Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

New study reveals manipulation and exercise can help back pain sufferers

10.12.2004


A new study of back pain treatments, co-ordinated by researchers at the University of York, has found that spinal manipulation, in the form of chiropractic, osteopathy, or manipulative physiotherapy, followed by a programme of exercise, provides significant relief of symptoms and improvements in general health.



The study, backed by the Medical Research Council (MRC) and co-ordinated by the Trials Unit in the University’s Department of Health Sciences, is the biggest of its type ever mounted in the United Kingdom. It involved more than 1,300 patients in 140 GP practices across the UK.

The UK Back pain Exercise And Manipulation (UK BEAM) randomised trial assessed the effectiveness of adding different treatments to ’best care’ in general practice for patients with lower back pain, one of the most common ailments general practitioners have to treat. The results of the trial are published today (Friday, December 10) in the British Medical Journal.


The condition is painful for patients and costly to both the National Health Service and society. Until now, the benefit of different physical treatments has been unclear. ’Best care’ in general practice for simple lower back pain is based on active management encouraging patients to continue with normal activities and avoid rest.

The trial recruited more than 1,300 patients, whose back pain had not improved after receiving ’best care’ in general practice, to assess the effectiveness of three different treatments.

  • A class-based physical exercise programme
  • Spinal manipulation -- a ’hands on’ approach administered by qualified therapists to move the joints of the back
  • A combined package of spinal manipulation followed by a
    programme of exercise

The results showed that patients in all treatment groups reported improved back function and reduced pain over time, though to varying degrees. On average, patients assigned to exercise classes in addition to GP care reported a small benefit at three months but not at one year. Those assigned to spinal manipulation in addition to GP care reported a small to moderate benefit at three months and a small, on average, benefit at one year.

The greatest improvement was found in the patients assigned to combined manipulation and exercise, in addition to GP care. They reported a moderate, on average, improvement at three months and a smaller average improvement at one year. Benefits were the same whether treatment was provided in private practice or on the NHS.

While the cost to the NHS of all three treatments was modest, an economic analysis showed that both spinal manipulation and the combined package of spinal manipulation and exercise achieved similar benefits to patients at a comparable cost to the NHS. The results of this analysis, together with the local availability of physical therapists, will inform the NHS on how best to improve care for patients with lower back pain.

Simon Coulton, of the Department of Health Sciences, said: "This was the biggest trial of intervention for back pain that has ever been conducted in the UK. It found that manipulation by osteopaths, chiropractors or physiotherapists was often more cost-effective than conventional treatment."

Simon Coulton | alfa
Further information:
http://www.york.ac.uk/admin/presspr/pressreleases/backpain.htm
http://www.york.ac.uk

More articles from Health and Medicine:

nachricht Organ-on-a-chip mimics heart's biomechanical properties
23.02.2017 | Vanderbilt University

nachricht Researchers identify cause of hereditary skeletal muscle disorder
22.02.2017 | Klinikum der Universität München

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Breakthrough with a chain of gold atoms

In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport

In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport

Im Focus: DNA repair: a new letter in the cell alphabet

Results reveal how discoveries may be hidden in scientific “blind spots”

Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...

Im Focus: Dresdner scientists print tomorrow’s world

The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.

The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...

Im Focus: Mimicking nature's cellular architectures via 3-D printing

Research offers new level of control over the structure of 3-D printed materials

Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...

Im Focus: Three Magnetic States for Each Hole

Nanometer-scale magnetic perforated grids could create new possibilities for computing. Together with international colleagues, scientists from the Helmholtz Zentrum Dresden-Rossendorf (HZDR) have shown how a cobalt grid can be reliably programmed at room temperature. In addition they discovered that for every hole ("antidot") three magnetic states can be configured. The results have been published in the journal "Scientific Reports".

Physicist Dr. Rantej Bali from the HZDR, together with scientists from Singapore and Australia, designed a special grid structure in a thin layer of cobalt in...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Booth and panel discussion – The Lindau Nobel Laureate Meetings at the AAAS 2017 Annual Meeting

13.02.2017 | Event News

Complex Loading versus Hidden Reserves

10.02.2017 | Event News

International Conference on Crystal Growth in Freiburg

09.02.2017 | Event News

 
Latest News

Stingless bees have their nests protected by soldiers

24.02.2017 | Life Sciences

New risk factors for anxiety disorders

24.02.2017 | Life Sciences

MWC 2017: 5G Capital Berlin

24.02.2017 | Trade Fair News

VideoLinks
B2B-VideoLinks
More VideoLinks >>>