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The effect of osteopathy in the treatment of chronic low back pain – a feasibility study
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Kirk, L., Underwood, Martin, Chappell, L., Martins-Mendez, M. and Thomas, P. (2005) The effect of osteopathy in the treatment of chronic low back pain – a feasibility study. International Journal of Osteopathic Medicine, 8 (1). pp. 5-11. doi:10.1016/j.ijosm.2004.08.001 ISSN 1746-0689.
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Official URL: http://dx.doi.org/10.1016/j.ijosm.2004.08.001
Abstract
Introduction
Osteopaths commonly treat back pain. Evidence of effectiveness is limited. We describe a feasibility study for a pragmatic randomised controlled trial of an osteopathic approach for treating patients with chronic low back pain.
Method
We recruited participants with chronic low back pain from one general practice. Those randomised to treatment received up to eight treatments, the control participants received usual care from their general practice. The primary outcome measure was the Roland Morris Disability Questionnaire. Follow up was by postal questionnaire 3 and 6 months after randomisation.
Results
We approached 15 patients; of which nine were recruited to the study. We recruited two participants for each 1000 registered patients at our pilot practice. Participant feedback from those randomised to treatment was positive; all of them reported some benefit from the treatment. Follow up rates were poor (30% at 3 months).
Discussion
Despite some practical difficulties administering the study at a general practice level, we have shown that recruitment adequate to achieve good statistical power for such a trial is feasible. We estimate that 1.7 participants with appropriate inclusion criteria per 1000 registered patients from each general practice could be recruited into the trial. Thus, recruiting from 20–30 general practices should provide 200 recruits for a randomised controlled trial. The intervention was reported as being of benefit.
Conclusion
A randomised controlled trial comparing an osteopathic approach to the management of chronic simple back pain to usual general practice care is feasible with the collaboration of two Primary Care Trusts.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > R Medicine (General) | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | International Journal of Osteopathic Medicine | ||||
Publisher: | Elsevier Ltd | ||||
ISSN: | 1746-0689 | ||||
Official Date: | 1 March 2005 | ||||
Dates: |
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Volume: | 8 | ||||
Number: | 1 | ||||
Page Range: | pp. 5-11 | ||||
DOI: | 10.1016/j.ijosm.2004.08.001 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Date of first compliant deposit: | 19 July 2018 |
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