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• W2054084546 abstract "Physiotherapists worldwide are now using spinal mobilisation and manipulation (SMT) as the main treatment for mechanical spinal disorders. Courses providing education in the techniques of SMT flourish in most countries of the western world. There arises the distinct possibility that this trend will create, for the third time this century, a profession whose main tool for the treatment of back pain is SMT. The indiscriminate use of SMT must cease if we are to avoid the criticisms that have been justifiably levelled at chiropractic and osteopathy. We cannot condone the dispensation of SMT to the whole population with back pain in order to deliver the procedure to the very few who require the technique. We cannot justify the application of external forces to treat mechanical spinal disorders, if there is the slightest possibility that the patient can resolve the problem alone. The continued use of methods that create patient dependency must be questioned when successful treatments based on patient responsibility and self-treatment are available. This paper attempts to persuade those interested in the topic that a reassessment of our direction is required as the social cost of treating back pain is placed under scrutiny. An alternative method for managing low back pain using patient-generated forces is described. A rationalisation of the use of mechanical tools in the treatment of back pain is proposed. Physiotherapists worldwide are now using spinal mobilisation and manipulation (SMT) as the main treatment for mechanical spinal disorders. Courses providing education in the techniques of SMT flourish in most countries of the western world. There arises the distinct possibility that this trend will create, for the third time this century, a profession whose main tool for the treatment of back pain is SMT. The indiscriminate use of SMT must cease if we are to avoid the criticisms that have been justifiably levelled at chiropractic and osteopathy. We cannot condone the dispensation of SMT to the whole population with back pain in order to deliver the procedure to the very few who require the technique. We cannot justify the application of external forces to treat mechanical spinal disorders, if there is the slightest possibility that the patient can resolve the problem alone. The continued use of methods that create patient dependency must be questioned when successful treatments based on patient responsibility and self-treatment are available. This paper attempts to persuade those interested in the topic that a reassessment of our direction is required as the social cost of treating back pain is placed under scrutiny. An alternative method for managing low back pain using patient-generated forces is described. A rationalisation of the use of mechanical tools in the treatment of back pain is proposed. Biography: Robin McKenzie is the director of the McKenzie Institute International in Wellington, New Zealand. His contributions to the diagnosis and treatment of mechanical spinal disorders have been recognised internationally. In 1983 he was invited to join the International Society for the Study of the Lumbar Spine. He is a Fellow of the American Back Society, an honorary Fellow of the New Zealand Society of Physiotherapists, and an honorary life member of the New Zealand Manipulative Therapists Association. He is the author of The Lumbar Spine: Mechanical diagnosis and therapy, Treat Your Own Back, Treat Your Own Neck and The Cervical and Thoracic Spine: Mechanical diagnosis and therapy (in press)." @default.
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• W2054084546 date "1989-08-01" @default.
• W2054084546 modified "2023-09-25" @default.
• W2054084546 title "A Perspective on Manipulative Therapy" @default.
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• W2054084546 doi "https://doi.org/10.1016/s0031-9406(10)62622-3" @default.
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