Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain?
Early change is commonly assessed for manual therapy interventions and has been used to determine treatment appropriateness. However, current studies have only explored the relationship of between or within-session changes and short-/medium-term outcomes. The goal of this study was to determine whet...
| Publicado en: | Physiotherapy Theory & Practice Vol. 33; no. 9; pp. 716 - 725 |
|---|---|
| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2017
|
| 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=124584779&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124584779 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Sep2017 vid: 33 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 124584779 124584779 124584779 10.1080/09593985.2017.1345025 124584779 ppf: 716 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain? aug: au: Cook, Chad Petersen, Shannon Donaldson, Megan Wilhelm, Mark Learman, Ken affil: Division of Physical Therapy, Department of Orthopedics, Duke University, DurhamNC, USA sug: subj: Manual Therapy Low Back Pain Rehabilitation Time Factors Pain Measurement Fear Clinical Assessment Tools Scales Treatment Outcomes Disability Evaluation Retrospective Design Confidence Intervals Odds Ratio ROC Curve Linear Regression Effect Size Data Analysis Software Logistic Regression Adult Middle Age Female Male Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Early change is commonly assessed for manual therapy interventions and has been used to determine treatment appropriateness. However, current studies have only explored the relationship of between or within-session changes and short-/medium-term outcomes. The goal of this study was to determine whether pain changes after two weeks of pragmatic manual therapy could predict those participants with chronic low back pain who demonstrate continued improvements at 6-month follow-up. This study was a retrospective observational design. Univariate logistic regression analyses were performed using a 33% and a 50% pain change to predict improvement. Those who experienced a ≥33% pain reduction by 2 weeks had 6.98 (95% CI = 1.29, 37.53) times higher odds of 50% improvement on the GRoC and 4.74 (95% CI = 1.31, 17.17) times higher odds of 50% improvement on the ODI (at 6 months). Subjects who reported a ≥50% pain reduction at 2 weeks had 5.98 (95% CI = 1.56, 22.88) times higher odds of a 50% improvement in the GRoC and 3.99 (95% CI = 1.23, 12.88) times higher odds of a 50% improvement in the ODI (at 6 months). Future studies may investigate whether a change in plan of care is beneficial for patients who are not showing early improvement predictive of a good long-term outcome. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|