The Nordic Maintenance Care Program: when do chiropractors recommend secondary and tertiary preventive care for low back pain?
2009

Chiropractors' Recommendations for Preventive Care in Low Back Pain

Sample size: 129 publication Evidence: moderate

Author Information

Author(s): Iben Axén, Irene B Jensen, Andreas Eklund, Laszlo Halasz, Kristian Jørgensen, Fredrik Lange, Peter W Lövgren, Annika Rosenbaum, Charlotte Leboeuf-Yde

Primary Institution: The Karolinska Institute, Stockholm, Sweden

Hypothesis

A patient with no previous events of low back pain would not be a candidate for secondary prevention, whereas one with many previous episodes would be.

Conclusion

The vast majority of Swedish chiropractors believe that chiropractic treatment can prevent relapses of low back pain, with past frequency of the problem being a key factor in recommendations for secondary preventive care.

Supporting Evidence

  • 98% of chiropractors believe chiropractic care can prevent future relapses of back pain.
  • Two factors were considered 'very important' by over 70% of respondents for recommending secondary preventive care.
  • For tertiary preventive care, a patient needs to improve by at least 75% before maintenance care is recommended.

Takeaway

Chiropractors think that if someone has had back pain before, they might need more help to stop it from coming back again.

Methodology

Structured focus group discussions followed by a questionnaire survey among Swedish chiropractors.

Potential Biases

Participants may have been more interested in the topic, leading to a non-representative sample.

Limitations

The study may not represent all chiropractors in Sweden due to potential selection bias in participation.

Participant Demographics

Chiropractors from the Swedish Chiropractors' Association, with varying years of clinical experience.

Digital Object Identifier (DOI)

10.1186/1746-1340-17-1

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