TY - JOUR
T1 - Best-Practice Recommendations for Chiropractic Care for Pregnant and Postpartum Patients
T2 - Results of a Consensus Process
AU - Weis, Carol Ann
AU - Pohlman, Katherine
AU - Barrett, Jon
AU - Clinton, Susan
AU - da Silva-Oolup, Sophia
AU - Draper, Crystal
AU - Lee, Joyce
AU - Kumar, Rupali
AU - O'Beirne, Maeve
AU - Stuber, Kent
AU - Hawk, Cheryl
N1 - Funding Information:
This study was partially funded by the Canadian Memorial Chiropractic College (internal grant) and the Ontario Chiropractic Association . Drs Weis, Pohlman, Stuber, Draper report grants from CMCC/OCA for travel bursaries.
Funding Information:
We thank the following panel members for their contributions and who consented to be acknowledged for this work: Sean Armstrong, Daniela Arciero, Holly Beckley, Cecilia Bergstrom, Alison Brown, Wayne Carr, Philippa Carrie, Samantha R. Colautti, Matthew Cot?, Elisabeth Davidson, Melissa Diaz, Lisa Dickson, Chantale Doucet, Drew Fogg, David Folweiler, Ryan French, Jennifer Forbes, Jason Guben, Melissa Ferranti, Judy Forrester, Kait Graham, Stacy Hallgren, Kaitlin Hanmer, Vicki Hemmett, Emily Howell, Michelle Minjung Kang, Susan Kees, Jolene Kuty, William Lawson, Paul Lee, Lynda McClatchie, Aaron McMichael, Sarah Mickler, Erica Michitsch, Vanessa Morales, Kara Mortifoglio, Natalie N. Muth, Frank Nhan, Cora-Lee Peddle, Tara Price, Sarah Radabaugh, Corinne Roughsedge, Vern Saboe, Kristine Salmon, Scott Siegel, Amanda Stevens, Tonya Tyre, Sarah Vallone, Brenda van der Vossen, Susan Wenberg, Debbie Wright, Francesca Wuytack. This study was partially funded by the Canadian Memorial Chiropractic College (internal grant) and the Ontario Chiropractic Association. Drs Weis, Pohlman, Stuber, Draper report grants from CMCC/OCA for travel bursaries. Dr. Hawk reports personal fees, and Drs. Barrett, Kumar and Clinton report receiving honoraria. No other conflicts of interest were reported for this study. Concept development (provided idea for the research): C.A.W. C.H. K.P. K.S. C.D. Design (planned the methods to generate the results): C.A.W. C.H. K.P. K.S. C.D. Supervision (provided oversight, responsible for organization and implementation, writing of the manuscript): C.A.W. C.H. K.P. K.S. Data collection/processing (responsible for experiments, patient management, organization, or reporting data): C.A.W. J.L. C.A.W. C.H. K.P. K.S. C.D. S.D.O. R.K. S.C. J.B. M.O. Analysis/interpretation (responsible for statistical analysis, evaluation, and presentation of the results): C.A.W. J.L. C.A.W. C.H. K.P. K.S. C.D. S.D.O. R.K. S.C. J.B. M.O. Literature search (performed the literature search): C.A.W. C.H. K.P. K.S. C.D. S.D.O. Writing (responsible for writing a substantive part of the manuscript): C.A.W. J.L. C.A.W. C.H. K.P. K.S. C.D. S.D.O. R.K. S.C. J.B. M.O. Critical review (revised manuscript for intellectual content, this does not relate to spelling and grammar checking): C.A.W. J.L. C.A.W. C.H. K.P. K.S. C.D. S.D.O. R.K. S.C. J.B. M.O.
Publisher Copyright:
© 2021
PY - 2021
Y1 - 2021
N2 - Objective: The purpose of this project was to develop a best-practices document on chiropractic care for pregnant and postpartum patients with low back pain (LBP), pelvic girdle pain (PGP), or a combination. Methods: A modified Delphi consensus process was conducted. A multidisciplinary steering committee of 11 health care professionals developed 71 seed statements based on their clinical experience and relevant literature. A total of 78 panelists from 7 countries were asked to rate the recommendations (70 chiropractors and representatives from 4 other health professions). Consensus was reached when at least 80% of the panelists deemed the statement to be appropriate along with a median response of at least 7 on a 9-point scale. Results: Consensus was reached on 71 statements after 3 rounds of distribution. Statements included informed consent and risks, multidisciplinary care, key components regarding LBP during pregnancy, PGP during pregnancy and combined pain during pregnancy, as well as key components regarding postpartum LBP, PGP, and combined pain. Examination, diagnostic imaging, interventions, and lifestyle factors statements are included. Conclusion: An expert panel convened to develop the first best-practice consensus document on chiropractic care for pregnant and postpartum patients with LBP or PGP. The document consists of 71 statements on chiropractic care for pregnant and postpartum patients with LBP and PGP.
AB - Objective: The purpose of this project was to develop a best-practices document on chiropractic care for pregnant and postpartum patients with low back pain (LBP), pelvic girdle pain (PGP), or a combination. Methods: A modified Delphi consensus process was conducted. A multidisciplinary steering committee of 11 health care professionals developed 71 seed statements based on their clinical experience and relevant literature. A total of 78 panelists from 7 countries were asked to rate the recommendations (70 chiropractors and representatives from 4 other health professions). Consensus was reached when at least 80% of the panelists deemed the statement to be appropriate along with a median response of at least 7 on a 9-point scale. Results: Consensus was reached on 71 statements after 3 rounds of distribution. Statements included informed consent and risks, multidisciplinary care, key components regarding LBP during pregnancy, PGP during pregnancy and combined pain during pregnancy, as well as key components regarding postpartum LBP, PGP, and combined pain. Examination, diagnostic imaging, interventions, and lifestyle factors statements are included. Conclusion: An expert panel convened to develop the first best-practice consensus document on chiropractic care for pregnant and postpartum patients with LBP or PGP. The document consists of 71 statements on chiropractic care for pregnant and postpartum patients with LBP and PGP.
KW - Chiropractic
KW - Low Back Pain
KW - Pelvic Girdle Pain
KW - Postpartum
KW - Pregnancy
KW - Spine
UR - http://www.scopus.com/inward/record.url?scp=85119912293&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85119912293&partnerID=8YFLogxK
U2 - 10.1016/j.jmpt.2021.03.002
DO - 10.1016/j.jmpt.2021.03.002
M3 - Article
C2 - 34836673
AN - SCOPUS:85119912293
SN - 0161-4754
JO - Journal of Manipulative and Physiological Therapeutics
JF - Journal of Manipulative and Physiological Therapeutics
ER -