The Nordic back pain subpopulation program: course patterns established through weekly follow-ups in patients treated for low back pain
Tóm tắt
Low back pain (LBP) is known to have a fluctuating course. In clinical studies, when deciding on duration of treatment and time for follow-up, it is important to know at what point in time a definite pattern of recovery becomes apparent and at what time a possible recurrence is likely to occur. A detailed description of the pain pattern has been difficult to establish with commonly used methods for follow-up, and we now introduce data collection by means of text messaging on mobile phones. The purpose of this study was to describe the detailed course of LBP during 18 weeks in a population treated in the primary care sector by chiropractors. The study population consisted of 78 patients presenting to a chiropractor with LBP, who for at least 12 weeks responded to the questions sent by text messaging concerning 1) the number of LBP-days the preceding week and 2) the intensity of present LBP. A rapid improvement was observed through weeks one to four. After week seven no further improvement happened, and from the 12th week there seemed to be a tendency towards worsening. We suggest that follow-ups in studies concerning primary sector LBP care are conducted in week seven after treatment was initiated and at some later point which cannot be established from this study. In clinical practice we recommend that patients' LBP status is systematically followed for the first four weeks since lack of improvement during that period should cause watchfulness.
Tài liệu tham khảo
Hestbaek L, Leboeuf-Yde C, Engberg M, Lauritzen T, Bruun NH, Manniche C: The course of low back pain in a general population. Results from a 5-year prospective study. J Manipulative Physiol Ther. 2003, 26: 213-219. 10.1016/S0161-4754(03)00006-X.
Dunn KM, Jordan K, Croft PR: Characterizing the course of low back pain: a latent class analysis. Am J Epidemiol. 2006, 163: 754-761. 10.1093/aje/kwj100.
Stanton TR, Henschke N, Maher CG, Refshauge KM, Latimer J, McAuley JH: After an episode of acute low back pain, recurrence is unpredictable and not as common as previously thought. Spine. 2008, 33: 2923-2928. 10.1097/BRS.0b013e31818a3167.
Axen I, Rosenbaum A, Robech R, Larsen K, Leboeuf-Yde C: The Nordic back pain subpopulation program: can patient reactions to the first chiropractic treatment predict early favorable treatment outcome in nonpersistent low back pain?. J Manipulative Physiol Ther. 2005, 28: 153-158. 10.1016/j.jmpt.2005.02.007.
Malmqvist S, Leboeuf-Yde C, Ahola T, Andersson O, Ekstrom K, Pekkarinen H, Turpeinen M, Wedderkopp N: The Nordic back pain subpopulation program: predicting outcome among chiropractic patients in Finland. Chiropr Osteopat. 2008, 16: 13-10.1186/1746-1340-16-13.
Carey TS, Garrett JM, Jackman A, Hadler N: Recurrence and care seeking after acute back pain: results of a long-term follow-up study. North Carolina Back Pain Project. Med Care. 1999, 37: 157-164. 10.1097/00005650-199902000-00006.
Von Korff M, Saunders K: The course of back pain in primary care. Spine. 1996, 21: 2833-2837. 10.1097/00007632-199612150-00004.
Marras WS, Ferguson SA, Burr D, Schabo P, Maronitis A: Low back pain recurrence in occupational environments. Spine. 2007, 32: 2387-2397. 10.1097/BRS.0b013e3181557be9.
Petersen T, Laslett M, Thorsen H, Manniche C, Ekdahl C, Jacobsen S: Diagnostic classification of non-specific low back pain. A new system integrating patho-anatomic and clinical categories. Physiotherapy Theory and Practice. 2007, 19: 213-237.
SMS-Track Questionnaire 1.1.3. New Agenda Solutions. 2007, [http://sms-track.dk]
Leboeuf-Yde C, Grønstvedt A, Borge JA, Lothe J, Magnesen E, Nilsson O, Røsok G, Stig LC, Larsen K: The Nordic back pain subpopulation program: a 1-year prospective multicenter study of outcomes of persistent low-back pain in chiropractic patients. J Manipulative Physiol Ther. 2005, 28: 90-96. 10.1016/j.jmpt.2005.01.010.
Leboeuf-Yde C, Axen I, Jones JJ, Rosenbaum A, Lovgren PW, Halasz L, Larsen K: The Nordic back pain subpopulation program: the long-term outcome pattern in patients with low back pain treated by chiropractors in Sweden. J Manipulative Physiol Ther. 2005, 28: 472-478. 10.1016/j.jmpt.2005.07.003.
Kent PM, Keating JL: Can we predict poor recovery from recent-onset nonspecific low back pain? A systematic review. Man Ther. 2008, 13: 12-28. 10.1016/j.math.2007.05.009.
Kongsted A, Leboeuf-Yde C: The Nordic back pain subpopulation program - individual patterns of low back pain established by means of text messaging: a longitudinal pilot study. Chiropr Osteopat. 2009, 17: 11-10.1186/1746-1340-17-11.