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Volume 17 (3)
Volume 17, Issue 3, Summer 1997
J Contin Educ Health Prof 1997; 17(3):148-158
ORIGINAL ARTICLES
Training Generalist Physicians in Manual Therapy for Low Back Pain: Development of a Continuing Education Method
Peter Curtis, MD
Paul Evans, DO
Mike Rowane, DO
Timothy Carey, MD
Anne Jackman, MSW
A b s t r a c t
Recent national reports and guidelines support the value of manual therapy for
acute mechanical low back pain. As part of a randomized trial of the management of acute low
back pain, a training course in simple manual therapy was developed and implemented. The
course, consisting of two sequential 1-day workshops, was developed for family physicians
and internists with no prior training in manual therapy. Before and after the course, participants
were surveyed on their attitudes and ability to manage low back pain. All participants
(33) subsequently used manual therapy in their practices. Most were male (76%), Caucasian
(88%), and 21% were in solo practice. Confidence in preparedness to manage low back pain
rose from 15% to 70% and perceptions of having effective therapeutic skills rose from 39% to
58%. Busy clinicians can learn and implement simple manual therapy into their practices. The
success of the course was built on structured learning with feedback on practical skills.
Keywords: Low Back Pain; Manual Therapy; Training
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