Effectiveness of four conservative treatments for subacute low back pain: A randomized clinical trial
A randomized, assessor-blinded clinical trial was conducted. To investigate the relative effectiveness of three manual treatments and back school for patients with subacute low back pain. Literature comparing the relative effectiveness of specific therapies for low back pain is limited. Among the 59...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2002-06, Vol.27 (11), p.1142-1148 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
| container_volume | 27 |
| creator | HSIEH, Chang-Yu J ADAMS, Alan H TOBIS, Jerome HONG, Chang-Zern DANIELSON, Clark PLATT, Katherine HOEHLER, Fred REINSCH, Sibylle RUBEL, Arthur |
| description | A randomized, assessor-blinded clinical trial was conducted.
To investigate the relative effectiveness of three manual treatments and back school for patients with subacute low back pain.
Literature comparing the relative effectiveness of specific therapies for low back pain is limited.
Among the 5925 inquiries, 206 patients met the specific admission criteria, and 200 patients randomly received one of four treatments for 3 weeks: back school, joint manipulation, myofascial therapy, and combined joint manipulation and myofascial therapy. These patients received assessments at baseline, after 3 weeks of therapy, and 6 months after the completion of therapy. The primary outcomes were evaluated using visual analog pain scales and Roland-Morris activity scales.
All four groups showed significant improvement in pain and activity scores after 3 weeks of care, but did not show further significant improvement at the 6-month follow-up assessment. No statistically significant between-group differences were found either at the 3-week or 6-month reassessments.
For subacute low back pain, combined joint manipulation and myofascial therapy was as effective as joint manipulation or myofascial therapy alone. Additionally, back school was as effective as three manual treatments. |
| doi_str_mv | 10.1097/00007632-200206010-00003 |
| format | Article |
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To investigate the relative effectiveness of three manual treatments and back school for patients with subacute low back pain.
Literature comparing the relative effectiveness of specific therapies for low back pain is limited.
Among the 5925 inquiries, 206 patients met the specific admission criteria, and 200 patients randomly received one of four treatments for 3 weeks: back school, joint manipulation, myofascial therapy, and combined joint manipulation and myofascial therapy. These patients received assessments at baseline, after 3 weeks of therapy, and 6 months after the completion of therapy. The primary outcomes were evaluated using visual analog pain scales and Roland-Morris activity scales.
All four groups showed significant improvement in pain and activity scores after 3 weeks of care, but did not show further significant improvement at the 6-month follow-up assessment. No statistically significant between-group differences were found either at the 3-week or 6-month reassessments.
For subacute low back pain, combined joint manipulation and myofascial therapy was as effective as joint manipulation or myofascial therapy alone. Additionally, back school was as effective as three manual treatments.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200206010-00003</identifier><identifier>PMID: 12045509</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Ambulatory Care Facilities ; Biological and medical sciences ; Demography ; Diseases of the osteoarticular system. Orthopedic treatment ; Female ; Follow-Up Studies ; Humans ; Low Back Pain - complications ; Low Back Pain - therapy ; Lumbosacral Region ; Male ; Manipulation, Spinal ; Medical sciences ; Middle Aged ; Myofascial Pain Syndromes - complications ; Myofascial Pain Syndromes - diagnosis ; Pain Measurement ; Patient Compliance ; Patient Education as Topic ; Patient Satisfaction ; Physical Therapy Modalities - methods ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2002-06, Vol.27 (11), p.1142-1148</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c315t-151d061b8810cba2529658a870fa47d38b5f4c1dca2415b547b7e9bad9e326703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13709147$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12045509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HSIEH, Chang-Yu J</creatorcontrib><creatorcontrib>ADAMS, Alan H</creatorcontrib><creatorcontrib>TOBIS, Jerome</creatorcontrib><creatorcontrib>HONG, Chang-Zern</creatorcontrib><creatorcontrib>DANIELSON, Clark</creatorcontrib><creatorcontrib>PLATT, Katherine</creatorcontrib><creatorcontrib>HOEHLER, Fred</creatorcontrib><creatorcontrib>REINSCH, Sibylle</creatorcontrib><creatorcontrib>RUBEL, Arthur</creatorcontrib><title>Effectiveness of four conservative treatments for subacute low back pain: A randomized clinical trial</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A randomized, assessor-blinded clinical trial was conducted.
To investigate the relative effectiveness of three manual treatments and back school for patients with subacute low back pain.
Literature comparing the relative effectiveness of specific therapies for low back pain is limited.
Among the 5925 inquiries, 206 patients met the specific admission criteria, and 200 patients randomly received one of four treatments for 3 weeks: back school, joint manipulation, myofascial therapy, and combined joint manipulation and myofascial therapy. These patients received assessments at baseline, after 3 weeks of therapy, and 6 months after the completion of therapy. The primary outcomes were evaluated using visual analog pain scales and Roland-Morris activity scales.
All four groups showed significant improvement in pain and activity scores after 3 weeks of care, but did not show further significant improvement at the 6-month follow-up assessment. No statistically significant between-group differences were found either at the 3-week or 6-month reassessments.
For subacute low back pain, combined joint manipulation and myofascial therapy was as effective as joint manipulation or myofascial therapy alone. Additionally, back school was as effective as three manual treatments.</description><subject>Ambulatory Care Facilities</subject><subject>Biological and medical sciences</subject><subject>Demography</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Low Back Pain - complications</subject><subject>Low Back Pain - therapy</subject><subject>Lumbosacral Region</subject><subject>Male</subject><subject>Manipulation, Spinal</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myofascial Pain Syndromes - complications</subject><subject>Myofascial Pain Syndromes - diagnosis</subject><subject>Pain Measurement</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic</subject><subject>Patient Satisfaction</subject><subject>Physical Therapy Modalities - methods</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1P3DAQhi1UVLbQv4B8aW9pZ-zYjntDiI9KK_VSzpHjjCXTfCx2QgW_Hm_Zwlw8mnnesfQwxhG-IVjzHUoZLUUlAARoQKj2I3nENqhEUyEq-4FtQOqC1FKfsE853xdCS7Qf2QkKqJUCu2F0FQL5JT7SRDnzOfAwr4n7ecqUHt1-wZdEbhlpWnJZJp7Xzvl1IT7Mf3lp__Cdi9MPfsGTm_p5jM_Ucz_EKXo3lHB0wxk7Dm7I9PnwnrK766vfl7fV9tfNz8uLbeUlqqVChT1o7JoGwXdOKGG1alxjILja9LLpVKg99t6JGlWnatMZsp3rLUmhDchT9vX17i7NDyvlpR1j9jQMbqJ5za1B0xiLuoDNK-jTnHOi0O5SHF16ahHaveL2v-L2TfG_kSzR88MfazdS_x48OC3AlwPgcjEQihUf8zsnDVisjXwB76iEJA</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>HSIEH, Chang-Yu J</creator><creator>ADAMS, Alan H</creator><creator>TOBIS, Jerome</creator><creator>HONG, Chang-Zern</creator><creator>DANIELSON, Clark</creator><creator>PLATT, Katherine</creator><creator>HOEHLER, Fred</creator><creator>REINSCH, Sibylle</creator><creator>RUBEL, Arthur</creator><general>Lippincott</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>7X8</scope></search><sort><creationdate>20020601</creationdate><title>Effectiveness of four conservative treatments for subacute low back pain: A randomized clinical trial</title><author>HSIEH, Chang-Yu J ; ADAMS, Alan H ; TOBIS, Jerome ; HONG, Chang-Zern ; DANIELSON, Clark ; PLATT, Katherine ; HOEHLER, Fred ; REINSCH, Sibylle ; RUBEL, Arthur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-151d061b8810cba2529658a870fa47d38b5f4c1dca2415b547b7e9bad9e326703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Ambulatory Care Facilities</topic><topic>Biological and medical sciences</topic><topic>Demography</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Low Back Pain - complications</topic><topic>Low Back Pain - therapy</topic><topic>Lumbosacral Region</topic><topic>Male</topic><topic>Manipulation, Spinal</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myofascial Pain Syndromes - complications</topic><topic>Myofascial Pain Syndromes - diagnosis</topic><topic>Pain Measurement</topic><topic>Patient Compliance</topic><topic>Patient Education as Topic</topic><topic>Patient Satisfaction</topic><topic>Physical Therapy Modalities - methods</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HSIEH, Chang-Yu J</creatorcontrib><creatorcontrib>ADAMS, Alan H</creatorcontrib><creatorcontrib>TOBIS, Jerome</creatorcontrib><creatorcontrib>HONG, Chang-Zern</creatorcontrib><creatorcontrib>DANIELSON, Clark</creatorcontrib><creatorcontrib>PLATT, Katherine</creatorcontrib><creatorcontrib>HOEHLER, Fred</creatorcontrib><creatorcontrib>REINSCH, Sibylle</creatorcontrib><creatorcontrib>RUBEL, Arthur</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HSIEH, Chang-Yu J</au><au>ADAMS, Alan H</au><au>TOBIS, Jerome</au><au>HONG, Chang-Zern</au><au>DANIELSON, Clark</au><au>PLATT, Katherine</au><au>HOEHLER, Fred</au><au>REINSCH, Sibylle</au><au>RUBEL, Arthur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of four conservative treatments for subacute low back pain: A randomized clinical trial</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>27</volume><issue>11</issue><spage>1142</spage><epage>1148</epage><pages>1142-1148</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A randomized, assessor-blinded clinical trial was conducted.
To investigate the relative effectiveness of three manual treatments and back school for patients with subacute low back pain.
Literature comparing the relative effectiveness of specific therapies for low back pain is limited.
Among the 5925 inquiries, 206 patients met the specific admission criteria, and 200 patients randomly received one of four treatments for 3 weeks: back school, joint manipulation, myofascial therapy, and combined joint manipulation and myofascial therapy. These patients received assessments at baseline, after 3 weeks of therapy, and 6 months after the completion of therapy. The primary outcomes were evaluated using visual analog pain scales and Roland-Morris activity scales.
All four groups showed significant improvement in pain and activity scores after 3 weeks of care, but did not show further significant improvement at the 6-month follow-up assessment. No statistically significant between-group differences were found either at the 3-week or 6-month reassessments.
For subacute low back pain, combined joint manipulation and myofascial therapy was as effective as joint manipulation or myofascial therapy alone. Additionally, back school was as effective as three manual treatments.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12045509</pmid><doi>10.1097/00007632-200206010-00003</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Ambulatory Care Facilities Biological and medical sciences Demography Diseases of the osteoarticular system. Orthopedic treatment Female Follow-Up Studies Humans Low Back Pain - complications Low Back Pain - therapy Lumbosacral Region Male Manipulation, Spinal Medical sciences Middle Aged Myofascial Pain Syndromes - complications Myofascial Pain Syndromes - diagnosis Pain Measurement Patient Compliance Patient Education as Topic Patient Satisfaction Physical Therapy Modalities - methods Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Treatment Outcome |
| title | Effectiveness of four conservative treatments for subacute low back pain: A randomized clinical trial |
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