Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 23631
  Title Outcomes for chronic neck and low back pain patients after manipulation under anesthesia: A prospective cohort study
Journal J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):377-382
Peer Review Yes
Publication Type Article

Background: The purpose of this study was to investigate outcomes of chronic patients unresponsive to previous spinal manipulative therapy subsequently treated with manipulation under anesthesia (MUA).

Methods: A prospective outcome cohort study was performed on 30 patients who had not improved with previous treatment and who underwent a single MUA by a doctor of chiropractic. The numeric rating scale for pain (NRS) and Bournemouth Questionnaire (BQ) were collected at 2 weeks and 1 day before MUA. At 2 and 4 weeks after MUA, the Patient's Global Impression of Change, NRS, and BQ were collected. The intraclass correlation coefficient evaluated stability before treatment. Percentage of patients “improved” was calculated at 2 and 4 weeks. Wilcoxon test compared pretreatment NRS and BQ scores with posttreatment scores. Mann-Whitney U test compared individual questions on the BQ between improved and not improved patients. Logistic regression compared BQ questions to “improvement.”

Results: Good stability of NRS and BQ scores before MUA (intraclass correlation coefficient = 0.46-0.95) was found. At 2 weeks, 52% of the patients reported improvement with 45.5% improved at 4 weeks. Significant reductions in NRS scores at 4 weeks (P = .01) and BQ scores at 2 (P = .008) and 4 weeks (P  = .001) were reported. Anxiety/stress levels were significantly different at 2 and 4 weeks between improved and not improved patients (P = .007). None of the BQ questions were predictive of improvement.

Conclusion: Approximately half of patients previously unresponsive to conservative treatment reported clinically relevant improvement at 2 and 4 weeks post-MUA.

This abstract is reproduced with the permission of the publisher; full text is available by subscription. Click on the above link and select a publisher from PubMed’s LinkOut feature.


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