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An evidence-based diagnostic classification system for low back pain

, : An evidence-based diagnostic classification system for low back pain. Journal of the Canadian Chiropractic Association 57(3): 189-204

While clinicians generally accept that musculoskeletal low back pain (LBP) can arise from specific tissues, it remains difficult to confirm specific sources. Based on evidence supported by diagnostic utility studies, doctors of chiropractic functioning as members of a research clinic created a diagnostic classification system, corresponding exam and checklist based on strength of evidence, and in-office efficiency. THE DIAGNOSTIC CLASSIFICATION SYSTEM CONTAINS ONE SCREENING CATEGORY, TWO PAIN CATEGORIES: Nociceptive, Neuropathic, one functional evaluation category, and one category for unknown or poorly defined diagnoses. Nociceptive and neuropathic pain categories are each divided into 4 subcategories. This article describes and discusses the strength of evidence surrounding diagnostic categories for an in-office, clinical exam and checklist tool for LBP diagnosis. The use of a standardized tool for diagnosing low back pain in clinical and research settings is encouraged.Label="INTRODUCTION">Bien que les cliniciens conviennent généralement que les douleurs lombaires musculosquelettiques peuvent provenir de certains tissus, il reste néanmoins difficile d’en confirmer les sources précises.Label="MÉTHODOLOGIE">Partant de données probantes étayées par des études d’utilité diagnostique, des médecins en chiropratique exerçant en tant que membres d’une clinique de recherche ont créé un système de classification diagnostique, des examens correspondants et une liste de contrôle basés sur la solidité des données probantes et l’efficacité à la clinique.Label="RÉSULTATS">Le système de classification diagnostique comporte une catégorie de dépistage et deux catégories de douleurs : une catégorie d’évaluation fonctionnelle, une catégorie nociceptive et neuropathique et une catégorie englobant les diagnostics inconnus ou mal définis. Les catégories de douleurs nociceptives et neuropathiques sont chacune divisées en 4 souscatégories.Label="CONCLUSION">Cet article décrit et examine la solidité des données probantes concernant les catégories diagnostiques pour des examens cliniques et des outils de liste de contrôle pour le diagnostic de douleurs lombaires musculosquelettiques. L’utilisation d’un outil normalisé pour le diagnostic des douleurs lombaires en milieu clinique et de recherche est encouragée.


PMID: 23997245

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