Spinal Manipulation and Clinician-Supported Self-Management for Preventing Chronic Low Back Pain Impact: The PACBACK Randomized Clinical Trial
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The study aimed to determine the effectiveness of spinal manipulation and clinician-supported biopsychosocial self-management compared to standard medical care in preventing chronic impactful low back pain (LBP) in patients at elevated risk. Results indicated that clinician-supported self-management led to a statistically significant reduction in LBP impact scores and improved secondary outcomes compared to medical care, while spinal manipulation did not provide additional benefits. Overall, the findings suggest that clinician-supported self-management may be a more effective approach for managing acute or subacute LBP to prevent chronicity.
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