Author : Gregory F. Parkin-Smith
Publisher :
ISBN 13 :
Total Pages : 346 pages
Book Rating : 4.:/5 (743 download)
Book Synopsis A Pragmatic Randomised Controlled Trial of a Protocol of Evidence-based Conservative Care Compared to Usual Chiropractic Care for Acute Non-specific Low Back Pain by : Gregory F. Parkin-Smith
Download or read book A Pragmatic Randomised Controlled Trial of a Protocol of Evidence-based Conservative Care Compared to Usual Chiropractic Care for Acute Non-specific Low Back Pain written by Gregory F. Parkin-Smith and published by . This book was released on 2010 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Acute low back pain (LBP) is a major health problem that has a significant impact on healthcare resources. Treatments for acute LBP have been tested in clinical trials and have been subject to systematic review. Consequently, clinical practice guidelines have been developed in which treatment recommendations are made. However, clinical guidelines are often not translated into practice and clinicians often to do adhere to them. In addition, treatment selection for acute LBP is influenced by practitioner or patient preference, implying that not all treatment delivered is based on the best available scientific evidence. Therefore, there is needed to develop and test innovative approaches to the treatment of acute LBP in order to standardise and improve care, alongside facilitating the translation of research into practice. -- Aim: This study set out to assess the short-term effectiveness of a protocol of evidence-based conservative care, acceptable to practicing chiropractors and viable to use in chiropractic practice, and compare it to usual chiropractic care for acute non-specific LBP in chiropractic practice. -- Methods/Design: Pragmatic pilot randomised controlled trial (RCT) set in three chiropractic practices in the United Kingdom. One hundred and eighteen eligible patients with acute non-specific LBP were randomly allocated to one of the two care groups. Up to seven treatments were provided to each participant over a four-week period. The primary outcome measures were low back-related pain and disability. The secondary outcome was patient satisfaction with care. -- Results: The protocol of care was shown to be acceptable to a panel of practicing chiropractors and viable to use in practice.