Thematische Bibliographien / Low back pain AND patient reported outcome measures AND chiropractic

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Auswahl der wissenschaftlichen Literatur zum Thema „Low back pain AND patient reported outcome measures AND chiropractic“

Autor: Grafiati

Veröffentlicht am 20. November 2023

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Zeitschriftenartikel zum Thema "Low back pain AND patient reported outcome measures AND chiropractic"

Clohesy, Natalie C., Anthony G. Schneiders und Sharyn Eaton. „Utilization of Low Back Pain Patient Reported Outcome Measures Within Chiropractic Literature: A Descriptive Review“. Journal of Manipulative and Physiological Therapeutics 41, Nr. 7 (September 2018): 628–39. http://dx.doi.org/10.1016/j.jmpt.2017.11.007.

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Hays, Ron D., Karen L. Spritzer und Steven P. Reise. „Using Item Response Theory to Identify Responders to Treatment: Examples with the Patient-Reported Outcomes Measurement Information System (PROMIS®) Physical Function Scale and Emotional Distress Composite“. Psychometrika 86, Nr. 3 (12.06.2021): 781–92. http://dx.doi.org/10.1007/s11336-021-09774-1.

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AbstractThe reliable change index has been used to evaluate the significance of individual change in health-related quality of life. We estimate reliable change for two measures (physical function and emotional distress) in the Patient-Reported Outcomes Measurement Information System (PROMIS®) 29-item health-related quality of life measure (PROMIS-29 v2.1). Using two waves of data collected 3 months apart in a longitudinal observational study of chronic low back pain and chronic neck pain patients receiving chiropractic care, and simulations, we compare estimates of reliable change from classical test theory fixed standard errors with item response theory standard errors from the graded response model. We find that unless true change in the PROMIS physical function and emotional distress scales is substantial, classical test theory estimates of significant individual change are much more optimistic than estimates of change based on item response theory.

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Thoomes, Erik, Gus Tilborghs, Nicola R. Heneghan, Deborah Falla und Marloes de Graaf. „Effectiveness of thoracic spine manipulation for upper quadrant musculoskeletal disorders: protocol for a systematic review“. BMJ Open 13, Nr. 9 (September 2023): e076143. http://dx.doi.org/10.1136/bmjopen-2023-076143.

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IntroductionUpper quadrant musculoskeletal disorders (UQMD), comprising of cranial, cervical, shoulder and upper extremity disorders, are among the most frequently reported disorders in clinical practice. Thoracic high velocity low amplitude thrust (Tx-HVLAT) manipulation is a form of conservative management recommended in systematic reviews as an effective treatment option for aspects of UQMD disorders such headache, shoulder pain and lateral elbow pain. However, no recent systematic reviews have assessed the effectiveness across UQMD. Therefore, this systematic review aims to update the current evidence on the effectiveness of Tx-HVLAT for patients with UQMD on (1) patient-reported outcomes, (2) performance measures or (3) psychosocial outcomes.Methods and analysisThe Cochrane Controlled Trials Register, MEDLINE, EMBASE, CINAHL, PEDro and Index to Chiropractic Literature will be searched from inception using Medical Subject Headings (MeSH), Thesaurus and/or free-text words. Combinations will be made based on localisation, disorder, intervention and design. Following guidelines as advised by the Cochrane Back Review Group, published randomised controlled trials will be included. Two review authors will independently assess the risk of bias (ROB) using the Cochrane Back Review Group’s recommended ROB2 tool and will independently extract the data using a standardised data extraction form. Overall quality of the evidence will be evaluated using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) method. For continuous data, we will calculate standardised mean differences with 95% CIs. For dichotomous outcomes, relative risks and 95% CIs will be calculated. Where possible we will present a subgroup analysis by disorder. For pooling, a random-effects model will be used.Ethics and disseminationEthics approval is not required for this systematic review. The study findings will be submitted to a relevant peer-reviewed journal for dissemination and presented at relevant conferences.PROSPERO registration numberCRD42023429996.

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Rogers, Casey, Madeleine Hackney, Lisa Zubkoff und Katharina Echt. „ACTIVITY GOAL SETTING ON CHRONIC LOWER BACK PAIN FOR OLDER VETERANS RECEIVING CHIROPRACTIC CARE“. Innovation in Aging 6, Supplement_1 (01.11.2022): 797–98. http://dx.doi.org/10.1093/geroni/igac059.2878.

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Abstract There is currently no literature addressing the impact that chiropractic services have on older adults achieving individualized specific goals throughout a course of care for chronic low back pain. This study aims to explore the impact of setting a self-determined, “what matters most” activity/goal of rehabilitation care with relevant activities as part of standard chiropractic care on the self-rated pain and disability of older Veterans. Participants were randomized into two groups. The first, an experimental group where participants identified a goal and received standard chiropractic care. The second, a control group that received standard chiropractic care only. Participants underwent six sessions of care. Outcome assessment tools were utilized at pre- and post-treatment for both groups as primary measures and an individualized goal setting measurement tool was utilized for those randomized to the experimental group. After treatment, all participants had self-reported improvement in their condition and all participants assigned to a “goal setting group” achieved their desired goal. Despite some outcome measures remaining unchanged, this self-reported improvement may be important in the future of chiropractic services for the older Veteran population suffering with chronic low back pain in achieving self-determined goals of importance.

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Alhowimel, Ahmed, Faris Alodaibi, Mazyad Alotaibi, Dalyah Alamam und Julie Fritz. „The Patient-Reported Outcome Measures Used with Low Back Pain and the Attitude of Primary Healthcare Practitioners in Saudi Arabia toward Them“. Medicina 57, Nr. 8 (08.08.2021): 812. http://dx.doi.org/10.3390/medicina57080812.

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Background and objectives: The use of appropriate outcome measures can help guide multidimensional low back pain (LBP) management, elucidate the efficacy/effectiveness of interventions, and inform clinicians when selected targets have been achieved and this can be used for educational or research purposes. Aim: This study aimed to explore and describe the use, attitudes, knowledge, and beliefs regarding patient-reported outcome measures used by healthcare practitioners practising in Saudi Arabia who are frequently involved in the healthcare of individuals with LBP. Materials and Methods: A cross-sectional design was undertaken using a web-based survey. An electronic invitation to participate was sent to primary care physicians and physical therapists practising in Saudi Arabia. The survey included three sections: demographic data, a list of the most commonly used patient-reported outcome measures with LBP patients, and statements regarding attitudes, knowledge, and beliefs about outcome measures. Results: A total of 156 practitioners participated: 45 primary care physicians and 111 physical therapists. The numeric pain rating and visual analogue scales were the outcome measures most frequently reported as being often used by both primary care physicians and physical therapists. The majority of participants reported often using 1–2 patient reported outcome measures (PROMs). While most participants indicated that they were confident at selecting the most appropriate PROM, fewer were familiar with the concept of the minimally important clinical difference. A lack of Arabic versions of PROMs was reported as a barrier to using them to assess pain. Conclusions: This study shows that, although primary care physicians and physical therapists in Saudi Arabia frequently use patient-reported outcome measures in their clinical management of patients with LBP, there is a noticeable gap in the knowledge and use of the multidimensional outcome measures for LBP management among the participants. This highlights a need for professional training on the use of standardised outcome measures related to LBP.

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Sigmundsson, Freyr Gauti, Anders Joelson und Fredrik Strömqvist. „Patients with no preoperative back pain have the best outcome after lumbar disc herniation surgery“. European Spine Journal 31, Nr. 2 (27.10.2021): 408–13. http://dx.doi.org/10.1007/s00586-021-07033-6.

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Abstract Purpose Most patients with lumbar disc herniations requiring surgery have concomitant back pain. The purpose of the current study was to evaluate the outcome of surgery for lumbar disc herniations in patients with no preoperative back pain (NBP) compared to those reporting low back pain (LBP). Methods 15,418 patients surgically treated due to LDH with primary discectomy from 1998 until 2020 were included in the study. Self-reported low back pain assessed with a numerical rating scale (NRS) was used to dichotomize the patients in two groups, patients without preoperative back pain (NBP, NRS = 0, n = 1333, 9%) and patients with preoperative low back pain (LBP, NRS > 0, n = 14,085, 91%). Patient reported outcome measures (PROMs) collected preoperatively and one-year postoperatively were used to evaluate differences in outcomes between the groups. Results At the one-year follow-up, 89% of the patients in the NBP group were completely pain free or much better compared with 76% in the LBP group. Significant improvement regarding leg pain was seen in all measured PROMs in both groups oneyear after surgery. In the NBP group, 13% reported clinically significant back pain (NRS difference greater than Minimally Clinical Important Difference (MICD)) at the one-year follow-up. Conclusions Patients without preoperative back pain are good candidates for LDH surgery. 13% of patients without preoperative back pain develop clinically significant back pain one-year after surgery.

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Miki, Takahiro, Yu Kondo, Tsuneo Takebayashi und Hiroshi Takasaki. „Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain“. PLOS ONE 15, Nr. 1 (21.01.2020): e0227999. http://dx.doi.org/10.1371/journal.pone.0227999.

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Gold, Laura S., Matthew Bryan, Bryan A. Comstock, Brian W. Bresnahan, Richard A. Deyo, Srdjan S. Nedeljkovic, David R. Nerenz, Patrick Heagerty und Jeffrey G. Jarvik. „Associations Between Relative Value Units and Patient-Reported Back Pain and Disability“. Gerontology and Geriatric Medicine 3 (01.01.2017): 233372141668601. http://dx.doi.org/10.1177/2333721416686019.

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Objective: To describe associations between health care utilization measures and patient-reported outcomes (PROs). Method: Primary data were collected from patients ≥65 years with low back pain visits from 2011 to 2013. Six PROs of pain and functionality were collected 12 and 24 months after the index visits and total and spine-specific relative value units (RVUs) from electronic health records were tabulated over 1 year. We calculated correlation coefficients between RVUs and 12- and 24-month PROs and conducted linear regressions with each 12- and 24-month PRO as the outcome variables and RVUs as predictors of interest. Results: We observed very weak correlations between worse PROs at 12 and 24 months and greater 12-month utilization. In regression analyses, we observed slight associations between greater utilization and worse 12- and 24-month PROs. Discussion: We found that 12-month health care utilization is not strongly associated with PROs at 12 or 24 months.

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Hanney, William J., Fahim Dhalla, Chase Kelly, Alicia Tomberlin, Morey J. Kolber, Abigail T. Wilson und Paul A. Salamh. „The Influence of Personality Type on Patient Outcome Measures and Therapeutic Alliance in Patients with Low Back Pain“. NeuroSci 4, Nr. 3 (07.08.2023): 186–94. http://dx.doi.org/10.3390/neurosci4030017.

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Background: Low back pain (LBP) has been shown to have various biological, psychological, and social factors that affect prognosis. However, it is unclear how personality may influence self-reported outcome measures and therapeutic alliance (TA). Methods: Eysenck’s personality inventory was used to assess personality, while the numeric pain rating scale (NPRS), Oswestry Disability Index (ODI), Tampa Scale of Kinesiophobia (TSK), Global Rating of Change (GROC), and the Working Alliance Inventory (WAI) measured patient progress and relationship strength. All outcome measures were formulated in a single survey that both the therapist and patient completed electronically. Results: Sixty-seven patients with LBP and twenty-two licensed physical therapists participated. For personality measures, there was a significant positive correlation between neuroticism and GROC (rho = 0.295, p = 0.015) and a significant negative correlation between extraversion and WAI (rho = −0.243, p = 0.048). Significant correlations were found between ODI and TSK (rho = 0.462, p ≤ 0.001) and between ODI and GROC (rho = −0.416, p ≤ 0.001). A significant negative correlation was found between TSK and GROC (rho = −0.301, p = 0.013). Conclusions: Patients with higher levels of disability seemed to report higher levels of kinesiophobia and less overall improvement in physical therapy. Patients classified as neurotic reported higher levels of improvement while extraverted patients demonstrated a weaker therapeutic alliance with their therapist.

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Östhols, Sara, Carina Boström und Eva Rasmussen-Barr. „Clinical assessment and patient-reported outcome measures in low-back pain – a survey among primary health care physiotherapists“. Disability and Rehabilitation 41, Nr. 20 (09.05.2018): 2459–67. http://dx.doi.org/10.1080/09638288.2018.1467503.

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Cantú-Leal, R., und R. Cantu-Longoria. „Uniportal Endoscopic Transforaminal Decompression Associated with Cylindrical Percutaneous Interspinous Spacer“. In Contemporary Endoscopic Spine Surgery, 213–25. BENTHAM SCIENCE PUBLISHERS, 2022. http://dx.doi.org/10.2174/9789815051544122030014.

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Combining the percutaneous transforaminal endoscopic decompression (PTED) with interspinous process distraction systems (ISP) may offer additional benefits in treating spinal stenosis in patients who have failed conservative treatment. We retrospectively investigated the medical records of 152 patients who underwent transforaminal endoscopic decompression with simultaneous ISP placement through the same incision. Patients were operated on from January 2008 to June 2016 and included 80 males, and 72 patients were females. Clinical data analysis was done on 142 patients two years postoperatively since ten patients were lost in follow-up. Primary outcome measures were pre-and postoperative visual analog scale (VAS) criteria and the Oswestry Disability Index. Only patients with a minimum follow-up of 2 years were included. The analysis included 224 patients who underwent interspinous spacers during the transforaminal endoscopic decompression. Of the 152 patients, 84 complained of axial facet-related pain syndromes versus the remaining 68 patients who chiefly complained of radicular symptoms. The postoperative VAS reduction at two year follow-up for the low back was 6.4. The patient-reported ODI reductions were of a similar magnitude at 40.4%. According to Macnab criteria, the percentage of patients who graded their surgical results as excellent or good was 90%. At two-year follow-up, 5 percent of patients required another operation to deal with failure to cure or recurrent symptoms due to implant subsidence. The authors concluded that adding an interspinous process spacer to the endoscopic decompression in patients treated for lateral lumbar stenosis and foraminal stenosis with low-grade spondylolisthesis might improve clinical outcomes by stabilizing the posterior column.

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