Research Article
Direct Access Physical Therapy Policy and Low Back or Neck Pain Disability: An Ecological Study
Author(s):
John Deep, Margaret L. Longacre* and Melissa F. Miller
Background: Low-back and neck pain are major causes of disability in the United States. Policies
that increase access to physical therapy may contribute to reducing back and neck pain-related
disability.
Aim: This study’s purpose was to assess the association between Direct Access Physical Therapy
(DAPT) policies and disability attributable to back/neck pain.
Materials and Methods: Outcomes included 2017 state-level Disability-Adjusted Life Years
(DALYs) attributable to back/neck pain, measured per 100,000 population and as a percent of
state DALYs. DAPT policy was categorized as unrestricted, provisional, and restricted. Multiple
linear regression analysis was used to estimate the association between level of DAPT policy and
disability outcomes holding sociodemographic variables constant... Read More»
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