Patients who are unable to complete the web-based questionnaires because of language restrictions or those with computer literacy restrictions will be excluded as well as those with cognitive disorders. This is independent of whether they have seen another type of health care provider for the current episode. Inclusion/Exclusion criteria: Patients aged 55 and older who consult a chiropractor for a new episode of low back pain, meaning low back pain for the first time or those patients who have not been to a chiropractor in the previous six months. Treatment will be left to the discretion of the chiropractor. Chiropractic practices are to be recruited in the Netherlands, Sweden, United Kingdom and Australia. The primary objectives are to examine the clinical course over one year of pain intensity, healthcare costs and pain, functional status and recovery rates of low back pain in people 55 years and older who visit a chiropractor for a new episode of low back pain.Īn international prospective, multi-center cohort study with one-year follow-up. Improving our understanding of this patient population and the course of their low back pain may provide input for studies researching safer and more effective care than is currently provided. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Low back pain is a common condition among older adults that significantly influences physical function and participation. Research with appropriately designed trials to investigate the effectiveness and safety of manual therapy interventions in older persons with chronic LBP is required. The current evidence to make firm clinical recommendations is limited. The included studies provided moderate evidence supporting the use of manual therapy to reduce pain levels and alleviate disability.Ī limited number of studies have investigated the effectiveness and safety of manual therapy in the management of older people with chronic LBP. All trials were of good methodologic quality and had a low risk of bias. The search identified 405 articles, and 38 full-text articles were assessed. The PEDro scale was used for quality assessment of eligible studies. Effectiveness was determined by extracting and examining outcomes for pain and disability, with safety determined by the report of adverse events. Inclusion criteria included randomized controlled trials of manual therapy interventions on older persons who had chronic LBP. The aim of this study was to perform a systematic review of the literature of the effectiveness and safety of manual therapy interventions on pain and disability in older persons with chronic low back pain (LBP).Ī literature search of 4 electronic databases was performed (PubMed, EMBASE, OVID, and CINAHL).
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