2015年8月14日金曜日

Integrated medical approach to low back pain

Professional journal of the month of Complementary and Alternative Medicine, clinical studies showed the effectiveness of integrative medicine approach to low back pain, it has been reported from a group of Eisenberg et al., US Harvard University. (J Altern Complement Med 2012 Apr; 18 (4):. 354-62) In previous research, it has validity to the low back pain due to a separate CAM (complementary and alternative therapy) has been suggested, but verification by integrative medicine model was not enough. Therefore, in this study, with respect to sub-acute low back pain, effectiveness and feasibility of an integrated medical approach that combines CAM therapy has been studied. Specifically, targeting low back pain 20 patients with 3-12 weeks of disease duration, the group usually was carried out treatment only When The group was carried out usual care + integrated medical approach Is divided into two groups with 12 weeks of intervention trials have been made. It should be noted that in the integrative medicine approach, is implemented team medical constituted by the health care workers who received training, Physician, chiropractor, acupuncturist, masseur, nurse practitioners, nutritionists, physical therapists, and occupational therapists have participated. (↓ is setting like.) As an outcome, pain, functional evaluation (Roland-Morris score), was is used such as the SF-12. The results of 12 weeks of intervention, Compared to usual care alone group, In the group was integrated medical approach, bothersomeness (p = 0.02) and a significant reduction in pain (p = 0.005) (improvement), Significant improvement in functional status (p = 0.08) is that was observed. For improvement rate Compared to usual care alone group, In an integrated medical approach enforcement group, it has been shown to significantly greater improvement. (Function; p = 0.02, bothersomeness; p = 0.002, pain score; p = 0.001) Also, in various indicators of the secondary outcomes, we found significant improvement in integrative medicine practitioner group. In addition, the difference in these two groups, had been continued even at the time of 26 weeks, a significant difference was not maintained. From the above data, Against low back pain, integrative medicine approach in foreign There are feasibility, Compared with the normal treatment it is likely to exhibit excellent efficacy.

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