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Combined chiropractic interventions for low-back pain
Cochrane Reviews, 04/15/10
Walker BF et al. For this review, chiropractic was defined as encompassing a combination of therapies such as spinal manipulation, massage, heat and cold therapies, electrotherapies, the use of mechanical devices, exercise programs, nutritional advice, orthotics, lifestyle modification and patient education. Nonspecific lowback pain indicates that no specific cause is detectable, such as infection, cancer, osteoporosis, rheumatoid arthritis, fracture, inflammatory process or radicular syndrome (pain, tingling or numbness spreading down the leg). Twelve randomised trials (including 2887 participants) assessing various combinations of chiropractic care for lowback pain were included in this review, but only three of these studies were considered to have a low risk of bias. Combined chiropractic interventions slightly improved pain and disability in the shortterm and pain in the mediumterm for acute and subacute LBP. However, there is currently no evidence that supports or refutes that these interventions provide a clinically meaningful difference for pain or disability in people with LBP when compared to other interventions.
Sleep v Facet: Round 2, ding.
Cochrane Reviews, 04/15/10
Walker BF et al. For this review, chiropractic was defined as encompassing a combination of therapies such as spinal manipulation, massage, heat and cold therapies, electrotherapies, the use of mechanical devices, exercise programs, nutritional advice, orthotics, lifestyle modification and patient education. Nonspecific lowback pain indicates that no specific cause is detectable, such as infection, cancer, osteoporosis, rheumatoid arthritis, fracture, inflammatory process or radicular syndrome (pain, tingling or numbness spreading down the leg). Twelve randomised trials (including 2887 participants) assessing various combinations of chiropractic care for lowback pain were included in this review, but only three of these studies were considered to have a low risk of bias. Combined chiropractic interventions slightly improved pain and disability in the shortterm and pain in the mediumterm for acute and subacute LBP. However, there is currently no evidence that supports or refutes that these interventions provide a clinically meaningful difference for pain or disability in people with LBP when compared to other interventions.
Sleep v Facet: Round 2, ding.