Work

Physiotherapists’ beliefs of the working mechanisms of manual therapeutic techniques for spinal pain relief: a quantitative content analysis

Year: 2025

Type: article

Abstract: BACKGROUND: Manual therapeutic techniques (MTTs), including high velocity thrust manipulation (HVT) and spinal mobilization (MOB), are used to reduce spinal pain. Physiotherapists' beliefs on their working mechanisms to relieve pain are unknown. OBJECTIVES: To explore the prevalence of physiotherapists' beliefs regarding the working mechanisms of MTTs on pain relief and their associated factors. DESIGN: Quantitative content analysis. METHOD: The results of the verbal and online survey were analyzed based on a theory-driven coding framework (categories and depth). Ordinal, linear, and nominal regression analyses were used to analyze the secondary aim. RESULTS: A total of 541 physiotherapists were included (survey, n = 383, 70.8 %; verbal surveys, n = 158, 29.2 %), resulting in 759 HVT and 713 MOB responses. Six categories were present: biomechanical (39.3 % HVT, 50.9 % MOB), neurophysiological (39.4 % HVT, 31.4 % MOB), immunological (2.0 % HVT, 1.1 % MOB), non-specific (13.4 % HVT, 14.2 % MOB), unknown (4.3 % HVT, 1.3 % MOB), and not categorizable (1.6 % HVT, 1.1 % MOB). Levels of depth were low (65.1 % HVT, 64.1 % MOB), moderate (17.3 % HVT, 19.0 % MOB), and high (17.4 % HVT, 16.8 % MOB). Having a Master degree, network participation and work experience were associated with the category of working mechanism, level of depth and number of working mechanisms. CONCLUSION: The beliefs of physiotherapists in the Netherlands regarding the working mechanisms of MTTs for spinal-related pain reduction are mainly biomechanical and neurophysiological. The working mechanisms were dominantly explained in an unifactorial manner and with a low level of depth. Having a Master of Science degree was strongly associated with more evidence-consistent beliefs and deeper understanding.

Source: Musculoskeletal Science and Practice

DOI: 10.1016/j.msksp.2025.103387

Authors: J.P. Hendriks, R.R. Reezigt, M.F. Reneman

Institutions: Hanze University of Applied Sciences, University Medical Center Groningen, University of Groningen

Language: English

Topic: Musculoskeletal pain and rehabilitation

Subfield: Pharmacology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,500