%0 Journal Article
%T Relationship between STarT Back Screening Tool and prognosis for low back pain patients receiving spinal manipulative therapy
%A Jonathan Field
%A Dave Newell
%J Chiropractic & Manual Therapies
%D 2012
%I BioMed Central
%R 10.1186/2045-709x-20-17
%X This study aims to investigate the utility of the SBT to predict outcomes in LBP patients presenting for chiropractic management.A total of 404 patients undergoing chiropractic care were asked to complete the SBT before initial treatment. Clinical outcomes were collected at 14, 30 and 90£¿days following this initial consultation. The clinical course was described comparing SBT categories and logistic regression analysis performed to examine the tool¡¯s prognostic utility.Although the high-risk categories had greater pain at baseline this difference rapidly faded, with both change in composite outcome scores and pain scores being statistically insignificant between the risk groups at 30 and 90£¿days follow up. In addition, both univariate and adjusted analysis showed no prognostic utility of the SBT categorisations to differentiate clinical outcomes between risk groups.Whilst the SBT appears useful in some back pain populations it does not appear to differentiate outcomes in LBP patients seeking chiropractic care.Low back pain (LBP) is a common symptom causing health-seeking behavior in up to half of those who experience it [1,2]. Between six and nine percent of the UK population consult their general practitioner (GP) for LBP each year, accounting for 5 million GP consultations annually [3,4]. For most of these patients a low back pain episode will most likely be a temporary inconvenience, yet for a minority who have sought care (approximately 28%) it becomes an enduring and disabling problem [5,6].The extent of the costs to society of this syndrome have led to the call for identification of potential subgroups of non specific low back pain (nsLBP) in the belief that this group consists of a heterogeneous mix of presentations and etiologies. Identification of groups of back pain that respond better with specific interventions would facilitate targeted treatment [7]. In addition, evidence-based guidelines highlight the need to consider prognostic factors when deciding t
%K Start back tool
%K Low back pain
%K Prognosis
%K Spinal manipulative therapy
%U http://www.chiromt.com/content/20/1/17