颈部疼痛管理:开伯尔-普赫图赫瓦物理治疗师的治疗偏好

Syed Zain Ul Abidin, Syeda Ayman Zaidi, Sara T. Bukhari, Z. Khan, Arif Shah, Sajida Mazher
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摘要

卫生专业人员/从业人员、行政人员和卫生部门决策者非常感兴趣的主题。方法:进行了为期6个月的横断面调查,以确定KP的物理治疗师对颈部疼痛的常用治疗方法。为了收集数据,进行了人口普查,给我们120个总样本,其中包括KP的三级保健和DHQ医院的所有物理治疗师。为了收集数据,使用了先前发表的研究中的自我管理问卷。频率分布采用百分数和计数表示,分类变量的比较采用卡方检验。以P值<0.05表示差异有统计学意义。结果:采用了多种干预措施,包括手工和运动疗法。电疗、人体工程学和姿势教育以及工作地点的修改也被利用。姿势控制(87%)、颈部/上胸拉伸(79%)、加强颈部/上胸(75%)的锻炼也是最常用的方法,而另一方面,局部肌肉耐力锻炼(55%)和静态或动态稳定(45%)是最常用的方法,冷热疗法(81%)、TENS(69%)和超声波(70%)是最常用的方法。结论:颈部疼痛的管理在全省范围内各不相同,专业人员在他们的设置中遵循不同的协议,这反映了缺乏适当的指导方针来治疗特定的情况,这已经被广泛的研究文献所证明。
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Managing Neck Pain: Treatment Preferences Amongst PhysicalTherapist of Khyber Pakhtunkhwa
a topic of keen interest among health professionals/practitioners, executives and policy makers in the health sector. Methodology: A was cross sectional survey was conducted over a time period of six months for determining the commonly used treatment approaches by the physical therapists of KP for neck pain For data collection census was performed, giving us the total sample of 120 which included all the physical therapists practicing in tertiary care and DHQ hospitals of KP. For data collection, a self-administered questionnaire from a previously published study was utilized. Frequency distribution was demonstrated with the help of percentages and counts while for comparing categorical variables, Chi-square test was utilized. To indicate Statistical significance, P value of <0.05 was used. Results: A wide range of interventions including manual and exercises therapies were utilized. Electrotherapy, ergonomic and postural education along with work site modifications were also utilized. Exercises for postural control (87%), neck/upper thoracic stretching (79%), strengthening of neck/upper thoracic (75%) were also prescribed mostly while on the other hand local muscle endurance exercises (55%) and static or dynamic stabilization (45%) were utilized mostly where as hot and cold therapy (81%), TENS (69%) and ultrasound (70%) were most commonly used modalities. Conclusion: Management of neck pain varied across the province with professionals following different protocols in their setups, which reflects lack of proper guidelines for the treatment of a specific condition which are proved by extensive research literature available already.
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