Index to Chiropractic Literature
Index to Chiropractic Literature
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Tuesday, December 10, 2019
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ID 24993
  Title An observational study on recurrences of low back pain during the first 12 months after chiropractic treatment
URL http://www.jmptonline.org/article/S0161-4754(16)30121-X/fulltext
Journal J Manipulative Physiol Ther. 2017 Jul-Aug;40(6):427-433
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objectives: The purpose of this study was to investigate recurrence rate and prognostic factors in a large population of patients with low back pain (LBP) up to 1 year after chiropractic care using standardized definitions.

Methods: In Switzerland, 722 patients with LBP (375 male; mean age = 44.5 ± 13.8 years) completed the Numeric Rating Scale for pain (NRS) and the Oswestry Disability Index (ODI) before treatment and 1, 3, 6, and 12 months later (ODI up to 3 months). Based on NRS values, patients were categorized as “fast recovery,” “slow recovery,” “recurrent,” “chronic,” and “others.” In multivariable logistic regression models, age, sex, work status, duration of complaint (subacute: ≥14 days to <3 months; chronic: ≥3 months), previous episodes, baseline NRS, and baseline ODI were investigated as predictors.

Results: Based on NRS values, 13.4% of the patients were categorized as recurrent. The recurrent pattern significantly differed from fast recovery in duration of complaint (subacute: odds ratio [OR] = 3.3; chronic: OR = 10.1). The recurrent and chronic pattern significantly differed in duration of complaint (chronic: OR = 0.14) and baseline NRS (OR = 0.75).

Conclusion: Recurrence rate was low in this LBP patient population. The duration of complaint before treatment was the main predictor for recurrence. The fact that even subacute duration significantly increased the odds for an unfavorable course of LBP is of clinical relevance.

Author keywords: Chiropractic; Low Back Pain; Recurrence

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


 

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