ArticleChiropractic & manual therapies2013
The Nordic maintenance care program: the clinical use of identified indications for preventive care.
Article in Chiropractic & manual therapies, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Chiropractic maintenance care - what's new? A systematic review of the literature.Chiropractic & manual therapies · 2019Pooled it
- Development and evaluation of the MAINTAIN instrument, selecting patients suitable for secondary or tertiary preventive manual care: the Nordic maintenance care program.Chiropractic & manual therapies · 2022Trial
- The Nordic maintenance care program: maintenance care reduces the number of days with pain in acute episodes and increases the length of pain free periods for dysfunctional patients with recurrent and persistent low back pain - a secondary analysis of a pragmatic randomized controlled trial.Chiropractic & manual therapies · 2020Trial
- Trial
- Impact of the MAINTAIN instrument on clinical decision-making for new spinal pain patients: a cross-sectional study.The Journal of the Canadian Chiropractic Association · 2026Article
- Article
- Multi-Institutional Pragmatic Randomized Controlled Trial to Evaluate the Effectiveness of Manual Maintenance Therapy for Chronic Bothersome Neck Pain.Journal of pain research · 2026Article
- Automatic Identification of Depression Using Facial Images with Deep Convolutional Neural Network.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- The nordic maintenance care program: patient experience of maintenance care-a qualitative study.Chiropractic & manual therapies · 2021Article
- Article
- Comparison of Chiropractic Treatment Outcomes Depending on the Language Region in Switzerland: A Prospective Outcomes Study.Journal of chiropractic humanities · 2017Article
- Do number of days with low back pain and patterns of episodes of pain have similar outcomes in a biopsychosocial prediction model?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Article
- Absence of low back pain to demarcate an episode: a prospective multicentre study in primary care.Chiropractic & manual therapies · 2016Article
- Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up.Chiropractic & manual therapies · 2014Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow back pain (LBP) is a prevalent condition and has been found to be recurrent and persistent in a majority of cases. Chiropractors have a preventive strategy, maintenance care (MC), aimed towards minimizing recurrence and progression of such conditions. The indications for recommending MC have been identified in the Nordic countries from hypothetical cases. This study aims to investigate whether these indications are indeed used in the clinical encounter.
methodsData were collected in a multi-center observational study in which patients consulted a chiropractor for their non-specific LBP. Patient baseline information was a) previous duration of the LBP, b) the presence of previous episodes of LBP and c) early improvement with treatment. The chiropractors were asked if they deemed each individual patient an MC candidate. Logistic regression analyses (uni- and multi-level) were used to investigate the association of the patient variables with the chiropractor's decision.
resultsThe results showed that "previous episodes" with LBP was the strongest predictor for recommending MC, and that the presence of all predictors strengthens the frequency of this recommendation. However, there was considerable heterogeneity among the participating chiropractors concerning the recommendation of MC.
conclusionsThe study largely confirms the clinical use of the previously identified indications for recommending MC for recurrent and persistent LBP. Previous episodes of LBP was the strongest indicator.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.