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Naprapathic manual therapy or evidence-based care for back and neck pain: a randomized, controlled trial
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine. (Eva Vingård)
2007 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 23, no 5, 431-439 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To compare naprapathic manual therapy with evidence-based care for back or neck pain regarding pain, disability, and perceived recovery. Naprapathy that is common in the Nordic countries and in some states in the United States is characterized by manual manipulations with a focus on soft and connective tissues, aiming to decrease pain and disability in the musculoskeletal system. Methods: Four hundred and nine patients with pain and disability in the back or neck lasting for at least 2 weeks, recruited at 2 large public companies in Sweden in 2005, were included in this randomized controlled trial. The 2 interventions were naprapathy, including spinal manipulation/mobilization, massage, and stretching (Index Group) and support and advice to stay active and how to cope with pain, according to the best scientific evidence available, provided by a physician (Control Group). Pain, disability, and perceived recovery were measured by questionnaires at baseline and after 3, 7, and 12 weeks. Results: At 7-week and 12-week follow-ups, statistically significant differences between the groups were found in all outcomes favoring the Index Group. At 12-week follow-up, a higher proportion in the naprapathy group had improved regarding pain [risk difference (RD) = 27%, 95% confidence interval (Cl): 17-37], disability (RD = 18%, 95% Cl: 7-28), and perceived recovery (RD = 44%, 95% Cl: 35-53). Separate analysis of neck pain and back pain patients showed similar results. Discussion: This trial suggests that combined manual therapy, like naprapathy, might be an alternative to consider for back and neck pain patients.

Place, publisher, year, edition, pages
2007. Vol. 23, no 5, 431-439 p.
Keyword [en]
Back pain, Complementary therapies, Evidence-based care, Manual therapy, Neck pain
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-11673DOI: 10.1097/AJP.0b013e31805593d8ISI: 000246881800007PubMedID: 17515742OAI: oai:DiVA.org:uu-11673DiVA: diva2:39442
Available from: 2007-10-11 Created: 2007-10-11 Last updated: 2011-01-28Bibliographically approved

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