Sciatica in Pregnancy
Background and Significance (3 pages Maximum)
1. Select a condition to treat
2. In one to two paragraphs with references, describe the significance of the condition by answering the following questions:
a. What is the prevalence the condition?
i. The definition of prevalence is the proportion of cases in the population at
a given time, i.e. how widespread is the condition?
b. From a biopsychosocial perspective, how does the condition
i. increase pain, limit physical function and/or generate bother some symptoms (bio),
ii. alter mental behaviors, and
iii. negatively impact social interactions (hobbies, travel, enjoyment of work/
church/community/family events etc.)?
c. What is the current approach to treating the condition with respect to effectiveness and side effects?
d. What are the economic costs of treating this condition to include healthcare costs
(direct) and societal costs (indirect)? e.g. workers’ compensation costs, lost days of work, disability costs, etc.
3. In three to five paragraphs with references, compare and contrast at least 5 Research
Articles on the condition using the PICOS framework. (Background Literature)
a. P- Participants (Patients)
b. I – Intervention
c. C – Control / Comparison
d. O – Outcome Measures
e. S – Study Design
4. In one paragraph, provide a justification (rationale) based upon your summary of the five
articles that explains your patient / participant selection, intervention, control, and outcome assessment.
5. State the purpose: The purpose of the study is to describe the effects of the intervention on subjects with the condition as compared to controls and indicated by changes in the outcome measure.
Methodology – (10 pages maximum)
1. Participants
a. Describe the Sociodemographic Characteristics of the Participants
b. Participants: number receiving the treatment and number of controls
c. Describe the Inclusion and Exclusion Criteria
i. i.e. Describe the presentation of the Diagnostic Criteria that qualifies the patient/participant to be treated with chiropractic treatment intervention to be described
d. Describe the Screening Procedures associated with the Inclusion and Exclusion Criteria,
i. I.e. What screening procedures were performed to include and exclude the patient from the AOM treatment intervention?
2. Treatment Interventions
a. Describe the intervention
i. Duration and Frequency of treatments
ii. Chiropractic modalities
iii. Self-Care Advice
iv. Exercise
3. Control Condition
a. Describe the control / comparison condition(s).
4. Outcome Assessment
a. What is the primary condition-specific outcome measure?
i. Describe the primary condition-specific outcome measure.
b. What is a general/global primary outcome measure?
i. Describe a visual analog scale, numeric rating scale or global rating of change (symptom) scale to assess improvement.
c. Include when the outcomes are assessed?
i. Describe the expected improvement in percentages at each assessment time point for each primary outcome measure.
d. Include Meaningful Clinically Important Differences for the condition-specific and general/global outcome measures.
5. Include a Study Flow Chart
References
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