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Manipulation, Exercise, and Self-care for Low Back Pain

Funding:

Health Resources and Services Administration (HRSA)                        $1,070,103

Description:

Low back pain (LBP) has been referred to by some as a "20th century health care disaster". Despite the considerable number of studies performed, if remains a significant public health problem.   There is a dire need for research of high methodological quality for this pervasive condition. The broad, long-term objective of this study is to identify effective therapies for LBP sufferers and to increase our understanding of its implications.

This randomized observer-blinded clinical trial will compare the following treatments for patients with non-acute LBP:

•  chiropractic spinal manipulation
•  rehabilitative exercise
•  self-care education (a minimal intervention control)

The primary aim of this study is to examine the relative efficacy of these three interventions in terms of patient-rated outcomes in the short term (after 12 weeks) and long term (after 52 weeks) for non-acute LBP.

Using established recruitment methods, 300 patients with non-acute LBP ( > 6 weeks) were recruited to participate. Self-reported outcome measures will be collected at baseline and 4, 12, 26 and 52 weeks. Objective outcome measures will be assessed by a blinded examiner at baseline and 12 weeks.  

This study is a collaborative effort between chiropractic investigators from Northwestern Health Sciences University and medical clinicians from the University of Minnesota, and the Minneapolis Medical Research Foundation.

Project Status:

Patient recruitment and the primary data analyses has been completed. A manuscript reporting the results will be submitted for publication in 2006.

   
 

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