Dose-response for chiropractic care of chronic low back pain

The Spine Journal : Official Journal of the North American Spine Society
Mitchell HaasDale F Kraemer

Abstract

There have been no trials of optimal chiropractic care in terms of number of office visits for spinal manipulation and other therapeutic modalities. To conduct a pilot study to make preliminary identification of the effects of number of chiropractic treatment visits for manipulation with and without physical modalities (PM) on chronic low back pain and disability. Randomized controlled trial with a balanced 4x2 factorial design. Conducted in the faculty practice of a chiropractic college outpatient clinic. Seventy-two patients with chronic, nonspecific low back pain of mechanical origin. Von Korff pain and disability (100-point) scales. Patients were randomly allocated to visits (1, 2, 3 or 4 visits/week for 3 weeks) and to treatment regimen (spinal manipulation only or spinal manipulation with PM). All patients received high-velocity low-amplitude spinal manipulation. Half received one or two of the following PM at each visit: soft tissue therapy, hot packs, electrotherapy or ultrasound. Pain intensity: At 4 weeks, there was a substantial linear effect of visits favoring a larger number of visits: 5.7 points per 3 visits (SE=2.3, p=.014). There was no effect of treatment regimen. At 12 weeks, the data suggested the potential f...Continue Reading

References

Feb 1, 1977·Rheumatology and Rehabilitation·J A Anderson
Jul 18, 1992·BMJ : British Medical Journal·J E BrazierL Westlake
Oct 1, 1992·Annals of Internal Medicine·P G ShekelleR H Brook
Jun 6, 1998·BMJ : British Medical Journal·P R CroftA J Silman
Nov 20, 1998·JAMA : the Journal of the American Medical Association·D M EisenbergR C Kessler
Jun 11, 1999·Spine·M R UnderwoodM R Vickers
Nov 5, 1999·The New England Journal of Medicine·G B AnderssonS Leurgans
Jul 25, 2000·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·A K BurtonJ Cleary
Aug 21, 2001·Annals of Internal Medicine·R C KesslerD M Eisenberg
Jan 11, 2002·The Clinical Journal of Pain·S Mior
Feb 6, 2002·Annals of Internal Medicine·William C Meeker, Scott Haldeman

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Citations

Apr 23, 2010·Chiropractic & Osteopathy·Julie O'ShaughnessyMartin Descarreaux
Jan 6, 2011·Clinical Rheumatology·Edzard Ernst, Paul Posadzki
Jul 26, 2011·BMC Musculoskeletal Disorders·Brian C ClarkJames S Thomas
Apr 1, 2005·Journal of Manipulative and Physiological Therapeutics·Elyse GrouppMichael Attwood
May 11, 2005·Journal of Manipulative and Physiological Therapeutics·Mitchell HaasAlisa Fairweather
Nov 16, 2013·Journal of Manipulative and Physiological Therapeutics·Michael L MeierBarry Kim Humphreys
Aug 4, 2012·Journal of Manipulative and Physiological Therapeutics·Cynthia K PetersonB Kim Humphreys
Jun 3, 2014·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Dilek CilingirNesrin Nural
Mar 6, 2012·Journal of Manipulative and Physiological Therapeutics·Paula A M WeigelFredric D Wolinsky
Feb 14, 2012·Journal of Manipulative and Physiological Therapeutics·James W BrantinghamCharmaine Korporaal
May 31, 2011·The Spine Journal : Official Journal of the North American Spine Society·Gert BronfortEnsor E Transfeldt
Nov 9, 2010·The Veterinary Clinics of North America. Equine Practice·Kevin K Haussler
May 19, 2009·Journal of Manipulative and Physiological Therapeutics·Rajiv SharmaRenu Gehring
Nov 26, 2008·Journal of Manipulative and Physiological Therapeutics·Dana J LawrenceCheryl Hawk
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Gert BronfortSimon Dagenais
Dec 5, 2006·Journal of Manipulative and Physiological Therapeutics·Mitchell HaasRoni L Evans
Oct 19, 2006·Journal of Manipulative and Physiological Therapeutics·Wayne HoskinsRorey Onley
May 13, 2006·Journal of Manipulative and Physiological Therapeutics·Dean L SmithJane P Smith
Jun 15, 2014·Journal of Manipulative and Physiological Therapeutics·Darcy A VavrekMitchell Haas
Sep 23, 2014·Journal of Manipulative and Physiological Therapeutics·Paula A M WeigelFredric D Wolinsky
Dec 4, 2009·Chiropractic & Osteopathy·Timothy A MirtzLeon Greene
Oct 22, 2013·The Spine Journal : Official Journal of the North American Spine Society·Mitchell HaasMoni B Neradilek
Jan 15, 2014·Journal of Manipulative and Physiological Therapeutics·Anthony L RosnerTracy Edelmann
Mar 19, 2014·Journal of Manipulative and Physiological Therapeutics·Paula A WeigelFredric D Wolinsky
Dec 3, 2013·Chiropractic & Manual Therapies·Barbara A MansholtStacie A Salsbury
May 4, 2017·Archives of Physical Medicine and Rehabilitation·Jerrilyn A CambronSally Freels
Aug 8, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Paul E DoughertyPaul Katz
Feb 18, 2011·The Cochrane Database of Systematic Reviews·Sidney M RubinsteinMaurits W van Tulder
Mar 15, 2014·The Cochrane Database of Systematic Reviews·Safoora EbadiMaurits W van Tulder
May 20, 2011·Spine·Sidney M RubinsteinMaurits W van Tulder
Apr 16, 2010·The Cochrane Database of Systematic Reviews·Bruce F WalkerSally Green
Jul 6, 2020·The Cochrane Database of Systematic Reviews·Safoora EbadiEhsan Fallah
Jan 15, 2010·Current Sports Medicine Reports·John M MayerSimon Dagenais
Sep 2, 2020·International Journal of Rheumatic Diseases·Marta PereiraM Graça Pereira
Apr 18, 2018·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·David Cosio, Erica Lin
May 30, 2019·Chiropractic & Manual Therapies·Mégane PasquierMartin Descarreaux
Sep 29, 2020·Physical Medicine and Rehabilitation Clinics of North America·Nathan HinkeldeyJamal Khan

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