Martinez Daniel A, Rupert Ronald L, Ndetan Harrison T
Parker College of Chiropractic Research Institute, Parker College of Chiropractic, Dallas, TX 75229, USA.
Chiropr Osteopat. 2009 Mar 19;17:4. doi: 10.1186/1746-1340-17-4.
Descriptive studies of chiropractic patients are not new, several have been performed in the U.S., Australia, Canada, and Europe. None have been performed in a Latin American country. The purpose of this study is to describe the patients who visited a Mexican chiropractic college public clinic with respect to demographics and clinical characteristics.
This study was reviewed and approved by the IRB of Parker College of Chiropractic and the Universidad Estatal del Valle de Ecatepec (UNEVE). Five hundred patient files from the UNEVE public clinic from May 2005 to May 2007 were selected from an approximate total number of 3,700. Information was collected for demographics, chief complaints, associated complaints, and previous care sought.
The sample comprised 306 (61.2%) female. Most files (44.2%) were in the age range of 40-59 years (mean of 43.4 years). The most frequent complaints were lumbar pain (29.2%) and extremity pain (28.0%), most commonly the knee. Most (62.0%) described their complaints as greater than one year. Trauma (46.6%) was indicated as the initial cause. Mean VAS score was 6.26/10 with 20% rated at 8/10.
Demographic results compared closer to studies conducted with private clinicians (females within the ages of 40-59). The primary complaint and duration was similar to previous studies (low back pain and chronic), except in this population the cause was usually initiated by trauma. The most striking features were the higher number of extremity complaints and the marked increased level of VAS score (20% rated as 8/10).
对脊椎按摩治疗患者的描述性研究并不新鲜,在美国、澳大利亚、加拿大和欧洲都已开展过此类研究。但尚未在拉丁美洲国家进行过此类研究。本研究的目的是描述前往墨西哥一所脊椎按摩治疗学院公共诊所就诊的患者的人口统计学特征和临床特征。
本研究经帕克脊椎按摩治疗学院和埃卡特佩克州立大学(UNEVE)的机构审查委员会审核并批准。从UNEVE公共诊所2005年5月至2007年5月的约3700份患者档案中选取了500份。收集了人口统计学、主要症状、相关症状以及此前寻求过的治疗等信息。
样本中女性有306人(占61.2%)。大多数档案(44.2%)的患者年龄在40 - 59岁之间(平均年龄43.4岁)。最常见的症状是腰痛(29.2%)和肢体疼痛(28.0%),最常累及膝盖。大多数(62.0%)患者称其症状持续时间超过一年。创伤(46.6%)被指出是初始病因。视觉模拟评分(VAS)的平均得分为6.26/10,其中20%的患者评分为8/10。
人口统计学结果与针对私人诊所患者的研究更为接近(40 - 59岁的女性)。主要症状及持续时间与此前研究相似(腰痛和慢性疼痛),只是在该人群中病因通常由创伤引发。最显著的特征是肢体症状数量较多以及VAS评分显著升高(20%的患者评分为8/10)。