Rehabilitation of back pain in the pediatric population: a mixed studies systematic review DOI Creative Commons
Hainan Yu, Danielle Southerst, Jessica J. Wong

et al.

Chiropractic & Manual Therapies, Journal Year: 2024, Volume and Issue: 32(1)

Published: May 8, 2024

Abstract Background A significant proportion of children and adolescents experience back pain. However, a comprehensive systematic review on the effectiveness rehabilitation interventions is lacking. Objectives To evaluate benefits harms for non-specific low pain (LBP) or thoracic spine in pediatric population. Methods Seven bibliographic electronic databases were searched from inception to June 16, 2023. Moreover, reference lists relevant studies reviews, three targeted websites, WHO International Clinical Trials Registry Platform searched. Paired reviewers independently conducted screening, assessed risk bias, extracted data related study characteristics, methodology, subjects, results. Certainty evidence was evaluated based GRADE approach. Results We screened 8461 citations 307 full-text articles. Ten quantitative (i.e., 8 RCTs, 2 non-randomized clinical trials) one qualitative included. With very moderate certainty evidence, with LBP, spinal manipulation (1–2 sessions/week over 12 weeks, 1 RCT) plus exercise may be associated greater likelihood experiencing clinically important reduction versus alone; group-based weeks (2 RCTs trial) reduce intensity. The found information provided via education/advice compliance treatment effective treatment. No economic examining identified. Conclusions Spinal beneficial reducing LBP intensity adolescents. Education should as part care program. overall sparse. Methodologically rigorous are needed. Trial registration CRD42019135009 (PROSPERO)

Language: Английский

What patients, clinicians and health service managers describe as a satisfactory outcome at six to 12 months following ankle fracture: a qualitative study DOI Creative Commons
Billy H.T. Chan, Cylie Williams,

Peggy Vincent

et al.

Disability and Rehabilitation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 9

Published: March 14, 2025

To identify what constitutes a satisfactory outcome following ankle fracture from the perspectives of people with fracture, clinicians and health service managers. Semi-structured interviews were conducted adults lived experience experienced in treatment managers hospitals providing care for fracture. Patients (n = 12), 12) 8) interviewed. We identified two themes. A at six to 12 months is: (1) collaborative construct determined by patients clinicians; (2) influenced patient's care. The first theme was elaborated through three subthemes which explained how collaborate determine outcome: establishing indicators; consideration contextual factors; (3) revision throughout patient recovery journey. Managers considered re-referrals feedback reflecting is collaboratively monitored organisational indicators. During this process preference outcomes activity/participation body structure/function. Clinicians play an important role determining preferences positive

Language: Английский

Citations

0
Rehabilitation of back pain in the pediatric population: a mixed studies systematic review DOI Creative Commons
Hainan Yu, Danielle Southerst, Jessica J. Wong

et al.

Chiropractic & Manual Therapies, Journal Year: 2024, Volume and Issue: 32(1)

Published: May 8, 2024

Abstract Background A significant proportion of children and adolescents experience back pain. However, a comprehensive systematic review on the effectiveness rehabilitation interventions is lacking. Objectives To evaluate benefits harms for non-specific low pain (LBP) or thoracic spine in pediatric population. Methods Seven bibliographic electronic databases were searched from inception to June 16, 2023. Moreover, reference lists relevant studies reviews, three targeted websites, WHO International Clinical Trials Registry Platform searched. Paired reviewers independently conducted screening, assessed risk bias, extracted data related study characteristics, methodology, subjects, results. Certainty evidence was evaluated based GRADE approach. Results We screened 8461 citations 307 full-text articles. Ten quantitative (i.e., 8 RCTs, 2 non-randomized clinical trials) one qualitative included. With very moderate certainty evidence, with LBP, spinal manipulation (1–2 sessions/week over 12 weeks, 1 RCT) plus exercise may be associated greater likelihood experiencing clinically important reduction versus alone; group-based weeks (2 RCTs trial) reduce intensity. The found information provided via education/advice compliance treatment effective treatment. No economic examining identified. Conclusions Spinal beneficial reducing LBP intensity adolescents. Education should as part care program. overall sparse. Methodologically rigorous are needed. Trial registration CRD42019135009 (PROSPERO)

Language: Английский

Citations

0