Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: design of a randomised controlled trial.

Amy Crothers, Bruce Walker, Simon D French
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引用次数: 40

Abstract

Background: The one year prevalence of thoracic back pain has been estimated as 17% compared to 64% for neck pain and 67% for low back pain. At present only one randomised controlled trial has been performed assessing the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. In addition no high quality trials have been performed to test the efficacy and effectiveness of Graston Technique (GT), a soft tissue massage therapy using hand-held stainless steel instruments. The objective of this trial is to determine the efficacy of SMT and GT compared to a placebo for the treatment of non specific thoracic spine pain.

Methods: Eighty four eligible people with non specific thoracic pain mid back pain of six weeks or more will be randomised to one of three groups, either SMT, GT, or a placebo (de-tuned ultrasound). Each group will receive up to 10 supervised treatment sessions at the Murdoch University Chiropractic student clinic over a 4-week period. Treatment outcomes will be measured at baseline, one week after their first treatment, upon completion of the 4-week intervention period and at three, six and twelve months post randomisation. Outcome measures will include the Oswestry Back Pain Disability Index and the Visual Analogue Scale (VAS). Intention to treat analysis will be utilised in the statistical analysis of any group treatment effects.

Trial registration: This trial was registered with the Australia and New Zealand Clinical Trials Registry on the 7th February 2008.

Trial number: ACTRN12608000070336.

Abstract Image

Abstract Image

脊柱推拿疗法与格拉斯顿技术治疗非特异性胸椎疼痛:一项随机对照试验设计
背景:胸背部疼痛的一年患病率估计为17%,而颈部疼痛为64%,腰背部疼痛为67%。目前,只有一项随机对照试验评估了脊柱推拿疗法(SMT)治疗胸椎疼痛的疗效。此外,没有进行高质量的试验来测试Graston技术(GT)的疗效和有效性,这是一种使用手持式不锈钢器械的软组织按摩疗法。本试验的目的是确定与安慰剂相比,SMT和GT治疗非特异性胸椎疼痛的疗效。方法:84名非特异性胸痛、中背痛持续6周或更长时间的符合条件的患者将被随机分为三组,分别是SMT、GT或安慰剂(去调谐超声)。每个小组将在莫道克大学脊椎指压学生诊所接受为期4周的10次有监督的治疗。治疗结果将在基线、第一次治疗后一周、4周干预期结束后以及随机化后3个月、6个月和12个月进行测量。结果测量将包括Oswestry背痛残疾指数和视觉模拟量表(VAS)。治疗意图分析将用于任何组治疗效果的统计分析。试验注册:该试验于2008年2月7日在澳大利亚和新西兰临床试验注册中心注册。试验号:ACTRN12608000070336。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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