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 - Publisher Copyright:
© 2021
PY - 2022/9
Y1 - 2022/9
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
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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
VL - 45
SP - 469
EP - 489
JO - Journal of Manipulative and Physiological Therapeutics
JF - Journal of Manipulative and Physiological Therapeutics
IS - 7
ER -