Articles: low-back-pain.
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Randomized Controlled Trial Multicenter Study Comparative Study
A randomized trial of chiropractic and medical care for patients with low back pain: eighteen-month follow-up outcomes from the UCLA low back pain study.
Randomized clinical trial. ⋯ Differences in outcomes between medical and chiropractic care without physical therapy or modalities are not clinically meaningful, although chiropractic may result in a greater likelihood of perceived improvement, perhaps reflecting satisfaction or lack of blinding. Physical therapy may be more effective than medical care alone for some patients, while physical modalities appear to have no benefit in chiropractic care.
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Randomized Controlled Trial
Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations.
Acute back pain and sciatica are major sources of disability. Many medical interventions are available, including manipulations, with conflicting results. ⋯ Active manipulations have more effect than simulated manipulations on pain relief for acute back pain and sciatica with disc protrusion.
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Randomized Controlled Trial
Minimal clinically important change for pain intensity, functional status, and general health status in patients with nonspecific low back pain.
Cohort study. ⋯ Reporting the percentage of patients who have made a MCIC adds to the interpretability of study results. We present a range of MCIC values and advocate the choice of a single MCIC value according to the specific context.
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Randomized Controlled Trial Clinical Trial
Effects of trigger point acupuncture on chronic low back pain in elderly patients--a sham-controlled randomised trial.
There is some evidence for the efficacy of acupuncture, but it remains unclear whether trigger point acupuncture is effective. Our objective was to evaluate the effects of trigger point acupuncture on pain and quality of life in chronic low back pain patients compared with sham acupuncture. ⋯ These results suggest that trigger point acupuncture may have greater short term effects on low back pain in elderly patients than sham acupuncture.
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Randomized Controlled Trial
Acupuncture in patients with chronic low back pain: a randomized controlled trial.
Acupuncture is widely used by patients with low back pain, although its effectiveness is unclear. We investigated the efficacy of acupuncture compared with minimal acupuncture and with no acupuncture in patients with chronic low back pain. ⋯ Acupuncture was more effective in improving pain than no acupuncture treatment in patients with chronic low back pain, whereas there were no significant differences between acupuncture and minimal acupuncture.