Spinal manipulative therapy for low-back pain

Assendelft, W.J.J.; Morton, Sally C.; Yu, Emily I.; Suttorp, Marika J; Shekelle, Paul G

doi:10.1002/14651858.cd000447.pub3

Cited by 13 publications

(24 citation statements)

References 78 publications

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“…Data in the "Results" section are listed as percentage followed by raw total response rate for that given question. Demographically, non-Hispanic black patients were most likely to be female (54 …”

Section: Resultsmentioning

confidence: 99%

“…Research demonstrates that spinal manipulation can have a positive impact on neck and low back pain. [53][54][55][56][57][58][59][60][61][62][63][64][65] Future directions to engage in after this study that researchers intend to pursue shall be to (1) engage in a larger study to confirm trends observed with this survey and monitor health care disparities in a more in-depth manner and (2) develop a demographic profile of non-Hispanic blacks that do not use chiropractic health care for comparison purposes.…”

Section: Discussionmentioning

confidence: 99%

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Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Ward

Humphries

Coats

et al. 2015

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to describe non-Hispanic blacks that use chiropractic health care to better understand this underserved demographic. Methods: E-mail and telephone calls were used to recruit doctors of chiropractic (DCs) in Texas and Louisiana to distribute anonymous surveys to their non-Hispanic black patients. Twenty doctors volunteered to participate. Each was sent 10 surveys and self-addressed envelopes to distribute. All doctors were given at least 3 months to distribute surveys to as many non-Hispanic black patients that they had. The survey contained 20 questions designed to develop a profile of non-Hispanic black patients that used chiropractic care. Descriptive statistics were used to summarize demographic and other patient attributes. Results: Two-hundred surveys were distributed and 44 were completed, yielding a response rate of 22%. Non-Hispanic black patients were more likely to be female (54.5%), be older than 50 years (56.8%), be a college graduate (59.1%), be employed (61.9%), report not receiving public assistance in the past 5 years (81.4%), report a household income of $20 000 to $60 000 a year (48.8%), and born in the United States (83.7%). Participants reported that there was a DC within 30 minutes of their address (81.4%), their DC always explained things to them in an easy-to-understand manner (81.8%), their DC always showed respect for what they had to say (88.6%), and their DC always cared about them as a person (86.4%). Conclusions: In the sample surveyed, non-Hispanic black patients tended to be female, be older, be college educated, be employed, and have a positive viewpoint on their interactions with their DC.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Ward

Humphries

Coats

et al. 2015

Journal of Chiropractic Medicine

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“…Psychological interventions, exercise, interdisciplinary rehabilitation, functional restoration, and spinal manipulation have shown statistically significant moderate effects on pain in patients with chronic LBP. [30][31][32][33][34] Other patients may simply need reassurance that they do not have serious spine pathology, which would also have been expedited in our care pathway. Although not the focus of this paper, earlier clinical assessment of this group has benefits beyond expediting the pathway for surgical candidates.…”

Section: Discussionmentioning

confidence: 99%

Improving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings

Zarrabian

Bidos

Fanti

et al. 2017

cjs

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RESEARCH • RECHERCHEImproving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings Background: The Inter-professional Spine Assessment and Education Clinics (ISAEC) were developed to improve primary care assessment, education and management of patients with persistent or recurrent low back pain-related symptoms. This study aims to determine the effect of ISAEC on access for surgical assessment, referral appropriateness and efficiency for patients meeting a priori referral criteria in rural, urban and metropolitan settings. Methods:We conducted a retrospective review of prospective data from networked ISAEC clinics in Thunder Bay, Hamilton and Toronto, Ontario. For patients meeting surgical referral criteria, wait times for surgical assessment, surgical referral-related magnetic resonance imaging (MRI) scans and appropriateness of referral were recorded. Results:Overall 422 patients, representing 10% of all ISAEC patients in the study period, were referred for surgical assessment. The average wait times for surgical assessment were 5.4, 4.3 and 2.2 weeks at the metropolitan, urban and rural centres, respectively. Referral MRI usage for the group decreased by 31%. Of the patients referred for formal surgical assessment, 80% had leg-dominant pain and 96% were deemed appropriate surgical referrals. Conclusion:Contrary to geographic concentration of health care resources in metropolitan settings, the greatest decrease in wait times was achieved in the rural setting. A networked, shared-cared model of care for patients with low back pain-related symptoms significantly improved access for surgical assessment despite varying geographic practice settings and barriers. The greatest reductions were noted in the rural setting. In addition, significant improvements in referral appropriateness and efficiency were achieved compared with historical reports across all sites. [ISAEC]) ont été mises sur pied pour améliorer les soins primaires d'évaluation, d'éducation et de prise en charge des patients atteints de symptômes persistants ou récurrents de lombalgie. Cette étude a pour but d'évaluer l'effet des ISAEC sur l'accès à une évaluation chirurgicale et sur la pertinence et l'efficacité de la référence des patients en milieux ruraux, urbains et métropolitains répondant a priori aux critères de référence. Contexte : Les cliniques interprofessionnelles d'évaluation de la colonne vertébrale et d'éducation (Inter-professional Spine Assessment and Education ClinicsMéthodes : Nous avons mené une étude rétrospective de données prospectives issues de cliniques du réseau des ISAEC situées à Thunder Bay, à Hamilton et à Toronto, en Ontario. Nous avons retenu pour l'étude les patients répondant aux critères de référence en chirurgie; pour chacun de ces patients, nous avons consigné le temps d'attente pour obtenir une évaluation chirurgicale, les images obtenues par résonance magnétique (IRM) aux fins de référence et la pertinence de la référence.Résultats : Au total, 422 patients, soit 10 % des ...

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“…In parallel, they foster discussions on the challenge of such techniques to assure safety and efficacy of acute radiculopathy treatment, because there would be risk of injury with joint involvement in the intervertebral disc 55 . Meta-analyses and systematic reviews highlight the low risk and equivalent efficacy to conventional treatments such as analgesics, physiotherapy, exercises and posture/spine schools 56,57 . Physical exercise is also part of the list of therapeutic options for radiculopathies.…”

Section: Physical Rehabilitation In Radiculopathies and Peri-pheral Nmentioning

confidence: 99%

Physical rehabilitation to treat neuropathic pain

Souza¹,

Carqueja

Baptista³

2016

Revista Dor

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Spinal manipulative therapy for low-back pain

Cited by 13 publications

References 78 publications

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Attributes of Non-Hispanic Blacks That Use Chiropractic Health Care: A Survey of Patients in Texas and Louisiana

Improving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings

Physical rehabilitation to treat neuropathic pain

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