OBJECTIVES: The objectives of this study were to (1) evaluate differences between @entity1 with lumbar @entity890 who received physical therapy (PT) and those who did not; (2) identify factors associated with receiving PT; and (3) examine the influence of PT on clinical outcomes over the course of 1 yr. DESIGN: An observational cohort study using data from the Spine @entity1 Outcomes Research Trial was conducted. This study included 363 @entity1 with @entity890 who received nonsurgical management within 6 wks of enrollment. Baseline characteristics were compared between @entity1 who received PT and those who did not. Multivariate logistic regression examined factors predictive of @entity1 receiving PT. Mixed effects models were used to compare primary outcomes (Short-Form Survey 36 bodily @entity158 and physical function and modified Oswestry Index) at 3 and 6 mos and 1 yr after enrollment. RESULTS: Forty percent of the nonsurgical cohort received PT. Higher disability scores, @entity51 , and @entity1 preference predicted PT use. Compared with other nonsurgical management strategies, standard care PT was not associated with a significant difference in @entity158 , disability, or surgery over 1 yr. CONCLUSIONS: Many @entity1 with @entity890 seek secondary care for persisting symptoms and pursue nonsurgical management. The best management strategy is unclear and further research is needed to examine appropriate sequencing and selection of treatment.

Nonsurgical Treatment Choices by Individuals with Lumbar XXXX in the United States: Associations with Long-term Outcomes.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficit'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity890 :: ('MESH:D007405', 'Disease') :: ['intervertebral disc herniation']
@entity890 :: (MESH:D007405,Disease) :: ['Intervertebral Disc Herniation']
