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Structural Integration as an Adjunct to Outpatient Rehabilitation for Chronic Nonspecific Low Back Pain: A Randomized Pilot Clinical Trial
Joint Authors
Jacobson, Eric E.
Meleger, Alec L.
Bonato, Paolo
Wayne, Peter M.
Langevin, Helene M.
Kaptchuk, Ted J.
Davis, Roger B.
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-19, 19 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-07
Country of Publication
Egypt
No. of Pages
19
Main Subjects
Abstract EN
Structural Integration (SI) is an alternative method of manipulation and movement education.
To obtain preliminary data on feasibility, effectiveness, and adverse events (AE), 46 outpatients from Boston area with chronic nonspecific low back pain (CNSLBP) were randomized to parallel treatment groups of SI plus outpatient rehabilitation (OR) versus OR alone.
Feasibility data were acceptable except for low compliance with OR and lengthy recruitment time.
Intent-to-treat data on effectiveness were analyzed by Wilcoxon rank sum, n = 23 per group.
Median reductions in VAS Pain, the primary outcome, of - 26 mm in SI + OR versus 0 in OR alone were not significantly different ( P = 0.075 ) .
Median reductions in RMDQ, the secondary outcome, of - 2 points in SI + OR versus 0 in OR alone were significantly different ( P = 0.007 ) .
Neither the proportions of participants with nor the seriousness of AE were significantly different.
SI as an adjunct to OR for CNSLBP is not likely to provide additional reductions in pain but is likely to augment short term improvements in disability with a low additional burden of AE.
A more definitive trial is feasible, but OR compliance and recruitment might be challenging.
This trial is registered with ClinicalTrials.gov (NCT01322399).
American Psychological Association (APA)
Jacobson, Eric E.& Meleger, Alec L.& Bonato, Paolo& Wayne, Peter M.& Langevin, Helene M.& Kaptchuk, Ted J.…[et al.]. 2015. Structural Integration as an Adjunct to Outpatient Rehabilitation for Chronic Nonspecific Low Back Pain: A Randomized Pilot Clinical Trial. Evidence-Based Complementary and Alternative Medicine،Vol. 2015, no. 2015, pp.1-19.
https://search.emarefa.net/detail/BIM-1063621
Modern Language Association (MLA)
Jacobson, Eric E.…[et al.]. Structural Integration as an Adjunct to Outpatient Rehabilitation for Chronic Nonspecific Low Back Pain: A Randomized Pilot Clinical Trial. Evidence-Based Complementary and Alternative Medicine No. 2015 (2015), pp.1-19.
https://search.emarefa.net/detail/BIM-1063621
American Medical Association (AMA)
Jacobson, Eric E.& Meleger, Alec L.& Bonato, Paolo& Wayne, Peter M.& Langevin, Helene M.& Kaptchuk, Ted J.…[et al.]. Structural Integration as an Adjunct to Outpatient Rehabilitation for Chronic Nonspecific Low Back Pain: A Randomized Pilot Clinical Trial. Evidence-Based Complementary and Alternative Medicine. 2015. Vol. 2015, no. 2015, pp.1-19.
https://search.emarefa.net/detail/BIM-1063621
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1063621