EN | UA
EN | UA

Help Support

Back

Early change may predict long-term (6 months) improvements in subjects receiving manual therapy for low back pain

Early change may predict long-term (6 months) improvements in subjects receiving manual therapy for low back pain Early change may predict long-term (6 months) improvements in subjects receiving manual therapy for low back pain
Early change may predict long-term (6 months) improvements in subjects receiving manual therapy for low back pain Early change may predict long-term (6 months) improvements in subjects receiving manual therapy for low back pain

For manual therapy interventions, the early change is commonly assessed and has been used to determine treatment appropriateness. 

See All

Key take away

Manual therapy interventions are essential for the management of low back pain. There is an urgent need for assessing early change in manual therapy interventions to establish a connection between changes in session and study outcomes. This study uses a multivariate logistic analysis to determine the effects of early changes (two weeks after therapy) on improvement in low back pain subjects.

Background

For manual therapy interventions, the early change is commonly assessed and has been used to determine treatment appropriateness. However, the current studies explored the relationship of changes and short-/medium-term outcomes between or within-session. The study focuses on finding out the association of pain changes after two weeks of practical manual therapy could predict those participants with chronic low back pain who showed to have continued improvements at 6-month follow-up.

Method

This study was a retrospective observational design. Univariate logistic regression analyses were performed using 33% and a 50% pain change to predict the improvement. Those who experienced a ≥33% reduction in pain by two weeks had 6.98 times higher odds of 50% improvement on the GRoC and 4.74 times higher odds of 50% improvement on the ODI (at six months).

Result

Subjects who reported a ≥50% reduction in pain at 2 weeks had 5.98 times higher odds of a 50% improvement in the GRoC and 3.99 times higher odds of a 50% improvement in the ODI (at 6 months). 

Conclusion

Future studies are required to investigate whether a change in the plan of care is beneficial for patients who are not showing early improvements predictive of a good long-term outcome.

Source:

Physiother Theory Pract. 2017 Jul 20:1-9

Article:

Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain?

Authors:

Cook C et al.

Comments (0)

You want to delete this comment? Please mention comment Invalid Text Content Text Content cannot me more than 1000 Something Went Wrong Cancel Confirm Confirm Delete Hide Replies View Replies View Replies en
Try: