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The effectiveness of chiropractic management of fibromyalgia (FM) patients: a pilot study

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By Blunt KL, Rajwani MH, Guerriero RC • www.ProHealth.com • July 20, 1997


OBJECTIVE: To demonstrate the effectiveness of chiropractic
management for fibromyalgia patients using reported pain
levels, cervical and lumbar ranges of motion, strength,
flexibility, tender points, myalgic score and perceived
functional ability as outcome measures.
DESIGN: A. Preliminary
randomized control crossover trial. B. Before and after
design.
PATIENTS: Twenty-one rheumatology patients (25-70 yr).
CHIROPRACTIC INTERVENTIONS: Treatment consisted of 4 wk of
spinal manipulation, soft tissue therapy and passive
stretching at the chiropractors' discretion. CONTROL
INTERVENTION: Chiropractic management withheld for 4 wk with
continuation of prescribed medication.
MAIN OUTCOME MEASURES:
Changes in scores on the Oswestry Pain Disability Index, Neck
Disability Index, Visual Analogue Scale, straight leg raise
and lumbar and cervical ranges of motion were observed.
RESULTS: Chiropractic management improved patients' cervical
and lumbar ranges of motion, straight leg raise and reported
pain levels. These changes were judged to be clinically
important within the confines of our sample only. CONCLUSIONS:
Further study with a sample size of 81 (for 80% power at alpha
< or = .05) is recommended to determine if these findings are
generalizable to the target population of fibromyalgia
suffers.




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