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Titre : | Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial (2017) |
Auteurs : | Jerrilyn A. Cambron ; Jennifer M. Dexheimer ; Manuel Duarte |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/9, 2017) |
Article en page(s) : | p. 17521762 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Lombalgie ; Rééducation et réadaptation |
Mots-clés: | Chiropractic ; Chiropraxie ; Low back pain ; Orthotic devices ; Orthèses ; Shoes ; Chaussures |
Résumé : |
Objectives To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment. Design Randomized controlled trial. Setting Integrative medicine teaching clinic at a university. Participants Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample. Interventions Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus, and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care. Main Outcome Measures The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3, 6, and 12 months. Results After 6 weeks, all 3 groups demonstrated significant within-group improvement in average back pain, but only the shoe orthotic and plus groups had significant within-group improvement in function. When compared with the waitlist group, the shoe orthotic group demonstrated significantly greater improvements in pain (P<.0001 and function the addition of chiropractic to orthotics treatment demonstrated significantly greater improvements in when compared with alone but no significant difference pain group differences at weeks later were not significant.> Conclusions Six weeks of prescription shoe orthotics significantly improved back pain and dysfunction compared with no treatment. The addition of chiropractic care led to higher improvements in function. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317302629 |