Cost-effectiveness of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain: A prospective randomized trial with 2-year follow-up

Spine

Volumn 30, Issue 10, 2005, Pages 1109-1115

  Niemistö, Leena ^a,d   Rissanen, Pekka ^b   Sarna, Seppo ^c   Lahtinen Suopanki, Tiina ^a   Lindgren, Karl August ^a   Hurri, Heikki ^a  

^a ORTON ORTHOPAEDIC HOSPITAL   (Finland)

^b UNIVERSITY OF TAMPERE   (Finland)

^c UNIVERSITY OF HELSINKI   (Finland)

^d Dextra Medical Center   (Finland)

Author keywords

Cost effectiveness; Low back pain; Randomized controlled trial; Spinal manipulation

Indexed keywords

ABSENTEEISM; ADULT; ANALYSIS OF VARIANCE; CHRONIC DISEASE; CLINICAL TRIAL; COMPARATIVE STUDY; CONFERENCE PAPER; CONSULTATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST EFFECTIVENESS ANALYSIS; DISABILITY; FOLLOW UP; HEALTH CARE COST; HUMAN; KINESIOTHERAPY; LONG TERM CARE; LOW BACK PAIN; MAJOR CLINICAL STUDY; MANIPULATIVE MEDICINE; OSWESTRY DISABILITY INDEX; OUTCOMES RESEARCH; PAIN; PATIENT INFORMATION; PATIENT SATISFACTION; PHYSICAL EXAMINATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; QUALITY OF LIFE; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; SELF CONCEPT; STATISTICAL SIGNIFICANCE; VISUAL ANALOG SCALE;

ADULT; CHRONIC DISEASE; COMBINED MODALITY THERAPY; COST-BENEFIT ANALYSIS; DISABILITY EVALUATION; EXERCISE THERAPY; FEMALE; HUMANS; LOW BACK PAIN; MALE; MIDDLE AGED; MUSCULOSKELETAL MANIPULATIONS; PAIN MEASUREMENT; PATIENT EDUCATION; PROSPECTIVE STUDIES; QUALITY OF LIFE; QUESTIONNAIRES; REFERRAL AND CONSULTATION; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 18844418522     PISSN: 03622436     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.brs.0000162569.00685.7b     Document Type: Conference Paper

References (26)

1. Deyo RA, Andersson G, Bombardier C, et al. Outcome measures for studying patients with low back pain. Spine 1994;19:2032S-6S.
2. Nachemson A. Introduction to treatment of neck and back pain. In: Nachemson A, Jonsson E, eds. Neck and Back Pain. The Scientific Evidence of Causes, Diagnosis, and Treatment. Philadelphia, PA: Lippincott Williams & Wilkins; 2000:237-9.
3. Koes BW, Bouter LM, van Mameren H, et al. Randomised clinical trial of manipulative therapy and physiotherapy for persistent back and neck complaints: Results of one year follow up. BMJ 1992;304:601-5.
4. Burton AK, Tillotson KM, Cleary J. Single-blind randomised controlled trial of chemonucleolysis and manipulation in the treatment of symptomatic lumbar disc herniation. Eur Spine J 2000;9:202-7.
5. Gherkin DC, Deyo RA, Battie M, et al. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. N Engl J Med 1998;339:1021-9.
6. Meade TW, Dyer S, Browne W, et al. Randomised comparison of chiropractic and hospital outpatient management for low back pain: Results from extended follow up. BMJ 1995;311:349-51.
7. Skargren EI, Carlsson PG, Oberg BE. One-year follow-up comparison of the cost and effectiveness of chiropractic and physiotherapy as primary management for back pain. Subgroup analysis, recurrence, and additional health care utilization. Spine 1998;23:1875-83.
8. Hemmila HM, Keinanen-Kiukaanniemi SM, Levoska S, et al. Long-term effectiveness of bone-setting, light exercise therapy, and physiotherapy for prolonged back pain: A randomized controlled trial. J Manipulative Physiol Ther 2002;25:99-104.
9. Hemmila HM. Quality of life and cost of care of back pain patients in Finnish general practice. Spine 2002;27:647-53.
10. Niemistö L, Lahtinen-Suopanki T, Rissanen P, et al. A randomized trial of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain. Spine 2003;28:2185-91.
11. Arinen S, Häkkinen U, Klaukka T, et al. Health and the Use of Health Services in Finland. Main Findings of the Finnish Health Care Survey 1995/96, and Changes From 1987. Official Statistics of Finland, Health Care. Vol. 5, 1998.
12. Heikkinen K, Hujanen T, Rusanen H. [Unit expenses of the healthcare system in Finland in the year of 2000]. Stakes. Aiheita. Vol. 22. Helsinki: Stakes, 2001.
13. Fischgrund JS, Mackay M, Herkowitz HN, et al. Degenerative lumbar spondylolisthesis with spinal stenosis: A prospective, randomized study comparing decompressive laminectomy and arthrodesis with and without spinal instrumentation. Spine 1997;22:2807-12.
14. Liang M. Longitudinal construct validity: Establishment of clinical meaning in patient evaluative instruments. Med Care 2000;38:II84-90.
15. Farrar JT, Young JPJ, LaMoreaux L, et al. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain 2001;94:149-58.
16. Suarez-Almazor ME, Kendall C, Johnson JA, et al. Use of health status measures in patients with low back pain in clinical settings. Comparison of specific, generic and preference-based instruments. Rheumatology (Oxford) 2000;39:783-90.
17. Taylor SJ, Taylor AE, Foy MA, et al. Responsiveness of common outcome measures for patients with low back pain. Spine 1999;24:1805-12.
18. Karjalainen K, Malmivaara A, Pohjolainen T, et al. Mini-intervention for subacute low back pain: A randomized controlled trial. Spine 2003;28:533-40.
19. Burdorf A, Post W, Bruggeling T. Reliability of a questionnaire on sickness absence with specific attention to absence due to back pain and respiratory complaints. Occup Environ Med 1996;53:58-62.
20. Aalto A-M, Klaukka T, Rissanen P, et al. [Asthma in the Finnish population of working age]. Studies in social security and health. Vol. 43. Helsinki: Social Insurance Institute, Finland, 1999.
21. Bronfort G, Evans R, Nelson B, et al. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 2001;26: 788-97.
22. Hertzman-Miller RP, Morgenstern H, Hurwitz EL, et al. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: Results from the UCLA low-back pain study. Am J Public Health 2002;92:1628-33.
23. O'Sullivan PB, Phyty GD, Twomey LT, et al. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 1997;22:2959-67.
24. Indahl A, Haldorsen EH, Holm S, et al. Five-year follow-up study of a controlled clinical trial using light mobilization and an informative approach to low back pain. Spine 1998;23:2625-30.
25. Hagen EM, Eriksen HR, Ursin H. Does early intervention with a light mobilization program reduce long-term sick leave for low back pain? Spine 2000;25:1973-6.
26. Niemistö L, Sarna S, Lahtinen-Suopanki T, et al. Predictive factors for 1-year outcome of chronic low back pain following manipulation, stabilizing exercises, and physician consultation or physician consultation alone. J Rehabil Med 2004;36:104-9.