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Table 7 A description of patients with LBP who, after 1 month of treatment, fit the six management strategies in relation to additional observations.

From: The Nordic maintenance care program: case management of chiropractic patients with low back pain – defining the patients suitable for various management strategies

Type of strategy

Total number of replies

Replies

1. Second opinion

11

Lethargy

Malaise

Severe weight loss or gain

Bad general health

Severe stress

Untold trauma

Illogical pain pattern

Sick-leave

Psychosocial issues/somatisation

2. Quick fix

9

Bad compliance

Lives far away

Difficult working hours

History of one treatment only

Treatment dependent

Grateful

Looks well now

Muscles OK

Physically and mentally well balanced

3. Try again

10

Chiropractic treatment successful

New clinical findings

Recently aggravating factor

Post traumatic

Minor accident occurred during past month

Increased workload

Patient somewhat frustrated

Bad compliance

Patient dissatisfied

4. Exterior help – keep in touch

5

Good compliance

Psychosocial problem

Easy onset

Good response to other therapy

Alcohol/drug abuse

5. Symptom-guided maintenance care

8

Compliant patient

Satisfied patient

Prefers chiropractic to training

Increased workload

Try to remedy partly inappropriate treatment

If the present status is not good enough, time to re-evaluate diagnosis and treatment

Compliant

6. Clinical findings-guided maintenance care

11

Satisfied patient

Compliant

Health-minded patient

Athletic

Prefers chiropractic to exercises

New clinical findings due to change of posture