The McKenzie Method Versus Manipulation for Patients With Chronic Low Back Pain
NCT ID: NCT00939107
Last Updated: 2009-11-19
Study Results
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View full resultsBasic Information
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COMPLETED
NA
350 participants
INTERVENTIONAL
2003-09-30
2008-11-30
Brief Summary
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The McKenzie method as well as spinal manipulation is commonly used for the treatment of low back pain throughout the western world. Recently, the need for studies testing the effect of treatment strategies to specific diagnostic subgroups of patients has been emphasized. The present study aims to compare the effectiveness of the McKenzie method and chiropractic manipulation, information, and advice for patients with clinical signs of persistent symptoms originating from a diskus in the low back.
Methods:
After clinical screening 350 patients with or without leg pain who presented with centralization of symptoms or signs of disc herniation were randomized to the McKenzie group or the manipulation group. The outcome measures, Roland Morris Disability Questionnaire, 11 point numerical pain scale, 6 point global perceived change scale, and quality of life (Short Form-36) were assessed at baseline, at end of treatment, and at 2 and 12 months follow-up.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
FACTORIAL
TREATMENT
DOUBLE
Study Groups
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McKenzie exercises
McKenzie exercises according to the principles of Mechanical Diagnosis and Therapy
McKenzie exercises
McKenzie exercises according to the principles of Mechanical Diagnosis and Therapy
Spinal manipulation
Spinal manipulation in combination with information of clinical findings and advice about back care
spinal manipulation
Spinal manipulation to the lumbopelvic spine in combination with information about examination findings and advice about back care
Interventions
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spinal manipulation
Spinal manipulation to the lumbopelvic spine in combination with information about examination findings and advice about back care
McKenzie exercises
McKenzie exercises according to the principles of Mechanical Diagnosis and Therapy
Eligibility Criteria
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Inclusion Criteria
* suffering from low back pain (LBP) with or without leg pain for a period of more than 6 weeks
* able to speak and understand the Danish language
* with a presentation of clinical signs of disc-related symptoms.
Exclusion Criteria
* serious pathology suspected based on physical examination and/or magnetic resonance imaging
* application for disability pension or pending litigation
* pregnancy
* comorbidity
* recent back surgery
* problems with communication
18 Years
60 Years
ALL
No
Sponsors
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The Danish Rheumatism Association
OTHER
The Danish Physiotherapy Organization.
UNKNOWN
Foundation for Chiropractic Research and Post Graduate Education
OTHER
The Danish Institute for Mechanical Diagnosis and Therapy.
UNKNOWN
Back and Rehabilitation Center, Copenhagen
OTHER_GOV
Responsible Party
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Back and Rehabilitation Center, Copenhagen
Principal Investigators
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Tom Petersen, PT,PhD
Role: PRINCIPAL_INVESTIGATOR
Back and Rehabilitation Center Copenhagen, Copenhagen, Denmark
Locations
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Back and Rehabilitation Center Copengagen
Copenhagen, Copenhagen OE, Denmark
Countries
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References
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Petersen T, Christensen R, Juhl C. Predicting a clinically important outcome in patients with low back pain following McKenzie therapy or spinal manipulation: a stratified analysis in a randomized controlled trial. BMC Musculoskelet Disord. 2015 Apr 1;16:74. doi: 10.1186/s12891-015-0526-1.
Other Identifiers
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KF-01-057/03
Identifier Type: -
Identifier Source: org_study_id