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Management of people with low back pain

التفاصيل البيبلوغرافية
العنوان: Management of people with low back pain
المؤلفون: Lobke P. De la Ruelle, Annemarie de Zoete, Michiel R. de Boer, Maurits W. van Tulder, Raymond Ostelo, Sidney M. Rubinstein
المساهمون: Epidemiology and Data Science, AMS - Musculoskeletal Health, APH - Quality of Care, APH - Societal Participation & Health, Health Economics and Health Technology Assessment, APH - Methodology, Faculty of Behavioural and Movement Sciences, APH - Health Behaviors & Chronic Diseases
المصدر: Chiropractic & Manual Therapies, 30(1):29. BMC
Chiropractic and Manual Therapies, 30(1):29. BioMed Central
De la Ruelle, L P, de Zoete, A, de Boer, M R, van Tulder, M W, Ostelo, R & Rubinstein, S M 2022, ' Management of people with low back pain : a survey of opinions and beliefs of Dutch and Belgian chiropractors ', Chiropractic and Manual Therapies, vol. 30, no. 1, 29 . https://doi.org/10.1186/s12998-022-00437-1
de la Ruelle, L P, de Zoete, A, de Boer, M R, van Tulder, M W, Ostelo, R & Rubinstein, S M 2022, ' Management of people with low back pain : a survey of opinions and beliefs of Dutch and Belgian chiropractors ', Chiropractic and Manual Therapies, vol. 30, no. 1, 29 . https://doi.org/10.1186/s12998-022-00437-1
Chiropractic and Manual Therapies, 30(1):29, 1-14. BioMed Central
De la Ruelle, L P, de Zoete, A, de Boer, M R, van Tulder, M W, Ostelo, R & Rubinstein, S M 2022, ' Management of people with low back pain : a survey of opinions and beliefs of Dutch and Belgian chiropractors ', Chiropractic and Manual Therapies, vol. 30, no. 1, 29, pp. 1-14 . https://doi.org/10.1186/s12998-022-00437-1
بيانات النشر: BioMed Central, 2022.
سنة النشر: 2022
مصطلحات موضوعية: CLINICAL GUIDELINES, DISABILITY, Health Personnel, CARE PROVIDERS ATTITUDES, Guideline adherence, Physical Therapy, Sports Therapy and Rehabilitation, EUROPEAN GUIDELINES, Chiropractic, PREVALENCE, Complementary and alternative medicine, Belgium, SDG 3 - Good Health and Well-being, Surveys and Questionnaires, Low Back Pain/therapy, Humans, Low back pain, Chiropractics, CONSENSUS
الوصف: Background Chiropractors commonly provide care to people with low-back pain (LBP). The aim of this survey was to determine the opinions and beliefs of chiropractors regarding the support and management of LBP. We also investigated whether their management is in accordance with the three most commonly recommended approaches to LBP based upon international guidelines (i.e. advice regarding return-to-work, limit bedrest, and stay active). Methods A web-based survey was sent out in 2013 to collect data from registered Dutch and Belgian chiropractors. In addition to providing a description of their sociodemographic and practice characteristics, chiropractors were asked to complete six patient vignettes representing people with LBP who typically present to a chiropractor. The respondents indicated which intervention(s) they would recommend or undertake. Based upon these vignettes, we were able to determine whether their management approach adhered to clinical guidelines. Generalized mixed models were used to explore guidelines adherence and their relationship to chiropractors’ characteristics. Results In total, 60% (n = 203/340) of the chiropractors who were invited, chose to participate. Chiropractors reported applying a chiropractic adjustment in 90% of all vignettes, while the advice to exercise varied from one-third in the chronic cases to approximately half of those with acute LBP. More than 75% of the chiropractors would initially treat LBP 1–2 times a week. More than 90% of the chiropractors advised against bedrest. Overall, self-reported adherence to clinical guidelines for all six vignettes was [64.5% (CI 58.7–70.0)]. Adherence in the chronic vignettes [73.4% (CI 66.7–79.2)] was better than in the acute vignettes [55.9% (CI 50.5–61.1)]. Importantly, regarding recommended approaches to LBP, chiropractors more consistently followed guidelines regarding advice to limit bedrest [98.5% (CI 97.3–99.1)] than advice to stay active [77.5% (CI 72.3–81.9)] or return-to-work [59.4% (CI 55.2–63.4)]. Finally, Dutch chiropractors were more likely to adhere to the guidelines than Belgian chiropractors. Conclusions Chiropractic adjustments were the most common self-reported treatment modalities supplemented by exercise in the management of LBP patients. Two-thirds of the chiropractors reported adhering to the guidelines regarding management and advice for LBP patients. Practitioners should improve guideline adherence, particularly for acute LBP cases, and when advising on return-to-work.
وصف الملف: application/pdf
اللغة: English
تدمد: 2045-709X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e507043b18b615d37781b32e873bf0a7
https://research.vu.nl/en/publications/904b3cca-5277-4856-9c10-a9ae298c1e1f
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....e507043b18b615d37781b32e873bf0a7
قاعدة البيانات: OpenAIRE
الوصف
تدمد:2045709X