Symptomatic reactions, clinical outcomes and patient satisfaction associated with upper cervical chiropractic care: A prospective, multicenter, cohort study
Symptomatic reactions, clinical outcomes and patient satisfaction associated with upper cervical chiropractic care: A prospective, multicenter, cohort study
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DOI：
10.1186/1471-2474-12-219
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发表时间：
2011-10-05
影响因子：
2.3
通讯作者：
Hurwitz, Eric L.
中科院分区：
文献类型：
--
作者：
Eriksen, Kirk;Rochester, Roderic P.;Hurwitz, Eric L.
背景资料：先前的观察性研究表明，颈部和/或背部操作后的不良事件相对常见，尽管这些反应的强度往往较轻且具有自限性。然而，没有前瞻性研究探讨了不良反应的发生率脊柱调整后，使用上颈椎技术，这种护理对临床outcomes.Methods的影响：从83脊医的办公室concentive新的患者被招募为这个实践为基础的研究。临床结局指标包括1）颈部疼痛残疾指数（100分量表），2）奥斯韦斯特里背痛指数（100分量表），3）颈部、头痛、中背部和腰痛的11分数字评定量表（NRS），4）治疗满意度，5）症状反应（SR）。在基线和大约2周的护理后收集数据。达到疼痛和残疾亚临床状态的患者定义为随访评分
Background: Observational studies have previously shown that adverse events following manipulation to the neck and/or back are relatively common, although these reactions tend to be mild in intensity and self-limiting. However, no prospective study has examined the incidence of adverse reactions following spinal adjustments using upper cervical techniques, and the impact of this care on clinical outcomes.Methods: Consecutive new patients from the offices of 83 chiropractors were recruited for this practice-based study. Clinical outcome measures included 1) Neck pain disability index (100-point scale), 2) Oswestry back pain index (100-point scale), 3) 11-point numerical rating scale (NRS) for neck, headache, midback, and low back pain, 4) treatment satisfaction, and 5) Symptomatic Reactions (SR). Data were collected at baseline, and after approximately 2 weeks of care. A patient reaching sub-clinical status for pain and disability was defined as a follow-up score