UK Beam exercise and manipulation trial 2004

UNITED KINGDOM BACK PAIN -  EXERCISE AND MANIPULATION RANDOMISED TRIAL (UK BEAM) - 2004 
This trial in 2004 is one of the most important in recent years and looked at the physical effectiveness of treatments for back pain in the Primary Care setting.
The aims of the trial were to estimate the effect of adding exercise classes and spinal manipulation to “best care” delivered in a General Practice setting for patients with back pain.

This was a randomised trial set in 181 General Practices across the United Kingdom with 1,334 consulting their General Practices about low back pain.  Patients were questionnaired on the Roland Morris disability questionnaire at 3 and 12 months.

The Study found that :-
1. The Spinal manipulation package improved back function by a small to moderate margin at 3 months and by a small but still significant margin at 1 year irrespective of location and delivery.
2. The exercise programme improves back function by a small but significant margin at 3 months but not at 1 year.
3. Manipulation followed by exercise improves back function by a moderate margin at 3 months and by a smaller but still significant margin at 1 year.

The reference for this paper is BMJ2004; 329:1377 (11th December), DOI:10.1136/BMJ. 382.669225.AE (published 19th November 2004)


 


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