SUMMARY
Low back pain (LBP) can interfere with an individual’s ability to work, have a meaningful and active social life, and negatively affects overall quality of life. In recent years, new approaches have been considered as alternative treatments for LBP. Spinal manipulative therapy (SMT) is one of these new approaches to acute LBP treatment. Still, recent studies have found contradicting results in terms of the effectiveness of such alternative therapies. This study aimed to compare the effect of SMT in combination with standard physical therapy (SPT) versus SPT alone to treat chronic LBP. A randomized, controlled, parallel group trial was undertaken. A total of 66 subjects were enrolled in the study. The intervention consisted of adding two consecutive SMT two days apart followed by SPT for a total period of one month. The main outcome measure was perceived level of pain intensity. Results showed that both interventions were moderately effective in managing pain and disability in patients with chronic LBP, but that the addition of a SMT seemed to add minimal supplemental benefit to standard treatment.
KEY WORDS: LBP, manipulative, physical therapy, exercise
SAŽETAK
Bol u donjem dio leda (BDDL) može ometati na sposobnost pojedinca za rad, da ima smislen i aktivan društveni život, i negativno utječe na ukupnu kvalitetu života. U posljednjih nekoliko godina, novi pristupi promatraju se kao alternativni tretmani za BDDL. Spinalna manipulativna terapija (SMT) je jedan od tih novih pristupa u akutno liječenje BDDL. Ipak, nedavna studija pokazala kontradiktorne rezultate u smislu učinkovitosti takvih alternativnih terapija. U ovoj studiji cilj je usporediti utjecaj SMT u kombinaciji sa standardne fizioterapije (SFT) u usporedbi samo sa SFT za liječenje kronične BDDL. Uradili smo randomiziranu, kontrolirana usporedba, dvije paralelnih grupa. Ukupno 66 ispitanika su bili upisani u studiju. Intervencije se sastojala od dva uzastopna SMT odvojena dva dana po koje je slijedila SFT za ukupno razdoblje od mjesec dana. Glavni metod mjerenja je bila razina intenziteta boli. Rezultati su pokazali da obje intervencije su umjereno učinkovit u upravljanju boli i invalidnosti u bolesnika s kroničnom BDDL, ali dodatkom na SMT se činilo da daje minimalnu prednost na standardno liječenje.
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