孕妇和产后患者捏脊治疗的最佳实践建议:共识过程的结果

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Carol Ann Weis MSc, DC , Katherine Pohlman DC, PhD , Jon Barrett MBBch, MD , Susan Clinton PT , Sophia da Silva-Oolup DC , Crystal Draper DC , Joyce Lee DC , Rupali Kumar MD , Maeve O'Beirne MD, PhD , Kent Stuber DC, MSc , Cheryl Hawk DC, PhD
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引用次数: 3

摘要

目的:本项目旨在为腰痛(LBP)、骨盆带痛(PGP)或两者兼有的孕妇和产后患者的捏脊治疗制定一份最佳实践文件。方法采用改进的德尔菲共识法。一个由11名卫生保健专业人员组成的多学科指导委员会根据他们的临床经验和相关文献制定了71份种子声明。来自7个国家的78名小组成员被要求对这些建议进行评分(70名脊椎按摩师和来自其他4个卫生专业的代表)。当至少80%的小组成员认为该陈述是适当的,并且在9分制的中位数回答至少为7分时,达成共识。结果经过3轮分配,共有71项意见达成共识。声明包括知情同意和风险,多学科护理,妊娠期腰痛、妊娠期PGP和妊娠期合并疼痛的关键内容,以及产后LBP、PGP和合并疼痛的关键内容。包括检查、诊断影像、干预和生活方式因素陈述。结论专家小组召开会议,制定了第一份关于腰痛或PGP孕妇和产后患者捏脊护理的最佳实践共识文件。该文件包括71份关于腰痛和PGP孕妇和产后患者捏脊护理的声明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Best-Practice Recommendations for Chiropractic Care for Pregnant and Postpartum Patients: Results of a Consensus Process

Objective

The purpose of this project was to develop a best-practices document on chiropractic care for pregnant and postpartum patients with low back pain (LBP), pelvic girdle pain (PGP), or a combination.

Methods

A modified Delphi consensus process was conducted. A multidisciplinary steering committee of 11 health care professionals developed 71 seed statements based on their clinical experience and relevant literature. A total of 78 panelists from 7 countries were asked to rate the recommendations (70 chiropractors and representatives from 4 other health professions). Consensus was reached when at least 80% of the panelists deemed the statement to be appropriate along with a median response of at least 7 on a 9-point scale.

Results

Consensus was reached on 71 statements after 3 rounds of distribution. Statements included informed consent and risks, multidisciplinary care, key components regarding LBP during pregnancy, PGP during pregnancy and combined pain during pregnancy, as well as key components regarding postpartum LBP, PGP, and combined pain. Examination, diagnostic imaging, interventions, and lifestyle factors statements are included.

Conclusion

An expert panel convened to develop the first best-practice consensus document on chiropractic care for pregnant and postpartum patients with LBP or PGP. The document consists of 71 statements on chiropractic care for pregnant and postpartum patients with LBP and PGP.

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来源期刊
CiteScore
3.00
自引率
7.70%
发文量
63
审稿时长
29 weeks
期刊介绍: The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.
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