Group and Individual-level Change on Health-related Quality of Life in Chiropractic Patients With Chronic Low Back or Neck Pain

• Published in: Spine (Philadelphia, Pa. 1976) Pa. 1976), 2019-05, Vol.44 (9), p.647-651
• Main Authors: Hays, Ron D., Spritzer, Karen L., Sherbourne, Cathy D., Ryan, Gery W., Coulter, Ian D.
• Format: Article
• Language: English
• Subjects: Chronic Pain - therapy; Female; Humans; Low Back Pain - therapy; Male; Manipulation, Chiropractic; Middle Aged; Neck Pain - therapy; Prospective Studies; Quality of Life
• ISSN: 0362-2436; 1528-1159
• DOI: 10.1097/BRS.0000000000002902

STUDY DESIGN.A prospective observational study. OBJECTIVE.The aim of this study was to evaluate group-level and individual-level change in health-related quality of life among persons with chronic low back pain or neck pain receiving chiropractic care in the United States. SUMMARY OF BACKGROUND DATA.Chiropractors treat chronic low back and neck pain, but there is limited evidence of the effectiveness of their treatment METHODS.A 3-month longitudinal study of 2024 patients with chronic low back pain or neck pain receiving care from 125 chiropractic clinics at six locations throughout the United States was conducted. Ninety-one percent of the sample completed the baseline and 3-month follow-up survey (n = 1835). Average age was 49, 74% females, and most of the sample had a college degree, were non-Hispanic White, worked full-time, and had an annual income of $60,000 or more. Group-level (within-group t tests) and individual-level (coefficient of repeatability) changes on the Patient-Reported Outcomes Measurement Information System (PROMIS-29) v2.0 profile measure was evaluatedsix multi-item scales (physical functioning, pain, fatigue, sleep disturbance, social health, emotional distress) and physical and mental health summary scores. RESULTS.Within-group t tests indicated significant group-level change (P