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Table 1 Classification for treatment and advice on work, activity and bed rest offered at this visit described in the vignette

From: Management of people with low back pain: a survey of opinions and beliefs of Dutch and Belgian chiropractors

Question Vignette Response option on questionnaire Authors classification of response
Treatment offered at this visit Vignette 1 and 3 No intervention or chiropractic adjustment Strictly in line with guideline recommendations
   No intervention or chiropractic adjustment + one other treatment option Broadly in line with the guideline recommendations
   2 treatment options other than no intervention or chiropractic adjustment Not in line with the guideline recommendations
  Vignette 2 No intervention or chiropractic adjustment and/or exercise Strictly in line with guideline recommendations
   No intervention or chiropractic adjustment and/or exercise + one other treatment option Broadly in line with the guideline recommendations
   2 treatment options other than no intervention chiropractic adjustment and/or exercise Not in line with the guideline recommendations
  Vignette 4, 5 and 6 No intervention or chiropractic adjustment, exercise and/or psychosocial evaluation Strictly in line with guideline recommendations
   No intervention or chiropractic adjustment, exercise and/or psychosocial evaluation + one other treatment option Broadly in line with the guideline recommendations
   2 treatment options other than no intervention or chiropractic adjustment, exercise and/or psychosocial evaluation Not in line with the guideline recommendations
Advice to return to work All vignettes Return to normal work Strictly in line with guideline recommendations
   Return to part time or light duties Broadly in line with guideline recommendations
   Be off work for a further...weeks (stating number of weeks) Not in line with guideline recommendations
   Be off work until pain has improved Not in line with guideline recommendations
   Be off work until pain has completely disappeared Not in line with guideline recommendations
Advice to bed rest All vignettes Avoid resting in bed entirely Strictly in line with guideline recommendations
   Avoid resting in bed as much as possible Broadly in line with guideline recommendations
   Rest in bed only when pain is severe  
   Rest in bed until pain improves substantially Not in line with guideline recommendations
   Rest in bed until pain disappears Not in line with guideline recommendations
Advice to stay active All vignettes Perform usual activities Strictly in line with guideline recommendations
   Perform activities within the patient’s tolerance Broadly in line with guideline recommendations
   Perform only pain free activities Not in line with guideline recommendations
   Limit all physical activities until pain disappears Not in line with guideline recommendations
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Chiropractic & Manual Therapies

ISSN: 2045-709X