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Mar 2020

Manual Therapy for MSK Pain

Introduction

Current evidence supports the treatment of nonspecific musculoskeletal (MSK) pain with a multimodal program of manual therapy, exercise, and patient education. The Manual Therapy as an Evidence-Based Referral for Low Back, Neck, and Shoulder Pain Tool helps primary care providers select, refer, and evaluate manual therapy for patients with acute and chronic low back, neck, and shoulder pain.

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Information

About the tool

The Manual Therapy as an Evidence-Based Referral for Low Back, Neck, and Shoulder Pain Tool is designed to increase primary care provider confidence in selecting, referring, and evaluating manual therapy by a chiropractor, physiotherapist, or registered massage therapist (RMT) for patients with acute and chronic low back, neck, and shoulder pain. The tool provides:

  • An overview of multimodal treatment including manual therapy, exercise, and patient education.
  • Steps for discussing manual therapy with your patients, determining appropriateness, and selecting a clinician.
  • Evidence for manual therapy by pain condition.
  • Measures for evaluating manual therapy.
  • Links to related clinical tools, supporting material, and patient resources.

The Manual Therapy as an Evidence-Based Referral for Low Back, Neck, and Shoulder Pain Tool was developed using the Centre for Effective Practice’s (CEP’s) integrated knowledge translation approach. This approach ensures that providers are engaged throughout the development processes through the application of user-centered design methodology. Clinical leadership of the resource was provided by Dr. Janice Harvey. End users, clinical experts, and people with lived experience were also engaged to provide feedback.

The Manual Therapy as an Evidence-Based Referral for Low Back, Neck, and Shoulder Pain Tool was funded by and developed in partnership with the Ontario Chiropractic Association.

Clinical Lead

  • Dr. Janice Harvey

    MD, CCFP(SEM), FCFP DIP. SPORT MED.

    Dr. Janice Harvey is a family physician with a special interest in sport and exercise medicine. She is a Physician Advisor in CPD at the College of Family Physicians of Canada as well as an Assistant Clinical Professor for the Department of Family Medicine at McMaster University. Dr. Harvey is also the Assistant Director of the Standardized Patient Program at the McMaster University Centre for Simulation Based Learning. 

    In the past, Dr. Harvey has been the Chair of the Ontario College of Family Physicians CME/CPD Committee, the president of the Canadian Academy of Sport and Exercise Medicine (CASEM) and the Chair of the OMA Sport Medicine executive.

    Currently, Dr. Harvey is the Canadian delegate for the World University Sport Federation (FISU) medical commission and the Medical Lead for the World Curling Federation.

Clinical Working Group

  • David Dos Santos, B.Sc., D.C., FCCPOR(C), FCCO(C)
  • Erica Weinberg, BSc, MSc, MPhil, MD
  • Lindsey Rebeiro, BScH, DC
  • Lynn K. Cooper, BES (patient with lived experience)

Thank you to all of our members for their work!

Target End User Feedback and Expert Opinion

Contributions were provided by a number of other key stakeholders. We would like to thank all of them for their input!



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