Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: design of a randomised controlled trial.

Background: The one year prevalence of thoracic back pain has been estimated as 17% compared to 64% for neck pain and 67% for low back pain. At present only one randomised controlled trial has been performed assessing the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. In addi...

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Publicado en:Chiropractic & Osteopathy Vol. 16; no. 12; pp. 8p - 9
Autores principales: Crothers A, Walker B, French SD
Formato: algorithm pictorial research tables/charts randomized controlled trial Journal Article
Publicado: BioMed Central 2008 Oct 30
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2008 Oct 30
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        atl: Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: design of a randomised controlled trial.
      aug:
        au:
          Crothers A
          Walker B
          French SD
        affil: School of Chiropractic and Sports Science, Murdoch University, 90 South Street, Murdoch, Western Australia, Australia; amy.crothers@westnet.com.au
      sug:
        subj:
          Back Pain Therapy
          Manipulation, Chiropractic
          Massage
          Thorax
          Clinical Assessment Tools
          Randomized Controlled Trials
          Comparative Studies
          Descriptive Statistics
          Effect Size
          Interviews
          Pain Measurement
          Placebos
          Treatment Outcomes
          Ultrasonic Therapy
          Visual Analog Scaling
          Western Australia
          Human
      ab: Background: The one year prevalence of thoracic back pain has been estimated as 17% compared to 64% for neck pain and 67% for low back pain. At present only one randomised controlled trial has been performed assessing the efficacy of spinal manipulative therapy (SMT) for thoracic spine pain. In addition no high quality trials have been performed to test the efficacy and effectiveness of Graston Technique® (GT), a soft tissue massage therapy using hand-held stainless steel instruments. The objective of this trial is to determine the efficacy of SMT and GT compared to a placebo for the treatment of non specific thoracic spine pain. Methods: Eighty four eligible people with non specific thoracic pain mid back pain of six weeks or more will be randomised to one of three groups, either SMT, GT, or a placebo (de-tuned ultrasound). Each group will receive up to 10 supervised treatment sessions at the Murdoch University Chiropractic student clinic over a 4-week period. Treatment outcomes will be measured at baseline, one week after their first treatment, upon completion of the 4-week intervention period and at three, six and twelve months post randomisation. Outcome measures will include the Oswestry Back Pain Disability Index and the Visual Analogue Scale (VAS). Intention to treat analysis will be utilised in the statistical analysis of any group treatment effects. Trial Registration: This trial was registered with the Australia and New Zealand Clinical Trials Registry on the 7th February 2008. Trial number: ACTRN12608000070336.
      pubtype: Academic Journal
      doctype:
        algorithm
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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