The effect of various combinations of naprapathic manual therapy for patients with neck pain and/or back pain

Conditions

Non-specific neck and/or back pain Musculoskeletal Diseases Dorsalgia

Holm LW, Onell C, Carlseus M, Ekwurtzel R, Holmertz O, Bohman T, Skillgate E.

2021-10-081 citations

Do adverse events after manual therapy for back and/or neck pain have an impact on the chance to recover? A cohort study.

Tabell V, Tarkka IM, Holm LW, Skillgate E.

2019-06-124 citations

10.1186/s12998-019-0248-9

Three combinations of manual therapy techniques within naprapathy in the treatment of neck and/or back pain: a randomized controlled trial

Kari Paanalahti, Lena W. Holm, Margareta Nordin, Jonas Höijer, Jessica Lyander et al. (7 authors)

BMC Musculoskeletal Disorders2016-04-2314 citations

10.1186/s12891-016-1030-y

Adverse events after manual therapy among patients seeking care for neck and/or back pain: a randomized controlled trial.

Paanalahti K, Holm LW, Nordin M, Asker M, Lyander J, Skillgate E.

2014-03-1247 citations

10.1186/1471-2474-15-77

Interventions

The treatment arms being evaluated are: 1. Naprapathic manual therapy (which includes a combination of various massage techniques, stretching (both as a treatment technique and a home

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Patients 18-65 years of age who seek naprapathic therapy for a new episode of non-specific episode of neck and/or back pain with a duration of at least one week, at the student clinic at The Scandinavian College of Naprapathic Manual Medicine

Exclusion criteria

Exclusion criteria: 1. Pain level < 2 on a 10 point numerical rating scale 2. Pregnancy 3. Not fluent in the Swedish language 4. Contraindication for spinal manipulation according to SOSFS 1996:16 (The regulations and general recommendations from the Swedish National Board of Health and Welfare), such as pain caused by trauma. 5. Treatment by a naprapath, chiropractor, osteopath or a physiotherapist in the past month. 6. Specific diagnoses such as 6.1. Spondylitis 6.2. Ankylosing spondylitis (Morbus Bechterew's disease) 6.3. Disc herniation 6.4. Red flags not included in the SOSFS, above 7. Other primary pain diagnosis according to the judgment made by the therapist at the time of inclusion

Design outcomes

Primary

Measure	Time frame
1. Self rated pain and function with the use of Chronic Pain Questionnaire (CPQ) will be assessed at baseline, 7 weeks, 3, 6 and 12 months. 2. Prevalence, duration and intensity of adverse treatment reactions. This is measured with the use of a questionnaire including eight numerical rating scales (NRS 0-10) seven of which concern symptoms that has been reported in other studies after naprapathic treatment sessions or other manual therapy. The last question is ?other? in case of other symptoms experienced by the patient. Patients will answer this questionnaire when coming back to the clinic for a new treatment session.	—

Measure

Time frame

1. Self rated pain and function with the use of Chronic Pain Questionnaire (CPQ) will be assessed at baseline, 7 weeks, 3, 6 and 12 months. 2. Prevalence, duration and intensity of adverse treatment reactions. This is measured with the use of a questionnaire including eight numerical rating scales (NRS 0-10) seven of which concern symptoms that has been reported in other studies after naprapathic treatment sessions or other manual therapy. The last question is ?other? in case of other symptoms experienced by the patient. Patients will answer this questionnaire when coming back to the clinic for a new treatment session.

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Secondary

Measure	Time frame
1. Health related quality of life (Short-Form [SF-12]) 2. Perceived recovery (A 6-point Likert scale including ?Complete pain free and have no complaints from neck/back? to ?Is much worse?) Outcomes will be measured at baseline, 7 weeks, 3, 6 and 12 months.	—

Countries

Sweden

Outcome results

None listed