Dunn Andrew S, Green Bart N, Formolo Lance R, Chicoine David R
Chiropractic Department, Medical Care Line, VA Western New York, Buffalo, NY, USA.
J Manipulative Physiol Ther. 2011 Oct;34(8):533-8. doi: 10.1016/j.jmpt.2011.08.009. Epub 2011 Sep 9.
The purpose of this study was to report demographic characteristics, chiropractic treatment methods and frequency, and clinical outcomes for chiropractic management of neck pain in a sample of veteran patients.
This is a retrospective case series of 54 veterans with a chief complaint of neck pain who received chiropractic care through a Veterans Health Administration medical center. Descriptive statistics and paired t tests were used with the numeric rating scale and Neck Bournemouth Questionnaire serving as the outcome measures. A minimum clinically important difference was set as 30% improvement from baseline for both outcomes.
The mean number of chiropractic treatments was 8.7. For the numeric rating scale, the mean raw score improvement was 2.6 points, representing 43% change from baseline. For the Neck Bournemouth Questionnaire, the mean raw score improvement was 13.9 points, representing 33% change from baseline. For both measures, 36 (67%) patients met or exceeded the minimum clinically important difference.
Mean chiropractic clinical outcomes were both statistically significant and clinically meaningful for this sample of veterans presenting with neck pain.
本研究旨在报告退伍军人患者样本中颈部疼痛的整脊治疗的人口统计学特征、治疗方法及频率，以及临床疗效。
这是一项回顾性病例系列研究，纳入了54例以颈部疼痛为主诉的退伍军人，他们通过退伍军人健康管理局医疗中心接受了整脊治疗。描述性统计和配对t检验以数字评定量表和颈部伯恩茅斯问卷作为结局指标。两个结局指标的最小临床重要差异均设定为较基线改善30%。
整脊治疗的平均次数为8.7次。对于数字评定量表，原始分数平均改善2.6分，较基线变化43%。对于颈部伯恩茅斯问卷，原始分数平均改善13.9分，较基线变化33%。对于这两个指标，36例（67%）患者达到或超过了最小临床重要差异。
对于这个颈部疼痛的退伍军人样本，整脊治疗的平均临床疗效在统计学上具有显著性，在临床上也具有意义。
