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    Received Apr 3; Accepted Jun Just need servicing in odense This article has been cited by other articles in PMC. Methods Semi-structured interviews were conducted with 10 chiropractors identified using a stratified, theoretical sampling framework. Interviews covered four domains relating to MC, namely: Data was analysed thematically. Results Practitioners Daughters boyfriend fucks mother MC primarily as a means of providing secondary or tertiary care and they primarily recommend it to patients with a history of recurrence.

    Initiating MC is often a shared decision between clinician and patient. The core elements of MC are examination and manipulation, but exercise and general lifestyle advice are often included. Clinician MC practices seem to evolve over time and are informed by individual practice experiences. Chiropractors are more likely to offer MC to patients whose complaints include a significant muscular component. Furthermore, a successful transition to MC appears dependent on correctly matching complaint with management. A positive relationship between chiropractor and patient facilitates the initiation of MC. Finally; MC appears grounded in a patient-oriented approach to care rather than a market-oriented one.

    Conclusion MC is perceived as both a secondary and tertiary preventative measure and its practice appears grounded in the tenet of patient-oriented care. A positive personal relationship between chiropractor and patient facilitates the initiation of MC. The results from this and previous studies should be considered in the design of studies of efficacy. The concept is frequently used among chiropractors [ 12 ] and limited evidence suggests that, among workers with work-related back pain, MC in chiropractic practice appears to decrease the recurrence rate [ 3 ]. However, according to two literature reviews, very limited evidence regarding the definitions, purpose and content of MC is currently available [ 45 ].

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    Specifically, investigators involved with the Nordic Maintenance Care Program have conducted a number of observational, questionnaire-based and qualitative studies, in relation to MC practices for low back pain. The results, thus far, have proven Just need servicing in odense in increasing knowledge regarding issues sevicing as usual time intervals between MC treatments [ 26 ], treatment strategies ovense different back pain scenarios [ 178 ], the content servlcing MC consultations [ 6 ] and patients perception regarding the purpose of MC [ 6 ]. Furthermore, the effect of MC has been investigated in clinical trials with varying results.

    A pilot study included low back pain patients [ 9 ] and two randomized controlled trials RCTs included chronic non-specific neck pain and chronic non-specific low back pain, respectively [ 1011 ]. However, in all three studies patients were included consecutively based on neck or back pain alone, but apparently without taking into account the underlying rationale for MC in the inclusion process. There may be other models which fit your organisation What is your need? Which types of lifting equipment do you need in your daily operations? We design the model for your specific needs — whether you want lifting equipment or need testing equipment waterbag solution. Logistics Solution — all inclusive We deliver a modular container solution.

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