This paper discusses the significance of the 2011 study published in the Spine Journal called “Does Maintained Spinal Manipulation Therapy for Chronic Nonspecific Low Back Pain Result in Better Long-Term Outcome?”
There is a popular myth about chiropractic care that has deterred some people from ever visiting a Chiropractor. The saying goes like this: “Once you start going to a chiropractor, you must keep going.”
Every person currently has a choice regarding their health and the healthcare they choose to utilize. Choosing chiropractic care for a short or long-term is also the choice of the individual.
Yet like eating well, exercising, taking vitamins or meditating, many healthy lifestyle choices deliver the greatest results when implemented regularly and frequently over time. It turns out that chiropractic care is no different. The choice to choose on-going care relies more on the results and desired outcomes than a necessity. This study evaluated the effectiveness of on-going chiropractic care compared to short term care and sham adjustments.
Spinal adjustive care is a common treatment option for Low Back Pain. Numerous clinical trials have attempted to evaluate its effectiveness for different subgroups of acute and chronic LBP but the efficacy of maintenance SMT in chronic nonspecific LBP has not been studied.
This study seeks to evaluate the benefit of maintenance chiropractic care for 3 groups of patients with low back pain.
60 patients, with chronic, nonspecific LBP lasting at least 6 months, were randomized in this study.
Group one received 12 treatments of sham spinal adjustments over a 1-month period.
Group two received 12 treatments of chiropractic adjustments over a 1-month period, but no treatments for the
subsequent 9 months.
Group 3 received 12 treatments over a 1-month period, along with "maintenance spinal manipulation" every 2 weeks for
the following 9 months.
To determine any difference among therapies, the researchers measured pain and disability scores, generic health status,
and back-specific patient satisfaction at baseline and at 1-, 4-, 7-, and 10-month intervals.
The results were compelling. Patients in the second and third groups experienced significantly lower pain and disability
scores than the first group at the end of 1-month period.
Only the third group that was given spinal adjustments during the follow-up period showed more improvement in pain
and disability scores at the 10-month evaluation.
In the non-maintained spinal adjustment group, the mean pain and disability scores returned back near their
pretreatment level.
The conclusion is that spinal adjustive care is effective for the treatment of chronic nonspecific LBP. To obtain long-term
benefit, this study suggests maintenance adjustments after the initial intensive adjustment care plan.
Results showed what most Chiropractors see on a regular basis. Those who received on-going adjustments every two weeks achieved the highest level of function, comfort, mobility and quality of life. The group who received initial results with real adjustments, but had no on-going care slid back into their pre-treatment status. They not only failed to improve they had lost the improvements achieved in their first month of care. This is exactly why regular consistent on-going care is so beneficial. Chiropractic patients do not have to keep going once they start, but as they experience greater levels of health and function, regular adjustments become the most logical and beneficial choice.
Walk tall, smile lots!
Dr Tony - Your local Hawthorn Chiropractor