Spine
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Randomized Controlled Trial Comparative Study Clinical Trial
Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation.
A randomized controlled clinical trial was conducted. ⋯ The consistency of the results provides, despite some discussed shortcomings of this study, evidence that in patients with chronic spinal pain, manipulation, if not contraindicated, results in greater short-term improvement than acupuncture or medication. However, the data do not strongly support the use of only manipulation, only acupuncture, or only nonsteroidal antiinflammatory drugs for the treatment of chronic spinal pain. The results from this exploratory study need confirmation from future larger studies.
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Randomized Controlled Trial Clinical Trial
Osteopathic manipulative treatment for chronic low back pain: a randomized controlled trial.
A randomized controlled trial was conducted. ⋯ Osteopathic manipulative treatment and sham manipulation both appear to provide some benefits when used in addition to usual care for the treatment of chronic nonspecific low back pain. It remains unclear whether the benefits of osteopathic manipulative treatment can be attributed to the manipulative techniques themselves or whether they are related to other aspects of osteopathic manipulative treatment, such as range of motion activities or time spent interacting with patients, which may represent placebo effects.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain: a randomized clinical trial.
A randomized clinical trial was conducted. ⋯ For patients with acute, work-related low back pain, the use of a classification-based approach resulted in improved disability and return to work status after 4 weeks, as compared with therapy based on clinical practice guidelines. Further research is needed on the optimal timing and methods of intervention for patients with acute low back pain.