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Welcome to the literature resource section.
We have created a library of the latest evidenced-based research within the physiotherapy field of practice, orthopedic rehabilitation and medicine.
Our library is expanding every day. If you would like to make a contribution to our library by posting a journal article you will be entered into PT Health's Journal Contest. The individual that contributes the most legitimate journal articles will receive $1500.00.
POST AN ARTICLE
We have created a library of the latest evidenced-based research within the physiotherapy field of practice, orthopedic rehabilitation and medicine.
Our library is expanding every day. If you would like to make a contribution to our library by posting a journal article you will be entered into PT Health's Journal Contest. The individual that contributes the most legitimate journal articles will receive $1500.00.
POST AN ARTICLE
Physiotherapy Research
Journal Name:
British Medical Journal (26) 326 ,911-911
Article Title:
Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain.
Abstract:
Objective: To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by a general practitioner for patients with neck pain. Design: Economic evaluation alongside a randomised controlled trial. Setting: Primary care. Participants: 183 patients with neck pain for at least two weeks recruited by 42 general practitioners and randomly allocated to manual therapy (n=60, spinal mobilisation), physiotherapy (n=59, mainly exercise), or general practitioner care (n=64, counselling, education, and drugs). Main outcome measures: Clinical outcomes were perceived recovery, intensity of pain, functional disability, and quality of life. Direct and indirect costs were measured by means of cost diaries that were kept by patients for one year. Differences in mean costs between groups, cost effectiveness, and cost utility ratios were evaluated by applying non-parametric bootstrapping techniques. Results: The manual therapy group showed a faster improvement than the physiotherapy group and the general practitioner care group up to 26 weeks, but differences were negligible by follow up at 52 weeks. The total costs of manual therapy (447; £273; $402) were around one third of the costs of physiotherapy (1297) and general practitioner care (1379). These differences were significant: P<0.01 for manual therapy versus physiotherapy and manual therapy versus general practitioner care and P=0.55 for general practitioner care versus physiotherapy. The cost effectiveness ratios and the cost utility ratios showed that manual therapy was less costly and more effective than physiotherapy or general practitioner care. Conclusions: Manual therapy (spinal mobilisation) is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner.
Posted By:
admin
Posted Date:
2007-07-02
Posting(s) to Date:
13
British Medical Journal (26) 326 ,911-911
Article Title:
Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain.
Abstract:
Objective: To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by a general practitioner for patients with neck pain. Design: Economic evaluation alongside a randomised controlled trial. Setting: Primary care. Participants: 183 patients with neck pain for at least two weeks recruited by 42 general practitioners and randomly allocated to manual therapy (n=60, spinal mobilisation), physiotherapy (n=59, mainly exercise), or general practitioner care (n=64, counselling, education, and drugs). Main outcome measures: Clinical outcomes were perceived recovery, intensity of pain, functional disability, and quality of life. Direct and indirect costs were measured by means of cost diaries that were kept by patients for one year. Differences in mean costs between groups, cost effectiveness, and cost utility ratios were evaluated by applying non-parametric bootstrapping techniques. Results: The manual therapy group showed a faster improvement than the physiotherapy group and the general practitioner care group up to 26 weeks, but differences were negligible by follow up at 52 weeks. The total costs of manual therapy (447; £273; $402) were around one third of the costs of physiotherapy (1297) and general practitioner care (1379). These differences were significant: P<0.01 for manual therapy versus physiotherapy and manual therapy versus general practitioner care and P=0.55 for general practitioner care versus physiotherapy. The cost effectiveness ratios and the cost utility ratios showed that manual therapy was less costly and more effective than physiotherapy or general practitioner care. Conclusions: Manual therapy (spinal mobilisation) is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner.
Posted By:
admin
Posted Date:
2007-07-02
Posting(s) to Date:
13