Interventions that increase or decrease the likelihood of a meaningful improvement in physical health in patients with sciatica.
Phys Ther
; 85(11): 1139-50, 2005 Nov.
Article
em En
| MEDLINE
| ID: mdl-16253044
ABSTRACT
BACKGROUND AND PURPOSE:
The purpose of our study was to determine whether physical therapy interventions predicted meaningful short-term improvement in physical health for patients diagnosed with sciatica.SUBJECTS:
We examined data from 1,804 patients (age mean=52.1 years, SD=15.6 years; 65.7% female, 34.3% male) who had been diagnosed with sciatica and who had completed an episode of outpatient physical therapy.METHODS:
Principal components factor analysis was used to define intervention categories from specific treatments applied during the plan of care. A nested-model logistic regression analysis identified intervention categories that predicted meaningful improvement in physical health. Meaningful improvement was defined as a change of 14 or more points on the Physical Component Scale-12 (PCS-12) summary score.RESULTS:
Twenty-six percent (n=473) of patients had a meaningful improvement in physical health. Improvement was more likely in patients receiving joint mobility interventions (odds ratio [OR]=2.5, 95% confidence interval [CI]=1.5-4.4) or general exercise (OR=1.5, 95% CI=1.2-2.0). Patients who received spasm reduction interventions were less likely to improve (OR=0.77, 95% CI=0.60-0.98). DISCUSSION ANDCONCLUSION:
Physical therapists should emphasize the use of joint mobility interventions and exercise when treating patients with sciatica, whereas interventions for spasm reduction should be avoided.
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Base de dados:
MEDLINE
Assunto principal:
Ciática
/
Modalidades de Fisioterapia
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Phys Ther
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Estados Unidos