Quality of life in patients with mechanical lumbar pain treated with Osteopathic Manual Medicine
Keywords:
Low back pain, osteopathic medicine, quality of life.Abstract
Objectives: to evaluate the therapeutic response of patients with mechanical back pain treated with osteopathy, determining the
effects of this treatment on their quality of life.
Materials andmethods: we made an invitation to people over 18 years with back pain, available to meet the full treatment. We conducted a clinical evaluation of each patient to identify those with mechanical back pain. Each patientwas managed with five sessions of structural osteopathic medicine, applying to
them the Roland Morris and SF-36 questionnaires before and after treatment.
Results: twenty-six patients who had inclusion criteria, completed all five treatment sessions, and complete the test. The results of the Roland Morris test and all domains of the SF-36 test showed improvement after treatment.
Conclusion: osteopathic medicine is a useful alternative for the treatment of mechanical back pain, showing impact on quality of life of patients.
References
2. Carragee E., et al. Diagnostic evaluation of low back pain. Orthop ClinNAm2004; 35: 7 16.
3. Deyo R., et al. Low back pain. N Engl JMed 2001; 344:363-370.
4. Atlas S., et al. Evaluation and treatment of low back pain: an evidence-based approach to clinical care. Muscle Nerve 2003; 27: 265–284.
5. Ochoa G. Dolor Lumbar: Una re-evaluacion de los conceptos. MEDUNAB2001; 4: 87- 116.
6. Chou R., et al. Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147:478-491.
7. Kovacs F., Llobera J., Gil M., et al. Validation of the Spanish Version of the Roland-Morris Questionnaire.Spine 2002;27:538–542.
8. Lugo L., Garcia H., Gomez C. Confiabilidad del cuestionario de calidad de vida en salud SF-36 en Medellin, Colombia. Rev. Fac. Nac. Salud Publica 2006;24(2).
9. Vilaguta G., Ferrera M., Rajmilb L., et al. El Cuestionario de Salud SF-36 espanol: una decada de experiencia y nuevos desarrollos. Gac Sanit. 2005;19(2):135-50.
10. Bronfort G, et al. Efficacy of spinal manipulation and mobilization for lowback pain and neck pain: a systematic review and best evidence synthesis. Spine Journal 2004;4: 335–356.
11. Williams N, et al. Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care. Family Practice 2003; 20: 662–669.
12.Van TulderMet al. Conservative Treatment of Acute and Chronic Nonspecific Low Back Pain: A Systematic Review of Randomized Controlled Trials of the Most Common Interventions. Spine 1997;22(18): 2128- 2156.
13.Van tulder M. Low back pain. Best Prac and research clin rheum. 2002;16(5): 761-75.
14. Andersson G, et al. A comparison of osteopathic spinal manipulation with standard care for patients with low back pain.NEngl JMed 1999;341:1426-31.
15. Andersson GBJ, Svensson HO, Oden A. The intensity ofwork recovery in low back pain. Spine 1983;8:880-4.
16. Carey TS, Garrett J, Jackman A, et al. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. N Engl J Med 1995;333:913-7.
17.Koes BW, Bouter LM, Van der Heijden G. Methodological quality of randomized clinical trials on treatment efficacy in low back pain. Spine 1995;20:228-35.
18. Shekelle PG, Adams AH, Chassin MR, Hurwitz EL, Brook RH. Spinal manipulation for low-back pain. Ann Intern Med 1992;117:590-8.
19. Koes BW, Assendelft WJJ, Van der Heijden GJMG, Bouter LM, Knipschild PG. Spinal manipulation and mobilisation for back and neck pain: a blinded review. BMJ 1991;303:1298-303.
20. MacDonald RS, Bell CM. An open controlled assessment of osteopathic manipulation in nonspecific low-back pain. Spine 1990;15:364-70.
21. Bouter L., et al. Methodologic Issues in Low Back Pain Research in Primary Care. Spine 1998;23(18):2014-2020.
22. AssendelftWJJ, Morton SC, Yu Emily I, et al. Tratamiento de manipulacion espinal para el dolor lumbar (Cochrane Review). In: The Cochrane Library 2006; Issue 1.
