Hurwitz E L
School of Public Health, University of California, Los Angeles 90024-1772.
J Manipulative Physiol Ther. 1994 Feb;17(2):74-82.
The objective of the study was to compare chiropractic management and medical management of low back pain of musculoskeletal etiology in a multispecialty group practice.
The design was a retrospective cohort study in which the subcohorts were defined by source of low back pain care and identified before follow-up was complete. Data collection occurred at the end of the third month following their initial visits. One hundred and three chiropractic patients and 187 medical patients aged 16 or greater who had not been treated within the preceding month of their initial visit participated.
A greater proportion of chiropractic than medical patients perceived their treatment to be successful (RR = 1.91, 95% CI = 1.29, 2.82), had 0 days with low back pain during the week preceding the evaluation (RR = 1.60, 95% CI = 1.00, 2.59), and had no functional impairment due to low back pain after 3 months following their initial visit according to the Roland-Morris Disability Questionnaire (RR = 1.42, 95% CI = 0.81, 2.50). General health status was similar for both chiropractic and medical patients.
Chiropractic care was at least as effective as medical care in reducing low back pain and functional disability due to low back pain. Chiropractic patients were more likely to perceive their treatment to be successful in reducing low back pain compared to medical patients.
本研究的目的是在多专科联合诊所中比较对肌肉骨骼病因引起的下背痛进行的整脊治疗和药物治疗。
该设计为回顾性队列研究，其中亚队列由下背痛治疗来源定义，并在随访完成前确定。数据收集在他们初次就诊后的第三个月末进行。103名整脊治疗患者和187名年龄在16岁及以上且在初次就诊前一个月内未接受过治疗的药物治疗患者参与了研究。
与药物治疗患者相比，接受整脊治疗的患者中有更大比例的人认为他们的治疗是成功的（相对危险度=1.91，95%可信区间=1.29，2.82），在评估前一周内无下背痛天数（相对危险度=1.60，95%可信区间=1.00，2.59），并且根据罗兰-莫里斯残疾问卷，在初次就诊后3个月因下背痛无功能障碍（相对危险度=1.42，95%可信区间=0.81，2.50）。整脊治疗患者和药物治疗患者的总体健康状况相似。
在减轻下背痛及因下背痛导致的功能障碍方面，整脊治疗至少与药物治疗一样有效。与药物治疗患者相比，整脊治疗患者更有可能认为他们的治疗在减轻下背痛方面是成功的。
