Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Psychology Acupuncture and Low Back Pain
- And Finally, a Story about the Factors influencing the surgical decision for the treatment of degenerative lumbar stenosis
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #500 recorded March 13, 2015.
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Psychology Acupuncture and Low Back Pain
A study was recently published in the Clinical Journal of Pain to identify psychological covariates of longitudinal changes in back-related disability in patients undergoing acupuncture.
A longitudinal postal questionnaire study was conducted with data collection at baseline (pretreatment), 2 weeks, 3, and 6 months later. A total of 485 patients were recruited from 83 acupuncturists before commencing acupuncture for back pain.
Questionnaires measured variables from 4 theories (fear-avoidance model, common-sense model, expectancy theory, social-cognitive theory), clinical and sociodemographic characteristics, and disability. Longitudinal multilevel models were constructed with disability over time as the outcome.
The study concluded that Illness perceptions and, to a lesser extent, self-efficacy and expectancies can usefully supplement variables from the fear-avoidance model in theorizing pain-related disability.
Positive changes in patients’ beliefs about back pain might underpin the large nonspecific effects of acupuncture seen in trials and could be targeted clinically.
Surf to our Show Notes for Links – http://journals.lww.com/clinicalpain/Fulltext/2015/03000/Psychological_Covariates_of_Longitudinal_Changes.9.aspx
Factors influencing the surgical decision for the treatment of degenerative lumbar stenosis
In a preference-based shared decision-making system, several subjective and/or objective factors such as pain severity, degree of disability, and the radiological severity of canal stenosis may influence the final surgical decision for the treatment of lumbar spinal stenosis (LSS).
However, current understanding of the shared decision-making process and the significance of each factor remain primitive.
In the present study, the authors of a study published in the European Spine Journal, aimed to investigate which factors influence the surgical decision for the treatment of lumbar spinal stenosis when using a preference-based, shared decision-making process.
The study concluded that Motor weakness, male sex, morphological stenotic grade, and the amount of disability are critical factors leading to a surgical decision for lumbar spinal stenosis when using a preference-based shared decision-making process.
Surf to our Show Notes for Links – http://link.springer.com/article/10.1007/s00586-014-3441-5?no-access=true
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For Chiropractic OnLine Today’s HealthBeat, thanking everyone for making this ride thru 500 episodes possible, This has been Dr. Todd Eglow.