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0:00
My
name is Josephine O'Callaghan.
I'm a specialist musculoskeletal
physiotherapist with a BSE and MSC
in advanced manipulative
physiotherapy.
I work at Physiotherapy London.
The title of the presentation
is, What Does Physiotherapy Teach
Us About Back Pain?
With such a large topic to
cover, the presentation will
focus on mechanical low back pain.
0:26
This presentation will look at
physiotherapy as an intervention
choice, the role of
the physiotherapist,
and physiotherapy assessment
and management strategies
and how this can be
tailored to the patient.
0:41
Physiotherapy has been recommended
as an intervention for low back
pain in the 2014 NICE Guidelines.
Moreover, it has been determined to
be a cost-effective intervention,
and early referral to
physiotherapy can reduce the need
for medical or surgical procedures.
Physiotherapy can
include manual therapy,
exercise therapy, acupuncture,
and patient advice and education.
Pillistrini et al reviewed
clinical practice guidelines
and highlighted the importance
of education, exercise,
and the continuance of
activities of daily living
to patients with low back pain.
There was a lack of consensus
regarding one specific type
of exercise for this patient group.
However, graded, supervised,
and patient-specific exercises
are recommended, and
physiotherapists are ideally
placed to formulate these programs.
1:38
The role of the physiotherapist
is varied depending
on the patient's
clinical presentation
but may encompass
all of the following.
Education so that the patient has
an understanding of their symptoms
and management plan.
The physiotherapist can
provide pain relief, which
may be through manual therapy,
taping techniques, acupuncture,
or exercises.
The physiotherapist will analyze
posture and movement, which
is important to
improve motor control,
and prescribe exercises
to enhance this.
It can be argued that
exercise programs
should be individualized
to the patient
to address their specific needs.
