Low Back Pain Clinical Trial
Official title:
The Effect of the McKenzie Method as Compared With That of Manipulation When Applied Adjunctive to Information and Advice for Patients With Clinical Signs of Disc-related Chronic Low Back Pain: Randomized Controlled Trial.
Introduction:
The McKenzie method as well as spinal manipulation is commonly used for the treatment of low
back pain throughout the western world. Recently, the need for studies testing the effect of
treatment strategies to specific diagnostic subgroups of patients has been emphasized. The
present study aims to compare the effectiveness of the McKenzie method and chiropractic
manipulation, information, and advice for patients with clinical signs of persistent
symptoms originating from a diskus in the low back.
Methods:
After clinical screening 350 patients with or without leg pain who presented with
centralization of symptoms or signs of disc herniation were randomized to the McKenzie group
or the manipulation group. The outcome measures, Roland Morris Disability Questionnaire, 11
point numerical pain scale, 6 point global perceived change scale, and quality of life
(Short Form-36) were assessed at baseline, at end of treatment, and at 2 and 12 months
follow-up.
In 1998, Cherkin et al. published a study showing no difference between outcomes following the McKenzie method, chiropractic manipulation, or the provision of an educational booklet for the treatment of patients with acute non-specific low back pain. Recently, the need for studies testing the effect of treatment strategies to specific diagnostic subgroups of patients has been emphasized. The present study aims to compare the effectiveness of the McKenzie method and chiropractic manipulation, information, and advice for patients with clinical signs of disc-related symptoms for duration of more than 6 Weeks. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment
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