STREAMING CARE BY THE SUBCLASIFICATION OF LBP

H. Welch; G. Paul-Taylor

doi:10.1302/1358-992X.94BSUPP_X.Britspine2010-099

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STREAMING CARE BY THE SUBCLASIFICATION OF LBP

Britspine, British Scoliosis Society (BSS), Society for Back Pain Research (SBPR), British Association of Spine Surgeons (BASS)

H. Welch
G. Paul-Taylor

STREAMING CARE BY THE SUBCLASIFICATION OF LBP

Welch H, Paul-Taylor G. STREAMING CARE BY THE SUBCLASIFICATION OF LBP. Orthop Procs. 2012;94-B(SUPP_X):99-99. doi:10.1302/1358-992X.94BSUPP_X.Britspine2010-099

Welch, H., and G. Paul-Taylor. “STREAMING CARE BY THE SUBCLASIFICATION OF LBP.” Orthopaedic Proceedings, vol. 94-B, no. SUPP_X, 2012, pp. 99-99., https://doi.org/10.1302/1358-992X.94BSUPP_X.Britspine2010-099

Welch, H., & Paul-Taylor, G. (2012). STREAMING CARE BY THE SUBCLASIFICATION OF LBP. Orthopaedic Proceedings, 94-B(SUPP_X), 99-99. https://doi.org/10.1302/1358-992X.94BSUPP_X.Britspine2010-099

Welch, H. and Paul-Taylor, G. (2012) “STREAMING CARE BY THE SUBCLASIFICATION OF LBP.” Orthopaedic Proceedings, 94-B(SUPP_X), pp. 99-99. Available at: https://doi.org/10.1302/1358-992X.94BSUPP_X.Britspine2010-099

Welch, H., and G. Paul-Taylor. “STREAMING CARE BY THE SUBCLASIFICATION OF LBP.” Orthopaedic Proceedings 94-B, no. SUPP_X (2012): 99-99. https://doi.org/10.1302/1358-992X.94BSUPP_X.Britspine2010-099

Welch H, Paul-Taylor G. STREAMING CARE BY THE SUBCLASIFICATION OF LBP. Orthop Procs. 2012 Apr 1;94-B(SUPP_X):99-99. https://doi.org/10.1302/1358-992X.94BSUPP_X.Britspine2010-099

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Abstract

Research literature suggests sub classification of LBP may improve clinical outcome. Audit aim is to evaluate the outcome of treatment pathways according to sub classification.

Patients had standardised assessment and completed Oswestry Disability Index (ODI) and Hospital Anxiety and Depression Scale (HAD) following assessment and on discharge.

Patients were subgrouped into; non specific LBP, radicular pain, LBP with high psychosocial indicators. Patients were allocated to 3 treatment pathways; individual treatment, functional Back class, back care programme.

200 adult patients referred to physiotherapy for low back pain. Exclusion criteria; red flag presentation, patient requiring advice only (n=38).

Pre treatment and post treatment HAD, ODI

Of 162 patients Individual treatment, 87 (40%)Functional Back Class, 41 (19%)

Back Care Programme, 34 (16%).

Each pathway demonstrated a clinically significant change in outcome measures. Patient's achieved an average change of between 11 – 17% dependant on pathway.

This suggests that the sub classification criteria used allowed the correct pathway choice for patients conditions.