RANDOMIZED COMPARISON OF CHIROPRACTIC AND HOSPITAL OUTPATIENT MANAGEMENT FOR LOW-BACK-PAIN - RESULTS FROM EXTENDED FOLLOW-UP
RANDOMIZED COMPARISON OF CHIROPRACTIC AND HOSPITAL OUTPATIENT MANAGEMENT FOR LOW-BACK-PAIN - RESULTS FROM EXTENDED FOLLOW-UP
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DOI：
10.1136/bmj.311.7001.349
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发表时间：
1995-08-05
影响因子：
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通讯作者：
FRANK, AO
中科院分区：
文献类型：
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作者：
MEADE, TW;DYER, S;FRANK, AO
目的：比较整脊疗法与医院门诊治疗腰背痛3年来的疗效。设计-将患者随机分配到脊椎疗法或医院门诊治疗。将脊椎疗法诊所和医院门诊部设置在11个中心，脊椎诊所和医院门诊部在彼此合理的旅行距离内。受试者-741名年龄18-的下腰痛患者，无手法禁忌症。结果-3年后，脊医治疗的所有患者的嗅觉总评分的变化，疼痛评分和患者对分配治疗的满意度比医院治疗的患者高出约29%。脊椎按摩对疼痛的有益效果尤其明显。那些接受脊椎按摩师治疗的人在试验治疗完成后可以进一步治疗背部疼痛。在最初从脊医和医院转介的患者中，三年后脊椎疗法比医院管理更有帮助。结论-三年后的结果证实了早期报告的结果，即当脊椎疗法或医院治疗师像他们在日常实践中那样治疗下腰痛时，接受脊椎疗法治疗的人比医院治疗的人获得更多的好处和长期的满意度。
Objective-To compare the effectiveness over three years of chiropractic and hospital outpatient management for low back pain.Design-Randomised allocation of patients to chiropractic or hospital outpatient management.Setting-Chiropractic clinics and hospital outpatient departments within reasonable travelling distance of each other in 11 centres.Subjects-741 men and women aged 18-64 years with low back pain in whom manipulation was not contraindicated.Outcome measures-Change in total Oswestry questionnaire score and in score for pain and patient satisfaction with allocated treatment.Results-According to total Oswestry scores improvement in all patients at three years was about 29% more in those treated by chiropractors than in those treated by the hospitals. The beneficial effect of chiropractic on pain was particularly clear. Those treated by chiropractors had more further treatments for back pain after the completion of trial treatment. Among both those initially referred from chiropractors and from hospitals more rated chiropractic helpful at three years than hospital management.Conclusions-At three years the results confirm the findings of an earlier report that when chiropractic or hospital therapists treat patients with low back pain as they would in day to day practice those treated by chiropractic derive more benefit and long term satisfaction than those treated by hospitals.