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Papers of the Week

2022 Apr 21

Chiropr Man Therap



Impact of contextual factors on patient outcomes following conservative low back pain treatment: systematic review.


Sherriff B, Clark C, Killingback C, Newell D
Chiropr Man Therap. 2022 Apr 21; 30(1):20.
PMID: 35449074.


Chronic low back pain is pervasive, societally impactful, and current treatments only provide moderate relief. Exploring whether therapeutic elements, either unrecognised or perceived as implicit within clinical encounters, are acknowledged and deliberately targeted may improve treatment efficacy. Contextual factors (specifically, patient's and practitioner's beliefs/characteristics; patient-practitioner relationships; the therapeutic setting/environment; and treatment characteristics) could be important, but there is limited evidence regarding their influence. This research aims to review the impact of interventions modifying contextual factors during conservative care on patient's pain and physical functioning.