Commonly utilized physiotherapy treatment approaches in the management of Sub-Acute sciatica: A pilot study using the Delphi process

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Commonly utilized physiotherapy treatment approaches in the management of Sub-Acute sciatica : A pilot study using the Delphi process. / Emms, Andrew; Gosling, Lucie; Papadopoullos, Sam; Duarte, Rui.

In: Journal of Musculoskeletal Research, Vol. 17, No. 4, 1450017, 15.12.2014.

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@article{44241d74e9f942d1ba3257c6d84d2c4d,
title = "Commonly utilized physiotherapy treatment approaches in the management of Sub-Acute sciatica: A pilot study using the Delphi process",
abstract = "There is limited evidence for the utilization of physiotherapy in the management of sub-acute sciatica. The aim of this pilot study was to explore the Delphi method to attempt to reach consensus on physiotherapeutic approaches to the management of sub-acute sciatica amongst a panel of clinicians experienced in this field. The panel included senior physiotherapists (n = 10) working within an outpatient setting at a specialized orthopedic trust. Iteration 1 consisted of the open-ended question {"}List the treatment approaches/techniques/modalities you employ when treating a patient with sub-acute sciatica and provide justifications{"}. Themes reaching 70% consensus progressed to the second iteration which followed up with the question {"}Please indicate how frequently you would employ the following treatments in the management of sub-acute sciatica{"} using a 5-point likert scale ranging from 1 (never) to 5 (always). The mean score was calculated for each treatment and those themes achieving a mean of 3.5 or greater progressed to iteration 3 {"}Please rank in order of preference which of the following treatments you would employ in the treatment of sub-acute sciatica{"}. The response rate at iteration 3 was 60%. This pilot study achieved consensus on five treatment approaches to be employed in the management of sub-acute sciatica. In order of preference these treatments were advice (regarding staying active, staying at work, reassurance, analgesia), advice (time scale of recovery, natural course of sciatica, self-limiting condition, hurt does not equal harm), lumbar joint mobilizations (rotations, PA's, ilial mobs [distractions], transverse glides), direction specific stretches and nerve mobilizations. This pilot study provides preliminary evidence of commonly used treatment approaches for sub acute sciatica amongst physiotherapists.",
keywords = "Delphi, physiotherapy, sciatica",
author = "Andrew Emms and Lucie Gosling and Sam Papadopoullos and Rui Duarte",
year = "2014",
month = dec,
day = "15",
doi = "10.1142/S0218957714500171",
language = "English",
volume = "17",
journal = "Journal of Musculoskeletal Research",
issn = "0218-9577",
publisher = "World Scientific",
number = "4",

}

RIS

TY - JOUR

T1 - Commonly utilized physiotherapy treatment approaches in the management of Sub-Acute sciatica

T2 - A pilot study using the Delphi process

AU - Emms, Andrew

AU - Gosling, Lucie

AU - Papadopoullos, Sam

AU - Duarte, Rui

PY - 2014/12/15

Y1 - 2014/12/15

N2 - There is limited evidence for the utilization of physiotherapy in the management of sub-acute sciatica. The aim of this pilot study was to explore the Delphi method to attempt to reach consensus on physiotherapeutic approaches to the management of sub-acute sciatica amongst a panel of clinicians experienced in this field. The panel included senior physiotherapists (n = 10) working within an outpatient setting at a specialized orthopedic trust. Iteration 1 consisted of the open-ended question "List the treatment approaches/techniques/modalities you employ when treating a patient with sub-acute sciatica and provide justifications". Themes reaching 70% consensus progressed to the second iteration which followed up with the question "Please indicate how frequently you would employ the following treatments in the management of sub-acute sciatica" using a 5-point likert scale ranging from 1 (never) to 5 (always). The mean score was calculated for each treatment and those themes achieving a mean of 3.5 or greater progressed to iteration 3 "Please rank in order of preference which of the following treatments you would employ in the treatment of sub-acute sciatica". The response rate at iteration 3 was 60%. This pilot study achieved consensus on five treatment approaches to be employed in the management of sub-acute sciatica. In order of preference these treatments were advice (regarding staying active, staying at work, reassurance, analgesia), advice (time scale of recovery, natural course of sciatica, self-limiting condition, hurt does not equal harm), lumbar joint mobilizations (rotations, PA's, ilial mobs [distractions], transverse glides), direction specific stretches and nerve mobilizations. This pilot study provides preliminary evidence of commonly used treatment approaches for sub acute sciatica amongst physiotherapists.

AB - There is limited evidence for the utilization of physiotherapy in the management of sub-acute sciatica. The aim of this pilot study was to explore the Delphi method to attempt to reach consensus on physiotherapeutic approaches to the management of sub-acute sciatica amongst a panel of clinicians experienced in this field. The panel included senior physiotherapists (n = 10) working within an outpatient setting at a specialized orthopedic trust. Iteration 1 consisted of the open-ended question "List the treatment approaches/techniques/modalities you employ when treating a patient with sub-acute sciatica and provide justifications". Themes reaching 70% consensus progressed to the second iteration which followed up with the question "Please indicate how frequently you would employ the following treatments in the management of sub-acute sciatica" using a 5-point likert scale ranging from 1 (never) to 5 (always). The mean score was calculated for each treatment and those themes achieving a mean of 3.5 or greater progressed to iteration 3 "Please rank in order of preference which of the following treatments you would employ in the treatment of sub-acute sciatica". The response rate at iteration 3 was 60%. This pilot study achieved consensus on five treatment approaches to be employed in the management of sub-acute sciatica. In order of preference these treatments were advice (regarding staying active, staying at work, reassurance, analgesia), advice (time scale of recovery, natural course of sciatica, self-limiting condition, hurt does not equal harm), lumbar joint mobilizations (rotations, PA's, ilial mobs [distractions], transverse glides), direction specific stretches and nerve mobilizations. This pilot study provides preliminary evidence of commonly used treatment approaches for sub acute sciatica amongst physiotherapists.

KW - Delphi

KW - physiotherapy

KW - sciatica

UR - http://www.scopus.com/inward/record.url?scp=84930871386&partnerID=8YFLogxK

U2 - 10.1142/S0218957714500171

DO - 10.1142/S0218957714500171

M3 - Article

AN - SCOPUS:84930871386

VL - 17

JO - Journal of Musculoskeletal Research

JF - Journal of Musculoskeletal Research

SN - 0218-9577

IS - 4

M1 - 1450017

ER -