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15 Subsequently a high quality randomised controlled trial found that a multimodal physiotherapy programme for six weeks 18 was more effective than sham treatment: relative risk of noticeable improvement 3.39 (95% confidence interval 1.69 to 6.80).
Further reinforcing the external validity of our findings we used physiotherapists from primary care practices in the community, and with only a short duration of training in the protocol (about 1.5 days) they were able to successfully implement an effective foot orthosis intervention, which had a similar effect to the multimodal physiotherapy programme.
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A multimodal programme has been successfully employed previously by Cuesta-Vargas et al., (2009; 2012; 2012) [ 26- 29] on CLBP suffers, but no studio that uses a multimodal physiotherapy program (integrating therapeutic exercise and health education) in patients suffering CMSKD was found.
To our knowledge, this study is the first RCT to investigate a multimodal physiotherapy program in this patient population.
Given the limited research in the area, this project primarily aims to investigate the efficacy of a 12-week multimodal physiotherapy program to treat pain and physical dysfunction in individuals with hip OA.
However, there are no randomised controlled trials of a multimodal physiotherapy program, and a limited number of studies investigating exercise specifically in people who have sustained a vertebral fracture [ 10- 12].
This study uses a double-blind randomised controlled trial design to investigate whether a multimodal physiotherapy program has greater effects on pain, disability and health-related quality of life and is more cost-effective than placebo in people with CRCP.
After two weeks in Queen Square, I had been given a new physiotherapy programme, renewed optimism for the future and a fresh sense of purpose.
His partner, Rebecca Little, believes that had his physiotherapy programme been maintained at the level he received in hospital, he would be much more mobile now.
A physiotherapy programme is started to maintain joint range and function in the limb.
Advice on maintaining knee extension and attendance to a regular physiotherapy programme was given.
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