A Randomized, Single-Blind, Placebo-Controlled Study on the Efficacy of the Arthrokinematic Approach-Hakata Method in Patients with Chronic Nonspecific Low Back Pain

Cized, single-blind, controlled trial. To investigate the efficacy of the Arthrokinematic approach (AKA)-Hakata (H) method for chronic low back pain. The AKA-H method is used to manually treat abnormalities of intra-articular movement. One hundred eighty-six patients with chronic nonspecific low bac...

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Bibliographic Details
Published in:PloS one 2015-12, Vol.10 (12), p.e0144325-e0144325
Main Authors: Kogure, Akira, Kotani, Kazuhiko, Katada, Shigehiko, Takagi, Hiroshi, Kamikozuru, Masahiro, Isaji, Takashi, Hakata, Setsuo
Format: Article
Language:English
Subjects:
Abnormalities
Back pain
Care and treatment
Chiropractic medicine
Clinical outcomes
Clinical trials
Health aspects
Humans
Low back pain
Low Back Pain - therapy
Medical diagnosis
Medical research
Mental health
Orthopedics
Pain
Patients
Physical therapy
Placebos
Quality of life
Rehabilitation
Single-Blind Method
Social factors
Spinal manipulation
Systematic review
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Summary:Cized, single-blind, controlled trial. To investigate the efficacy of the Arthrokinematic approach (AKA)-Hakata (H) method for chronic low back pain. The AKA-H method is used to manually treat abnormalities of intra-articular movement. One hundred eighty-six patients with chronic nonspecific low back pain randomly received either the AKA-H method (AKA-H group) or the sham technique (S group) monthly for 6 months. Data were collected at baseline and once a month. Outcome measures were pain intensity (visual analogue scale [VAS]) and quality of life (the Roland-Morris Disability Questionnaire [RDQ] and Short Form SF-36 questionnaire [SF-36]). At baseline, the VAS, RDQ, and SF-36 scores showed similar levels between the groups. After 6 months, the AKA-H group had more improvement in the VAS (42.8% improvement) and RDQ score (31.1% improvement) than the sham group (VAS: 10.4% improvement; RDQ: 9.8% improvement; both, P < 0.001). The respective scores for the SF-36 subscales (physical functioning, role physical, bodily pain, social functioning, general health perception, role emotional, and mental health) were also significantly more improved in the AKA-H group than in the sham group (all, P < 0.001). The scores for the physical, psychological, and social aspects of the SF-36 subscales showed similar improvement in the AKA-H group. The AKA-H method can be effective in managing chronic low back pain. UMIN Clinical Trials Registry (UMIN-CTR) UMIN000006250.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0144325