tailieunhanh - Báo cáo y học: "The Nordic maintenance care program: what are the indications for maintenance care in patients with low back pain"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The Nordic maintenance care program: what are the indications for maintenance care in patients with low back pain? | Hansen et al. Chiropractic Osteopathy 2010 18 25 http content 18 1 25 CHIROPRACTIC OSTEOPATHY RESEARCH Open Access The Nordic maintenance care program what are the indications for maintenance care in patients with low back pain A survey of the members of the Danish Chiropractors Association Signe F Hansen1 Anne L S Laursen1 Tue S Jensen2 Charlotte Leboeuf-Yde1 3 Lise Hestb k1 3 Abstract Background Maintenance care MC is relatively commonly used among chiropractors. However factual information is needed on its indications for use. Objectives This study had two objectives 1 to describe which role patients past history and treatment outcome play in chiropractors decision to use MC in patients with low back pain 2 to investigate if the chiropractors clinical educational background has an effect on the frequency of using MC and their indications for use of MC. Method An anonymous questionnaire was sent to all 413 chiropractors practising in Denmark. Its main part consisted of 3 sets of 4 questions relating to one basic case of low back pain. For each case the chiropractors were asked if they would use MC as they self-defined the term no perhaps yes . There were questions also on gender age educational and clinical background and on the number of MC patients seen by these chiropractors. Their decision to recommend MC was reported. Associations between the demographic variables and 1 the frequency of MC-use and 2 their indications for use of MC were tested through multivariate analysis. Results The response rate was 72 . Non-indications for MC were 1 a good outcome combined with no previous events or 2 a past history of LBP and gradual worsening with treatment. Indications for MC were a good outcome combined with a previous history of low back pain between once a month and once a year. The mean proportion of MC patients per week were 22 SD 19 ranging from 0 to 100 . The use of MC was highest among experienced chiropractors those who were educated in