Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial
<p>Abstract</p> <p>Background</p> <p>Back-related leg pain (BRLP) is a common variation of low back pain (LBP), with lifetime prevalence estimates as high as 40%. Often disabling, BRLP accounts for greater work loss, recurrences, and higher costs than uncomplicated LBP...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-03-01
|
| Series: | Chiropractic & Manual Therapies |
| Online Access: | http://chiromt.com/content/19/1/8 |
| _version_ | 1818163613997727744 |
|---|---|
| author | Schulz Craig A Hondras Maria A Evans Roni L Gudavalli Maruti R Long Cynthia R Owens Edward F Wilder David G Bronfort Gert |
| author_facet | Schulz Craig A Hondras Maria A Evans Roni L Gudavalli Maruti R Long Cynthia R Owens Edward F Wilder David G Bronfort Gert |
| author_sort | Schulz Craig A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Back-related leg pain (BRLP) is a common variation of low back pain (LBP), with lifetime prevalence estimates as high as 40%. Often disabling, BRLP accounts for greater work loss, recurrences, and higher costs than uncomplicated LBP and more often leads to surgery with a lifetime incidence of 10% for those with severe BRLP, compared to 1-2% for those with LBP.</p> <p>In the US, half of those with back-related conditions seek CAM treatments, the most common of which is chiropractic care. While there is preliminary evidence suggesting chiropractic spinal manipulative therapy is beneficial for patients with BRLP, there is insufficient evidence currently available to assess the effectiveness of this care.</p> <p>Methods/Design</p> <p>This study is a two-site, prospective, parallel group, observer-blinded randomized clinical trial (RCT). A total of 192 study patients will be recruited from the Twin Cities, MN (n = 122) and Quad Cities area in Iowa and Illinois (n = 70) to the research clinics at WHCCS and PCCR, respectively.</p> <p>It compares two interventions: chiropractic spinal manipulative therapy (SMT) plus home exercise program (HEP) to HEP alone (minimal intervention comparison) for patients with subacute or chronic back-related leg pain.</p> <p>Discussion</p> <p>Back-related leg pain (BRLP) is a costly and often disabling variation of the ubiquitous back pain conditions. As health care costs continue to climb, the search for effective treatments with few side-effects is critical. While SMT is the most commonly sought CAM treatment for LBP sufferers, there is only a small, albeit promising, body of research to support its use for patients with BRLP.</p> <p>This study seeks to fill a critical gap in the LBP literature by performing the first full scale RCT assessing chiropractic SMT for patients with sub-acute or chronic BRLP using important <b>patient-oriented </b>and <b>objective biomechanical </b>outcome measures.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov <a href="http://www.clinicaltrials.gov/ct2/show/NCT00494065">NCT00494065</a></p> |
| first_indexed | 2024-12-11T16:52:21Z |
| format | Article |
| id | doaj.art-8f89342bcee04a7dbea5283373f4e198 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-12-11T16:52:21Z |
| publishDate | 2011-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-8f89342bcee04a7dbea5283373f4e1982022-12-22T00:58:04ZengBMCChiropractic & Manual Therapies2045-709X2011-03-01191810.1186/2045-709X-19-8Chiropractic and self-care for back-related leg pain: design of a randomized clinical trialSchulz Craig AHondras Maria AEvans Roni LGudavalli Maruti RLong Cynthia ROwens Edward FWilder David GBronfort Gert<p>Abstract</p> <p>Background</p> <p>Back-related leg pain (BRLP) is a common variation of low back pain (LBP), with lifetime prevalence estimates as high as 40%. Often disabling, BRLP accounts for greater work loss, recurrences, and higher costs than uncomplicated LBP and more often leads to surgery with a lifetime incidence of 10% for those with severe BRLP, compared to 1-2% for those with LBP.</p> <p>In the US, half of those with back-related conditions seek CAM treatments, the most common of which is chiropractic care. While there is preliminary evidence suggesting chiropractic spinal manipulative therapy is beneficial for patients with BRLP, there is insufficient evidence currently available to assess the effectiveness of this care.</p> <p>Methods/Design</p> <p>This study is a two-site, prospective, parallel group, observer-blinded randomized clinical trial (RCT). A total of 192 study patients will be recruited from the Twin Cities, MN (n = 122) and Quad Cities area in Iowa and Illinois (n = 70) to the research clinics at WHCCS and PCCR, respectively.</p> <p>It compares two interventions: chiropractic spinal manipulative therapy (SMT) plus home exercise program (HEP) to HEP alone (minimal intervention comparison) for patients with subacute or chronic back-related leg pain.</p> <p>Discussion</p> <p>Back-related leg pain (BRLP) is a costly and often disabling variation of the ubiquitous back pain conditions. As health care costs continue to climb, the search for effective treatments with few side-effects is critical. While SMT is the most commonly sought CAM treatment for LBP sufferers, there is only a small, albeit promising, body of research to support its use for patients with BRLP.</p> <p>This study seeks to fill a critical gap in the LBP literature by performing the first full scale RCT assessing chiropractic SMT for patients with sub-acute or chronic BRLP using important <b>patient-oriented </b>and <b>objective biomechanical </b>outcome measures.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov <a href="http://www.clinicaltrials.gov/ct2/show/NCT00494065">NCT00494065</a></p>http://chiromt.com/content/19/1/8 |
| spellingShingle | Schulz Craig A Hondras Maria A Evans Roni L Gudavalli Maruti R Long Cynthia R Owens Edward F Wilder David G Bronfort Gert Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial Chiropractic & Manual Therapies |
| title | Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial |
| title_full | Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial |
| title_fullStr | Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial |
| title_full_unstemmed | Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial |
| title_short | Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial |
| title_sort | chiropractic and self care for back related leg pain design of a randomized clinical trial |
| url | http://chiromt.com/content/19/1/8 |
| work_keys_str_mv | AT schulzcraiga chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT hondrasmariaa chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT evansronil chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT gudavallimarutir chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT longcynthiar chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT owensedwardf chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT wilderdavidg chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial AT bronfortgert chiropracticandselfcareforbackrelatedlegpaindesignofarandomizedclinicaltrial |