30, (1), pp. 48-48
Issue Date:: 2022-11-14

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Field	Value	Language
dc.contributor.author	Saragiotto, BT
dc.contributor.author	Sandal, LF
dc.contributor.author	Hartvigsen, J
dc.date.accessioned	2023-01-19T00:27:23Z
dc.date.available	2022-10-13
dc.date.available	2023-01-19T00:27:23Z
dc.date.issued	2022-11-14
dc.identifier.citation	Chiropr Man Therap, 2022, 30, (1), pp. 48-48
dc.identifier.issn	2045-709X
dc.identifier.issn	2045-709X
dc.identifier.uri	http://hdl.handle.net/10453/165164
dc.description.abstract	BACKGROUND: To align with current best practices, manual therapists have refined their treatment options to include exercise and pain education for people with chronic musculoskeletal pain. In this commentary, we suggest that manual therapists should also add telehealth to their toolbox. Thus, we aim to discuss the use of telehealth by manual therapists caring for patients with musculoskeletal disorders. MAIN BODY: Telehealth can be delivered to the patient in different modes, such as real-time clinical contact or asynchronously. Platforms vary from websites and smartphone apps to virtual reality systems. Telehealth may be an effective approach, especially for improving pain and function in people with musculoskeletal pain, and it has the potential to reduce the individual and socioeconomic burden of musculoskeletal conditions. However, the certainty of evidence reported in systematic reviews is often low. Factors such as convenience, flexibility, undivided attention from the clinician, user-friendly platforms, goal setting, and use of evidence-based information are all enablers for telehealth use and improving patients' knowledge, self-efficacy, and self-management. Barriers to widening the use of telehealth in musculoskeletal care include the reliability of technology, data privacy issues, difficult to build therapeutic alliance, one-size-fits-all approaches, digital health literacy, and payment models. CONCLUSION: We suggest that practitioners of manual medicine make telehealth part of their clinical toolbox where it makes sense and where there is evidence that it is beneficial for people who seek their care.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Science and Business Media LLC
dc.relation	São Paulo Research Foundation16/24217-7
dc.relation.ispartof	Chiropr Man Therap
dc.relation.isbasedon	10.1186/s12998-022-00457-x
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1104 Complementary and Alternative Medicine
dc.subject.mesh	Chronic Pain
dc.subject.mesh	Humans
dc.subject.mesh	Musculoskeletal Pain
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Telemedicine
dc.subject.mesh	Humans
dc.subject.mesh	Musculoskeletal Pain
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Telemedicine
dc.subject.mesh	Chronic Pain
dc.subject.mesh	Humans
dc.subject.mesh	Reproducibility of Results
dc.subject.mesh	Telemedicine
dc.subject.mesh	Musculoskeletal Pain
dc.subject.mesh	Chronic Pain
dc.subject.mesh	Systematic Reviews as Topic
dc.title	Can you be a manual therapist without using your hands?
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1104 Complementary and Alternative Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2023-01-19T00:27:21Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	1

Abstract:

BACKGROUND: To align with current best practices, manual therapists have refined their treatment options to include exercise and pain education for people with chronic musculoskeletal pain. In this commentary, we suggest that manual therapists should also add telehealth to their toolbox. Thus, we aim to discuss the use of telehealth by manual therapists caring for patients with musculoskeletal disorders. MAIN BODY: Telehealth can be delivered to the patient in different modes, such as real-time clinical contact or asynchronously. Platforms vary from websites and smartphone apps to virtual reality systems. Telehealth may be an effective approach, especially for improving pain and function in people with musculoskeletal pain, and it has the potential to reduce the individual and socioeconomic burden of musculoskeletal conditions. However, the certainty of evidence reported in systematic reviews is often low. Factors such as convenience, flexibility, undivided attention from the clinician, user-friendly platforms, goal setting, and use of evidence-based information are all enablers for telehealth use and improving patients' knowledge, self-efficacy, and self-management. Barriers to widening the use of telehealth in musculoskeletal care include the reliability of technology, data privacy issues, difficult to build therapeutic alliance, one-size-fits-all approaches, digital health literacy, and payment models. CONCLUSION: We suggest that practitioners of manual medicine make telehealth part of their clinical toolbox where it makes sense and where there is evidence that it is beneficial for people who seek their care.

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http://hdl.handle.net/10453/165164