Adding chiropractic to usual care beneficial for low back pain

May 21, 2018

(HealthDay)—For active-duty military personnel, the addition of chiropractic care to usual medical care is associated with improvements in low back pain intensity and disability, according to a study published online May 18 in JAMA Network Open.

Christine M. Goertz, Ph.D., from the Palmer Center for Chiropractic Research in Davenport, Iowa, and colleagues conducted a three-site pragmatic comparative effectiveness clinical trial involving active-duty U.S. service members aged 18 to 50 years with from a musculoskeletal source. A total of 750 patients were recruited and received usual medical care with or without chiropractic care, which included in the low back and adjacent regions and additional therapeutic procedures.

The researchers found that in all models there were statistically significant site × time × group interactions. At week six, the adjusted mean differences in scores were statistically significant in favor of usual medical care plus chiropractic care versus usual medical care alone for low back , disability, and satisfaction (mean differences, −1.1, −2.2, and 2.5, respectively). For perceived improvement and self-reported medication use, the adjusted odds ratios at week six were also statistically significant in favor of usual medical care plus chiropractic care overall (odds ratios, 0.18 and 0.73, respectively).

"This trial provides additional support for the inclusion of chiropractic care as a component of multidisciplinary health care for low back pain, as currently recommended in existing guidelines," the authors write.

One author disclosed financial ties to the medical device industry.

Explore further: Chiropractic therapy helps reduce acute low back pain

More information: Abstract/Full Text
Editorial

Related Stories

Chiropractic therapy helps reduce acute low back pain

May 15, 2013
(HealthDay)—Military personnel with acute lower back pain (LBP) who receive chiropractic manipulative therapy (CMT) in addition to standard medical care (SMC) show significantly improved scores for pain relief and physical ...

Chiropractic care beats sham therapy for spinal pain

November 19, 2013
(HealthDay)—Short-term chiropractic therapy is more effective than a sham intervention for treating spinal pain, but the difference is not clinically meaningful, according to research published in the Nov. 15 issue of Spine.

Group CBT, pain education improve pain, physical function

February 27, 2018
(HealthDay)—For patients with chronic pain, literacy-adapted group cognitive behavioral therapy (CBT) and group pain education (EDU) improve pain and physical function compared with usual care, according to a study published ...

Mild adverse events common with chiropractic care

September 20, 2013
(HealthDay)—Adverse events are common after chiropractic care, but seem to be due to non-specific effects and are mostly benign, according to a study published in the Sept. 15 issue of Spine.

The guidelines on low back pain are clear—drugs and surgery should be the last resort

May 16, 2018
Low back pain is the leading cause of disability worldwide and is becoming more common as our population ages. Most people who have an episode of low back pain recover within six weeks, but two-thirds still have pain after ...

Classification-based therapy no better for back pain

February 21, 2012
(HealthDay) -- Treatment of patients with lower back pain (LBP) using a classification-based physical therapy approach shows no statistically significant superiority to treatment with usual physical therapy care, according ...

Recommended for you

RNA processing and antiviral immunity

December 14, 2018
The RIG-I like receptors (RLRs) are intracellular enzyme sentries that detect viral infection and initiate a first line of antiviral defense. The cellular molecules that activate RLRs in vivo are not clear.

Faster test for Ebola shows promising results in field trials

December 13, 2018
A team of researchers with members from the U.S., Senegal and Guinea, in cooperation with Becton, Dickinson and Company (BD), has developed a faster test for the Ebola virus than those currently in use. In their paper published ...

Drug targets for Ebola, Dengue, and Zika viruses found in lab study

December 13, 2018
No drugs are currently available to treat Ebola, Dengue, or Zika viruses, which infect millions of people every year and result in severe illness, birth defects, and even death. New research from the Gladstone Institutes ...

Urbanisation and air travel leading to growing risk of pandemic

December 13, 2018
Increased arrivals by air and urbanisation are the two main factors leading to a growing vulnerability to pandemics in our cities, a University of Sydney research team has found.

Researchers discover new interactions between Ebola virus and human proteins

December 13, 2018
Several new connections have been discovered between the proteins of the Ebola virus and human host cells, a finding that provides insight on ways to prevent the deadly Ebola virus from reproducing and could lead to novel ...

Faecal transplants, 'robotic guts' and the fight against deadly gut bugs

December 13, 2018
A simple compound found in our gut could help to stop dangerous bacteria behind severe, and sometimes fatal, hospital infections.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.