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A qualitative study : Clinical decision making in low back pain

CARADOC DAVIES T; HOWELL C
PHYSIOTHER THEORY PRACT , 2012, vol. 28, n° 2, p. 95-107
Doc n°: 157502
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2011.571752
Descripteurs : CE51 - LOMBALGIE

Classification systems are available to subgroup patients with acute/nonspecific
low back pain (LBP) to determine interventions. The use of classification systems
by physical therapists (PT) has little published evidence. The aims of this study
were to understand the process PTs use when assessing and determining
interventions for patients with acute/nonspecific LBP in outpatient settings and
what classification systems, if any, are used in clinical practice. Qualitative
methods were used to investigate the decision-making process PTs use when
managing patients with LBP. Semi-structured interviews focused on the
decision-making process of examination and intervention selection for patients
with LBP. Findings were verified through member checking, triangulation, and
audit trail. Thirteen PTs were included in the study. Four decision-making
preferences emerged from the data: (1) identifying the root cause, (2) eclectic
approach, (3) experience-based management, and (4) evidence-based management.
Experience, education, and other aspects of the PTs' backgrounds influenced their
preferred decision-making style, and use of resources, such as classification
systems, varied broadly.

Langue : ANGLAIS

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