Short- or Long-Term Treatment of Spinal Disability in Older Adults With Manipulation and Exercise.

ABSTRACT:

Objective

Back and neck pain are associated with disability and loss of independence in older adults. Whether long-term management using commonly recommended treatments is superior to shorter-term treatment is unknown. This randomized clinical trial compared short-term treatment (12 weeks) versus long-term management (36 weeks) of back- and neck-related disability in older adults using spinal manipulative therapy (SMT) combined with supervised rehabilitative exercises (SRE).

Methods

Eligible participants were ages ≥65 years with back and neck disability for ≥12 weeks. Coprimary outcomes were changes in Oswestry Disability Index (ODI) and Neck Disability Index (NDI) scores after 36 weeks. An intent-to-treat approach used linear mixed-model analysis to detect between-group dif

SUBMITTER: Maiers M 

PROVIDER: S-EPMC6800817 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature