Summary

12/8/21, 8:59 AM What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a control…

https://www.sciencedirect.com/science/article/abs/pii/S1356689X16307196?via%3Dihub 1/4

Get rights and content

•

Manual Therapy Volume 26, December 2016, Pages 183-191

Original article

What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial

Michele Maiers , Maria A. Hondras , Stacie A. Salsbury , Gert Bronfort , Roni Evans

Wolfe-Harris Center for Clinical Studies, Northwestern Health Sciences University, Bloomington, MN, USA Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, IA, USA Integrative Health & Wellbeing Research Program, Center for Spirituality & Healing, University of Minnesota, Minneapolis, MN, USA

Received 26 May 2016, Revised 15 September 2016, Accepted 20 September 2016, Available online 23 September 2016.

Show less

Outline

https://doi.org/10.1016/j.math.2016.09.008

Highlights Understanding patient perceptions may improve outcomes for challenging conditions like sciatica.

a b, c c a, d a, d

a

b

c

d

Share Cite

View PDF

Access through your institution

12/8/21, 8:59 AM What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a control…

https://www.sciencedirect.com/science/article/abs/pii/S1356689X16307196?via%3Dihub 2/4

•

•

•

Satisfaction is influenced more by interaction with providers than changes in symptoms.

Perceived treatment effects, including back related leg pain and function, make care “worthwhile”.

Global outcome measures may not capture the range of factors that influence satisfaction.

Abstract

Background

Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP).

Objectives

To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (HEA).

Design

Qualitative study in a controlled clinical trial.

Method

Semi-structured interviews conducted after 12 weeks of treatment asked participants about satisfaction with care and whether treatment was worthwhile. An interdisciplinary research team conducted content analysis using qualitative data analysis software to identify and summarize themes.

Results

Of 192 trial participants, 174 (91%) completed interviews (66% female, age 57.0 ± 11.5 years). Participants identified interactions with providers and staff, perceived treatment effects, and information as key contributors to both their satisfaction and the worthwhile nature of treatment. HEA was liked for its convenience and ability to foster an exercise habit. SMT was liked for specific aspects of the modality (e.g. manipulation, stretching) and provider competency. Most participants reported no dislikes for SMT or HEA, but some noted the dose/time commitment for SMT and discipline of HEA as least liked aspects of the interventions.

View PDF

Access through your institution

12/8/21, 8:59 AM What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a control…

https://www.sciencedirect.com/science/article/abs/pii/S1356689X16307196?via%3Dihub 3/4

Previous Next

Conclusions

The quality of patient–provider interactions, perceived treatment effects, and information sharing influenced BRLP patients' satisfaction with care. Qualitative research describing patients' preferences can facilitate translation of study findings into practice and allow clinicians to tailor treatments to facilitate compliance and satisfaction with care.

Graphical abstract

Download : Download high-res image (348KB) Download : Download full-size image

Keywords

Sciatica; Satisfaction; Exercise; Spinal manipulation

Recommended articles Citing articles (11)

View full text

© 2016 Elsevier Ltd. All rights reserved.

About ScienceDirect

View PDF

Access through your institution

12/8/21, 8:59 AM What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a control…

https://www.sciencedirect.com/science/article/abs/pii/S1356689X16307196?via%3Dihub 4/4

Remote access

Shopping cart

Advertise

Contact and support

Terms and conditions

Privacy policy

We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the use of cookies. Copyright © 2021 Elsevier B.V. or its licensors or contributors. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V.

View PDF

Access through your institution