Stabilizing training compared with manual treatment in sub-acute and chronic low-back pain.
The present aim was to compare the effects of stabilizing training with those of manual treatment in patients with sub-acute or chronic low-back pain (LBP). Forty-seven patients were randomized to a stabilizing training group (ST group) or a manual treatment group (MT group). The patients underwent a 6-week treatment programme on a weekly basis. Pain, health and functional disability level at the start of treatment, after treatment, and at 3- and 12-month follow-ups were assessed. In the ST group all assessed variables improved significantly (P<0.05) after the treatment period and were maintained long term. After the treatment period there was a significant difference between the groups in assessed function (P<0.05). More individuals in the ST group had improved than in the MT group. At the 3-month follow-up significantly more improved individuals were evident in the ST group regarding pain, general health and functional disability levels. In the long term, significantly more (P<0.05) patients in the MT group reported recurrent treatment periods. The study did not indicate any clear short-term differences between the groups in the accessed outcome measures. In the long term, however, stabilizing training seemed to be more effective than manual treatment in terms of improvement of individuals and the reduced need for recurrent treatment periods.
Rasmussen-Barr
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Neurotec Department, Division of Physiotherapy, Karolinska Institute, Stockholm, Sweden. evarasmussen@swipnet.se
Nilsson-Wikmar
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Arvidsson
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D000208:Acute Disease; D000328:Adult; D002908:Chronic Disease; D004185:Disability Evaluation; D026241:Exercise Movement Techniques / Q000379:methods; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008297:Male; D020393:Manipulation, Spinal / Q000379:methods; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D013997:Time Factors; D016896:Treatment Outcome