ASSESSING THE NEED FOR MANUAL THERAPY IN THE PELAGONIA REGION: A REGIONAL HEALTHCARE STUDY

Abstract

Introduction: Manual therapy, including massage is widely used to treat musculoskeletal disorders, reducing pain and improving mobility. In the Pelagonia region of North Macedonia, characterized by physically demanding occupations in agriculture and industry, there is a critical need for manual therapy. Despite this, access to these services remains limited due to logistical, financial, and infrastructural challenges. Methodology: A quantitative cross-sectional study was conducted with 30 participants, aged 20-45, who were selected based on their likelihood of benefiting from manual therapy due to their physically demanding jobs. Data were collected through a structured questionnaire assessing demographics, previous massage experience, reasons for seeking massage, and satisfaction with treatment. Results: 93.1% had previously received massage therapy, with 46.67% seeking it for pain relief and 33.33% for relaxation. A balanced gender distribution was observed, with 53.33% male and 46.67% female. The majority of participants expressed satisfaction with the therapy, with a median satisfaction score indicating generally positive feedback. Discussion: The findings highlight the widespread need for manual therapy in the Pelagonia region, particularly for persons in physically demanding occupations. While participants reported high satisfaction, barriers such as limited access to services and lack of public awareness persist, obstructing the effective delivery of therapy. Conclusion: Manual therapy is essential for managing musculoskeletal disorders in the Pelagonia region. Efforts to improve access, raise public awareness, and overcome logistical challenges are necessary to improve health outcomes for the local population. This study focuses on the importance of integrating manual therapy into regional healthcare services.