Sheladia V L, Johnston D A
J Manipulative Physiol Ther. 1986 Dec;9(4):243-7.
From a total pool of 1189 male and female patients with accident- (AC) and nonaccident- (NA) caused low back pain, 465 cases with completed therapy were studied for effectiveness of various chiropractic treatments. For those who completed therapy, the age distribution and incidence of this disorder were also studied. At the completion of the therapy, the response was evaluated as very good (pain-free, cured), better (very small degree of discomfort), relief (some reduction in pain) or no response to the treatment. The females with NA responded better than AC cases (p less than .001). However, male NA cases showed an increase in "no relief," but it was not significant (p = 0.052). The response of male AC cases was better than that of female AC cases (p less than 0.001). The cervical, thoracic, lumbar and ilium adjustment levels in female and male NA did not show any differences in response (p = 0.15, female; p = 0.46, male). The incidence of NA back pain disorders in both male and female was higher as compared to AC-caused back problems (p less than 0.001). The lower back pain problems did not show any age-specific association in either sex. Manipulative approaches in addition to nonmanipulative methods are superior to nonmanipulative measures alone, and females responded better to nonmanipulative care than did males.
在总共1189例因意外（AC）和非意外（NA）导致腰痛的男性和女性患者中，对465例完成治疗的患者进行了各种脊椎按摩治疗效果的研究。对于完成治疗的患者，还研究了这种疾病的年龄分布和发病率。在治疗结束时，将反应评估为非常好（无痛、治愈）、较好（非常轻微的不适程度）、缓解（疼痛有所减轻）或对治疗无反应。非意外导致腰痛的女性患者比意外导致腰痛的患者反应更好（p<0.001）。然而，非意外导致腰痛的男性患者中“无缓解”的情况有所增加，但不显著（p = 0.052）。意外导致腰痛的男性患者的反应比女性患者更好（p<0.001）。非意外导致腰痛的女性和男性在颈椎、胸椎、腰椎和髂骨的调整水平上，反应没有差异（女性p = 0.15；男性p = 0.46）。与意外导致的背部问题相比，非意外导致的腰痛疾病在男性和女性中的发病率都更高（p<0.001）。下背部疼痛问题在任何性别中都没有表现出特定年龄的关联。除了非手法治疗方法外，手法治疗方法优于单独的非手法治疗措施，并且女性对非手法治疗的反应比男性更好。
