老年成年男性退伍军人慢性下背痛的捏脊治疗临床结果:质量保证数据的回顾性回顾

Brian A. Davis DC , Andrew S. Dunn DC, MS, MEd , Derek J. Golley DC, MS , Dave R. Chicoine DC, MS
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引用次数: 0

摘要

目的:本研究的目的是确定美国老年男性退伍军人样本在经过短期脊椎指压治疗后,是否在临床和统计上表现出慢性腰痛的显著改善。方法:我们对65至89岁的男性退伍军人进行了一项质量保证数据集的结果指标进行了回顾性审查,这些退伍军人患有慢性腰痛,定义为在评估前腰痛至少存在3个月。我们纳入了2010年1月1日至2018年12月31日期间接受脊椎指压治疗的患者。配对t检验用于比较4次治疗后数值评定量表(NRS)和背伯恩茅斯问卷(BBQ)的结果。最小临床重要差异(MCID)设定为与基线变化30%。结果共有217人符合纳入标准。平均NRS评分较基线变化为2.2分,减少34.1% (t = 13.5,P <措施)。BBQ的平均得分变化为14.7分,减少了35.9% (t = 16.7,P <措施)。在NRS中达到MCID的参与者比例为57% (n = 124),在BBQ中达到MCID的参与者比例为59% (n = 126),在NRS和BBQ中达到MCID的样本比例为41% (n = 90)。结论:本回顾性研究显示,采用整脊疗法治疗慢性腰痛的美国老年男性退伍军人NRS和BBQ评分在临床和统计学上均有显著改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data

Objective

The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.

Methods

We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. We included those who received chiropractic management from January 1, 2010, to December 31, 2018. Paired t tests were used to compare outcomes after 4 treatments on both a numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). The minimum clinically important difference (MCID) was set at 30% change from baseline.

Results

There were 217 individuals who met the inclusion criteria. The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction (t = 13.5, P < .001). The mean score change for BBQ was 14.7 points, representing a 35.9% reduction (t = 16.7, P < .001). The percentage of participants reaching the MCID for the NRS was 57% (n = 124) and for the BBQ was 59% (n = 126), with 41% (n = 90) of the sample reaching the MCID for both the NRS and BBQ.

Conclusion

This retrospective review revealed clinically and statistically significant improvement in NRS and BBQ scores for this sample of older male U.S. veterans treated with chiropractic management for chronic low back pain.

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