Best-Practice Recommendations for Chiropractic Management of Patients With Neck Pain
Autor: | Wayne M. Whalen, Ronald J. Farabaugh, Amy L. Minkalis, Sheryl Walters, Michael Sheppard, Cheryl Hawk, Louis S. Crivelli, William Lauretti, Larry Wyatt |
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Rok vydání: | 2019 |
Předmět: |
Adult
medicine.medical_specialty Consensus Referral Best practice Spinal manipulation Scientific evidence 03 medical and health sciences 0302 clinical medicine Clinical Protocols Informed consent Humans Medicine Chiropractic manipulation 030222 orthopedics Neck pain Informed Consent Neck Pain Manipulation Chiropractic business.industry Headache Chiropractic Family medicine Practice Guidelines as Topic Chiropractics medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Journal of Manipulative and Physiological Therapeutics. 42:635-650 |
ISSN: | 0161-4754 |
DOI: | 10.1016/j.jmpt.2019.08.001 |
Popis: | Objective The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain. Methods A steering committee of experts in chiropractic practice, education, and research drafted a set of recommendations based on the most current relevant clinical practice guidelines. Additional supportive literature was identified through targeted searches conducted by a health sciences librarian. A national panel of chiropractors representing expertise in practice, research, and teaching rated the recommendations using a modified Delphi process. The consensus process was conducted from August to November 2018. Fifty-six panelists rated the 50 statements and concepts and reached consensus on all statements within 3 rounds. Results The statements and concepts covered aspects of the clinical encounter, ranging from informed consent through diagnosis, assessment, treatment planning and implementation, and concurrent management and referral for patients presenting with neck pain. Conclusions These best-practice recommendations for chiropractic management of adults with neck pain are based on the best available scientific evidence. For uncomplicated neck pain, including neck pain with headache or radicular symptoms, chiropractic manipulation and multimodal care are recommended. |
Databáze: | OpenAIRE |
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