Danish physiotherapists' management of low back pain
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Danish physiotherapists' management of low back pain. / Hamm, Lena; Mikkelsen, Birger; Kuhr, Johnny; Støvring, Henrik; Munck, Anders; Kragstrup, Jakob.
I: Advances in Physiotherapy, Bind 5, Nr. 3, 2003, s. 109-113.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Danish physiotherapists' management of low back pain
AU - Hamm, Lena
AU - Mikkelsen, Birger
AU - Kuhr, Johnny
AU - Støvring, Henrik
AU - Munck, Anders
AU - Kragstrup, Jakob
PY - 2003
Y1 - 2003
N2 - Aim: To study Danish physiotherapists' management of low back pain in the light of the report "Low back pain", published in 1999 by the Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). Method: Two hundred and forty-two physiotherapists nationwide registered during 4 weeks in May 1999 consecutively all patients with "low back pain"; 4725 patients were registered representing a total of 12387 contacts. Reason for encounter, results of examination, exercise and treatment programme were registered. Results: In 94% of the consultations at least one of the recommended treatments was used, while 22% of the consultations involved ultrasound and short-wave diathermy, which are not recomended treatments. The McKenzie approach was used most frequently in patients with acute low back pain with radiation (odds ratio 3.1). Soft-tissue manipulation was given in 72% of the consultations. Sex of the physiotherapist was significant for choice of treatment. Discussion: The study shows that Danish physiotherapists' management of patients with low back pain is rationally founded. There seems, however, to be an over-use of passive treatment forms such as ultrasound, short-wave diathermy and heat and cold treatment, and continued quality development within the field is recommended.
AB - Aim: To study Danish physiotherapists' management of low back pain in the light of the report "Low back pain", published in 1999 by the Danish Centre for Evaluation and Health Technology Assessment (DACEHTA). Method: Two hundred and forty-two physiotherapists nationwide registered during 4 weeks in May 1999 consecutively all patients with "low back pain"; 4725 patients were registered representing a total of 12387 contacts. Reason for encounter, results of examination, exercise and treatment programme were registered. Results: In 94% of the consultations at least one of the recommended treatments was used, while 22% of the consultations involved ultrasound and short-wave diathermy, which are not recomended treatments. The McKenzie approach was used most frequently in patients with acute low back pain with radiation (odds ratio 3.1). Soft-tissue manipulation was given in 72% of the consultations. Sex of the physiotherapist was significant for choice of treatment. Discussion: The study shows that Danish physiotherapists' management of patients with low back pain is rationally founded. There seems, however, to be an over-use of passive treatment forms such as ultrasound, short-wave diathermy and heat and cold treatment, and continued quality development within the field is recommended.
KW - Audit
KW - Low back pain
KW - Physiotherapy
UR - http://www.scopus.com/inward/record.url?scp=0141762574&partnerID=8YFLogxK
U2 - 10.1080/14038190310004871
DO - 10.1080/14038190310004871
M3 - Journal article
AN - SCOPUS:0141762574
VL - 5
SP - 109
EP - 113
JO - Advances in Physiotherapy
JF - Advances in Physiotherapy
SN - 1403-8196
IS - 3
ER -
ID: 324421968