Abstract
Recent national reports and guidelines support the value of manual therapy for acute mechanical low back pain. As part of a randomized trial of the management of acute low back pain, a training course in simple manual therapy was developed and implemented. The course, consisting of two sequential 1-day workshops, was developed for family physicians and internists with no prior training in manual therapy. Before and after the course, participants were surveyed on their attitudes and ability to manage low back pain. All participants (33) subsequently used manual therapy in their practices. Most were male (76%), Caucasian (88%), and 21% were in solo practice. Confidence in preparedness to manage low back pain rose from 15% to 70% and perceptions of having effective therapeutic skills rose from 39% to 58%. Busy clinicians can learn and implement simple manual therapy into their practices. The success of the course was built on structured learning with feedback on practical skills.
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