Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients with Acute Low Back Pain
Thursday, February 12, 2015 12:07 PM

Lower back pain is common, costly, and a significant cause of long-term sick leave and work loss. One intervention often used is manipulative therapy. Current evidence from randomized controlled trials demonstrates that manipulative therapy may be as effective as other conservative treatments of LBP, but its appropriate role in the healthcare delivery system has not been established. The results of this trial suggest that CMT in conjunction with standard medical care offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute LBP.

A Randomized controlled trial conducted to assess changes in pain levels and physical functioning in response to standard medical care versus standard medical care plus chiropractic manipulative therapy (CMT) for the treatment of low back pain (LBP) was conducted among 18 to 35-year-old active-duty military personnel.  

Mean Roland-Morris Disability Questionnaire scores decreased in both groups during the course of the study, but adjusted mean scores were significantly better in the SMC plus CMT group than in the SMC group at both week 2 and week 4. Mean numerical rating scale pain scores were also significantly better in the group that received CMT. Adjusted mean back pain functional scale scores were significantly higher (improved) in the SMC plus CMT group than in the SMC group at both week 2 and week 4.