Archive for the ‘Chiropractic and M.D. care combined-Acute Low Back Pain-Spine 2013’ Category

Chiropractic and M.D. care combined-Acute Low Back Pain-Spine 2013

July 30, 2013

Posted by:  Kevin G. Parker, D.C.

Pub Med. Gov:  Spine (Phila Pa 1976). 2013 Apr 15;38(8):627-34. 

…before we get started…related article(more articles below):  Chiropractic Listed as Lower Back Treatment Option in Medical Jr. JAMA-2013

“…chiropractic manipulative therapy in conjunction with standard medical care offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 yrs of age with acute Low Back Pain.”

Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study.-Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC.

Abstract

STUDY DESIGN: Randomized controlled trial.
OBJECTIVE:
To assess changes in pain levels and physical functioning in response to standard medical care (SMC) versus SMC plus chiropractic manipulative therapy (CMT) for the treatment of low back pain (LBP) among 18 to 35-year-old active-duty military personnel.

SUMMARY OF BACKGROUND DATA:

LBP 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 of LBP, but its appropriate role in the healthcare delivery system has not been established.
METHODS:
Prospective, 2-arm randomized controlled trial pilot study comparing SMC plus CMT with only SMC. The primary outcome measures were changes in back-related pain on the numerical rating scale and physical functioning at 4 weeks on the Roland-Morris Disability Questionnaire and back pain functional scale (BPFS).
RESULTS:

Mean Roland-Morris Disability Questionnaire scores decreased in both groups during 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 numerical rating scale pain scores were also significantly better in the group that received CMT. Adjusted mean back pain functional scale 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 SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.

Related articles:

Chiropractic vs. Medicine for Acute Low Back Pain- Spine Journal 2010:

Chiropractic cost effective-Blue Cross Blue Shield claims analysis-JMPT 2010:

Chiropractic Care Cost effective

Spine Manipulation compared to NSAIDS-Spine J Vol 38, No 7 2013

Sciatica-like symptoms derived from the Sacroiliac Joint-Eur Spine J. 2013

Cervical spine manipulation-Clinical Neurophysiology 2007

Chiropractic Manipulation and Rehabilitation Irvine Calif.

Chiropractic care-reduce disability recurrences-Jr of Occupational and Enviro Med-2011

Chiropractic may reduce elderly injuries-2012

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