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.
Source: Clinical Rehabilitation 7(1):49-62.
Abstract: Two treatment groups were formed when outpatients with acute or subacute low-back pain were randomly allocated. Standardized but optimized conventional activating treatment by primary health care teams was provided for one group (n = 53). Specific manual treatment such as manipulation, specific mobilization, muscle stretching, autotraction and cortisone injections was provided for the other group (n = 48). Significant differences on 15 disability rating scores and complaints in everyday life due to low-back problems were found. Results were in favor of the group receiving manual treatment, showing that this treatment was superior to conventional treatment. A more positive view of treatment was found in the patients given manual treatment than those in the conventionally treated group. Due to injections and muscle stretching, the experimental treatment was more painful than the conventional treatment. Manipulation and specific mobilization was seen as painful in only a few patients, no persisting deterioration or complications were reported. (CIRRIE Abstract) In Cochrane Database of Systematic Reviews (Spinal manipulative therapy for low-back pain.)
Institution: Department of Family Medicine, Academic Hospital, S-751 85, Uppsala, Sweden