Patient Expectations as Predictors of Outcome in Patients with Acute Low Back Pain
Patient Expectations as Predictors of Outcome in Patients with Acute Low Back Pain
SOURCE: Journal of General Internal Medicine 2008 (Feb)
Samuel S. Myers MD, Russell S. Phillips MD, Roger B. Davis ScD, Daniel C. Cherkin PhD, Anna Legedza ScD, Ted J. Kaptchuk, Andrea Hrbek, Julie E. Buring ScD, Diana Post MD, Maureen T. Connelly MD, MPH & David M. Eisenberg MD
Department of Medicine,
Harvard Medical School,
Mount Auburn Hospital,
Cambridge, MA 02138, USA.
BACKGROUND: Few studies have evaluated the association between patient expectations for recovery and clinical outcomes, and no study has evaluated whether asking patients to choose their therapy modifies such an association.
OBJECTIVE: To evaluate the association between patients’ expectations and functional recovery in patients with acute low back pain (LBP), and to determine whether that association is affected by giving patients choice of therapy.
DESIGN AND PARTICIPANTS: A secondary analysis of a randomized controlled trial comparing usual care alone to usual care plus choice of chiropractic, acupuncture, or massage in 444 adults with acute LBP, lasting less than 21 days.
MEASUREMENTS AND MAIN RESULTS: Primary outcome was functional disability (Roland score) at 5 and 12 weeks.
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Maintenance Care Reduces the Number of Days With Pain in Acute Episodes and Increases the Length of Pain Free Periods for Dysfunctional Patients With Recurrent and Persistent Low Back Pain
The Nordic Maintenance Care Program: Maintenance Care Reduces the Number of Days With Pain in Acute Episodes and Increases the Length of Pain Free Periods for Dysfunctional Patients With Recurrent and Persistent Low Back Pain – A Secondary Analysis of a Pragmatic Randomized Controlled Trial
SOURCE: Chiropractic & Manual Therapies 2020 (Apr 21); 28: 19
Andreas Eklund, Jan Hagberg, Irene Jensen, Charlotte Leboeuf-Yde, Alice Kongsted, Peter Lövgren, Mattias Jonsson, Jakob Petersen-Klingberg, Christian Calvert & Iben Axén
Karolinska Institutet,
Institute of Environmental Medicine,
Unit of Intervention and Implementation Research for Worker Health,
Stockholm, Sweden.
BACKGROUND: A recent study showed that chiropractic patients had fewer days with bothersome (activity-limiting) low back pain (LBP) when receiving care at regular pre-planned intervals regardless of symptoms (‘maintenance care’, MC) compared to receiving treatment only with a new episode of LBP. Benefit varied across psychological subgroups. The aims of this study were to investigate 1) pain trajectories around treatments, 2) recurrence of new episodes of LBP, and 3) length of consecutive pain-free periods
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Our Blog is Just a Tool. Learn How To Use It Now
Our Blog is Just a Tool.
Learn How To Use It Now.
SOURCE: A Chiro.Org Editorrial
Every Blog post is an announcement of new material that was just added to one of our many Sections.
I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have almost 6,000 Abstracts, and hundreds of Full-Text articles on a wide variety of subjects.
When enough material, relating to a particular topic was collected, it was gathered into a new Topical Page in one of our many Sections.
Each Topical page is located in the Section most associated with that topic. Thus, our Attention Deficit Page is located (is a part of) our Pediatrics Section You get the idea.
Almost ALL of our Sections contain some, or many Topical collections. The LINKS Section is the most extreme example, because it contains 93 different topical pages.
All of the following are “active” Sections that are constantly adding new (and important) materials:
Alternative Healing Abstracts
Case Studies
Chiropractic Assistants
Chiropractic Research
Documentation
The LINKS
Medicare Info
Nutrition
Pediatrics
Radiology
Stroke and Chiropractic Page
What is the Chiropractic Subluxation?
These other valuable Sections are “archival” in nature, and contain valuable tools for you to use freely:
Free Images
New DC’s
Office Forms
R.C. Schafer’s Rehab Monographs
Search Section
How Blog Posts Work
The following is a Graphic “screen grab” of a Blog Post from our Home Page.
An Overview of Systematic Reviews of Complementary and Alternative Therapies for Infantile Colic
An Overview of Systematic Reviews of Complementary and Alternative Therapies for Infantile Colic
SOURCE: Systematic Reviews 2019 (Nov 11)
Rachel Perry, Verity Leach, Chris Penfold & Philippa Davies
National Institute for Health Research Bristol Biomedical Research Centre,
University Hospitals Bristol NHS Foundation Trust and University of Bristol,
Nutrition Theme, 3rd Floor, Education & Research Centre,
Upper Maudlin Street,
Bristol, BS2 8AE, UK.
BACKGROUND: Infantile colic is a distressing condition characterised by excessive crying in the first few months of life. The aim of this research was to update the synthesis of evidence of complementary and alternative medicine (CAM) research literature on infantile colic and establish what evidence is currently available.
METHODS: Medline, Embase and AMED (via Ovid), Web of Science and Central via Cochrane library were searched from their inception to September 2018. Google Scholar and OpenGrey were searched for grey literature and PROSPERO for ongoing reviews. Published systematic reviews that included randomised controlled trials (RCTs) of infants aged up to 1 year, diagnosed with infantile colic using standard diagnostic criteria, were eligible. Reviews of RCTs that assessed the effectiveness of any individual CAM therapy were included. Three reviewers were involved in data extraction and quality assessment using the AMSTAR-2 scale and risk of bias using the ROBIS tool.
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The COMMENTS Section is Back!
The COMMENTS Section is Back!
In the last 5 years, we have relocated to a new (better) server 3 different times.
Even though we moved all the Blog files over, WordPress automatically snaps back to its default (original) settings, so we had to fuss for a few days to get everything to look like we designed it to appear.
UNFORTUNATELY, the one thing we missed (since it’s the one thing we never use) was the COMMENTS Section at the bottom of every full post. Evidently you always have to re-install the Comments section. Grrr!
The “Front Page” displays a portion of every post. To see the Full post, you either click the Title, or the Read More link at the bottom.
Below the full post is the COMMENTS Section.
The first time you make a comment, you will have to add your Name and your E-Mail address. After that, you will always be signed in.
You can also check the box(es) to follow future comments on that post, or to ask to be notified every time a new Blog Post is published. Very convenient!
We assure you that your e-mail address will NEVER be shared with anyone.
We also apologize that we missed this in the past, because it suppressed one of our most enjoyable features, discussing current research with friends and fellow DCs.
We are pleased to return full functionality to our Blog, and hope that you too will enjoy discussing these studies with your peers.
Care for Low Back Pain: Can Health Systems Deliver?
Care for Low Back Pain:
Can Health Systems Deliver?
SOURCE: Bulletin of the World Health Organization 2019 (Jun 1)
Adrian C Traeger, Rachelle Buchbinder, Adam G Elshaug, Peter R Croft, and Chris G Mahera
Institute for Musculoskeletal Health,
University of Sydney,
PO Box M179, Missenden Road,
Camperdown NSW 2050, Australia.
Low back pain is the leading cause of years lived with disability globally. In 2018, an international working group called on the World Health Organization to increase attention on the burden of low back pain and the need to avoid excessively medical solutions. Indeed, major international clinical guidelines now recognize that many people with low back pain require little or no formal treatment. Where treatment is required the recommended approach is to discourage use of pain medication, steroid injections and spinal surgery, and instead promote physical and psychological therapies. Many health systems are not designed to support this approach.
In this paper we discuss why care for low back pain that is concordant with guidelines requires system-wide changes. We detail the key challenges of low back pain care within health systems. These include the financial interests of pharmaceutical and other companies; outdated payment systems that favour medical care over patients’ self-management; and deep-rooted medical traditions and beliefs about care for back pain among physicians and the public. We give international examples of promising solutions and policies and practices for health systems facing an increasing burden of ineffective care for low back pain.
We suggest policies that, by shifting resources from unnecessary care to guideline-concordant care for low back pain, could be cost-neutral and have widespread impact. Small adjustments to health policy will not work in isolation, however. Workplace systems, legal frameworks, personal beliefs, politics and the overall societal context in which we experience health, will also need to change.
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MEDICARE Page and the: