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    Effects of an osteopathic clinical based approach for the treatment of chronic non-specific low back pain in factory workers: A single cohort, pilot study

    Yardley, Simon

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    Date
    2009
    Citation:
    Yardley, S. (2009). Effects of an osteopathic clinical based approach for the treatment of chronic non-specific low back pain in factory workers: A single cohort, pilot study. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, Auckland, New Zealand. Retrieved from https://hdl.handle.net/10652/1388
    Permanent link to Research Bank record:
    https://hdl.handle.net/10652/1388
    Abstract
    Background: Chronic Non specific Low Back Pain (NSLBP) is a large economic burden to the healthcare systems of western industrialized countries. Although studies have demonstrated the efficacy of spinal manipulative therapy for NSLBP, few studies have adopted a pragmatic approach using a wide range of techniques that would typically be employed in a clinical setting. Design: A homogenous sample of twenty, predominantly Maori and Pacific Islands factory workers gave informed consent. The participants took part in a single cohort pre/post repeated measures intervention over nine weeks. Outcome Measures: Visual Analogue Scale (VAS), Quebec Back Pain Functional Disability Score (QBPDS), and short form 12 (SF12), completed at baseline, pre and post treatment, and one week follow up. Methods: Baseline subjective measures were recorded over five weeks. Three pragmatic-based osteopathic treatments, tailored to each participant, were administered once per week. Results: Intention to treat analysis of fifteen participants (67% male and 33% female, mean age 43.6 years), with a mean duration of chronic NSLBP of 6.6 years, showed a clinically relevant 20.1mm reduction in LBP intensity on VAS (95% CI = 8.5 to 18.1; p<0.0001). A 15.1 points fall in physical disability on QBPDS (95% CI = 6.29 to 16.1; p<0.001), and a 6 point increase in SF12 physical ability (95% CI = 45.3 to 52.5; p<0.004) were also clinically relevant. No substantial changes were found in mental health scores as measured by SF12 (p=0.323). Conclusion: Application of manual therapy techniques using a pragmatic osteopathic approach demonstrated a clinically relevant reduction in LBP intensity and physical disability in a population of Maori and Pacific Islands factory workers with chronic NSLBP.
    Keywords:
    chronic illnesses, low back pain, spinal manipulation, osteopathic medicine, manual therapy
    Degree:
    Master of Osteopathy, Unitec Institute of Technology
    Supervisors:
    Stewart, Andrew; Fordy, Graham; Moran, Robert
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    Author

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    This digital work is protected by copyright. It may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use. These documents or images may be used for research or private study purposes. Whether they can be used for any other purpose depends upon the Copyright Notice above. You will recognise the author's and publishers rights and give due acknowledgement where appropriate.
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    • Osteopathy Dissertations and Theses [212]

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