Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Friday, March 29, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 20508
  Title Program of care derived from pain data reported in RCTs on low back pain
URL http://www.vertebralsubluxationresearch.com
Journal J Vert Sublux Res. 2009 ;Feb(14):Online access only, pp. 1-16
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes Background: Many US insurance companies, managed care organizations, chiropractic researchers, and chiropractic academics claim that, if low back pain resolves with Spinal Manipulative Therapy (SMT), it does so in 6 to 12 visits.

Objective: To determine the validity of claims that low back pain should resolve in 6 to 12 visits with Spinal Manipulative Therapy and to derive a Program of Care based on RCT pain data.

Methods: Searches were performed in PubMed, CINAHL, Mantis, and the Index of Chiropractic Literature (ICL) for Randomized Clinical Trials (RCTs) on low back pain for which the treatment was SMT and/or Mobilization. From these low back pain RCTs, data on the number of subjects, number of visits, and pain outcomes of VAS (visual analogue scale) or NRS (numerical rating scale) were analyzed.

Results: Seventy-four RCTs with SMT as the treatment for low back pain were located. Nine of these were follow-up studies, which resulted in 65 RCTs to be analyzed. Studies with less than 10 subjects were not included. The total NRS data indicated only a 43% (77.51/176.54) improvement in 8.4 average visits. Using a constant linear extrapolation of dose response in studies with chiropractors as the treating doctors, an average of 20.5 visits was needed to resolve low back pain with SMT. Using an initial examination visit, linearly extrapolated visits, once per week stabilization care for 4 weeks, and 2 follow-up examination visits, provides 28 visits needed to document and resolve the average low back pain case.

Conclusion: Data from RCTs did not support claims of restricting Chiropractic care to 6-12 visits for low back pain. In fact, assuming a constant linear dosage response curve, in studies with chiropractors as the treating doctors it was estimated that 28 visits were needed to document, resolve, and stabilize this condition.

This abstract is reproduced with the permission of the publisher; full text by subscription.


   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips