naturopathic care for chronic low back pain a randomized trial自然疗法治疗慢性腰痛一个随机试验.pdfVIP

Naturopathic Care for Chronic Low Back Pain: A Randomized Trial 1 1 2 1 1 2 2 2 Orest Szczurko , Kieran Cooley , Jason W. Busse , Dugald Seely , Bob Bernhardt , Gordon H. Guyatt , Qi Zhou , Edward J. Mills * 1 Division of Clinical Epidemiology, Canadian College of Naturopathic Medicine, Toronto, Ontario, Canada, 2 Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada Objective. Chronic low back pain represents a substantial cost to employers through benefits coverage and days missed due to incapacity. We sought to explore the effectiveness of Naturopathic care on chronic low back pain. Methods. This study was a randomized clinical trial. We randomized 75 postal employees with low back pain of longer than six weeks duration to receive Naturopathic care (n = 39) or standardized physiotherapy (n = 36) over a period of 12 weeks. The study was conducted in clinics on-site in postal outlets. Participants in the Naturopathic care group received dietary counseling, deep breathing relaxation techniques and acupuncture. The control intervention received education and instruction on physiotherapy exercises using an approved education booklet. We measured low back pain using the Oswestry disability questionnaire as the primary outcome measure, and quality of life using the SF-36 in addition to low back range of motion, weight loss, and Body Mass Index as secondary outcomes. Results. Sixty-nine participants (92%) completed eight weeks or greater of the trial. Participants in the Naturopathic care group reported significantly lower back pain (26.89, 95% CI. 29.23 to 23.54, p = ,0.0001) as measured by the Oswestry questionnaire. Quality of life was also