在物理治疗实践中推广跑步作为治疗腰背痛的最佳疗法:最佳实践实施项目。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-08-01 DOI:10.1097/XEB.0000000000000441
Christina Jaster, Jitka Klugarová, Aleksandra Królikowska, Anna Kołcz, Tina Poklepović Peričić, Małgorzata M Bała, Tereza Vrbová, Roland Becker, Robert Prill
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引用次数: 0

摘要

目标:该项目旨在门诊环境中推广跑步作为治疗腰背痛(LBP)的最佳方法:该项目旨在推广跑步作为门诊治疗下背痛的最佳方法:简介:腰背痛是全球最常见的疾病之一。62%的德国人每年至少经历一次非特异性腰痛,其中五分之一的人发展为慢性病。椎间盘 (IVD) 退化是一个自然过程,会导致急性腰背痛。然而,科学文献和指南部分忽视了椎间盘水管理的重要性。本实施项目旨在通过向患者宣传这一过程来弥补这一不足。跑步和/或步行被选为治疗的一般方法,而不是与疾病相关的特定方法:该实施项目在德国勃兰登堡的一家物理治疗门诊进行,采用了 JBI 证据实施框架。采用循证临床审核和反馈策略来衡量十项审核标准的合规性。5名物理治疗师和20名患者参加了审核:结果:在基线阶段,只有 20% 的参与理疗师筛查出了心理问题黄旗。但在项目实施后,这一标准的符合率达到了 100%。一些患者独立进行了锻炼,但在有益锻炼的选择上仍然存在困惑。患者继续跑步,但那些因疼痛而暂停跑步的患者对恢复跑步表示不确定:该项目强调了患者和治疗师合作解决问题的有效性。项目团队对行动和解决策略的信念是这种合作的基础。这一实施策略为 "跑步 "患者提供了信心,使他们在长期休息后恢复或重新参与跑步。西班牙文摘要:http://links.lww.com/IJEBH/A222。
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Promoting running as the best treatment for lower back pain in physiotherapy practice: a best practice implementation project.

Objectives: This project aimed to promote running as the best treatment for lower back pain (LBP) in an outpatient setting.

Introduction: LBP is one of the most prevalent conditions worldwide. Sixty-two percent of all Germans experience episodes of non-specific back pain at least once a year, with one-fifth developing chronic conditions. Intervertebral disc (IVD) degeneration is a natural process, contributing to periods of acute LBP. However, the scientific literature and guidelines partially overlook the significance of water management in IVD. This implementation project sought to address this gap by educating patients about this process. Running and/or walking were chosen as general approaches for treatment rather than specific disease-related approaches.

Methods: This implementation project was conducted in an outpatient physiotherapy clinic in Brandenburg, Germany, utilizing the JBI Evidence Implementation Framework. An evidence-informed clinical audit and feedback strategy was used to measure compliance with ten audit criteria. Five physiotherapists and 20 patients took part in the audits.

Results: At baseline, only 20% of participating physiotherapists screened for yellow flags regarding psychological issues. However, after project implementation, this criterion scored 100% compliance. Some patients performed exercises independently, but confusion persisted regarding the choice of beneficial exercises. Patients continued running, but those who took a break due to pain expressed uncertainty about resuming.

Conclusions: The project highlighted the effectiveness of collaborative efforts between patients and therapists to address the issue. The project team's conviction in action and solution strategies serves as the foundation for this collaboration. This implementation strategy provided "running" patients with the confidence to either resume or reintegrate running after an extended break.

Spanish abstract: http://links.lww.com/IJEBH/A222.

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