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2014 ; 3
(5
): 49-64
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gab.com Text
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Integrative therapies for low back pain that include complementary and
alternative medicine care: a systematic review
#MMPMID25568825
Kizhakkeveettil A
; Rose K
; Kadar GE
Glob Adv Health Med
2014[Sep]; 3
(5
): 49-64
PMID25568825
show ga
STUDY DESIGN: Systematic review of the literature. OBJECTIVE: To evaluate whether
an integrated approach that includes different Complementary and Alternative
Medicine (CAM) therapies combined or CAM therapies combined with conventional
medical care is more effective for the management of low back pain (LBP) than
single modalities alone. SUMMARY OF BACKGROUND DATA: LBP is one of the leading
causes of disability worldwide, yet its optimal management is still unresolved.
METHODS: The PRISMA Statement guidelines were followed. The Cochrane Back Review
Group scale was used to rate the quality of the studies found. RESULTS:
Twenty-one studies were found that met the inclusion criteria. The CAM modalities
used in the studies included spinal manipulative therapy, acupuncture, exercise
therapy, physiotherapy, massage therapy, and a topical ointment. Twenty studies
included acupuncture and/or spinal manipulative therapy. Nine high quality
studies showed that integrative care was clinically effective for the management
of LBP. Spinal manipulative therapy combined with exercise therapy and
acupuncture combined with conventional medical care or with exercise therapy
appears to be promising approaches to the management of chronic cases of LBP.
CONCLUSIONS: There is support in the literature for integrated CAM and
conventional medical therapy for the management of chronic LBP. Further research
into the integrated management of LBP is clearly needed to provide better
guidance for patients and clinicians.