Document Detail

A randomized, controlled trial of manual therapy and specific adjuvant exercise for chronic low back pain.
MedLine Citation:
PMID:  16215330     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This article examines the effectiveness of manual therapy with specific adjuvant exercise for treating chronic low back pain and disability.
METHODS: A single blind, randomized, controlled trial was employed. Patients were prescribed an exercise program that was tailored to treat their musculoskeletal dysfunctions or given a nonspecific program of general stretching and aerobic conditioning. In addition, patients received manual therapy or sham manual therapy. Participants were seen for 6 weekly sessions and were asked to perform their exercise program twice daily.
RESULTS: Seventy-two out of 100 patients completed the study. Multivariate tests conducted for measures of pain and disability revealed a significant group by time interaction (P = 0.04 and P = 0.05, respectively), indicating differential change in these measures pretreatment to posttreatment as a function of the treatment received. When controlling for pretreatment scores, patients receiving manual therapy with specific adjuvant exercise reported significant reductions in pain. No change in perceived disability was observed, with the exception that patients receiving sham manual therapy with specific adjuvant exercise reported significantly greater disability at posttreatment.
DISCUSSION: Manual therapy with specific adjuvant exercise appears to be beneficial in treating chronic low back pain. Despite changes in pain, perceived function did not improve. It is possible that impacting chronic low back pain alone does not address psychosocial or other factors that may contribute to disability. Further studies are needed to examine the long-term effects of these interventions and to address what adjuncts are beneficial in improving function in this population.
Michael E Geisser; Elizabeth A Wiggert; Andrew J Haig; Miles O Colwell
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Clinical journal of pain     Volume:  21     ISSN:  0749-8047     ISO Abbreviation:  Clin J Pain     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2005-10-10     Completed Date:  2006-01-04     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  8507389     Medline TA:  Clin J Pain     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-70     Citation Subset:  IM    
The Spine Program, Department of Physical Medicine and Rehabilitation, University of Michigan Health System, Ann Arbor, MI 48108, USA.
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MeSH Terms
Chronic Disease
Disability Evaluation
Exercise Therapy*
Low Back Pain / therapy*
Middle Aged
Multivariate Analysis
Musculoskeletal Manipulations*
Pain Measurement / methods
Patient Satisfaction
Retrospective Studies
Single-Blind Method
Treatment Outcome
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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