Demoulin C, Depas Y, Vanderthommen M, Henrotin Y, Wolfs S, Cagnie B, Hidalgo B
Département des Sciences de la Motricité, Université de Liège, Belgique.
Département de Médecine Physique et Kinésithérapie-Réadaptation, CHU de Liège, Belgique.
Rev Med Liege. 2017 Mar;72(3):126-131.
Although orthopaedic manual therapy (OMT) has existed for decades, and although a recent Belgian Royal Decree, published in 2014, recognized it as a particular professional qualification in physiotherapy for the treatment of neuromusculoskeletal dysfunctions, OMT remains little known by patients, but also by healthcare professionals. Yet, this professional qualification, based on clinical reasoning, using highly specific treatments, guided by the best available scientific and clinical evidence and the specific biopsychosocial characteristics of each patient, is the subject of a growing number of scientific studies pointing out its effectiveness. This article summarizes the knowledge related to OMT (definition, history, characteristics, techniques, indications, access and reimbursement) and describes its situation in Belgium.
尽管骨科手法治疗(OMT)已经存在了几十年,尽管2014年发布的一项比利时皇家法令将其认定为物理治疗中治疗神经肌肉骨骼功能障碍的一项特殊专业资质,但OMT不仅不为患者所知,也不为医疗保健专业人员所熟知。然而,这项基于临床推理、采用高度特定治疗方法、以现有最佳科学和临床证据以及每位患者的特定生物心理社会特征为指导的专业资质,正受到越来越多指出其有效性的科学研究的关注。本文总结了与骨科手法治疗相关的知识(定义、历史、特点、技术、适应症、获取途径和报销情况),并描述了其在比利时的现状。