THE EFFECTIVENESS OF MANUAL THERAPY, PHYSIOTHERAPY, AND TREATMENT BY THE GENERAL-PRACTITIONER FOR NONSPECIFIC BACK AND NECK COMPLAINTS - A RANDOMIZED CLINICAL-TRIAL

被引：178
|
作者：
KOES, BW
BOUTER, LM
VANMAMEREN, H
ESSERS, AHM
VERSTEGEN, GMJR
HOFHUIZEN, DM
HOUBEN, JP
KNIPSCHILD, PG
机构：
[1] Department of Epidemiology and Biostatistics, Maastricht
[2] Department of Anatomy and Embryology, University of Limburg, Maastricht
[3] Department of Physiotherapy, University Hospital Maastricht, Maastricht
[4] Department of Physiotherapy, Institute of Higher Education, Heerland
[5] Physiotherapy and manual therapy practice, Maastricht
来源：
SPINE | 1992年 / 17卷 / 01期
关键词：
RANDOMIZED CLINICAL TRIAL; MANIPULATION; PHYSICAL THERAPY; BACK PAIN; NECK PAIN;
D O I：
10.1097/00007632-199201000-00005
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
In a randomized trial, the effectiveness of manual therapy, physiotherapy, continued treatment by the general practitioner, and placebo therapy (detuned ultrasound and detuned short-wave diathermy) were compared for patients (n = 256) with nonspecific back and neck complaints lasting for at least 6 weeks. The principle outcome measures were severity of the main complaint, global perceived effect, pain, and functional status. These are presented for 3, 6, and 12 weeks follow-up. Both physiotherapy and manual therapy decreased the severity of complaints more and had a higher global perceived effect compared to continued treatment by the general practitioner. Differences in effectiveness between physiotherapy and manual therapy could not be shown. A substantial part of the effect of manual therapy and physiotherapy appeared to be due to nonspecific (placebo) effects.
引用
收藏
页码：28 / 35
页数：8
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