Journal article
Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial
Chiropractic & manual therapies, Vol.19(1), pp.8-8
03/22/2011
DOI: 10.1186/2045-709X-19-8
PMCID: PMC3072925
PMID: 21426558
Abstract
Background: Back-related leg pain (BRLP) is a common variation of low back pain (LBP), with lifetime prevalence estimates as high as 40%. Often disabling, BRLP accounts for greater work loss, recurrences, and higher costs than uncomplicated LBP and more often leads to surgery with a lifetime incidence of 10% for those with severe BRLP, compared to 1-2% for those with LBP.In the US, half of those with back-related conditions seek CAM treatments, the most common of which is chiropractic care. While there is preliminary evidence suggesting chiropractic spinal manipulative therapy is beneficial for patients with BRLP, there is insufficient evidence currently available to assess the effectiveness of this care.
Methods/design: This study is a two-site, prospective, parallel group, observer-blinded randomized clinical trial (RCT). A total of 192 study patients will be recruited from the Twin Cities, MN (n = 122) and Quad Cities area in Iowa and Illinois (n = 70) to the research clinics at WHCCS and PCCR, respectively.It compares two interventions: chiropractic spinal manipulative therapy (SMT) plus home exercise program (HEP) to HEP alone (minimal intervention comparison) for patients with subacute or chronic back-related leg pain.
Discussion: Back-related leg pain (BRLP) is a costly and often disabling variation of the ubiquitous back pain conditions. As health care costs continue to climb, the search for effective treatments with few side-effects is critical. While SMT is the most commonly sought CAM treatment for LBP sufferers, there is only a small, albeit promising, body of research to support its use for patients with BRLP.This study seeks to fill a critical gap in the LBP literature by performing the first full scale RCT assessing chiropractic SMT for patients with sub-acute or chronic BRLP using important patient-oriented and objective biomechanical outcome measures.
Details
- Title: Subtitle
- Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial
- Creators
- Craig A Schulz - Northwestern Health Sciences University, Wolfe-Harris Center for Clinical Studies, 2501 West 84th Street, Bloomington, MN 55431, USAMaria A Hondras - Palmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA 52803-5209, USARoni L Evans - Northwestern Health Sciences University, Wolfe-Harris Center for Clinical Studies, 2501 West 84th Street, Bloomington, MN 55431, USAMaruti R Gudavalli - Palmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA 52803-5209, USACynthia R Long - Palmer College of Chiropractic, Palmer Center for Chiropractic Research, 741 Brady Street, Davenport, IA 52803-5209, USAEdward F Owens - Northwestern Health Sciences University, Wolfe-Harris Center for Clinical Studies, 2501 West 84th Street, Bloomington, MN 55431, USADavid G Wilder - University of Iowa, Biomedical Engineering Department, 1402 Seamens Center for Engineering Arts and Sciences, Iowa city, Iowa 52242-1527, USAGert Bronfort - Northwestern Health Sciences University, Wolfe-Harris Center for Clinical Studies, 2501 West 84th Street, Bloomington, MN 55431, USA
- Resource Type
- Journal article
- Publication Details
- Chiropractic & manual therapies, Vol.19(1), pp.8-8
- DOI
- 10.1186/2045-709X-19-8
- PMID
- 21426558
- PMCID
- PMC3072925
- NLM abbreviation
- Chiropr Man Therap
- ISSN
- 2045-709X
- eISSN
- 2045-709X
- Publisher
- BioMed Central
- Language
- English
- Date published
- 03/22/2011
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Occupational and Environmental Health
- Record Identifier
- 9984064211102771
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