tailieunhanh - Báo cáo y học: " Delineating inflammatory and mechanical subtypes of low back pain: a pilot survey of fifty low back pain patients in a chiropractic setting"

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: Delineating inflammatory and mechanical subtypes of low back pain: a pilot survey of fifty low back pain patients in a chiropractic setting. | Riksman et al. Chiropractic Manual Therapies 2011 19 5 http content 19 1 5 CHIROPRACTIC MANUAL THERAPIES C MT RESEARCH Open Access Delineating inflammatory and mechanical subtypes of low back pain a pilot survey of fifty low back pain patients in a chiropractic setting Janine S Riksman1 Owen D Williamson2 Bruce F Walker1 Abstract Background An instrument known as the Mechanical and Inflammatory Low Back Pain MAIL Scale was drafted using the results of a previous expert opinion study. A pilot survey was conducted to test the feasibility of a larger study designed to determine the MAIL Scale s ability to distinguish two potential subgroups of low back pain inflammatory and mechanical. Methods Patients with a primary complaint of low back pain LBP presenting to chiropractic clinics in Perth Western Australia were asked to fill out the MAIL Scale questionnaire. The instrument s ability to separate patients into inflammatory and mechanical subgroups of LBP was examined using the mean score of each notional subgroup as an arbitrary cut-off point. Results Data were collected from 50 patients. The MAIL Scale did not appear to separate cases of LBP into the two notionally distinct groups of inflammatory n 6 or mechanical n 5 . A larger mixed symptom group n 39 was revealed. Conclusions In this pilot study the MAIL Scale was unable to clearly discriminate between what is thought to be mechanical and inflammatory LBP in 50 cases seen in a chiropractic setting. However the small sample size means any conclusions must be viewed with caution. Further research within a larger study population may be warranted and feasible. Background Low back pain LBP is a common condition with about 79 of Australians experiencing LBP at some time in their lives 1 . In over 85 of cases presenting for primary care 2 a specific cause for pain cannot be identified 3 . In such cases the LBP is often labelled as non-specific low back pain NSLBP . Over 90 of primary contact clinicians .