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Báo cáo y học: "Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Chiropractic and self-care for back-related leg pain: design of a randomized clinical trial. | Schulz et al. Chiropractic Manual Therapies 2011 19 8 http chiromt.eom content 19 1 8 CHIROPRACTIC MANUAL THERAPIES C MT STUDY PROTOCOL Open Access Chiropractic and self-care for back-related leg pain design of a randomized clinical trial 1 2 1 2 2 1 Craig A Schulz Maria A Hondras Roni L Evans Maruti R Gudavalli Cynthia R Long Edward F Owens David G Wilder3 and Gert Bronfort1 Abstract Background 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. 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. Methods Design 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. 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. Discussion 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. .