ACTRN12610000530022
Completed
未知
In patients with acute non-specific low back pain, is an evidence-based protocol of conservative care more effective than usual chiropractic care in improving low back-related pain and disability?
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- King's College London
- Enrollment
- 98
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Potentially eligible participants were those who:
- •a. Presented with Low Back Pain (LBP) with or without leg pain;
- •b. Had not previously received chiropractic treatment;
- •c. Had not received any treatment for their current episode of Low Back Pain (LBP) or LBP in the last three months;
- •d. Were at least 18 years old, but not older than 60 years; and
- •e. Did not to have any concomitant illness.
- •The key criteria for this diagnosis were (Cassidy et al. 2005; Waddell \& Burton 2005; van Tulder et al. 2006\):
- •1\. Unilateral or bilateral LBP;
- •2\. Discomfort and/or tenderness produced by joint challenge and/or joint compression in the low back;
- •3\. LBP with or without leg pain, where the leg pain is not due to significant neurological or vascular deficit e.g. cauda equina syndrome, central canal stenosis, degenerative spondylolisthesis or degenerative/ osteophytic nerve root entrapment; and
Exclusion Criteria
- •Exclusion Criteria
- •Patients were not eligible if (adapted from Underwood et al. 2004\):
- •1\. They were aged over 60 years, because the spinal manipulation package could be more hazardous in older people with osteoporosis;
- •2\. There was a possibility of serious spinal disorder, including malignancy, osteoporosis, ankylosing spondylitis, cauda equina compression, and infection;
- •3\. There were any contraindications to the treatment(s), such as acute arthropathies, joint/spinal instability, bone malignancies and metastases, infections of bone and joint, acute myelopathy, demineralization of bone (e.g., osteoporosis), benign bone tumors, abdominal aortic aneurysm, anticoagulant therapy, and blood dyscrasias;
- •4\. They complained mainly of pain below the knee, as the clinical outcome was likely to be different;
- •5\. They had previously had spinal surgery, as the clinical outcome was likely to be very different;
- •6\. They had another musculoskeletal disorder that was more troublesome than their back pain;
- •7\. They had previously attended, or been referred to, a specialised pain management clinic;
- •8\. They had a severe psychiatric or psychological disorder;
Outcomes
Primary Outcomes
Not specified
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