How Much Physiotherapy, Chiropractic, and Osteopathy Care Do Compensated Australian Workers with Low Back Pain Receive? A Retrospective Cohort Study.

IF 2.1 3区 医学 Q1 REHABILITATION
Michael Di Donato, Shannon Gray, Luke R Sheehan, Rachelle Buchbinder, Ross Iles, Alex Collie
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Abstract

Objectives: To identify the prevalence and frequency of physiotherapy, chiropractic, and/or osteopathy care in Australians with workers' compensation claims for low back pain (LBP).

Methods: We included workers with accepted workers' compensation claims longer than 2 weeks from the Australian states of Victoria, Queensland, South Australia, and Western Australia. Workers were grouped by whether they attended physiotherapy, chiropractic, and/or osteopathy in the first 2 years of their claim. Descriptive statistics and logistic regression were used to describe differences between groups. Descriptive statistics and negative binomial regression were used to describe differences in the number of attendances in each group.

Results: Most workers had at least one physical therapy attendance during the period of their claim (n = 23,619, 82.0%). Worker state, socioeconomic status, and remoteness were the largest contributing factors to likelihood of physical therapy attendance. Most workers only attended physiotherapy (n = 21,035, 89.1%, median of 13 times). Far fewer only attended chiropractic (n = 528, 2.2%, median of 8 times) or only osteopathy (n = 296, 1.3%, median of 10 times), while 1,750 (7.5%) attended for care with more than one type of physical therapy (median of 31 times).

Conclusion: Most Australian workers with workers' compensation time loss claims for LBP attend physiotherapy at least once during their claims. State of claim is the strongest predictor of which physical therapy profession they attend, possibly due to regional availability. Workers who see a physiotherapist have significantly more attendances. Future research should explore the relationship between these patterns of care and claimant outcomes, including work disability duration.

Abstract Image

患有腰背痛的澳大利亚补偿工人接受了多少物理治疗、整脊和整骨治疗?一项回顾性队列研究。
目的:确定因腰背痛而提出工伤索赔的澳大利亚人接受物理治疗、脊椎按摩和/或整骨疗法的比例和频率:确定因腰背痛(LBP)而申请工伤赔偿的澳大利亚人接受物理治疗、脊椎按摩和/或整骨疗法的比例和频率:我们纳入了澳大利亚维多利亚州、昆士兰州、南澳大利亚州和西澳大利亚州接受工伤赔偿索赔超过两周的工人。根据工人在索赔后的前两年是否接受过物理治疗、脊椎按摩和/或整骨疗法进行分组。描述性统计和逻辑回归用于描述组间差异。描述性统计和负二项回归用于描述各组就诊次数的差异:大多数工人在索赔期间至少接受过一次物理治疗(n = 23619,82.0%)。工人的状况、社会经济地位和偏远地区是影响其接受物理治疗可能性的最大因素。大多数工人只接受过物理治疗(n = 21,035, 89.1%,中位数为 13 次)。只接受脊骨神经科治疗(528人,2.2%,中位数8次)或只接受整骨疗法(296人,1.3%,中位数10次)的人数要少得多;1750人(7.5%)接受了一种以上的物理治疗(中位数31次):结论:大多数因腰椎间盘突出症申请工时损失赔偿的澳大利亚工人在索赔期间至少接受过一次物理治疗。索赔州是预测工人接受哪种物理治疗的最主要因素,这可能与地区可用性有关。接受理疗的工人接受理疗的次数明显较多。未来的研究应探讨这些护理模式与理赔结果(包括工作残疾持续时间)之间的关系。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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