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A description of patients with LBP who, after 1 month of treatment, fit the six management strategies in relation to additional observations. |
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| Type of strategy |
Total number of replies |
Replies |
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| 1. Second opinion |
11 |
Lethargy Malaise Severe weight loss or gain Bad general health Severe stress Untold trauma Illogical pain pattern Sick-leave Psychosocial issues/somatisation |
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| 2. Quick fix |
9 |
Bad compliance Lives far away Difficult working hours History of one treatment only Treatment dependent Grateful Looks well now Muscles OK Physically and mentally well balanced |
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| 3. Try again |
10 |
Chiropractic treatment successful New clinical findings Recently aggravating factor Post traumatic Minor accident occurred during past month Increased workload Patient somewhat frustrated Bad compliance Patient dissatisfied |
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| 4. Exterior help – keep in touch |
5 |
Good compliance Psychosocial problem Easy onset Good response to other therapy Alcohol/drug abuse |
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| 5. Symptom-guided maintenance care |
8 |
Compliant patient Satisfied patient Prefers chiropractic to training Increased workload Try to remedy partly inappropriate treatment If the present status is not good enough, time to re-evaluate diagnosis and treatment Compliant |
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| 6. Clinical findings-guided maintenance care |
11 |
Satisfied patient Compliant Health-minded patient Athletic Prefers chiropractic to exercises New clinical findings due to change of posture |
Malmqvist and Leboeuf-Yde Chiropractic & Osteopathy 2009 17:7 doi:10.1186/1746-1340-17-7 |
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