PMID: 11898014Mar 19, 2002Paper

Second Prize: The effectiveness of physical modalities among patients with low back pain randomized to chiropractic care: findings from the UCLA low back pain study

Journal of Manipulative and Physiological Therapeutics
Eric L HurwitzGerald F Kominsky

Abstract

Although chiropractors often use physical modalities with spinal manipulation, evidence that modalities yield additional benefits over spinal manipulation alone is lacking. The purpose of the study was to estimate the net effect of physical modalities on low back pain (LBP) outcomes among chiropractic patients in a managed-care setting. Fifty percent of the 681 patients participating in a clinical trial of LBP treatment strategies were randomized to chiropractic care with physical modalities (n = 172) or without physical modalities (n = 169). Subjects were followed for 6 months with assessments at 2, 4, and 6 weeks and at 6 months. The primary outcome variables were average and most severe LBP intensity in the past week, assessed with numerical rating scales (0-10), and low back-related disability, assessed with the 24-item Roland-Morris Disability Questionnaire. Almost 60% of the subjects had baseline LBP episodes of more than 3 months' duration. The 6-month follow-up was 96%. The adjusted mean differences between groups in improvements in average and most severe pain and disability were clinically insignificant at all follow-up assessments. Clinically relevant improvements in average pain and disability were more likely in th...Continue Reading

Citations

Mar 15, 2014·The Cochrane Database of Systematic Reviews·Safoora EbadiMaurits W van Tulder
Jan 9, 2015·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Anupama KizhakkeveettilGena E Kadar
Apr 3, 2003·The Milbank Quarterly·Richard A Cooper, Heather J McKee
Sep 15, 2006·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Jerrilyn A CambronSylvia E Furner
Jul 6, 2020·The Cochrane Database of Systematic Reviews·Safoora EbadiEhsan Fallah
Jan 27, 2006·The Cochrane Database of Systematic Reviews·S D FrenchA J Esterman
Feb 18, 2011·The Cochrane Database of Systematic Reviews·Sidney M RubinsteinMaurits W van Tulder
Aug 19, 2021·The Journal of Chiropractic Education·Claire D JohnsonPaul G Shekelle

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