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P02.157. Dose-response of spinal manipulation for low back pain: outside care outcomes from a randomized clinical trial

Authors
Journal
BMC Complementary and Alternative Medicine
1472-6882
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Volume
12
Identifiers
DOI: 10.1186/1472-6882-12-s1-p213
Keywords
  • Poster Presentation
Disciplines
  • Medicine

Abstract

P02.157. Dose-response of spinal manipulation for low back pain: outside care outcomes from a randomized clinical trial POSTER PRESENTATION Open Access P02.157. Dose-response of spinal manipulation for low back pain: outside care outcomes from a randomized clinical trial D Vavrek*, M Haas, D Peterson From International Research Congress on Integrative Medicine and Health 2012 Portland, Oregon, USA. 15-18 May 2012 Purpose To assess amounts of outside care amongst participants who participated in a randomized clinical dose trial assessing Spinal Manipulative Therapy (SMT) for chronic low back pain (cLBP). Methods Four hundred participants with cLBP were randomized to 4 doses (n = 100/group). Participants were seen three times per week for six weeks, receiving 0, 6, 12, or 18 sessions of SMT, and a light massage control on visits without manipulation. Data were collected until 52 weeks after randomization. Outside care outcomes included prescription and non-prescription use, and treatments outside of the study including the following healthcare providers: chiropractor, primary care physi- cian, surgeon, neurologist, psychiatrist, naturopath/ homeopath, nurse practitioner, acupuncturist, physical therapist / occupational therapist, or massage therapist. Preliminary analysis used the chi-square test or Fisher’s exact test of categorized data as appropriate. Results Abstinence from prescription use for prevention of cLBP, within the past four weeks, was greater than 75% of parti- cipants using none at any time point. The abstinence from non-prescription medication, within the last four weeks, was greatest in the 18 SMT visit group from week 6 through week 39 follow-up time points with the greatest incidence of non-use at 54% at week six. Seeking care from a chiropractor during the follow-up phase did not differ between groups at any time point with average chir- opractor seeking behavior across all four groups reaching a maximum at 52 weeks of 10.6%. Differences between groups se

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