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
Opioids: no effect without side effect
21.01.2019 | Universitätsklinikum Jena
The cytoskeleton of neurons has been found to be involved in Alzheimer's disease
18.01.2019 | University of the Basque Country
The scientific and political community alike stress the importance of German Antarctic research
Joint Press Release from the BMBF and AWI
The Antarctic is a frigid continent south of the Antarctic Circle, where researchers are the only inhabitants. Despite the hostile conditions, here the Alfred...
World first experiments on sensor that may revolutionise everything from medical devices to unmanned vehicles
The new sensor - capable of detecting vibrations of living cells - may revolutionise everything from medical devices to unmanned vehicles.
Dead and alive at the same time? Researchers at the Max Planck Institute of Quantum Optics have implemented Erwin Schrödinger’s paradoxical gedanken experiment employing an entangled atom-light state.
In 1935 Erwin Schrödinger formulated a thought experiment designed to capture the paradoxical nature of quantum physics. The crucial element of this gedanken...
Cellulose obtained from wood has amazing material properties. Empa researchers are now equipping the biodegradable material with additional functionalities to produce implants for cartilage diseases using 3D printing.
It all starts with an ear. Empa researcher Michael Hausmann removes the object shaped like a human ear from the 3D printer and explains:
The phenomenon of so-called superlubricity is known, but so far the explanation at the atomic level has been missing: for example, how does extremely low friction occur in bearings? Researchers from the Fraunhofer Institutes IWM and IWS jointly deciphered a universal mechanism of superlubricity for certain diamond-like carbon layers in combination with organic lubricants. Based on this knowledge, it is now possible to formulate design rules for supra lubricating layer-lubricant combinations. The results are presented in an article in Nature Communications, volume 10.
One of the most important prerequisites for sustainable and environmentally friendly mobility is minimizing friction. Research and industry have been dedicated...
16.01.2019 | Event News
14.01.2019 | Event News
12.12.2018 | Event News
21.01.2019 | Life Sciences
21.01.2019 | Physics and Astronomy
21.01.2019 | Life Sciences