Pope M H, Phillips R B, Haugh L D, Hsieh C Y, MacDonald L, Haldeman S
Iowa Spine Research Center, University of Iowa, Iowa City.
Spine (Phila Pa 1976). 1994 Nov 15;19(22):2571-7. doi: 10.1097/00007632-199411001-00013.
A randomized prospective trial of manipulation, massage, corset and transcutaneous muscle stimulation (TMS) was conducted in patients with subacute low back pain.
The authors determined the relative efficacy of chiropractic treatment to massage, corset, and TMS.
Although all of these treatments are used for subacute low back pain treatment, there have been few comparative trials using objective outcome criteria. Patients were enrolled for a period of 3 weeks. They were evaluated once a week by questionnaires, visual analog scale, range of motion, maximum voluntary extension effort, straight leg raising and Biering-Sorensen fatigue test. The dropout rate was highest in the muscle stimulation and corset groups and lowest in the manipulation group. Rates of full compliance did not differ significantly across treatments. A measure of patient confidence was greatest in the manipulation group.
After 3 weeks, the manipulation group scored the greatest improvements in flexion and pain while the massage group had the best extension effort and fatigue time, and the muscle stimulation group the best extension.
None of the changes in physical outcome measures (range of motion, fatigue, strength or pain) were significantly different between any of the groups.
对亚急性下背痛患者进行了一项关于手法治疗、按摩、束腹带和经皮肌肉刺激（TMS）的随机前瞻性试验。
作者确定了脊椎按摩治疗相对于按摩、束腹带和TMS的相对疗效。
尽管所有这些治疗方法都用于亚急性下背痛的治疗，但使用客观结果标准的比较试验很少。患者入组为期3周。通过问卷调查、视觉模拟量表、活动范围、最大自主伸展力、直腿抬高和比林-索伦森疲劳试验每周对他们进行一次评估。肌肉刺激组和束腹带组的退出率最高，手法治疗组最低。各治疗组的完全依从率无显著差异。手法治疗组患者的信心度最高。
3周后，手法治疗组在屈曲和疼痛方面改善最大，而按摩组在伸展力和疲劳时间方面表现最佳，肌肉刺激组在伸展方面表现最佳。
各治疗组之间在身体指标（活动范围、疲劳、力量或疼痛）的变化上均无显著差异。
