Development of a toolkit for early identification of cauda equina syndrome.

作者: Sue Greenhalgh , Carole Truman , Valerie Webster , James Selfe

DOI: 10.1017/S1463423616000062

关键词:

摘要: Aim: To develop a simple cauda equina syndrome (CES) toolkit to facilitate the subjective examination of low back pain patients potentially at risk CES. undertake preliminary validation content toolkit. Background: CES is rare condition which can be very challenging identify in generalist medical setting. Method: A three phase iterative design with two stake holder groups; extended scope practitioners experienced managing and sufferers. Toolkit development: Synthesis existing literature patient data generated from depth interviews. validation: Content validation draft patients. Toolkit scope physiotherapists. Findings: three armtoolkit has been developed for use patients considered by clinician as developing (eg, worsening pain with symptoms/signs progressive sensory-motor deficit lower limbs); patient expertise, clinical expertise, research pathways. Uniquely, drew upon the lived experiences suffering inform content.

参考文章(22)
Ma, Wen, Hong, Guo-dong, Jia, Yuan, Wu, Lian-shun, Shi, Jian-gang, Cauda equina syndrome: a review of clinical progress 中华医学杂志:英文版. ,vol. 122, pp. 1214- 1222 ,(2009)
S. Greenhalgh, C. Truman, V. Webster, J. Selfe, An investigation into the patient experience of Cauda Equina Syndrome: A qualitative study Physiotherapy Practice and Research. ,vol. 36, pp. 23- 31 ,(2015) , 10.3233/PPR-140047
Jian-gang Shi, Wen Yuan, Guo-dong Shi, Hong Wu, Bin Ma, Lian-shun Jia, Cauda equina syndrome: a review of clinical progress. Chinese Medical Journal. ,vol. 122, pp. 1214- 1222 ,(2009)
Vernon W Lin, None, Spinal cord medicine : principles and practice Demos Medical. ,(2010)
Baiju R Shah, Onil Bhattacharyya, Catherine Yu, Muhammad Mamdani, Janet A Parsons, Sharon E Straus, Merrick Zwarenstein, Evaluation of a toolkit to improve cardiovascular disease screening and treatment for people with type 2 diabetes: protocol for a cluster-randomized pragmatic trial Trials. ,vol. 11, pp. 44- 44 ,(2010) , 10.1186/1745-6215-11-44
Jing-Chuan Sun, Tao Xu, Ke-Fu Chen, Wei Qian, Kun Liu, Jian-Gang Shi, Wen Yuan, Lian-Shun Jia, Assessment of cauda equina syndrome progression pattern to improve diagnosis. Spine. ,vol. 39, pp. 596- 602 ,(2014) , 10.1097/BRS.0000000000000079
R. Mestrum, P. Vooght, P. Vanelderen, M. Puylaert, G. Hans, R. Heylen, M. Vercauteren, J. Zundert, 464 CAUDA EQUINA SYNDROME SECONDARY TO LUMBAR DISC HERNIATION: PITFALLS IN CLINICAL PAIN MANAGEMENT European Journal of Pain. ,vol. 13, ,(2009) , 10.1016/S1090-3801(09)60467-5
Michael Eraut, Non-formal learning and tacit knowledge in professional work British Journal of Educational Psychology. ,vol. 70, pp. 113- 136 ,(2000) , 10.1348/000709900158001
D.E Markham, Cauda equina syndrome: diagnosis, delay and litigation risk Current Orthopaedics. ,vol. 18, pp. 58- 62 ,(2004) , 10.1016/J.CUOR.2003.10.006
Stuart Fraser, Lisa Roberts, Eve Murphy, Cauda Equina Syndrome: A Literature Review of Its Definition and Clinical Presentation Archives of Physical Medicine and Rehabilitation. ,vol. 90, pp. 1964- 1968 ,(2009) , 10.1016/J.APMR.2009.03.021