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2017-01-20 发布于北京
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Superv的ised exercise, spinal manipulation, and home exercise for chronic.doc

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CONSORT 清单评价RCT论文论文部分条目内容评价文题摘要 1a 文题能识别是随机临床试验 Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial 是 1b 结构式摘要，包括试验设计、方法、结果、结论几个部分 BACKGROUND CONTEXT: Several conservative therapies have been shown to be beneficial in the treatment of chronic low back pain (CLBP), including different forms of exercise and spinal manipulative therapy (SMT). The efficacy of less time-consuming and less costly self-care interven- tions, for example, home exercise, remains inconclusive in CLBP populations. PURPOSE: The purpose of this study was to assess the relative efficacy of supervised exercise, spinal manipulation, and home exercise for the treatment of CLBP. STUDY DESIGN/SETTING: An observer-blinded and mixed-method randomized clinical trial conducted in a university research clinic in Bloomington, MN, USA. PATIENT SAMPLE: Individuals, 18 to 65 years of age, who had a primary complaint of mechan- ical LBP of at least 6-week duration with or without radiating pain to the lower extremity were in- cluded in this trial. OUTCOME MEASURES: Patient-rated outcomes were pain, disability, general health status, med- ication use, global improvement, and satisfaction. Trunk muscle endurance and strength were assessed by blinded examiners, and qualitative interviews were performed at the end of the 12-week treatment phase. METHODS: This prospective randomized clinical trial examined the short- (12 weeks) and long- term (52 weeks) relative efficacy of high-dose, supervised low-tech trunk exercise, chiropractic SMT, and a short course of home exercise and self-care advice for the treatment of LBP of at least 6-week duration. The study was approved by local institutional review boards. RESULTS: A total of 301 individuals were included in this trial. For all three treatment groups, out- comes improved during the 12 weeks of treatment. Those who received supervised trunk exercise were most satisfied with care and experie