Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain. | Kongsted et al. Chiropractic Manual Therapies 2011 19 10 http content 19 1 10 CHIROPRACTIC MANUAL THERAPIES RESEARCH Open Access Feasibility of the STarT back screening tool in chiropractic clinics a cross-sectional study of patients with low back pain Alice Kongsted1 2 Else Johannesen3 and Charlotte Leboeuf-Yde2 Abstract The STarT back screening tool SBT allocates low back pain LBP patients into three risk groups and is intended to assist clinicians in their decisions about choice of treatment. The tool consists of domains from larger questionnaires that previously have been shown to be predictive of non-recovery from LBP. This study was performed to describe the distribution of depression fear avoidance and catastrophising in relation to the SBT risk groups. A total of 475 primary care patients were included from 19 chiropractic clinics. They completed the SBT the Major Depression Inventory MDI the Fear Avoidance Beliefs Questionnaire FABQ and the Coping Strategies Questionnaire. Associations between the continuous scores of the psychological questionnaires and the SBT were tested by means of linear regression and the diagnostic performance of the SBT in relation to the other questionnaires was described in terms of sensitivity specificity and likelihood ratios. In this cohort 59 were in the SBT low risk 29 in the medium risk and 11 in high risk group. The SBT risk groups were positively associated with all of the psychological questionnaires. The SBT high risk group had positive likelihood ratios for having a risk profile on the psychological scales ranging from 95 CI - for the MDI to 95 CI - for the FABQ. The SBT questionnaire was feasible to use in chiropractic practice and risk groups were related to the presence of well-established psychological prognostic factors. If the tool proves to predict prognosis in future studies it would be a relevant alternative in clinical practice to other more comprehensive questionnaires. .
