CLBP is the leading cause of disability worldwide and patients with yellow flags have the worst outcomes and contribute significantly to the societal cost. Clinicians are aware of the importance of yellow flags but feel undertrained to deal with them. Furthermore there is a lack of clarity for clinicians looking at how to specifically manage these patients from guidelines and an incredibly varied set of approaches available to clinicians. The objective of this review was to establish the effectiveness of physiotherapy interventions for chronic low back pain patients with yellow...
20 minutes (Meng and Yue 2014)
8 hours in bed resting- ideally sleeping (Alsaadi et al. 2012)
Nutrition & Biochemistry
1gram of protein for every kg of body weight (Wood et al. 2006)
<15% of calories (Wood et al. 2006)
1g (Lopez-Garcia et al. 2004, Maroon and Bost 2006)
2-3 portions of different fruit (Watzl et al. 2005, Bhupathiraju and Tucker 2011)
The literature review overviews the various different methods currently used in practice to give an overview of the background to which these decisions are being made.
Why these physiotherapists practice
The literature review showed the breadth of approaches available to clinicians and informed the interview process. This research sheds some light on how and why clinicians choose which of these interventions to use. The central theoretical code identified was the physiotherapists looked to do what was best for the patient from a variety of motivations. This is similar to previous...
Below are the results of my MSc research in to how different physiotherapists manage chronic low back pain patients with yellow flags. I’ve spared you the details of the methodology but if a few people are interested I will share them as well. Essentially I conducted interviews with six different physiotherapists on how they would manage a chronic low back pain patient with yellow flags using a vignette. These interviews were transcribed and analysed and the results are below.
The theoretical, selective and open codes were organised in to a coding tree as shown in appendix 8...
Low back pain (LBP) is usually defined as pain localised below the costal margin (ribs) and above the inferior gluteal folds (buttock crease). It is the leading cause of disability worldwide and is becoming increasingly prevalent (Harkness et al. 2005, Hoy et al. 2012, Vos et al. 2012). Chronic low back pain (CLBP) is variously defined as lasting longer than 7-12 weeks, to 3 months (Anderrson 1999, Frymoyer 1988). LBP is typically classified as “specific” or “non-specific”. Specific LBP refers to symptoms caused by specific pathophysiologic causes, such as hernia nucleus,...