| Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: the results of a pragmatic randomized comparative effectiveness study. | |
| | |
MedLine Citation:
|
PMID: 23060056 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
ABSTRACT: Study Design: Randomized controlled trial.Objective: To assess changes in pain levels and physical functioning in response to standard medical care (SMC) vs. SMC plus chiropractic manipulative therapy (CMT) for the treatment of low back pain among 18 to 35-year-old active duty military personnel.Summary of Background Data: Low back pain is common, costly and a significant cause of long-term sick leave and work loss. Many different interventions are available, but there exists no consensus on the best approach. One intervention often used is manipulative therapy. Current evidence from randomized controlled trials demonstrates that manipulative therapy may be as effective as other conservative treatments for LBP, but its appropriate role in the health care delivery system has not been established.Methods: Prospective, 2-arm RCT pilot study comparing SMC plus CMT to SMC alone. The primary outcome measures were changes in back-related pain on the Numerical Rating Scale (NRS) and physical functioning at 4 weeks on the Roland Morris Disability Questionnaire (RMQ) and Back Pain Functional Scale (BPFS).Results: Mean RMQ scores decreased in both groups over the course of the study, but adjusted mean scores were significantly better in the SMC plus CMT group than in the SMC group at both week 2 (p<0.001) and week 4 (p=0.004). Mean NRS was also significantly better in the group that received CMT. Adjusted mean BPFS scores were significantly higher (improved) in the SMC plus CMT group than in the SMC group at both week 2 (p<0.001) and week 4 (p=0.004).Conclusion: The results of this trial suggest that CMT in conjunction with standard medical care offers a significant advantage for decreasing pain and improving physical functioning when compared to standard care alone, for men and women between the ages of 18-35 with acute low back pain. |
| | |
Authors:
|
Christine M Goertz; Cynthia R Long; Maria A Hondras; Richard Petri; Roxana Delgado; Dana J Lawrence; Edward F Owens; William C Meeker |
Related Documents
:
|
20569246 - Thoracic paravertebral anaesthesia for awake video-assisted thoracoscopic surgery daily. 23386816 - Postural correlates with painful situations. 23216176 - Cervical myelopathy: overview and management. 23035006 - Short-term effects of interferential current electro-massage in adults with chronic non... 20400416 - Effects of topical alkane vapocoolant spray on pain intensity prior to digital nerve bl... 16878656 - The wpi's review of wisconsin's managed care climate for pain management: opportunities... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-10-10 |
Journal Detail:
|
Title: Spine Volume: - ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2012 Oct |
Date Detail:
|
Created Date: 2012-10-12 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
1Palmer Center for Chiropractic Research, 741 Brady St., Davenport, IA 52803 2Physical Medicine and Integrative Care Services, Ft Bliss, Texas 79916 3Samueli Institute, 1737 King St. Suite 600 Alexandria, VA 22314 4Palmer College of Chiropractic, 1000 Brady St., Davenport, IA 52803 5TriMax Direct, 106 W. Water St, St. Paul, MN 55107 6Palmer College of Chiropractic, West Campus, 90 E. Tasman Dr., San Jose, CA 95134. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Synthesis and Photoluminescence Properties of Eu(3+) -Doped Silica@Coordination Polymer Core-Shell S...
Next Document: Next Generation of Growth-Sparing Technique: Preliminary Clinical Results of a Magnetically Controll...