Spinal Manipulation and Home Exercise With Advice for Subacute and Chronic Back-Related Leg Pain

• DOI: 10.7326/m14-0006
• Publication Date: 2014-09-15T22:31:24Z
• Authors: Gert Bronfort; Maria A. Hondras; Craig A. Schulz; Roni L. Evans; Cynthia R. Long; Richard Grimm
• Keywords: Back Pain; Trial registration

Background: Back-related leg pain (BRLP) is often disabling and costly, there a paucity of research to guide its management. Objective: To determine whether spinal manipulative therapy (SMT) plus home exercise advice (HEA) compared with HEA alone reduces in the short long term adults BRLP. Design: Controlled pragmatic trial allocation by minimization conducted from 2007 2011. (ClinicalTrials.gov: NCT00494065) Setting: 2 centers (Minnesota Iowa). Patients: Persons aged 21 years or older BRLP for least 4 weeks. Intervention: 12 weeks SMT alone. Measurements: The primary outcome was patient-rated at 52 Secondary outcomes were self-reported low back pain, disability, global improvement, satisfaction, medication use, general health status Blinded objective tests done Results: Of 192 enrolled patients, 191 (99%) provided follow-up data 179 (93%) For had clinically important advantage over (difference, 10 percentage points [95% CI, 19]; P = 0.008) but not 7 [CI, −2 15]; 0.146). Nearly all secondary improved more weeks, only use sustained improvements No serious treatment-related adverse events deaths occurred. Limitation: Patients providers could be blinded. Conclusion: patients BRLP, effective than after benefit some Primary Funding Source: U.S. Department Health Human Services.