Back Care Instructions in Physical Therapy: A Trend Analysis of Individualized Back Care Programs
The treatment of people with low back pain often includes giving a variety of instructions about back care. The objective of our study was to explore the content and sequence of these instructions. Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 t...
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| Veröffentlicht in: | Physical therapy 1999-03, Vol.79 (3), p.286-295 |
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| creator | Kerssens, J J Sluijs, E M Verhaak, P F Knibbe, H J Hermans, I M |
| description | The treatment of people with low back pain often includes giving a variety of instructions about back care. The objective of our study was to explore the content and sequence of these instructions.
Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 therapists.
Hierarchical linear modeling was used to establish trends in instructions during the course of treatment. Instructions were measured by means of a registration form.
Pain management instructions were given at the start of treatment and then decreased in later sessions. Instructions about taking care of the back in daily activities followed the same course. Exercise instructions were introduced after the start of treatment and were spread evenly across the visits. The number of recommendations about general fitness decreased during treatment.
The majority of back care instructions were spread evenly across therapy visits. Relatively little variation in instructions among patients was seen, which may indicate a lack of individualization of the back care programs. |
| doi_str_mv | 10.1093/ptj/79.3.286 |
| format | Article |
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Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 therapists.
Hierarchical linear modeling was used to establish trends in instructions during the course of treatment. Instructions were measured by means of a registration form.
Pain management instructions were given at the start of treatment and then decreased in later sessions. Instructions about taking care of the back in daily activities followed the same course. Exercise instructions were introduced after the start of treatment and were spread evenly across the visits. The number of recommendations about general fitness decreased during treatment.
The majority of back care instructions were spread evenly across therapy visits. Relatively little variation in instructions among patients was seen, which may indicate a lack of individualization of the back care programs.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/79.3.286</identifier><identifier>PMID: 10078772</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Activities of Daily Living ; Adult ; Back ; Back pain ; Back Pain - prevention & control ; Backache ; Care and treatment ; Curriculum ; Evaluation ; Female ; Health education ; Humans ; Linear Models ; Male ; Middle Aged ; Muscle pain ; Netherlands ; Patient Care Planning ; Patient education ; Patient Education as Topic - methods ; Physical Fitness ; Physical therapy ; Physical Therapy Modalities - methods ; Self Care ; Time Factors</subject><ispartof>Physical therapy, 1999-03, Vol.79 (3), p.286-295</ispartof><rights>COPYRIGHT 1999 Oxford University Press</rights><rights>COPYRIGHT 1999 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Mar 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-1a4bc874b2cd5b6882849e8ecedced1a53376cc4fd1301030680ec656d8d97d03</citedby><cites>FETCH-LOGICAL-c432t-1a4bc874b2cd5b6882849e8ecedced1a53376cc4fd1301030680ec656d8d97d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10078772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kerssens, J J</creatorcontrib><creatorcontrib>Sluijs, E M</creatorcontrib><creatorcontrib>Verhaak, P F</creatorcontrib><creatorcontrib>Knibbe, H J</creatorcontrib><creatorcontrib>Hermans, I M</creatorcontrib><title>Back Care Instructions in Physical Therapy: A Trend Analysis of Individualized Back Care Programs</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>The treatment of people with low back pain often includes giving a variety of instructions about back care. The objective of our study was to explore the content and sequence of these instructions.
Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 therapists.
Hierarchical linear modeling was used to establish trends in instructions during the course of treatment. Instructions were measured by means of a registration form.
Pain management instructions were given at the start of treatment and then decreased in later sessions. Instructions about taking care of the back in daily activities followed the same course. Exercise instructions were introduced after the start of treatment and were spread evenly across the visits. The number of recommendations about general fitness decreased during treatment.
The majority of back care instructions were spread evenly across therapy visits. Relatively little variation in instructions among patients was seen, which may indicate a lack of individualization of the back care programs.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Back</subject><subject>Back pain</subject><subject>Back Pain - prevention & control</subject><subject>Backache</subject><subject>Care and treatment</subject><subject>Curriculum</subject><subject>Evaluation</subject><subject>Female</subject><subject>Health education</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle pain</subject><subject>Netherlands</subject><subject>Patient Care Planning</subject><subject>Patient education</subject><subject>Patient Education as Topic - methods</subject><subject>Physical Fitness</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities - methods</subject><subject>Self Care</subject><subject>Time Factors</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0s2P1CAYB2BiNO64evNsiAcv2lk-2gLeZid-bLLJ7mE8EwbedhhpO0KrO_71sunGr0wgIYGHX8LLi9BLSpaUKH5xGPcXQi35ksn6EVrQisuiFqx8jBaEcFoowvgZepbSnhBCRameojNKiJBCsAUyl8Z-xWsTAV_1aYyTHf3QJ-x7fLs7Jm9NwJsdRHM4vscrvInQO7zqTchnCQ9NvuX8d-8mE_xPcPhP3G0c2mi69Bw9aUxI8OJhPUdfPn7YrD8X1zefrtar68KWnI0FNeXWSlFumXXVtpaSyVKBBAsuT2oqzkVtbdk4ygklnNSSgK2r2kmnhCP8HL2Zcw9x-DZBGnXnk4UQTA_DlHStasZqIjN8_R_cD1PMT0qaMU6pyjCjdzNqTQDt-2YYo7Et9LkUYeih8Xl7VZWMCMXLzIsTPA8Hnben_L_xmYxwN9ohBGhB58Ksb05xG4eUIjT6EH1n4lFTou-7QOcu0EJprnMXZP7q4YXTtgP3F56_PYO3M9j5dvfDR9CpMyFkzu6T5nL8jvsF56y6wg</recordid><startdate>19990301</startdate><enddate>19990301</enddate><creator>Kerssens, J J</creator><creator>Sluijs, E M</creator><creator>Verhaak, P F</creator><creator>Knibbe, H J</creator><creator>Hermans, I M</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>19990301</creationdate><title>Back Care Instructions in Physical Therapy: A Trend Analysis of Individualized Back Care Programs</title><author>Kerssens, J J ; Sluijs, E M ; Verhaak, P F ; Knibbe, H J ; Hermans, I M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-1a4bc874b2cd5b6882849e8ecedced1a53376cc4fd1301030680ec656d8d97d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Back</topic><topic>Back pain</topic><topic>Back Pain - prevention & control</topic><topic>Backache</topic><topic>Care and treatment</topic><topic>Curriculum</topic><topic>Evaluation</topic><topic>Female</topic><topic>Health education</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle pain</topic><topic>Netherlands</topic><topic>Patient Care Planning</topic><topic>Patient education</topic><topic>Patient Education as Topic - methods</topic><topic>Physical Fitness</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities - methods</topic><topic>Self Care</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kerssens, J J</creatorcontrib><creatorcontrib>Sluijs, E M</creatorcontrib><creatorcontrib>Verhaak, P F</creatorcontrib><creatorcontrib>Knibbe, H J</creatorcontrib><creatorcontrib>Hermans, I M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kerssens, J J</au><au>Sluijs, E M</au><au>Verhaak, P F</au><au>Knibbe, H J</au><au>Hermans, I M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Back Care Instructions in Physical Therapy: A Trend Analysis of Individualized Back Care Programs</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>1999-03-01</date><risdate>1999</risdate><volume>79</volume><issue>3</issue><spage>286</spage><epage>295</epage><pages>286-295</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>The treatment of people with low back pain often includes giving a variety of instructions about back care. The objective of our study was to explore the content and sequence of these instructions.
Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 therapists.
Hierarchical linear modeling was used to establish trends in instructions during the course of treatment. Instructions were measured by means of a registration form.
Pain management instructions were given at the start of treatment and then decreased in later sessions. Instructions about taking care of the back in daily activities followed the same course. Exercise instructions were introduced after the start of treatment and were spread evenly across the visits. The number of recommendations about general fitness decreased during treatment.
The majority of back care instructions were spread evenly across therapy visits. Relatively little variation in instructions among patients was seen, which may indicate a lack of individualization of the back care programs.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>10078772</pmid><doi>10.1093/ptj/79.3.286</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Physical therapy, 1999-03, Vol.79 (3), p.286-295 |
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| source | MEDLINE; Oxford University Press Journals Current; EZB-FREE-00999 freely available EZB journals |
| subjects | Activities of Daily Living Adult Back Back pain Back Pain - prevention & control Backache Care and treatment Curriculum Evaluation Female Health education Humans Linear Models Male Middle Aged Muscle pain Netherlands Patient Care Planning Patient education Patient Education as Topic - methods Physical Fitness Physical therapy Physical Therapy Modalities - methods Self Care Time Factors |
| title | Back Care Instructions in Physical Therapy: A Trend Analysis of Individualized Back Care Programs |
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