The Nordic back pain subpopulation program: can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study.
Background: It is widely believed that non-specific low back pain (LBP) consists of a number of subgroups which should be identified in order to improve treatment effects. In order to identify subgroups, patient characteristics that relate to different outcomes are searched for. However, LBP is ofte...
| Publicado en: | Chiropractic & Osteopathy Vol. 18; pp. 8p - 9 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105028387&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105028387 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17461340 1CKB jtl: Chiropractic & Osteopathy issn: 17461340 maglogo: N pubinfo: dt: 2010 vid: 18 pid: 24147 pub: BioMed Central artinfo: ui: 105028387 2010685188 10.1186/1746-1340-18-8 NLM20429887 PMC2868855 105028387 ppf: 8p ppct: 1 formats: fmt: @attributes: type: P tig: atl: The Nordic back pain subpopulation program: can low back pain patterns be predicted from the first consultation with a chiropractor? A longitudinal pilot study. aug: au: Kongsted A Leboeuf-Yde C affil: The Nordic Institute of Chiropractic and Clinical Biomechanics, Odense M, Denmark; a.kongsted@nikkb.dk sug: subj: Chiropractic Low Back Pain Symptoms Adult Confidence Intervals Data Analysis Software Descriptive Statistics Female Funding Source Human Interrater Reliability Low Back Pain Classification Low Back Pain Diagnosis Male Middle Age Multivariate Analysis Pilot Studies Prospective Studies Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: It is widely believed that non-specific low back pain (LBP) consists of a number of subgroups which should be identified in order to improve treatment effects. In order to identify subgroups, patient characteristics that relate to different outcomes are searched for. However, LBP is often fluctuating or recurring rather than clearly limited in time. Therefore it would be relevant to consider outcome after completed treatment from a longitudinal perspective (describing 'course patterns') instead of defining it from an arbitrarily selected end-point. Aims: The objectives of this pilot study were to investigate the interobserver reliability of a diagnostic classification system and to evaluate whether diagnostic classes or other baseline characteristics are associated with the LBP course pattern over a period of 18 weeks. Methods: Patients visiting one of 7 chiropractors because of LBP were classified according to a diagnostic classification system, which includes end-range loading, SI-joint pain provocation tests, neurological examination and tests for muscle tenderness and abnormal nerve tension. In addition, age, gender, duration of pain and presence of leg pain were registered in the patient's file. By weekly SMS-messages on their mobile phones, patients were asked how many days they had LBP the preceding week, and these answers were transformed into pain course patterns and the total number of LBP days. Results: A total of 110 patients were included and 76 (69%) completed follow-up. Thirty-five patients were examined by two chiropractors. The agreement regarding diagnostic classes was 83% (95% CI: 70 - 96). The diagnostic classes were associated with the pain course patterns and number of LBP days. Patients with disc pain had the highest number of LBP days and patients with muscular pain reported the fewest (35 vs. 12 days, p < 0.01). Men had better outcome than women (17 vs. 29 days, p < 0.01) and patients without leg pain tended to have fewer LBP days than those with leg pain (21 vs.31 days, p = 0.06). Duration of LBP at the first visit was not associated with outcome. Conclusions: The study indicated that there is a clinically meaningful relationship between diagnostic classes and the course of LBP. This should be evaluated in more depth. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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