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

被引：180

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

页码：28 / 35

页数：8

共 26 条

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