Tags

Type your tag names separated by a space and hit enter

Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trial.
Pain. 2007 Sep; 131(1-2):31-7.PAIN

Abstract

Practice guidelines recommend various types of exercise and manipulative therapy for chronic back pain but there have been few head-to-head comparisons of these interventions. We conducted a randomized controlled trial to compare effects of general exercise, motor control exercise and manipulative therapy on function and perceived effect of intervention in patients with chronic back pain. Two hundred and forty adults with non-specific low back pain 3months were allocated to groups that received 8weeks of general exercise, motor control exercise or spinal manipulative therapy. General exercise included strengthening, stretching and aerobic exercises. Motor control exercise involved retraining specific trunk muscles using ultrasound feedback. Spinal manipulative therapy included joint mobilization and manipulation. Primary outcomes were patient-specific function (PSFS, 3-30) and global perceived effect (GPE, -5 to 5) at 8weeks. These outcomes were also measured at 6 and 12months. Follow-up was 93% at 8weeks and 88% at 6 and 12months. The motor control exercise group had slightly better outcomes than the general exercise group at 8weeks (between-group difference: PSFS 2.9, 95% CI: 0.9-4.8; GPE 1.7, 95% CI: 0.9-2.4), as did the spinal manipulative therapy group (PSFS 2.3, 95% CI: 0.4-4.2; GPE 1.2, 95% CI: 0.4-2.0). The groups had similar outcomes at 6 and 12months. Motor control exercise and spinal manipulative therapy produce slightly better short-term function and perceptions of effect than general exercise, but not better medium or long-term effects, in patients with chronic non-specific back pain.

Authors+Show Affiliations

School of Physiotherapy, Pontifícia Universidade Católica de Minas Gerais, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17250965

Citation

Ferreira, Manuela L., et al. "Comparison of General Exercise, Motor Control Exercise and Spinal Manipulative Therapy for Chronic Low Back Pain: a Randomized Trial." Pain, vol. 131, no. 1-2, 2007, pp. 31-7.
Ferreira ML, Ferreira PH, Latimer J, et al. Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trial. Pain. 2007;131(1-2):31-7.
Ferreira, M. L., Ferreira, P. H., Latimer, J., Herbert, R. D., Hodges, P. W., Jennings, M. D., Maher, C. G., & Refshauge, K. M. (2007). Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trial. Pain, 131(1-2), 31-7.
Ferreira ML, et al. Comparison of General Exercise, Motor Control Exercise and Spinal Manipulative Therapy for Chronic Low Back Pain: a Randomized Trial. Pain. 2007;131(1-2):31-7. PubMed PMID: 17250965.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trial. AU - Ferreira,Manuela L, AU - Ferreira,Paulo H, AU - Latimer,Jane, AU - Herbert,Robert D, AU - Hodges,Paul W, AU - Jennings,Matthew D, AU - Maher,Christopher G, AU - Refshauge,Kathryn M, Y1 - 2007/01/23/ PY - 2006/06/24/received PY - 2006/10/29/revised PY - 2006/12/07/accepted PY - 2007/1/26/pubmed PY - 2007/9/5/medline PY - 2007/1/26/entrez SP - 31 EP - 7 JF - Pain JO - Pain VL - 131 IS - 1-2 N2 - Practice guidelines recommend various types of exercise and manipulative therapy for chronic back pain but there have been few head-to-head comparisons of these interventions. We conducted a randomized controlled trial to compare effects of general exercise, motor control exercise and manipulative therapy on function and perceived effect of intervention in patients with chronic back pain. Two hundred and forty adults with non-specific low back pain 3months were allocated to groups that received 8weeks of general exercise, motor control exercise or spinal manipulative therapy. General exercise included strengthening, stretching and aerobic exercises. Motor control exercise involved retraining specific trunk muscles using ultrasound feedback. Spinal manipulative therapy included joint mobilization and manipulation. Primary outcomes were patient-specific function (PSFS, 3-30) and global perceived effect (GPE, -5 to 5) at 8weeks. These outcomes were also measured at 6 and 12months. Follow-up was 93% at 8weeks and 88% at 6 and 12months. The motor control exercise group had slightly better outcomes than the general exercise group at 8weeks (between-group difference: PSFS 2.9, 95% CI: 0.9-4.8; GPE 1.7, 95% CI: 0.9-2.4), as did the spinal manipulative therapy group (PSFS 2.3, 95% CI: 0.4-4.2; GPE 1.2, 95% CI: 0.4-2.0). The groups had similar outcomes at 6 and 12months. Motor control exercise and spinal manipulative therapy produce slightly better short-term function and perceptions of effect than general exercise, but not better medium or long-term effects, in patients with chronic non-specific back pain. SN - 1872-6623 UR - https://www.unboundmedicine.com/medline/citation/17250965/Comparison_of_general_exercise_motor_control_exercise_and_spinal_manipulative_therapy_for_chronic_low_back_pain:_A_randomized_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0304-3959(06)00674-9 DB - PRIME DP - Unbound Medicine ER -