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Chiropractic combination treatments for back pain
Journal article   Peer reviewed

Chiropractic combination treatments for back pain

E. Ernst, B. Walker, S. French, W. Grant and S. Green
Focus on Alternative and Complementary Therapies, Vol.15(3), pp.249-250
2010
DOI: https://doi.org/10.1111/j.2042-7166.2010.01045_17.x
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Abstract

Aim To determine the effects of CCTs, e.g. manipulation with heat packs or massage, on back pain, disability and function. Data sources Five electronic databases were searched up to May 2009. Study selection RCTs comparing CCTs with no therapy or alternative interventions. Data extraction Two reviewers independently selected the RCTs, assessed bias and extracted data. Main results Twelve RCTs were included. Only three were rigorous. For acute/subacute back pain CCTs were better than alternative interventions for short and medium‐term pain but not for long‐term pain. For disability, the results were similar. Effect sizes were small and the risk of bias was considerable. Authors' conclusion ‘Combined chiropractic interventions slightly improved pain and disability in the short‐term and pain in the medium‐term for acute and subacute LBP. However, there is currently no evidence that supports or refutes that these interventions provide a clinically meaningful difference for pain or disability in people with LBP when compared to other interventions. Future research is very likely to change the estimate of effect and our confidence in the results.’

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