Department of Research, Canadian Memorial Chiropractic College, Toronto, ON, Canada.
Parker Research Center, Parker University, Dallas, Texas.
J Manipulative Physiol Ther. 2022 Sep;45(7):469-489. doi: 10.1016/j.jmpt.2021.03.002. Epub 2021 Nov 24.
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.
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.
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.
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.
本项目旨在制定一份针对腰痛（LBP）、骨盆带疼痛（PGP）或两者兼有孕妇和产后患者的脊骨疗法护理最佳实践文件。
采用改良 Delphi 共识流程。一个由 11 名医疗保健专业人员组成的多学科指导委员会根据他们的临床经验和相关文献制定了 71 个初始陈述。来自 7 个国家的 78 名小组成员（70 名脊骨治疗师和来自其他 4 个健康专业的代表）被要求对建议进行评分（70 名脊骨治疗师和来自其他 4 个健康专业的代表）。至少 80%的小组成员认为陈述合适，且中位数响应至少为 7 分（9 分制）时达成共识。
经过 3 轮分发，有 71 条陈述达成共识。陈述包括知情同意和风险、多学科护理、怀孕期间 LBP、PGP 和合并疼痛的关键要素，以及产后 LBP、PGP 和合并疼痛的关键要素。还包括检查、诊断成像、干预和生活方式因素的陈述。
召集一个专家小组制定了针对 LBP 或 PGP 孕妇和产后患者的脊骨疗法护理的第一份最佳实践共识文件。该文件包含 71 条关于 LBP 和 PGP 孕妇和产后患者脊骨疗法护理的陈述。
