Clinical management of acute low back pain in elite and subelite rowers: a Delphi study of experienced and expert clinicians
| Autor: | Larissa Trease, Jane S Thornton, Anders Vinther, Kellie Wilkie, Sarah-Jane McDonnell, Fiona Wilson |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Consensus Delphi Technique Sports medicine Best practice Rowing Population Delphi method Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine education Water Sports Response rate (survey) education.field_of_study business.industry 030229 sport sciences General Medicine Acute Pain Low back pain Elite Physical therapy medicine.symptom business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Sports Medicine. 55:1324-1334 |
| ISSN: | 1473-0480 0306-3674 |
| DOI: | 10.1136/bjsports-2020-102520 |
| Popis: | ObjectivesRowing-related low back pain (LBP) is common but published management research is lacking. This study aims to establish assessment and management behaviours and beliefs of experienced and expert clinicians when elite and subelite rowers present with an acute episode of LBP; second, to investigate how management differs for developing and masters rowers. This original research is intended to be used to develop rowing-related LBP management guidelines.MethodsA three-round Delphi survey was used. Experienced clinicians participated in an internet-based survey (round 1), answering open-ended questions about assessment and management of rowing-related LBP. Statements were generated from the survey for expert clinicians to rate (round 2) and rerate (round 3). Consensus was gained when agreement reached a mean of 7 out of 10 and disagreement was 2 SD or less.ResultsThirty-one experienced clinicians participated in round 1. Thirteen of 20 invited expert clinicians responded to round 2 (response rate 65%) and 12 of the 13 participated in round 3 (response rate 92%).One hundred and fifty-three of 215 statements (71%) relating to the management of LBP in elite and subelite rowers acquired consensus status. Four of six statements (67%) concerning developing rowers and two of four (50%) concerning masters rowers gained consensus.ConclusionIn the absence of established evidence, these consensus-derived statements are imperative to inform the development of guidelines for the assessment and management of rowing-related LBP. Findings broadly reflect adult LBP guidelines with specific differences. Future research is needed to strengthen specific recommendations and develop best practice guidelines in this athletic population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|