Based on the results of our clinical audit we were chosen to present at a conference of the International Federation of Orthopaedic Manipulative Therapists (IFOMT) in Rotterdam on 12/06/2008.
Our aim for the clinical audit was to study the effects of patient’s disability, quality of life and pain following a TAMARS® treatment. Three standard questionnaires were used to measure each of these areas and patient’s filled them in before their first treatment and after 4 treatments.
The Oswestry Disability Questionnaire was used to measure each patient’s ability to manage everyday life. It included questions on pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, travelling and employment/homemaking.
The EQ-5D Questionnaire was used to measure quality of life and included questions on mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
A Numerical Pain Scale was used to measure pain on a scale of 0 to 10 with 10 being the highest pain.
We wanted to use a good cross section of patients that were representative of the patients we see on a daily basis. Therefore we didn’t screen patients to find those with short term problems that would give quicker and better results and we didn’t screen for health problems other than back pain even though this could negatively affect the results. We used the first 47 new patients that that agreed to take part in the study (47 was as many as we could study to put the results together for the IFOMT conference). Most of the patients we treated fell into a category of chronic pain whereby they would normally be encouraged to manage their pain because it is believed that there is no way of getting an improvement in their condition and they will have to live with it. We don’t think this should be the case and we wanted to show that it doesn’t have to be the case.
The graphic below gives an overview of the results (all of which were clinically significant). Just press the button for each questionnaire to see the results. The poster we used at the presentation can be found at the link: 21st Century Back Care Clinical Audit
The results of the audit are extremely encouraging to say the least and help to show that TAMARS® does have a very real effect on patient’s everyday day life which is the most important factor for every patient we treat.