Naprapathic manual therapy: an option for back and neck pain .
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(8):22 BMC Musculoskelet Disord. 2010 Feb 5;11:26409 patients with non-specific pain/disability in the back and/or neck were randomized to be managed with either naprapthic manual therapy or by evidence based advice only. In the long term (56 weeks), naprapathic manual therapy produced greater improvement in pain and disability compared to advice from a physician on staying active and coping with pain.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Oui = 1
Incertain = 0,5
Non pertinent = 0
Non = 0
L'évaluation des critères de rapport permet d'évaluer la transparence avec laquelle les auteurs rapportent les caractéristiques méthodologiques et les caractéristiques de l'essai dans la publication. L'évaluation est divisée en cinq catégories qui sont présentées ci-dessous.
4/4
Randomization
3/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
4/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
L'indice de fragilité est un outil qui aide à l'interprétation des résultats significatifs, en fournissant une mesure de la force d'un résultat. L'indice de fragilité représente le nombre d'événements consécutifs qui doivent être ajoutés à un résultat dichotomique pour que le résultat ne soit plus significatif. Un petit nombre représente un résultat plus faible et un grand nombre un résultat plus fort.
Pourquoi cette étude était-elle nécessaire maintenant ?
Back and neck pain are common clinical problems, yet the evidence of effectiveness of treatments in the long-term is sparse. Previously, naprapathic manual therapy has been shown to be effective in the short term. This study aimed to observe the long-term effectiveness of naprapathic manual therapy for back and neck pain.
Quelle était la principale question de recherche ?
Is naprapathic manual therapy better than an evidence-based advice for management of pain intensity, disability and health status, in patients with non-specific pain/disability in the back and/or neck?
- More participants in the naprapathic manual therapy group achieved a clinically-important improvement in pain intensity and disability at 26 and 52 weeks follow-up.
- The naprapathy group did better in terms of improvement in pain (p=0.002), disability on CPQ score (p=0.005), and disability on WDQ score (p<0.001) at one year follow-up.
- Health-related quality of life questionnaire showed a better result in the naprapathic manual therapy group at both 26 and 52 weeks follow-up, in terms of bodily pain and social function. In other aspects, however, there was no statistical difference between the groups.
De quoi dois-je me souvenir en priorité ?
For patients with non-specific back and/or neck pain, naprapathic manual therapy produced a greater improvement in pain and disability, compared to an evidence-based advice provided by a physician in the form of staying active and on how to cope with pain. Since naprapathy has previously been shown to be effective in the short term, naprapathy can now be considered to be effective in both the short and long term.
Comment cela affectera-t-il les soins prodigués à mes patients ?
Naprapathic manual therapy, having demonstrable efficacy in improving pain and disability in patients with nonspecific back or neck pain, is an effective alternative for consideration when deciding upon the best option in a mix of manual therapies in primary care for these patients.
AVIS DE NON-RESPONSABILITÉ
Le contenu de cette page est fourni à titre d'information uniquement et n'est pas destiné à remplacer un avis médical, un diagnostic ou un traitement professionnel. Si vous avez besoin d'un traitement médical, demandez toujours l'avis de votre médecin ou rendez-vous au service des urgences le plus proche. Les opinions, croyances et points de vue exprimés par les individus sur le contenu de cette page ne reflètent pas les opinions, croyances et points de vue d'OrthoEvidence.
0 de 4 articles mensuels GRATUITS débloqués
