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Health-related quality of life improvements in adult patients with chronic low back pain under low-force chiropractic care: A practice-based study

Chiropractic Journal of Australia
Volume 41 Issue 4 (Dec 2011)

Abstract: Background: Chronic Low Back Pain (cLBP) costs the United States over $100 billion annually. Primary Study Objective: This study reports pain intensity, general health and functional disability outcomes after 4-weeks of chiropractic care for cLBP patients. Methods/Design: A prospective case series, nonrandomized, non-controlled, practice-based study. Setting: 22 private chiropractic practices in the US. Subjects: 131 adult cLBP patients, 68 males (53.5%), mean age of 46.75 with chief complaints of cLBP (LBP ≥ 3 months) with mean duration of 11 years. Intervention: Each patient received 6 office visits over a 4-week period with doctors following Directional Non-Force Technique (DNFT) chiropractic protocols. Outcome Measures: The Dartmouth COOP charts (general health), Modified Oswestry Disability Questionnaire (MODQ) (functional disability), and an 11-point Pain Intensity Numerical Rating Scale (PI-NRS) for pain. Results: The pre and post-care mean scores of COOP were 13.16 (95% CI 9.33 - 16.99, P < 0.01) and 10.52 (CI 6.98 - 14.06, P < 0.01) respectively, 20.06% improvement. The MODQ were 17.72 (CI 11.02 - 24.42, P < 0.01) and 8.92 (CI 2.30 - 15.54, P < 0.01), 49.66% improvement in functional disability. The PI-NRS was 18.18 (CI 12.26 - 24.10, P < 0.01) and 10.60 (CI 3.80 - 6.80, P < 0.01), improving 41.69%. Conclusions: Improvements appeared to be significant on general health, functional disability, and pain intensity after an intervention of 4-weeks with 6 visits of DNFT chiropractic care. These findings merit a randomized control trial of chiropractic versus a control group or other treatment modalities in the future.

To cite this article: Khauv, Kim B and John, Christopher. Health-related quality of life improvements in adult patients with chronic low back pain under low-force chiropractic care: A practice-based study [online]. Chiropractic Journal of Australia, Vol. 41, No. 4, Dec 2011: 118-122. Availability: <http://search.informit.com.au/documentSummary;dn=795418204999525;res=IELHEA> ISSN: 1036-0913. [cited 22 Jul 17].

Personal Author: Khauv, Kim B; John, Christopher; Source: Chiropractic Journal of Australia, Vol. 41, No. 4, Dec 2011: 118-122 DOI: Document Type: Journal Article ISSN: 1036-0913 Subject: Quality of life--Evaluation; Evidence-based medicine; Manipulation (Therapeutics); Backache--Alternative treatment; Chiropractic--Practice; Peer Reviewed: Yes Affiliation: (1) Assistant Professor, Life Chiropractic College West, Hayward, California
(2) Proprietor, DNFT Chiropractic, Beverly Hills, California

Database: Health Collection