A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial
A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial
复制标题
脊柱手法作为急性腰痛辅助治疗的益处：分层对照试验
作者：
N. Hadler;P. Curtis;D. Gillings;S. Stinnett
54 名受试者自愿参加一项对照研究，将脊柱操纵与没有移动小关节所需的旋转力和杠杆作用的脊柱松动进行对比。所有患者都患有局部腰痛，时间不到 1 个月，年龄在 18-40 岁之间，之前从未接受过任何形式的脊柱推拿，并且否认在过去 6 个月内曾出现过背痛。一开始就随机分组，分为疼痛持续时间不到 2 周的患者和不适持续 2-4 周的患者。通过评估功能障碍的问卷监测结果。仅在进入时患病时间较长的地层中才证明了操纵的治疗效果。在操作后的第一周，这些患者的改善程度更大（P = 0.009，t 检验）并且更快（P < 0.025，Wilcoxon 秩和检验）。
Fifty-four subjects volunteered to participate in a controlled study contrasting spinal manipulation with spinal mobilization without the rotational forces and leverage required to move facet joints. All suffered from regional low-back pain for less than 1 month, were ages 18–40, had never previously undergone any form of spinal manipulation, and denied a prior episode of backache within the previous 6 months. Randomization was stratified at outset into those who suffered for less than 2 weeks and those whose discomfort had persisted for 2–4 weeks. Outcome was monitored by a questionnaire assessing functional impairment. A treatment effect of manipulation was demonstrated only in the strata with more prolonged illness at entry. In the first week following manipulation, these patients improved to a greater degree (P=.009, t test) and more rapidly (P <.025, Wilcoxon rank-sum test).