Doran D M, Newell D J
Br Med J. 1975 Apr 26;2(5964):161-4. doi: 10.1136/bmj.2.5964.161.
In a multicentre trial 456 selected patients with low back pain were randomly allocated to one of four treatments-manipulation, definitive physiotherapy, corset, or analgesic tablets. Patients were reassessed clinically after three weeks' treatment and again after a further three weeks. Questionnaires were used to find out the patients' condition three months and one year after admission to the trial. There were never any important differences among the four groups of patients. A few patients responded well and quickly to manipulation, but there was no way of identifying such patients in advance. The response to a corset was slow, but the long-tern effects were at least as good as those of the other treatments. Patients treated only with analgesics fared marginally worse than those on the other three treatments. There is no strong reason, however, for recommending manipulation over physiotherapy or corset.
在一项多中心试验中，456名经挑选的腰痛患者被随机分配到四种治疗方法之一——手法治疗、确定性物理治疗、束腹带或止痛片。治疗三周后对患者进行临床重新评估，再过三周后再次评估。使用问卷调查了解患者进入试验三个月和一年后的状况。四组患者之间从未有过任何重要差异。少数患者对手法治疗反应良好且迅速，但无法提前识别出这类患者。束腹带的效果起效较慢，但其长期效果至少与其他治疗方法一样好。仅接受止痛片治疗的患者比接受其他三种治疗的患者情况略差。然而，没有充分理由推荐手法治疗优于物理治疗或束腹带。
