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Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis

BACKGROUND: Anthroposophic treatment for chronic low back pain (LBP) includes special artistic and physical therapies and special medications. In a previously published prospective cohort study, anthroposophic treatment for chronic LBP was associated with improvements of pain, back function, and qua...

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Autores principales: Hamre, Harald J, Witt, Claudia M, Kienle, Gunver S, Glockmann, Anja, Ziegler, Renatus, Willich, Stefan N, Kiene, Helmut
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004618/
https://www.ncbi.nlm.nih.gov/pubmed/21197296
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author Hamre, Harald J
Witt, Claudia M
Kienle, Gunver S
Glockmann, Anja
Ziegler, Renatus
Willich, Stefan N
Kiene, Helmut
author_facet Hamre, Harald J
Witt, Claudia M
Kienle, Gunver S
Glockmann, Anja
Ziegler, Renatus
Willich, Stefan N
Kiene, Helmut
author_sort Hamre, Harald J
collection PubMed
description BACKGROUND: Anthroposophic treatment for chronic low back pain (LBP) includes special artistic and physical therapies and special medications. In a previously published prospective cohort study, anthroposophic treatment for chronic LBP was associated with improvements of pain, back function, and quality of life at 12-month follow-up. These improvements were at least comparable to improvements in a control group receiving conventional care. We conducted a two-year follow-up analysis of the anthroposophic therapy group with a larger sample size. METHODS: Seventy-five consecutive adult outpatients in Germany, starting anthroposophic treatment for discogenic or non-specific LBP of ≥6 weeks’ duration participated in a prospective cohort study. Main outcomes were Hanover Functional Ability Questionnaire (HFAQ; 0–100), LBP Rating Scale Pain Score (LBPRS; 0–100), Symptom Score (0–10), and SF-36 after 24 months. RESULTS: Eighty-five percent of patients were women. Mean age was 49.0 years. From baseline to 24-month follow-up all outcomes improved significantly; average improvements were: HFAQ 11.1 points (95% confidence interval [CI]: 5.5–16.6; p < 0.001), LBPRS 8.7 (95% CI: 4.4–13.0; p < 0.001), Symptom Score 2.0 (95% CI: 1.3–2.8; p < 0.001), SF-36 Physical Component Summary 6.0 (95% CI: 2.9–9.1; p < 0.001), and SF-36 Mental Component Summary 4.0 (95% CI: 1.1–6.8; p = 0.007). CONCLUSION: Patients with chronic LBP receiving anthroposophic treatment had sustained improvements of symptoms, back function, and quality of life, suggesting that larger multicenter rigorous studies may be worthwhile.
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spelling pubmed-30046182010-12-30 Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis Hamre, Harald J Witt, Claudia M Kienle, Gunver S Glockmann, Anja Ziegler, Renatus Willich, Stefan N Kiene, Helmut J Pain Res Original Research BACKGROUND: Anthroposophic treatment for chronic low back pain (LBP) includes special artistic and physical therapies and special medications. In a previously published prospective cohort study, anthroposophic treatment for chronic LBP was associated with improvements of pain, back function, and quality of life at 12-month follow-up. These improvements were at least comparable to improvements in a control group receiving conventional care. We conducted a two-year follow-up analysis of the anthroposophic therapy group with a larger sample size. METHODS: Seventy-five consecutive adult outpatients in Germany, starting anthroposophic treatment for discogenic or non-specific LBP of ≥6 weeks’ duration participated in a prospective cohort study. Main outcomes were Hanover Functional Ability Questionnaire (HFAQ; 0–100), LBP Rating Scale Pain Score (LBPRS; 0–100), Symptom Score (0–10), and SF-36 after 24 months. RESULTS: Eighty-five percent of patients were women. Mean age was 49.0 years. From baseline to 24-month follow-up all outcomes improved significantly; average improvements were: HFAQ 11.1 points (95% confidence interval [CI]: 5.5–16.6; p < 0.001), LBPRS 8.7 (95% CI: 4.4–13.0; p < 0.001), Symptom Score 2.0 (95% CI: 1.3–2.8; p < 0.001), SF-36 Physical Component Summary 6.0 (95% CI: 2.9–9.1; p < 0.001), and SF-36 Mental Component Summary 4.0 (95% CI: 1.1–6.8; p = 0.007). CONCLUSION: Patients with chronic LBP receiving anthroposophic treatment had sustained improvements of symptoms, back function, and quality of life, suggesting that larger multicenter rigorous studies may be worthwhile. Dove Medical Press 2009-06-25 /pmc/articles/PMC3004618/ /pubmed/21197296 Text en © 2009 Hamre et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
Hamre, Harald J
Witt, Claudia M
Kienle, Gunver S
Glockmann, Anja
Ziegler, Renatus
Willich, Stefan N
Kiene, Helmut
Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis
title Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis
title_full Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis
title_fullStr Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis
title_full_unstemmed Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis
title_short Long-term outcomes of anthroposophic therapy for chronic low back pain: A two-year follow-up analysis
title_sort long-term outcomes of anthroposophic therapy for chronic low back pain: a two-year follow-up analysis
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004618/
https://www.ncbi.nlm.nih.gov/pubmed/21197296
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