The Nordic maintenance care program case management of
Background: Chiropractic treatment for low back pain (LBP) can often be divided into two
phases: Initial treatment of the problem to attempt to remove pain and bring it back into its preclinical
or maximum improvement status, and "maintenance care", during which it is attempted to
maintain this status. Although the use of chiropractic maintenance care has been described and
discussed in the literature, there is no information as to its precise indications. The objective of this
study is to investigate if there is agreement among Swedish chiropractors on the overall patient
management for various types of LBP-scenarios, with a special emphasis on maintenance care.
Method: The design was a mailed questionnaire survey. Members of the Swedish Chiropractors'
Association, who were participants in previous practice-based research, were sent a closed-end
questionnaire consisting of nine case scenarios and six clinical management alternatives and the
possibility to create one's own alternative, resulting in a "nine-by-seven" table. The research team
defined its own pre hoc choice of "clinically logical" answers based on the team's clinical experience.
The frequency of findings was compared to the suggestions of the research team.
Votes:9
Comments: 0