Index to Chiropractic Literature
Index to Chiropractic Literature
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Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 19173
  Title Amount of health care and self-care following a randomized clinical trial comparing flexion-distraction with exercise program for chronic low back pain
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1574327/
Journal Chiropr & Osteopat. 2006 ;14(1):Online access only 30 p
Author(s)
Subject(s)
Peer Review Yes
Publication Type Randomized Controlled Trial
Abstract/Notes BACKGROUND: Previous clinical trials have assessed the percentage of subjects who utilized further health care after a period of conservative care for low back pain, however no chiropractic clinical trial has determined the total amount of care during this time and any differences based on assigned treatment group. The objective of this clinical trial follow-up was to assess if there was a difference in the total number of office visits for low back pain over one year after a four week clinical trial of either a form of physical therapy (Exercise Program) or a form of chiropractic care (Flexion Distraction) for chronic low back pain.

METHODS: In this randomized clinical trial follow up study, 195 subjects were followed for one year after a four-week period of either a form of chiropractic care (FD) or a form of physical therapy (EP). Weekly structured telephone interview questions regarded visitation of various health care practitioners and the practice of self-care for low back pain.

RESULTS: Subjects in the physical therapy group demonstrated on average significantly more visits to any health care provider and to a general practitioner during the year after trial care (p<0.05). No group differences were noted in the number of visits to a chiropractor or physical therapist. Self-care was initiated by nearly every subject in both groups.

CONCLUSIONS: During a one-year follow-up, subjects previously randomized to physical therapy attended significantly more health care visits than those subjects who received chiropractic care.

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