Recurrences of Low Back Pain During the First 12 Months After Chiropractic Treatment
Written by Editor   
Tuesday, August 22, 2017 09:53 AM

The purpose of this study was to investigate recurrence rate and prognostic factors in a large population of patients with low back pain (LBP) up to 1 year after chiropractic care using standardized definitions.

In Switzerland, 722 patients with LBP completed the Numeric Rating Scale for pain (NRS) and the Oswestry Disability Index (ODI) before treatment and 1, 3, 6, and 12 months later (ODI up to 3 months). Based on NRS values, patients were categorized as “fast recovery,” “slow recovery,” “recurrent,” “chronic,” and “others.”

Based on NRS values, 13.4% of the patients were categorized as recurrent. The recurrent pattern significantly differed from fast recovery in duration of complaint. The recurrent and chronic pattern significantly differed in duration of complaint and baseline NRS.

The study concluded that recurrence rate was low in this LBP patient population. The duration of complaint before treatment was the main predictor for recurrence. The fact that even subacute duration significantly increased the odds for an unfavorable course of LBP is of clinical relevance.


Source: http://www.jmptonline.org/article/S0161-4754(16)30121-X/abstract