Clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain

Abstract

Objective To evaluate clinical efficacy of chiropractic combined with core muscle strength training in patients with chronic non-specific low back pain. Methods One hundred and twenty patients with chronic non-specific low back pain were randomly divided into chiropractic group （n = 40），combined group （n=39） and conventional group （n=41）. Patients in each group were treated with short wave and ultrasound. Chiropractic therapy was added in chiropractic group，and chiropractic combined with core muscle strength training was supplemented in combined group. The changes of numerical rating scale （NRS） score，Oswestry disability index （ODI），Roland-Morris Disability Questionnaire （RMDQ） of low back pain and temperature difference between two sides of spinous process before and after corresponding treatment were compared among three groups. Results After treatment，NRS score，ODI index，RMDQ evaluation of low back pain and temperature difference in combined group were improved up to 2.06±0.63，13.00±3.53 and 6.25±1.20，significantly better than 2.44±0.84，17.11±4.41 and 9.42±2.49 in chiropractic group，4.03±0.82，21.31±5.68 and 11.09±2.78 in conventional group，and the differences were statistically significant （all P<0.05）. Conclusion On the basis of routine treatment，chiropractic combined with core muscle strength training can mitigate relevant symptoms and improve the quality of life of patients with chronic non-specific low back pain，which can be further promoted and applied in clinical treatment.

Keywords

• chronic non-specific low back pain|chiropractic|core strength training|pain