ECU convention 2018 congress proceedings

• DOI: 10.1186/s12998-018-0213-z
• Publication Date: 2018-09-25T07:21:12Z
• Authors: Michele Maiers; Jan Hartvigsen; Roni Evans; Kristine Westrom; Qi Wang; Craig Schulz; Gert Brønfort; Annemarie de Zoete; Nadine E. Foster; Christopher G. Maher; J Hart- Vigsen; Pierre Balthazard; Francesca Cecchi; Manuela L. Ferreira; MR Gudavalli; Mitchell Haas; Benjamin Hidalgo; Maria Hondras; Chia‐Jung Hsieh; Kenneth Learman; Peter W. McCarthy; T. Petersen; Eva Rasmussen-Barr; Eva Skillgate; Yash Verma; Luca Vismara; Bruce F. Walker; Ting Xia; Nina Zaproudina; Andreas Eklund; Irene Jensen; Charlotte Leboeuf...; Alice Kongsted; Iben Axén; Michelle M. Holmes; Felicity L. Bishop; David Newell; Jonathan Field; Brigitte Wirth; C Schäfer; Benjamin Humphrey; Cynthia Peterson; Petra Schweinhardt; D.E. Clegg; Alister Durose; David Byfield; Amy L. Miller; Jacqueline Rix; Bianca Zietsman; Fatma Bosnina; Niall Tilley; Pia Helminen; Daniel M. Morgan

Study ObjectivesBack and neck pain are persistent associated with disability loss of independence in older adults.Spinal manipulative therapy (SMT) supervised rehabilitative exercise (SRE) both recommended treatments for spine adults, often combination one another.It is unknown whether long-term management these therapies superior to shorter-term treatment.This study compares the effectiveness short-term treatment (12 weeks) versus (36 back related adults using SMT combined SRE. Methods MaterialThis randomized clinical trial was approved by an Institutional Review Board conducted at a private healthcare university.Participants were 65 years age older, community dwelling, selfreported >12 weeks duration.Individuals randomly assigned receive either 12 or 36 + SRE.Co-primary outcomes changes Oswestry Neck Disability Index after weeks.Secondary included self-reported pain, improvement, medication use, self-efficacy, quality life 4, 12, 24, 36, 52 78.Change objective functional measures from baseline measured post-intervention.Linear mixed models used compare between group differences intention treat analysis Results 182 individuals participated (91 each group).Both groups demonstrated significant improvements (-3.9, 95% confidence interval (CI) -5.8 -2.0 -6.3, CI -8.2 -4.4) (-7.3, -9.1 -5.5 -9.0, = -10.8 -7.2) weeks, no difference (back 2.4, -0.3 5.1; 1.7, -0.8 4.2).The experienced greater improvement week self-efficacy 52, ability balance.On average, attended 10 4 SRE sessions; 19 9 sessions. ConclusionFor chronic disability, extending did not result