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 –
- Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain
- And Finally, a Story about the Connection Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #615 recorded December 8, 2017.
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 ….
Pain Neurophysiology Education and Therapeutic Exercise for Patients With Chronic Low Back Pain
A study was recently published in the journal Archives of Physical Medicine and Rehabilitation to assess the effect of a pain neurophysiology education program plus therapeutic exercise for patients with chronic low back pain (CLBP).
Participants were randomized to receive either a therapeutic exercise program consisting of motor control, stretching, and aerobic exercises or the same therapeutic exercise program in addition to a pain neurophysiology education program, conducted in two 30 to 50 minute sessions in groups of 4 to 6 participants.
The primary outcome was pain intensity rated on the Numeric Pain Rating Scale which was completed immediately following treatment and at a 1-month and 3-month follow-up.
The study concluded that combining pain neurophysiology education plus therapeutic exercise resulted in significantly better results for participants with CLBP, with a large effect size, compared to therapeutic exercise alone.
Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/29138049/
Connection Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain
A study was recently published to compare the duration of financial compensation and the occurrence of a second episode of compensation of workers with occupational back pain who first sought three types of healthcare providers.
The authors of a recent study published in the Journal of Occupational Rehabilitation, analyzed data from a cohort of 5511 workers who received compensation from the Workplace Safety and Insurance Board for back pain in 2005.
Compared with the workers who first saw a physician (reference), those who first saw a chiropractor experienced shorter first episodes of 100 % wage compensation, and the workers who first saw a physiotherapist experienced a longer episode of 100 % compensation during the first 149 days of compensation.
The odds of having a second episode of financial compensation were higher among the workers who first consulted a physiotherapist rather than a physician (reference).
The study concluded that the type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months.
Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.
These differences raise concerns regarding the use of physiotherapists as gatekeepers for the worker’s compensation system. Further investigation is required to understand the between-provider differences.
Surf to our Show Notes for Links – https://link.springer.com/article/10.1007/s10926-016-9667-9
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.