Does psychological screening influence the outcome of manual therapy vs. active rehabilitation?

Clinical guidelines frequently advocate ‘manual therapy’ as a primary intervention for managing back pain, complemented by psychosocial screening and ‘active rehabilitation’ for individuals who do not experience improvement six weeks post-onset. However, the extent to which psychosocial factors can predict treatment outcomes remains an understudied area. In 2007, Hough, et. al., conducted a study to assess the feasibility of comparing the outcomes of manual therapy … Continue reading Does psychological screening influence the outcome of manual therapy vs. active rehabilitation?

Can baseline characteristics predict treatment success for low back pain?

The management of low back pain is a complex challenge, often involving a variety of treatment options. A critical aspect is identifying patient characteristics that could predict better outcomes with specific interventions, enabling personalized treatment selection. To address this, a secondary analysis of the UK Back pain Exercise And Manipulation trial (UK BEAM) dataset was conducted by M.R. Underwood, et. al.,(2007). This analysis aimed to … Continue reading Can baseline characteristics predict treatment success for low back pain?

How effective is the combination of manual therapy and exercise for treating chronic low back pain?

Chronic low back pain is a prevalent condition that can significantly impact an individual’s quality of life. Researchers led by Michael E Geisser, et. al., (2005) conducted a study to investigate the effectiveness of a treatment approach combining manual therapy with specific adjuvant exercise for alleviating chronic low back pain and reducing disability. In this single-blind, randomized, controlled trial, a group of 100 patients suffering … Continue reading How effective is the combination of manual therapy and exercise for treating chronic low back pain?

Can sham adjustments elicit treatment effects in placebo chiropractic interventions?

In a pioneering investigation conducted at a chiropractic college research clinic, a team of researchers, led by Dr. C Hawk(1999), et. al., delved into the intriguing realm of placebo chiropractic treatments. The objective was twofold: firstly, to pinpoint specific elements of sham adjustments that might elicit a treatment effect, and secondly, to evaluate their impact on the success of blinding – a crucial aspect of … Continue reading Can sham adjustments elicit treatment effects in placebo chiropractic interventions?

How does the compliance and subjective response to treatment differ between the Pilates CovaTech method and the Back School approach in low back pain rehabilitation?

In 2006, Donzelli, et. al., proposed the realm of low back pain rehabilitation, for this Back School method has long been acknowledged as an effective treatment approach. However, the Pilates CovaTech method’s efficacy in addressing this condition lacks scientific evidence. This study aimed to assess the effectiveness of the Pilates CovaTech method in patients suffering from low back pain. A randomized controlled trial was conducted, … Continue reading How does the compliance and subjective response to treatment differ between the Pilates CovaTech method and the Back School approach in low back pain rehabilitation?