Comparisons

Lumbar fusion compared with conservative treatment in patients with chronic low back pain

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis Saltychev, Mikhail; Eskola, Merja; Laimi, Katri International Journal of Rehabilitation Research March 2014 Vol. 37 – Issue 1: p 2–8 Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) […]

Lumbar fusion compared with conservative treatment in patients with chronic low back pain: a meta-analysis

Int J Rehabil Res. 2014 Mar;37(1):2-8. doi: 10.1097/MRR.0b013e328363ba4b. Mikhail Saltychev 1, Merja Eskola, Katri Laimi PMID: 23820296 DOI: 10.1097/MRR.0b013e328363ba4b Abstract We assess the effect of lumbar fusion (LF) in reducing disability among patients with chronic low back pain (CLBP) compared with conservative treatment and to weigh the clinical significance of this effect. We conducted a […]

The comparative effect of episodes of chiropractic and medical treatment on the health of older adults

J Manipulative Physiol Ther. 2014 Mar-Apr;37(3):143-54. doi: 10.1016/j.jmpt.2013.12.009. Epub 2014 Mar 11. The comparative effect of episodes of chiropractic and medical treatment on the health of older adults. Weigel P Abstract OBJECTIVES: The comparative effect of chiropractic vs medical care on health, as used in everyday practice settings by older adults, is not well understood. […]

Lumbar motion changes in chronic low back pain patients – SMT vs Exercises

Rune M. Mieritz, DC, PhD The Spine Journal Available online 7 March 2014 In Press Journal Reference Abstract Background Context Several therapies have been used in the treatment of chronic low back pain, including various exercise strategies and spinal manipulative therapy. A common belief is that spinal motion changes in particular ways in direct response […]

Comparison between Specific Lumber Mobilization and Core-Stability Exercises with Core-Stability Exercises Alone in Mechanical low back pain

Ahmed R, et al. Pak J Med Sci. 2014. Abstract OBJECTIVE: To Compare the Specific Lumber Mobilization (SLM) techniques and Core-Stability (CS) Exercises with Core-Stability Exercises Alone in Mechanical low back pain (MLP) Methods: A 6 month pretest-posttest design, quasi experimental study was conducted at department of physiotherapy Khyber Teaching Hospital (KTH) Peshawar, Pakistan. We […]

Spinal manipulative therapy-specific changes in pain sensitivity in individuals with low back pain

Bialosky JE, et al. J Pain. 2014 Feb;15(2):136-48. doi: 10.1016/j.jpain.2013.10.005. Epub 2013 Oct 27. PubMed Reference Abstract Spinal manipulative therapy (SMT) is effective for some individuals experiencing low back pain; however, the mechanisms are not established regarding the role of placebo. SMT is associated with changes in pain sensitivity, suggesting related altered central nervous system […]

Is one better than another?: A randomized clinical trial of manual therapy for patients with chronic neck pain

Izquierdo Pérez H, et al. Man Ther. 2014 Jan 11. pii: S1356-689X(13)00214-2. doi: 10.1016/j.math.2013.12.002. [Epub ahead of print] Abstract Our purpose was to compare the effectiveness of three manual therapy techniques: high velocity, low amplitude (HVLA), mobilization (Mob) and sustained natural apophyseal glide (SNAG) in patients with chronic neck pain (CNP). The randomized controlled trial […]

Surgical Versus Nonoperative Treatment for Lumbar Disc Herniation

Spine: 01 January 2014 – Volume 39 – Issue 1 – p 3–16 doi: 10.1097/BRS.0000000000000088 Randomized Trial Surgical Versus Nonoperative Treatment for Lumbar Disc Herniation: Eight-Year Results for the Spine Patient Outcomes Research Trial Lurie, Jon D. MD, MS Abstract Study Design. Concurrent prospective randomized and observational cohort studies. Objective. To assess the 8-year outcomes […]

Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear

Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear Raine Sihvonen, M.D N Engl J Med 2013; 369:2515-2524 December 26, 2013 DOI: 10.1056/NEJMoa1305189 BACKGROUND Arthroscopic partial meniscectomy is one of the most common orthopedic procedures, yet rigorous evidence of its efficacy is lacking. METHODS We conducted a multicenter, randomized, double-blind, sham-controlled trial in […]

Glucose Control Better With Pharmacist Help

12.11.2013 ORLANDO — Diabetic patients who were counseled by pharmacists did better at managing their blood sugar over a 2-year period than patients in standard treatment, researchers reported here. Diabetic patients who worked with pharmacists experienced mean reductions in hemoglobin A1c (HbA1c) of -1.24, which were sustained for 2 years, compared with smaller average reductions […]

Spinal Manipulative Therapy and Exercise for Seniors with Chronic Neck Pain

Michele Maiers, DC, MPH The Spine Journal: Available online 16 November 2013: In Press Abstract Background Context Neck pain, common among the elderly population, has considerable implications on health and quality of life. Evidence supports the use of spinal manipulative therapy and exercise to treat neck pain; however, no studies to date have evaluated the […]

Short-term usual chiropractic care for spinal pain

Walker BF,et al. Spine (Phila Pa 1976). 2013 Nov 15;38(24):2071-8. doi: 10.1097/01.brs.0000435032.73187.c7. Affiliation *School of Health Professions †School of Psychology and Exercise Science, Murdoch University, Murdoch, Australia; and ‡School of Rehabilitation Therapy, Queen’s University, Kingston, Ontario, Canada. Abstract STUDY DESIGN: Parallel-group randomized controlled trial. OBJECTIVE: Establish the short-term effectiveness of chiropractic therapy for spinal pain compared […]

Treatment of the sacroiliac joint in patients with leg pain-comparing manual therapy, PT and intra-articular injeciton

A randomized-controlled trial L. H. Visser European Spine Journal October 2013, Volume 22, Issue 10, pp 2310-2317 Abstract Purpose The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back and leg pain. Methods Using a single-blinded randomised trial, we assessed […]

Chiropractic Use and Changes in Health Among Older Medicare Beneficiaries

A Comparative Effectiveness Observational Study Paula A.M. Weigel Journal of Manipulative and Physiological Therapeutics Volume 36, Issue 9 , Pages 572-584, November 2013 Abstract Objective The purpose of this study was to investigate the effect of chiropractic on 5 outcomes among Medicare beneficiaries: increased difficulties performing activities of daily living (ADLs), instrumental ADLs (IADLs), and […]

Recovery of motor deficit accompanying sciatica—subgroup analysis of a randomized controlled trial

Gijsbert M. Overdevest, MD The Spine Journal: Available online 5 November 2013: In Press Abstract Background context In patients with sciatica due to a lumbar disc herniation, it is generally recommended to reserve surgical treatment for those who suffer from intolerable pain or those who demonstrate persistent symptoms after conservative management. Controversy exists about the […]

Comparison of spinal fusion and nonoperative treatment in patients with chronic low back pain

Long-term follow-up of three randomized controlled trials Anne F. Mannion, PhD The Spine Journal: Available online 5 November 2013: In Press Abstract Background context Chronic low back pain (cLBP) represents a major challenge to our health care systems. The relative efficacy of surgery over nonoperative treatment for the treatment of cLBP remains controversial, and little […]

One-year outcomes of surgical versus nonsurgical treatments for discogenic back pain: a community-based prospective cohort study

Sohail K. Mirza, MD, MPH The Spine Journal Volume 13, Issue 11, November 2013, Pages 1421–1433 Abstract Background context The clinical entity “discogenic back pain” remains controversial at fundamental levels, including its pathophysiology, diagnostic criteria, and optimal treatment. This is true despite availability of four randomized trials comparing the efficacy of surgical and nonsurgical treatments. […]

Treatment of the sacroiliac joint in patients with leg pain: a randomized-controlled trial

Eur Spine J. 2013 Oct;22(10):2310-7. doi: 10.1007/s00586-013-2833-2. Epub 2013 May 30. Visser LH1, Woudenberg NP, de Bont J, van Eijs F, Verwer K, Jenniskens H, Den Oudsten BL. Abstract PURPOSE: The sacroiliac joint (SIJ) may be a cause of sciatica. The aim of this study was to assess which treatment is successful for SIJ-related back […]

Is manipulative therapy more effective than sham manipulation in adults?

A systematic review and meta-analysis Gwendolijne GM Scholten-Peeters Chiropractic & Manual Therapies 2013, 21:34 doi:10.1186/2045-709X-21-34 Abstract Background Manipulative therapy is widely used in the treatment of spinal disorders. Manipulative techniques are under debate because of the possibility of adverse events. To date, the efficacy of manipulations compared to sham manipulations is unclear. The purpose of […]

Comparative Clinical Effectiveness of Management Strategies for Sciatica

For the first time many different treatment strategies for sciatica have been compared in the same systematic review and meta-analysis…..