Practice guidelines recommend various types of exercise and manipulative therapy for @entity615 but there have been few head-to-head comparisons of these interventions. We conducted a randomized controlled trial to compare effects of general exercise, motor control exercise and manipulative therapy on function and perceived effect of intervention in @entity1 with @entity615 . Two hundred and forty adults with non-specific @entity1643 3months were allocated to groups that received 8weeks of general exercise, motor control exercise or spinal manipulative therapy. General exercise included strengthening, stretching and aerobic exercises. Motor control exercise involved retraining specific trunk muscles using ultrasound feedback. Spinal manipulative therapy included joint mobilization and manipulation. Primary outcomes were @entity1 -specific function (PSFS, 3-30) and global perceived effect (GPE, -5 to 5) at 8weeks. These outcomes were also measured at 6 and 12months. Follow-up was 93% at 8weeks and 88% at 6 and 12months. The motor control exercise group had slightly better outcomes than the general exercise group at 8weeks (between-group difference: PSFS 2.9, 95% CI: 0.9-4.8; GPE 1.7, 95% CI: 0.9-2.4), as did the spinal manipulative therapy group (PSFS 2.3, 95% CI: 0.4-4.2; GPE 1.2, 95% CI: 0.4-2.0). The groups had similar outcomes at 6 and 12months. Motor control exercise and spinal manipulative therapy produce slightly better short-term function and perceptions of effect than general exercise, but not better medium or long-term effects, in @entity1 with chronic @entity615 .

Comparison of general exercise, motor control exercise and spinal manipulative therapy for XXXX : A randomized trial.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity615 :: ('MESH:D001416', 'Disease') :: ['chronic back pain', 'non-specific back pain'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['low back pain']
@entity1643 :: (MESH:D017116,Disease) :: ['chronic low back pain']
