assessment of their prognosis.() Risk is categorised using a 9 point scale that covers physical and psychological function. : STarT Back tool categories and summary of treatment packages Category Aim/s Treatment Low risk Support and enable A one-off consultation including: Patient worries, concerns, social impact physical assessment Medication review Encouragement of activity and self-management Medium risk Restore function, Elicit concerns and adequate physical minimise disability and examination support appropriate self-management Tailor treatment Course of physiotherapy may be – Specific physiotherapy interventions if relevant based on examination General functional activities if no linkage between examination and back pain complaint Specific treatment with end time point Referral to specialist services when needed Reduce pain and Delivered by physiotherapists with additional training, High risk disability and improve mentorship and ongoing professional support. psychological Six 45-60min physiotherapy appointments over functioning three months using combined physical and cognitive approach Enable patients to manage ongoing and/or future episodes of low back pain Focus on cognitive, emotional and behavioural responses to pain and their impact on function Identification of potential obstacles to rehabilitation Identification of possible targets for intervention.
assessment of their prognosis.() Risk is categorised using a 9 point scale that covers physical and psychological function. : STarT Back tool categories and summary of treatment packages Category Aim/s Treatment Low risk Support and enable A one-off consultation including: Patient worries, concerns, social impact physical assessment Medication review Encouragement of activity and self-management Medium risk Restore function, minimise disability and support appropriate self-management Elicit concerns and adequate physical examination Tailor treatment Course of physiotherapy – may be Specific physiotherapy interventions if relevant based on examination General functional activities if no linkage between examination and back pain complaint Specific treatment with end time point Referral to specialist services when needed High risk Reduce pain and disability and improve psychological functioning Delivered by physiotherapists with additional training, mentorship and ongoing professional support. Six 45-60min physiotherapy appointments over three months using combined physical and cognitive approach Enable patients to manage ongoing and/or future episodes of low back pain Focus on cognitive, emotional and behavioural responses to pain and their impact on function Identification of potential obstacles to rehabilitation Identification of possible targets for intervention.
nhc-lbp-pathway-to-prioritisation.docx