Manual therapy with steroid injections in low-back pain. Improvement of quality of life in a controlled trial with four months' follow-up.

Abstract:

OBJECTIVE:To compare prospectively the effect of manual treatment such as manipulation, specific mobilization, muscle stretching, auto-traction, and cortisone injections with standardized conventional but optimized activating treatment by primary health care teams. DESIGN:Prospective controlled multicentre trial with four months' follow-up. SETTING:Kopparberg County, Sweden. Six primary health care or occupational health care centres, representing a catchment area of 56000 residents participated. PARTICIPANTS:101 outpatients with acute or subacute low-back pain were, during the period February 1988 to April 1989, randomly allocated to one of two treatment groups. MAIN OUTCOME MEASURE:Quality of life was assessed at baseline and at four months by means of visual analogue scales (VAS). The occurrence of 27 different symptoms of a psychosomatic character was surveyed initially and at four months by questions answered by "yes" or "no" in a questionnaire. RESULTS:There were significant differences concerning quality of life and presence of general symptoms in favour of the group receiving manual treatment with steroid injections. CONCLUSION:Manual treatment with steroid injections was superior to conventional treatment in minimizing mental and somatic symptoms and increasing quality of life, in parallel with other measures of improvement.

authors

Blomberg S,Svärdsudd K,Tibblin G

doi

10.3109/02813439308994908

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

83-90

issue

2

eissn

0281-3432

issn

1502-7724

journal_volume

11

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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