A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back Pain
The treatment of low back pain remains controversial in spite of a growing number of attempts to evaluate different therapeutic interventions and to develop clinical guidelines. 1 – 4 One stumbling block is the scientific evidence on which the guidelines are based. The results of randomized trials o...
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| Veröffentlicht in: | The New England journal of medicine 1999-11, Vol.341 (19), p.1426-1431 |
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| container_title | The New England journal of medicine |
| container_volume | 341 |
| creator | Andersson, Gunnar B.J Lucente, Tracy Davis, Andrew M Kappler, Robert E Lipton, James A Leurgans, Sue |
| description | The treatment of low back pain remains controversial in spite of a growing number of attempts to evaluate different therapeutic interventions and to develop clinical guidelines.
1
–
4
One stumbling block is the scientific evidence on which the guidelines are based. The results of randomized trials of some therapeutic interventions have been published, but the methodologic quality of many such studies is low.
5
,
6
Many of the studies involve manual treatment of the spine (through manipulation or mobilization); millions of patients receive manual treatment every year.
Spinal manipulation as a treatment for back pain has been practiced for centuries. Over the . . . |
| doi_str_mv | 10.1056/NEJM199911043411903 |
| format | Article |
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1
–
4
One stumbling block is the scientific evidence on which the guidelines are based. The results of randomized trials of some therapeutic interventions have been published, but the methodologic quality of many such studies is low.
5
,
6
Many of the studies involve manual treatment of the spine (through manipulation or mobilization); millions of patients receive manual treatment every year.
Spinal manipulation as a treatment for back pain has been practiced for centuries. Over the . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199911043411903</identifier><identifier>PMID: 10547405</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Adult ; Analgesics - therapeutic use ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Back ; Biological and medical sciences ; Comparative studies ; Diseases of the osteoarticular system. Orthopedic treatment ; Drug therapy ; Female ; Humans ; Low Back Pain - drug therapy ; Low Back Pain - therapy ; Male ; Manipulation, Orthopedic ; Manipulation, Spinal ; Medical sciences ; Middle Aged ; osteopathy ; Pain management ; Patient Satisfaction ; Physical Therapy Modalities ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Spinal cord injuries ; Treatment Outcome</subject><ispartof>The New England journal of medicine, 1999-11, Vol.341 (19), p.1426-1431</ispartof><rights>Copyright © 1999 Massachusetts Medical Society. All rights reserved.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c589t-95f2c71e871272d244a6f64b3c934f8d45b9bb8dedfac6bdff995d1cea1a81843</citedby><cites>FETCH-LOGICAL-c589t-95f2c71e871272d244a6f64b3c934f8d45b9bb8dedfac6bdff995d1cea1a81843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199911043411903$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199911043411903$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1996514$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10547405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andersson, Gunnar B.J</creatorcontrib><creatorcontrib>Lucente, Tracy</creatorcontrib><creatorcontrib>Davis, Andrew M</creatorcontrib><creatorcontrib>Kappler, Robert E</creatorcontrib><creatorcontrib>Lipton, James A</creatorcontrib><creatorcontrib>Leurgans, Sue</creatorcontrib><title>A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back Pain</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>The treatment of low back pain remains controversial in spite of a growing number of attempts to evaluate different therapeutic interventions and to develop clinical guidelines.
1
–
4
One stumbling block is the scientific evidence on which the guidelines are based. The results of randomized trials of some therapeutic interventions have been published, but the methodologic quality of many such studies is low.
5
,
6
Many of the studies involve manual treatment of the spine (through manipulation or mobilization); millions of patients receive manual treatment every year.
Spinal manipulation as a treatment for back pain has been practiced for centuries. Over the . . .</description><subject>Adult</subject><subject>Analgesics - therapeutic use</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Back</subject><subject>Biological and medical sciences</subject><subject>Comparative studies</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Low Back Pain - drug therapy</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Manipulation, Orthopedic</subject><subject>Manipulation, Spinal</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>osteopathy</subject><subject>Pain management</subject><subject>Patient Satisfaction</subject><subject>Physical Therapy Modalities</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Spinal cord injuries</subject><subject>Treatment Outcome</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0VuL1DAUB_AgijuOfgJBgogvUs1J0kse12G9MesKq8_lNBc2Y9t0k5bFb2-GDigimpdAzu-cA_kT8hTYa2Bl9ebzxadLUEoBMCkkgGLiHtlAKUQhJavukw1jvClkrcQZeZTSgeUDUj0kZ7lf1pKVG9Kd010YJow-hZEGR6_SbMOE843X9HryI_b0Ekc_LT3OPpM7P9_Q6xlHg9HQHUZLXYj0S67acU5rfR_u6FvU3_OzHx-TBw77ZJ-c7i359u7i6-5Dsb96_3F3vi902ai5UKXjugbb1MBrbriUWLlKdkIrIV1jZNmprmuMNQ511RnnlCoNaIuADTRSbMnLde4Uw-1i09wOPmnb9zjasKS2UpxJqNR_IdRSlAA8w-d_wENYYv6S1HIulGiOckvEinQMKUXr2in6AeOPFlh7DKr9S1C569lp9NIN1vzWsyaTwYsTwKSxdxFH7dMvp1RVwnH7q5UNQ2pHexj-ufUntj-mHg</recordid><startdate>19991104</startdate><enddate>19991104</enddate><creator>Andersson, Gunnar B.J</creator><creator>Lucente, Tracy</creator><creator>Davis, Andrew M</creator><creator>Kappler, Robert E</creator><creator>Lipton, James A</creator><creator>Leurgans, Sue</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>19991104</creationdate><title>A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back Pain</title><author>Andersson, Gunnar B.J ; Lucente, Tracy ; Davis, Andrew M ; Kappler, Robert E ; Lipton, James A ; Leurgans, Sue</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c589t-95f2c71e871272d244a6f64b3c934f8d45b9bb8dedfac6bdff995d1cea1a81843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Analgesics - therapeutic use</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Back</topic><topic>Biological and medical sciences</topic><topic>Comparative studies</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Low Back Pain - drug therapy</topic><topic>Low Back Pain - therapy</topic><topic>Male</topic><topic>Manipulation, Orthopedic</topic><topic>Manipulation, Spinal</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>osteopathy</topic><topic>Pain management</topic><topic>Patient Satisfaction</topic><topic>Physical Therapy Modalities</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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1
–
4
One stumbling block is the scientific evidence on which the guidelines are based. The results of randomized trials of some therapeutic interventions have been published, but the methodologic quality of many such studies is low.
5
,
6
Many of the studies involve manual treatment of the spine (through manipulation or mobilization); millions of patients receive manual treatment every year.
Spinal manipulation as a treatment for back pain has been practiced for centuries. Over the . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>10547405</pmid><doi>10.1056/NEJM199911043411903</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The New England journal of medicine, 1999-11, Vol.341 (19), p.1426-1431 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69204169 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine |
| subjects | Adult Analgesics - therapeutic use Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Back Biological and medical sciences Comparative studies Diseases of the osteoarticular system. Orthopedic treatment Drug therapy Female Humans Low Back Pain - drug therapy Low Back Pain - therapy Male Manipulation, Orthopedic Manipulation, Spinal Medical sciences Middle Aged osteopathy Pain management Patient Satisfaction Physical Therapy Modalities Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Spinal cord injuries Treatment Outcome |
| title | A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back Pain |
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