Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Amsterdam Public Health Research Institute, Department of General Practice and Elderly Care Medicine, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
J Back Musculoskelet Rehabil. 2023;36(2):331-336. doi: 10.3233/BMR-220155.
In 2020, a revised version of the International IFOMPT Cervical Framework was published. This framework provides both physical therapists and educators the necessary information to guide the assessment of the cervical spine region for potential vascular pathologies of the neck in advance of planned Orthopaedic Manual Therapy (OMT) interventions.
The objective was to develop a framework flowchart which is useful in clinical practice and education to assist physical therapists to improve the safety of OMT, and apply this in a case report.
The framework was developed in co-creation with manual therapy experts, researchers, educators in manual therapy, patients, medical specialists and the Manual Therapy Association in The Netherlands and Belgium. Manual therapists and patients tested the framework for intelligibility and usefulness.
A framework flowchart is developed and presented, that is easy to use in both clinical practice and education. It is a visual representation of the sequence of steps and decisions needed during the process. A case description of a patient with neck pain and headache is added to illustrate the clinical usefulness of the framework flowchart.
The framework flowchart helps physical therapists in their clinical reasoning to provide safe OMT interventions.
2020 年，国际国际物理治疗师联合会（IFOPMT）颈椎框架的修订版发布。该框架为物理治疗师和教育工作者提供了必要的信息，以便在计划进行骨科手法治疗（OMT）干预之前，对颈椎区域的潜在血管病理学进行评估。
旨在制定一个在临床实践和教育中有用的框架流程图，以帮助物理治疗师提高 OMT 的安全性，并在案例报告中应用。
该框架是与手法治疗专家、研究人员、手法治疗教育工作者、患者、医学专家以及荷兰和比利时的手动疗法协会共同创作开发的。手法治疗师和患者测试了该框架的清晰度和有用性。
开发并呈现了一个易于在临床实践和教育中使用的框架流程图。它是对该过程中所需的步骤和决策的直观表示。添加了一个患有颈部疼痛和头痛的患者的案例描述，以说明框架流程图的临床实用性。
该框架流程图有助于物理治疗师进行临床推理，以提供安全的 OMT 干预措施。
