TAILIEUCHUNG - Báo cáo y học: "Preliminary study into the components of the fear-avoidance model of LBP: change after an initial chiropractic visit and influence on outcome."

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: Preliminary study into the components of the fear-avoidance model of LBP: change after an initial chiropractic visit and influence on outcome. | Field et al. Chiropractic Osteopathy 2010 18 21 http content 18 1 21 CHIROPRACTIC OSTEOPATHY RESEARCH Open Access Preliminary study into the components of the fear-avoidance model of LBP change after an initial chiropractic visit and influence on outcome Jonathan R Field1 Dave Newell2 Peter W McCarthy3 Abstract Background In the last decade the sub grouping of low back pain LBP patients according to their likely response to treatment has been identified as a research priority. As with other patient groups researchers have found few if any factors from the case history or physical examination that are helpful in predicting the outcome of chiropractic care. However in the wider LBP population psychosocial factors have been identified that are significantly prognostic. This study investigated changes in the components of the LBP fear-avoidance beliefs model in patients pre- and post- their initial visit with a chiropractor to determine if there was a relationship with outcomes at 1 month. Methods Seventy one new patients with lower back pain as their primary complaint presenting for chiropractic care to one of five clinics nine chiropractors completed questionnaires before their initial visit pre-visit and again just before their second appointment post-visit . One month after the initial consultation patient global impression of change PGIC scores were collected. Pre visit and post visit psychological domain scores were analysed for any association with outcomes at 1 month. Results Group mean scores for Fear Avoidance Beliefs FAB catastrophisation and self-efficacy were all improved significantly within a few days of a patient s initial chiropractic consultation. Pre-visit catastrophisation as well as post-visit scores for catastrophisation back beliefs inevitability and self-efficacy were weakly correlated with patient s global impression of change PGIC at 1 month. However when the four assessed psychological variables were dichotomised about .

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