Spinal manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic low back pain: a randomized trial with one-year follow-up.

Abstract:

OBJECTIVE:To compare spinal manipulation, back school and individual physiotherapy in the treatment of chronic low back pain. DESIGN:Randomized trial, 12-month follow-up. SETTING:Outpatient rehabilitation department. PARTICIPANTS:210 patients with chronic, non-specific low back pain, 140/210 women, age 59 +/- 14 years. INTERVENTIONS:Back school and individual physiotherapy scheduled 15 1-hour-sessions for 3 weeks. Back school included: group exercise, education/ ergonomics; individual physiotherapy: exercise, passive mobilization and soft-tissue treatment. Spinal manipulation, given according to Manual Medicine, scheduled 4 to 6 20'-sessions once-a-week. OUTCOME:Roland Morris Disability Questionnaire (scoring 0-24) and Pain Rating Scale (scoring 0-6) were assessed at baseline, discharge 3, 6, and 12 months. RESULTS:205 patients completed the study. At discharge, disability score decreased by 3.7 +/- 4.1 for back school, 4.4 +/- 3.7 for individual physiotherapy, 6.7 +/- 3.9 for manipulation; pain score reduction was 0.9 +/- 1.1, 1.1 +/- 1.0, 1.0 +/- 1.1, respectively. At 12 months, disability score reduction was 4.2 +/- 4.8 for back school, 4.0 +/- 5.1 for individual physiotherapy, 5.9 +/- 4.6 for manipulation; pain score reduction was 0.7 +/- 1.2, 0.4 +/- 1.3, and 1.5 +/- 1.1, respectively. Spinal manipulation was associated with higher functional improvement and long-term pain relief than back school or individual physiotherapy, but received more further treatment at follow-ups (P < 0.001); pain recurrences and drug intake were also reduced compared to back school (P < 0.05) or individual physiotherapy (P < 0.001). CONCLUSIONS:Spinal manipulation provided better short and long-term functional improvement, and more pain relief in the follow-up than either back school or individual physiotherapy.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Cecchi F,Molino-Lova R,Chiti M,Pasquini G,Paperini A,Conti AA,Macchi C

doi

10.1177/0269215509342328

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

26-36

issue

1

eissn

0269-2155

issn

1477-0873

pii

0269215509342328

journal_volume

24

pub_type

杂志文章,随机对照试验
  • Psychometric testing of the modified Care Dependency Scale for Rehabilitation.

    abstract:OBJECTIVE:To determine the psychometric properties of the modified Care Dependency Scale for Rehabilitation. DESIGN:All patients were assessed independently by a different set of two randomly selected nurses. SETTING AND SUBJECTS:A convenience sample consisting of 1197 patients and 42 nurses was recruited in an Austr...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215509346091

    authors: Eichhorn-Kissel J,Dassen T,Kottner J,Lohrmann C

    更新日期:2010-04-01 00:00:00

  • A comparison of mobility assessments in a geriatric day hospital.

    abstract:OBJECTIVE:To assess the sensitivity of the Elderly Mobility Scale (EMS) to detect improvements in mobility after physiotherapy in comparison with the Barthel Index (BI) and Functional Ambulation Category (FAC) in routine clinical day hospital practice. SUBJECTS:Eighty-three patients who completed a course of physiothe...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/026921501675281708

    authors: Spilg EG,Martin BJ,Mitchell SL,Aitchison TC

    更新日期:2001-06-01 00:00:00

  • A telerehabilitation intervention for patients with Chronic Obstructive Pulmonary Disease: a randomized controlled pilot trial.

    abstract:OBJECTIVE:First, to investigate the effects of a telerehabilitation intervention on health status and activity level of patients with Chronic Obstructive Pulmonary Disease (COPD), compared to usual care. Second, to investigate how patients comply with the intervention and whether compliance is related to treatment outc...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215513512495

    authors: Tabak M,Vollenbroek-Hutten MM,van der Valk PD,van der Palen J,Hermens HJ

    更新日期:2014-06-01 00:00:00

  • Development of a Chinese version of the Modified Barthel Index-- validity and reliability.

    abstract:OBJECTIVE:To establish the structural validity of the Chinese version of the Modified Barthel Index and to estimate its inter-rater reliability for use with patients who have had a stroke. DESIGN:Prospective study. SETTING:A regional general hospital and a day hospital in Hong Kong. SUBJECTS:One hundred and sixteen ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215507077286

    authors: Leung SO,Chan CC,Shah S

    更新日期:2007-10-01 00:00:00

  • Balance outcomes after additional sit-to-stand training in subjects with stroke: a randomized controlled trial.

    abstract:OBJECTIVE:To determine the effectiveness of sit-to-stand training in individuals with stroke. DESIGN:Randomized controlled trial. SETTING:Rehabilitation medical centre. PARTICIPANTS:Thirty-two subjects with stroke were randomly assigned to the control and experimental groups (n = 16 for each group). INTERVENTIONS:S...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215509360751

    authors: Tung FL,Yang YR,Lee CC,Wang RY

    更新日期:2010-06-01 00:00:00

  • A comparison between two educational methods in the rehabilitation of the microstomia in systemic sclerosis: a randomized controlled trial.

    abstract:OBJECTIVE:To test the effectiveness of an educational intervention including "face to face" training, compared to a standard information program, to reduce microstomia in women with systemic sclerosis. DESIGN:Single-blind, two-arm, randomized controlled study with a 12-month follow-up period. SETTING:Hospital wards o...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215519858395

    authors: Uras C,Mastroeni S,Tabolli S,Masini C,Pallotta S,Teofoli P,Rocco G,Mazzanti C,Abeni D

    更新日期:2019-11-01 00:00:00

  • Early interventions to promote work participation in people with regional musculoskeletal pain: a systematic review and meta-analysis.

    abstract:OBJECTIVES:To determine the effectiveness of early multidisciplinary interventions in promoting work participation and reducing work absence in adults with regional musculoskeletal pain. DATA SOURCES:Seven databases (CENTRAL, CINAHL, EMBASE, MEDLINE, Scopus, OT Seeker, PEDro; 1990 to December 2016) were searched for e...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,meta分析

    doi:10.1177/0269215517699976

    authors: Cochrane A,Higgins NM,FitzGerald O,Gallagher P,Ashton J,Corcoran O,Desmond D

    更新日期:2017-11-01 00:00:00

  • Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: a single-blind, multicentre randomized controlled trial.

    abstract:OBJECTIVE:To study the effects of augmented exercise therapy time for arm rehabilitation as either Bobath therapy or the impairment-oriented training (Arm BASIS training) in stroke patients with arm severe paresis. DESIGN:Single blind, multicentre randomized control trial. SETTING:Three inpatient neurorehabilitation ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1191/0269215505cr904oa

    authors: Platz T,Eickhof C,van Kaick S,Engel U,Pinkowski C,Kalok S,Pause M

    更新日期:2005-10-01 00:00:00

  • A study of measurement properties of the Life-Space Assessment questionnaire in older adults with chronic obstructive pulmonary disease.

    abstract:OBJECTIVE:To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. DESIGN:Clinimetric study. SETTING:Pneumology service, ambulatory care, São Paulo, SP, Brazil. PARTICIPANTS:Consecutive sam...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215518780488

    authors: Garcia IFF,Tiuganji CT,Simões MDSMP,Lunardi AC

    更新日期:2018-10-01 00:00:00

  • Constraint-induced movement therapy in patients with stroke: a pilot study on effects of small group training and of extended mitt use.

    abstract:OBJECTIVE:(1) To evaluate constraint-induced movement therapy for chronic stroke patients modified into group practice to limit the demand on therapist resources. (2) To explore whether extended mitt use alone may enhance outcome. DESIGN:A combined case-control and randomized controlled study with pre- and post-treatm...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1191/0269215506cr937oa

    authors: Brogårdh C,Sjölund BH

    更新日期:2006-03-01 00:00:00

  • Effects of sling and voluntary constraint during constraint-induced movement therapy for the arm after stroke: a randomized, prospective, single-centre, blinded observer rated study.

    abstract:OBJECTIVE:To determine whether a combination of constraint-induced movement therapy and physiotherapy in stroke patients using different constraint regimens (sling versus voluntary constraint) changes or reduces motor deficits, the amount of functional use of the arm and whether the effects of treatment continue after ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215512442661

    authors: Krawczyk M,Sidaway M,Radwanska A,Zaborska J,Ujma R,Czlonkowska A

    更新日期:2012-11-01 00:00:00

  • Effect of Baduanjin exercise on cognitive function in patients with post-stroke cognitive impairment: a randomized controlled trial.

    abstract:OBJECTIVE:To investigate the effectiveness and safety of Baduanjin training on the cognitive function in stroke survivors with cognitive impairment. DESIGN:A randomized, two-arm parallel controlled trial with allocation concealment and assessors blinding. SETTING:Community centre of Fuzhou city, China. SUBJECTS:A to...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215520930256

    authors: Zheng G,Zheng Y,Xiong Z,Ye B

    更新日期:2020-08-01 00:00:00

  • Effectiveness of aquatic versus land physiotherapy in the treatment of peripheral neuropathies: a randomized controlled trial.

    abstract:OBJECTIVE:To compare the effects on gait and balance of aquatic physiotherapy versus on-land training, in the context of an inpatient rehabilitation treatment tailored for peripheral neuropathies. DESIGN:Parallel-group, single-center, single-blind randomized controlled trial. SUBJECTS AND SETTING:Consecutive patients...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215517746716

    authors: Zivi I,Maffia S,Ferrari V,Zarucchi A,Molatore K,Maestri R,Frazzitta G

    更新日期:2018-05-01 00:00:00

  • Patellar taping affects vastus medialis obliquus activation in subjects with patellofemoral pain before and after quadriceps muscle fatigue.

    abstract:OBJECTIVE:To investigate the effects of patellar taping on the electromyographic onset of vastus medialis obliquus and vastus lateralis, and their magnitudes of reflex contraction before and after quadriceps muscle fatigue in subjects with patellofemoral pain. METHODS:Sixteen adults (5 males) diagnosed with patellofem...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215509334835

    authors: Ng GY,Wong PY

    更新日期:2009-08-01 00:00:00

  • The needs and experiences of caregivers of individuals with multiple sclerosis: a systematic review.

    abstract:PRIMARY OBJECTIVE:To appraise recent studies regarding the needs and experiences of caregivers of individuals with multiple sclerosis (MS). DESIGN:The following computerized databases were searched: CINAHL, BIDS IBSS, ASSIA, MEDLINE, PSYCHINFO, British Nursing Index, ISI Web of Science, Zetoc, AMED (1990-April 2002). ...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1191/0269215503cr618oa

    authors: McKeown LP,Porter-Armstrong AP,Baxter GD

    更新日期:2003-05-01 00:00:00

  • An exploratory study of the consistency of balance control and the mobility of people with Parkinson's disease (PD) between medication doses.

    abstract:OBJECTIVE:To evaluate the consistency of balance control, mobility and perceived difficulties with functional tasks by people on carefully controlled anti-parkinsonian medication programmes, between doses on a single day and across days using standard clinical measures. DESIGN:Small group prospective study. SETTING:A...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215503cr614oa

    authors: Campbell F,Ashburn A,Thomas P,Amar K

    更新日期:2003-05-01 00:00:00

  • Descriptions of memory rehabilitation group interventions for neurological conditions: a systematic review.

    abstract:OBJECTIVE:To establish what aspects of group-based cognitive rehabilitation for memory problems are reported, and to develop a checklist for authors, which may to improve reporting of these interventions in future studies. DATA SOURCES:A systematic search was conducted on Web of Knowledge, CINAHL, MEDLINE, AMED, EMBAS...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1177/0269215515595273

    authors: Martin KJ,Sinclair EJ,dasNair R

    更新日期:2016-07-01 00:00:00

  • Does pre-existing cognitive impairment impact on amount of stroke rehabilitation received? An observational cohort study.

    abstract:OBJECTIVE:To examine whether stroke survivors in inpatient rehabilitation with pre-existing cognitive impairment receive less therapy than those without. DESIGN:Prospective observational cohort. SETTING:Four UK inpatient stroke rehabilitation units. PARTICIPANTS:A total of 139 stroke patients receiving rehabilitatio...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215519843984

    authors: Longley V,Peters S,Swarbrick C,Rhodes S,Bowen A

    更新日期:2019-09-01 00:00:00

  • Correlates of fear of falling and falls efficacy in geriatric patients recovering from hip/pelvic fracture.

    abstract:OBJECTIVE:To gain a better understanding about the nature of fear of falling, this study analyzed associations between psychological and physical aspects related to fear of falling and falls efficacy in hip/pelvic fracture patients. DESIGN:Baseline data of a randomized controlled trial. SETTING:Geriatric inpatient re...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215519891233

    authors: Eckert T,Kampe K,Kohler M,Albrecht D,Büchele G,Hauer K,Schäufele M,Becker C,Pfeiffer K

    更新日期:2020-03-01 00:00:00

  • Training patients in Time Pressure Management, a cognitive strategy for mental slowness.

    abstract:PURPOSE:To provide clinical practitioners with a framework for teaching patients Time Pressure Management, a cognitive strategy that aims to reduce disabilities arising from mental slowness due to acquired brain injury. Time Pressure Management provides patients with compensatory strategies to deal with time pressure i...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215508097855

    authors: Winkens I,Van Heugten CM,Wade DT,Fasotti L

    更新日期:2009-01-01 00:00:00

  • The effect of a perceptual cognitive task on exercise performance: the dual-task condition after brain injury.

    abstract:OBJECTIVE:To examine the effect of additional cognitive demand on cycling performance in individuals with acquired brain injury (ABI). DESIGN:Prospective observational study. SETTING:Rivermead Rehabilitation Centre. PARTICIPANTS:Ten individuals with ABI (7 men, 3 women) (traumatic brain injury 7, tumour 1, stroke 2)...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215503cr623oa

    authors: Dawes H,Cockburn J,Roach NK,Wade DT,Bateman A,Scott O

    更新日期:2003-08-01 00:00:00

  • Emotional vitality in caregivers: application of Rasch Measurement Theory with secondary data to development and test a new measure.

    abstract:OBJECTIVE:To describe the practical steps in identifying items and evaluating scoring strategies for a new measure of emotional vitality in informal caregivers of individuals who have experienced a significant health event. DESIGN:The psychometric properties of responses to selected items from validated health-related...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215514552503

    authors: Barbic SP,Bartlett SJ,Mayo NE

    更新日期:2015-07-01 00:00:00

  • Pain Exposure Physical Therapy versus conventional treatment in complex regional pain syndrome type 1-a cost-effectiveness analysis alongside a randomized controlled trial.

    abstract:OBJECTIVE:To analyze cost-effectiveness of Pain Exposure Physical Therapy compared to conventional treatment alongside a randomized controlled trial (NCT00817128) in patients with complex regional pain syndrome type 1, where no clinical difference was shown between the two groups in an intention-to-treat analysis. DES...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215518757050

    authors: Barnhoorn K,Staal JB,van Dongen RT,Frölke JPM,Klomp FP,van de Meent H,Adang E,Nijhuis-van der Sanden MW

    更新日期:2018-06-01 00:00:00

  • Effects of diacutaneous fibrolysis in patients with mild to moderate symptomatic carpal tunnel syndrome: a randomized controlled trial.

    abstract:OBJECTIVE::To compare the effects of diacutaneous fibrolysis with sham in patients with mild to moderate carpal tunnel syndrome. DESIGN::Double-blind (patient and evaluator) randomized controlled trial. SETTING::Miguel Servet University Hospital, Zaragoza, Spain. SUBJECTS::A total of 52 patients (72 wrists) with car...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269215518787316

    authors: Jiménez Del Barrio S,Estébanez de Miguel E,Bueno Gracia E,Haddad Garay M,Tricás Moreno JM,Hidalgo García C

    更新日期:2018-12-01 00:00:00

  • Predicting accidental falls in people with multiple sclerosis -- a longitudinal study.

    abstract:OBJECTIVE:To investigate accidental falls and near fall incidents in people with multiple sclerosis with respect to clinical variables and the predictive values of four tests. DESIGN:A longitudinal, multi-centred cohort study with prospectively collected falls. PROCEDURES:Self-reported incidents during the three mont...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0269215508095087

    authors: Nilsagård Y,Lundholm C,Denison E,Gunnarsson LG

    更新日期:2009-03-01 00:00:00

  • The effectiveness of diacutaneous fibrolysis on pain, range of motion and functionality in musculoskeletal disorders: A systematic review and meta-analysis.

    abstract:OBJECTIVE:To assess the effectiveness of diacutaneous fibrolysis in reducing musculoskeletal disorders symptoms such as pain, range of motion and functionality. DATA SOURCES:A systematic review of MEDLINE, Cochrane, PEDro and Science Direct was conducted until September 2020. REVIEW METHODS:Computerized search strate...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215520968056

    authors: Cadellans-Arróniz A,Llurda-Almuzara L,Campos-Laredo B,Cabanas-Valdés R,Garcia-Sutil A,López-de-Celis C

    更新日期:2020-10-26 00:00:00

  • The role of meaning in life: mediating the effects of perceived knowledge of stroke on depression and life satisfaction among stroke survivors.

    abstract:OBJECTIVE:Meaning-making is a way of coping when facing adverse events. A paucity of literature suggests other possible factors (e.g. delivery of knowledge) can influence how chronic illness survivors (i.e. stroke survivors in rehabilitation) cope with illness. This article explores the importance and significance of m...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215517708604

    authors: Chow EO

    更新日期:2017-12-01 00:00:00

  • The sensitivity of three commonly used outcome measures to detect change amongst patients receiving inpatient rehabilitation following stroke.

    abstract:OBJECTIVE:To investigate the sensitivity of three commonly used functional outcome measures to detect change over time in subjects receiving inpatient rehabilitation post stroke. DESIGN:Subjects were assessed within one week of admission and one week of discharge from an inpatient rehabilitation facility. Several para...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1191/0269215506cr877oa

    authors: English CK,Hillier SL,Stiller K,Warden-Flood A

    更新日期:2006-01-01 00:00:00

  • The assessment of low mood in stroke patients with aphasia: reliability and validity of the 10-item Hospital version of the Stroke Aphasic Depression Questionnaire (SADQH-10).

    abstract:OBJECTIVE:To assess the psychometric properties of an observational screening measure of depressive symptoms (SADQH-10; 10-item Hospital version of the Stroke Aphasic Depression Questionnaire) for use in stroke patients with aphasia and to determine the convergent and divergent validity of the SADQH-10. DESIGN:Cross-s...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章

    doi:10.1177/0269215511422388

    authors: Cobley CS,Thomas SA,Lincoln NB,Walker MF

    更新日期:2012-04-01 00:00:00

  • Hypnotic imagery as a treatment for phantom limb pain: two case reports and a review.

    abstract:OBJECTIVE:To provide a theoretical background, to review existing literature and to present new case material relevant to the treatment of phantom limb pain using hypnotic imagery. METHOD:This paper presents two new case reports involving the use of hypnotic imagery procedures in the alleviation of phantom limb pain a...

    journal_title:Clinical rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1191/0269215502cr507oa

    authors: Oakley DA,Whitman LG,Halligan PW

    更新日期:2002-06-01 00:00:00