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Created with Fabric.js 1.4.5 "Do spinal motion change in particular ways in direct response to specific interventions, such as exercise or spinal manipulation?" Secondary analysis of a subset of participants from RCT. Spinal motion measures obtained before/after intervention.The lumbar region spinal motion data were analyzed as a total cohort and relative to treatment modality (high dose, supervised low-tech trunk exercise, SMT, and a short course of home exercise and self-care advice). Results For the cohort as a whole, lumbar region motion parameters were altered over the 12-week period, except for the jerk index parameter. The group receiving spinal manipulation changed significantly in all, and the exercise groups in half, the motion parameters included in the analysis. The spinal manipulation group changed to a smoother motion pattern (reduced jerk index), whereas the exercise groups did not. Study design/Method This study provides evidence that spinal motion changes can occur in chronic LBP patients over a 12-week period and that these changes are associated with the type of treatment. Compared to the exercise group, the spinal manipulation group with chronic LBP at 12/52 had changed significantly in all the motion parameters included in the analysis and a smoother motion pattern was observed. Infographic designed by @sportmednews Conclusion 199 with LBP for 6/52+ Aim Lumbar motion changes in chronic low back pain patients: a secondary analysis of data from a randomized clinical trial- The Spine Journal (2014) The Spine Journal: "Lumbar motion changes in chronic low back pain patients: a secondary analysis of data from a randomized clinical trialRune M. Mieritz, DC, PhDemail, Jan Hartvigsen, DC, PhD, et al.
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