Elderly Back Pain: Comparing Chiropractic to Medical Care
| Status: | Completed |
|---|---|
| Conditions: | Back Pain, Back Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 55 - Any |
| Updated: | 4/7/2017 |
| Start Date: | July 2004 |
| End Date: | March 2007 |
The purpose of this study is to compare the clinical effectiveness of two types of
chiropractic spinal manipulation to conservative medical care for patients at least 55 years
old with sub-acute or chronic low back pain (LBP).
chiropractic spinal manipulation to conservative medical care for patients at least 55 years
old with sub-acute or chronic low back pain (LBP).
Despite the high prevalence of LBP and the associated economic costs, disability, and lost
productivity, and despite the development of several treatment guidelines, one of which
recommends chiropractic spinal manipulation for some subgroups of patients with pack pain,
the management of LBP remains controversial and highly variable across professions and
geographic regions. Although one recent publication describes the design of chiropractic and
exercise for seniors with low back or neck pain, no published studies to our knowledge, have
assessed the effectiveness of chiropractic manipulation compared to medical care for older
adults with sub-acute or chronic low back pain.
productivity, and despite the development of several treatment guidelines, one of which
recommends chiropractic spinal manipulation for some subgroups of patients with pack pain,
the management of LBP remains controversial and highly variable across professions and
geographic regions. Although one recent publication describes the design of chiropractic and
exercise for seniors with low back or neck pain, no published studies to our knowledge, have
assessed the effectiveness of chiropractic manipulation compared to medical care for older
adults with sub-acute or chronic low back pain.
Inclusion Criteria:
- Age 55 or older
- Idiopathic low back pain (LBP) of at least four weeks duration
- Meet the diagnostic classification of 1, 2, or 3 according to the Quebec Task Force
on Spinal Disorders
Exclusion Criteria:
- Low back pain (LBP) not meeting Quebec Task Force Diagnostic Classifications 1, 2 or
3, especially LBP associated with: frank radiculopathy, altered lower extremity
reflex, dermatomal sensory deficit, progressive unilateral muscle weakness or motor
loss, symptoms of cauda equina compression, and CT or MRI evidence of anatomical
pathology (e.g. abnormal disc, lateral or central stenosis.
- Co-morbid conditions or general poor health that could significantly complicate the
prognosis of LBP, including pregnancy, bleeding disorders, extreme obesity, and clear
evidence of narcotic or other drug abuse.
- Major clinical depression defined as scores greater that 29 on the Beck Depression
Inventory - Second Edition
- Bone or joint pathology that contraindicate spinal manipulative therapy of joint
pathology that contraindicate spinal manipulative therapy of the arthropathies and
significant osteoporosis
- Pacemaker, because there are safety issues with equipment used to collect data in the
biomechanical testing laboratory
- Current or pending litigation related to current episode of LBP.
- Receiving disability for any health-related condition
- Spinal Manipulative care for any reason within the past month
- Unwilling to postpone use of manual therapies for LBP except those provided in the
study for the duration of the study period.
- Unable to read or verbally comprehend English.
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University of Iowa With just over 30,000 students, the University of Iowa is one of...
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