Manual therapists – Have you lost that loving feeling?!

Things used to be so simple when we began our careers in physical therapy many years ago… A patient would typically present to our clinics with musculoskeletal pain, we would identify treatable impairments in body structure and function, and we would use manual therapy and exercise to improve their function and quality of life. We truly believed it worked pretty well for most of our patients. Of course this was in the time before we started utilizing valid, reliable, patient-reported outcome measures (PROMs) in our practice. Once we did, many patients we thought were getting better (because they told us so!) did not exhibit clinically important changes on PROMsAn introduction to patient-reported outcome measures (PROMs) in physiotherapy.

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