Spinal manipulation and clinician-supported self-management for preventing chronic low back pain impact: the PACBACK randomized clinical trial

Key Points

1. In patients with acute or subacute low back pain at increased risk of chronicity, clinician-supported biopsychosocial self-management produced a small but statistically significant reduction in low back pain impact at one year compared to guideline-based medical care.

All key points available for members only

Start free trial

Or log in here

BACKGROUND & OBJECTIVE

About 20% of people with acute low back pain (LBP) develop persistent pain, this risk depends on biological, psychological, and social risk factors.

Most guideline-recommended treatments for acute low back pain address only some of these risk factors. There has been little research on treatments intended to prevent the transition from acute to chronic low back pain, especially in people at elevated risk.

This study compared spinal manipulation therapy, clinician-supported biopsychosocial self-management, and their combination against guideline-based medical care for preventing chronic low back pain at one year.

About 20% of people with acute low back pain develop persistent pain, this risk depends on biological, psychological, and social risk factors.

The study supports clinicians offering psychosocial and self-management interventions to patients with acute low back pain who are at increased risk of chronicity.

METHODS

• 1000 adults with non-specific LBP of two to 12 weeks duration were included in the study. They had pain intensity of at least three out of 10, and medium or high risk of chronicity according to the STarT Back Screening

Start free trial

to unlock full access to this review and 1301 more

Or log in here