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dc.contributor.authorYardley, Simon
dc.date.accessioned2010-05-25T00:29:26Z
dc.date.available2010-05-25T00:29:26Z
dc.date.issued2009
dc.identifier.urihttps://hdl.handle.net/10652/1388
dc.description.abstractBackground: Chronic Non specific Low Back Pain (NSLBP) is a large economic burden to the healthcare systems of western industrialized countries. Although studies have demonstrated the efficacy of spinal manipulative therapy for NSLBP, few studies have adopted a pragmatic approach using a wide range of techniques that would typically be employed in a clinical setting. Design: A homogenous sample of twenty, predominantly Maori and Pacific Islands factory workers gave informed consent. The participants took part in a single cohort pre/post repeated measures intervention over nine weeks. Outcome Measures: Visual Analogue Scale (VAS), Quebec Back Pain Functional Disability Score (QBPDS), and short form 12 (SF12), completed at baseline, pre and post treatment, and one week follow up. Methods: Baseline subjective measures were recorded over five weeks. Three pragmatic-based osteopathic treatments, tailored to each participant, were administered once per week. Results: Intention to treat analysis of fifteen participants (67% male and 33% female, mean age 43.6 years), with a mean duration of chronic NSLBP of 6.6 years, showed a clinically relevant 20.1mm reduction in LBP intensity on VAS (95% CI = 8.5 to 18.1; p<0.0001). A 15.1 points fall in physical disability on QBPDS (95% CI = 6.29 to 16.1; p<0.001), and a 6 point increase in SF12 physical ability (95% CI = 45.3 to 52.5; p<0.004) were also clinically relevant. No substantial changes were found in mental health scores as measured by SF12 (p=0.323). Conclusion: Application of manual therapy techniques using a pragmatic osteopathic approach demonstrated a clinically relevant reduction in LBP intensity and physical disability in a population of Maori and Pacific Islands factory workers with chronic NSLBP.en_NZ
dc.language.isoenen_NZ
dc.rightsAll rights reserveden_NZ
dc.subjectchronic illnessesen_NZ
dc.subjectlow back painen_NZ
dc.subjectspinal manipulationen_NZ
dc.subjectosteopathic medicineen_NZ
dc.subjectmanual therapyen_NZ
dc.titleEffects of an osteopathic clinical based approach for the treatment of chronic non-specific low back pain in factory workers: A single cohort, pilot studyen_NZ
dc.typeMasters Thesisen_NZ
dc.rights.holderAuthoren_NZ
thesis.degree.nameMaster of Osteopathyen_NZ
thesis.degree.levelMastersen_NZ
thesis.degree.grantorUnitec Institute of Technologyen_NZ
dc.identifier.bibliographicCitationYardley, S. (2009). Effects of an osteopathic clinical based approach for the treatment of chronic non-specific low back pain in factory workers: A single cohort, pilot study. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, Auckland, New Zealand. Retrieved from https://hdl.handle.net/10652/1388en
unitec.pages132en_NZ
dc.contributor.affiliationUnitec Institute of Technologyen_NZ
unitec.publication.placeAuckland, New Zealanden_NZ
unitec.advisor.principalStewart, Andrew
unitec.advisor.associatedFordy, Graham
unitec.advisor.associatedMoran, Robert
unitec.institution.studyareaOsteopathy


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