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Well-being outcomes of chiropractic intervention for lower back pain: a systematic review.

journal contribution
posted on 12.09.2018, 00:00 by Lynne ParkinsonLynne Parkinson, D Sibbritt, P Bolton, J van Rotterdam, I Villadsen
The usefulness of chiropractic for treatment of low back pain is a contentious issue. Chiropractors advocate holism and general well-being as a key principle on which they base their clinical practice, yet the quality of life, lifestyle, health and economic impacts of chiropractic intervention for back pain in adults have rarely been investigated. This article provides an overview of chiropractic principles and practices, together with the results of a systematic review of peer-reviewed publications between 2000 and 2010 retrieved from MEDLINE, CINAHL, EMBASE, AMED and Cochrane Database of Systematic Reviews. This review sought to determine the benefits of chiropractic treatment and care to well-being, and to what extent chiropractic treatment and care improve quality of life. Of 1,165 articles, 12 articles were retained, representing six studies (four randomised controlled trial, two observational) of varying quality. There was a high degree of inconsistency and lack of standardisation in measurement instruments and outcome measures. Three studies reported reduced use of other/extra treatments as a positive outcome; two studies reported a positive effect of chiropractic intervention on pain, and two studies reported a positive effect on disability. The six studies reviewed concentrated on the impact of chiropractic care on physical health and disability, rather than the wider holistic view which was the focus of this study. It is difficult, therefore, to defend any conclusion about the impact of chiropractic intervention on the quality of life, lifestyle, health and economic impact on chiropractic patients presenting with back pain.

History

Volume

32

Issue

2

Start Page

167

End Page

180

Number of Pages

14

eISSN

1434-9949

ISSN

0770-3198

Location

Germany

Publisher

Springer Verlag

Language

eng

Peer Reviewed

Yes

Open Access

No

Acceptance Date

26/10/2012

External Author Affiliations

University of Technology Sydney; University of Newcastle; Nineways Chiropractic Clinic

Era Eligible

Yes

Journal

Clinical Rheumatology