Evidence-based healthcare is a method of making medical decisions that involves critically appraising and applying the best available research evidence to guide clinical practice. This approach aims to ensure that healthcare decisions are based on the best available scientific evidence and are not influenced by personal biases or opinions. It involves critically evaluating the quality of research studies and determining the strength of the evidence in order to make informed decisions about the diagnosis, treatment, and management of patient care.
Healthcare evidence comes from a variety of sources, including:
- Randomised controlled trials (RCTs): These are studies that compare the effects of different interventions in groups of people randomly assigned to receive them. RCTs are considered the gold standard for generating evidence about the effectiveness of medical treatments.
- Observational studies: These are studies that observe people in natural settings without trying to change their behaviour. These studies include case-control studies and cohort studies.
- Systematic reviews and meta-analyses: These are studies that combine and summarise the results of multiple research studies on a specific topic.
- Guidelines and clinical practice recommendations: These are statements that are developed by professional societies and other organisations to provide guidance on the diagnosis, treatment, and management of specific medical conditions.
- Case reports and case series: These are studies that describe the experience of one or a few patients with a specific condition.
- Expert opinion: This is the judgment of healthcare professionals who have a particular expertise in a specific area of medicine.
- All these sources are used to generate evidence-based healthcare recommendations, but the level of evidence and strength of the recommendations vary.
The current evidence supports multimodal chiropractic therapy for the management of back pain. Multimodal physical therapy is an approach that uses a combination of different physical therapy techniques and modalities to address the specific needs of a patient. It is designed to provide a comprehensive and individualised treatment plan that addresses the physical, psychological, and social aspects of a patient’s condition.
The multimodal approach may include a variety of techniques such as manual therapy, exercise therapy, modalities such as electrical stimulation, heat and cold therapy, and most importantly it is centred around patient-centred goals, pain science education and self-management strategies.
Different techniques may be more effective for different patients or different stages of recovery. For example, manual therapy may be used to alleviate pain and improve mobility in the early stages of recovery, while exercise therapy may be used to improve strength and function in the later stages.
Multimodal physical therapy also includes the use of psychological techniques such as cognitive-behavioral therapy (CBT) and pain management techniques such as mindfulness, relaxation and visualization, to help patients manage their pain and improve their overall well-being. Pain science education is at the core of multimodal physical therapy.
Multimodal physical therapy is often used in the management of chronic pain conditions sucha as back pain, neck pain =, ongoing headaches and other musculoskeletal pain conditions. By using a combination of different techniques, multimodal physical therapy aims to provide a holistic approach to treatment that addresses the physical, psychological and social aspects of a patient’s condition, which can lead to better outcomes and improved quality of life.
Evidence for multimodal chiropractic physical therapy
Chiropractic, similar to musculoskeletal physiotherapy, also known as physical therapy, is a healthcare profession that aims to improve movement and function, reduce pain and disability, and prevent further injury. There is a significant body of scientific evidence supporting the effectiveness of physical therapy for a wide range of conditions.
For example, studies have shown that physical therapy is effective for the management of musculoskeletal conditions such as low back pain, neck pain, and other musculoskeletal conditions. A systematic review of randomised controlled trials (RCTs) found that physical therapy was associated with statistically significant improvements in pain, function, and quality of life in patients with chronic low back pain. Studies have found that physical therapy can improve muscle strength, coordination, balance, and mobility in these patients.
Research also demonstrates that physical therapy can help in the recovery of sports-related injuries and improve physical performance. physical therapy can help with injury prevention, rehabilitation and return to sport.
It is worth noting that the effectiveness of chiropractic physical therapy may depend on the specific techniques used, as well as the experience and skill of the practitioner. It is recommended to consult with a qualified physical therapy chiropractic and be prepared to work with your practitioner to achieve your health goals.