Abstract | STUDY DESIGN: A multicenter, randomized, controlled trial with 1-year follow-up. OBJECTIVES: SUMMARY AND BACKGROUND DATA: METHODS: Patients with chronic low back pain or radicular pain sick-listed for more than 8 weeks and less than 6 months were included. A total of 49 patients were randomized to either manual therapy (n = 27) or to exercise therapy (n = 22). Sixteen treatments were given over the course of 2 months. Pain intensity, functional disability (Oswestry disability index), general health (Dartmouth COOP function charts), and return to work were recorded before, immediately after, at 4 weeks, 6 months, and 12 months after the treatment period. Spinal range of motion (Schober test) was measured before and immediately after the treatment period only. RESULTS: Although significant improvements were observed in both groups, the manual therapy group showed significantly larger improvements than the exercise therapy group on all outcome variables throughout the entire experimental period. Immediately after the 2-month treatment period, 67% in the manual therapy and 27% in the exercise therapy group had returned to work (P < 0.01), a relative difference that was maintained throughout the follow-up period. CONCLUSIONS: Improvements were found in both intervention groups, but manual therapy showed significantly greater improvement than exercise therapy in patients with chronic low back pain. The effects were reflected on all outcome measures, both on short and long-term follow-up.
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Authors | Olav Frode Aure, Jens Hoel Nilsen, Ottar Vasseljen |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 28
Issue 6
Pg. 525-31; discussion 531-2
(Mar 15 2003)
ISSN: 1528-1159 [Electronic] United States |
PMID | 12642755
(Publication Type: Clinical Trial, Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Chronic Disease
- Disability Evaluation
- Exercise Therapy
(statistics & numerical data)
- Female
- Follow-Up Studies
- Health Status
- Humans
- Low Back Pain
(therapy)
- Male
- Manipulation, Spinal
(statistics & numerical data)
- Middle Aged
- Pain Measurement
- Physical Therapy Modalities
(statistics & numerical data)
- Range of Motion, Articular
- Sick Leave
(statistics & numerical data)
- Treatment Outcome
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