Real-World Massage Therapy Produces Meaningful Effectiveness Signal for Primary Care Patients with Chronic Low Back Pain: Results of a Repeated Measures Cohort Study
| Autor: | Niki Munk, Geza Bruckner, Kathryn E. Stewart, Margaret M. Love, William G. Elder, Kevin A. Pearce |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Alternative medicine Primary care Cohort Studies 03 medical and health sciences 0302 clinical medicine Quality of life Medicine Humans 030212 general & internal medicine Aged Pain Measurement Aged 80 and over Massage Primary Health Care business.industry Repeated measures design General Medicine Middle Aged INTEGRATIVE MEDICINE SECTION Oswestry Disability Index Chronic low back pain Anesthesiology and Pain Medicine Treatment Outcome Physical therapy Female Neurology (clinical) Chronic Pain business Low Back Pain 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Pain medicine (Malden, Mass.). 18(7) |
| ISSN: | 1526-4637 |
| Popis: | Objective While efficacy of massage and other nonpharmacological treatments for chronic low back pain is established, stakeholders have called for pragmatic studies of effectiveness in "real-world" primary health care. The Kentucky Pain Research and Outcomes Study evaluated massage impact on pain, disability, and health-related quality of life for primary care patients with chronic low back pain. We report effectiveness and feasibility results, and make comparisons with established minimal clinically important differences. Methods Primary care providers referred eligible patients for 10 massage sessions with community practicing licensed massage therapists. Oswestry Disability Index and SF-36v2 measures obtained at baseline and postintervention at 12 and 24 weeks were analyzed with mixed linear models and Tukey's tests. Additional analyses examined clinically significant improvement and predictive patient characteristics. Results Of 104 enrolled patients, 85 and 76 completed 12 and 24 weeks of data collection, respectively. Group means improved at 12 weeks for all outcomes and at 24 weeks for SF-36v2's Physical Component Summary and Bodily Pain Domain. Of those with clinically improved disability at 12 weeks, 75% were still clinically improved at 24 weeks ( P |
| Databáze: | OpenAIRE |
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