This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Blomberg, S. Articles by Tibblin, G. Search for Related Content PubMed Articles by Blomberg, S. Articles by Tibblin, G. Social Bookmarking                         What's this?

A controlled, multicentre trial of manual therapy with steroid injections in low-back pain: functional variables, side effects and complications during four months follow-up

Department of Family Medicine, Uppsala University, Uppsala and The Skönvik Rehabilitation Clinic, Säter, Sweden

G. Tibblin

Department of Family Medicine, Uppsala University, Uppsala and The Skönvik Rehabilitation Clinic, Säter, Sweden

Outpatients with acute or subacute low-back pain were randomly allocated to one of two treatment groups. One group (n = 53) was given standardized but optimized conventional activating treatment by primary health care teams. The other group (n = 48) received specific manual treatment such as manipulation, specific mobilization, muscle stretching, autotraction and cortisone injections. There were significant differences on 15 disability rating scores and complaints in everyday life due to low-back problems in favour of the group receiving manual treatment, indicating that this treatment was superior to conventional treatment. The patients given manual treatment had a more positive view of treatment than those in the conventionally treated group. The experimental treatment was more painful than the conventional treatment, due to injections and muscle stretching. Only a few patients experienced manipulation and specific mobilization as painful. No persisting deterioration or complications were reported due to the experimental treatment.

Clinical Rehabilitation, Vol. 7, No. 1, 49-62 (1993)
DOI: 10.1177/026921559300700108


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				W. J.J. Assendelft, S. C. Morton, E. I. Yu, M. J. Suttorp, and P. G. Shekelle Spinal Manipulative Therapy for Low Back Pain: A Meta-Analysis of Effectiveness Relative to Other Therapies Ann Intern Med, June 3, 2003; 138(11): 871 - 881. [Abstract] [Full Text] [PDF]