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 Universitys 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 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
A promising target for kidney fibrosis
21.04.2017 | Brigham and Women's Hospital
Stem cell transplants: activating signal paths may protect from graft-versus-host disease
20.04.2017 | Technische Universität München
More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.
Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...
Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.
"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...
The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.
Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...
The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...
Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.
Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...
20.04.2017 | Event News
18.04.2017 | Event News
03.04.2017 | Event News
25.04.2017 | Earth Sciences
25.04.2017 | Life Sciences
25.04.2017 | Earth Sciences